Effects of post-immobilization proprioceptive training on recovery after talus mosaicplasty: Insights from surface electromyography and postural sway in a case study
Journal of Bodywork and Movement Therapies, vol.48, pp.529-537, 2026 (ESCI, Scopus)
- Publication Type: Article / Article
- Volume: 48
- Publication Date: 2026
- Doi Number: 10.1016/j.jbmt.2026.07.015
- Journal Name: Journal of Bodywork and Movement Therapies
- Journal Indexes: Emerging Sources Citation Index (ESCI), Scopus, CINAHL, EMBASE, MEDLINE, SportDiscus
- Page Numbers: pp.529-537
- Keywords: Mosaicplasty, Postural sway, Proprioceptive training, sEMG, Talus
- Dokuz Eylül University Affiliated: Yes
Abstract
The purpose of this case study was to describe functional recovery following post-immobilization proprioceptive rehabilitation after talus osteochondral mosaicplasty. A 23-year-old male professional tennis athlete underwent clinical assessment before and after rehabilitation, including the Foot Function Index, muscle strength, ankle joint position sense, balance tests, and walking speed. Because the patient was immobilized and non-weight-bearing during the early postoperative period, instrumented assessments requiring standing and walking could not be performed at baseline. Therefore, surface electromyography (sEMG), postural sway analysis, and gait-related kinematic measurements were performed after completion of rehabilitation to provide an objective description of neuromuscular activation, postural control, and gait characteristics. Clinical outcomes showed improvements in foot function, muscle strength, joint position sense, balance, and mobility after rehabilitation. Post-rehabilitation instrumented assessments provided additional quantitative information regarding tibialis anterior and medial gastrocnemius activation, center-of-pressure behavior, and walking characteristics. These observations provide descriptive information regarding neuromuscular activation, postural control, and gait behavior following completion of rehabilitation.