Characteristics of people with recurrent ankle sprains: a systematic review with meta-analysis

Hiller, Claire E.; Nightingale, Elizabeth J.; Lin, Chung‐Wei Christine; Coughlan, Garrett F.; Caulfield, Brian; Delahunt, Eamonn

doi:10.1136/bjsm.2010.077404

Cited by 167 publications

(136 citation statements)

References 72 publications

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“…Many recent reviews and multifactorial studies have provided important information outlining that there are multiple potential contributing mechanical, neuromuscular, functional, and/or perceived deficits that may persist long after physiologic tissue healing times have elapsed and interventions have been completed following an acute ankle joint sprain. [23][24][25][26][27][28][29][30][31][32][33][34] Consistently, these reviews and multifactorial studies support the proposition that CAI is a multifaceted and complex condition, requiring further indepth interdisciplinary study.…”

Section: International Ankle Consortium Position Statementmentioning

confidence: 70%

Selection Criteria for Patients With Chronic Ankle Instability in Controlled Research: A Position Statement of the International Ankle Consortium

Gribble

Delahunt

Bleakley

et al. 2014

Journal of Athletic Training

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368

293

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While research on chronic ankle instability (CAI) and awareness of its impact on society and health care systems has grown substantially in the last 2 decades, the inconsistency in participant or patient selection criteria across studies presents a potential obstacle to addressing the problem properly. This major gap within the literature limits the ability to generalize this evidence to the target patient population. Therefore, there is a need to provide standards for patient or participant selection criteria in research focused on CAI with justifications using the best available evidence. The International Ankle Consortium provides this position paper to present and discuss an endorsed set of selection criteria for patients with CAI based on the best available evidence to be used in future research and study designs. These recommendations will enhance the validity of research conducted in this clinical population with the end goal of bringing the research evidence to the clinician and patient.

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Section: International Ankle Consortium Position Statementmentioning

confidence: 70%

Selection Criteria for Patients With Chronic Ankle Instability in Controlled Research: A Position Statement of the International Ankle Consortium

Gribble

Delahunt

Bleakley

et al. 2014

Journal of Athletic Training

Self Cite

368

293

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“…However, other studies found no association between muscle weakness and ankle instability [14,37,43,44] .…”

Section: Rehabilitation For Ankle Sprainmentioning

confidence: 85%

Neuromuscular control and rehabilitation of the unstable ankle

Hung¹

2015

WJO

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Lateral ankle sprain is a common orthopedic injury with a very high recurrence rate in athletes. After decades of research, it is still unclear what contributes to the high recurrence rate of ankle sprain, and what is the most effective intervention to reduce the incident of initial and recurrent injuries. In addition, clinicians often implement balance training as part of the rehabilitation protocol in hopes of enhancing the neuromuscular control and proprioception of the ankle joint. However, there is no consensus on whether the neuromuscular control and proprioception are compromised in unstable ankles. To reduce the prevalence of ankle sprains, the effectiveness of engaging balance training to enhance the neuromuscular control and proprioception of the ankle joint is also questionable. Core tip: Lateral ankle sprain is a common orthopedic injury with a high recurrence rate. However, there is no consensus on whether neuromuscular control and proprioception are compromised in unstable ankles, and whether proprioception training can reduce initial and recurrent ankle injuries. The purpose of this review is to discuss the etiology and intervention of initial and recurrent ankle sprains, focusing on the role of neuromuscular control and proprioception at the ankle joint. This review can provide clinicians the knowledge of constructing better examination protocols and rehabilitation programs for individuals with the unstable ankle.Hung Y. Neuromuscular control and rehabilitation of the unstable ankle. World J Orthop 2015; 6(5): 434-438 Available from: URL:

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“…Dennoch bestehen aufgrund der Heterogenität der Studienpopulationen und der niedrigen methodischen Qualität zahlreicher Studien Unsicherheiten bez. der Größe und klinischen Bedeutsamkeit der Defizite [13,14]. Die wenigen zur Einschätzung kinästhetischer Defizite verfügba-ren Untersuchungen kommen zu widersprüchlichen Ergebnissen.…”

Section: Propriozeptionunclassified

“…Diese konzentrieren sich auf Kraftreproduktionsaufgaben der Peronealmuskulatur. Defizite konnten sowohl intraindividuell, also zwischen dem betroffenen und asymptomatischen Gelenk [21,22], als auch im Vergleich zu gesunden Kontrollprobanden [23,24] in jüngerer Vergangenheit mehrfach metaanalytisch zusammengefasst [14,[25][26][27]. Übereinstimmend wurden bei Personen mit funktioneller Sprunggelenkinstabilität Beeinträchtigungen der statischen und dynamischen posturalen Kontrolle nachgewiesen, die berichteten Effektstärken sind als klein bis moderat einzuschätzen (standardisierte Mittelwertdifferenz 0,3-0,6).…”

Section: Propriozeptionunclassified

“…Übereinstimmend wurden bei Personen mit funktioneller Sprunggelenkinstabilität Beeinträchtigungen der statischen und dynamischen posturalen Kontrolle nachgewiesen, die berichteten Effektstärken sind als klein bis moderat einzuschätzen (standardisierte Mittelwertdifferenz 0,3-0,6). Defizite der statischen Haltungskontrolle treten besonders unter erhöhten sensorischen Anforderungen (geschlossene Augen, instabiler Untergrund) hervor [14]. Bislang besteht jedoch kein Konsens bez.…”

Section: Propriozeptionunclassified

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Beeinträchtigungen der sensomotorischen Kontrolle bei funktioneller Sprunggelenkinstabilität

Steib

Pfeifer

2015

Z Orthop Unfall

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!Lateral ankle sprains are among the most common sports injuries, with a prevalence of 25 to 30 % of all injuries. At least one-third of individuals develop long-term complaints and chronic instabilities at the ankle, which in many cases cannot be attributed to mechanical insufficiencies of the joint. This condition is referred to as functional ankle instability (FAI). Impairments of the sensorimotor control system, such as disturbed proprioception and postural control, as well as reduced muscle strength and reflex activity, have been suggested to contribute to the aetiology of FAI. This review summarises the current body of literature regarding sensorimotor control in individuals with FAI. We discuss the results in the context of current neurophysiological models of the development of functional joint instabilities.

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Characteristics of people with recurrent ankle sprains: a systematic review with meta-analysis

Abstract: There are specific impairments in people with recurrent ankle sprain but not necessarily in areas commonly investigated.

Cited by 167 publications

References 72 publications

Selection Criteria for Patients With Chronic Ankle Instability in Controlled Research: A Position Statement of the International Ankle Consortium

Selection Criteria for Patients With Chronic Ankle Instability in Controlled Research: A Position Statement of the International Ankle Consortium

Neuromuscular control and rehabilitation of the unstable ankle

Beeinträchtigungen der sensomotorischen Kontrolle bei funktioneller Sprunggelenkinstabilität

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