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系統識別號 U0026-3008201013345700
論文名稱(中文) 腳踝不穩定運動員進行六週平衡訓練合併增強式訓練- 本體感覺、姿勢控制與肌腱特性效果比較
論文名稱(英文) Effects of Balance Training Combined with Plyometric Exercises on Proprioception,Posture Control, and Tendon Property in Athletes with Functional Ankle Instability
校院名稱 成功大學
系所名稱(中) 物理治療研究所
系所名稱(英) Department of Physical Therapy
學年度 98
學期 2
出版年 98
研究生(中文) 黃璧瑩
研究生(英文) Pi-Yin Huang
電子信箱 t6697401@ccmail.ncku.edu.tw
學號 t6697401
學位類別 碩士
語文別 英文
論文頁數 105頁
口試委員 指導教授-林呈鳳
口試委員-徐阿田
口試委員-陳文玲
口試委員-李恆儒
中文關鍵字 踝關節扭傷  復健  跳躍  肌電圖積分值 
英文關鍵字 ankle sprain  rehabilitation  jump  integral EMG 
學科別分類
中文摘要 背景:踝關節扭傷是發生在運動員最常見的肌肉骨骼傷害,且容易導致慢性踝關節不穩定。
假說:踝關節不穩定運動員進行六週平衡合併增強式訓練,能夠有效促進踝關節本體感覺,姿勢控制能力及肌腱特性的改變。
研究設計:隨機對照臨床試驗。
方法:三十位有雙腳或單腳踝關節穩定障礙的大專業餘運動員,隨機分配到三個組別進行持續六週的訓練。三個組別分別是增強式訓練組(P組,8男2女,n=13)執行增強式運動訓練,平衡合併增強式組(BP組,8男2女,n=13)執行平衡合併增強式運動訓練,或對照組(C組,7男3女,n=12)只進行原有的運動。主要研究參數包括進行單腳往內、外方向落地跳時的下肢關節角度、地面反作用力、負荷率、達穩定期時間、肌電訊號的積分值和肌肉調整期時間,以及單腳站姿的壓力中心晃動與阿基里斯腱肌腱特性。
結果:單獨增強式訓練和平衡結合增強式訓練可以改善踝關節蹠屈本體覺[F=12.595, p=.001],減少壓力中心在閉眼單腳站動作的內外側方向之晃動標準差[F=8.222, p=.001],增加肌腱剛性[F=7.535, p=.002]。在往內側或外側單腳落地的動作,兩組訓練皆會增加下肢在矢狀面的最大角度、減少額狀面及橫向面的最大角度、減少膝關節屈曲達穩定期時間、增加踝關節蹠屈肌與膝關節伸肌在落地前後的活化,以及增加踝關節共同收縮程度。此外,平衡結合增強式訓練能改善踝關節內翻本體覺[F=3.370, p=.046],減少在內外側方向的最大晃動範圍[F=6.435, p=.002],與減少膝關節旋轉達穩定期時間。單獨增強式訓練能額外減少閉眼單腳站動作的壓力中心的晃動面積[F=4.412, p=.015]、降低單腳跳躍落地時前後方向[F=4.012, p=.021] 和垂直地面反作用力[F=8.367, p<.001]和垂直負荷率[F=5.574, p=.005]。
結論:單獨增強式運動和平衡結合增強式訓練能夠減少在靜止狀態的姿勢晃動、在動態情況下提高恢復平衡的能力,並且能增進肌腱剛性,但並不增加動態關節剛性。增強式訓練可以促進的神經肌肉控制策略並改善動態姿勢控制。因此,我們建議增強式訓練在之後需加入踝關節功能障礙的復健計畫中。
英文摘要 Background: Ankle sprains are the most prevalent musculoskeletal injuries that occur in athletes, and the ankle instability is a rather common consequence.
Hypothesis: An isolated plyometric training and a balance combined with plyometric program can positively improve the proprioception, postural control ability, and tendon property in athletes with ankle instability.
Study Design: Randomized controlled clinical trial
Methods: Thirty collegiate recreational athletes with bilateral or unilateral functional ankle instability were randomly assigned to a plyometric group (P group, 8M2F, n=13) or to a balance combined with plyometric group (BP group, 8M2F, n=13) or to a control group (C group, 7M3F, n=12). The outcome measures were the lower limb joint angle, ground reaction force (GRF), loading rate, time to stabilize (TTS), adjusting time and integral electromyography (IEMG) of neronmuscular signal during drop landing, postural sway during one-leg balance, and mechanical property of Achilles tendon.
