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Changes in Postural Control due to Electrical Stimulation Therapy for Ankle Instability: A Systematic Review

Document Type : Systematic Reviews

Authors

1 Department of Orthotics and Prosthetics, School of Rehabilitation Sciences, Isfahan University of Medical Sciences, Isfahan, Iran

2 Head of rehabilitation medicine, Erfan hospital, Tehran, Iran

3 PhD of Orthotics and Prosthetics, Associate professor of Orthotics and Prosthetics, Department of Orthotics and Prosthetics, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.

4 Department of Medical Education and Office of Research, Kirk Kerkorian School of Medicine at UNLV University of Nevada, Las Vegas

5 Technical Services Directorate, MSI Nigeria Reproductive Choices, Abuja, Nigeria.

6 Orthopedic surgean, khatam- Alanbia hospital, orthopedic department, Tehran, Iran

7 Department of Clinical Research and Development, LUXMED Group, Warsaw, Poland; Henry JN Taub Department of Emergency Medicine, Baylor College of Medicine, Houston, TX 77030, USA

8 Department of Clinical Research and Development, LUXMED Group, Warsaw, Poland;

9 Laboratory of «Morocco: history, Theology and languages», Department of Psychology, Faculty of Arts and Human Sciences Fès-Saïss, Sidi Mohamed Ben Abdellah University, Fez- Morocco

10 Laboratory of «Morocco: history, Theology and languages», Department of Psychology, Faculty of Arts and Human Sciences Fès-Saïss, Sidi Mohamed Ben Abdellah University, Fez-Morocco

11 Exercise Medicine Unit, Istituto Auxologico Italiano, IRCCS, Milan, Italy

12 MD, Exercise Medicine Unit, Istituto Auxologico Italiano, IRCCS, Milan, Italy.

13 Department of Psychology, Ağrı İbrahim Çeçen University, Turkey

14 Graduate Studies and Research, Lebanese American University, Beirut, Lebanon

15 Post-graduate School of Occupational Health, Università Cattolica del Sacro Cuore, Rome, Italy.

16 Orthopedic surgeon, Center for Orthopedic Trans-Disciplinary Applied Research, Tehran University of Medical Sciences, Tehran, Iran

10.30476/jrsr.2024.102704.1486

Abstract

Background
Ankle instability results in sensory and motor impairments. Typically, health professionals recommend conservative treatment as the initial approach for individuals with this condition. One such treatment option is Electrical Stimulation (ES). This systematic review assesses the effects of ES techniques on postural control measures in cases of ankle instability.
Method
We systematically searched five electronic databases: ClinicalTrials.gov, PubMed, Scopus, SPORTDiscus, and Web of Science. To evaluate the quality of the included articles, we utilized the PEDro checklist. We extracted data on population, intervention, and outcomes and synthesized them narratively.
Result
ES decreased the time needed to stabilize the center of pressure, velocity, displacement, and area, thereby enhancing the performance of clinical tests. While postural stability indexes remained unaffected, the gait inversion angle increased with electrical stimulation.
Conclusion
These results suggest that ES interventions are crucial in enhancing postural control in subjects with ankle instability compared to coordination exercises therapy alone. Stochastic resonance reduced A/P and M/L TTS, COP velocity, COP displacement, and COP area, resulting in enhanced postural control.
 

Keywords

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Journal of Rehabilitation Sciences & Research
Volume 11, Issue 3
September 2024
Pages 117-126
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