scholarly journals Effect of Kinesio Taping on Ankle Joint Kinematics During Landing on Stable and Unstable Surfaces in Ankle Sprain and Health Persons

2021 ◽  
Vol 10 (3) ◽  
pp. 522-531
Author(s):  
Mohammad Baghbani ◽  
◽  
Mohammadtaghi Amiri-Khorasani ◽  
Abdolhamid Daneshjoo ◽  
◽  
...  
Keyword(s):  
Ankle Joint ◽  
Ankle Sprain ◽  
Repeated Measures ◽  
Plantar Flexion ◽  
Three Dimensional ◽  
Joint Kinematics ◽  
Ankle Sprains ◽  
Ankle Ligaments ◽  
Kinesio Tape ◽  
Kinesio Taping

Background and Aims: Landing is a typical sports motion that can create impact force 2-12 times of body weight, and finally, it’s one of the main reasons for non-contact injuries in ankle ligaments. Specialized. The usual effects of Kinesio tape include increasing proprioception, health direction of joints, reducing pain, and raising pressure on nervous tissue. The study aimed to investigate the effect of Kinesio taping on ankle joint kinematics during landing on stiff and soft surfaces in ankle sprain and healthy persons. Methods: The method of the present study was quasi-experimental with a two-group design in control groups (without ankle sprain) and experimental (with an ankle sprain). A total of 30 male students of the Shahid Bahonar University of Kerman were purposefully and accessibly selected and divided into two groups with (15 students) and without ankle sprains (15 students). Then, they performed both landing operations on stable and unstable surfaces, with and without Kinesio tape. Maximum dorsi and plantar flexion, supination, pronation and maximum ankle angular velocity parameters were recorded by a three-dimensional motion analysis system. Statistical analysis was performed using independent t-test and repeated measures analysis of variance at the significant level of 0.05. Results: There was no significant reduction in plantar flexion of the ankle in healthy and twisted individuals while landing on stable and unstable surfaces with and without Kinesio tape (P≤0.07), but there was a significant reduction in the dorsiflexion in both groups(P≤0.001). On the other hand, there was no significant decrease in pronation (P≤0.66), but there was a significant decrease in foot supination (P≤0.001). Conclusion: Generally, Kinesio tape in recovery ankle movement is offered to persons for ankle sprain. Thus recommendation landing exercises fare with more flexion angle and less knee joint valgus and more dorsiflexion angle at ankle joint and preferable on the unstable surfaces.

Influence of the Interosseous Talocalcaneal Ligament Injury on Stability of the Ankle-Subtalar Joint Complex — a Cadaveric Experimental Study

2000 ◽  
Vol 21 (6) ◽  
pp. 486-491 ◽  
Author(s):  
Yuki Tochigi ◽  
Kazuhisa Takahashi ◽  
Masatsune Yamagata ◽  
Tamotsu Tamaki
Keyword(s):  
Ankle Joint ◽  
Subtalar Joint ◽  
Plantar Flexion ◽  
Three Dimensional ◽  
Axial Loading ◽  
Mechanical Tests ◽  
Ligament Injury ◽  
Anterior Talofibular Ligament ◽  
Ankle Ligaments ◽  
Lateral Ankle Ligaments

The present study aims to clarify the influence of the interosseous talocalcaneal ligament (ITCL) injury associated with injury to the lateral ankle ligaments on the ankle-subtalar joint complex motion under conditions of physiologic loading. We conducted mechanical tests using five fresh cadaveric lower extremities. Each specimen was mounted in the loading device and an axial cyclic load from 9.8 to 686 N was applied. Three-dimensional rotations of the ankle and the subtalar joint were measured simultaneously by a linkage electric goniometer. Mechanical tests were repeated after sectioning of the anterior talofibular ligament (ATFL), and again after additional sectioning of the ITCL. In the intact condition, the ankle and the subtalar joints rotated consistently with increase of the load. The predominant rotations were plantar flexion and adduction at the ankle joint, with some eversion demonstrated at the subtalar joint. Although ATFL sectioning did not significantly change the motion of the two joints, additional sectioning of the ITCL significantly increased adduction and total rotation of the ankle joint. The present study demonstrated that a combined injury of the ATFL and the ITCL can induce anterolateral rotatory instability of the ankle joint under conditions of axial loading.

