Management and prevention of acute and chronic lateral ankle instability in athletic patient populations

McCriskin, Brendan J.; Cameron, Kenneth L.; Orr, Justin D.; Waterman, Brian R.

doi:10.5312/wjo.v6.i2.161

Cited by 90 publications

(63 citation statements)

References 103 publications

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“…Almost 40% of patients with ankle sprains also have ankle instability and increased body sway, resulting from poor proprioception and impaired postural control (McCriskin et al 2015). Previous evidence has also shown that postural stability is more impaired if there is fatigue of the muscles controlling the hip, knee and ankle.…”

Section: Introductionmentioning

confidence: 95%

Correlation between Mechanical Properties of the Ankle Muscles and Postural Sway during the Menstrual Cycle

Yim

Petrofsky²,

Lee

2018

Tohoku J. Exp. Med.

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Ankle and foot injuries are common among athletes and physically active individuals. The most common residual disability, ankle sprain, is characterized by instability along with postural sway. If the supporting structures around a joint become lax, posture stability and balance are also affected. Previous studies have examined muscle stiffness and elasticity and postural sway separately; however, the relationship between these factors is yet unknown. It is well known that the levels of sex hormones, especially estrogen, change in women over the phase of the menstrual cycle. Therefore, this study examined the relationship between the mechanical properties of tissue and balance activity using a non-invasive digital palpation device to determine if they undergo any changes over the menstrual cycle in young women. Sixteen young women with regular menstrual cycles completed the study. Tone, stiffness, and elasticity of the ankle muscles (lateral gastrocnemius, peroneus longus, and tibialis anterior) were measured using a non-invasive digital palpation device. Postural sway was recorded while the participants performed balance tasks during ovulation and menstruation. Significantly greater posture sway characteristics and ankle muscle elasticity were found during ovulation than during menstruation; lower tone and stiffness of the ankle muscles were observed at ovulation (p < 0.05). Additionally, weak-to-strong relationships between ankle muscle mechanical properties and postural sway characteristics were found (p < 0.05). These results suggest the effect of estrogen on human connective tissues. We therefore postulate that estrogen increases joint and muscle laxity and affects posture stability according to the phase of the menstrual cycle.

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Section: Introductionmentioning

confidence: 95%

Correlation between Mechanical Properties of the Ankle Muscles and Postural Sway during the Menstrual Cycle

Yim

Petrofsky²,

Lee

2018

Tohoku J. Exp. Med.

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“…6 Some studies have shown an increased incidence in female athletes, whereas others demonstrate increased incidence in males. 6,13 The true difference in gender may be sport specific. Several studies have shown increased frequency of ankle sprains in female basketball players compared with their male counterparts or when compared with their female colleagues who participate in other sports, such as lacrosse, field hockey, volleyball, and soccer.…”

Section: Epidemiology and Risk Factorsmentioning

confidence: 97%

“…Modifiable risk factors for ankle sprains include body mass index; use of preventative therapies, such as braces or tape; strengthening; participation in sport; player positions; and even playing surfaces and equipment. 9,13,20,21 Nonmodifiable risk factors include demographic factors, such as age, gender, and race, and anatomic factors, such as limb Shawen et al alignment, anatomic variation, and joint laxity. 13,18,19 However, the true relevance of these risk factors, modifiable or not, are difficult to discern because large systematic reviews evaluating such factors have poor consensus.…”

Section: Epidemiology and Risk Factorsmentioning

confidence: 99%

“…9,13,20,21 Nonmodifiable risk factors include demographic factors, such as age, gender, and race, and anatomic factors, such as limb Shawen et al alignment, anatomic variation, and joint laxity. 13,18,19 However, the true relevance of these risk factors, modifiable or not, are difficult to discern because large systematic reviews evaluating such factors have poor consensus. 22,23 Identifying risk factors and demographic contributions for syndesmosis injury in athletes has been more difficult with limited studies showing significance for specific risk factors.…”

Section: Epidemiology and Risk Factorsmentioning

confidence: 99%

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Return to Play Following Ankle Sprain and Lateral Ligament Reconstruction

Dworak

Anderson

2016

Clinics in Sports Medicine

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“…Condition sense receptors sense involves muscle spindle receptors, Golgi tendon organ and joint receptors which transfer the data related to this sense to the central nervous system (6). These receptors function is to create awareness of the status and balance of the body parts in relation to each other (7). In other words, Proprioception of movement is a general term that contains sensory input from the muscle spindle receptors, tendons and joints to determine the position and motion and direction, intensity and speed as well as joint measures (8).…”

Section: Introductionmentioning

confidence: 99%

The impact of fatigue on balancing in creating re-injuries in mountaineers with chronic ankle sprain

Ebrahimi

Shahrokhi

Barmar

et al. 2017

JBRMS

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Introduction: Sensory-motor control and in general gaining balance will be impaired after an ankle injury and in fatigue situations. The aim of this research was to study the effect of exercise-based fatigue on static and dynamic balance in mountaineering athletes who were successful in returning to a suitable level of physical activity after an ankle sprain injury. Materials and methods: 25 active mountaineering athletes between 20 and 40 years were recruited on a voluntary basis. 12 persons with severe ankle sprain in the past were selected as experimental group and 13 healthy mountaineering athletes were selected as control group. Because balance test measuring was under the influence of evaluation time; fatigue test measurement running on the treadmill was performed in 2 sessions. Changes or fluctuations in the pressure Center or static balance were evaluated by Sharpened Romberg balance test and dynamic balance was evaluated by stability time after side jumping (the first session) and the maximum distance in the balance test Y (second session) were evaluated in the pre-test and post-test immediately after fatigue resulted by running on a treadmill. Data were analyzed using covariance test. Results: before fatigue condition, there were a few differences between the two groups in stability time while doing side jump test (P<0.014). After the fatigue and in balance test Y and stability time while doing side jump test; there were more differences (P<0.001). In this case, there was a similar increase on static swing in both groups. Fatigue was considerably reduced the static and dynamic postural control of the athletes who had a history of injury. Changes related to fatigue was significant in dynamic postural control in athletes with previous ankle sprain history. Conclusion: Even after the successful return to sport for athletes with previous damages, abnormalities in sensory-motor control and balance may lead to an increase the risk of ankle re-injury.

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Management and prevention of acute and chronic lateral ankle instability in athletic patient populations

Cited by 90 publications

References 103 publications

Correlation between Mechanical Properties of the Ankle Muscles and Postural Sway during the Menstrual Cycle

Correlation between Mechanical Properties of the Ankle Muscles and Postural Sway during the Menstrual Cycle

Return to Play Following Ankle Sprain and Lateral Ligament Reconstruction

The impact of fatigue on balancing in creating re-injuries in mountaineers with chronic ankle sprain

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