Scholarlink

Objective <p>This study aimed to assess the impact of combining stroboscopic visual training (SVT) with balance training on balance performance and self-reported ankle stability in individuals with chronic ankle instability (CAI).</p> Methods <p>This study followed the PRISMA 2020 guidelines and was registered in PROSPERO (Registration No.: CRD420251076956) in advance. The meta-analysis was conducted using RevMan 5.3 and Stata 16.0 software. A thorough systematic search of six databases, such as PubMed, Scopus, Web of Science, and the China National Knowledge Infrastructure (CNKI), was carried out to find randomized controlled trials that included patients with CAI who received SVT along with balance interventions. Cohen’s d was used to calculate standardized mean differences (SMDs), and a random-effects model was utilized for pooling the effect sizes. Subgroup analyses were executed with balanced and self-reported scale outcome measures. The methodological quality and risk of bias of the included studies were evaluated using the physiotherapy evidence database (PEDro) scale and the Cochrane Risk of Bias 2.0 tool.</p> Results <p>The meta-analysis comprised seven randomized controlled trials, involving 235 participants in total. The participants included 149 males and 86 females, with an average age of 22 years. The meta-analysis showed that combining SVT with balance training had a significant positive impact on the balance ability of individuals with CAI (Cohen’s d = 0.30, <i>p </i>= 0.01). The most significant dynamic balance improvement was in the anterior direction (d = 0.55, <i>p</i> = 0.004), with no significant changes in posterolateral, posteromedial directions, or static balance COP-V. In the same way, the combination of SVT with balance training resulted in a notable improvement in self-reported ankle stability among CAI patients (d = 0.53, <i>p</i> = 0.00). Cumberland ankle instability tool (CAIT) scores showed greatest improvement (d = 0.98, <i>p</i> = 0.00), with significant gains on foot and ankle ability measure (FAAM) -Sport subscale (d = 0.40, <i>p</i> = 0.04), but no change in FAAM- Activities of Daily Living (ADL) subscale.</p> Conclusion <p>Preliminary evidence suggests SVT + balance training may improve ankle stability in CAI. Further high-quality RCTs are needed to confirm these findings.</p>

错误：搜索内容不能为空，请输入英文关键词
错误：关键词超出字数限制，请精简
高级检索

Stroboscopic visual training combined with balance exercises for chronic ankle instability: a systematic review and meta-analysis

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2025年12月18日

查看全文
  • Yuanyuan Luo,
  • Xinjie Zhang,
  • Shuairan Li,
  • Yingying Cao,
  • Xinliang Pan,
  • Denise Koh

摘要

Objective

This study aimed to assess the impact of combining stroboscopic visual training (SVT) with balance training on balance performance and self-reported ankle stability in individuals with chronic ankle instability (CAI).

Methods

This study followed the PRISMA 2020 guidelines and was registered in PROSPERO (Registration No.: CRD420251076956) in advance. The meta-analysis was conducted using RevMan 5.3 and Stata 16.0 software. A thorough systematic search of six databases, such as PubMed, Scopus, Web of Science, and the China National Knowledge Infrastructure (CNKI), was carried out to find randomized controlled trials that included patients with CAI who received SVT along with balance interventions. Cohen’s d was used to calculate standardized mean differences (SMDs), and a random-effects model was utilized for pooling the effect sizes. Subgroup analyses were executed with balanced and self-reported scale outcome measures. The methodological quality and risk of bias of the included studies were evaluated using the physiotherapy evidence database (PEDro) scale and the Cochrane Risk of Bias 2.0 tool.

Results

The meta-analysis comprised seven randomized controlled trials, involving 235 participants in total. The participants included 149 males and 86 females, with an average age of 22 years. The meta-analysis showed that combining SVT with balance training had a significant positive impact on the balance ability of individuals with CAI (Cohen’s d = 0.30, p = 0.01). The most significant dynamic balance improvement was in the anterior direction (d = 0.55, p = 0.004), with no significant changes in posterolateral, posteromedial directions, or static balance COP-V. In the same way, the combination of SVT with balance training resulted in a notable improvement in self-reported ankle stability among CAI patients (d = 0.53, p = 0.00). Cumberland ankle instability tool (CAIT) scores showed greatest improvement (d = 0.98, p = 0.00), with significant gains on foot and ankle ability measure (FAAM) -Sport subscale (d = 0.40, p = 0.04), but no change in FAAM- Activities of Daily Living (ADL) subscale.

Conclusion

Preliminary evidence suggests SVT + balance training may improve ankle stability in CAI. Further high-quality RCTs are needed to confirm these findings.