Decreased supraspinal control and neuromuscular function controlling the ankle joint in athletes with chronic ankle instability

Nanbancha, Ampika; Tretriluxana, Jarugool; Limroongreungrat, Weerawat; Sinsurin, Komsak

doi:10.1007/s00421-019-04191-w

Cited by 24 publications

(12 citation statements)

References 51 publications

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“…During the past decade, much effort has been made to investigate the neuroplasticity of CAI patients. Some studies found that CAI patients had decreased corticomotor excitability in fibularis longus (FL), tibialis anterior, and soleus, which supported the existence of supraspinal alteration (Hass et al, 2010;McLeod et al, 2015;Terada et al, 2016Terada et al, , 2020Nanbancha et al, 2019). Recently, Kosik et al (2017) has found that CAI patients had reduced corticomotor cortex output representation of FL, indicating the FL corresponding motor cortical cells were recruited by surrounding areas.…”

Section: Introductionmentioning

confidence: 94%

Not Only in Sensorimotor Network: Local and Distant Cerebral Inherent Activity of Chronic Ankle Instability—A Resting-State fMRI Study

Shen

Wang

et al. 2022

Front. Neurosci.

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BackgroundIncreasing evidence has proved that chronic ankle instability (CAI) is highly related to the central nervous system (CNS). However, it is still unclear about the inherent cerebral activity among the CAI patients.PurposeTo investigate the differences of intrinsic functional cerebral activity between the CAI patients and healthy controls (HCs) and further explore its correlation with clinical measurement in CAI patients.Materials and MethodsA total of 25 CAI patients and 39 HCs were enrolled in this study. Resting-state functional magnetic resonance imaging (rs-fMRI) was used to detect spontaneous cerebral activity. The metrics of amplitude of low-frequency fluctuation (ALFF), fractional ALFF (fALFF), and regional homogeneity (ReHo) of the two groups were compared by two-sample t-test. The brain regions that demonstrated altered functional metrics were selected as the regions of interest (ROIs). The functional connectivity (FC) was analyzed based on the ROIs. The Spearman correlation was calculated between rs-fMRI metrics and clinical scale scores.ResultsCompared with HCs, CAI patients showed higher ALFF and ReHo values in the right postcentral gyrus, the right precentral gyrus, and the right middle frontal gyrus, while lower fALFF values in the orbital-frontal cortex (OFC, p < 0.01 after correction). Increasing FC between the right precentral gyrus and the right postcentral gyrus while decreasing FC between the right precentral gyrus and the anterior cingulum cortex (ACC), the right middle frontal gyrus and the left middle temporal gyrus, and the OFC and left inferior parietal lobule (IPL) was observed. In addition, in the CAI group, the ReHo value negatively correlated with the Cumberland Ankle Instability Tool score in the right middle frontal gyrus (r = −0.52, p = 0.007).ConclusionThe CAI patients exhibited enhanced and more coherent regional inherent neuronal activity within the sensorimotor network while lower regional inherent activity in pain/emotion modulation related region. In addition, the information exchanges were stronger within the sensorimotor network while weaker between distant interhemispheric regions. Besides, the increased inherent activity in the right middle frontal gyrus was related to clinical severity. These findings may provide insights into the pathophysiological alteration in CNS among CAI patients.

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Section: Introductionmentioning

confidence: 94%

Not Only in Sensorimotor Network: Local and Distant Cerebral Inherent Activity of Chronic Ankle Instability—A Resting-State fMRI Study

Shen

Wang

et al. 2022

Front. Neurosci.

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“…468 Attempts to identify the sensorimotor ROM deficits in those with CAI have received considerable attention. While findings may be dependent on measurement technique and subject selection, investigators have generally identified the following sensorimotor ROM deficits at the foot, ankle, knee, and hip: (1) abnormal timing of muscle activation at the ankle, knee, and hip, 5,86,88,122,131,188,205,211,221,241,242,256,264,269,275,319,330,331,383,399,401,403,406,407,430,442,459,460 (2) decreased force output/strength at the ankle 3,59,60,138,235,249,333,343,352,473,481 and hip, 87,249,301,305,333 (3) impaired force and proprioception at the ankle, 22,59,…”

Section: Pathoanatomical Features Update 2021mentioning

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

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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...

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“…11,12 While not included in these meta-analyses, previous researchers examining corticospinal excitability and inhibition of the TA have reported similar findings. For example, Nanbancha et al 28 demonstrated individuals with CAI had lower corticomotor excitability and longer latency of the TA than un-injured controls. The authors also observed these alterations were associated with decreased dorsiflexor muscle strength.…”

Section: Discussionmentioning

confidence: 99%

Association between corticospinal inhibition and active dorsiflexion range of motion in patients with chronic ankle instability

et al. 2021

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Decreased corticospinal excitability of the anterior tibialis muscle may contribute to the persistent deficits in dorsiflexion range of motion (DFRoM) associated with chronic ankle instability (CAI). The purpose of this study was to examine the association between corticospinal excitability and inhibition of the anterior tibialis muscle and active DFRoM in patients with CAI. Twenty-one participants (age = 22.7 ± 3.3 years, height = 168.43 ± 8.0 cm, weight = 70.6 ± 14.4 kg) were How to cite this article: Kosik KB, Terada M, McCann RS, Drinkard CP, Gribble PA. Association between corticospinal inhibition and active dorsiflexion range of motion in patients with chronic ankle instability.

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Decreased supraspinal control and neuromuscular function controlling the ankle joint in athletes with chronic ankle instability

Cited by 24 publications

References 51 publications

Not Only in Sensorimotor Network: Local and Distant Cerebral Inherent Activity of Chronic Ankle Instability—A Resting-State fMRI Study

Not Only in Sensorimotor Network: Local and Distant Cerebral Inherent Activity of Chronic Ankle Instability—A Resting-State fMRI Study

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

Association between corticospinal inhibition and active dorsiflexion range of motion in patients with chronic ankle instability

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