Evidence map›Paper›PMID 41057880›Full record

Trial reportBMC musculoskeletal disorders2025

Can isokinetic muscle strength training with hip abduction and adduction improve muscle strength, balance, and gait in patients with functional ankle instability? A randomized controlled trial.

Bin Wang, Fengming Chu, Qiaojun Zhang, Feilong Zhu, Ming Zhang, Xiaohui Lei, Lei Lu, Kai Wan, Siduo Zhang, Peijia Fu and 2 more

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC musculoskeletal disorders, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

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

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

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 synthesis or guideline pooled it.

  1. Pooled it
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

12 authors.

Bin WangDepartments of Rehabilitation Medicine, the Second Affiliated Hospital of Xi'an Jiaotong University, Xi'an, 710004, China.
Fengming ChuThe Affiliated Xuzhou Rehabilitation Hospital of Xuzhou Medical University, Xuzhou Rehabilitation Hospital, Xuzhou, China.
Qiaojun ZhangDepartments of Rehabilitation Medicine, the Second Affiliated Hospital of Xi'an Jiaotong University, Xi'an, 710004, China.
Feilong ZhuThe Affiliated Xuzhou Rehabilitation Hospital of Xuzhou Medical University, Xuzhou Rehabilitation Hospital, Xuzhou, China.
Ming ZhangThe Affiliated Xuzhou Rehabilitation Hospital of Xuzhou Medical University, Xuzhou Rehabilitation Hospital, Xuzhou, China.
Xiaohui LeiDepartments of Rehabilitation Medicine, the Second Affiliated Hospital of Xi'an Jiaotong University, Xi'an, 710004, China.
Lei LuDepartments of Rehabilitation Medicine, the Second Affiliated Hospital of Xi'an Jiaotong University, Xi'an, 710004, China.
Kai WanDepartments of Rehabilitation Medicine, the Second Affiliated Hospital of Xi'an Jiaotong University, Xi'an, 710004, China.
Siduo ZhangDepartments of Rehabilitation Medicine, the Second Affiliated Hospital of Xi'an Jiaotong University, Xi'an, 710004, China.
Peijia FuDepartments of Rehabilitation Medicine, the Second Affiliated Hospital of Xi'an Jiaotong University, Xi'an, 710004, China.
Ben MaDepartments of Rehabilitation Medicine, the Second Affiliated Hospital of Xi'an Jiaotong University, Xi'an, 710004, China. maben521@163.com.
Hongfei QiaoDepartments of Rehabilitation Medicine, the Second Affiliated Hospital of Xi'an Jiaotong University, Xi'an, 710004, China. 66725578@qq.com.

Funding

Faculty Foundation Free Inquiry 2020YJ (ZYTS) 449
6 · The paper itself

Abstract

backgroundPrevious studies have confirmed that patients with functional ankle instability (FAI) have inadequate hip abductor muscle strength. Muscle strength training is a commonly used intervention in people with FAI. The effects investigated by previous studies have shown conflicting results. However, whether hip adduction and abduction isokinetic muscle strength training can improve muscle strength, balance, and gait in patients with FAI remains unclear.

objectiveThe aim of this study was to observe whether muscle strength, balance, Cumberland Ankle Instability Tool (CAIT) score, plantar pressure, and gait can be improved in patients with FAI via isokinetic muscle strength training of the peri-ankle muscle groups combined with hip abduction and adductor muscle groups.

participantsFAI (n=70).

interventionsThe 70 FAI patients were randomly divided into an ankle isokinetic strength training (AIT) group and a hip isokinetic strength training (HIT) group. The AIT group underwent inversion/eversion and dorsiflexion/plantar flexion isokinetic concentric strength training; the HIT group underwent hip abduction and abduction isokinetic strength training based on ankle isokinetic strength training for six weeks.

main outcome measuresBefore and after training, isokinetic concentric force tests around the ankle and hip adduction and abduction, the Star Excursion Balance Test (SEBT), and plantar pressure and gait assessments were performed.

resultsAfter 6 weeks of training, significant changes in muscle strength were observed in ankle inversion, eversion, dorsiflexion, plantarflexion, and abduction for both the AIT and HIT groups (Group*Time, P < 0.05). Furthermore, the HIT group exhibited greater increases in muscle strength compared to the AIT group (Group, P < 0.05). Additionally, both groups showed varying degrees of improvement in dynamic balance, CAIT scores, and gait patterns (Time, P < 0.05), with the HIT group demonstrating superior improvement compared to the AIT group (Group, P < 0.05).

conclusionsIsokinetic strength training through the peri-ankle muscles combined with the hip adductor and abductor muscles was more effective than peri-ankle strength training alone in improving muscle strength, balance, plantar pressure, gait, and self-reported scores in FAI patients.

trial registrationThis study is a randomized controlled clinical trial and has been registered in the China Clinical Trial Registry on 07/04/2022 with registration number ChiCTR2200058341.

Indexed as

Ankle JointGaitHip JointJoint InstabilityMuscle StrengthPostural BalanceResistance TrainingAdultFemaleHumansMaleMiddle AgedMuscle, SkeletalTreatment OutcomeYoung AdultDynamic balanceFunctional ankle instabilityGaitHip muscle groupIsokinetic strength training

Identifiers

PMID41057880
PMCPMC12505799

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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.