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Background: Neuromuscular training (NMT) has been shown to be effective in preventing recurrent ankle injuries. However, the NMT effect during the off-season in athletes who wear and those who do not wear an ankle brace during their sport season remains undetermined. Purpose: The purpose of this study was to determine the effect of an off-season bracefree neuromuscular ankle training program on ankle functional ability among female athletes who wore and those who did not wear an ankle brace during the sport season. Study Design: This study included a preand posttest 2-group cohort. Methods: In this study, division II female athletes (n = 31) participated: 15 wore an ankle brace during their competitive sports season (brace-reliant), whereas the remaining 16 had never worn an ankle brace (brace-naïve). Subjects completed a 4-phase, 6-week neuromuscular ankle training program incorporated into an off-season conditioning program. Subjects were provided instruction and were asked to complete the 10-minute progressive program 3 times per week for 6 weeks. Subjective and objective measures of ankle functional ability were collected before and after the 6-week intervention. Subjective measures involved the subjects completing the Foot and Ankle Ability Measures, including a global rating of condition and the TAMPA Scale for Kinesiophobia. Objective measures of ankle functional ability included single-leg hop distance and single-leg balance with eyes closed duration.

An Off-Season Brace-Free Neuromuscular Ankle Training Program Among Brace-Reliant and Nonbrace-Reliant Division II Female Athletes