Ankle kinematics of individuals with chronic ankle instability while walking and jogging on a treadmill in shoes

Chinn, Lisa; Dicharry, Jay; Hertel, Jay

doi:10.1016/j.ptsp.2012.10.001

Cited by 98 publications

(79 citation statements)

References 57 publications

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“…Gait alterations in patients suffering from recurrent sprains and CAI have been reported previously [44,46,95]. Gait retraining has been used in patients with several different pathologies, including total joint replacement, cerebrovascular accidents and stroke patients to develop better movement strategies and avoid injurious positions or motions [96].…”

Section: Rehabilitationmentioning

confidence: 98%

“…The muscles surrounding the joint may also be affected when damage occurs to the mechanoreceptors of the lateral ligaments affecting postural control [39,40] and muscle function [41][42][43]. Alterations in the sensorimotor control also have been associated with kinematic and kinetic changes during gait [44][45][46][47]. Clinical deficits have been identified in dynamic and static balance [48][49][50][51] and subjective function [17].…”

Section: Sensorimotor Function and Ankle Instabilitymentioning

confidence: 99%

Section: Sensorimotor Function and Ankle Instabilitymentioning

confidence: 99%

“…Alterations in frontal plane and sagittal plane kinematics have been identified at the ankle and knee during walking and running [33,[44][45][46]. Chinn et al [46] identified a mean difference of 7.2°more plantar flexion during mid-swing, and between 3.9°and 5.7°more inversion during stance, toe-off and swing phase between CAI and healthy controls during a jogging task. Monaghan et al [45] reported 6°-7°more inversion prior to, during and immediately following initial contact during walking gait, while Drewes et al [64] reported 4.83°less dorsiflexion during stance phase while jogging.…”

Section: Sensorimotor Function and Ankle Instabilitymentioning

confidence: 99%

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Current concepts on the pathophysiology and management of recurrent ankle sprains and chronic ankle instability

Herb

Hertel

2014

Curr Phys Med Rehabil Rep

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Lateral ankle sprains occur more than any other musculoskeletal injury in an athletic population. The greatest risk for an inversion ankle sprain is a history of a previous sprain. Recurring instability associated with subjective complaints of giving way is often termed chronic ankle instability (CAI). CAI has been associated with altered postural control, sensorimotor deficits, reduced physical activity, functional limitations, and long-term degeneration of the joint. Alterations, including muscle activity and changes in the kinematics of the lower extremity may predispose this population to continued instability at the joint and long term health issues. Common treatments include using external support, therapeutic modalities, and directed rehabilitation. Wearing ankle braces and performing balance training has been shown to reduce the risk of recurrent ankle sprains. Directed rehabilitation may improve function in patients with CAI. By identifying and minimizing dysfunction following ankle sprains, clinicians may improve the short-term and longterm function of this population.

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Section: Rehabilitationmentioning

confidence: 98%

Section: Sensorimotor Function and Ankle Instabilitymentioning

confidence: 99%

Section: Sensorimotor Function and Ankle Instabilitymentioning

confidence: 99%

Section: Sensorimotor Function and Ankle Instabilitymentioning

confidence: 99%

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Current concepts on the pathophysiology and management of recurrent ankle sprains and chronic ankle instability

Herb

Hertel

2014

Curr Phys Med Rehabil Rep

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“…increased shank external rotation during terminal swing phase, 11 decreased ankle dorsiflexion in stance phase, 13,14 and decreased foot clearance. 15 The aforementioned kinematic alterations indicate that people with CAI demonstrate a more precarious positioning of the shank, ankle, and foot, particularly at the time of initial ground contact during walking, which could increase susceptibility to episodes of instability and recurrent ankle sprains.…”

mentioning

confidence: 99%

Sagittal Plane Gait Kinematics in Individuals With Chronic Ankle Instability

Hoch

Mullineaux

Jeon

2016

International Journal of Athletic Therapy and Training

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Single joint kinematic alterations have been identified during gait in those with chronic ankle instability (CAI). The purpose of this study was to compare sagittal plane hip, knee, and ankle kinematics during walking in participants with and without CAI. Twelve individuals with CAI and 12 healthy individuals walked on a treadmill at 1.5 m/s. Three-dimensional kinematics were analyzed using mean ensemble curves and independent t tests. Participants with CAI demonstrated less lower extremity flexion during the absorption phase of stance and the limb placement phase of swing, which may have implications for limb placement at initial contact.

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