Evidence map›Paper›PMID 42103828›Full record

Trial reportScientific reports2026

The effects of tissue flossing on neuromuscular activation in patients with chronic ankle instability: a randomized controlled trial.

Jianxin Ran, Yifan Long, Jingfeng Yang, Na Li, Jianxin Chen, Cheng Fang, Xiaodong Li, Yuanpeng Liao

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Scientific reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

8 authors.

Jianxin RanDepartment of Sports Medicine and Health, Chengdu Sport University, Chengdu, 610041, China.
Yifan LongChengdu Bayi Orthopedic Hospital, Chengdu, 610031, China.
Jingfeng YangDepartment of Sports Medicine and Health, Chengdu Sport University, Chengdu, 610041, China.
Na LiNational Clinical Research Center for Geriatrics Diseases, West China Hospital, Sichuan University, 610065, Chengdu, China.
Jianxin ChenDepartment of Sports Medicine and Health, Chengdu Sport University, Chengdu, 610041, China.
Cheng FangDepartment of Sports Medicine and Health, Chengdu Sport University, Chengdu, 610041, China.
Xiaodong LiAffiliated Hospital of Chengdu Sport University, Chengdu Sport University, No. 2, Tiyuan Road, Wuhou District, Chengdu City, Sichuan Province, China.
Yuanpeng LiaoAffiliated Hospital of Chengdu Sport University, Chengdu Sport University, No. 2, Tiyuan Road, Wuhou District, Chengdu City, Sichuan Province, China. liaoyuanpeng@cdsu.edu.cn.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Chronic ankle instability (CAI) is a prevalent sequela of lateral ankle sprains, primarily characterized by impaired neuromuscular control. Although tissue flossing (TF) has demonstrated potential in acutely enhancing neuromuscular function in CAI patients, its long-term rehabilitative effects remain unclear. This study aimed to investigate the long-term neuromuscular adaptive effects of combining TF with balance training in CAI patients. Thirty-four participants with CAI were randomly assigned (using a random number remainder method) to an 8-week intervention of either balance training combined with TF (FLOSS group, n = 17) or balance training alone (CON group, n = 17).Outcome measures, assessed pre- and post-intervention, included muscle reaction time and activation level of the tibialis anterior (TA) and peroneus longus (PL) measured using surface electromyography, isometric strength was measured with a hand-held dynamometer, static balance was evaluated via a unilateral stance test (UST) on a balance system, and dynamic balance was assessed using the Y-Balance Test (YBT). Data were analyzed using a 2 (time: pre vs. post) × 2 (group: FLOSS vs. CON) repeated-measures analysis of variance. Following the intervention, a significant Time × Group interaction was found only for the RMS amplitude of the TA during the anterior reach task (F (1, 28) = 4.417, p = 0.044, ηp

Indexed as

Ankle InjuriesAnkle JointJoint InstabilityAdultChronic DiseaseElectromyographyFemaleHumansMaleMuscle, SkeletalMuscle StrengthPostural BalanceYoung AdultChronic ankle instabilityMuscle activation levelMuscle reaction timeTissue flossing

Identifiers

PMID42103828
PMCPMC13342635

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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.