{"id":{"repo_id":"ohiolink","oai_identifier":"oai:etd.ohiolink.edu:toledo1364383792"},"canonical_url":"https://search.dev.ndltd.org/etd/ohiolink/oai:etd.ohiolink.edu:toledo1364383792","repository":{"repo_id":"ohiolink","name":"OhioLINK","base_url":"https://etd.ohiolink.edu/acprod/odb_etd/ws/oai/oai"},"display":{"title":"Effects of Hip Rehabilitation Intervention on Dynamic Postural Control and Self-Reported Ankle Impairment in Patients with Chronic Ankle Instability","abstract":"Objective: The objective of this study was to determine the effectiveness of two intervention programs focusing on proximal alterations or distal alterations on improving dynamic postural control and self-reported disability in patients with chronic ankle instability (CAI). Design and Setting: A double blinded, randomized control trial was conducted in a laboratory setting. Subjects: Twelve patients with CAI were randomly assigned to an Ankle intervention group (4 males, 2 females; 21.5±2.81 years; 176.74±10.91 cm; 83.14±20.85 kg), or to an Ankle/Glut intervention group (2 males, 4 females; 19.5±1.52 years; 168.48±7.82 cm; 80.74±27.63 kg). Procedure: Experimental measures were measured pre- and post-intervention period. All participants filled out the Foot and Ankle Ability Measure (FAAM) and FAAM Sport during pre- and post-testing to test for improvement in self-reported function following the intervention. The Star Excursion Balance Test (SEBT) and Time to Stabilization (TTS) were tools used to assess dynamic postural control. Lastly, the participant’s hip abduction strength (HABD) and external rotation strength (ER) were determined using a hand-held dynamometer. Hip ER was tested in a seated position, while HABD was tested in a sidelying position. Participants were randomly assigned to the Ankle or Ankle/Glut intervention group and took part in a four-week exercise program. The Ankle intervention group participated in traditional ankle rehabilitation of four directional therabands, wobbleboard, and single-leg balance exercises, whereas the Ankle/Glut intervention group took part in the same traditional ankle rehabilitation along with gluteal exercises of rotational lunges and rotational squats. Both groups met twice a week, for approximately 20 minute sessions, with the first exercise intervention occurring immediately following pre-testing of outcome measures and the day prior to post-testing after four-weeks. During the first week, the gluteal exercises were performed with no resistance. During the 2-4 weeks of the intervention, participants wore a weight vest to which 5% of body mass was added each week, resulting in resistances of 5%, 10%, and 15% of body mass during weeks 2, 3, and 4, respectively, of the intervention. Significance was detemined using dependent t-tests between pre and post values (p<0.05). Cohen’s d effect sizes with corresponding 95% confidence intervals (CI) were calculated. Results: The pre-post intervention difference for the FAAM was significantly different between groups (p=0.02), with the Ankle group reporting a greater improvement in self-reported disability after the intervention period. All other pre-post comparisons were not statistically significant between groups. Moderate effect sizes showed greater improvement in the Ankle/Glut rehabilitation group compared to the Ankle group for resultant vector TTS (d=0.57), HABD (d=0.60), ER (d=-0.75) and posteriorlateral SEBT (d=-0.65); however the 95% CI for these comparisons all crossed zero. Conclusion: This study provides support that the Ankle rehabilitation was more effective at increasing self-reported function when compared to Ankle/Glut rehabilitation. There is limited support that the Ankle/Glut intervention may reduce functional instability associated with CAI, as well as strengthen the hip musculature. We believe this study will be instrumental in creating a rehabilitation paradigm shift that incorporates interventions that alleviate proximal joint alterations that are commonly seen in those with CAI.","abstract_html":"Objective: The objective of this study was to determine the effectiveness of two intervention programs focusing on proximal alterations or distal alterations on improving dynamic postural control and self-reported disability in patients with chronic ankle instability (CAI). Design and Setting: A double blinded, randomized control trial was conducted in a laboratory setting. Subjects: Twelve patients with CAI were randomly assigned to an Ankle intervention group (4 males, 2 females; 21.5±2.81 years; 176.74±10.91 cm; 83.14±20.85 kg), or to an Ankle/Glut intervention group (2 males, 