ORIGINAL PAPER
Textured mat influence on muscle activity and balance strategies for chronic ankle instability
 
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Human Movement Performance Enhancement Research Unit, Department of Physical Therapy, Faculty of Allied Health Sciences, Chulalongkorn University, Bangkok, Thailand
 
 
Submission date: 2024-07-18
 
 
Acceptance date: 2024-10-02
 
 
Publication date: 2024-12-23
 
 
Corresponding author
Akkradate Siriphorn   

Human Movement Performance Enhancement Research Unit, Department of Physical Therapy, Faculty of Allied Health Sciences, Chulalongkorn University, 154 Rama I Road, Pathumwan, Bangkok, 10330, Thailand
 
 
Hum Mov. 2024;25(4):68-78
 
KEYWORDS
TOPICS
ABSTRACT
Purpose:
To evaluate the impact of textured mats on muscle activation and postural sway to enhance neuromuscular control and balance strategies in the rehabilitation of chronic ankle instability (CAI).

Methods:
Using a within-subject design, we measured centre of mass (CoM) acceleration and muscle activation in 28 CAI patients on firm, foam, and textured surfaces during double-leg and single-leg stances. Electromyography (EMG) measured muscle activity, while an integrated accelerometer in the EMG unit captured CoM acceleration. Statistical analysis using the Friedman test for overall differences across conditions and Dunn’s test for pairwise comparisons, with significance set at p < 0.05.

Results:
CoM acceleration decreased on the textured mat during single-leg stances compared to the foam surface, indicating a moderated balance challenge. The textured mat also significantly reduced muscle activity compared to the foam surface across all conditions. However, it enhanced the activation of key muscles – vastus medialis and medial gastrocnemius – during double-leg stances compared to the firm surface.

Conclusions:
The textured mat provided a unique stimulus that facilitated specific muscle engagement and improved proprioception without destabilizing balance. This suggests a potential value in early CAI rehabilitation phases.

REFERENCES (30)
1.
Hertel J, Corbett RO. An updated model of chronic ankle instability. J Athl Train. 2019;54(6):572–88; doi: 10.4085/1062-6050-344-18.
 
2.
Doherty C, Bleakley C, Hertel J, Caulfield B, Ryan J, Delahunt E. Recovery from a first-time lateral ankle sprain and the predictors of chronic ankle instability: a prospective cohort analysis. Am J Sports Med. 2016;44(4):995–1003; doi: 10.1177/ 0363546516628870.
 
3.
Kobayashi T, Takabayashi T, Kudo S, Edama M. The prevalence of chronic ankle instability and its relationship to foot arch characteristics in female collegiate athletes. Phys Ther Sport. 2020;46: 162–8; doi: 10.1016/j.ptsp.2020.09.002.
 
4.
Lin C-I, Houtenbos S, Lu Y-H, Mayer F, Wippert P-M. The epidemiology of chronic ankle instability with perceived ankle instability – a systematic review. J Foot Ankle Res. 2021;14(1):41; doi: 10.1186/ s13047-021-00480-w.
 
5.
Lin C-I, Khajooei M, Engel T, Nair A, Heikkila M, Kaplick H, Mayer F. The effect of chronic ankle instability on muscle activations in lower extremities. PLOS ONE. 2021;16(2):e0247581; doi: 10.1371/ journal.pone.0247581.
 
6.
Son SJ, Kim H, Seeley MK, Hopkins JT. Altered walking neuromechanics in patients with chronic ankle instability. J Athl Train. 2019;54(6):684– 97; doi: 10.4085/1062-6050-478-17.
 
7.
Kawaguchi K, Taketomi S, Mizutani Y, Inui H, Yamagami R, Kono K, Takagi K, Kage T, Sameshima S, Tanaka S, Haga N. Hip abductor muscle strength deficit as a risk factor for inversion ankle sprain in male college soccer players: a prospective cohort study. Orthop J Sports Med. 2021;9(7): 23259671211020287; doi: 10.1177/2325967121 1020287.
 
8.
McCann RS, Crossett ID, Terada M, Kosik KB, Bolding BA, Gribble PA. Hip strength and star excursion balance test deficits of patients with chronic ankle instability. J Sci Med Sport. 2017; 20(11):992–6; doi: 10.1016/j.jsams.2017.05.005.
 
9.
McCann RS, Bolding BA, Terada M, Kosik KB, Crossett ID, Gribble PA. Isometric hip strength and dynamic stability of individuals with chronic ankle instability. J Athl Train. 2018;53(7):672–8; doi: 10.4085/1062-6050-238-17.
 
10.
Bowker S, Terada M, Thomas AC, Pietrosimone BG, Hiller CE, Gribble PA. Neural excitability and joint laxity in chronic ankle instability, coper, and control groups. J Athl Train. 2016;51(4):336–43; doi: 10.4085/1062-6050-51.5.05.
 
11.
Simpson JD, Stewart EM, Macias DM, Chander H, Knight AC. Individuals with chronic ankle instability exhibit dynamic postural stability deficits and altered unilateral landing biomechanics: a systematic review. Phys Ther Sport. 2019;37:210–9; doi: 10.1016/j.ptsp.2018.06.003.
 
