Preprint Article Version 1 Preserved in Portico This version is not peer-reviewed

Enhancing Post-Surgical Rehabilitation Outcomes in Patients with Chronic Ankle Instability: Impact of Subtalar Joint Axis Balance Exercises Following Arthroscopic Modified Broström Operation

Version 1 : Received: 4 January 2024 / Approved: 4 January 2024 / Online: 4 January 2024 (14:30:30 CET)

A peer-reviewed article of this Preprint also exists.

Park, J.-M.; Han, S.-H.; Cho, B.-C.; Lee, S.-M.; Shin, M.-S.; Yu, J.-H.; Kim, H.-J.; Noh, H.-D.; Cho, M.-S.; Kim, M.-K. Enhancing Post-Surgical Rehabilitation Outcomes in Patients with Chronic Ankle Instability: Impact of Subtalar Joint Axis Balance Exercises Following Arthroscopic Modified Broström Operation. Medicina 2024, 60, 328. Park, J.-M.; Han, S.-H.; Cho, B.-C.; Lee, S.-M.; Shin, M.-S.; Yu, J.-H.; Kim, H.-J.; Noh, H.-D.; Cho, M.-S.; Kim, M.-K. Enhancing Post-Surgical Rehabilitation Outcomes in Patients with Chronic Ankle Instability: Impact of Subtalar Joint Axis Balance Exercises Following Arthroscopic Modified Broström Operation. Medicina 2024, 60, 328.

Abstract

Background and Objectives: This study aimed to evaluate the effects of subtalar joint axis-based balance exercises on the anterior talofibular ligament (ATFL) thickness, ankle strength, and ankle stability after an arthroscopic modified Broström operation (AMBO) for chronic ankle instability (CAI). Materials and Methods: The study included 47 patients diagnosed with CAI who underwent AMBO and were randomly divided into three groups: control (n=11), general balance exercise (n=17), and subtalar joint axis balance exercise (n=19), regardless of the affected area. Participants in the exercise rehabilitation group performed exercises for 60 min twice a week for 6 weeks, starting 6 weeks after AMBO. ATFL thickness, ankle strength, and ankle dynamic stability were measured using musculoskeletal ultrasonography, Biodex, and Y-balance test, respectively, before and after treatment. Results: Compared with the remaining groups, the subtalar joint axis balance exercise group had reduced ATFL thickness (p = 0.000), improved ankle strength for eversion (p = 0.000) and inversion (p = 0.000), and enhanced ankle stability (p = 0.000). Conclusions: The study results suggests that subtalar joint axis-based balance exercises may contribute to the early recovery of the ankle joint after AMBO.

Keywords

Anterior talofibular ligament; arthroscopic modified Broström operation; chronic ankle instability; subtalar joint axis balance exercises

Subject

Medicine and Pharmacology, Orthopedics and Sports Medicine

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