Increasing compliance with neuromuscular training to prevent ankle sprain in sport: Does a mobile app help?

Ankle jogging injury female runner holding painful sprained ankle. Legs and running shoes closeup of woman hands gripping on leg in pain because of sore and injured joint and muscles in ankles.

E-health has the potential to facilitate implementation of effective measures to prevent sports injuries. The authors evaluated whether an interactive mobile application containing a proven effective exercise programme to prevent recurrent ankle sprains resulted in higher compliance as compared with regular written exercise materials. 220 athletes participated in this randomised controlled trial with a follow-up of 8 weeks; 110 athletes received a booklet explaining an 8-week neuromuscular training programme; 110 athletes participated in the same programme in an interactive mobile App (Strengthen your ankle). The primary outcome was compliance with the exercise programme. Secondary outcome measure was the incidence density of self-reported recurrent ankle sprains. The mean compliance to the exercise scheme was 73.3% (95% CI 67.7% to 78.1%) in the App group, compared with 76.7% (95% CI 71.9% to 82.3%) in the Booklet group. No significant difference in compliance was found between groups. The incidence densities of self-reported time-loss recurrences were not significantly different between both groups (HR 3.07; 95% CI 0.62 to 15.20).

This study shows that the method of implementing the exercises by using an App or a Booklet does not lead to different compliance rates. The use of a mobile App or a Booklet lead to similar compliance and injury rates in the short term.


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My interest in health and fitness started at a young age. Even though I had been educated and trained as an engineer in Europe I always want to follow my passion. I have made some guest appearances on a health educational program TV in Europe and, this experience, has made me follow my passion of sharing wellness information with others.

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