Effect of Neuromuscular and Traditional Training on Load Rating and Free Torque of Girls With Ankle Sprain Publisher

Summary: Can neuromuscular training change ankle forces in teenage girls? A study found larger biomechanical changes than standard exercise; clinical impact is unclear. #Rehabilitation #SportsScience

Alimadadi M ; Jafarnezhadgero A ; Tabatabai Ghomsheh F ; Daryabor A
Source: Physical Treatments Published:2026

Abstract

Purpose: This study aimed to examine how neuromuscular training, compared with standard exercise routines, influences loading rate and free torque among adolescent girls aged 15-18 years with a history of ankle ligament sprains. This aspect has not yet been thoroughly explored in prior research. Methods: This investigation adopted an applied, semi-experimental approach using a pre-test– post-test framework. Participants were divided into three groups: two experimental groups— one receiving neuromuscular training and the other traditional training—and a control group. The statistical sample of this research included 45 people (15 people in each group), aged 15-18 years. A force plate was used to evaluate the load rating and free torque while walking. To analyze the data, two-way analysis of variance and Bonferroni post hoc tests were performed at a significance level of P≤0.05. Results: Evaluation over six weeks indicated that the loading rate improved to a lesser extent in the group receiving conventional training relative to the group performing neuromuscular training (P=0.030; d=0.148). Conclusion: The present results indicate that neuromuscular training yields more pronounced gains in both loading rate and free torque than conventional exercise approaches. Based on these outcomes, the inclusion of neuromuscular training protocols in the rehabilitation and conditioning plans of individuals with lateral ankle ligament injuries or chronic ankle instability is recommended, as such programs may enhance functional recovery and clinical results. © 2026 The Author(s).