The effectiveness of rearfoot medial wedge intervention on balance for athletes with chronic ankle instability

• Published in: Medicine (Baltimore) 2019-06, Vol.98 (26), p.e16217-e16217
• Main Authors: Chang, Hsiao-Yun, Chang, Yun-Chi, Cheng, Shih-Chung, Wang, Chun-Hou
• Format: Article
• Language: English
• Subjects: Ankle Joint; Athletic Injuries - complications; Athletic Injuries - therapy; Chronic Disease; Clinical Trial/Experimental Study; Equipment Design; Female; Foot Orthoses; Heel; Humans; Joint Instability - complications; Joint Instability - therapy; Male; Sensation Disorders - etiology; Sensation Disorders - therapy; Treatment Outcome; Young Adult
• ISSN: 0025-7974; 1536-5964
• DOI: 10.1097/MD.0000000000016217

Athletes with chronic ankle instability (CAI) often develop complications such as pain, instability, and reduced postural control and balance stability, all of which affect athletic performance. This study investigated the effects of a 4° medal wedge intervention on static and dynamic balance in athletes with CAI. The participants were 24 healthy and 25 CAI athletes. Participants received a 4° medial wedge applied at the rear foot insole and completed the experiment measurements before and after the wedge intervention. The main outcome measures included the area and path length of the center of pressure when participants performed single-leg standing balance in the closed eye condition and the dynamic balance scores of a multiple single-leg hop stabilization test. The single-leg standing balance significantly improved in CAI (P = .027) and control groups (P = .005) after the medial wedge intervention. The dynamic balance scores significantly decreased from 53.00 ± 25.22 to 41.24 ± 21 48 (P = .015) in CAI group after medial wedge intervention. Wearing a 4° medial wedge applied at the rear foot insole improved static and dynamic balance immediately in athletes with CAI. We suggest that clinicians may provide the foot insole to improve balance deficit in athletes having CAI.