Volume 32, Issue 3 pp. 576-587
ORIGINAL ARTICLE

Effects of balance training with stroboscopic glasses on postural control in chronic ankle instability patients

Hyunwook Lee

Hyunwook Lee

Department of Exercise Sciences, Brigham Young University, Provo, Utah, USA

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Seunguk Han

Corresponding Author

Seunguk Han

Department of Exercise Sciences, Brigham Young University, Provo, Utah, USA

Correspondence

Seunguk Han, Department of Exercise Sciences, Brigham Young University, 106 SFH, Provo, UT, USA.

Email: [email protected]

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Garritt Page

Garritt Page

Department of Statistics, Brigham Young University, Provo, Utah, USA

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Dustin A. Bruening

Dustin A. Bruening

Department of Exercise Sciences, Brigham Young University, Provo, Utah, USA

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Matthew K. Seeley

Matthew K. Seeley

Department of Exercise Sciences, Brigham Young University, Provo, Utah, USA

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J. Ty Hopkins

J. Ty Hopkins

Department of Exercise Sciences, Brigham Young University, Provo, Utah, USA

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First published: 14 November 2021
Citations: 11

Funding information

This study was partially funded by the National Athletic Trainer's Association Research and Education Foundation

Abstract

Individuals with chronic ankle instability (CAI) are believed to rely more on visual information during postural control due to impaired proprioceptive function, which may increase the risk of injury when their vision is limited during sports activities.

Objectives

To compare (1) the effects of balance training with and without stroboscopic glasses on postural control and (2) the effects of the training on visual reliance in patients with CAI.

Design

A randomized controlled clinical trial.

Methods

Twenty-eight CAI patients were equally assigned to one of 2 groups: strobe or control group. The strobe group wore stroboscopic glasses during a 4-week balance training. Static postural control, a single-leg hop balance test calculated by Dynamic Postural Stability Index (DPSI), and the Y-Balance test (YBT) were measured. During the tests, there were different visual conditions: eyes-open (EO), eyes-closed (EC), and strobe vision (SV). Romberg ratios were then calculated as SV/EO, and EC/EO and used for statistical analysis.

Results

The strobe group showed a higher pretest-posttest difference in velocity in the medial-lateral direction and vertical stability index under SV compared with the control group (p < .05). The strobe group showed higher differences in EC/EO for velocity in the medial-lateral and anterior-posterior directions, and 95% confidence ellipse area (p < .05), and in SV/EO for velocity in the medial-lateral, 95% confidence ellipse area, and YBT-anterior direction (p < .05).

Conclusion

The 4-week balance training with stroboscopic glasses appeared to be effective in improving postural control and altering visual reliance in patients with CAI.

CONFLICT OF INTEREST

The authors certify that they have no affiliations with or financial involvement in any organization or entity with a direct financial interest in the subject matter or materials discussed in the article.

DATA AVAILABILITY STATEMENT

The data that support the findings of this study are available from the corresponding author upon reasonable request.

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