Ability of Functional Performance Tests to Identify Individuals With Chronic Ankle Instability: A Systematic Review With Meta-Analysis

Rosen, Adam B.; Needle, Alan R.; Ko, Jupil

doi:10.1097/jsm.0000000000000535

Cited by 48 publications

(48 citation statements)

References 68 publications

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“…Previous studies elucidated the time taken to perform the SHT in the subjects with sprained ankle was significantly longer than in the subjects with normal ankle . We confirmed that the performance time of SHT in the injured ankle is significantly longer, and typical patterns were observed in the ankle joint motion and muscle activities of the PL, TA, and GL.…”

Section: Perspectivesupporting

confidence: 83%

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Kinematic analysis of the ankle joint on the side-hop test in subjects with ankle sprains

et al. 2018

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The side-hop test (SHT) is useful functional performance test for ankle sprain.However, few research exists to investigate the relationship between the SHT and functional deficit in ankle. The objective of this study was to establish SHT as an evaluation criterion of functional deficits in ankle sprain. Twenty-seven subjects with a history of ankle sprain participated. The time taken to perform SHT in the uninjured and injured limbs was measured. The angular displacements of the ankle joint were measured using the 3D motion analysis system. The muscle activities of the peroneus longus muscle (PL), tibialis anterior muscle (TA), and the medial and lateral gastrocnemius muscles (GM, GL) were measured using surface EMG. The time of SHT in the injured limb (9.22 ± 1.19 seconds) was significantly longer than that in the uninjured limb (8.71 ± 0.99 seconds). The range of the ankle inversion/ eversion and dorsal flexion/plantar flexion in the injured limb was significantly greater than that in the uninjured limb. The injured limb showed a significant decrease in PL, TA, and GM integral EMG during SHT. Ankle motion and muscle activity caused the decline in SHT time in patients with injured limb. K E Y W O R D S ankle sprain, electromyography, functional performance test, kinematics, side-hop testThis is an open access article under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made.

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Section: Perspectivesupporting

confidence: 83%

“…Among the FPTs, the side‐hop test (SHT) is the most useful tool for evaluating the functional limitation of the ankle joint . Previous studies reported that the time of SHT in an injured ankle is significantly longer compared with that in an uninjured ankle .…”

Section: Introductionmentioning

confidence: 99%

Kinematic analysis of the ankle joint on the side-hop test in subjects with ankle sprains

et al. 2018

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“…Dynamic functional performance tests have been utilized to assess deficits and determine the return‐to‐play status during the rehabilitation of ankle sprain in adult populations . Functional performance tests have been established for differentiating between adult individuals with and without CAI . Previous prospective studies reported that functional performance test deficits may indicate a risk of ankle sprain and/or lower extremity injury in high school and collegiate athletes .…”

Section: Introductionmentioning

confidence: 99%

“…8,9 Functional performance tests have been established for differentiating between adult individuals with and without CAI. 10 Previous prospective studies reported that functional performance test deficits may indicate a risk of ankle sprain and/or lower extremity injury in high school and collegiate athletes. 11,12 Hence, identifying the clinical utility of FPTs and establishing cutoff scores in this specific population could be useful in developing effective preventive strategies and identifying those who may most benefit from intervention.…”

Section: Introductionmentioning

confidence: 99%

Functional performance tests identify lateral ankle sprain risk: A prospective pilot study in adolescent soccer players

Rosen

Brown

2018

Scandinavian Med Sci Sports

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Determining the clinical utility of functional performance tests (FPTs) and establishing cutoff scores could be useful in identifying those athletes who could benefit from effective injury prevention interventions. Our purpose was to determine the accuracy of FPTs in identifying adolescent athletes who go on to experience lateral ankle sprain(s) and establish specific cutoff scores capable of identifying those who sustain a lateral ankle sprain in the near future. Sixty-four participants (age = 15.5 ± 1.3 years; height = 161.7 ± 7.7 cm; mass = 57.1 ± 8.4 kg) were recruited from a junior soccer club and tracked for 10 months. Participants performed the anterior (AN), posterior-medial (PM), and posterior-lateral (PL) reach directions of the Star Excursion Balance Test (SEBT) and the Single-Leg Hop Test (SLHT) in pre-season, and then were followed for the 10-month competitive season (12 injured, 52 uninjured). Significant Area Under the Curve (AUC) values and cutoff scores were found for the PM (AUC = 0.78; 95% CI 0.61-0.95; P = 0.003; Sn = 0.83; Sp = 0.77; cutoff = 76%) and the PL (AUC = 0.82; 95% CI 0.71-0.94; P = 0.001; Sn = 0.92; Sp = 0.65; cutoff = 70%) reach directions of the SEBT and the SLHT (AUC = 0.77; 95% CI 0.60-0.95; P = 0.003; Sn = 0.67; Sp = 0.94; cutoff = 15.4 seconds). The PM and PL reach directions of the SEBT and the SLHT may be useful as pre-season screening measures to help clinicians identify adolescents who will go on to experience a lateral ankle sprain.

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“…11 Subsequently, these patients exhibit kinematics that place the joint at risk of reinjury, 12 while concurrently demonstrating altered neuromuscular control and functional performance that diminish the ability of the dynamic stabilizers to adequately stress shield the joint. 13,14 Therefore, these patients enter a negative feedback loop by which each injury leaves the joint more vulnerable to subsequent injury, exposing the joint to atypical forces that contribute to degenerative changes. Because as many as 70% of patients with ankle sprains experience recurrent injury and enter this negative feedback loop, primary prevention is paramount to diminishing the global burden of this common condition.…”

mentioning

confidence: 99%

Prevention of Lateral Ankle Sprains

Kaminski

Needle

Delahunt

2019

Journal of Athletic Training

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Context Given the frequency of ankle sprains, especially in the athletic population, prevention is a primary task of athletic trainers and other sports health care professionals. Objective To discuss the current evidence as it relates to prophylactic programs for the prevention of ankle sprains and to provide critical interpretation of the evidence supporting and refuting the implementation of preventive programs. Conclusions External prophylactic supports and preventive exercise programs are effective for reducing the risk of ankle sprains in both uninjured and previously injured populations. Ankle bracing appears to offer the best outcomes in terms of cost and risk reduction. However, there remains a paucity of well-designed, prospective randomized controlled trials relevant to the primary prevention of lateral ankle sprains, especially across a range of sport settings.

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Ability of Functional Performance Tests to Identify Individuals With Chronic Ankle Instability: A Systematic Review With Meta-Analysis

Cited by 48 publications

References 68 publications

Kinematic analysis of the ankle joint on the side-hop test in subjects with ankle sprains

Kinematic analysis of the ankle joint on the side-hop test in subjects with ankle sprains

Functional performance tests identify lateral ankle sprain risk: A prospective pilot study in adolescent soccer players

Prevention of Lateral Ankle Sprains

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