scholarly journals The Immediate Effect of Kinesio Taping on the Balance Performance of Patients with Chronic Ankle Sprains: A Randomized Controlled Trial

2021 ◽  
Vol In Press (In Press) ◽  
Author(s):  
Rabeeh Hariri ◽  
Amir Bakhtiary ◽  
Majid Mirmohammadkhani
Keyword(s):  
Ankle Sprain ◽  
Repeated Measures ◽  
Center Of Pressure ◽  
Controlled Trial ◽  
Control Group ◽  
Ankle Sprains ◽  
Balance Performance ◽  
Kinesio Taping ◽  
Before And After ◽  
The Mean

Background: Lateral ankle sprain is a common injury resulting from a rapid supination moment that damages the lateral ligaments and cartilaginous surfaces and contributes to the deterioration of functional ankle stability and balance among individuals. Objectives: This study aimed to investigate the immediate effect of Kinesio Taping (KT) on the balance performance of patients with chronic ankle sprains. Methods: This randomized, single-blind, parallel-group study was performed using the allocation concealment method. Sixty individuals (27 males and 33 females) with a history of ankle sprain were recruited and randomly assigned to one of the experimental (KT; n = 30) or control (non-KT; n = 30) groups. The intervention continued for two consecutive days, including four assessment sessions before and after taping on the first day and before and after removing KT on the second day. The mean and standard deviation (SD) of the center of pressure (COP) displacement and the velocity and SD of COP displacement were measured in the ant-post and med-lat directions following inversion and anterior perturbations. For data analysis, analysis of variance (ANOVA) test was performed using SPSS software version 22. This study was registered in the Iranian Registry of Clinical Trials (IRCT2013110415262N1). Results: The results of repeated measures ANOVA revealed an increase in the mean changes of COP displacement, velocity of COP displacement, and SD of COP displacement in the med-lat direction during inversion perturbation immediately after KT (P = 0.031, P = 0.005, and P = 0.011, respectively) and 24 hours after KT (P = 0.019, P = 0.002, and P = 0.009, respectively), compared to the control group. Moreover, during anterior perturbation, a significant increase was observed in the SD of COP displacement immediately and 24 hours after applying KT in the med-lat direction, compared to the control group (P = 0.022 and P = 0.016, respectively). Conclusions: Our findings revealed that KT might not improve the COP sway during perturbation in individuals with ankle sprains.

scholarly journals Segmented Forefoot Plate in Basketball Footwear: Does it Influence Performance and Foot Joint Kinematics and Kinetics?

2018 ◽  
Vol 34 (1) ◽  
pp. 31-38 ◽  
Author(s):  
Wing-Kai Lam ◽  
Winson Chiu-Chun Lee ◽  
Wei Min Lee ◽  
Christina Zong-Hao Ma ◽  
Pui Wah Kong
Keyword(s):  
Athletic Performance ◽  
Repeated Measures ◽  
Plantar Flexion ◽  
Metatarsophalangeal Joint ◽  
Joint Kinematics ◽  
Basketball Players ◽  
Joint Kinetics ◽  
Maximum Effort ◽  
Kinematics And Kinetics ◽  
Lateral Plates

