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First published on July 20, 2004, doi:10.1177/0363546503262177

(American Journal of Sports Medicine 2004;32:1385.)

A more recent version of this article appeared on September 1, 2004
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Article

The Effect of a Proprioceptive Balance Board Training Program for the Prevention of Ankle Sprains

Evert Verhagen1, Allard van der Beek2, Jos Twisk1, Lex Bouter1, Roald Bahr3, Willem van Mechelen2*

1 EMGO-Institute, Amsterdam, the Netherlands
2 EMGO-Institute, Amsterdam, the Netherlands; Body@Work, Amsterdam, the Netherlands
3 Oslo Sports Trauma Research Center, Oslo, Norway

* To whom correspondence should be addressed. E-mail: w.vanmechelen{at}vumc.nl.


   Abstract

Background: Ankle sprains are the most common injuries in a variety of sports.

Hypothesis: A proprioceptive balance board program is effective for prevention of ankle sprains in volleyball players.

Study Design: Prospective controlled study.

Methods: There were 116 male and female volleyball teams followed prospectively during the 2001-2002 season. Teams were randomized by 4 geographical regions to an intervention group (66 teams, 641 players) and control group (50 teams, 486 players). Intervention teams followed a prescribed balance board training program; control teams followed their normal training routine. The coaches recorded exposure on a weekly basis for each player. Injuries were registered by the players within 1 week after onset.

Results: Significantly fewer ankle sprains in the intervention group were found compared to the control group (risk difference = 0.4/1000 playing hours; 95% confidence interval, 0.1-0.7). A significant reduction in ankle sprain risk was found only for players with a history of ankle sprains. The incidence of overuse knee injuries for players with history of knee injury was increased in the intervention group. History of knee injury may be a contraindication for proprioceptive balance board training.

Conclusions: Use of proprioceptive balance board program is effective for prevention of ankle sprain recurrences.

Key Words: prevention, ankle sprains, volleyball, proprioception, prospective




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