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Open Access 01-12-2022 | Study protocol

Effects of Tai Chi on the neuromuscular function of the patients with functional ankle instability: a study protocol for a randomized controlled trial

Authors: Huiru Tang, Min Mao, Daniel T. P. Fong, Qipeng Song, Yan Chen, Zhipeng Zhou, Cui Zhang, Jiangna Wang, Xuewen Tian, Wei Sun

Published in: Trials | Issue 1/2022

Abstract

Background

Ankle instability limits physical activities and undermines a person’s quality of life. Tai Chi’s health benefits have been reported in different population groups. However, the effects of Tai Chi on neuromuscular function among young adults with functional ankle instability (FAI) remain unclear. Therefore, we aim to investigate the effect of Tai Chi on young adults with FAI.

Methods

This study will be conducted as a randomized controlled trial with blinded assessors. A total of 104 young adults with FAI will be recruited and randomly assigned to intervention and control groups. The participants in the simplified Tai Chi exercise program (STCEP) group will receive a 12-week Tai Chi training. The participants in the control group will receive a low-intensity exercise program and health education for 12 weeks. The primary and secondary outcomes will be assessed at baseline, 4th, 8th, and 12th weeks. Primary outcome measures will include the Cumberland Ankle Instability Tool (CAIT) score, kinematics/kinetics data, electromyography during single-leg landing tasks, and the modified Star Excursion Balance Test (mSEBT). Secondary outcome measures will include the total time of Dynamic Leap and Balance Test (DLBT), ankle muscle strength, and ankle proprioception.

Discussion

This study will investigate the effects of Tai Chi exercise on the neuromuscular function of patients with FAI, as indicated by ankle joint biomechanics, ankle proprioception, balance, ankle muscle strength, and ankle muscle activation. Results will demonstrate that Tai Chi can be an effective exercise for young adults with FAI.

Trial registration

Chinese Clinical Trial Registry ChiCTR2100044089. Registered on 10 March 2021

Fong DT-P, Hong Y, Chan L-K, Yung PS-H, Chan K-M. A systematic review on ankle injury and ankle sprain in sports. Sports Med. 2007;37(1):73–94. https://doi.org/10.2165/00007256-200737010-00006.CrossRefPubMed

Mackenzie HM, Zachary KY, Stephen MW, Erik WA. Epidemiology of ankle sprains and chronic ankle instability. J Athletic Train. 2019;54(6):603–10. https://doi.org/10.4085/1062-6050-447-17.CrossRef

Huang P, Amornthep J, Lin C. Effects of plyometric and balance training on neuromuscular control of recreational athletes with functional ankle instability: a randomized controlled laboratory study. Int J Environ Res Public Health. 2021;18(10):5269. https://doi.org/10.3390/ijerph18105269.CrossRefPubMedPubMedCentral

Howell DR, Lynall RC, Buckley TA, Herman DC. Neuromuscular control deficits and the risk of subsequent injury after a concussion: a scoping review. Sports Med. 2018;48(5):1097–115. https://doi.org/10.1007/s40279-018-0871-y.CrossRefPubMedPubMedCentral

Kathryn WA, Brian PG, Phillip GA. Muscle activation during landing before and after fatigue in individuals with or without chronic ankle instability. J Athl Train. 2016;51(8):629–36. https://doi.org/10.4085/1062-6050-51.10.01.CrossRef

Nakasa T, Fukuhara K, Adachi N, Ochi M. The deficit of joint position sense in the chronic unstable ankle as measured by inversion angle replication error. Arch Orthop Trauma Surg. 2008;128(5):445–9. https://doi.org/10.1007/s00402-007-0432-6.CrossRefPubMed

Caulfield B, Crammond T, O’Sullivan A, Reynolds S, Ward T. Altered ankle-muscle activation during jump landing in participants with functional instability of the ankle joint. J Sport Rehabil. 2004;13(3):189–200. https://doi.org/10.1123/jsr.13.3.189.CrossRef

Delahunt E, Monaghan K, Caulfield B. Changes in lower limb kinematics, kinetics, and muscle activity in subjects with functional instability of the ankle joint during a single leg drop jump. J Orthop Res. 2006;24(10):1991–2000. https://doi.org/10.1002/jor.20235.CrossRefPubMed

Cruz AL, Oliveira R, Silva AG. Exercise-based interventions for physically active individuals with functional ankle instability: a systematic review of the literature. J Sports Med Phys Fit. 2019;59(4):666–75. https://doi.org/10.23736/S0022-4707.18.08544-4.CrossRef

10.

Li JX, Hong Y, Chan KM. Tai chi: physiological characteristics and beneficial effects on health. Br J Sports Med. 2001;35(3):148–56. https://doi.org/10.1136/bjsm.35.3.148.CrossRefPubMedPubMedCentral

11.

Li F, Harmer P, Fisher KJ, Xu J. Tai Chi-based exercise for older adults with Parkinson’s disease: a pilot-program evaluation. J Aging Phys Act. 2007;15(2):139–51. https://doi.org/10.1123/japa.15.2.139.CrossRefPubMed

12.