Results: Isolated plyometric training and balance combined with plyometric training improved the plantar flexion of joint position sense [F=12.595, p=.001], reduced the standard deviation of center of pressure (COP) sway in the medial-lateral (ML) direction [F=8.222, p=.001], increased tendon stiffness [F=7.535, p=.002]. During medial and lateral drop landing tasks, both trainings increased maximum angles of sagittal plane and decreased maximum angle of frontal and transverse plane of lower extremity, and reduced TTS of knee flexion, increased the activations of the ankle plantar flexors and knee extensors in the pre-landing and post-landing, and increased the co-contraction level of dorsiflexors and plantar flexors. Additionally, balance combined with plyometric training improved the inversion of joint position sense [F=3.370, p=.046], reduced maximum sway range in ML direction[F=6.435, p=.002], reduced the TTS of knee rotation. Isolated plyometric training reduced the COP sway area [F=4.412, p=.015], reduced peak anterior-posterior [F=4.012, p=.021] and vertical ground reaction force (GRF) [F=8.367, p<.001] and vertical loading rate [F=5.574, p=.005].
Conclusion: Isolated plyometric exercise and balance combined with plyometric program reduced postural sway in one-leg stance without vision, and improved the ability of regain equilibrium after landing from the one leg hopping. The Achilles tendon became stiffer after these training, but did not strongly improve the dynamic joint stiffness during dynamic movements. One important finding in our study is the plyometric training can modify the neuromuscular control strategies and improve static and dynamic postural control. Therefore, plyometric exercise should be integrated into a common rehabilitation program for functional ankle instability.
論文目次 考試合格證明 i
中文摘要(Chinese Abstract) iii
英文摘要(English Abstract) v
致謝(Acknowledgement) vii
目錄(Table of Contents) viii
表目錄(List of Tables) xi
圖目錄(List of Figures) xiii
Chapter 1 Literature Review 1
1.1 Background 1
1.2 Epidemiology of Ankle Instability 1
1.3 Risk factors of Ankle Instability 2
1.4 Biomechanical studies of Ankle Instability 4
1.5 Electromyography study of Ankle Instability 5
1.6 Joint Stability and Postural Control Researches of Ankle Joint 6
1.6.1 Proprioception 6
1.6.2 Dynamic joint stiffness (DJS) 7
1.6.3 Tendon Property 8
1.6.4 Posture Sway 9
1.7 Balance Training on Ankle instability 9
1.8 Plyometric Training 11
1.9 Summary 13
1.10 Research Purpose 14
1.11 Hypothesis 14
1.12 Research questions 15
Chapter 2 Method 16
2.1 Subjects 16
2.2 Instrument 17
2.3 Experimental Procedures 21
2.3.1. One Leg Drop Jump 21
2.3.2. One-leg standing 22
2.3.3 Joint Position Sense 22
2.3.4 Tendon Stiffness and Biomechanical Properties 23
2.3.5 Foot and Ankle Disability Index Sports Subscale (FADI-S) 26
2.4 Data Reduction 26
2.4.1 Kinematic and kinetic data 26
2.4.2 EMG data 28
2.4.3 Posture sway data 30
2.4.4 Proprioception data 30
2.4.5 Tendon Property data 31
2.5 Training Program 31
2.6 Statistic Analysis 33
Chapter 3 Result 34
3.1 Demographics 34
3.2 Joint position sense 35
3.3 Tendon Property 37
3.4 Static postural control 39
3.5 Dynamic postural control 42
3.5.1 Kinetics 42
3.5.2 Center of mass (COM) and center of pressure (COP) 44
3.5.3 Kinematics 48
3.5.4 Time to stabilization 56
3.5.5 Electromyography 59
Chapter 4 Discussion 65
4.1 Demographics 65
4.2 Joint position sense 65
4.3 Tendon stiffness and joint stiffness 67
4.4 Static postural control 69
4.5 Dynamic postural control 71
4.5.1 Kinetic data 71
4.5.2 Angles at contact and maximum angles 73
4.5.3 COM and COP 77
4.5.4 Time to stabilization 78
4.5.5 Electromyography 80
4.6 Further researches and limitation 86
Chapter 5 Conclusion 88
參考資料(Reference Materials) 89
附錄(Appendixes) 101
參考文獻 Adamson, C. and Cymet, T. (1997). "Ankle sprains: evaluation, treatment, rehabilitation." Md Med J 46(10): 530-537.
Agel, J., Palmieri-Smith, R. M., Dick, R., et al. (2007). "Descriptive epidemiology of collegiate women's volleyball injuries: National Collegiate Athletic Association Injury Surveillance System, 1988-1989 through 2003-2004." J Athl Train 42(2): 295-302.
Arampatzis, A., Bruggemann, G. P. and Metzler, V. (1999). "The effect of speed on leg stiffness and joint kinetics in human running." J Biomech 32(12): 1349-1353.
Arya, S. and Kulig, K. (2010). "Tendinopathy alters mechanical and material properties of the Achilles tendon." J Appl Physiol 108(3): 670-675.
Ashton-Miller, J. A., Ottaviani, R. A., Hutchinson, C., et al. (1996). "What best protects the inverted weightbearing ankle against further inversion? Evertor muscle strength compares favorably with shoe height, athletic tape, and three orthoses." Am J Sports Med 24(6): 800-809.
