Evidence map›Paper›PMID 42693479›Full record

SynthesisBMC sports science, medicine & rehabilitation2026

Fatigue-induced changes in static and dynamic balance control in athletes with chronic ankle instability: a systematic review.

Mohammad Mehdi Abolhasani, Razieh Mofateh, Noureddin Nakhostin Ansari

Abstract readSystematic Review
In one paragraph

Synthesis in BMC sports science, medicine & rehabilitation, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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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

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3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

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4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

3 authors.

Mohammad Mehdi AbolhasaniStudent Research Committee, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
Razieh MofatehRehabilitation Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran. mofatehr@yahoo.com.ORCID http://orcid.org/0000-0003-0902-1900
Noureddin Nakhostin AnsariDepartment of Physiotherapy, School of Rehabilitation, Tehran University of Medical Sciences, Tehran, Iran.

Funding

Ahvaz Jundishapur University of Medical Sciences 05s4
6 · The paper itself

Abstract

backgroundImpaired balance control is considered as a key determinant of chronic ankle instability (CAI). Fatigue can exacerbate sensorimotor deficits in athletes with CAI. However, the effects of fatigue on static and dynamic balance control in athletes with CAI remain unclear. This systematic review aimed to synthesize the existing evidence regarding the effects of fatigue on static and dynamic balance control in athletes with CAI.

methodsThis review included experimental, quasi-experimental, and observational studies. PubMed, Scopus, Web of Science, the Cochrane Library, and Google Scholar were searched from their inception to November 2025. Methodological quality was independently assessed by two reviewers using the Mixed Methods Appraisal Tool (MMAT). Keywords such as "fatigue," "chronic ankle instability," and "balance control," along with their related terms, were used in the search strategy. Findings were synthesized qualitatively.

resultsNine studies with high methodological quality (mean score: 4.11/5) were included in this review. Dynamic balance was assessed using the Star Excursion Balance Test (SEBT) in three studies, the modified SEBT in one study, the Y-Balance Test in three studies, and the unilateral landing tasks on a force platform in two studies. Static balance was assessed using the Romberg test in one study and the single-leg standing tasks on a force platform in two studies. This review consistently demonstrated the deleterious effects of different fatigue protocols on static and dynamic balance control in athletes with CAI, except for one study that the results showed no significant effect of fatigue on dynamic balance control. Moreover, two studies reported significantly poorer SEBT performance following fatigue in athletes with CAI compared to healthy controls.

conclusionThe findings suggest that fatigue can adversely affect both static and dynamic balance control in athletes with CAI. However, the extent to which CAI increases susceptibility to fatigue-related balance impairments remains unclear. Future research employing sport-specific fatigue protocols and sensitive balance measures while accounting for relevant participant characteristics may help clarify the effects of fatigue on balance performance in athletes with CAI and inform more targeted rehabilitation and injury-prevention strategies.

Indexed as

Ankle injuriesFatiguePostural balance

Identifiers

PMID42693479
PMCPMC13540949

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.