Ankle Sprain Case Study

NEUROMUSCULAR , PROPRIOCEPTIVE AND BALANCE TRAINING VS BRACING AND TAPING FOR PREVENTING RECURRENT ANKLE SPRAIN IN ATHLETES

INTRODUCTION
An ankle sprain is an injury to the tough ligaments that surrounds the bones and keeps in contact with each other (1).
In India more than ten million cases per year is recorded (2). Ankle sprain makes about 15% of all athletic injuries occurring each day (1). These injuries are common among basketball, volleyball, soccer players(1). Regular participation in physical activity and sports is beneficial for health but there is also increased risk of injury and ankle sprain is commonest one(4).
The cause of increase rate of ankle sprain could be improper or no training, improper footwear, playing style, playing

Mc Guine and James S. Keene conducted a study on effects of balance training program on risk of ankle sprain. The purpose of study was to know whether a balance training program can reduce risk of ankle sprain in high school athletes. 765 high school soccer and basketball players were randomly allotted to intervention group and control group. Intervention group participated in balance training program and control group performed only standard conditioning exercises. Subject’s demographic data was taken prior to program which included gender, age, height, weight, level of competition, previous ankle sprain, leg dominance, arch type, use of ankle supports and ankle laxity. The balance training program included five sets of exercises to be performed by subjects 3times per week foe 10 min. author included all the subjects in the analysis whether they completed the intervention program or not. Author mentioned the percentage of athletes who got lateral, medial, syndesmotic sprain. According to the study the risk for ankle sprain for subjects taking part in balance training program was low. No adverse event was noted from participating in balance training program. The study is RCT and was not blinded. The subjects performing intervention knew they were doing so to prevent sprain. School knew which team were in control and intervention group hence chances of getting bias was higher. In this study the number of female subjects was more than male. Author’s conclusion was a balance training program will significantly reduce the risk of ankle sprain in