Physical therapy in sport : official journal of the Association of Chartered Physiotherapists in Sports Medicine · 2025
"Effects of ankle orthoses on postural balance and gait parameters in athletes with ankle injuries: A systematic review".
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Gasavi Nezhad Zeinab, Ansari Majid, Bahramizadeh Mahmood
Аннотация
OBJECTIVES: Ankle injuries in athletes often impair balance and gait, affecting performance. Although ankle orthoses are used to improve stability, their effects on postural control and gait remain unclear. This review investigates the impact of ankle orthoses on balance and gait in injured athletes.
METHODS: This systematic review, registered in PROSPERO (XXXXXX) and conducted following PRISMA 2020 guidelines, included interventional and observational studies up to April 30, 2025. Databases searched were PubMed, Scopus, Web of Science, and CINAHL. Two independent reviewers conducted screening, data extraction, and quality assessment using the EPHPP tool. Certainty of evidence was evaluated using GRADE, and results were narratively synthesized due to study heterogeneity.
RESULTS: Thirty-three studies involving 736 athletes with ankle injuries were included. Semi-rigid orthoses improved postural balance and gait by reducing peak inversion angles (10-15 %) and enhancing dynamic stability. Soft braces improved dynamic stability, measured by tests such as the Star Excursion Balance Test. Rigid braces often limited joint motion and compromised performance. Overall, evidence certainty was low (GRADE rating) due to methodological limitations, especially in blinding and confounder control.
CONCLUSION: Semi-rigid ankle orthoses appear most effective in improving balance and gait post-ankle injury, with clinical relevance for sport-specific rehabilitation to enhance stability and reduce recurrence risks. High-quality randomized trials are needed to strengthen the evidence and guide sport-specific orthotic use.
METHODS: This systematic review, registered in PROSPERO (XXXXXX) and conducted following PRISMA 2020 guidelines, included interventional and observational studies up to April 30, 2025. Databases searched were PubMed, Scopus, Web of Science, and CINAHL. Two independent reviewers conducted screening, data extraction, and quality assessment using the EPHPP tool. Certainty of evidence was evaluated using GRADE, and results were narratively synthesized due to study heterogeneity.
RESULTS: Thirty-three studies involving 736 athletes with ankle injuries were included. Semi-rigid orthoses improved postural balance and gait by reducing peak inversion angles (10-15 %) and enhancing dynamic stability. Soft braces improved dynamic stability, measured by tests such as the Star Excursion Balance Test. Rigid braces often limited joint motion and compromised performance. Overall, evidence certainty was low (GRADE rating) due to methodological limitations, especially in blinding and confounder control.
CONCLUSION: Semi-rigid ankle orthoses appear most effective in improving balance and gait post-ankle injury, with clinical relevance for sport-specific rehabilitation to enhance stability and reduce recurrence risks. High-quality randomized trials are needed to strengthen the evidence and guide sport-specific orthotic use.