Unilateral Multiaxial Coordination Training and Ankle Kinesthesia, Muscle Strength, and Postural Control

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Bryan L. Riemann
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Nancy Caggiano Tray
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Scott M. Lephart
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To determine the physiological adaptations that might occur with a 4-week unilateral multiaxial training program in lower leg kinesthesia, peak torque, and postural control.

Study Design:

True experimental pretest-posttest control-group design.


Research laboratory.


26 healthy, active subjects (14 men, 12 women).


Subjects were assigned to an experimental or control group. The experimental group performed multiaxial coordination training 3 days/wk for 4 weeks.

Main Outcome Measures:

Both groups were tested 3 times, pretest and 2 and 4 weeks after training was initiated. Outcome measures included conscious appreciation of ankle kinesthesia, eversion and dorsiflexion isokinetic peak torque, and static and functional postural control.


Results revealed a significant Group × Test interaction only for inversion kinesthesia.


Four weeks of multiaxial coordination training did not significantly improve any of the dependent variables in healthy individuals. Further research should consider the effects of such a program on injured subjects.

Riemann is with the Graduate Athletic Training Program, Georgia Southern University, Statesboro, GA 30460-8076. Tray and Lephart are with the Neuromuscular Research Laboratory, Musculoskeletal Research Center, Dept of Orthopaedic Surgery, University of Pittsburgh, Pittsburgh, PA 15203.

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