Effect of Wiihabilitation on strength ratio of ankle muscles in adults.

The study included only healthy male college students with normal ankle function, so results may not apply to females, older adults, or those with existing ankle pathology. The intervention lasted only six weeks, which may be insufficient to capture long-term adaptations or functional changes. The study measured isokinetic torque ratios but did not assess functional performance or injury rates, leaving the clinical benefit on actual ankle stability unproven. The control group was instructed to avoid strength training but did not receive a sham intervention, so effects of attention or activity levels cannot be fully ruled out.

Do not assume that lowering the dorsiflexion/plantarflexion ratio is inherently therapeutic for all patients. In this study, the ratio dropped because plantarflexors strengthened more than dorsiflexors. For patients with chronic ankle instability who already have weak plantarflexors, this specific ratio shift might be beneficial, but the study did not include such patients to confirm this.