Ambulosono-Enhanced Ankle Rotation Training Leads to Significant Gains in Balance Among Healthy Adults

The ankle joint, a pivotal element in lower limb ground interactions, plays a critical role in maintaining gait and balance. In this study, we utilized the Ambulosono device, a sensor based, music contingent digital tool designed to assist and monitor ankle training to investigate the effects of ankle rotation training on functional balance. We measured the durations of the single leg stand test (SLST) under eyes-closed conditions in a cohort of healthy young adults. Comparisons of pre and post training SLST durations were made between the trained and untrained legs within the same subjects. Our findings demonstrated a substantial increase in the SLST durations ipsilateral to the trained ankles, while the untrained ankles in the control legs showed no significant changes. This enhancement in balance function was observed to persist for several hours post-training. ### Competing Interest Statement The authors have declared no competing interest. ### Clinical Trial ISRCTN06023392 ### Funding Statement This research was partially supported by the grants from Alberta Ministry of Mental Health and Hotchkiss Brain Institute of the University of Calgary. ### Author Declarations I confirm all relevant ethical guidelines have been followed, and any necessary IRB and/or ethics committee approvals have been obtained. Yes The details of the IRB/oversight body that provided approval or exemption for the research described are given below: Ethics approval was obtained from the University of Calgary Research Ethics Board as part of Ambulosono registered trial ([ISRCTN06023392][1]). Informed written consent was obtained from participants at baseline prior to participation. I confirm that all necessary patient/participant consent has been obtained and the appropriate institutional forms have been archived, and that any patient/participant/sample identifiers included were not known to anyone (e.g., hospital staff, patients or participants themselves) outside the research group so cannot be used to identify individuals. Yes I understand that all clinical trials and any other prospective interventional studies must be registered with an ICMJE-approved registry, such as ClinicalTrials.gov. I confirm that any such study reported in the manuscript has been registered and the trial registration ID is provided (note: if posting a prospective study registered retrospectively, please provide a statement in the trial ID field explaining why the study was not registered in advance). Yes I have followed all appropriate research reporting guidelines, such as any relevant EQUATOR Network research reporting checklist(s) and other pertinent material, if applicable. Yes All data produced in the present study are available upon reasonable request to the authors [1]: /external-ref?link_type=ISRCTN&access_num=ISRCTN06023392