Neuromuscular Ankle Joint Stabilisation after 4-weeks WBV Training

Abstract

Whole body vibration (WBV) training is increasingly implemented in prevention programs as well as in rehabilitation protocols but evidence for beneficial effects of WBV training over several weeks on ankle joint stabilisation is lacking. The purpose of the study was to investigate the effects of 4-weeks WBV training on reflex activity of the long peroneal and tibialis anterior muscles and on the duration of ankle inversion movement in response to an unexpected combined 24° inversion 15° plantar flexion ankle joint motion. Twenty-six healthy subjects were divided into an intervention group (n=16) and a control group (n=10). The intervention group trained thrice weekly for 3 min on a unidirectional oscillating vibration platform (30 Hz, 4 mm amplitude). Pre and post intervention reflex activity were measured and the duration of ankle joint movement was calculated by vertical ground reaction forces. After four weeks of WBV training no significant changes were found in latencies and reflex activity in both muscles in response to ankle sprain simulation. Similar results were observed for the time of ankle inversion motion. Based on the present results, it is unlikely that 4-weeks WBV training has beneficial effects on ankle joint stability in the case of an ankle inversion motion.

Key words

ankle sprain simulation - whole-body vibration training - reflex activation - ankle musculature - time of ankle inversion motion

References

• 1 Abercromby AF, Amonette WE, Layne CS, MacFarlin BK, Hinman MR, Paloski WH. Vibration exposure and biodynamic responses during whole-body vibration training.  Med Sci Sports Exerc. 2007;  39 1794-1800
• 2 Alt W, Lohrer H, Gollhofer A. Functional properties of adhesive ankle taping: neuromuscular and mechanical effects before and after exercise.  Foot Ankle Int. 1999;  20 238-245
• 3 Andersen TE, Larsen Ø, Tenga A, Engebretsen L, Bahr R. Video analysis of the mechanisms for ankle injuries in football.  Am J Sports Med. 2004;  32 69S-79S
• 4 Bahr R, Bahr IA. Incidence of acute volleyball injuries: a prospective cohort study of injury mechanisms and risk factors.  Scand J Med Sci Sports. 1997;  7 166-171
• 5 Bahr R, Lian O, Bahr IA. A twofold reduction in the incidence of acute ankle sprains in volleyball after the introduction of an injury prevention program: a prospective cohort study.  Scand J Med Sci Sports. 1997;  7 172-177
• 6 Benesch S, Pütz W, Rosenbaum D, Becker H. Reliability of peroneal reaction time measurements.  Clin Biomech. 2000;  15 21-28
• 7 Bosco C, Colli R, Intrioni E, Cardinale M, Tsarpela O, Madella A, Tihanyi J, Viru A. Adaptive responses of human skeletal muscle to vibration exposure.  Clin Physiol. 1999;  19 183-187
• 8 Bove M, Nardone A, Schieppati M. Effects of leg muscle tendon vibration on group Ia and group II reflex responses to stance perturbation in humans.  J Physiol. 2003;  550 617-630
• 9 Cardinale M, Wakeling J. Whole body vibration exercise: are vibrations good for you?.  Br J Sports Med. 2005;  39 585-589
• 10 Cardinale M, Lim J. Electromyography activity of vastus lateralis muscle during whole-body vibrations of different frequencies.  J Strength Cond Res. 2003;  17 621-624
• 11 Delecluse C, Roelants M, Verschueren S. Strength increase after whole-body vibration compared with resistance training.  Med Sci Sports Exerc. 2003;  35 1033-1041
• 12 Dias LS. The lateral ankle sprain: an experimental study.  J Trauma. 1979;  19 266-269
• 13 Eils E, Imberge S, Völker K, Rosenbaum D. Passive stability characteristics of ankle braces and tape in simulated barefoot and shoe conditions.  Am J Sports Med. 2007;  35 282-287
