Effects of lateral ankle sprain on range of motion, strength and postural balance in competitive basketball players: a cross-sectional study

Author(s):  
Wern L. Cheng ◽  
Zulkarnain Jaafar
2021 ◽  
Vol 19 (1) ◽  
Author(s):  
Willemijn F. C. de Sonnaville ◽  
Caroline M. Speksnijder ◽  
Nicolaas P. A. Zuithoff ◽  
Daan R. C. Verkouteren ◽  
Nico W. Wulffraat ◽  
...  

Abstract Background Recognition of temporomandibular joint (TMJ) involvement in children with juvenile idiopathic arthritis (JIA) has gained increasing attention in the past decade. The clinical assessment of mandibular range of motion characteristics is part of the recommended variables to detect TMJ involvement in children with JIA. The aim of this study was to explore explanatory variables for mandibular range of motion outcomes in children with JIA, with and without clinically established TMJ involvement, and in healthy children. Methods This cross-sectional study included children with JIA and healthy children of age 6–18 years. Mandibular range of motion variables included active and passive maximum interincisal opening (AMIO and PMIO), protrusion, laterotrusion, dental midline shift in AMIO and in protrusion. Additionally, the TMJ screening protocol and palpation pain were assessed. Adjusted linear regression analyses of AMIO, PMIO, protrusion, and laterotrusion were performed to evaluate the explanatory factors. Two adjusted models were constructed: model 1 to compare children with JIA and healthy children, and model 2 to compare children with JIA with and without TMJ involvement. Results A total of 298 children with JIA and 169 healthy children were included. Length was an explanatory variable for the mandibular range of motion excursions. Each centimeter increase in length increased AMIO (0.14 mm), PMIO (0.14 mm), and protrusion (0.02 mm). Male gender increased AMIO by 1.35 mm. Having JIA negatively influenced AMIO (3.57 mm), PMIO (3.71 mm), and protrusion (1.03 mm) compared with healthy children, while the discrepancy between left and right laterotrusion raised 0.68 mm. Children with JIA and TMJ involvement had a 8.27 mm lower AMIO, 7.68 mm lower PMIO and 0.96 mm higher discrepancy in left and right laterotrusion compared to healthy children. Conclusion All mandibular range of motion items were restricted in children with JIA compared with healthy children. In children with JIA and TMJ involvement, AMIO, PMIO and the discrepancy between left and right laterotrusion were impaired more severely. The limitation in protrusion and laterotrusion was hardly clinically relevant. Overall, AMIO is the mandibular range of motion variable with the highest restriction (in millimeters) in children with JIA and clinically established TMJ involvement compared to healthy children.


2020 ◽  
Vol 250 (2) ◽  
pp. 79-85 ◽  
Author(s):  
Yoshihiro Hagiwara ◽  
Yutaka Yabe ◽  
Takuya Sekiguchi ◽  
Haruki Momma ◽  
Masahiro Tsuchiya ◽  
...  

2016 ◽  
Vol 51 (3) ◽  
pp. 213-222 ◽  
Author(s):  
Fereshteh Pourkazemi ◽  
Claire Hiller ◽  
Jacqueline Raymond ◽  
Deborah Black ◽  
Elizabeth Nightingale ◽  
...  

The first step to identifying factors that increase the risk of recurrent ankle sprains is to identify impairments after a first sprain and compare performance with individuals who have never sustained a sprain. Few researchers have restricted recruitment to a homogeneous group of patients with first sprains, thereby introducing the potential for confounding.Context: To identify impairments that differ in participants with a recent index lateral ankle sprain versus participants with no history of ankle sprain.Objective: Cross-sectional study.Design: We recruited a sample of convenience from May 2010 to April 2013 that included 70 volunteers (age = 27.4 ± 8.3 years, height = 168.7 ± 9.5 cm, mass = 65.0 ± 12.5 kg) serving as controls and 30 volunteers (age = 31.1 ± 13.3 years, height = 168.3 ± 9.1 cm, mass = 67.3 ± 13.7 kg) with index ankle sprains.Patients or Other Participants: We collected demographic and physical performance variables, including ankle-joint range of motion, balance (time to balance after perturbation, Star Excursion Balance Test, foot lifts during single-legged stance, demi-pointe balance test), proprioception, motor planning, inversion-eversion peak power, and timed stair tests. Discriminant analysis was conducted to determine the relationship between explanatory variables and sprain status. Sequential discriminant analysis was performed to identify the most relevant variables that explained the greatest variance.Main Outcome Measure(s): The average time since the sprain was 3.5 ± 1.5 months. The model, including all variables, correctly predicted a sprain status of 77% (n = 23) of the sprain group and 80% (n = 56) of the control group and explained 40% of the variance between groups ( = 42.16, P = .03). Backward stepwise discriminant analysis revealed associations between sprain status and only 2 tests: Star Excursion Balance Test in the anterior direction and foot lifts during single-legged stance ( = 15.2, P = .001). These 2 tests explained 15% of the between-groups variance and correctly predicted group membership of 63% (n = 19) of the sprain group and 69% (n = 48) of the control group.Results: Balance impairments were associated with a recent first ankle sprain, but proprioception, motor control, power, and function were not.Conclusions:


2014 ◽  
Vol 37 (9) ◽  
pp. 641-646 ◽  
Author(s):  
Gabriela F. Carvalho ◽  
Thais C. Chaves ◽  
Maria C. Gonçalves ◽  
Lidiane L. Florencio ◽  
Carolina A. Braz ◽  
...  

