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Table 1 Characteristics of eligible studies included in the meta-analysis

From: Effects of dual-task training on chronic ankle instability: a systematic review and meta-analysis

Study

Design

Individual

Age (Years) EG/CG

Intervention

Outcome

Results and Conclusion

Control

Dual-task training

Duration

Assessment tool

Outcome measure

2022 Taghavi

RCT

21 CAI

18–25

22.42 ± 2.22/23.14 ± 1.34

Balance training

Balance training + BC

50 min/session, 3 sessions/week, 5 weeks

Force plate

Y-balance test, BESS

Although the group with CI showed a greater improvement in mean than group without CI, but the difference was not significant in any of the variables.

2020 Onegh

RCT

34 FAI

18–52

34.82 ± 11.18/31.06 ± 9.90

Balance training

Balance training + RNG

30 min/session, 3 sessions/week, 4 weeks

Biodex balance system

OSI, APSI, MLSI

There were no differences between the two groups regarding the study variables. Dual-task training improved more balance indices compared to the control group. It is recommended that dual-task training be included in a physiotherapy program for people with FAI.

2020 Chae

RCT

30 CAI

>18

35.33 ± 7.05/34.27 ± 6.77

Proprioceptive exercises

Proprioceptive exercises + Backward digit span task

15 min/session, 3 sessions/week, 4 weeks

Force plate

COP, Y-balance test, Side hop, Figure-of-8 hop, Square hop test

The experimental group showed more significant improvement than the controls in terms of the fluctuation distance, speed, and area of static balance.

2017 Gonzales

RCT

23 CAI

18–35

20.20 ± 1.10/20.73 ± 1.10

Balance training

Balance training + RNG/BC

20-30 min/session, 14 sessions, 4 weeks

Force plate

Y-balance test, TTB, COP

Dual tasks have the potential to influence training as demonstrated by the moderate to strong effects it had on TTB and Y-balance outcomes.

2016 Kwak

RCT

20 FAI

16–25

18.50 ± 4.80/17.80 ± 1.80

Balance training

Balance training + Catching thrown balls

30 min/day, 3 days/week, 4 weeks

Foot scan, Tech-Storm Co.

Anterior-posterior, Medio-lateral balance, Up-down hop, Figure-of-8 hop, Single hop test

Dual-task training improved balance and functional performance better than single-task training.

2016 Conceição

RCT

44 CAI

24.00 ± 4.00/ 22.00 ± 3.00

No intervention

Balance training + Kicking balls

30 min/session, 1 session

Force plate

COP

A single session of ball-kicking balance-perturbation training promoted changes in postural-control strategies in individuals with CAI.

2014 Maresh

RCT

20 CAI

21.2 ± 2.5/ 21.2 ± 2.5

Balance training

Balance training + Active video games

15-25 min/session, 3–5 sessions/week, 4 weeks

Force plate

Y-balance test, BESS

No significant difference between groups.

  1. RCT: Randomized Controlled Trails; CAI: Chronic Ankle Instability; FAI: Functional Ankle Instability; EG: Experimental Group; CG: Control group; BESS: Balance Error Scoring System; OSI: Overall Stability Index; APSI: Anterior-posterior Stability Index; MLSI: Medial-lateral Indices Stability Index; COP: Center of pressure; TTB: Time to Boundary; BC: Backwards Counting; RNG: Random Number Generation