This study examined the effects of shoes’ segmented forefoot stiffness on athletic performance and ankle and metatarsophalangeal joint kinematics and kinetics in basketball movements. Seventeen university basketball players performed running vertical jumps and 5-m sprints at maximum effort with 3 basketball shoes of various forefoot plate conditions (medial plate, medial + lateral plates, and no-plate control). One-way repeated measures ANOVAs were used to examine the differences in athletic performance, joint kinematics, and joint kinetics among the 3 footwear conditions (α = .05). Results indicated that participants wearing medial + lateral plates shoes demonstrated 2.9% higher jump height than those wearing control shoes (P = .02), but there was no significant differences between medial plate and control shoes (P > .05). Medial plate shoes produced greater maximum plantar flexion velocity than the medial + lateral plates shoes (P < .05) during sprinting. There were no significant differences in sprint time. These findings implied that inserting plates spanning both the medial and lateral aspects of the forefoot could enhance jumping, but not sprinting performances. The use of a medial plate alone, although induced greater plantar flexion velocity at the metatarsophalangeal joint during sprinting, was not effective in improving jump heights or sprint times.

The Effect of Axial Load on the In Vivo Anterior Drawer Test of the Ankle Joint Complex

2000 ◽  
Vol 21 (5) ◽  
pp. 420-426 ◽  
Author(s):  
Wen Liu ◽  
Murray E. Maitland ◽  
Benno M. Nigg
Keyword(s):  
Ankle Joint ◽  
Axial Load ◽  
Plantar Flexion ◽  
Correlation Coefficients ◽  
Displacement Curve ◽  
Ankle Sprains ◽  
Mechanical Instability ◽  
Anterior Drawer ◽  
Anterior Drawer Test

The anterior drawer test is commonly used in the diagnosis of ankle joint mechanical instability. However, the effect of axial load on the anterior drawer test has not been examined in vivo. The purpose of the study was to assess the effect of axial load on passive anterior instability, and on the diagnostic measurement of the anterior drawer instability of the ankle joint complex. A total of 21 subjects with various degrees of ankle sprains were tested on a device that could continuously record applied anterior force and the resultant displacement of the rear-foot. Anterior drawer flexibility of the ankle joint complex in a neutral dorsi/plantar flexion position was quantified on both feet for all subjects without and with an axial load (385 N). Flexibility of the ankle joint complex in anterior drawer was defined as the slope of a linear load-displacement curve (which fitted test data with high correlation coefficients (r>0.991)). With axial load, anterior drawer flexibility was significantly reduced by 28.8% compared to that without axial load. The difference in anterior drawer flexibility between injured and intact ankles significantly decreased with axial load. An axial load increased the stability of ankle joint complex. However, axial load reduced the sensitivity of anterior drawer test to mechanical instability of the ankle joint complex.

scholarly journals Semi-rigid brace and taping decrease variability of the ankle joint position sense

2014 ◽  
Vol 20 (4) ◽  
pp. 448-453 ◽  
Author(s):  
Márcia Barbanera ◽  
Flávia de Andrade e Souza Mazuchi ◽  
José Paulo Berretta Batista ◽  
Janaina de Moura Ultremare ◽  
Juliana da Silva Iwashita ◽  
...  
Keyword(s):  
Ankle Joint ◽  
Plantar Flexion ◽  
Target Position ◽  
Absolute Error ◽  
Position Sense ◽  
Joint Position Sense ◽  
Ankle Sprains ◽  
Joint Position ◽  
Experimental Conditions ◽  
Ankle Brace

The present study investigated the effect of taping and the semi-rigid ankle brace on ankle joint position sense. Sixteen healthy women (20.8 ± 2.3 years old) actively placed the ankle in a target position. The experimental conditions were: 1) wearing no orthosis device, 2) using semi-rigid brace, and 3) wearing ankle taping. Absolute error (AE) and variable error (VE) were calculated to obtain the joint position sense. We found an interaction effect between condition and target angle at 15o of plantar flexion for the variable VE, which showed smaller errors during the use of taping and semi-rigid brace. In conclusion, the use of ankle joint orthoses, whether taping or semi-rigid brace, decrease the variability of the position sense at 15o of plantar flexion, potentially decreasing ankle sprains occurrence.