Aydin, T., Yildiz, Y., Yildiz, C., et al. (2002). "Proprioception of the ankle: a comparison between female teenaged gymnasts and controls." Foot Ankle Int 23(2): 123-129.
Benjamin, M., Kumai, T., Milz, S., et al. (2002). "The skeletal attachment of tendons--tendon "entheses"." Comp Biochem Physiol A Mol Integr Physiol 133(4): 931-945.
Bernier, J. N. and Perrin, D. H. (1998). "Effect of coordination training on proprioception of the functionally unstable ankle." J Orthop Sports Phys Ther 27(4): 264-275.
Bernier, J. N., Perrin, D. H. and Rijke, A. (1997). "Effect of Unilateral Functional Instability of the Ankle on Postural Sway and Inversion and Eversion Strength." J Athl Train 32(3): 226-232.
Biewener, A. A. and Roberts, T. J. (2000). "Muscle and tendon contributions to force, work, and elastic energy savings: a comparative perspective." Exerc Sport Sci Rev 28(3): 99-107.
Blackburn, J. T., Hirth, C. J. and Guskiewicz, K. M. (2003). "Exercise Sandals Increase Lower Extremity Electromyographic Activity During Functional Activities." J Athl Train 38(3): 198-203.
Bressel, E., Larsen, B. T., McNair, P. J., et al. (2004). "Ankle joint proprioception and passive mechanical properties of the calf muscles after an Achilles tendon rupture: a comparison with matched controls." Clin Biomech (Bristol, Avon) 19(3): 284-291.
Brown, C. N., Padua, D. A., Marshall, S. W., et al. (2009). "Variability of motion in individuals with mechanical or functional ankle instability during a stop jump maneuver." Clin Biomech (Bristol, Avon) 24(9): 762-768.
Buchanan, C. I. and Marsh, R. L. (2002). "Effects of exercise on the biomechanical, biochemical and structural properties of tendons." Comp Biochem Physiol A Mol Integr Physiol 133(4): 1101-1107.
Burgess, K. E., Connick, M. J., Graham-Smith, P., et al. (2007). "Plyometric vs. isometric training influences on tendon properties and muscle output." J Strength Cond Res 21(3): 986-989.
Butler, R. J., Crowell, H. P., 3rd and Davis, I. M. (2003). "Lower extremity stiffness: implications for performance and injury." Clin Biomech (Bristol, Avon) 18(6): 511-517.
Caulfield, B. and Garrett, M. (2004). "Changes in ground reaction force during jump landing in subjects with functional instability of the ankle joint." Clin Biomech (Bristol, Avon) 19(6): 617-621.
Caulfield, B. M. and Garrett, M. (2002). "Functional instability of the ankle: differences in patterns of ankle and knee movement prior to and post landing in a single leg jump." Int J Sports Med 23(1): 64-68.
Chaiwanichsiri, D., Lorprayoon, E. and Noomanoch, L. (2005). "Star excursion balance training: effects on ankle functional stability after ankle sprain." J Med Assoc Thai 88 Suppl 4: S90-94.
Chimera, N. J., Swanik, K. A., Swanik, C. B., et al. (2004). "Effects of Plyometric Training on Muscle-Activation Strategies and Performance in Female Athletes." J Athl Train 39(1): 24-31.
Cornu, C., Almeida Silveira, M. I. and Goubel, F. (1997). "Influence of plyometric training on the mechanical impedance of the human ankle joint." Eur J Appl Physiol Occup Physiol 76(3): 282-288.
Coughlan, G. and Caulfield, B. (2007). "A 4-week neuromuscular training program and gait patterns at the ankle joint." J Athl Train 42(1): 51-59.
Davis, R. B. and DeLuca, P. A. (1996). "Gait characterization via dynamic joint stiffness." Gait & Posture 4: 224-231.
Dayakidis, M. K. and Boudolos, K. (2006). "Ground reaction force data in functional ankle instability during two cutting movements." Clin Biomech (Bristol, Avon) 21(4): 405-411.
De Luca, C. J. (1997). "The use of surface electromyography in biomechanics." Journal of Applied Biomechanics 13(2): 135-163.
de Noronha, M., Refshauge, K. M., Crosbie, J., et al. (2008). "Relationship between functional ankle instability and postural control." Journal of Orthopaedic & Sports Physical Therapy 38(12): 782-789.
de Noronha, M., Refshauge, K. M., Herbert, R. D., et al. (2006). "Do voluntary strength, proprioception, range of motion, or postural sway predict occurrence of lateral ankle sprain?" Br J Sports Med 40(10): 824-828; discussion 828.
de Noronha, M., Refshauge, K. M., Kilbreath, S. L., et al. (2007). "Loss of proprioception or motor control is not related to functional ankle instability: an observational study." Australian Journal of Physiotherapy 53(3): 193-198.
de Villarreal, E. S., Kellis, E., Kraemer, W. J., et al. (2009). "Determining variables of plyometric training for improving vertical jump height performance: a meta-analysis." Journal of Strength & Conditioning Research 23(2): 495-506.
de Vries, J. S., Kingma, I., Blankevoort, L., et al. (2010). "Difference in balance measures between patients with chronic ankle instability and patients after an acute ankle inversion trauma." Knee Surg Sports Traumatol Arthrosc.
