Evidence map›Paper›PMID 42227253›Full record

SynthesisEFORT open reviews2026

Effects of exercise therapy on dynamic posture control and self-report function in individuals with chronic ankle instability: a systematic review with pairwise and network meta-analysis.

Peng Chen, Huiwu Zuo, Yixue Gong, Lulu Yin, Lin Wang

Abstract readSystematic Review
In one paragraph

Synthesis in EFORT open reviews, 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

5 authors.

Peng ChenSchool of Exercise and Health, Shanghai University of Sport, Shanghai, China.ORCID https://orcid.org/0000-0002-1122-8209
Huiwu ZuoSchool of Exercise and Health, Shanghai University of Sport, Shanghai, China.
Yixue GongSchool of Exercise and Health, Shanghai University of Sport, Shanghai, China.
Lulu YinSchool of Exercise and Health, Shanghai University of Sport, Shanghai, China.ORCID https://orcid.org/0000-0003-0738-2833
Lin WangSports Medicine and Rehabilitation Center, Shanghai University of Sport, Shanghai, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: This study aimed to compare the effects of different exercise therapies on dynamic postural control and self-reported function in individuals with chronic ankle instability (CAI) and provide an evidence-based medical basis for selecting the optimal exercise therapy. Methods: A systematic search for randomized controlled trials (RCTs) involving exercise interventions in CAI individuals was conducted across five electronic databases, encompassing data from their inception up to December 2024. This review process was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines and registered in PROSPERO (registration number: CRD42024620821). Results: A total of 48 RCTs including 1,630 individuals with CAI were included. Seven exercise therapies were involved: balance training, strength training, comprehensive training, plyometric training, whole-body vibration training, blood flow restriction training, and visual occlusion balance training. All exercise therapies significantly improved dynamic posture control. Visual occlusion balance training was superior to plyometric training (SMD = 0.72, 95% CI: 0.01-1.43). Six exercise therapies significantly improved self-reported function, except for whole-body vibration training, for which evidence was lacking. Blood flow restriction training (SMD = 1.49, 95% CI: 0.59-2.40) and visual occlusion balance training (SMD = 0.90, 95% CI: 0.06-1.75) were superior to strength training. Conclusions: Visual occlusion balance training may be the most effective exercise therapy for improving dynamic postural control in CAI individuals. Blood flow restriction training and visual occlusion training may be the most effective exercise therapies in improving self-reported function. However, interventions should be chosen with caution because the certainty of evidence is very low.

Indexed as

chronic ankle instabilityexercise therapyfunctional scoresmeta-regression analysisnetwork meta-analysispostural control

Identifiers

PMID42227253
PMCPMC13238967

What OpenQuestion holds

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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.