4 females; 19.5±1.52 years; 168.48±7.82 cm; 80.74±27.63 kg). Procedure: Experimental measures were measured pre- and post-intervention period. All participants filled out the Foot and Ankle Ability Measure (FAAM) and FAAM Sport during pre- and post-testing to test for improvement in self-reported function following the intervention. The Star Excursion Balance Test (SEBT) and Time to Stabilization (TTS) were tools used to assess dynamic postural control. Lastly, the participant’s hip abduction strength (HABD) and external rotation strength (ER) were determined using a hand-held dynamometer. Hip ER was tested in a seated position, while HABD was tested in a sidelying position. Participants were randomly assigned to the Ankle or Ankle/Glut intervention group and took part in a four-week exercise program. The Ankle intervention group participated in traditional ankle rehabilitation of four directional therabands, wobbleboard, and single-leg balance exercises, whereas the Ankle/Glut intervention group took part in the same traditional ankle rehabilitation along with gluteal exercises of rotational lunges and rotational squats. Both groups met twice a week, for approximately 20 minute sessions, with the first exercise intervention occurring immediately following pre-testing of outcome measures and the day prior to post-testing after four-weeks. During the first week, the gluteal exercises were performed with no resistance. During the 2-4 weeks of the intervention, participants wore a weight vest to which 5% of body mass was added each week, resulting in resistances of 5%, 10%, and 15% of body mass during weeks 2, 3, and 4, respectively, of the intervention. Significance was detemined using dependent t-tests between pre and post values (p&lt;0.05). Cohen’s d effect sizes with corresponding 95% confidence intervals (CI) were calculated. Results: The pre-post intervention difference for the FAAM was significantly different between groups (p=0.02), with the Ankle group reporting a greater improvement in self-reported disability after the intervention period. All other pre-post comparisons were not statistically significant between groups. Moderate effect sizes showed greater improvement in the Ankle/Glut rehabilitation group compared to the Ankle group for resultant vector TTS (d=0.57), HABD (d=0.60), ER (d=-0.75) and posteriorlateral SEBT (d=-0.65); however the 95% CI for these comparisons all crossed zero. Conclusion: This study provides support that the Ankle rehabilitation was more effective at increasing self-reported function when compared to Ankle/Glut rehabilitation. There is limited support that the Ankle/Glut intervention may reduce functional instability associated with CAI, as well as strengthen the hip musculature. We believe this study will be instrumental in creating a rehabilitation paradigm shift that incorporates interventions that alleviate proximal joint alterations that are commonly seen in those with CAI.","abstract_has_math":false,"creators":["Boland, Samantha A."],"institution":"University of Toledo","degree_name":"Master of Science in Exercise Science","degree_level":"masters","degree_discipline":"Exercise Science","degree_department":null,"school":null,"contributors":["Gribble, Phillip"],"advisors":[],"committee_chairs":[],"committee_members":[],"year":2013,"date_issued":"2013-08-22","date_published":"2013-08-22","updated_at":"2026-07-24T03:37:01Z","subjects":["Kinesiology"],"languages":["English"],"rights":["unrestricted","This thesis or dissertation is protected by copyright: all rights reserved. It may not be copied or redistributed beyond the terms of applicable copyright laws."],"rights_urls":[],"identifier_entries":[]},"links":{"outbound_url":"http://rave.ohiolink.edu/etdc/view?acc_num=toledo1364383792","outbound_label":"Repository record","outbound_source":"dc:identifier"},"metadata_groups":[{"id":"people","label":"People","entries":[{"key":"dc:contributor","label":"Contributor","values":["Gribble, Phillip"]},{"key":"dc:creator","label":"Author","values":["Boland, Samantha A."]