Decker, M. J., Torry, M. R., Wyland, D. J., et al. (2003). "Gender differences in lower extremity kinematics, kinetics and energy absorption during landing." Clin Biomech (Bristol, Avon) 18(7): 662-669.
Delahunt, E., Monaghan, K. and Caulfield, B. (2006a). "Altered neuromuscular control and ankle joint kinematics during walking in subjects with functional instability of the ankle joint." Am J Sports Med 34(12): 1970-1976.
Delahunt, E., Monaghan, K. and Caulfield, B. (2006b). "Changes in lower limb kinematics, kinetics, and muscle activity in subjects with functional instability of the ankle joint during a single leg drop jump." J Orthop Res 24(10): 1991-2000.
Devita, P. and Skelly, W. A. (1992). "Effect of landing stiffness on joint kinetics and energetics in the lower extremity." Med Sci Sports Exerc 24(1): 108-115.
Dick, R., Hootman, J. M., Agel, J., et al. (2007). "Descriptive epidemiology of collegiate women's field hockey injuries: National Collegiate Athletic Association Injury Surveillance System, 1988-1989 through 2002-2003." J Athl Train 42(2): 211-220.
Docherty, C. L., Valovich McLeod, T. C. and Shultz, S. J. (2006). "Postural control deficits in participants with functional ankle instability as measured by the balance error scoring system." Clinical Journal of Sport Medicine 16(3): 203-208.
Drewes, L. K., McKeon, P. O., Kerrigan, D. C., et al. (2009). "Dorsiflexion deficit during jogging with chronic ankle instability." J Sci Med Sport 12(6): 685-687.
Ebben, W. P., Simenz, C. and Jensen, R. L. (2008). "Evaluation of plyometric intensity using electromyography." Journal of Strength & Conditioning Research 22(3): 861-868.
Eechaute, C., Vaes, P., Duquet, W., et al. (2009). "Reliability and discriminative validity of sudden ankle inversion measurements in patients with chronic ankle instability." Gait Posture 30(1): 82-86.
Eils, E. and Rosenbaum, D. (2001). "A multi-station proprioceptive exercise program in patients with ankle instability." Med Sci Sports Exerc 33(12): 1991-1998.
Farley, C. T. and Morgenroth, D. C. (1999). "Leg stiffness primarily depends on ankle stiffness during human hopping." J Biomech 32(3): 267-273.
Fong, D. T., Chan, Y. Y., Mok, K. M., et al. (2009). "Understanding acute ankle ligamentous sprain injury in sports." Sports Med Arthrosc Rehabil Ther Technol 1: 14.
Ford, K. R., Myer, G. D., Smith, R. L., et al. (2006). "A comparison of dynamic coronal plane excursion between matched male and female athletes when performing single leg landings." Clin Biomech (Bristol, Avon) 21(1): 33-40.
Freeman, M. A., Dean, M. R. and Hanham, I. W. (1965). "The etiology and prevention of functional instability of the foot." J Bone Joint Surg Br 47(4): 678-685.
Frost, S. C. and Amendola, A. (1999). "Is stress radiography necessary in the diagnosis of acute or chronic ankle instability?" Clin J Sport Med 9(1): 40-45.
Fukunaga, T., Kubo, K., Kawakami, Y., et al. (2001). "In vivo behaviour of human muscle tendon during walking." Proc Biol Sci 268(1464): 229-233.
Gerber, J. P., Williams, G. N., Scoville, C. R., et al. (1998). "Persistent disability associated with ankle sprains: a prospective examination of an athletic population." Foot Ankle Int 19(10): 653-660.
Granata, K. P., Padua, D. A. and Wilson, S. E. (2002). "Gender differences in active musculoskeletal stiffness. Part II. Quantification of leg stiffness during functional hopping tasks." J Electromyogr Kinesiol 12(2): 127-135.
Green, S. B. and Salkind, N. J. (2002). Two-way repeated-measures analysis of variance. Using SPSS for the Windows and Macintosh: Analyzing and Understanding Data Prentice Hall.
Gribble, P. A., Hertel, J. and Denegar, C. R. (2007). "Chronic ankle instability and fatigue create proximal joint alterations during performance of the Star Excursion Balance Test." Int J Sports Med 28(3): 236-242.
Gribble, P. A. and Robinson, R. H. (2009). "Alterations in knee kinematics and dynamic stability associated with chronic ankle instability." J Athl Train 44(4): 350-355.
