Beeinträchtigungen der sensomotorischen Kontrolle bei funktioneller Sprunggelenkinstabilität

Abstract

!Lateral ankle sprains are among the most common sports injuries, with a prevalence of 25 to 30 % of all injuries. At least one-third of individuals develop long-term complaints and chronic instabilities at the ankle, which in many cases cannot be attributed to mechanical insufficiencies of the joint. This condition is referred to as functional ankle instability (FAI). Impairments of the sensorimotor control system, such as disturbed proprioception and postural control, as well as reduced muscle strength and reflex activity, have been suggested to contribute to the aetiology of FAI. This review summarises the current body of literature regarding sensorimotor control in individuals with FAI. We discuss the results in the context of current neurophysiological models of the development of functional joint instabilities.

Platt – und nun?

“…Mechanisch ist die Stütze unter dem Sustentaculum tali des Calcaneus entscheidend (▶ Abb. 4) [11,31,32,95]. Sie verringert die Eversion des Calcaneus [86].…”

Ausfallzeiten und Wiederverletzungsraten nach lateralen Bandverletzungen des Sprunggelenks bei männlichen Profifußballspielern: Zusammenfassung eines Systematic Reviews mit Metaanalyse

“…die Syndesmose (7 %) isoliert betroffen [5,7,8]. Trotz der hohen Prävalenz wird die bandhafte Sprunggelenkverletzung noch immer bagatellisiert, obwohl das Rezidivrisiko nach einer Erstverletzung nachweislich bis zu 2-5-fach erhöht ist und zu diversen Folgeverletzungen führen kann [9,10,11]. Insbesondere für junge Elitespieler kann dieser Umstand den Einstieg in eine andauernde "Verletzungskarriere" bedeuten.…”

Time‐loss and recurrence of lateral ligament ankle sprains in male elite football: A systematic review and meta‐analysis

“…[24][25][26] More than 75% of ankle sprains involve the lateral ligaments. [24][25][26] Previous injuries and inadequate rehabilitation are considered the greatest risk factors for recurrent injuries 14,[30][31][32] : the re-injury rate of ligamentous ankle injuries in sports is increased two-to fivefold, 13,33,34 and especially in soccer up to fivefold. 31,[35][36][37][38][39] Persistent symptoms such as feelings of instability, persistent swelling, continuous pain conditions, limited mobility, or cartilage defects can have serious long-term consequences for athletes, and in the worst case, lead to early career dropout.…”

“…Ligamentous injuries of the ankle are among the most common types of injuries in sports, 1–9 especially in sports with multi‐directional movement patterns 10–13 . Along with muscle (33–35%) 14–17 and knee joint injuries (15%–21%), 14,16–20 trauma to the ankle is the third most common type of injury in professional football 17,21–23 .…”

“…Ligamentous injuries of the ankle are among the most common types of injuries in sports, 1 , 2 , 3 , 4 , 5 , 6 , 7 , 8 , 9 especially in sports with multi‐directional movement patterns. 10 , 11 , 12 , 13 Along with muscle (33–35%) 14 , 15 , 16 , 17 and knee joint injuries (15%–21%), 14 , 16 , 17 , 18 , 19 , 20 trauma to the ankle is the third most common type of injury in professional football. 17 , 21 , 22 , 23 The injury rate is still high despite a decreasing trend in the injury frequency of ligamentous ankle injuries in professional soccer 24 : 10–18% of the occurring injuries in professional football involve the ankle.…”