}]},{"id":"academic_context","label":"Academic Context","entries":[{"key":"dc:date","label":"Dc Date","values":["2013-08-22"]},{"key":"dc:publisher","label":"Institution","values":["University of Toledo / OhioLINK"]},{"key":"dc:type","label":"Dc Type","values":["Electronic Thesis or Dissertation"]},{"key":"thesis:degree_discipline","label":"Discipline","values":["Exercise Science"]},{"key":"thesis:degree_level","label":"Degree Level","values":["masters"]},{"key":"thesis:degree_name","label":"Degree Name","values":["Master of Science in Exercise Science"]},{"key":"thesis:institution_name","label":"Thesis Institution Name","values":["University of Toledo"]}]},{"id":"subjects_keywords","label":"Subjects and Keywords","entries":[{"key":"dc:subject","label":"Dc Subject","values":["Kinesiology"]}]},{"id":"language_rights","label":"Language and Rights","entries":[{"key":"dc:language","label":"Dc Language","values":["English"]},{"key":"dc:rights","label":"Dc Rights","values":["unrestricted","This thesis or dissertation is protected by copyright: all rights reserved. It may not be copied or redistributed beyond the terms of applicable copyright laws."]}]},{"id":"identifiers","label":"Identifiers","entries":[{"key":"dc:identifier","label":"Identifier","values":["http://rave.ohiolink.edu/etdc/view?acc_num=toledo1364383792"]}]},{"id":"additional","label":"Additional Metadata","entries":[{"key":"dc:description","label":"Description","values":["Objective: The objective of this study was to determine the effectiveness of two intervention programs focusing on proximal alterations or distal alterations on improving dynamic postural control and self-reported disability in patients with chronic ankle instability (CAI). Design and Setting: A double blinded, randomized control trial was conducted in a laboratory setting. Subjects: Twelve patients with CAI were randomly assigned to an Ankle intervention group (4 males, 2 females; 21.5±2.81 years; 176.74±10.91 cm; 83.14±20.85 kg), or to an Ankle/Glut intervention group (2 males, 4 females; 19.5±1.52 years; 168.48±7.82 cm; 80.74±27.63 kg). Procedure: Experimental measures were measured pre- and post-intervention period. All participants filled out the Foot and Ankle Ability Measure (FAAM) and FAAM Sport during pre- and post-testing to test for improvement in self-reported function following the intervention. The Star Excursion Balance Test (SEBT) and Time to Stabilization (TTS) were tools used to assess dynamic postural control. Lastly, the participant’s hip abduction strength (HABD) and external rotation strength (ER) were determined using a hand-held dynamometer. Hip ER was tested in a seated position, while HABD was tested in a sidelying position. Participants were randomly assigned to the Ankle or Ankle/Glut intervention group and took part in a four-week exercise program. The Ankle intervention group participated in traditional ankle rehabilitation of four directional therabands, wobbleboard, and single-leg balance exercises, whereas the Ankle/Glut intervention group took part in the same traditional ankle rehabilitation along with gluteal exercises of rotational lunges and rotational squats. Both groups met twice a week, for approximately 20 minute sessions, with the first exercise intervention occurring immediately following pre-testing of outcome measures and the day prior to post-testing after four-weeks. During the first week, the gluteal exercises were performed with no resistance. During the 2-4 weeks of the intervention, participants wore a weight vest to which 5% of body mass was added each week, resulting in resistances of 5%, 10%, and 15% of body mass during weeks 2, 3, and 4, respectively, of the intervention. Significance was detemined using dependent t-tests between pre and post values (p<0.05). Cohen’s d effect sizes with corresponding 95% confidence intervals (CI) were calculated. Results: The pre-post intervention difference for the FAAM was significantly different between groups (p=0.02), with the Ankle group reporting a greater improvement in self-reported disability after the intervention period. All other pre-post comparisons were not statistically significant between groups. Moderate effect sizes showed greater improvement in the Ankle/Glut rehabilitation group compared to the Ankle group for resultant vector TTS (d=0.57), HABD (d=0.60), ER (d=-0.75) and posteriorlateral SEBT (d=-0.65); however the 95% CI for these comparisons all crossed zero. Conclusion: This study provides support that the Ankle rehabilitation was more effective at increasing self-reported function when compared to Ankle/Glut rehabilitation. There is limited support that the Ankle/Glut intervention may reduce functional instability associated with CAI, as well as strengthen the hip musculature. We believe this study will be instrumental in creating a rehabilitation paradigm shift that incorporates interventions that alleviate proximal joint alterations that are commonly seen in those with CAI."]