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Effects of HD-tDCS combined with Bosu ball training on static and dynamic postural stability among individuals with chronic ankle instability

Bibliographic Data

ID5285252
AuthorsYubin Ge (0000-0002-8748-716X), He Gao (0000-0002-7096-7175), Xueke Huang, Xin Luo (0000-0001-5446-4079), Yanhao Liu, Dongmei Wang (0000-0001-6900-8295), Peixin Shen (0000-0002-7394-1464), Liang Guo (0000-0003-2111-0631), Qipeng Song (0000-0002-4103-9193)
Year2025
Volume7
Pages1618683-1618683
Publication date2025-06-25
Open AccessYes
TypeARTICLE
VenueFrontiers in Sports and Active Living (JOURNAL)
Journal identifiersISSN: 2624-9367 • E-ISSN: 2624-9367
PublisherFrontiers Media SA (PUBLISHER • CH)
DOI10.3389/fspor.2025.1618683
PMID40636888
OpenAlexW4411644337
LanguageEN
Citations received1
References cited67

PurposeChronic ankle instability (CAI) is characterized by a combination of peripheral dysfunction and maladaptive neuroplasticity in central nervous system, leading to persistent postural stability deficits. This study aims to investigate the effects of high-definition transcranial direct current stimulation (HD-tDCS) combined with Bosu ball training (BBT) on the static and dynamic postural stability in individuals with CAI.MethodsA total of forty participants were randomized to receive either HD-tDCS + BBT (n = 20) or BBT (n = 20) interventions, delivered over six weeks with three 20-minute sessions per week. Static and dynamic postural stability was assessed pre- and post-intervention via single-leg stance and drop landing tests, with kinetic data captured by a force platform (1,000 Hz). Data were analyzed using two-way mixed-design ANOVA.ResultsSignificant group-by-time interactions were detected in the center of pressure-root mean square (CoP_RMS) during single-leg stance (p = 0.036, η2p = 0.134) and the time to stabilization (TTS) during drop landing (p = 0.007, η2p = 0.209) in the mediolateral (ML) direction. Post hoc comparisons showed that the both of them were decreased after intervention, and greater decreases were observed by the intervention of HD-tDCS + BBT compared to BBT. And, a significant time main effect was observed in the CoP_RMS (p < 0.001, η2p = 0.382) and the TTS (p = 0.005, η2p = 0.224) in the anteroposterior direction, they both decreased after HD-tDCS + BBT and BBT interventions.ConclusionsBoth BBT alone and the combined HD-tDCS + BBT interventions enhanced static and dynamic postural stability in individuals with CAI, while the combined HD-tDCS + BBT intervention demonstrated significantly greater efficacy in improving postural stability in the ML direction compared to BBT alone

Ball (mathematics · Geometry · Instability · Mechanics · Physical medicine and rehabilitation · Physical therapy · Physics · Foot and Ankle Surgery · Lower Extremity Biomechanics and Pathologies · Mathematics · Medicine · Psychology · Sports injuries and prevention

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Citations per year1
Citation span2026 - 2026 (1)
Highly citedNo

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