Ankle Coordination in Chronic Ankle Instability, Coper, and Control Groups in Running

Kwon, Yeo‐Jung; Harrison, Kathryn; Kweon, Sang Jin; Williams, D.S. Blaise

doi:10.1249/mss.0000000000002170

Cited by 13 publications

(11 citation statements)

References 41 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Those that go on to develop CAI may be differentiated from copers based on their movement patterns, including dynamic balance, 105,116,205,250,352 walking, 50,106,136,456 stepping down, 49,125 running, 259 and landing from a jump, 111 with copers having biomechanics more similar to those of healthy individuals. 49,50,105,116,125,136,205,259,352 The neuromuscular ankle strategies adopted by copers may allow them to prevent recurrent symptoms.…”

Section: IIImentioning

confidence: 99%

Ankle Stability and Movement Coordination Impairments: Lateral Ankle Ligament Sprains Revision 2021

Martin¹,

Davenport²,

Fraser³

et al. 2021

Journal of Orthopaedic & Sports Physical Therapy

View full text Add to dashboard Cite

B Clinicians should include patient age, body mass index, pain coping strategies, report of instability, history of previous sprain, ability to bear weight, pain with weight bearing, ankle dorsiflexion range of motion (ROM), medial jointline tenderness, balance, and ability to jump and land (as safely tolerated) in their initial assessment, because of their role in influencing the clinical course and estimation of time to accomplish the goals of an individual with an acute lateral ankle sprain (LAS). CLINICAL COURSE -CHRONIC ANKLE INSTABILITYC Clinicians may include previous treatment, number of sprains, pain level, and self-report of function in their evaluation, as well as an assessment of the sensorimotor movement systems of the foot, ankle, knee, and hip during dynamic postural control and functional movements, because of their role in influencing the clinical course and estimation of time to accomplish the goals of an individual with chronic ankle instability (CAI). DIAGNOSIS/CLASSIFICATION -ACUTE LATERAL ANKLE SPRAINB Clinicians should use special tests, including the reverse anterolateral drawer test and anterolateral talar palpation in addition to the traditional anterior drawer test, and a thorough history and physical examination to aid in the diagnosis of a LAS. DIAGNOSIS/CLASSIFICATION -CHRONIC ANKLE INSTABILITYB When determining whether an individual has CAI, clinicians should use a reliable and valid discriminative instrument, such as the Cumberland Ankle Instability Tool or the Identification of Functional Ankle Instability, as well as a battery of functional performance tests that have established validity to differentiate between healthy controls and individuals with CAI. EXAMINATION -OUTCOME MEASURESA Clinicians should use validated patient-reported outcome measures, such as the Patient-Reported Outcomes Measurement Information System physical function and pain interference scales, the Foot and Ankle Ability Measure, and the Lower Extremity Functional Scale, as part of a standard clinical examination. Clinicians should utilize these before and 1 or more times after the application of interventions intended to alleviate the impairments of body function and structure, activity limitations, and participation restrictions associated with an acute LAS or CAI.C Clinicians may use the Pain Self-Efficacy Questionnaire in the acute and postacute periods after a LAS to assess effective coping strategies for pain, and the 11-item Tampa Scale of Kinesiophobia and the Fear-Avoidance Beliefs Questionnaire to assess fear of movement and reinjury and fear-avoidance beliefs in those with CAI. EXAMINATION -PHYSICAL IMPAIRMENT MEASURESA Clinicians should assess and document ankle swelling, ROM, talar translation, talar inversion, and single-leg balance in patients with an acute LAS, postacute LAS, or CAI at baseline and 2 or more times over an episode of care. Clinicians should specifically include measures of dorsiflexion, using the weight-bearing lunge test, static single-limb balance on a firm surface with eyes...

show abstract

Section: IIImentioning

confidence: 99%

Ankle Stability and Movement Coordination Impairments: Lateral Ankle Ligament Sprains Revision 2021

Martin¹,

Davenport²,

Fraser³

et al. 2021

Journal of Orthopaedic & Sports Physical Therapy

View full text Add to dashboard Cite

show abstract

“…There were no significant differences in height, mass, or age among the groups, as summarized in Table 2 . 26 The CAIT and FAAM-ADL scores in the CAI group were significantly lower than those in the coper and control groups ( P < .05 for both).…”

Section: Resultsmentioning

confidence: 77%

“…There are a limited number of studies investigating the variability of lower extremity motion of copers compared with CAI and control groups. 10 , 18 , 19 , 26 However, the previous studies have demonstrated conflicting results. For example, Herb et al 18 found that copers demonstrated less variability of ankle frontal motion than individuals with CAI during a jumping task, and control participants demonstrated greater knee and hip variability than copers and individuals with CAI during a jump landing task.…”

