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Effects of Ankle Stability Exercises and Suboccipital Muscle Release Technique on Ankle Function and Balance in Adults with Chronic Ankle Instability

  • Journal of the Korean Society of Physical Medicine
  • Abbr : J Korean Soc Phys Med
  • 2025, 20(3), pp.39~55
  • Publisher : The Korean Society of Physical Medicine
  • Research Area : Medicine and Pharmacy > Physical Therapy > Other physical therapy
  • Received : April 24, 2025
  • Accepted : June 1, 2025
  • Published : August 31, 2025

Ming-jie Bai 1 Ju-Hak Kim 2 Kim Meung Kwon 2

1대구대
2대구대학교

Accredited

ABSTRACT

PURPOSE: This study aimed to examine the effect of ankle stability exercises combined with suboccipital muscle release technique on balance and functional performance in adults with chronic ankle instability (CAI). METHODS: Sixteen adults diagnosed with CAI were randomly assigned to either an experimental group (n = 8), which received both ankle stability exercises and suboccipital muscle release, or a control group (n = 8), which performed only ankle stability exercises. The intervention was con- ducted twice a week for two weeks. Outcome measures included static balance (using the Bio-Rescue system to assess surface area and sway speed with eyes open and closed), dynamic balance (composite reach distance of the Y-Balance Test), functional performance, and the Cumberland Ankle Instability Tool (CAIT) for subjective ankle instability. RESULTS: Both groups showed significant improvements in static balance, dynamic balance, and CAIT scores after the intervention (p < .05). Additionally, the experimental group showed significant improvement post-intervention scores in the Y-Balance Test and significant improvement in the change scores in several hop test outcomes compared to the control group. These findings suggest enhanced sensorimotor integration and proprioceptive feedback due to high-density muscle spindle activation from the suboccipital release. CONCLUSION: Ankle stability exercises combined with suboccipital muscle release were effective in improving balance, functional performance, and subjective ankle stability. The combined intervention appears to enhance sensorimotor integration, contributing to more efficient rehabilitation outcomes. Further studies with larger sample sizes and physiological outcome measures are needed to confirm these findings.

Citation status

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