Research and News
Balance Boards
Proprioceptive training reduces injury rates and recovery time in female soccer players
Oct 28th
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Proprioceptive exercise training has been shown in several studies to reduce soccer injury rates. Unstable surfaces such as Thera-Band® Stability Trainers, Stability Discs, and balance boards can be part of an effective proprioceptive training program. Several studies have shown reductions in ACL tears and ankle sprains which are considered “non-contact” injuries. German researchers hypothesized that the same preventive effects of proprioceptive training may apply to other lower extremity injuries, namely hamstring, patellar tendon, and Achilles tendon injuries. They implemented a multi-station soccer-specific exercise program involving jumps and balance training on a wobble board with the Premier League female soccer team, Bayern Muenchen. Their results were published in the American Journal of Sports Medicine.
At the end of the 3 year intervention, non-contact hamstring injury rates were significantly reduced 64%, from 22.4 to 8.2. Patella tendon injuries were reduced by 67% (3 vs. 1) and achilles injuries reduced by 100% (1.5 to 0). The mean time lost to injury for the players also significantly decreased from 14.4 days to 1.5 days. In addition, the researchers identified a dose-effect of the training: the more time spent More >
Evidence-based Recommendations for Core Training with Unstable Surfaces
Sep 2nd
Core training has maintained its popularity in fitness and rehabilitation despite controversies over optimal training methods for “core stability.” Training with unstable surfaces such as Thera-Band® exercise balls, stability trainers, and balance boards have been recommended for core training, suggesting that such surfaces promote activation of core muscles. The “core” can be defined as the axial skeletal and its muscular and fascial attachments, including the pelvic and shoulder girdle.
Recently, resistance training while balancing on unstable surfaces such as exercise balls has become popular. Canadian researchers David Behm PhD and colleagues published a comprehensive review and position stand on the use of instability to train the core. Research has shown that exercises performed on unstable surfaces produce higher levels of muscle activation in both the core and extremity muscles compared to stable surfaces. However, force and power outputs are decreased while exercising on unstable surfaces, sometimes up to 70%. Interestingly, increasing levels of core muscle activation can also be achieved with free weight exercises such as squats and Olympic lifts without added instability.
In their article, the authors made several recommendations for both athletes and non-athletic conditioning based on their review of the literature. Dr. Behm et al. noted that athletes should emphasize “higher-intensity ground-based lifts” (such More >
Another review supports proprioceptive training to prevent sports injuries
Jul 27th
It’s been documented in several studies that neuromuscular and proprioceptive exercises using unstable surfaces such as Thera-Band® Stability Trainers can reduce sports injuries. For example, Blue Thera-Band Stability Trainers were shown to reduce ankle injuries by 77% in football players at risk for ankle sprains (McHugh et al. 2007). More recently, a systematic review published in Medicine and Science and Sports and Exercise examined 7 high-quality studies on preventing sports injuries with neuromuscular/ proprioceptive training. Through a meta-analysis, the reviewers determined that neuromuscular training can effectively reduce sports injury risk, particularly those with a history of sprains.
The 7 studies they reviewed included both wobble board training (3 studies) and multi-intervention including strength training, stretching, balance training, and specific exercises (4 studies). Both balance exercise or multi-intervention exercise programs can reduce specific injuries in young athletes participating in basketball, volleyball, soccer, team handball, hockey and floorball. Specifically, balance training reduced the risk of ankle sprains by 36%, and multi-intervention training programs reduced ankle sprain risk by 50% and reduced acute knee injuries by 54%.
Thera-Band stability products can easily be incorporated in pre-season and in-season balance training programs for teams of young athletes to potentially prevent ankle and knee injuries; however, the best dosage (sets, More >
Neuromuscular training program reduces injury and improves performance in female athletes
Jul 20th
Balance training using Thera-Band® Stability Trainers and balance boards has been shown to prevent sports injuries in several studies. Researchers in Finland investigated the effects of an in-season neuromuscular training program in female floorball players. 27 teams were randomized into either a control group or intervention group that performed a 6-month neuromuscular exercise program. Each team was provided with an instruction book, 8 wobble boards, 8 balance pads, and 8, 1-kg soft weights. The program (download the sports neuromuscular warm-up protocol here) included balance, agility, plyometric, and stretching exercises.
After the 6-month season, participants in the exercise group significantly improved their static balance and jumping speed. There was no difference in improvement between groups in their jump height or agility running speed. In addition, the researchers found 66% lowered risk for leg injuries in the exercise group (the authors published a separate article in the British Medical Journal in 2008). These studies show that an in-season neuromuscular training program including Thera-Band stability trainers, wobble boards, and soft weights can prevent injury and improve performance in female athletes.
REFERENCE: Pasanen K, Parkkari J, Pasanen M, Kannus P. Effect of a neuromuscular warm-up programme on muscle power, balance, speed and agility: a randomised controlled study. Br J Sports More >
Functional rehabilitation of chronic ankle instability effective
Jul 12th
It’s been reported that athletes suffering an ankle sprains re-injure their ankle 70% to 80% of the time. This leads to chronic ankle instability or ‘functional ankle instability’. Rehabilitation for chronic ankle sprains often includes functional exercises including dynamic closed-chain activities. Thera-Band® products such as elastic resistance bands, stability trainers and balance boards are used for functional rehabilitation.
Researchers at the University of Toledo performed a systematic review of functional exercise interventions for their effectiveness. They identified 6 studies that met their criteria for the review, including 4 that used balance boards and elastic resistance strengthening. The researchers concluded that functional rehabilitation improves dynamic balance and self-reported function in patients with chronic ankle sprains. The exercise programs from the reviewed studies generally lasted 4 to 6 weeks and were performed 3 to 5 times a week. Finally, they pointed out that wobble board training in rehabilitation programs is “supported by the literature”; therefore, Thera-Band balance boards should be a standard component of chronic ankle instability rehabilitation program.
REFERENCE Webster KA, Gribble PA. Functional rehabilitation interventions for chronic ankle instability: a systematic review. J Sport Rehabil. 2010 Feb;19(1):98-114.
Visit the Thera-Band Academy Ankle Sprain resource center here
