Joint position sense in the recurrently sprained ankle

Boyle, Jeffrey; Negus, Vicki

doi:10.1016/s0004-9514(14)60375-5

Cited by 72 publications

(56 citation statements)

References 12 publications

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“…The 2 levels coded for the study comparisons variable were (1) side-to-side comparisons 17,[25][26][27][28] and (2) matched-participants comparisons. 17,26,[28][29][30][31][32][33] Side-to-side comparisons were those that included the uninvolved limb of the participant with CAI as the control limb for comparison. Matched-participants comparisons involved a matched-control individual without CAI for comparison.…”

Section: Evidence Acquisitionmentioning

confidence: 99%

Evaluation of Joint Position Recognition Measurement Variables Associated With Chronic Ankle Instability: A Meta-Analysis

McKeon

2012

Journal of Athletic Training

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Objective: To identify the most precise and consistent variables using joint repositioning for identifying joint position recognition (JPR) deficits in individuals with chronic ankle instability (CAI).Data Sources: We conducted a computerized search of the relevant scientific literature from January 1, 1965, to July 31, 2010, using PubMed Central, CINAHL, MEDLINE, SPORTDiscus, and Web of Science. We also conducted hand searches of all retrieved studies to identify relevant citations. Included studies were written in English, involved human participants, and were published in peer-reviewed journals.Study Selection: Studies were included in the analysis if the authors (1) had examined JPR deficits in patients with CAI using active or passive repositioning techniques, (2) had made comparisons with a group or contralateral limb without CAI, and (3) had provided means and standard deviations for the calculation of effect sizes.Data Extraction: Studies were selected and coded independently and assessed for quality by the investigators. We evaluated 6 JPR variables: (1) study comparisons, (2) starting foot position, (3) repositioning method, (4) testing range of motion, (5) testing velocity, and (6) data-reduction method. The independent variable was group (CAI, control group or side without CAI). The dependent variable was errors committed during joint repositioning. Means and standard deviations for errors committed were extracted from each included study.Data Synthesis: Effect sizes and 95% confidence intervals were calculated to make comparisons across studies. Separate meta-analyses were calculated to determine the most precise and consistent method within each variable. Between-groups comparisons that involved active repositioning starting from a neutral position and moving into plantar flexion or inversion at a rate of less than 58/s as measured by the mean absolute error committed appeared to be the most sensitive and precise variables for detecting JPR deficits in people with CAI.

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Section: Evidence Acquisitionmentioning

confidence: 99%

Evaluation of Joint Position Recognition Measurement Variables Associated With Chronic Ankle Instability: A Meta-Analysis

McKeon

2012

Journal of Athletic Training

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“…One of the major problems of FAI is the residual symptoms, such as the sensation of "giving way," chronic pain, and feelings of instability in the ankle 6) . It has reported that a patient with FAI may have functional deficits, such as delayed peroneus reaction time 7) , postural control deficit 8) , and positional sensing error at the ankle joint 9) . Additionally, previous studies suggested that patients with FAI have reduced peroneus longus activity 10,11) , and increased inversion of the ankle joint during a landing [11][12][13] .…”

Section: Introductionmentioning

confidence: 99%

Postural stability and lower leg muscle activity during a diagonal single-leg landing differs in male collegiate soccer players with and without functional ankle instability

Kunugi

Masunari

Yoshida

et al. 2017

JPFSM

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The purpose of this study was to investigate postural stability and lower leg muscular activity in male collegiate soccer players with functional ankle instability (FAI), during a diagonal landing. Twenty-two male collegiate soccer players were divided into an FAI group (n = 11) and healthy control group (n = 11). Muscle reaction times for sudden ankle inversion were measured to evaluate neuromuscular control in the peroneus longus (PL), peroneus brevis (PB), tibialis anterior (TA), gastrocnemius lateral head (GL), and gastrocnemius medial head (GM). Time to anteroposterior stabilization (TTSAP), time to mediolateral stabilization (TTSML), and activity of these muscles during a diagonal single-leg landing was measured. Reaction times in the peroneus muscles were delayed in the FAI group, compared to the control group (PL: P < 0.01, PB: P = 0.02). TTSML was increased in the FAI group, compared to the control group (P = 0.02). Muscular activity of PL, PB, and TA were reduced in the FAI group, compared to controls, during a diagonal single-leg landing (PL: P < 0.05, from 87 ms pre-initial contact [pre-IC] to 108 ms post-initial contact [post-IC], PB: P < 0.05, from 180 ms pre-IC to 123 ms post-IC, TA: P < 0.05, from 65 ms to 203 ms post-IC). Male collegiate soccer players with FAI had increased TTSML and reduced muscle activity in PL, PB, and TA during diagonal single-leg landing. It is important for clinicians to assess the postural stability and function of the lower leg muscle activity, during rehabilitation after ankle sprains.

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“…In order to diagnose the instability 47 and to prevent ankle sprains, evaluate the position sense and the joint movement, both passively or actively, seems to be crucial [48][49] . Despite of di erences between studies' protocols, our results demonstrated a greater error in the joint reposition sense in individuals with ankle instability.…”

Section: Discussionmentioning

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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Joint position sense in the recurrently sprained ankle

Cited by 72 publications

References 12 publications

Evaluation of Joint Position Recognition Measurement Variables Associated With Chronic Ankle Instability: A Meta-Analysis

Evaluation of Joint Position Recognition Measurement Variables Associated With Chronic Ankle Instability: A Meta-Analysis

Postural stability and lower leg muscle activity during a diagonal single-leg landing differs in male collegiate soccer players with and without functional ankle instability

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

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