Grosset, J. F., Piscione, J., Lambertz, D., et al. (2009). "Paired changes in electromechanical delay and musculo-tendinous stiffness after endurance or plyometric training." Eur J Appl Physiol 105(1): 131-139.
Hale, S. A. and Hertel, J. (2005). "Reliability and Sensitivity of the Foot and Ankle Disability Index in Subjects With Chronic Ankle Instability." J Athl Train 40(1): 35-40.
Heise, G. D. and Martin, P. E. (1998). ""Leg spring" characteristics and the aerobic demand of running." Med Sci Sports Exerc 30(5): 750-754.
Herman, D. C., Weinhold, P. S., Guskiewicz, K. M., et al. (2008). "The effects of strength training on the lower extremity biomechanics of female recreational athletes during a stop-jump task." Am J Sports Med 36(4): 733-740.
Hermens, H. J., Freriks, B., Merletti, R., et al. (1999). European Recommendations for Surface ElectroMyoGraphy, deliverable of the SENIAM project, Roessingh Research and Development
Hertel, J. (2002). "Functional Anatomy, Pathomechanics, and Pathophysiology of Lateral Ankle Instability." J Athl Train 37(4): 364-375.
Hertel, J. and Olmsted-Kramer, L. C. (2007). "Deficits in time-to-boundary measures of postural control with chronic ankle instability." Gait & Posture 25(1): 33-39.
Hewett, T. E., Stroupe, A. L., Nance, T. A., et al. (1996). "Plyometric training in female athletes. Decreased impact forces and increased hamstring torques." Am J Sports Med 24(6): 765-773.
Hiller, C. E., Refshauge, K. M., Bundy, A. C., et al. (2006). "The Cumberland ankle instability tool: a report of validity and reliability testing." Arch Phys Med Rehabil 87(9): 1235-1241.
Hoffman, M. and Payne, V. G. (1995). "The effects of proprioceptive ankle disk training on healthy subjects." J Orthop Sports Phys Ther 21(2): 90-93.
Holme, E., Magnusson, S. P., Becher, K., et al. (1999). "The effect of supervised rehabilitation on strength, postural sway, position sense and re-injury risk after acute ankle ligament sprain." Scand J Med Sci Sports 9(2): 104-109.
Hubbard, T. J. (2008). "Ligament laxity following inversion injury with and without chronic ankle instability." Foot Ankle Int 29(3): 305-311.
Hubbard, T. J. and Cordova, M. (2009). "Mechanical instability after an acute lateral ankle sprain." Arch Phys Med Rehabil 90(7): 1142-1146.
Hubbard, T. J., Kaminski, T. W., Vander Griend, R. A., et al. (2004). "Quantitative assessment of mechanical laxity in the functionally unstable ankle." Med Sci Sports Exerc 36(5): 760-766.
Hubbard, T. J., Kramer, L. C., Denegar, C. R., et al. (2007). "Correlations among multiple measures of functional and mechanical instability in subjects with chronic ankle instability." J Athl Train 42(3): 361-366.
Hubscher, M., Zech, A., Pfeifer, K., et al. (2009). "Neuromuscular Training for Sports Injury Prevention: A Systematic Review." Med Sci Sports Exerc.
Junge, A. and Dvorak, J. (2007). "Injuries in female football players in top-level international tournaments." Br J Sports Med 41 Suppl 1: i3-7.
Kaminski, T. W. and Hartsell, H. D. (2002). "Factors Contributing to Chronic Ankle Instability: A Strength Perspective." J Athl Train 37(4): 394-405.
Kellis, E., Arabatzi, F. and Papadopoulos, C. (2003). "Muscle co-activation around the knee in drop jumping using the co-contraction index." Journal of Electromyography & Kinesiology 13(3): 229-238.
Kidgell, D. J., Horvath, D. M., Jackson, B. M., et al. (2007). "Effect of six weeks of dura disc and mini-trampoline balance training on postural sway in athletes with functional ankle instability." J Strength Cond Res 21(2): 466-469.
Komi, P. V. (1986). "Training of muscle strength and power: interaction of neuromotoric, hypertrophic, and mechanical factors." Int J Sports Med 7 Suppl 1: 10-15.
Konradsen, L. (2002). "Sensori-motor control of the uninjured and injured human ankle." J Electromyogr Kinesiol 12(3): 199-203.
Konradsen, L. and Magnusson, P. (2000). "Increased inversion angle replication error in functional ankle instability." Knee Surg Sports Traumatol Arthrosc 8(4): 246-251.
Kubo, K., Kanehisa, H. and Fukunaga, T. (2005). "Influences of repetitive drop jump and isometric leg press exercises on tendon properties in knee extensors." J Strength Cond Res 19(4): 864-870.
Kubo, K., Morimoto, M., Komuro, T., et al. (2007a). "Influences of tendon stiffness, joint stiffness, and electromyographic activity on jump performances using single joint." Eur J Appl Physiol 99(3): 235-243.
