Assessment Tools for Identifying Functional Limitations Associated With Functional Ankle Instability

Ross, Scott E.; Guskiewicz, Kevin M.; Gross, Michael T.; Yu, Bing

doi:10.4085/1062-6050-43.1.44

Cited by 88 publications

(107 citation statements)

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“…O estudo de Ross et al 16 utilizou o AJFAT para verificar a sensibilidade e a especificidade do instrumento em adultos jovens com instabilidade crônica de tornozelo, comparado a um grupo controle. De acordo com seus resultados, esse instrumento apresentou sensibilidade e instabilidade do tornozelo.…”

Section: Discussionunclassified

“…A instabilidade crônica do tornozelo pode existir após um ou mais entorses, sendo definida como a tendência do tornozelo a sofrer falseios 11 . Como a presença de instabilidade é verificada por meio das queixas apresentadas pelo indivíduo, tem caráter subjetivo, sendo as queixas presentes durante a prática de atividade física e/ou durante a execução de outras atividades diárias [12][13][14][15][16] . Embora as instabilidades articulares sejam verificadas por sintomas de dimensões subjetivas e com graus diferentes, a presença do falseio continua sendo o principal critério para a sua definição 17 .…”

Section: Introductionunclassified

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Instrumentos de avaliação para limitações funcionais associadas à instabilidade crônica de tornozelo: uma revisão sistemática da literatura

Suda

Coelho²

2012

Fisioter. Pesqui.

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A instabilidade de tornozelo é definida como a sua tendência para sofrer falseios e entorses de repetição após a ocorrência de entorse lateral. Como a presença de instabilidade é definida por meio das queixas relatadas pelo indivíduo, apresenta caráter subjetivo, sendo importante identificar o melhor instrumento de avaliação para a determinação de sua presença e/ou gravidade. O objetivo deste estudo foi revisar, de forma sistemática, instrumentos de avaliação concebidos para pacientes com instabilidade crônica de tornozelo. Foram realizadas pesquisas bibliográficas nas bases de dados PubMed, Embase, BVS, LILACS e SciELO para identificar os instrumentos elegíveis. No total, seis estudos foram incluídos e apresentaram cinco instrumentos diferentes - Foot and Ankle Disability Index (FADI), Ankle Joint Functional Assessment Tool (AJFAT), Foot and Ankle Ability Measure (FAAM), Ankle Joint Functional Assessment Tool (AII) e Cumberland Ankle Instability Tool (CAIT). Foram encontrados instrumentos com qualidade que detectam limitações funcionais em indivíduos com instabilidade crônica de tornozelo, não sendo instrumentos válidos para diagnóstico de instabilidade. O CAIT mostrou-se a ferramenta mais completa, mas não foi validada em uma população específica de indivíduos com condição de instabilidade do tornozelo. Observa-se a necessidade de mais estudos clinimétricamente válidos a fim de atestar a sua validade para se obter uma ferramenta eficaz e completa da instabilidade funcional do tornozelo.

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Section: Discussionunclassified

Section: Introductionunclassified

Instrumentos de avaliação para limitações funcionais associadas à instabilidade crônica de tornozelo: uma revisão sistemática da literatura

Suda

Coelho²

2012

Fisioter. Pesqui.

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“…ree attempts was performed for each condition with a 20 seconds rest interval between them. If the subject performed any kind of jump, or touched the oor/platform with the suspended limb the test was repeated [36][37][38] . ree attempts were allowed in order to familiarize the subjects to the balance test protocol.…”

Section: Sg (N = 10)mentioning

confidence: 99%

Análise do COP e sentido de posição em jogadores universitários de futebol com e sem instabilidade de tornozelo

