Much thanks to Dr. Phillip Gribble, PHD-ATC from U. Toledo for sharing some of his unpublished manuscript that was presented at the International ankle symposium in Australia this past summer.
"A COMPARISON OF 2 REHABILITATION PROTOCOLS ON STAR EXCURSION BALANCE TEST PERFORMANCE IN SUBJECTS WITH CHRONIC ANKLE INSTABILITY"
He compared a "traditional" ankle rehab program (that focused in on the ankle) with one that focused on the hip & knee. The hip/knee program contained half functional (SLS variations) & half open chain supine (SLR's et al). His conclusion was:
"Proximal joint rehabilitation may be as effective, or more effective
than traditional ankle rehabilitation, for improving dynamic postural
control in subjects with CAI."
Along the same lines, some researchers from Ireland (Coughlan et al) in their study came to the conclusion,
"that a 4-week dynamic lower limb training program resulted in no significant changes in the ankle position or velocity during treadmill walking, jogging, and running. This study raises issues regarding the methods of ankle sprain rehabilitation and the measurement of their effectiveness in improving functional activities. "
Kind of sounds like when I say "rehab the athlete, not the injury", no?
Now I need you opinion. In other research, Dr. Gribble found that CAI subjects had less glute max activity in a same side rotational SLS at the point of maximal excursion than the control group. Any ideas why?