Kubo, K., Morimoto, M., Komuro, T., et al. (2007b). "Effects of plyometric and weight training on muscle-tendon complex and jump performance." Med Sci Sports Exerc 39(10): 1801-1810.
Kuitunen, S., Komi, P. V. and Kyrolainen, H. (2002). "Knee and ankle joint stiffness in sprint running." Med Sci Sports Exerc 34(1): 166-173.
Laudner, K. G. and Koschnitzky, M. M. (2010). "Ankle muscle activation when using the Both Sides Utilized (BOSU) balance trainer." J Strength Cond Res 24(1): 218-222.
Lee, A. J. and Lin, W. H. (2008). "Twelve-week biomechanical ankle platform system training on postural stability and ankle proprioception in subjects with unilateral functional ankle instability." Clin Biomech (Bristol, Avon) 23(8): 1065-1072.
Lentell, G., Baas, B., Lopez, D., et al. (1995). "The contributions of proprioceptive deficits, muscle function, and anatomic laxity to functional instability of the ankle." J Orthop Sports Phys Ther 21(4): 206-215.
Lephart, S. M., Abt, J. P., Ferris, C. M., et al. (2005). "Neuromuscular and biomechanical characteristic changes in high school athletes: a plyometric versus basic resistance program." Br J Sports Med 39(12): 932-938.
Lephart, S. M., Pincivero, D. M., Giraldo, J. L., et al. (1997). "The role of proprioception in the management and rehabilitation of athletic injuries." Am J Sports Med 25(1): 130-137.
Loudon, J. K., Santos, M. J., Franks, L., et al. (2008). "The effectiveness of active exercise as an intervention for functional ankle instability: a systematic review." Sports Med 38(7): 553-563.
Louwerens, J. W., van Linge, B., de Klerk, L. W., et al. (1995). "Peroneus longus and tibialis anterior muscle activity in the stance phase. A quantified electromyographic study of 10 controls and 25 patients with chronic ankle instability." Acta Orthop Scand 66(6): 517-523.
Lundy-Ekman, L. (2007). Somatosensory System. Neuroscience: Fundamentals for Rehabilitation. L. Lundy-Ekman. Missouri, Saunders Elsevier: 108-111.
Malisoux, L., Francaux, M., Nielens, H., et al. (2006). "Stretch-shortening cycle exercises: an effective training paradigm to enhance power output of human single muscle fibers." J Appl Physiol 100(3): 771-779.
McHugh, M. P., Tyler, T. F., Mirabella, M. R., et al. (2007). "The effectiveness of a balance training intervention in reducing the incidence of noncontact ankle sprains in high school football players." Am J Sports Med 35(8): 1289-1294.
McKeon, P. O. and Hertel, J. (2008). "Spatiotemporal postural control deficits are present in those with chronic ankle instability." BMC Musculoskelet Disord 9: 76.
McKeon, P. O., Ingersoll, C. D., Kerrigan, D. C., et al. (2008). "Balance training improves function and postural control in those with chronic ankle instability." Med Sci Sports Exerc 40(10): 1810-1819.
McKeon, P. O., Paolini, G., Ingersoll, C. D., et al. (2009). "Effects of balance training on gait parameters in patients with chronic ankle instability: a randomized controlled trial." Clin Rehabil 23(7): 609-621.
McNitt-Gray, J. L. (1993). "Kinetics of the lower extremities during drop landings from three heights." J Biomech 26(9): 1037-1046.
McNitt-Gray, J. L., Hester, D. M., Mathiyakom, W., et al. (2001). "Mechanical demand and multijoint control during landing depend on orientation of the body segments relative to the reaction force." J Biomech 34(11): 1471-1482.
Medved, V. (2001). ISB Recommendations for Standardization in the Reporting of Kinematic Data. Measurement of Human Locomotion, CRC Press: 235–241.
Mitchell, A., Dyson, R., Hale, T., et al. (2008a). "Biomechanics of ankle instability. Part 1: Reaction time to simulated ankle sprain." Med Sci Sports Exerc 40(8): 1515-1521.
Mitchell, A., Dyson, R., Hale, T., et al. (2008b). "Biomechanics of ankle instability. Part 2: Postural sway-reaction time relationship." Med Sci Sports Exerc 40(8): 1522-1528.
Mohammadi, F. (2007). "Comparison of 3 preventive methods to reduce the recurrence of ankle inversion sprains in male soccer players." Am J Sports Med 35(6): 922-926.
Monaghan, K., Delahunt, E. and Caulfield, B. (2006). "Ankle function during gait in patients with chronic ankle instability compared to controls." Clin Biomech (Bristol, Avon) 21(2): 168-174.
Muraoka, T., Muramatsu, T., Fukunaga, T., et al. (2004). "Geometric and elastic properties of in vivo human Achilles tendon in young adults." Cells Tissues Organs 178(4): 197-203.
