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Comparative effect of walking meditation and rubber-band exercise on ankle proprioception and balance performance among persons with chronic ankle instability: a randomized controlled trial [with consumer summary]
Lapanantasin S, Thongloy N, Samsee M, Wonghirunsombat N, Nuangpulsarp N, Ua-Areejit C, Phattaraphanasakul P
Complementary Therapies in Medicine 2022 May;65:102807
clinical trial
7/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: No; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: Yes; Adequate follow-up: Yes; Intention-to-treat analysis: Yes; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*

BACKGROUND: Ankle proprioception and balance impairments are usual consequences of chronic ankle instability (CAI). The impairments affect functional and sport activities and can lead to recurrent ankle sprain. Mind-body practice is claimed to improve ankle proprioception and balance. OBJECTIVE: To investigate the effects of walking meditation, a mind-body practice, and compare it with the rubber-band exercise on ankle proprioception and balance among individuals with CAI. STUDY DESIGN: A randomized controlled trial. METHODS: Thirty-two participants with CAI aged 20.3 +/- 1.8 years were randomized into three groups; (1) walking meditation (WM, n = 10), (2) Rubber-band exercise (RE, n = 11) and (3) control (n = 11). WM and RE were enrolled on a 4-week training regimen (30 min/day, 3 days/week). Before and after the training, ankle proprioception was evaluated by angular error of the ankle reposition test (AEA) at three positions, randomly, ie, 5 degree plantarflexion, 10 degree plantarflexion and 5 degree dorsiflexion. Balance performance was assessed by the star excursion balance test (SEBT). RESULTS: As adjusted by pre-training baseline, no significant difference in AEA and SEBT was found among three groups. However, after training, only the WM group revealed a significant decrease in AEA at 5 degree plantarflexion (p = 0.007) and 10 degree plantarflexion (p = 0.04) compared to the baseline. For SEBT, the WM and RE groups showed significant improvements compared to the baseline in 4 directions each (p < 0.05), while the control group improved only 2 directions (p < 0.05). CONCLUSIONS: WM and RE groups significantly improved SEBT after 4-week training when compared to before training. Additionally, WM group also improved ankle proprioception. Therefore, WM demonstrates feasibility as a promising intervention that could be applied for balance and ankle proprioceptive rehabilitations in persons with CAI.

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