The effects of Mobilization with Movement on dorsiflexion range of motion, dynamic balance, and self-reported function in individuals with chronic ankle instability

In Table 2 in the article by Harkey M, McLeod M, Van Scoit A, et al, “The Immediate Effects of an Anterior-to-Posterior Talar Mobilization on Neural Excitability, Dorsiflexion Range of Motion, and Dynamic Balance in Patients With Chronic Ankle Instability,” in J Sport Rehabil. 23(4):351–359, the composite and anterior scores for the Star Excursion Balance Test in the joint-mobilization group were transposed. Printed here is the correct version of the table.

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Two-week joint mobilization intervention improves self-reported function, range of motion, and dynamic balance in those with chronic ankle instability

Journal of Orthopaedic Research® ◽

10.1002/jor.22150 ◽

2012 ◽

Vol 30 (11) ◽

pp. 1798-1804 ◽

Cited By ~ 81

Author(s):

Matthew C. Hoch ◽

Richard D. Andreatta ◽

David R. Mullineaux ◽

Robert A. English ◽

Jennifer M. Medina McKeon ◽

...

Keyword(s):

Range Of Motion ◽

Ankle Instability ◽

Dynamic Balance ◽

Chronic Ankle Instability ◽

Joint Mobilization ◽

Function Range

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Association between corticospinal inhibition and active dorsiflexion range of motion in patients with chronic ankle instability

Translational Sports Medicine ◽

10.1002/tsm2.229 ◽

2021 ◽

Author(s):

Kyle B. Kosik ◽

Masafumi Terada ◽

Ryan S. McCann ◽

Colin P. Drinkard ◽

Phillip A. Gribble

Keyword(s):

Range Of Motion ◽

Ankle Instability ◽

Chronic Ankle Instability

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The Effect of 2 Forms of Talocrural Joint Traction on Dorsiflexion Range of Motion and Postural Control in Those With Chronic Ankle Instability

Journal of Sport Rehabilitation ◽

10.1123/jsr.2015-0152 ◽

2017 ◽

Vol 26 (3) ◽

pp. 239-244 ◽

Cited By ~ 1

Author(s):

Cameron J. Powden ◽

Kathleen K. Hogan ◽

Erik A. Wikstrom ◽

Matthew C. Hoch

Keyword(s):

Postural Control ◽

Range Of Motion ◽

Outcome Measures ◽

Ankle Instability ◽

Weight Bearing ◽

Chronic Ankle Instability ◽

Physical Contact ◽

Future Research ◽

Talocrural Joint ◽

Sham Condition

Context:Talocrural joint mobilizations are commonly used to address deficits associated with chronic ankle instability (CAI).Objective:Examine the immediate effects of talocrural joint traction in those with CAI.Design:Blinded, crossover.Setting:Laboratory.Participants:Twenty adults (14 females; age = 23.80 ± 4.02 y; height = 169.55 ± 12.38 cm; weight = 78.34 ± 16.32 kg) with self-reported CAI participated. Inclusion criteria consisted of a history of ≥1 ankle sprain, ≥2 episodes of giving way in the previous 3 mo, answering “yes” to ≥4 questions on the Ankle Instability Instrument, and ≤24 on the Cumberland Ankle Instability Tool.Intervention:Subjects participated in 3 sessions in which they received a single treatment session of sustained traction (ST), oscillatory traction (OT), or a sham condition in a randomized order. Interventions consisted of four 30-s sets of traction with 1 min of rest between sets. During ST and OT, the talus was distracted distally from the ankle mortise to the end-range of accessory motion. ST consisted of continuous distraction and OT involved 1-s oscillations between the mid and end-range of accessory motion. The sham condition consisted of physical contact without force application. Preintervention and postintervention measurements of weight-bearing dorsiflexion, dynamic balance, and static single-limb balance were collected.Main Outcome Measures:The independent variable was treatment (ST, OT, sham). The dependent variables included pre-to-posttreatment change scores for the WBLT (cm), normalized SEBTAR (%), and time-to-boundary (TTB) variables(s). Separate 1-way ANOVAs examined differences between treatments for each dependent variable. Alpha was set a priori at P < .05.Results:No significant treatment effects were identified for any variables.Conclusion:A single intervention of ST or OT did not produce significant changes in weight-bearing dorsiflexion range of motion or postural control in individuals with CAI. Future research should investigate the effects of repeated talocrural traction treatments and the effects of this technique when combined with other manual therapies.