Myer, G. D., Ford, K. R., Brent, J. L., et al. (2006a). "The effects of plyometric vs. dynamic stabilization and balance training on power, balance, and landing force in female athletes." J Strength Cond Res 20(2): 345-353.
Myer, G. D., Ford, K. R., McLean, S. G., et al. (2006b). "The effects of plyometric versus dynamic stabilization and balance training on lower extremity biomechanics." Am J Sports Med 34(3): 445-455.
Olmsted, L. C., Carcia, C. R., Hertel, J., et al. (2002). "Efficacy of the Star Excursion Balance Tests in Detecting Reach Deficits in Subjects With Chronic Ankle Instability." J Athl Train 37(4): 501-506.
Palmieri, R. M., Ingersoll, C. D., Cordova, M. L., et al. (2003). "The effect of a simulated knee joint effusion on postural control in healthy subjects." Arch Phys Med Rehabil 84(7): 1076-1079.
Paterno, M. V., Myer, G. D., Ford, K. R., et al. (2004). "Neuromuscular training improves single-limb stability in young female athletes." J Orthop Sports Phys Ther 34(6): 305-316.
Perotto, A. (2005). Anatomical Guide For The Electromyographer: The Limbs and Trunk. Springfield, IL, Charles C Thomas Publisher Ltd.
Plisky, P. J., Rauh, M. J., Kaminski, T. W., et al. (2006). "Star Excursion Balance Test as a predictor of lower extremity injury in high school basketball players." J Orthop Sports Phys Ther 36(12): 911-919.
Rahnama, L., Salavati, M., Akhbari, B., et al. (2010). "Attentional demands and postural control in athletes with and without functional ankle instability." J Orthop Sports Phys Ther 40(3): 180-187.
Riemann, B. L. and Lephart, S. M. (2002a). "The Sensorimotor System, Part I: The Physiologic Basis of Functional Joint Stability." J Athl Train 37(1): 71-79.
Riemann, B. L. and Lephart, S. M. (2002b). "The Sensorimotor System, Part II: The Role of Proprioception in Motor Control and Functional Joint Stability." J Athl Train 37(1): 80-84.
Rijke, A. M., Jones, B. and Vierhout, P. A. (1986). "Stress examination of traumatized lateral ligaments of the ankle." Clin Orthop Relat Res(210): 143-151.
Rozzi, S. L., Lephart, S. M., Sterner, R., et al. (1999). "Balance training for persons with functionally unstable ankles." J Orthop Sports Phys Ther 29(8): 478-486.
Santello, M., McDonagh, M. J. and Challis, J. H. (2001). "Visual and non-visual control of landing movements in humans." J Physiol 537(Pt 1): 313-327.
Santilli, V., Frascarelli, M. A., Paoloni, M., et al. (2005). "Peroneus longus muscle activation pattern during gait cycle in athletes affected by functional ankle instability: a surface electromyographic study." Am J Sports Med 33(8): 1183-1187.
Santos, M. J. and Liu, W. (2008). "Possible factors related to functional ankle instability." J Orthop Sports Phys Ther 38(3): 150-157.
Sedano Campo, S., Vaeyens, R., Philippaerts, R. M., et al. (2009). "Effects of lower-limb plyometric training on body composition, explosive strength, and kicking speed in female soccer players." J Strength Cond Res 23(6): 1714-1722.
Sekir, U., Yildiz, Y., Hazneci, B., et al. (2007). "Effect of isokinetic training on strength, functionality and proprioception in athletes with functional ankle instability." Knee Surg Sports Traumatol Arthrosc 15(5): 654-664.
Self, B. P. and Paine, D. (2001). "Ankle biomechanics during four landing techniques." Med Sci Sports Exerc 33(8): 1338-1344.
Spurrs, R. W., Murphy, A. J. and Watsford, M. L. (2003). "The effect of plyometric training on distance running performance." Eur J Appl Physiol 89(1): 1-7.
Stacoff, A., Steger, J., Stussi, E., et al. (1996). "Lateral stability in sideward cutting movements." Med Sci Sports Exerc 28(3): 350-358.
Stormont, D. M., Morrey, B. F., An, K. N., et al. (1985). "Stability of the loaded ankle. Relation between articular restraint and primary and secondary static restraints." Am J Sports Med 13(5): 295-300.
Suda, E. Y., Amorim, C. F. and Sacco Ide, C. (2009). "Influence of ankle functional instability on the ankle electromyography during landing after volleyball blocking." J Electromyogr Kinesiol 19(2): e84-93.
Swanik, K. A., Lephart, S. M., Swanik, C. B., et al. (2002). "The effects of shoulder plyometric training on proprioception and selected muscle performance characteristics." J Shoulder Elbow Surg 11(6): 579-586.
Thomas, K., French, D. and Hayes, P. R. (2009). "The effect of two plyometric training techniques on muscular power and agility in youth soccer players." Journal of Strength & Conditioning Research 23(1): 332-335.