• 14 Freeman MA, Wyke B. The innervation of the knee joint. An anatomical and histological study in the cat.  J Anat. 1967;  101 505-532
• 15 Grüneberg C, Nieuwenhuijzen PH, Duysens J. Reflex responses in the lower leg following landing impact on an inverting and non-inverting platform.  J Physiol. 2003;  550 985-993
• 16 Hagbarth KE, Eklund G. Tonic vibration reflexes (TVR) in spasticity.  Brain Res. 1966;  2 201-203
• 17 Hopkins T, Pak JO, Robertshaw AE, Feland JB, Hunter I, Gage M. Whole body vibration and dynamic restraint.  Int J Sports Med. 2008;  29 424-428
• 18 Isman RE, Inman VT, Poor PM. Anthropometric studies of the human foot and ankle.  Bull Prosthet Res. 1969;  11 97-108
• 19 Issurin VB, Liebermann DG, Tenenbaum G. Effect of vibratory stimulation training on maximal force and flexibility.  Sports Sci. 1994;  12 561-566
• 20 Konradsen L. Sensori-motor control of the uninjured and injured human ankle.  J Electromyogr Kinesiol. 2002;  12 199-203
• 21 Konradsen L, Voigt M, Højsgaard C. Ankle inversion injuries. The role of the dynamic defense mechanism.  Am J Sports Med. 1997;  25 54-58
• 22 Konradsen L, Ravn JB. Prolonged peroneal reaction time in ankle instability.  Int J Sports Med. 1991;  12 290-292
• 23 Kubo K, Morimoto M, Komuro T, Tsunoda N, Kanehisa H, Fukunaga T. Influences of tendon stiffness, joint stiffness, and electromyographic activity on jump performances using single joint.  Eur J Appl Physiol. 2007;  99 235-243
• 24 Lohrer H, Alt W, Gollhofer A. Neuromuscular properties and functional aspects of taped ankles.  Am J Sports Med. 1999;  27 69-75
• 25 MacGuine TA, Keene JS. The effect of a balance training program on the risk of ankle sprains in high school athletes.  Am J Sports Med. 2006;  34 1103-1111
• 26 MacHugh MP, Tyler TF, Mirabella MR, Mullaney MJ, Nicholas SJ. The effectiveness of a balance training intervention in reducing the incidence of noncontact ankle sprains in high school football players.  Am J Sports Med. 2007;  35 1289-1294
• 27 Mester J, Kleinöder H, Yue Z. Vibration training: benefits and risk.  J Biomech. 2006;  39 1056-1065
• 28 Melnyk M, Gollhofer A. Submaximal fatigue of the hamstrings impairs specific reflex components and knee stability.  Knee Surg Sports Traumatol Arthrosc. 2007;  15 525-532
• 29 Mrachacz-Kersting N, Sinkjaer T. Reflex and non-reflex torque responses to stretch of the human knee extensors.  Exp Brain Res. 2003;  151 72-81
• 30 Nieuwenhuijzen PH, Duysens J. Proactive and reactive mechanisms play a role in stepping on inverting surfaces during gait.  J Neurophysiol. 2007;  98 2266-2273
• 31 Roelants M, Delecluse C, Goris M, Verschueren SM. Effects of 24 weeks of whole body vibration training on body composition and muscle strength in untrained females.  Int J Sports Med. 2004;  25 1-5
• 32 Santello M, MacDonagh MJ. The control of timing and amplitude of EMG activity in landing movements in humans.  Exp Physiol. 1998;  83 857-874
• 33 Staples OS. Ligamentous injuries of the ankle joint.  Clin Orthop Relat Res. 1965;  42 21-35
• 34 Torvinen S, Kannu P, Sievänen H, Järvinen TA, Pasanen M, Kontulainen S, Järvinen TL, Järvinen M, Oja P, Vuori I. Effect of a vibration exposure on muscular performance and body balance. Randomized cross-over study.  Clin Physiol Funct Imaging. 2002;  22 145-152
• 35 Verhagen EA, Beek AJ Van der, Bouter LM, Bahr RM, Mechelen W Van. A one season prospective cohort study of volleyball injuries.  Br J Sports Med. 2004;  38 477-481
• 36 Wilson EL, Madigan ML. Effects of fatigue and gender on peroneal reflexes elicited by sudden ankle inversion.  J Electromyogr Kinesiol. 2007;  17 160-166

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