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Br J Sports Med. Feb 2005; 39(2): 111–115.
PMCID: PMC1725110

An economic evaluation of a proprioceptive balance board training programme for the prevention of ankle sprains in volleyball


Objectives: To evaluate the cost effectiveness of a proprioceptive balance board training programme for the prevention of ankle sprains in volleyball.

Methods: A total of 116 volleyball teams participated in this study which was carried out during the 2001–2002 volleyball season. Teams were randomly allotted to an intervention group (66 teams, 628 players) or a control group (52 teams, 494 players). Intervention teams followed a prescribed balance board training programme as part of their warm up. Control teams followed their normal training routine. An ankle sprain was recorded if it occurred as a result of volleyball and caused the subject to stop volleyball activity. The injured player completed a cost diary for the duration of the ankle sprain. Analyses were performed according to the intention to treat principle. Mean direct, indirect, and total costs were calculated and were compared between the two groups.

Results: The total costs per player (including the intervention material) were significantly higher in the intervention group (€36.99 (93.87)) than in the control group (€18.94 (147.09)). The cost of preventing one ankle sprain was approximately €444.03. Sensitivity analysis showed that a proprioceptive balance board training programme aimed only at players with previous ankle sprains could be cost effective over a longer period of time.

Conclusions: Positive effects of the balance board programme could only be achieved at certain costs. However, if broadly implemented, costs associated with the balance board programme would probably be lower.

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Selected References

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  • Parkkari J, Kujala UM, Kannus P. Is it possible to prevent sports injuries? Review of controlled clinical trials and recommendations for future work. Sports Med. 2001;31(14):985–995. [PubMed]
  • Janda DH. Sports injury surveillance has everything to do with sports medicine. Sports Med. 1997 Sep;24(3):169–171. [PubMed]
  • Wexler RK. The injured ankle. Am Fam Physician. 1998 Feb 1;57(3):474–480. [PubMed]
  • Bylak J, Hutchinson MR. Common sports injuries in young tennis players. Sports Med. 1998 Aug;26(2):119–132. [PubMed]
  • Creagh U, Reilly T. Training and injuries amongst elite female orienteers. J Sports Med Phys Fitness. 1998 Mar;38(1):75–79. [PubMed]
  • Bahr R, Bahr IA. Incidence of acute volleyball injuries: a prospective cohort study of injury mechanisms and risk factors. Scand J Med Sci Sports. 1997 Jun;7(3):166–171. [PubMed]
  • Verhagen Evert, van der Beek Allard, Twisk Jos, Bouter Lex, Bahr Roald, van Mechelen Willem. The effect of a proprioceptive balance board training program for the prevention of ankle sprains: a prospective controlled trial. Am J Sports Med. 2004 Sep;32(6):1385–1393. [PubMed]
  • Koopmanschap MA, Rutten FF. A practical guide for calculating indirect costs of disease. Pharmacoeconomics. 1996 Nov;10(5):460–466. [PubMed]
  • Tropp H, Askling C, Gillquist J. Prevention of ankle sprains. Am J Sports Med. 1985 Jul-Aug;13(4):259–262. [PubMed]
  • Ekstrand J, Tropp H. The incidence of ankle sprains in soccer. Foot Ankle. 1990 Aug;11(1):41–44. [PubMed]
  • Milgrom C, Shlamkovitch N, Finestone A, Eldad A, Laor A, Danon YL, Lavie O, Wosk J, Simkin A. Risk factors for lateral ankle sprain: a prospective study among military recruits. Foot Ankle. 1991 Aug;12(1):26–30. [PubMed]
  • Saunders EA. Ligamentous injuries of the ankle. Am Fam Physician. 1980 Aug;22(2):132–138. [PubMed]
  • Kujala Urho, Orava Sakari, Parkkari Jari, Kaprio Jaakko, Sarna Seppo. Sports career-related musculoskeletal injuries: long-term health effects on former athletes. Sports Med. 2003;33(12):869–875. [PubMed]

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