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Effect of Neuromuscular Training in the Rehabilitation of Ankle Lateral Ligament Injuries - A Review

Deivendran Kalirathinam, Soumendra Saha, Taran Singh, Srilekha Saha, Abdul Nawfar Sadagatullah, Mohamed Saat Ismail and Hairul Anwar Hashim

Objective: A review of current knowledge of the clinical presentation of lateral ligament injury is presented. As a result of inconsistences in reported finding, controversy exists regarding the effectiveness of neuromuscular training exercises for improving functional performance and neuromuscular control. Thus, it’s practical benefit in sports training remains inconclusive. Hence, our objective was to evaluate the effectiveness of training interventions in enhancing neuromuscular control and functional performance in the existing literatures.

Data sources: The primary search was conducted of the electronic databases search in Cochrane Bone, Joint and Muscle Trauma Group Register and Cochrane Controlled Trials Register, MEDLINE, EMBASE, PEDro (Physiotherapy Evidence Data- base), CINHAL, and SCOPUS;

Conclusions: There is some agreement among authors with regard to the risk factors for ankle ligament injuries. However, considerable controversies remain on the degree of rehabilitation and enhancement of performance thereafter. However, the literature is available with regard to the height, weight, limb dominance, ankle-joint laxity, anatomical alignment, muscle strength, muscle-reaction time, and postural sway which are considered as major risk factors for lateral ankle ligament injuries. Future research is needed on this topic to develop a consensus on all ankle-injury risk factors. This present review will be redesigning the further intervention studies to reduce the incidences and severity of this common injury. The balance training can be effective in improving the r postural and neuromuscular control. However, as a result of varieties in methodology and training differences, a further research on balance training may be recommended.