Background: Ankle sprains are common in athletes and
often progress to chronic ankle instability. Many individuals choose home-based
(HB) training due to insufficient time, personal preferences, and accessibility.
Therefore, the purpose of this study was to assess the effect of HB
rehabilitation training. Methods: Forty adults (center-based (CB) group, n
= 20; home-based (HB) group, n = 20) with chronic ankle instability were
trained for 6 weeks and their data analyzed. For ankle strength training, tube
bands or body weight, and dynamic balance exercises were used. The CB group
trained 5 days/week at a center under physiotherapist monitoring; the HB group
performed a self-monitored exercise program 4 days/week using their mobile device
and a video-session program 1 day/week. Training intervention lasted 6 weeks;
tests were conducted during weeks 1, 3, and 6. Ankle muscle strength was measured
at an angular velocity of 30/s and 120/s using isokinetic
equipment, and balance using the Y-balance test (YBT) including three direction;
anterior, posteromedial, posterolateral. Hop tests—single, triple, crossover,
and 6 m tests—were performed to evaluate lower extremity function, and
subjective ankle evaluation using the foot and ankle outcome score
(FAOS). Results: Ankle strength significantly improved with no
between-group differences at 30/s; at 120/s, the CB group
significantly improved compared to the HB group. The YBT and FAOS significantly
improved in both groups at 6 weeks, with between-group differences. The hop test
significantly improved in both groups. Single and triple hop test between-group
differences were not significant; however, the CB group significantly improved in
the crossover and 6 m tests compared to the HB group. Conclusions: The 6-week CB and HB rehabilitation programs improved
muscle strength, balance, lower extremity function, and subjective ankle
satisfaction in both groups. CB training showed a partially superior effect,
although HB training recommended for participants who have difficulty visiting
rehabilitation centers and may be an appropriate alternative.