Individuals with recurrent ankle sprain demonstrate postural instability and neuromuscular control deficits in unaffected side

2018 ◽  
Vol 28 (1) ◽  
pp. 184-192 ◽  
Author(s):  
Jin Hyuck Lee ◽  
Soon Hyuck Lee ◽  
Gi Won Choi ◽  
Hae Woon Jung ◽  
Woo Young Jang
Keyword(s):  
Ankle Sprain ◽  
Neuromuscular Control ◽  
Postural Instability ◽  
Unaffected Side ◽  
Recurrent Ankle Sprain

scholarly journals Individuals with Recurrent Ankle Sprain Demonstrate Postural Instability and Neuromuscular Control Deficits in Unaffected Side

2019 ◽  
Vol 4 (4) ◽  
pp. 2473011419S0026
Author(s):  
Jin Hyuck Lee ◽  
Gi Won Choi ◽  
Woo Young Jang
Keyword(s):  
Ankle Sprain ◽  
Postural Stability ◽  
Ankle Instability ◽  
Neuromuscular Control ◽  
Postural Instability ◽  
Unaffected Side ◽  
Ankle Rehabilitation ◽  
Dynamic Postural Stability ◽  
Recurrent Ankle Sprain ◽  
Anterior Posterior

Category: Ankle, Sports Introduction/Purpose: To compare proprioception, postural stability, and neuromuscular control between patients with mechanical laxity and recurrent ankle sprain. Methods: Among 86 patients with ankle instability, 45 patients had mechanical laxity (mean age 27.2 ± 7.0 years) and 41 had recurrent ankle sprain (mean age 25.1 ± 9.2 years). Both the affected and unaffected ankles of each patient were evalu- ated. Proprioception and neuromuscular control tests were conducted using an isokinetic machine, and postural stability was tested using a postural stabilometry system. Results: Proprioception was not significantly different between the unaffected or affected ankles of the mechanical laxity group compared with those of the recurrent ankle sprain group (n.s). Static and dynamic postural stability and neuromus- cular control were similar in the affected ankles between the two groups (n.s). However, postural stability (static, overall: p = 0.009, anterior– posterior: p = 0.028, medial–lateral: p = 0.022; dynamic, overall: p = 0.012, anterior–posterior: p = 0.004, medial–lateral: p = 0.001) and neuromuscular control (inversion: p = 0.031, eversion: p = 0.039, dorsiflexion: p = 0.029, plantarflexion: p = 0.035) were significantly decreased in the unaffected ankles of the recurrent ankle sprain group compared with those of the mechanical laxity group. Conclusion: The unaffected ankles of the recurrent ankle sprain group showed significant decreases in both postural stability and neuromuscular control compared with the mechanical laxity group. Clinicians and therapists should consider unaffected ankle rehabilitation in patients with recurrent ankle sprain to prevent future sprain events.

Neuromuscular control mechanisms during single-leg jump landing in acute ankle sprain patients

2015 ◽  
Vol 42 ◽  
pp. S83
Author(s):  
F. Zumstein ◽  
L. Allet ◽  
S. Armand ◽  
L. Radlinger ◽  
P. Eichelberger ◽  
...  
Keyword(s):  
Ankle Sprain ◽  
Neuromuscular Control ◽  
Control Mechanisms ◽  
Jump Landing

P-80 Are selected intrinsic risk factors more prevalent among elite football and basketball players with history of acute or recurrent ankle sprain?

2016 ◽  
Vol 50 (Suppl 1) ◽  
pp. A76.1-A76
Author(s):  
Mohammad Hossein Pourgharib Shahi ◽  
Farzin Halabchi ◽  
Hooman Angoorani ◽  
Maryam Mirshahi ◽  
Mohammad Ali Mansournia
Keyword(s):  
Risk Factors ◽  
Ankle Sprain ◽  
Basketball Players ◽  
History Of ◽  
Recurrent Ankle Sprain

Characteristics of people with recurrent ankle sprains: a systematic review with meta-analysis

2011 ◽  
Vol 45 (8) ◽  
pp. 660-672 ◽  
Author(s):  
Claire E Hiller ◽  
Elizabeth J Nightingale ◽  
Chung-Wei Christine Lin ◽  
Garrett F Coughlan ◽  
Brian Caulfield ◽  
...  
Keyword(s):  
Systematic Review ◽  
Ankle Sprain ◽  
Test Performance ◽  
Postural Sway ◽  
Meta Analysis ◽  
Position Sense ◽  
Joint Position Sense ◽  
Ankle Sprains ◽  
Eyes Closed ◽  
Recurrent Ankle Sprain