The Use of a 6-DOF Robotic System for the Functional Analysis of Ankle Joint Ligaments

2013 ◽  
Author(s):  
Satoshi Yamakawa ◽  
Takuma Kobayashi ◽  
Kei Kimura ◽  
Daisuke Suzuki ◽  
Kota Watanabe ◽  
...  
Keyword(s):  
Ankle Joint ◽  
Joint Instability ◽  
Experimental Methodology ◽  
Reconstruction Technique ◽  
Ankle Sprains ◽  
Joint Stability ◽  
Calcaneofibular Ligament ◽  
Ankle Ligaments ◽  
Specific Loading ◽  
Tensile Forces

Ankle sprains are common injuries in daily and athletic activities. An epidemiological report indicated that the incidence rate of ankle sprains treated in emergency departments in the USA is more than 2 per 1000 persons a year, and the rate is estimated to be more than double as for ankle sprains in athletic activity [1]. Better understanding of ankle biomechanics is, therefore, important for the improvement of clinical outcome. Many investigators have performed in vitro and in vivo experiments to determine the mechanical roles of ankle structures such as range of motion, contribution of ankle ligaments to joint stability, joint instability due to ligament transection, and so on. In spite of these efforts, tensile forces in ankle ligaments in response to specific loading conditions still remains unclear because of a lack of experimental methodology. Meanwhile, the use of robotic technology for knee joint biomechanics study has been established by Fujie et al [2]. Using the technique, tensile forces in knee cruciate ligaments have been determined by Woo et al [3], Li et al [4], Fujie et al [5], and other groups, while ligament reconstruction technique has been evaluated by many investigators [for example 6–8]. Therefore, the objectives of the present study were to determine the ankle joint instability due to ligament transection and to determine the tensile forces in the anterior tarofibular ligament (ATFL) and calcaneofibular ligament (CFL) in response to anterior-posterior (AP) drawer force to the human cadaveric ankle joints.

Ankle Joint Proprioception and Postural Control in Basketball Players with Bilateral Ankle Sprains

2005 ◽  
Vol 33 (8) ◽  
pp. 1174-1182 ◽  
Author(s):  
Amy S. N. Fu ◽  
Christina W. Y. Hui-Chan
Keyword(s):  
Standard Deviation ◽  
Postural Control ◽  
Ankle Joint ◽  
Postural Sway ◽  
Plantar Flexion ◽  
Ankle Sprains ◽  
Sensory Organization Test ◽  
Basketball Players ◽  
Dynamic Posturography ◽  
Sensory Organization

Background Deficiencies in ankle proprioception and standing balance in basketball players with multiple ankle sprains have been reported in separate studies. However, the question of how ankle proprioceptive inputs and postural control in stance are related is still unclear. Hypothesis Ankle repositioning errors and the amount of postural sway in stance are increased in basketball players with multiple ankle sprains. Study Design Controlled laboratory study. Methods Twenty healthy male basketball players and 19 male basketball players who had suffered bilateral ankle sprains within the past 2 years were examined. Both groups were similar in age. Passive ankle joint repositioning errors at 5° of plantar flexion were used to test for ankle joint proprioception. The Sensory Organization Test was applied with dynamic posturography to assess postural sway angle under 6 sensory conditions. Results A significant increase in ankle repositioning errors was demonstrated in basketball players with bilateral ankle sprains (P < .05). The mean errors in the right and left ankles were increased from 1.0° (standard deviation, 0.4°) and 0.8° (standard deviation, 0.2°), respectively, in the healthy players to 1.4° (standard deviation, 0.7°) and 1.1° (standard deviation, 0.5°) in the injured group. A significant increase in the amount of postural sway in the injured subjects was also found in conditions 1, 2, and 5 of the Sensory Organization Test (P < .05). Furthermore, there were positive associations between averaged errors in repositioning both ankles and postural sway angles in conditions 1, 2, and 3 of the Sensory Organization Test (r = 0.39-0.54, P < .05). Conclusions Ankle repositioning errors and postural sway in stance increased in basketball players with multiple ankle sprains. A positive relationship was found between these 2 variables. Clinical Relevance Such findings highlight the need for the rehabilitation of patients with multiple ankle sprains to include proprioceptive and balance training.

