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Six-week combined vibration and wobble board training on balance and stability in footballers with functional ankle instability
Cloak R, Nevill A, Day S, Wyon M
Clinical Journal of Sport Medicine 2013 Sep;23(5):384-391
clinical trial
5/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: Yes; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: No; Adequate follow-up: No; Intention-to-treat analysis: No; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*

OBJECTIVE: To compare the effectiveness of a combination of vibration and wobble board training against wobble board training alone in footballers suffering from functional ankle instability (FAI). DESIGN: A 2x3 prefactorial-postfactorial design. SETTING: University research laboratory. PARTICIPANTS: Thirty-three male semiprofessional footballers with self-reported unilateral FAI were randomly assigned in 3 groups: vibration and wobble board (mean age 22.2 years), wobble board (mean age 22.7 years), and control (mean age 23.1 years). INTERVENTIONS: Participants in each intervention group performed a 6-week progressive rehabilitation program using a wobble board, either with or without the addition of vibration stimulus. MAIN OUTCOME MEASURES: Absolute center of mass (COM) distribution during single-leg stance, modified star excursion balance test (SEBT) reach distances, and single-leg triple hop for distance (SLTHD) were measured before and after 6-week intervention. RESULTS: Combined vibration and wobble board framing resulted in reduced COM distribution (p <= 0.001, effect size (ES) = 0.66), increased SEBT reach distances (p <= 0.01 and p <= 0.002, ES 0.19 and 0.29, respectively), and increased SLTHD (p <= 0.001, ES 0.33) compared with wobble board training alone during the course of the 6-week training intervention. CONCLUSIONS: Combined vibration and wobble board framing improves COM distribution, modified SEBT scores, and SLTHD among footballers suffering FAI compared with wobble board training alone.
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