},{"key":"dc:format","label":"Dc Format","values":["application/pdf","2.27 MB"]},{"key":"dc:title","label":"Title","values":["Effects of Hip Rehabilitation Intervention on Dynamic Postural Control and Self-Reported Ankle Impairment in Patients with Chronic Ankle Instability"]}]}],"canonical_facts":{"dc:contributor":["Gribble, Phillip"],"dc:creator":["Boland, Samantha A."],"dc:date":["2013-08-22"],"dc:description":["Objective: The objective of this study was to determine the effectiveness of two intervention programs focusing on proximal alterations or distal alterations on improving dynamic postural control and self-reported disability in patients with chronic ankle instability (CAI). Design and Setting: A double blinded, randomized control trial was conducted in a laboratory setting. Subjects: Twelve patients with CAI were randomly assigned to an Ankle intervention group (4 males, 2 females; 21.5±2.81 years; 176.74±10.91 cm; 83.14±20.85 kg), or to an Ankle/Glut intervention group (2 males, 4 females; 19.5±1.52 years; 168.48±7.82 cm; 80.74±27.63 kg). Procedure: Experimental measures were measured pre- and post-intervention period. All participants filled out the Foot and Ankle Ability Measure (FAAM) and FAAM Sport during pre- and post-testing to test for improvement in self-reported function following the intervention. The Star Excursion Balance Test (SEBT) and Time to Stabilization (TTS) were tools used to assess dynamic postural control. Lastly, the participant’s hip abduction strength (HABD) and external rotation strength (ER) were determined using a hand-held dynamometer. Hip ER was tested in a seated position, while HABD was tested in a sidelying position. Participants were randomly assigned to the Ankle or Ankle/Glut intervention group and took part in a four-week exercise program. The Ankle intervention group participated in traditional ankle rehabilitation of four directional therabands, wobbleboard, and single-leg balance exercises, whereas the Ankle/Glut intervention group took part in the same traditional ankle rehabilitation along with gluteal exercises of rotational lunges and rotational squats. Both groups met twice a week, for approximately 20 minute sessions, with the first exercise intervention occurring immediately following pre-testing of outcome measures and the day prior to post-testing after four-weeks. During the first week, the gluteal exercises were performed with no resistance. During the 2-4 weeks of the intervention, participants wore a weight vest to which 5% of body mass was added each week, resulting in resistances of 5%, 10%, and 15% of body mass during weeks 2, 3, and 4, respectively, of the intervention. Significance was detemined using dependent t-tests between pre and post values (p<0.05). Cohen’s d effect sizes with corresponding 95% confidence intervals (CI) were calculated. Results: The pre-post intervention difference for the FAAM was significantly different between groups (p=0.02), with the Ankle group reporting a greater improvement in self-reported disability after the intervention period. All other pre-post comparisons were not statistically significant between groups. Moderate effect sizes showed greater improvement in the Ankle/Glut rehabilitation group compared to the Ankle group for resultant vector TTS (d=0.57), HABD (d=0.60), ER (d=-0.75) and posteriorlateral SEBT (d=-0.65); however the 95% CI for these comparisons all crossed zero. Conclusion: This study provides support that the Ankle rehabilitation was more effective at increasing self-reported function when compared to Ankle/Glut rehabilitation. There is limited support that the Ankle/Glut intervention may reduce functional instability associated with CAI, as well as strengthen the hip musculature. We believe this study will be instrumental in creating a rehabilitation paradigm shift that incorporates interventions that alleviate proximal joint alterations that are commonly seen in those with CAI."],"dc:format":["application/pdf","2.27 MB"],"dc:identifier":["http://rave.ohiolink.edu/etdc/view?acc_num=toledo1364383792"],"dc:language":["English"],"dc:publisher":["University of Toledo / OhioLINK"],"dc:rights":["unrestricted","This thesis or dissertation is protected by copyright: all rights reserved. It may not be copied or redistributed beyond the terms of applicable copyright laws."],"dc:subject":["Kinesiology"],"dc:title":["Effects of Hip Rehabilitation Intervention on Dynamic Postural Control and Self-Reported Ankle Impairment in Patients with Chronic Ankle Instability"],"dc:type":["Electronic Thesis or Dissertation"],"thesis:degree_discipline":["Exercise Science"],"thesis:degree_level":["masters"],"thesis:degree_name":["Master of Science in Exercise Science"],"thesis:institution_name":["University of Toledo"]},"updated_at":"2026-07-24T03:37:01Z"}