A snapshot of chronic ankle instability in a cohort of netball players

Attenborough, Alison S.; Sinclair, Peter J.; Sharp, T; Greene, Andrew; Stuelcken, Max; Smith, Richard M.; Hiller, Claire E.

doi:10.1016/j.jsams.2015.04.010

Cited by 27 publications

(49 citation statements)

References 24 publications

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“…In a recent systematic review of the prevalence of CAI in sporting populations, Attenborough et al 115 indicated that CAI is a highly prevalent condition (>25%) in sports such as handball, basketball, soccer and volleyball. This has been confirmed in recent investigations of collegiate and high school athletes in which the prevalence of CAI was ∼25% in those athletes with a previous history of injury 116 117. Within the performing arts population, such as ballet, more than 50% of the dancers with a history of ankle sprain report CAI 118.…”

Section: Section B: Mid-term and Long-term Consequences Of Lasssupporting

confidence: 52%

Evidence review for the 2016 International Ankle Consortium consensus statement on the prevalence, impact and long-term consequences of lateral ankle sprains

et al. 2016

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Lateral ankle sprains (LASs) are the most prevalent musculoskeletal injury in physically active populations. They also have a high prevalence in the general population and pose a substantial healthcare burden. The recurrence rates of LASs are high, leading to a large percentage of patients with LAS developing chronic ankle instability. This chronicity is associated with decreased physical activity levels and quality of life and associates with increasing rates of post-traumatic ankle osteoarthritis, all of which generate financial costs that are larger than many have realised. The literature review that follows expands this paradigm and introduces emerging areas that should be prioritised for continued research, supporting a companion position statement paper that proposes recommendations for using this summary of information, and needs for specific future research.

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Section: Section B: Mid-term and Long-term Consequences Of Lasssupporting

confidence: 52%

Evidence review for the 2016 International Ankle Consortium consensus statement on the prevalence, impact and long-term consequences of lateral ankle sprains

et al. 2016

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“…Chronic ankle instability (CAI) is one of the most prevalent debilitating conditions in athletic populations [1,2]. A high percentage (23% to 61%) of athletes are identified as having CAI, with soccer, basketball, and volleyball being the most represented team sports [3,4,5,6]. In addition, recent research has highlighted that CAI is a public healthcare burden affecting not only athletic but also general populations [1].…”

Section: Introductionmentioning

confidence: 99%

Changes in Spinal and Corticospinal Excitability in Patients with Chronic Ankle Instability: A Systematic Review with Meta-Analysis

Kim

Cruz‐Díaz

et al. 2019

JCM

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The objective of this systematic review with meta-analysis was to determine alterations in spinal and corticospinal excitability of ankle muscles in patients with chronic ankle instability (CAI) compared to uninjured controls. Independent researchers performed comprehensive literature searches of electronic databases and included studies that compared groups with and without CAI and investigated neural excitability with Hoffmann reflex (H-reflex) and/or transcranial magnetic stimulation (TMS). A fixed-effect meta-analysis was conducted to determine group differences for (1) soleus and fibularis maximal H-reflex (Hmax)/maximal M-wave (Mmax)-ratios, and (2) soleus and fibularis longus cortical motor thresholds (CMTs). Seventeen studies were included in the current meta-analysis. They showed that the Hmax/Mmax-ratios of the soleus and the fibularis longus in the CAI group were significantly lower than those in the uninjured control group (soleus: d = −0.41, p < 0.001; fibularis longus: d = −0.27, p = 0.04). There was no evidence for changes in the CMT. This systematic review is the first to demonstrate evidence that patients with CAI present decreased spinal reflex excitability in the soleus and fibularis longus. However, there is no evidence of changes in supraspinal excitability when considering only the CMT. The latter result needs to be interpreted with caution as all except one study demonstrate some changes at the supraspinal level with CAI.

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“…Within the United States, the annual cost to treat one LAS is approximately $1,000 [18], with total direct and indirect costs for treatment of LAS exceeding $6 billion per year [20]. Additionally, 30 to 70 % of LAS patients develop a condition known as chronic ankle instability (CAI) [1,2,11,27,41]. Patients with CAI experience repetitive ankle sprains, feelings of instability following their initial LAS [24], are less physically active [30] and have a greater risk of developing post-traumatic ankle osteoarthritis [42] than individuals with no history of LAS.…”

Section: Introductionmentioning

confidence: 99%

Step-Down Task Identifies Differences in Ankle Biomechanics Across Functional Activities

2018

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Currently, there is no clinical exam to evaluate ankle frontal plane kinematics. The purpose of this study was to determine whether individuals identified as "lateral" landing during a video-recorded step-down task have differences in ankle inversion as measured with 3-dimensional motion capture during walking, step-down, and jump-landing tasks compared to individuals identified as "non-lateral". Fifty-seven recreationally active adults completed the descriptive laboratory study. During walking, step-down, and jump-landing tasks, participants had their ankle frontal plane kinematics measured using a 3-dimensional motion capture system. In addition, during the step-down task, participants had a posterior view video of their foot recorded using a commercial camera. Following testing, a blinded-investigator scored the step-down video of all participants by classifying them as "lateral" landing or "non-lateral" landing. Ankle frontal plane kinematics during the walking, step-down, and jump-landing tasks were compared between the two groups (lateral (N=24) and non-lateral (N=33) using a binary logistic regression and time-series confidence interval analysis. During walking, stepping-down, and jump-landing, the lateral group had significantly more inversion at initial contact and during various other phases specific to each task. This study found that a clinical screening tool could identify individuals who have significantly more inversion during three tasks.

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A snapshot of chronic ankle instability in a cohort of netball players

Cited by 27 publications

References 24 publications

Evidence review for the 2016 International Ankle Consortium consensus statement on the prevalence, impact and long-term consequences of lateral ankle sprains

Evidence review for the 2016 International Ankle Consortium consensus statement on the prevalence, impact and long-term consequences of lateral ankle sprains

Changes in Spinal and Corticospinal Excitability in Patients with Chronic Ankle Instability: A Systematic Review with Meta-Analysis

Step-Down Task Identifies Differences in Ankle Biomechanics Across Functional Activities

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