Role of proprioceptive training in the prevention of recurrent ankle sprains

Yasir S. Alnakhli; Atheer F. Alahmadi; Sarah A. Almalki; Abeer A. Alhumidani; Raneem H. Alharbi; Noor K. Khan; Raghad M. Aljohani; Miad K. Qahtani; Abdullah A. Alharbi; Sami A. Alshehri

doi:10.18203/2394-6040.ijcmph20260118

Authors

Yasir S. Alnakhli Department of Rehabilitation, King Abdulaziz Hospital, Jeddah, Saudi Arabia
Atheer F. Alahmadi Department of Physiotherapy, Dr. Suliman Fakeeh Hospital – HHC, Madinah, Saudi Arabia
Sarah A. Almalki Department of Physiotherapy and Rehabilitation, Physiotherabia Clinic, Madinah, Saudi Arabia
Abeer A. Alhumidani Department of Physiotherapy, Specialized Pain Management Center (SPMC), Riyadh, Saudi Arabia
Raneem H. Alharbi Department of Physiotherapy, Al-Zahra Hospital, Madinah, Saudi Arabia
Noor K. Khan Department of Physiotherapy, Tamkeen Center Private, Madina, Saudi Arabia
Raghad M. Aljohani Department of Physiotherapy and Rehabilitation, Physiotherabia Clinic, Madinah, Saudi Arabia
Miad K. Qahtani Department of Physiotherapy, Dr. Samir Abbas Hospital, Jeddah, Saudi Arabia
Abdullah A. Alharbi Department of Physiotherapy, Al-Zahra Hospital, Madinah, Saudi Arabia
Sami A. Alshehri Department of Physiotherapy, A. F. Hospital, Abha, Saudi Arabia

DOI:

https://doi.org/10.18203/2394-6040.ijcmph20260118

Keywords:

Proprioception, Ankle sprain, Neuromuscular control, Injury prevention, Rehabilitation

Abstract

Recurrent ankle sprains are a common consequence of initial ligamentous injuries, often leading to chronic ankle instability and long-term functional limitations. A key factor contributing to recurrence is the disruption of proprioceptive feedback mechanisms, which impair neuromuscular control and compromises joint stability. Proprioceptive training has gained prominence as a targeted intervention aiming to restore sensorimotor function and reduce the likelihood of repeated injury. Unlike traditional rehabilitation, which emphasizes muscle strength and range of motion, proprioceptive protocols focus on reestablishing the body's awareness of joint position and improving reactive control during movement. These programs often include balance exercises, dynamic stabilization drills, and controlled perturbation challenges that stimulate the afferent pathways and retrain neuromuscular responses. Evidence supports the effectiveness of proprioceptive interventions in enhancing postural control, refining muscle activation patterns, and lowering reinjury rates across various populations, including athletes and recreational participants. Comparative studies reveal superior outcomes in tasks requiring dynamic balance and rapid directional change when proprioceptive components are included in rehabilitation. Long-term follow-up suggests that the benefits of these programs can be maintained, particularly when exercises are integrated into regular routines and supported by consistent adherence strategies. Factors influencing compliance include program design, supervision, motivation, and accessibility. Remote monitoring tools and personalized feedback have shown promise in improving engagement and retention. Collectively, the findings emphasize the critical role of neuromuscular retraining in comprehensive ankle rehabilitation. Addressing proprioceptive deficits not only enhances physical function but also provides a protective mechanism against future injury. As research continues to refine the understanding of proprioceptive mechanisms and optimize intervention strategies, the integration of sensorimotor training into standard care protocols represents a vital step toward reducing the long-term burden of recurrent ankle sprains.

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