The Effect of Six Weeks Suspension Training On Functional Test’s Score in Athletes with Functional Ankle Instability

Document Type : Original Article

Authors

1 Department of Sport Injuries, and Corrective Exercises,, Faculty of physical education and sport sciences, Tehran University, Tehran, Iran

2 Department of Sport Injuries, and Corrective Exercises, Faculty of Physical Education and Sport Sciences, Tehran University, Tehran,Iran

3 Department of Sport Injuries, and Corrective Exercises, Faculty of Physical Education and Sport Sciences, Tehran University, Tehran, Iran

Abstract

Purpose:
Functional dysfunction has been reported as one of the most important consequences of functional ankle instability injury. One of the newest tools used to rehabilitate musculoskeletal injuries is suspension training with TRX )Total Body Resistance Exercise(. However, so far, its effect on the various functional factors in athletes with functional ankle instability has not been determined.  Therefore, the purpose of this study was to investigate the effect of 6 weeks of suspension training with TRX on the performance scores of athletes with functional ankle instability.
Methods:
30 male athletes with functional ankle instability were selected and then randomly assigned into the control and training groups. The subjects were selected by inclusion and exclusion criteria. Subjects' performance was assessed by side hop test, figure 8 test, and three single-leg hop test. The training group performed 18 training sessions of 45 minutes during 6 weeks. During 6 weeks, control group were asked to not perform any special exercise. Then, the post-test was performed in both groups. In order to compare the scores of functional tests between two groups, paired t-test and covariance analysis were used. Significant level was considered as p≤0.05 in all statistical analyzes.
Results:
The results of statistical tests showed that there is a significant difference between the mean scores of each of the three side hop test (p=0.001) figure 8 test (p=0.001), and three single-leg hop tests (p=0.001) between the two groups in the post-test. Therefore, that subjects of the TRX training group had better performance in all three tests than those in the control group.
Conclusion:
Since the results of this study showed that performing TRX suspension training can improve the performance of athletes in side-hop test, figure 8 test and triple hop test, therefore it recommended that all sport trainers use the exercises used in this study to improve the performance of athletes with functional ankle instability.