scholarly journals Three-dimensional analysis of anterior talofibular ligament strain patterns during cadaveric ankle motion using a miniaturized ligament performance probe

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Yoshitaka Takeuchi ◽  
◽  
Ryota Inokuchi ◽  
Masato Takao ◽  
Mark Glazebrook ◽  
...  
Keyword(s):  
Tensile Force ◽  
Plantar Flexion ◽  
Three Dimensional ◽  
Biomechanical Properties ◽  
Anterior Talofibular Ligament ◽  
Ankle Ligaments ◽  
Ankle Motion ◽  
Plantar Aspect ◽  
Ligament Strain ◽  
Fresh Frozen

Abstract Background Measuring the strain patterns of ligaments at various joint positions informs our understanding of their function. However, few studies have examined the biomechanical properties of ankle ligaments; further, the tensile properties of each ligament, during motion, have not been described. This limitation exists because current biomechanical sensors are too big to insert within the ankle. The present study aimed to validate a novel miniaturized ligament performance probe (MLPP) system for measuring the strain patterns of the anterior talofibular ligament (ATFL) during ankle motion. Methods Six fresh-frozen, through-the-knee, lower extremity, cadaveric specimens were used to conduct this study. An MLPP system, comprising a commercially available strain gauge (force probe), amplifier unit, display unit, and logger, was sutured into the midsubstance of the ATFL fibers. To measure tensile forces, a round, metal disk (a “clock”, 150 mm in diameter) was affixed to the plantar aspect of each foot. With a 1.2-Nm load applied to the ankle and subtalar joint complex, the ankle was manually moved from 15° dorsiflexion to 30° plantar flexion. The clock was rotated in 30° increments to measure the ATFL strain detected at each endpoint by the miniature force probe. Individual strain data were aligned with the neutral (0) position value; the maximum value was 100. Results Throughout the motion required to shift from 15° dorsiflexion to 30° plantar flexion, the ATFL tensed near 20° (plantar flexion), and the strain increased as the plantar flexion angle increased. The ATFL was maximally tensioned at the 2 and 3 o’clock (inversion) positions (96.0 ± 5.8 and 96.3 ± 5.7) and declined sharply towards the 7 o’clock position (12.4 ± 16.8). Within the elastic range of the ATFL (the range within which it can return to its original shape and length), the tensile force was proportional to the strain, in all specimens. Conclusion The MLPP system is capable of measuring ATFL strain patterns; thus, this system may be used to effectively determine the relationship between limb position and ATFL ankle ligament strain patterns.

scholarly journals Strain patterns in normal anterior talofibular and calcaneofibular ligaments and after anatomical reconstruction using gracilis tendon grafts: A cadaver study

2021 ◽  
Author(s):  
Masato Takao ◽  
Danielle Lowe ◽  
Satoru Ozeki ◽  
Xavier M Oliva ◽  
Ryota Inokuchi ◽  
...  
Keyword(s):  
Ankle Instability ◽  
Plantar Flexion ◽  
Three Dimensional ◽  
Anatomical Reconstruction ◽  
Axial Motion ◽  
Ankle Ligaments ◽  
Lateral Ankle ◽  
Strain Measurements ◽  
Relative Strain ◽  
Lateral Ankle Ligaments

