PTRCTJournal of physical therapy science2017

The effects of open and closed kinetic chain exercises on the static and dynamic balance of the ankle joints in young healthy women.

Mi-Kyoung Kim, Kyung-Tae Yoo

PMID 28603357

WHAT IT FOUND

In 20 healthy young women, four weeks of ankle exercise reduced eyes-closed sway.

The exercise groups differed in forward stability, and backward stability changed differently over time.

Key findings

01In 20 healthy young women, ankle exercise produced a significant change over time in eyes-closed trace length.

02Eyes-closed trace length changed from 2,052.1 mm to 1,542.4 mm in the open-chain group and from 2,259.0 mm to 1,646.0 mm in the closed-chain group.

03The exercise groups differed in forward stability, and backward stability changed differently over time between groups.

STILL TO COME

How it was doneWhat they foundWhat it means for PTs

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What it does not show

The study included only 20 healthy women in their early 20s, so it does not show what happens in older adults, people with ankle problems, or people who fall. It compared two active exercise groups and had no untreated control group, so it cannot show that exercise improved balance compared with doing nothing. The paper does not report blinding of participants or assessors, and it does not report dropouts. Outcomes were platform sway and stability limits, not walking, falls, pain, function, or activities of daily living. The exercises were performed for four weeks, so it does not establish longer-term effects.

Declared interests

The authors declared no potential conflicts of interest and said no funding was used.

The easy way to misread this

Do not read this as proof that closed-chain ankle exercises are better than open-chain exercises for patients or for fall prevention. The study had 20 healthy young women, no untreated control, and only reported significant differences in laboratory sway and stability limits.

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