Keywords


  1. Thompson C, Schabrun S, Romero R, Bialocerkowski A, et al. Factors contributing to chronic ankle instability: a systematic review and meta-analysis of systematic reviews. Sports Medicine 2018; 48(1): 189-205.
  2. Hertel J. Functional instability following lateral ankle sprain. Sports medicine 2000; 29(5): 361-371.
  3. Kalantariyan M, Minoonejad H, Rajabi R, Beyranvand R, et al. The comparison of the electromyography activity of selected muscles of the ankle joint in athletes with ankle dorsiflexion range of motion limitation with healthy athletes during the single-leg jump landing. Rehabilitation Medicine 2014; 2(2): 14-23. [Persian]
  4. Samadi H, Rajabi R. Comparing the Onset of Pre-Activity of Leg Muscles between Athletes with Functional Ankle Instability and Healthy Athletes During Landing from a Jump. Journal of Babol University of Medical Sciences 2017; 19(11): 7-13. [Persian]
  5. Wright CJ, Arnold BL, Ross SE. Altered kinematics and time to stabilization during drop-jump landings in individuals with or without functional ankle instability. Journal of athletic training 2016; 51(1): 5-15.
  6. Rosen AB, Needle AR, Ko J. Ability of functional performance tests to identify individuals with chronic ankle instability: A systematic review with meta-analysis. Clinical journal of sport medicine: official journal of the Canadian Academy of Sport Medicine. 2019; 29(6): 509-522.
  7. Delahunt E, Monaghan K, Caulfield B. Ankle function during hopping in subjects with functional instability of the ankle joint. Scandinavian journal of medicine & science in sports 2007; 17(6): 641-648.
  8. Mohammadi A, ShojaedinS, LetafatkarA, Hadadnejad M. Comparative Effects of Impacts and Stainabilities of NASM and Combined Exercises (Neuromuscular and Core Stability) on Functional Characteristics and Balance of Individuals with Unilateral Chronic Ankle Injury. Scientific Journal of Rehabilitation Medicine. 2018; 7(3): 34-47. [Persian]
  9. Loudon JK, Santos MJ, Franks L, Liu W. The effectiveness of active exercise as an intervention for functional ankle instability. Sports Medicine 2008; 38(7): 553-563.
  10. Naderi A, Baloochi R, Jabbari F, Eslami R. Comparison between the effects of core stability exercises and neuromuscular exercises on dynamic balance and lower limb function of athletes with functional ankle instability. Scientific Journal of Kurdistan University of Medical Sciences. 2016; 21(4): 61-72. [Persian]
  11. Aslani M, Kalantariyan M, Minoonejad H. Effect of Functional Training with TRX on the Balance of Middle-Aged Men. Scientific Journal of Rehabilitation Medicine. 2018; 7(4): 80-89 [Persian]
  12. Gaedtke A, Morat T. TRX suspension training: A new functional training approach for older adults–development, training control and feasibility. International journal of exercise science 2015; 8(3): 224-233.
  13. Sheikhhassani S, Rajabi R, Minoonejad H. The effect of core muscle fatigue on measurements of lower extremity functional performance in male athletes. Journal Of Research  In Rehabilitation Sciences  2013; 9(4), 638-668. [Persian].
  14. Tinto A, Campanella M, Fasano M. Core strengthening and synchronized swimming: TRX® suspension training in young female athletes. The Journal of sports medicine and physical fitness 2017; 57(6): 744-51.
  15. Lederman E. Neuromuscular rehabilitation in manual and physical therapy. Edinburgh: Churchill Livingstone 2010; chapter 4: 121-128.
  16. Gaedtke A, Morat T. Effects of two 12-week strengthening programmes on functional mobility, strength and balance of older adults: Comparison between TRX suspension training versus an elastic band resistance training. Central European Journal of Sport Sciences and Medicine 2016; 13(1): 49-64.
  17. Fong SS, Tam Y, Macfarlane DJ, Ng SS, et al. Core muscle activity during TRX suspension exercises with and without kinesiology taping in adults with chronic low back pain: implications for rehabilitation. Evidence-based complementary and alternative medicine 2015; 16(3): 1-6.
  18. Abbasi H, Alizadeh MH, Daneshmandi H, Barati A. Comparing The Effect Of Functional, Extra-Functional And Combined Exercise On Dynamic Balance In Athletes With Functional Ankle Instability. Sport Mediciene Studies   Spring- 2015;  17(2): 15-34. [Persian]
  19. Hamilton RT, Shultz SJ, Schmitz RJ, Perrin DH. Triple-hop distance as a valid predictor of lower limb strength and power. Journal of athletic training  2008; 43(2): 144-51.
  20. Mazzetti SA, Kraemer WJ, Volek JS, Duncan ND, et al. The influence of direct supervision of resistance training on strength performance. Medicine and Science in Sports and Exercise 2000; 32(6): 1175-84.
  21. Børsheim E, Bahr R. Effect of exercise intensity, duration and mode on post-exercise oxygen consumption. Sports medicine 2003; 33(14): 1037-60.
  22. Aslani M, Minoonejad H, Rajabi R. Comparing the Effect of 4 Weeks TRX Suspension Exercise and Hopping on Risk Factors Affecting Lower Limbs Injuries in Male University Student Athletes. Physical Treatments-Specific Physical Therapy Journal 2018; 7(4): 241-250. [Persian]
  23. Essam-Eldeen RM. Influence of sling exercises (TRX) on certain physical variables and performance level of high jump for female college students. Ovidius University Annals, Series Physical Education and Sport/Science, Movement and Health 2017; 17(1): 59-66.
  24. Janot J, Heltne T, Welles C, Riedl J, et al. Effects of TRX versus traditional resistance training programs on measures of muscular performance in adults. Journal of Fitness Research 2013; 2(2): 23-38.
  25. Bouteraa I, Negra Y, Shephard RJ, Chelly MS. Effects of combined balance and plyometric training on athletic performance in female basketball players. Journal of strength and conditioning research 2020; 34(7): 1967-73.
  26. Seo S-G, Ji Y-S, Woo D-Y, Yoon J-H. Effects of 6 Weeks Plyometric Training on Isokinetic Leg Strength, Agility, and Vertical Jump and in Korea ROTC Cadets 2016; 23(4): 519-26.