Toumi, H., Best, T. M., Martin, A., et al. (2004). "Effects of eccentric phase velocity of plyometric training on the vertical jump." Int J Sports Med 25(5): 391-398.
Tropp, H., Odenrick, P. and Gillquist, J. (1985). "Stabilometry recordings in functional and mechanical instability of the ankle joint." Int J Sports Med 6(3): 180-182.
Vaes, P., Duquet, W. and Van Gheluwe, B. (2002). "Peroneal Reaction Times and Eversion Motor Response in Healthy and Unstable Ankles." J Athl Train 37(4): 475-480.
Valovich McLeod, T. C. (2008). "The effectiveness of balance training programs on reducing the incidence of ankle sprains in adolescent athletes." J Sport Rehabil 17(3): 316-323.
van Rijn, R. M., van Os, A. G., Bernsen, R. M., et al. (2008). "What is the clinical course of acute ankle sprains? A systematic literature review." American Journal of Medicine 121(4): 324-331 e326.
Verhagen, E., Bobbert, M., Inklaar, M., et al. (2005). "The effect of a balance training programme on centre of pressure excursion in one-leg stance." Clin Biomech (Bristol, Avon) 20(10): 1094-1100.
Verhagen, E., van der Beek, A., Twisk, J., et al. (2004). "The effect of a proprioceptive balance board training program for the prevention of ankle sprains: a prospective controlled trial." Am J Sports Med 32(6): 1385-1393.
Vescovi, J. D., Canavan, P. K. and Hasson, S. (2008). "Effects of a plyometric program on vertical landing force and jumping performance in college women." Physical Therapy in Sport 9(4): 185-192.
Wang, H. K., Chen, C. H., Shiang, T. Y., et al. (2006). "Risk-factor analysis of high school basketball-player ankle injuries: a prospective controlled cohort study evaluating postural sway, ankle strength, and flexibility." Arch Phys Med Rehabil 87(6): 821-825.
Westlake, K. P., Wu, Y. and Culham, E. G. (2007). "Sensory-specific balance training in older adults: effect on position, movement, and velocity sense at the ankle." Phys Ther 87(5): 560-568.
Wikstrom, E. A., Fournier, K. A. and McKeon, P. O. (2010). "Postural control differs between those with and without chronic ankle instability." Gait Posture.
Wikstrom, E. A., Tillman, M. D., Chmielewski, T. L., et al. (2006). "Measurement and evaluation of dynamic joint stability of the knee and ankle after injury." Sports Med 36(5): 393-410.
Wikstrom, E. A., Tillman, M. D., Chmielewski, T. L., et al. (2007). "Dynamic postural stability deficits in subjects with self-reported ankle instability." Med Sci Sports Exerc 39(3): 397-402.
Wilk, K. E., Voight, M. L., Keirns, M. A., et al. (1993). "Stretch-shortening drills for the upper extremities: theory and clinical application." J Orthop Sports Phys Ther 17(5): 225-239.
Wilkerson, G. B., Pinerola, J. J. and Caturano, R. W. (1997). "Invertor vs. evertor peak torque and power deficiencies associated with lateral ankle ligament injury." J Orthop Sports Phys Ther 26(2): 78-86.
Willems, T., Witvrouw, E., Verstuyft, J., et al. (2002). "Proprioception and Muscle Strength in Subjects With a History of Ankle Sprains and Chronic Instability." J Athl Train 37(4): 487-493.
Wilson, J. M. and Flanagan, E. P. (2008). "The role of elastic energy in activities with high force and power requirements: a brief review." J Strength Cond Res 22(5): 1705-1715.
Wright, I. C., Neptune, R. R., van den Bogert, A. J., et al. (2000). "The influence of foot positioning on ankle sprains." J Biomech 33(5): 513-519.
Wu, Y. K., Lien, Y. H., Lin, K. H., et al. (2010). "Relationships between three potentiation effects of plyometric training and performance." Scand J Med Sci Sports 20(1): e80-86.
Yamazaki, J., Muneta, T., Ju, Y. J., et al. (2010). "Differences in kinematics of single leg squatting between anterior cruciate ligament-injured patients and healthy controls." Knee Surg Sports Traumatol Arthrosc 18(1): 56-63.
Yeung, M. S., Chan, K. M., So, C. H., et al. (1994). "An epidemiological survey on ankle sprain." Br J Sports Med 28(2): 112-116.
Yokoyama, S., Matsusaka, N., Gamada, K., et al. (2008). "Position-specific deficit of joint position sense in ankles with chronic functional instability." Journal of Sports Science and Medicine 7(4): 480-485.
Zhao, H., Ren, Y., Wu, Y. N., et al. (2009). "Ultrasonic evaluations of Achilles tendon mechanical properties poststroke." J Appl Physiol 106(3): 843-849.
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