Abstract BackgroundInversion sprains of the lateral ankle ligaments often result in symptomatic lateral ankle instability, and some patients need lateral reconstruction surgeries to reduce pain, improve function, and prevent subsequent injuries. Although anatomically reconstructed ligaments should behave in a biomechanically normal manner, previous studies have not measured the strain patterns of the anterior talofibular (ATFL) and calcaneofibular ligaments (CFL) after anatomical reconstruction. This study aimed to measure the strain patterns of normal and reconstructed ATFL and CFLs using a miniaturization ligament performance probe (MLPP) system.MethodsThe MLPP was sutured into the ligamentous bands of the ATFLs and CTLs of three fresh-frozen, lower extremity, cadaveric specimens. Each ankle was manually moved from 15° dorsiflexion to 30° plantar flexion, and a 1.2-N m force was applied to the ankle and subtalar joint complex.ResultsThe normal and reconstructed ATFLs exhibited maximal strain (100) during supination in three-dimensional motion. Although the normal ATFLs were not strained during pronation, the reconstructed ATFLs demonstrated relative strain values of 16–36. During axial motion, the normal ATFLs began to gradually tense at 0° plantarflexion, with the strain increasing, as the plantarflexion angle increased, to a maximal value (100) at 30° plantarflexion; the reconstructed ATFLs showed similar strain patterns. The normal CFLs exhibited maximum strain (100) during plantarflexion-abduction and relative strain measurements of 30–52 during dorsiflexion in three-dimensional motion. The reconstructed CFLs exhibited the most strain during dorsiflexion-adduction and demonstrated relative strain measurements of 29–62 during plantarflexion-abduction. During axial motion, the normal CFLs began to gradually tense at 20° plantarflexion and 5° dorsiflexion.ConclusionOur results showed that the strain patterns of reconstructed ATFLs and CFLs are not exactly the same as those in the normal ligaments.

scholarly journals Three-dimensional analysis of anterior talofibular ligament strain patterns during cadaveric ankle motion using a miniaturized ligament performance probe

2021 ◽  
Author(s):  
Yoshitaka Takeuchi ◽  
Ryota Inokuchi ◽  
Masato Takao ◽  
Mark Glazebrook ◽  
Xavier Oliva ◽  
...  
Keyword(s):  
Tensile Force ◽  
Plantar Flexion ◽  
Three Dimensional ◽  
Biomechanical Properties ◽  
Anterior Talofibular Ligament ◽  
Ankle Ligaments ◽  
Ankle Motion ◽  
Plantar Aspect ◽  
Ligament Strain ◽  
Fresh Frozen

Abstract BackgroundMeasuring the strain patterns of ligaments at various joint positions informs our understanding of their function. However, few studies have examined the biomechanical properties of ankle ligaments; further, the tensile properties of each ligament, during motion, have not been described. This limitation exists because current biomechanical sensors are too big to insert within the ankle. The present study aimed to validate a novel miniaturized ligament performance probe (MLPP) system for measuring the strain patterns of the anterior talofibular ligament (ATFL) during ankle motion.MethodsSix fresh-frozen, through-the-knee, lower extremity, cadaveric specimens were used to conduct this study. An MLPP system, comprising a commercially available strain gauge (force probe), amplifier unit, display unit, and logger, was sutured into the midsubstance of the ATFL fibers. To measure tensile forces, a round, metal disk (a “clock”, 150 mm in diameter) was affixed to the plantar aspect of each foot. With a 1.2-Nm load applied to the ankle and subtalar joint complex, the ankle was manually moved from 15° dorsiflexion to 30° plantar flexion. The clock was rotated in 30° increments to measure the ATFL strain detected at each endpoint by the miniature force probe. Individual strain data were aligned with the neutral (0) position value; the maximum value was 100.ResultsThroughout the motion required to shift from 15° dorsiflexion to 30° plantar flexion, the ATFL tensed near 20° (plantar flexion), and the strain increased as the plantar flexion angle increased. The ATFL was maximally tensioned at the 2 and 3 o’clock (inversion) positions (96.0 ± 5.8 and 96.3 ± 5.7) and declined sharply towards the 7 o’clock position (12.4 ± 16.8). Within the elastic range of the ATFL (the range within which it can return to its original shape and length), the tensile force was proportional to the strain, in all specimens.ConclusionThe MLPP system is capable of measuring ATFL strain patterns; thus, this system may be used to effectively determine the relationship between limb position and ATFL ankle ligament strain patterns.

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