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Latest Research
Research Details
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| Research Title: |
An economic evaluation of a proprioceptive balance board training programme for the prevention of ankle sprains in volleyball |
| Type of Research: |
Publication Articles |
| Category: |
Preventative Techniques
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| Keywords: |
Ankle injury
Balance training
Volleyball
Proprioceptive training
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| Author(s): |
E A L M Verhagen, M van Tulder, A J van der Beek, L M Bouter, W van Mechelen |
| Author(s) Bio Box: |
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| Release Date: |
14 April 2006 |
| Research Summary/Text: |
This research evaluates the cost effectiveness of a proprioceptive balance board training program for the prevention of ankle sprains in volleyball alongside a controlled trial involving 116 Dutch volleyball teams (both men’s and women’s) with a total of 1127 players. Teams randomly allocated to an intervention group followed a prescribed balance board training program and were provided with five balance boards, an instruction booklet and an instructional videotape. Prior to program implementation team coaches were trained in the use of the balance boards for players. The program consisted of 14 basic exercises on and off the balance board, with variations on each exercise and a gradual increase in difficulty and intensity during the 36-week volleyball season.
Besides the cost of the intervention, direct healthcare costs, hospital care, use of drugs and medical devices were calculated, as well as indirect costs resulting from absenteeism from paid or unpaid work. The costs of long term health burden were not considered in this evaluation.
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| Research Objectives: |
To evaluate the cost effectiveness of a proprioceptive balance board training program for the prevention of ankle sprains in volleyball.
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| Research Outcomes: |
Overall, the total cost per player was significantly higher in the intervention group. However, the difference in cost between the groups was entirely due to the cost of the program intervention materials (5 balance boards, one video tape and one book per team).
There was an unanticipated and unexplained increased incidence of knee injury in the intervention group of the study.
There was a substantial amount of missing cost diary data and it is recommended that in future trials it is collected directly from players rather than through team coaches.
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| Research Implications: |
This and other trials have established that of a proprioceptive balance board training program is a clinically effective strategy in preventing ankle injury in players who have had a previous ankle injury.
A proprioceptive balance board training program would be recommended as a cost effective preventive strategy where:
a) The long term health burden of ankle sprains is considered;
b) It was aimed at players with previous ankle sprain injury, to reduce the number of balance boards required per team; and
c) Program equipment and materials were used over the longer term to further reduce the overall cost per player.
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