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From the * EMGO-Institute, Amsterdam, the Netherlands, Body@Work, Amsterdam, the Netherlands, and the Oslo Sports Trauma Research Center, Oslo, Norway
Address correspondence to Willem van Mechelen, EMGO-Institute, VU Medisch Centrum, Van der Boechorststraat 7, 1081 BT Amsterdam, the Netherlands (e-mail: w.vanmechelen{at}vumc.nl).
Background: Ankle sprains are the most common injuries in a variety of sports.
Hypothesis: A proprioceptive balance board program is effective for prevention of ankle sprains in volleyball players.
Study Design: Prospective controlled study.
Methods: There were 116 male and female volleyball teams followed prospectively during the 2001–2002 season. Teams were randomized by 4 geographical regions to an intervention group (66 teams, 641 players) and control group (50 teams, 486 players). Intervention teams followed a prescribed balance board training program; control teams followed their normal training routine. The coaches recorded exposure on a weekly basis for each player. Injuries were registered by the players within 1 week after onset.
Results: Significantly fewer ankle sprains in the intervention group were found compared to the control group (risk difference = 0.4/1000 playing hours; 95% confidence interval, 0.1–0.7). A significant reduction in ankle sprain risk was found only for players with a history of ankle sprains. The incidence of overuse knee injuries for players with history of knee injury was increased in the intervention group. History of knee injury may be a contraindication for proprioceptive balance board training.
Conclusions: Use of proprioceptive balance board program is effective for prevention of ankle sprain recurrences.
Key Words: prevention • ankle sprains • volleyball • proprioception • prospective
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