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The effectiveness of focus of attention in static balance and functional ability of chronic ankle instability. A pilot study
Anna Christakou * 1, Aikaterini Gkikopoulou2 , Eudokia Iosif2 , Georgios Gioftsos2
1- University of Peloponnese, Sparta, Greece
2- University of West Attica, Athens, Greece
Abstract:   (101 Views)
Objectives: The focus of patients’ attention during the physiotherapy program has been reported to affect the rehabilitation goals. The study aimed to investigate the effectiveness of an external focus of attention on static balance and functional ability in individuals with chronic ankle instability.
Methods: Fourteen subjects with chronic ankle instability, aged from 19 to 25 years old, were randomly assigned to two groups: external and internal focus of attention group. The outcome measures of the study were static balance and functional ability. A pre-intervention evaluation was performed. Subjects practiced on a balance board 3 times per week for 4 weeks, following instructions either to an external or an internal focus of attention. At the end of each week, they performed evaluation tests, i.e., Time Balance test, Foot Lift test, Side hop test, Figure-8-test, Star Excursion Balance Test. Parametric (i.e., Mixed ANOVA) and non-parametric analysis (i.e., Mann–Whitney and Friedman’s tests) were performed between measurements and groups.
Results: There was a statistically significant improvement in static balance and functional ability through the weeks of the intervention program in both groups. Particularly, the results indicated a main effect of time (F (2.488, 29.855) =43.880 P<0.001). For the Time in Balance Test, ANOVA indicated a main effect of time (F (2.571, 30.855) =11.188, P<0.001). For the Star Excursion Balance Test, every direction indicated a main effect of time for both groups.
No significant differences between the two groups were found on static balance and functional ability.
Discussion: Even though there were no statistically significant differences between the two groups, both types of focus of attention contributed to the improvement of static balance and functional ability which may reveal an increase of motor control and neuromuscular ability of the subjects with chronic ankle instability.
Keywords: Ankle sprain, ankle injury, ankle instability, attention, balance, functional ability
     
Article type: Original Research Articles | Subject: Physiotherapy
Received: 2023/10/20 | Accepted: 2024/01/28
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