Neto

Castro

Crozara

et al. 2016

Rev. bras. educ. fís. esporte

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The soccer is one of the most popular sport modality around the world, with millions of practitioners of different levels, and thus, the incidence of injuries are expressive [1][2][3] . Among these injuries, the ankle sprain is the one that stands out 2, 4-5 .e ankle sprains are very common in soccer due to the demand of changes in direction performed with high velocities, after jumps and during the sprints itself 2,4,6 . ese rapid changes in direction or landing on irregular surfaces produces a large supination torque, causing the ankle to perform an excessive movement, overloading the joint and its structures, mainly the anterior talo-bular and the calcaneo-bular ligaments 7 .Repeated episodes of ankle sprains may negatively a ect the proprioception, which correspond to the perception of position and movement (i.e., synesthesia) of the body and its segments [8][9] . ese information are provided by mechanoreceptors in the muscles, tendons, skin, joint capsules and ligaments [10][11][12] .ese mechanoreceptors are sensitized by mechanics energy imposed to the joint and it is transmitted to the central nervous system by a erents impulses 13 . As a consequence to sprains, the a erent bers of the AbstractThe aim of the study was to compare the behavior of COP and passive ankle position sense in subjects with and without functional ankle instability. Took part in this study 20 subjects, divided into two groups: stable group (SG) and unstable group (UG). The COP evaluation was made with the single-leg balance test, with eyes opened and closed, on a force plate. The passive ankle position sense test was performed with subjects blindfolded. The ankle was positioned in a target angle (10° and 20°) and the dynamometer moved passively the ankle, then the subjects were instructed to push the stop button when they feel that the ankle was on the target angle, obtaining the absolute angular error (AAE). The following variables were obtained: total displacement (TD); antero-posterior (SDap) and medio-lateral standard deviation (SDml); total mean velocity (TMV); antero-posterior (MVap) and medio-lateral mean velocity (MVml). The comparison between the data with normal distribution was made with the Student's t test, while to the TD and SDml was used the Mann-Whitney test. The correlations were performed with the Pearson and Spearman tests. We adopted α < 0.05. We observed difference between AAE-10º (p < 0.05). Strong correlations were found between: AAE-10° and TMV (p < 0.01 r = -0.867); AAE-10° and MVap (p < 0.01 r = -0.854); AAE-10° and MVml (p < 0.01 r = -0.771), with eyes opened, and AAE-10° and TD (p < 0.05 r = -0.666); AAE-10º and SDap (p < 0.05 r = -0,685) and AAE-10° and MVml (p < 0.05 r= -0.766) with eyes closed. Ankle sprains harm the joint position sense without affecting the balance.

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“…All scores will be added to give a total score on the AJFAT. The maximum possible score is 48 24,25 . The rigid tape consisted of a technique commonly used by sports physiotherapists and athletes to prevent ankle inversion injuries.…”

Section: Methodsmentioning

confidence: 99%

Peroneus Longus Activity in Different Types of Taping: Athletes With Ankle Instability

Jaffar

Jaafar²,

Goh

2016

Rev Bras Med Esporte

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Introduction: Participation in sport among university athletes in Malaysia has progressed right up to Olympic level. However, some of these athletes are prevented from competing due to injuries. Ankle injuries, in particular, are among the common types of injury. Even so, there is still lack of local data and research describing the incidence of ankle injuries. Objectives: To determine peroneus longus muscle activity in different taped ankles and positions among subjects with functional ankle instability (FAI). Methods: Twenty-three subjects with ankle instability (AJFAT score > 26) volunteered to take part in the study. The subjects were tested under three conditions; 1) no tape (NT), 2) Kinesio(r) tape (KT), and 3) rigid tape (RT). The subjects completed two postural stability tests, followed by a sudden inversion perturbation test with EMG, recording throughout the procedures. The EMG data were analyzed, filtered, full-wave rectified and normalized. The data were analyzed by analysis of variance (Independent T-test and ANOVA) to evaluate differences in peak muscle activation (mV) and peroneal latency (ms). Results: Peak muscle activation of the peroneus was activated more in the RT group during both the Static and Dynamic Stability Tests. Apart from that, there were no statistically significant differences. During sudden inversion perturbation, the RT group was the one that was most activated (p=0.001). Peroneal latency was even delayed in KT and RT during the three tests, and shorter in the NT group. There were significant differences during the Dynamic Stability Test, between the NT and KT groups (p=0.001) and between the NT, RT and KT groups (p=0.001). Conclusion: RT tape may enhance the peroneus longus response by maintaining a higher level of muscle activation, especially during dynamic movements and sudden inversion of the ankle, and may selectively benefit individuals with FAI. The KT ankle did not show superior effect to the NT ankle, and demonstrated minimal benefit when used in FAI. Also, its use may be more likely to cause reinjury to the ankle.

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Assessment Tools for Identifying Functional Limitations Associated With Functional Ankle Instability

Cited by 88 publications

References 32 publications

Instrumentos de avaliação para limitações funcionais associadas à instabilidade crônica de tornozelo: uma revisão sistemática da literatura

Instrumentos de avaliação para limitações funcionais associadas à instabilidade crônica de tornozelo: uma revisão sistemática da literatura

Análise do COP e sentido de posição em jogadores universitários de futebol com e sem instabilidade de tornozelo

Peroneus Longus Activity in Different Types of Taping: Athletes With Ankle Instability

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