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The influence of Fascial Manipulation on Function, Ankle Dorsiflexion Range of Motion and Postural sway in individuals with Chronic Ankle Instability.

Journal of Bodywork and Movement Therapies ◽

10.1016/j.jbmt.2021.03.024 ◽

2021 ◽

Author(s):

Neha C. Kamani ◽

Shruti Poojari ◽

G. Prabu Raja

Keyword(s):

Range Of Motion ◽

Postural Sway ◽

Ankle Instability ◽

Chronic Ankle Instability ◽

Ankle Dorsiflexion

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Predicting dynamic balance improvements following 4-weeks of balance training in chronic ankle instability patients

Journal of Science and Medicine in Sport ◽

10.1016/j.jsams.2018.11.001 ◽

2019 ◽

Vol 22 (5) ◽

pp. 538-543 ◽

Cited By ~ 2

Author(s):

Christopher J. Burcal ◽

Michelle A. Sandrey ◽

Tricia Hubbard-Turner ◽

Patrick O. McKeon ◽

Erik A. Wikstrom

Keyword(s):

Ankle Instability ◽

Dynamic Balance ◽

Balance Training ◽

Chronic Ankle Instability

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Comparison of the effect of foot orthoses on Star Excursion Balance Test performance in patients with chronic ankle instability

Prosthetics and Orthotics International ◽

10.1177/0309364618792718 ◽

2018 ◽

Vol 43 (1) ◽

pp. 6-11 ◽

Cited By ~ 3

Author(s):

Faezeh Abbasi ◽

Mahmood bahramizadeh ◽

Mohammad Hadadi

Keyword(s):

Ankle Sprain ◽

Ankle Instability ◽

Dynamic Balance ◽

Chronic Ankle Instability ◽

Textured Surface ◽

Foot Orthoses ◽

Textured Surfaces ◽

Balance Test ◽

Star Excursion Balance Test ◽

Foot Orthosis

Background: Chronic ankle instability as a prevalent consequence of ankle sprain causes various impairments such as balance and postural control deficits. Foot orthoses are one of the common interventions for rehabilitation of patients with chronic ankle instability. Objectives: To investigate the effect of custom-molded foot orthoses with textured surfaces on dynamic balance of chronic ankle instability patients and to compare their effects with other types of foot orthoses. Study design: This is a repeated measure design. Methods: A total of 30 participants were recruited based on the guideline introduced by the International Ankle Consortium. The effect of prefabricated, custom-molded, and custom-molded with textured surface foot orthoses was evaluated on dynamic balance by the Star Excursion Balance Test. Normalized reach distances in anteromedial, medial, and posteromedial directions of the test were computed to be used for statistical analysis. Results: The foot orthoses increased reach distances compared to the no-orthosis conditions in all three directions. The custom-molded with textured surface foot orthosis has significant differences compared with prefabricated foot orthosis ( p = 0.001) in all measured directions and with custom-molded foot orthosis ( p < 0.01) in medial and posteromedial directions. Conclusion: Foot orthoses improve reach distances in patients with chronic ankle instability. Custom-molded with textured surface foot orthosis has a more pronounced effect compared with other foot orthoses. Clinical relevance The custom-molded foot orthosis with textured surface could be an effective device to improve dynamic balance in chronic ankle instability (CAI) patients. It may be considered as an efficient intervention to reduce ankle sprain recurrence in these individuals, although further research should be conducted.

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Acceleration and Jerk After a Jump Stabilization Task in Individuals With and Without Chronic Ankle Instability

Journal of Applied Biomechanics ◽

10.1123/jab.2020-0104 ◽

2021 ◽

pp. 1-6

Author(s):

Kyle B. Kosik ◽

Kathryn Lucas ◽

Matthew C. Hoch ◽

Jacob T. Hartzell ◽

Katherine A. Bain ◽

...