2020 ◽  
Author(s):  
John J Fraser ◽  
Rachel M Koldenhoven ◽  
Jay Hertel

Objectives: To assess the effects of ankle injury status on intrinsic foot muscle (IFM) size at rest and during contraction in young adults with and without a history of lateral ankle sprain (LAS) and chronic ankle instability (CAI). Methods: Foot Posture Index (FPI), Foot Mobility Magnitude (FMM), and ultrasonographic cross-sectional area of the abductor hallucis (AbdH), flexor digitorum brevis (FDB), quadratus plantae (QP), and flexor hallucis brevis (FHB) were assessed at rest, and during non-resisted and resisted contraction in 22 healthy (13 females, BMI: 22.5±3.2, FPI: 4.2±3.9, FMM: 2.5±1.8), 17 LAS (9 females, BMI: 24.1±3.7, FPI: 2.5±3.4, FMM: 2.7±1.7), 21 Copers (13 females, BMI: 23.7±2.9, FPI: 3.6±4.1, FMM: 1.8±1.3), and 20 CAI (15 females, BMI: 25.1±4.5, FPI: 4.4±3.6., FMM: 2.3±1.1). Results: A multiple linear regression analysis assessing group, sex, BMI, FPI, and FMM on resting and contracted IFM size found sex (p<.001), BMI (p=.01), FPI (p=.05), and FMM*FPI interaction (p=.008) accounted for 19% of the variance (p=.002) in resting AbdH measures. Sex (p<.001) and BMI (p=.02) explained 24% of resting FDB measures (p<.001). Having a recent LAS (p=.03) and FMM (p=.02) predicted 11% of non-resisted QP contraction measures (p=.04), with sex (p<.001) explaining 13% of resting QP measures (p=.02). Both sex (p=.01) and FMM (p=.03) predicted 16% of resting FDB measures (p=.01). There were no other statistically significant findings. Conclusions: IFM resting ultrasound measures were primarily determined by sex, BMI, and foot phenotype and not injury status. The clinical utility of these IFM ultrasonographic assessments in young adults with LAS and CAI may be limited.


2020 ◽  
Vol 13 (1) ◽  
pp. 27-33
Author(s):  
Hamad S. Al Amer ◽  
Shahul Hameed Pakkir Mohamed

Background: Ankle sprains are common among soccer players, and their risk factors are well documented in the literature. In Saudi Arabia, some healthcare and sport-related characteristics provide the necessity for investigating the prevalence and risk factors of ankle sprain in that region as well. Objective: To analyze the prevalence of lower limb injuries and risk factors of ankle sprains among male soccer players in Tabuk, Saudi Arabia. Methods: A cross-sectional study among 400 male soccer players from different sports clubs in Tabuk, Saudi Arabia was conducted. A self-structured questionnaire was used to collect data related to ankle sprains. Chi-square, Fisher’s exact tests, and unpaired t-tests were used to test the association between variables. Univariate logistic regression analysis was used to identify the risk factors. Results: Ankle sprains were the most prevalent, reported by 63.8%. Previous ankle injury, lack of stretching, lack of warm-up, and not wearing bracing were identified as significant risk factors. A total of 47.9% of players preferred to go to the hospital for treatment, 15.8% selected physical therapy, while 56% had no prior education regarding injury prevention. Conclusion: Ankle sprain is the most prevalent lower limb injury. Risk factors include previous ankle injuries, lack of stretching, lack of warm-up, and not wearing bracing. Players have little knowledge of physical therapy measures and lack of injury prevention education. Our findings suggest that increasing the awareness of injuries and proper physical therapy measures might assist in preventing recurrence of ankle sprains among male soccer players.


Author(s):  
Zaha Raeisi ◽  

Purpose: It is essential to maintain dynamic stability during walking to perform daily tasks independently. The present study aimed at comparing the spatiotemporal parameters and the values of the vertical Ground Reaction Force (vGRF) as well as determining the time to reach them in ankle-sprain coper and healthy athletes during the stance phase of gait. Methods: A total of 28 female university athletes were recruited in this cross-sectional study and assigned into two groups: ankle-sprain coper (n=14) and healthy control (n=14). The gait cycle analysis was then performed on a 10-m path, and the information related to the stance phase was recorded by a foot scanning device. The spatiotemporal parameters (gait line and contact time) and the values of the vGRF along with the time to reach them were subsequently obtained from each test. The repeated measures Analysis of Variance (ANOVA) was additionally used to analyze the data (P≤0.05). Results: The study results revealed no differences between the injured and the healthy feet in the ankle-sprain coper group in any of the variables (P>0.05). As well, the spatiotemporal gait cycle parameters between the ankle-sprain coper group and the healthy controls were not significantly different (P>0.05). However, significant differences were observed between the ankle-sprain coper and healthy controls in terms of the variables of the vGRF in the mid-stance (F=5.25, P=0.03) and the time to reach the second peak of the vGRF (F=9.13, P=0.006). Conclusion: The spatiotemporal gait parameters were not significantly different between the ankle-sprain coper and the control groups, but the vGRF in the ankle-sprain coper was greater than that in the control group. With regard to the correlation between the reduction in the vGRF and the secondary injury, it is recommended to pay much attention to this point in rehabilitation programs following the first injury in female athletes.


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