Does neuromuscular exercise training improve proprioception in ankle lateral ligament injury among athletes? Systematic review and meta-analysis

  • Deivendran Kalirtahinam University Sultan Zainal Abidin
  • Mohamed Saat Ismail University Sains Malaysia
  • Taran Singh Pall Singh University Sains Malaysia
  • Soumendra Saha University Sains Malaysia
  • Hairul Anuar Hashim University Sains Malaysia
Keywords: ankle, athletes, athletic injuries, ligament injury, proprioception, physical education and training.


DOI: 10.15448/1980-6108.2017.1.25082

Aims: The prevalence rate of ankle complexities is increasing at a constant rate among athletes. This study aimed to systematically describe the facts and findings related to the effectiveness of training programs on proprioception among athletes suffering from ankle ligament injury.

Methods: A literature search in online libraries (Google Scholar, PubMed, EBSCOhost, and ProQuest) using different search engines was conducted for the systematic review and meta-analysis. The common keywords included NEUROMUSCULAR, EXERCISE, TRAINING, PROPRIOCEPTION, and ATHLETES. Studies related to the topic, having relevant resources, and published within the past 10 years were used as inclusion criteria. Methodological quality was assessed through PEDro scale. A meta-analysis of the selected trials was conducted to assess the effectiveness of intervention.

Results: Two hundred research articles were initially selected. After close scrutiny, 15 articles were included. Five moderate to excellent quality trials were selected, which involved 2,459 participants. It has been mainly identified that ankle sprain and its complications can be easily prevented with the help of training programs (five trials, relative risk: 0.69, 96%CI: 0.65-0.87). A statistically significant relationship was identified among athletes regarding the preventive impacts of training on proprioception.

Conclusions: Preventive training programs were helpful for athletes in terms of proprioception, thus reducing the risk of ankle sprains.


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Author Biographies

Deivendran Kalirtahinam, University Sultan Zainal Abidin

Faculty Of Health Sciences,

School Of Rehabilitation

Mohamed Saat Ismail, University Sains Malaysia
Exercise and sports science
Taran Singh Pall Singh, University Sains Malaysia
Department of Orthopaedics
Soumendra Saha, University Sains Malaysia
Exercise and sports science
Hairul Anuar Hashim, University Sains Malaysia
Exercise and sports science


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How to Cite
Kalirtahinam, D., Ismail, M. S., Singh, T. S. P., Saha, S., & Hashim, H. A. (2017). Does neuromuscular exercise training improve proprioception in ankle lateral ligament injury among athletes? Systematic review and meta-analysis. Scientia Medica, 27(1), ID25082.
Original Articles