Elsotohy, N. M., Y. E. Salim, N. S. Nassif, and A. F. Hanafy, "Cross-education effect of balance training program in patients with chronic ankle instability: A randomized controlled trial.", Injury, 2020. Abstract

Chronic ankle instability (CAI) is frequently developed due to failure of the functional rehabilitation after acute ankle sprain. So, there is a need for an alternative way by which we can begin neuro-muscular control retraining sooner.

PURPOSE: This study was conducted to examine the effect of 6-week Single-limb Balance Training Program of the non-affected side on the Overall Stability Index (OASI), Antero-Posterior Stability Index (APSI), and the Medio-Lateral Stability Index (MLSI) of the affected side in females with unilateral CAI.

METHODS: Thirty-two female patients with CAI with mean age 20.96 ± 1.69 years participated in this study. They were randomly assigned into three groups: experimental group A (Cross-Education) (n = 11) performed the exercises for the non-affected side, experimental group B (Traditional Training) (n = 11) performed the exercises for the affected side, and Control group C (n = 10) did not perform any exercises. The randomization was done using statistical random tables. Data were collected using the Biodex Balance system before and after training.

RESULTS: Two-way mixed design MANOVA revealed that there were significant improvements in the mean values of the OASI, APSI and MLSI after training (p < .05) in both the Cross-Education group (A) and Traditional Training group (B) with no significant difference in-between for the OASI, MLSI and APSI after training. There was no significant difference (p > .05) between the pre and post-training mean values of the OASI, MLSI and APSI in the Control group (C).

CONCLUSION: Single-limb balance training for the non-affected side is effective in improving the postural control of the affected side in patients with CAI.

Abdelraouf, O. R., A. A. Abdel-Aziem, N. S. Nassif, and A. G. Matar, "Backward walking effects on activation pattern of leg muscles in young females with patellofemoral pain syndrome", International Journal of Therapy and Rehabilitation , 2019.
Mohammad, W. S., O. R. Abdelraouf, S. M. ElHafez, and N. S. Nassif, "Isokinetic imbalance of hip muscles in soccer players with osteitis pubis", Journal of sports sciences, 2014. http___scholar.cu_.edu_.eg3_.pdf
Mohsen, A. A. E. M., H. E. F. A. E. Ghaffar, N. S. Nassif, and G. M. Elhafez, "The weight-bearing exercise for better balance program improves strength and balance in osteopenia: a randomized controlled trial", The journal of physical therapy science, vol. 28, pp. 2576-2580, 2016. azza_28_jpts-2016-318-1.pdf
Khalil, A. A., G. A. Mohamed, S. A. E. M. Rahman, and N. S. Nassif, "Effect of Wiihabilitation on strength ratio of ankle muscles in adults", The journal of physical therapy science, vol. 28, pp. 2862-2868, 2016. http___scholar.cu_.edu_.eg2_.pdf
Mohsen, A. M. A. E., N. S. Nassif, H. E. F. A. E. Ghaffar, and A. A. Ashour, "Weight bearing exercises and bone mineral density in postmenopausal osteopenia: A randomized controlled trial", International journal of current research, vol. 8, issue 11, pp. 42253-42257, 2016. azza2.pdf
Mohamed, G. A., S. Elhafez, and N. S. Nassif, "Effect of Kinesio Taping on Isokinetic Parameters of Ankle joint", International journal of current research, vol. 9, issue 04, pp. 49299-49307, 2017. 21780.pdf
Elhafez, S. M., N. S. Nassif, G. M. Elhafez, and H. E. Fawaz, "Effect of Trunk Range of Motion and Angular Velocity on Isokinetic Peak Torque of Trunk Flexor and Extensor Muscles", World Confederation for Physical Therapy WCPT , Vancouver, Canada, 15-07, pp. 93(S1):S282, 2007. new_microsoft_word_document_3.docx