Evidence map›Paper›PMID 40993815›Full record

ArticleBMC sports science, medicine & rehabilitation2025

Immediate effects of blood flow restriction combined with whole body vibration on balance, proprioception, and function in non-professional male athletes with chronic ankle instability.

Kazem Malmir, Anahita Bajalan, Nastaran Ghotbi, Zinat Ashnagar

Abstract read
In one paragraph

Article in BMC sports science, medicine & rehabilitation, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Kazem MalmirDepartment of Physiotherapy, School of Rehabilitation, Tehran University of Medical Sciences, Tehran, Iran.
Anahita BajalanDepartment of Physiotherapy, School of Rehabilitation, Tehran University of Medical Sciences, Tehran, Iran.
Nastaran GhotbiDepartment of Physiotherapy, School of Rehabilitation, Tehran University of Medical Sciences, Tehran, Iran. nghotbi@tums.ac.ir.
Zinat AshnagarDepartment of Physiotherapy, School of Rehabilitation, Tehran University of Medical Sciences, Tehran, Iran.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundChronic ankle instability (CAI) is associated with impaired balance, proprioception, and limited dorsiflexion range of motion (ROM). Whole-body vibration (WBV) and blood flow restriction (BFR) may address these deficits. This study aimed to determine whether adding BFR to WBV would produce greater immediate improvements in these parameters compared to WBV alone.

methodsIn this double-blind, randomized controlled trial, thirty-eight non-professional male athletes with CAI were randomly assigned to WBV (n = 19; age: 23.5 ± 4.7 years) or WBV + BFR group (n = 19; age: 24.1 ± 4.9 years). Both groups received a single session of WBV at 30 Hz and 2 mm amplitude; the WBV + BFR group additionally underwent BFR at 80% arterial occlusion pressure. Balance error scoring system (BESS), modified star excursion balance test (m-SEBT), ankle dorsiflexion proprioception, side hop test, dorsiflexion ROM, and perceived instability were measured before and after the intervention.

resultsStatistical tests showed no significant changes in BESS scores (p > 0.05). The WBV + BFR group showed a significant improvement in anterior reach of the m-SEBT (p = 0.04), while the WBV-only group did not (p = 0.69). Statistical analysis indicated a significant reduction in dorsiflexion repositioning error in the WBV group (p = 0.004), with between-group differences favoring WBV. Perceived instability significantly improved in the combined group (p = 0.001). Both groups showed improved dorsiflexion ROM (p < 0.05), with no significant difference between them (p = 0.76).

conclusionBoth WBV and WBV + BFR improved dorsiflexion ROM in athletes with CAI, but neither produced immediate gains in static or dynamic balance, except for anterior reach with the combined intervention. Adding one session of BFR to WBV appeared to impair proprioception and increase perceived instability. These methods may be better used as adjuncts in rehab, not standalone treatments. Clinically, they should be applied cautiously and not immediately before activities demanding high joint stability. CLINICAL

trial registrationRegistered at IRCT (IRCT20230203057314N1; June 2, 2023).

Indexed as

BalanceBlood flow restrictionChronic ankle instabilityProprioceptionWhole body vibration

Identifiers

PMID40993815
PMCPMC12462006

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.