# The Effectiveness of External Verbal Feedback on Balance in Athletes with Chronic Ankle Instability

## TL;DR

This study examined how external verbal feedback affects balance in athletes with chronic ankle instability and found no significant benefit from the feedback, though balance training improved balance overall.

## Contribution

The study introduces a novel examination of the long-term retention of balance improvements with and without external verbal feedback in athletes with chronic ankle instability.

## Key findings

- Balance training improved dynamic balance in athletes with chronic ankle instability.
- External verbal feedback did not significantly enhance balance ability compared to other groups.
- The experimental group showed sustained retention of balance learning ability after the intervention.

## Abstract

Chronic ankle instability (CAI) is characterized by muscle weakness and impaired neuromuscular control. This study aimed (a) to assess the impact of external verbal feedback on the dynamic balance of athletes with CAI and (b) to examine the maintenance of dynamic balance ability after the end of the completion of the intervention balance program. Thirty athletes (mean age 21.63 ± 1.53) were randomly divided into three groups: an experimental group with external verbal feedback, 1st control group without external verbal feedback and the 2nd control group without balance training and without feedback. Assessments using a balance board and the ‘Y-balance’ test were conducted before and after the balance training period. Additionally, participants completed the Cumberland Ankle Joint Instability Tool. A retention test of balance ability was administered after the 4-week intervention period. Statistical analysis revealed a significant overall improvement in balance (F(2,36) =5.96, p = 0.006, partial η2 =0.249), including those with no balance training, but no significant differences between the groups. Thus, the external verbal feedback did not show a positive impact on the balance ability between the three different groups. Also, the experimental group with the external verbal feedback demonstrated maintenance of dynamic balance learning ability. Although it appears that balance training has a positive effect on the dynamic balance of individuals with CAI, a non-positive impact of external verbal feedback was found. Also, it appears that external verbal feedback significantly led to sustained retention of balance learning ability. Further research is recommended to validate these findings.