Table 2.
Measure |
Baseline |
Immediate Posttest |
Initial Treatment |
1-wk Posttest, Mean ± SD |
Delayed Treatment |
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Mean ± SD |
Change Score, Mean ± SD |
Hedges g Effect Size (95% CI) |
Change Score, Mean ± SD |
Hedges g Effect Size (95% CI) |
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Perceptual outcomes | |||||||
Foot and Ankle Ability Measure, % | |||||||
Activities of Daily Living subscalea | 88.11 ± 6.04 | 91.50 ± 5.78b | 3.39 ± 6.04 | 0.79 (0.05, 1.54)c | 93.29 ± 6.75b | 5.18 ± 6.24 | 0.75 (0.01, 1.49)c |
Sports subscalea | 76.88 ± 14.11 | 83.96 ± 11.74 | 7.08 ± 15.47 | 0.67 (−0.07, 1.40) | 88.33 ± 8.95b,d | 11.46 ± 14.26 | 0.74 (0.00, 1.48)c |
Tampa Scale for Kinesiophobia—11-item | 19.60 ± 4.34 | 17.73 ± 2.71 | 1.87 ± 3.93 | 0.48 (−0.25, 1.21) | 18.13 ± 4.93 | 1.47 ± 2.90 | 0.46 (−0.26, 1.19) |
Fear-Avoidance Beliefs Questionnairea | 10.00 ± 3.91 | 6.80 ± 4.06b | 3.20 ± 4.33 | 0.61 (−0.12, 1.35) | 6.73 ± 4.40b | 3.27 ± 4.17 | 0.71 (−0.03, 1.45) |
Balance outcomes | |||||||
Star Excursion Balance Test, % | |||||||
Anterior directiona | 74.71 ± 5.37 | 80.38 ± 4.03b | 5.66 ± 3.41 | 1.47 (0.66, 2.27)c | 79.70 ± 4.19b | 4.99 ± 3.32 | 1.43 (0.63, 2.23)c |
Posteromedial directiona | 84.56 ± 9.05 | 92.50 ± 7.37b | 7.94 ± 6.47 | 1.41 (0.61, 2.21)c | 92.59 ± 7.83b | 8.04 ± 6.31 | 1.16 (0.39, 1.94)c |
Posterolateral directiona | 80.98 ± 12.16 | 90.27 ± 7.60b | 9.29 ± 7.96 | 0.83 (0.08, 1.58)c | 91.51 ± 7.81b | 10.52 ± 8.37 | 1.27 (0.48. 2.05)c |
Eyes open | |||||||
Center-of-pressure path length, cma | 42.33 ± 10.89 | 37.56 ± 9.36 | 4.76 ± 8.69 | 0.50 (−0.22, 1.23) | 34.74 ± 10.10b | 7.59 ± 8.84 | 0.78 (0.03, 1.52)c |
Anteroposterior maximal velocity, cm/s | 11.77 ± 2.66 | 12.75 ± 3.34 | −0.99 ± 2.17 | −0.24 (−0.95, 0.48) | 11.22 ± 3.12 | −0.54 ± 2.75 | −0.18 (−0.90, 0.54) |
Mediolateral maximal velocity, cm/sa | 14.31 ± 4.36 | 12.96 ± 3.50 | 1.35 ± 3.63 | 0.33 (−0.39, 1.06) | 10.83 ± 3.70b | 3.48 ± 3.77 | 0.84 (0.09, 1.59)c |
Center-of-pressure area, cm2 | 8.10 ± 4.51 | 5.80 ± 2.06 | 2.31 ± 4.03 | 0.50 (−0.23, 1.22) | 6.89 ± 3.17 | 1.22 ± 4.70 | 0.24 (−0.48, 0.96) |
Eyes closed | |||||||
Center-of-pressure path length, cma | 92.31 ± 21.68 | 83.73 ± 20.71 | 8.58 ± 22.63 | 0.39 (−0.33, 1.11) | 78.26 ± 23.49b | 14.05 ± 21.23 | 0.60 (−0.13, 1.33) |
Anteroposterior maximal velocity, cm/s | 27.26 ± 6.02 | 26.54 ± 5.42 | 0.72 ± 5.38 | 0.08 (−0.63, 0.80) | 24.93 ± 7.45 | −2.33 ± 9.09 | −0.23 (−0.95, 0.49) |
Mediolateral maximal velocity, cm/s | 31.30 ± 8.36 | 28.08 ± 7.08 | 3.23 ± 8.62 | 0.34 (−0.39, 1.06) | 27.27 ± 9.50 | 4.03 ± 10.05 | 0.36 (−0.36, 1.08) |
Center-of-pressure area, cm2 | 27.25 ± 12.09 | 21.90 ± 6.51 | 5.35 ± 10.98 | 0.47 (−0.25, 1.20) | 21.04 ± 8.13 | 6.21 ± 11.12 | 0.52 (−0.21, 1.25) |
Time to new stability, s | 2.23 ± 0.22 | 2.22 ± 0.17 | 0.01 ± 0.24 | 0.03 (−0.69, 0.74) | 2.18 ± 0.13 | 0.04 ± 0.25 | 0.17 (−0.55, 0.88) |
Duration of the anticipatory postural adjustment, ms | 545.23 ± 76.19 | 554.26 ± 77.88 | −9.04 ± 50.54 | −0.16 (−0.87, 0.55) | 553.55 ± 59.94 | −6.32 ± 54.47 | −0.14 (−0.86, 0.57) |
Electroencephalography event-related spectral perturbation, dBe | |||||||
Θ | 0.86 ± 0.97 | 0.80 ± 1.31 | 0.00 ± 1.08 | −0.05 (−0.76, 0.67) | 0.81 ± 0.86 | 0.01 ± 0.89 | −0.05 (−0.76, 0.67) |
α | −0.35 ± 1.47 | −0.48 ± 1.30 | −0.11 ± 1.33 | −0.08 (−0.80, 0.63) | −0.25 ± 0.88 | 0.17 ± 1.11 | 0.09 (−0.62, 0.81) |
β | −0.38 ± 0.80 | −0.62 ± 0.83 | −0.24 ± 1.04 | −0.21 (−0.92, 0.51) | −0.52 ± 0.54 | −0.17 ± 0.99 | −0.13 (−0.85, 0.59) |
γ | −0.09 ± 0.47 | −0.28 ± 0.54 | −0.20 ± 0.50 | 0.35 (−0.37, 1.08) | 0.01 ± 0.57 | 0.05 ± 0.52 | −0.17 (−0.89, 0.55) |
Abbreviation: CI, confidence interval.
Indicates a main effect of time (P < .05).
Difference from baseline (P < .05).
The 95% CI did not cross zero.
Difference from the immediate posttest (P < .05).
For event-related spectral perturbation outcomes, decibel values closer to zero indicate no change in signal power in a given frequency band. Negative values indicate a widespread increase in activity for the θ, α, and β. bands; positive values indicate more focal activity and increased activity for the γ band. Signs have been changed for outcome measures so a positive change score or Hedges g effect size indicates an improvement in the outcome measure. For ERSP effect sizes, a positive point estimate represents a decrease in cortical activity; this means a less negative decibel value for the θ, α, and β bands and a more negative decibel value for the γ band.