12.
De Ridder R, Willems T, Vanrenterghem J, Roosen P. Influence of balance surface on ankle stabilizing muscle activity in subjects with chronic ankle instability. J Rehabil Med. 2015;47(7):632–8; doi: 10.2340/16501977-1970.
 
13.
Lee D, Kim HN, An HJ, Jang JE, Hong SK, Jung SH, Lee K, Choi M-R, Lee K-H, Lee GC. Compari son of postural sway depending on balance pad type. J Phys Ther Sci. 2018;30(2):252–7; doi: 10.1589/jpts.30.252.
 
14.
Ivanenko Y, Gurfinkel VS. Human postural control. Front Neurosci. 2018;12:171; doi: 10.3389/ fnins.2018.00171.
 
15.
Kenny RPW, Atkinson G, Eaves DL, Martin D, Burn N, Dixon J. The effects of textured materials on static balance in healthy young and older adults: a systematic review with meta-analysis. Gait Posture. 2019;71:79–86; doi: 10.1016/j.gaitpost. 2019.04.017.
 
16.
Woo MT, Davids K, Liukkonen J, Orth D, Chow JY, Jaakkola T. Effects of different lower-limb sensory stimulation strategies on postural regulation – a systematic review and meta-analysis. PLOS ONE. 2017;12(3):e0174522; doi: 10.1371/journal.pone. 0174522.
 
17.
Deussen S, Alfuth M. The influence of sensorimotor training modalities on balance, strength, joint function, and plantar foot sensitivity in recreational athletes with a history of ankle sprain: a randomized controlled pilot study. Int J Sports Phys Ther. 2018;13(6):993–1007.
 
18.
Viseux F, Lemaire A, Barbier F, Charpentier P, Leteneur S, Villeneuve P. How can the stimulation of plantar cutaneous receptors improve postural control? Review and clinical commentary. Neurophysiol Clin. 2019;49(3):263–8; doi: 10.1016/j. neucli.2018.12.006.
 
19.
Booth J, Young MJ. Differences in the performance of commercially available 10-g monofilaments. Diabetes Care. 2000;23(7):984–8; doi: 10.2337/ diacare.23.7.984.
 
20.
Avers DBM. Daniels and Worthingham’s Muscle Testing. Techniques of Manual Examination and Performance Testing. 10th ed. Saunders; 2019.
 
21.
Muraoka H, Suzuki T. Effects of trunk anterior tilt and knee joint flexion angle changes on muscle activity in the lower limb muscles. J Phys Ther Sci. 2021;33(6):472–9; doi: 10.1589/jpts.33.472.
 
22.
Silva PD, Oliveira AS, Mrachacz-Kersting N, Laessoe U, Kersting UG. Strategies for equilibrium maintenance during single leg standing on a wobble board. Gait Posture. 2016;44:149–54; doi: 10.1016/j.gaitpost.2015.12.005.
 
23.
Hermens H, Freriks B, Merletti R, Hägg G, Stegeman D, Blok J, Hägg G, Blok WJ. SENIAM 8: European Recommendations for Surface Electromyography. Enschede: Roessingh Research and Development; 1999.
 
24.
Ku PX, Abu Osman NA, Wan Abas WAB. The limits of stability and muscle activity in middleaged adults during static and dynamic stance. J Biomech. 2016;49(16):3943–8; doi: 10.1016/j. jbiomech.2016.11.006.
 
25.
Tan F, Harput G, Ulusoy B, Guney-Deniz H. The influence of unstable surfaces on ankle muscle activation during functional exercises. J Bodyw Mov Ther. 2024;40:602–9; doi: 10.1016/j.jbmt. 2024.05.006.
 
26.
Alfuth M, Ebert M, Klemp J, Knicker A. Biomechanical analysis of single-leg stance using a textured balance board compared to a smooth balance board and the floor: a cross-sectional study. Gait Posture. 2021;84:215–20; doi: 10.1016/j.gaitpost. 2020.12.014.
 
27.
Hatton AL, Dixon J, Martin D, Rome K. The effect of textured surfaces on postural stability and lower limb muscle activity. J Electromyogr Kinesiol. 2009;19(5):957–64; doi: 10.1016/j.jelekin.2008. 04.012.
 
28.
Palluel E, Nougier V, Olivier I. Do spike insoles enhance postural stability and plantar-surface cutaneous sensitivity in the elderly?. Age. 2008;30(1): 53–61; doi: 10.1007/s11357-008-9047-2.
 
29.
Strzalkowski NDJ, Peters RM, Inglis JT, Bent LR. Cutaneous afferent innervation of the human foot sole: What can we learn from single-unit recordings?. J Neurophysiol. 2018;120(3):1233–46; doi: 10.1152/jn.00848.2017.
 
30.
Kenny RPW, Eaves DL, Martin D, Hatton AL, Dixon J. The effects of textured insoles on quiet standing balance in four stance types with and without vision. BMC Sports Sci Med Rehabil. 2019; 11:5; doi: 10.1186/s13102-019-0117-9.
 
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