Muscle activations during functional tasks in individuals with chronic ankle instability: a systematic review of electromyographical studies

Labanca, Luciana; Mosca, Massimiliano; Ghislieri, Marco; Agostini, Valentina; Knaflitz, Marco; Benedetti, Maria Grazia

doi:10.1016/j.gaitpost.2021.09.182

Cited by 27 publications

(33 citation statements)

References 88 publications

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“…There is limited research evaluating the compensatory strategies utilized by the sensorimotor system in patients with CAI, and the effect these may have on inter-limb symmetry. Additionally, previous research has reported mixed results regarding vGRF 24 , 25 , 41 and muscle activity 14 – 16 during walking in patients with CAI. Also, previous studies have not collected information about uninjured limb for CAI patients.…”

Section: Introductionmentioning

confidence: 91%

“…The relationship between altered loads and ankle articular cartilage health has not been assessed in patients with CAI up to now. However, the alteration of walking biomechanics (higher vGRF 13 , 24 , 25 , altered neuromuscular activation 14 , 15 , and altered joint kinematics at the ankle (e.g., increased inversion and reduced dorsiflexion) 13 , 18 , 32 ) observed in patients with CAI might affect articular cartilage metabolism and health, thus increasing mechanical stress on a specific portion of the ankle cartilage. For example, Hintermann et al 33 showed that patients with CAI have 62% of ankle cartilage lesions in the talus's medial areas.…”

Section: Introductionmentioning

confidence: 99%

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Inter-limb asymmetry of kinetic and electromyographic during walking in patients with chronic ankle instability

Tajdini

Mantashloo

Thomas

et al. 2022

Sci Rep

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After an initial ankle sprain, a relevant number of participants develop chronic ankle instability (CAI). Compensatory strategies in patients with CAI may change the inter-limb symmetry needed for absorbing movement-related forces. Accordingly, an increased risk of injury can occur. The present study aimed to compare the inter-limb asymmetry of kinetic and electromyography between individuals with CAI and without a history of an ankle sprain (Non-CAI) during walking. In this cross-sectional study, fifty-six athletes (28 CAI; 28 Non-CAI) participated. Participants walked at a comfortable pace over level ground while vertical ground reaction force (vGRF) and muscle activity of the tibialis anterior, peroneus longus, medial gastrocnemius, and gluteus medius were recorded. Inter-limb asymmetry during walking was calculated for each of the variables. Patients with CAI exhibited a greater inter-limb asymmetry of the first peak of vGRF, time to peak vGRF, and loading rate (P < 0.001), as well as presenting a greater inter-limb asymmetry of peroneus longus activity (contact phase) (P = 0.003) and gluteus medius activity (midstance/propulsion phase) (P = 0.010) compared to the Non-CAI group. No other differences in vGRF or muscles activity were observed between the groups. Our findings indicate that patients with CAI walk with greater inter-limb asymmetry in vGRF and muscle activity in different phases of the gait cycle compared to Non-CAI group. Our results could inform future studies on gait training aimed to reduce asymmetry during walking in patients with CAI.

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Section: Introductionmentioning

confidence: 91%

Section: Introductionmentioning

confidence: 99%

Inter-limb asymmetry of kinetic and electromyographic during walking in patients with chronic ankle instability

Tajdini

Mantashloo

Thomas

et al. 2022

Sci Rep

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“…Thus, understanding how muscles are recruited during dynamic controlled tasks can add to our understanding of how copers differ from CAI in muscle recruitment. Individuals with CAI usually show changes in the activation of the muscles around the ankle and sometimes the proximal muscles, and also present changes in functional tasks, including balance [ 19 , 20 ].…”

Section: Introductionmentioning

confidence: 99%

Higher Leg and Trunk Muscle Activation during Balance Control in Copers versus People with Chronic Ankle Instability and Healthy Female Athletes

Karbalaeimahdi

Alizadeh

Minoonejad

et al. 2022

Sports

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More than 70% of people with ankle sprain experience chronic ankle instability. However, some people are well adapted to this damage (copers) and do not suffer from chronic ankle instability (CAI). This cross-sectional study involved 34 female athletes, who were classified into three groups (athletes with CAI, copers, and healthy athletes) and tested on a Biodex Balance System. Surface electromyography (EMG) and balance scores were monitored. The coper and healthy group exhibited higher medial gastrocnemius (MG) EMG activity during unstable balance conditions. The rectus abdominus (RA) in the coper group and rectus femoris (RF) in the healthy group showed greater EMG activity compared to CAI during unstable conditions. During stable conditions, the coper group showed greater RA EMG activity compared to CAI, as well as higher tibialis anterior (TA) EMG activity compared to the healthy group. Additionally, balance error scores were higher in the CAI group than those in the healthy group under unstable conditions. In conclusion, decreased EMG activity of the MG, RF, and RA in CAI athletes may contribute to impaired balance in these individuals. The increased EMG activity of the MG, TA, and RA in copers might result in more trunk and ankle stability.

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“…Notably, the term "motor control" is often used in the literature with different meanings ranging from descriptions of motor behavior at the muscle or joint level to descriptions of pathways involved in higher order processing of sensory or other information (e.g., Leiras et al, 2022;Zarzycki et al, 2022). For example, several studies report altered kinematics and muscle activity in patients with low back pain or ankle instability compared with healthy subjects (i.e., Labanca et al, 2021;Pinto et al, 2021), with the suggestion that such differences are the result of "poor motor control." Similarly, following rehabilitation interventions better execution of elbow movement in patients with stroke has been attributed to better motor control (Hammerbeck et al, 2017).…”

Section: Assumptions Underlying the Use Of The Terminologymentioning

confidence: 99%

Motor Control: A Conceptual Framework for Rehabilitation

Levin

Piscitelli

2022

Motor Control

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There is a lack of conceptual and theoretical clarity among clinicians and researchers regarding the control of motor actions based on the use of the term “motor control.” It is important to differentiate control processes from observations of motor output to improve communication and to make progress in understanding motor disorders and their remediation. This article clarifies terminology related to theoretical concepts underlying the control of motor actions, emphasizing how the term “motor control” is applied in neurorehabilitation. Two major opposing theoretical frameworks are described (i.e., direct and indirect), and their strengths and pitfalls are discussed. Then, based on the proposition that sensorimotor rehabilitation should be predicated on one comprehensive theory instead of an eclectic mix of theories and models, several solutions are offered about how to address controversies in motor learning, optimality, and adaptability of movement.

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Muscle activations during functional tasks in individuals with chronic ankle instability: a systematic review of electromyographical studies

Cited by 27 publications

References 88 publications

Inter-limb asymmetry of kinetic and electromyographic during walking in patients with chronic ankle instability

Inter-limb asymmetry of kinetic and electromyographic during walking in patients with chronic ankle instability

Higher Leg and Trunk Muscle Activation during Balance Control in Copers versus People with Chronic Ankle Instability and Healthy Female Athletes

Motor Control: A Conceptual Framework for Rehabilitation

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