Cruz-Díaz D, Kim K, Hita-Contreras F, Bergamin M, Aibar-Almazán A, Martínez-Amat A. Effects of 12 weeks of Tai Chi intervention in patients with chronic ankle instability: a randomized controlled trial. J Sport Rehabil. 2020;29(3):326–31. https://doi.org/10.1123/jsr.2018-0222.CrossRefPubMed

13.

Gribble PA, Delahunt E, Bleakley C, Caulfield B, Carrie D, François F, et al. Selection criteria for patients with chronic ankle instability in controlled research: a position statement of the International Ankle Consortium. Br J Sports Med. 2014;48(13):1014–8. https://doi.org/10.1136/bjsports-2013-093175.CrossRefPubMed

14.

Li F, Harmer P, Fitzgerald K, Eckstrom E, Stock R, Galver J, et al. Tai Chi and postural stability in patients with Parkinson’s disease. N Engl J Med. 2012;366(6):511–9. https://doi.org/10.1056/NEJMoa1107911.CrossRefPubMedPubMedCentral

15.

Sun W, Ma X, Wang L, Zhang C, Song Q, Gu H, et al. Effects of Tai Chi Chuan and brisk walking exercise on balance ability in elderly women: a randomized controlled trial. Motor Control. 2019;23(1):100–14. https://doi.org/10.1123/mc.2017-0055.CrossRefPubMed

16.

Chang S, Zhou J, Hong Y, Sun W, Cong Y, Qin M, et al. Effects of 24-week Tai Chi exercise on the knee and ankle proprioception of older women. Res Sports Med. 2016;24(1):84–93. https://doi.org/10.1080/15438627.2015.1126281.CrossRefPubMed

17.

Hiller CE, Refshauge KM, Bundy AC, Herbert RD, Kilbreath SL. The Cumberland Ankle Instability Tool: a report of validity and reliability testing. Arch Phys Med Rehabil. 2006;87(9):1235–41. https://doi.org/10.1016/j.apmr.2006.05.022.CrossRefPubMed

18.

Gribble PA, Hertel J, Plisky P. Using the Star Excursion Balance Test to assess dynamic postural-control deficits and outcomes in lower extremity injury: a literature and systematic review. J Athletic Train. 2012;47(3):339–57. https://doi.org/10.4085/1062-6050-47.3.08.CrossRef

19.

Sun W, Chan ECH, Fong DTP. Delayed peroneal muscle reaction time in male amateur footballers during a simulated prolonged football protocol. Res Sports Med. 2021;29(4):364–72. https://doi.org/10.1080/15438627.2020.1868467.CrossRefPubMed

20.

Caulfield B, Garrett M. Functional instability of the ankle: differences in patterns of ankle and knee movement prior to and post landing in a single leg jump. Int J Sports Med. 2002;23(1):64–8. https://doi.org/10.1055/s-2002-19272.CrossRefPubMed

21.

Park YH, Park SH, Kim SH, Choi GW, Kim HJ. Relationship between isokinetic muscle strength and functional tests in chronic ankle instability. J Foot Ankle Surg. 2019;58(6):1187–91. https://doi.org/10.1053/j.jfas.2019.04.005.CrossRefPubMed

22.

Zhang C, Sun W, Yu B, Qipeng S, Dewei M. Effects of exercise on ankle proprioception in adult women during 16 weeks of training and eight weeks of detraining. Res Sports Med. 2015;23(1):102–13. https://doi.org/10.1080/15438627.2014.915835.CrossRefPubMed

23.

Jaffri AH, Amjad M, Saliba S. The interrater reliability of dynamic leap and balance test in healthy and chronic ankle instability. Scand J Med Sci Sports. 2020;30(12):2370. https://doi.org/10.1111/sms.13783.CrossRef

24.

Wang XQ, Huang LY, Liu Y, Li JX, Wu X, Li HP, et al. Effects of tai chi program on neuromuscular function for patients with knee osteoarthritis: study protocol for a randomized controlled trial. Trials. 2013;14(1):375. https://doi.org/10.1186/1745-6215-14-375.CrossRefPubMedPubMedCentral

Title: Effects of Tai Chi on the neuromuscular function of the patients with functional ankle instability: a study protocol for a randomized controlled trial
Authors: Huiru Tang
Min Mao
Daniel T. P. Fong
Qipeng Song
Yan Chen
Zhipeng Zhou
Cui Zhang
Jiangna Wang
Xuewen Tian
Wei Sun
Publication date: 01-12-2022
Publisher: BioMed Central
Published in: Trials / Issue 1/2022
Electronic ISSN: 1745-6215
DOI: https://doi.org/10.1186/s13063-022-06046-w

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Effects of Tai Chi on the neuromuscular function of the patients with functional ankle instability: a study protocol for a randomized controlled trial

Abstract

Background

Methods

Discussion

Trial registration

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Discussion

Trial registration

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