Keyword(s):

Confidence Interval ◽

Ankle Instability ◽

Dynamic Balance ◽

Vertical Jump ◽

Chronic Ankle Instability ◽

Mean Difference ◽

Vertical Jump Height ◽

Study Participants ◽

Third Derivative ◽

Control Study

Studies have demonstrated that individuals with chronic ankle instability (CAI) have diminished dynamic stability. Jerk-based measures have been utilized to examine dynamic balance because of their ability to quantify changes in acceleration and may provide an understanding of the postural corrections that occur during stabilizing following a jumping task. The purpose of this study was to compare acceleration and jerk following a jump stabilization task between individuals with CAI and the uninjured controls. Thirty-nine participants volunteered to participate in this case control study. Participants completed a jump stabilization task requiring them to jump off 2 feet, touch a marker set at 50% of their maximal vertical jump height, land on a single limb, and maintain balance for 3 seconds. Acceleration was calculated as the second derivative, and jerk was calculated as the third derivative of the displacement of the resultant vector position. Participants with CAI had greater acceleration (mean difference = 55.6 cm/s2; 95% confidence interval, 10.3 to 100.90; P = .017) and jerk compared with the uninjured controls (mean difference = 1804.5 cm/s3; 95% confidence interval, 98.7 to 3510.3; P = .039). These results suggest that individuals with CAI made faster and more frequent active postural control corrections to regain balance following a jump compared with the uninjured controls.

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Dynamic Leap and Balance Test: Ability to Discriminate Balance Deficits in Individuals With Chronic Ankle Instability

Journal of Sport Rehabilitation ◽

10.1123/jsr.2018-0380 ◽

2020 ◽

Vol 29 (3) ◽

pp. 263-270 ◽

Cited By ~ 1

Author(s):

Abbis H. Jaffri ◽

Thomas M. Newman ◽

Brent I. Smith ◽

Giampietro L. Vairo ◽

Craig R. Denegar ◽

...

Keyword(s):

Dynamic Stability ◽

Healthy Subjects ◽

Ankle Instability ◽

Dynamic Balance ◽

Chronic Ankle Instability ◽

Assessment Tools ◽

Balance Test ◽

Balance Task ◽

History Of ◽

Base Of Support

Context: The Dynamic Leap Balance Test (DLBT) is a new dynamic balance task that requires serial changes in base of support with alternating limb support and recovery of dynamic stability, as compared with the Y modification of the Star Excursion Balance Test (Y-SEBT), which assesses dynamic stability over an unchanging base of support. Objectives: To assess the dynamic balance performance in 2 different types of dynamic balance tasks, the DLBT and the SEBT, in subjects with unilateral chronic ankle instability (CAI) when compared with matched controls. The authors hypothesized that the DLBT score would significantly differ between the CAI involved and uninvolved limbs (contralateral and healthy matched) and demonstrate a modest (r = .50) association with the SEBT scores. Design: Case-control. Setting: Controlled laboratory. Participants: A total of 36 physically active adults, 18 with history of unilateral CAI and 18 without history of ankle injury, were enrolled in the study. CAI subjects were identified using the Identification of Functional Ankle Instability questionnaire. Interventions: The DLBT and the SEBT were performed in a randomized order on a randomly selected limb in CAI and healthy subjects. Main Outcome Measures: Time taken to complete the DLBT and the reach distances performed on the SEBT were compared between the CAI and the healthy subjects. Results: There were no statistically significant differences (P < .05) in SEBT reach distances between groups. The DLBT time was greater (P < .01) for unstable ankles compared with the stable ankle. The authors found no correlation (P > .05) between DLBT time and any of the SEBT reach distances suggesting that the DLBT provides unique information in the assessment of patients with CAI. Conclusion: The DLBT challenges the ability to maintain postural control in CAI subjects differently than the SEBT. There is a need of more dynamic balance assessment tools that are functional and clinically relevant.

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