ObjectiveTo examine whether people with recurrent ankle sprain, have specific physical and sensorimotor deficits.DesignA systematic review of journal articles in English using electronic databases to September 2009. Included articles compared physical or sensorimotor measures in people with recurrent (≥2) ankle sprains and uninjured controls.Main outcome groupsOutcome measures were grouped into: physical characteristics, strength, postural stability, proprioception, response to perturbation, biomechanics and functional tests. A meta-analysis was undertaken where comparable results within an outcome group were inconsistent.ResultsFifty-five articles met the inclusion criteria. Compared with healthy controls, people with recurrent sprains demonstrated radiographic changes in the talus, changes in foot position during gait and prolonged time to stabilisation after a jump. There were no differences in ankle range of motion or functional test performance. Pooled results showed greater postural sway when standing with eyes closed (SMD=0.9, 95% CI 0.4 to 1.4) or on unstable surfaces (0.5, 0.1 to 1.0) and decreased concentric inversion strength (1.1, 0.2 to 2.1) but no difference in evertor strength, inversion joint position sense or peroneal latency in response to a perturbation.ConclusionThere are specific impairments in people with recurrent ankle sprain but not necessarily in areas commonly investigated.

Radiological Assessment of a Modified Anterior Drawer Test of the Ankle

Foot & Ankle ◽  
1992 ◽  
Vol 13 (7) ◽  
pp. 400-403 ◽  
Author(s):  
M. Nyska ◽  
H. Amir ◽  
A. Porath ◽  
S. Dekel
Keyword(s):  
Ankle Sprain ◽  
Ankle Instability ◽  
Anterior Talofibular Ligament ◽  
Common Complication ◽  
Anterior Drawer ◽  
Lateral Tilt ◽  
Anterior Drawer Test ◽  
Significant Movement ◽  
Recurrent Ankle Sprain ◽  
Radiological Examinations

Chronic ankle instability is a common complication of ankle sprain. The clinical assessment of ankle instability is usually incomplete and difficult to interpret. Recently, more attention has been paid to the value of the anterior drawer test of the ankle. We assessed the accuracy of a modification of the anterior drawer test, comparing it with radiological stress view of the ankle in 25 patients with recurrent ankle sprain. The radiological examinations were performed by a TELOS instrument and included lateral and anteroposterior stress views. We found that the modified anterior drawer test correlated with the posterior opening of the tibiotalar joint and with the lateral tilt of the talus. We conclude that a slightly positive modified anterior drawer test may indicate injury to the anterior talofibular ligament. A significant movement of the ankle elicited by the modified anterior drawer test may indicate combined injury to anterior talofibular and calcaneofibular ligaments.

scholarly journals Neuromuscular Mechanosensitivity in Subjects with Chronic Ankle Sprain: A Cross-Sectional Study

Pain Medicine ◽  
2019 ◽  
Vol 21 (9) ◽  
pp. 1991-1998 ◽  
Author(s):  
Cristina Lorenzo-Sánchez-Aguilera ◽  
David Rodríguez-Sanz ◽  
Tomás Gallego-Izquierdo ◽  
Irene Lázaro-Navas ◽  
Josue Plaza-Rodríguez ◽  
...  
Keyword(s):  
Ankle Sprain ◽  
Healthy Subjects ◽  
Ankle Instability ◽  
Pressure Pain Threshold ◽  
Neuromuscular Control ◽  
Lower Limbs ◽  
Control Group ◽  
Case Group ◽  
Strong Positive Correlation ◽  
Cross Sectional

Abstract Background Ankle sprain is one of the most common musculoskeletal injuries in sports, at work, and at home. Subjects who suffer from this injury may develop ankle instability. Functional instability has been associated with a high rate of resprain and impaired neuromuscular control in patients with ankle instability. Objective Measurement of neural and muscular mechanosensitivity after ankle sprain injury and establishment of the relationship between these variables. Methods A cross-sectional case-control study was performed with a sample of 58 students from Alcalá de Henares University (21 males and 37 females, mean age ± SD = 21 ± 3.7 years). Subjects were divided into two groups: a case group (N = 29, subjects with unstable ankle) and a control group (N = 29, healthy subjects). The pressure pain threshold (PPT) of the tibialis anterior, peroneus longus, and peroneus brevis muscles and mechanosensitivity of the common peroneus and tibial nerves were evaluated in all subjects through a manual mechanical algometer. Results Neuromuscular PPTs showed significant differences (P < 0.05) between both groups, such that, compared with the control group, the case group exhibited significantly lower PPT levels. In the case group, a strong positive correlation was observed between neural and muscular homolateral mechanosensitivity in both lower limbs. Conclusions Participants with chronic ankle instability showed higher neuromuscular mechanosensitivity in muscles and nerves surrounding the ankle joint than healthy subjects. These findings indicate that low PPT values may be associated with symptoms that characterize this disease.

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