20.500.12556/RUP-22679 Effects of physiotherapeutic interventions for reducing arthrogenic muscle inhibition in chronic ankle instability a systematic review Background Chronic ankle instability (CAI) is characterized by recurrent ankle sprains and neuromuscular deficits, including arthrogenic muscle inhibition (AMI), which impairs motor control. Physiotherapeutic interventions targeting neural excitability may help mitigate AMI and improve function. Objective To evaluate the effectiveness of physiotherapeutic interventions in modulating neural excitability and reducing AMI in CAI. Methods A systematic search of six databases identified studies examining the effects of physiotherapy interventions on spinal (H-waves/M-waves (H/M) ratio) and corticospinal excitability (transcranial magnetic stimulation (TMS) outcomes) in CAI. Quality was assessed using the PEDro scale. Results Thirteen studies investigated proprioceptive training, manual therapy, taping, cryotherapy, anodal transcranial direct current stimulation (atDCS), electrotherapy, and dry needling. Prolonged balance training, cryotherapy, and atDCS showed the most consistent effects. Conclusion atDCS, manual therapy, cryotherapy, electrotherapy and balance training may help reduce AMI in CAI, but further studies with larger samples and long-term follow-ups are needed. rehabilitation physical therapy ankle instability arthrogenic inhibition rehabilitacija fizioterapija nestabilnost gležnja artrogena inhibicija true false true Angleški jezik Slovenski jezik Članek v reviji 2026-02-23 00:14:17 2026-02-23 00:14:20 2026-02-23 03:04:26 0000-00-00 00:00:00 2025 0 0 str. 356-370 no. 5 Vol. 30 2025 0000-00-00 Zaloznikova NiDoloceno apc 0000-00-00 0000-00-00 2025-07-14 615.82/.84 1743-288X 10.1080/10833196.2025.2530868 242961667 https://www.tandfonline.com/doi/full/10.1080/10833196.2025.2530868#abstract 1 396a74fe-1044-11f1-b092-005056ac49c0 https://repozitorij.upr.si/Dokument.php?lang=slv&id=33013 https://doi.org/10.1080/10833196.2025.2530868 1 39efb129-1044-11f1-b092-005056ac49c0 https://repozitorij.upr.si/Dokument.php?lang=slv&id=33014 RAZ_Bec_Danijela_2025.pdf RAZ_Bec_Danijela_2025.pdf 1 44684ABE81CBA085C5192482D267DFE9 6ef48f8a6c415ffffc95f485bd76e2b03c0bd99114f03604d7b27fefe5a11bec 5813819a-1044-11f1-b092-005056ac49c0 https://repozitorij.upr.si/Dokument.php?lang=slv&id=33015 Fakulteta za vede o zdravju 0 0 0