Section: Discussionmentioning

confidence: 99%

“…The only difference between SAK/TT and FAK/TT is that ankle dorsiflexion or plantarflexion is evaluated for SAK/ TT and ankle IV or EV is evaluated for FAK/TT. 26 This is due to the difference between SAK/TT and FAK/TT: SAK/ TT evaluates the relative motion patterns between the sagittal plane ankle motion for dorsiflexion and plantarflexion and transverse plane tibial motion for TER and TIR, while FAK/TT evaluates the relative motion patterns between A CAIT score 28 indicates a stable ankle; a score 24 indicates ankle instability. 14,27 c An FAAM-ADL score <90% indicates ankle instability.…”

Section: Vector Coding Analysismentioning

confidence: 99%

See 1 more Smart Citation

Foot and Shank Coordination During Walking in Copers Compared With Patients With Chronic Ankle Instability and Controls

Kweon

Harrison²,

Williams

et al. 2022

Orthopaedic Journal of Sports Medicine

Self Cite

View full text Add to dashboard Cite

Background: Chronic ankle instability (CAI) alters sensorimotor function and joint coordination, but ankle coordination during walking in copers (patients with a history of ankle sprain without any residual symptoms of CAI) remains unknown. Purpose: To identify foot and shank coordination patterns that discriminate among individuals with CAI, copers, and healthy controls and to investigate whether copers display a different strategy to overcome altered sensorimotor function after a lateral ankle sprain compared with individuals with CAI and healthy controls. Study Design: Controlled laboratory study. Methods: A total of 51 participants (17 participants with CAI, 17 copers, 17 healthy controls) walked on an instrumented treadmill at a fixed speed of 1.20 m/s for a 10-second trial, from which 8 consecutive gait cycles were extracted for analysis. Heel strike and toe-off were identified for each stance phase, and each stance phase was normalized to 100 time frames. A curve analysis was performed to detect group mean differences in vector coding coupling angles and coordination variabilities for sagittal plane ankle motion/transverse plane tibial plane motion (SAK/TT) and frontal plane ankle motion/transverse plane tibial motion (FAK/TT) with 90% CIs. Results: During the terminal stance, CAI and coper groups demonstrated an inversion–tibial external rotation coupling, while controls displayed a dorsiflexion–tibial internal rotation strategy. During midstance, there were no differences between the coper, CAI, or control groups. At 0% to 20% of stance, the CAI group showed the most variability, while copers showed the least. During midstance, both copers and controls displayed an increase in variability earlier than the CAI group. The CAI group displayed a peak in variability from 39% to 43% of stance, which was greater than copers. During the propulsive phase (from heel-off to toe-off), the CAI group showed greater SAK/TT variability than both copers and controls. Similar to SAK/TT variability, the CAI group showed an earlier peak in FAK/TT variability compared with controls. Conclusion: The CAI, coper, and control groups displayed different ankle joint coupling patterns and coordination variability during a walking gait cycle. Clinical Relevance: Copers may have the ability to alter their coordination during walking, which may help us understand the underlying mechanism of CAI.

show abstract

“…Several studies have demonstrated changes in the movement patterns of hips, knees, and ankles in individuals with chronic ankle instability (2,6,22) , demonstrating that the same condition can lead to different motor adaptations and each case requires individual evaluation. The motor variability among these individuals may reflect either an attempt to explore alternative stabilizing strategies or an inadequate sensory-motor control (23) .…”

Section: Functional Stability Mechanisms Of the Anklementioning

confidence: 99%

Current trends in the biokinetic analysis of the foot and ankle

Metsavaht

Leporace

2020

J Foot Ankle

View full text Add to dashboard Cite

Although the importance of studying the anatomy of structures of the ankle and foot joints is fundamental, evidence points to a low correlation between static and dynamic measurements; this could represent a problem in the study of the functioning of the ankle and foot during daily activities. The aim of the present study is to review the classic knowledge on ankle and foot biomechanics and present new concepts of functional biomechanics (3-dimensional biokinetic analysis) in order to clarify their clinical applications in assisting diagnostic and/or treatment decisions. For this, we performed a literature review and divided the article into 6 sections: (1) functional biomechanics of the ankle and foot; (2) dynamic joint stability; (3) functional stability mechanisms of the foot; (4) functional stability mechanisms of the ankle; (5) gait and running biokinetics; (6) the role of proximal joints in ankle and foot movement. At the end of this article, the reader should be able to understand how the 3-dimensional biokinetic analysis of the ankle and foot can contribute along with imaging examinations to the clinical setting, thus allowing the construction of a more complete profile of the patient. Such information could enable the identification of weaknesses and the implementation of objective interventions for each patient. Level of Evidence V; Prognostic Studies; Expert Opinion.

show abstract

Ankle Coordination in Chronic Ankle Instability, Coper, and Control Groups in Running

Cited by 13 publications

References 41 publications

Ankle Stability and Movement Coordination Impairments: Lateral Ankle Ligament Sprains Revision 2021

Ankle Stability and Movement Coordination Impairments: Lateral Ankle Ligament Sprains Revision 2021

Foot and Shank Coordination During Walking in Copers Compared With Patients With Chronic Ankle Instability and Controls

Current trends in the biokinetic analysis of the foot and ankle

Contact Info

Product

Resources

About