Effects of chronic ankle instability on kinetics, kinematics and muscle activity during walking and running: A systematic review

Moisan, Gabriel; Descarreaux, Martin; Cantin, Vincent

doi:10.1016/j.gaitpost.2016.11.037

Cited by 105 publications

(89 citation statements)

References 52 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The altered motor-control strategies exhibited by the CAI group were consistent with previous data. 23,24 Increased GRF and Implications for Lower Extremity Joint Health…”

Section: Discussionmentioning

confidence: 99%

“…The inconsistent results of walking neuromechanics in patients with CAI may be attributed to several factors: (1) small sample sizes of 7 to 25 patients with CAI in previous studies, [2][3][4][5][6][7][8][9][10][11][12][13][14][15][16][17][23][24][25][26][27] leading to type 2 statistical error and limitations in the statistical analyses that could be performed; (2) heterogeneous inclusion criteria across studies before the position statement on inclusion of participants with CAI was available 23,24 ; (3) different experimental protocols (ie, treadmill versus level walking and shod versus barefoot) 23,24 ; and (4) varied reference tasks for sEMG normalization (ie, maximal voluntary isometric contraction versus quiet standing versus a squatting position). Therefore, a comprehensive set of all relevant biomechanical data needs to be examined in a single investigation so that we can obtain gait profiles of patients with CAI and understand potential mechanisms related to the condition.…”

mentioning

confidence: 98%

See 1 more Smart Citation

Altered Walking Neuromechanics in Patients With Chronic Ankle Instability

Son

Kim

Seeley

et al. 2019

Journal of Athletic Training

View full text Add to dashboard Cite

Context The literature on gait kinematics and muscle activation in chronic ankle instability (CAI) is limited. A comprehensive evaluation of all relevant gait measures is needed to examine alterations in gait neuromechanics that may contribute to recurrent sprain. Objective To compare walking neuromechanics, including kinematics, muscle activity, and kinetics (ie, ground reaction force [GRF], moment, and power), between participants with and those without CAI by applying a novel statistical analysis to data from a large sample. Design Controlled laboratory study. Setting Biomechanics laboratory. Patients or Other Participants A total of 100 participants with CAI (49 men, 51 women; age = 22.2 ± 2.3 years, height = 174.0 ± 9.7 cm, mass = 70.8 ± 14.4 kg) and 100 individuals without CAI serving as controls (55 men, 45 women; age = 22.5 ± 3.3 years, height = 173.1 ± 13.3 cm, mass = 72.6 ± 18.7 kg). Intervention(s) Participants performed 5 trials of walking (shod) at a self-selected speed over 2 in-ground force plates. Main Outcome Measure(s) Three-dimensional GRFs, lower extremity joint angles, internal joint moments, joint powers, and activation amplitudes of 6 muscles were recorded during stance. Results Compared with the control group, the CAI group demonstrated (1) increased plantar flexion or decreased dorsiflexion, increased inversion or decreased eversion, decreased knee flexion, decreased knee abduction, and increased hip-flexion angles; (2) increased or decreased inversion, increased plantar flexion, decreased knee extension, decreased knee abduction, and increased hip-extension moments; (3) increased vertical, braking, and propulsive GRFs; (4) increased hip eccentric and concentric power; and (5) altered muscle activation in all 6 lower extremity muscles. Conclusions The CAI group demonstrated a hip-dominant strategy by limiting propulsive forces at the ankle while increasing force generation at the hip. The different walking neuromechanics exhibited by the CAI group could represent maladaptive strategies that developed after the initial sprain or an injurious gait pattern that may have predisposed the participants to their initial injuries. Increased joint loading and altered kinematics at the foot and ankle complex during initial stance could affect the long-term health of the ankle articular cartilage.

show abstract

“…The altered motor-control strategies exhibited by the CAI group were consistent with previous data. 23,24 Increased GRF and Implications for Lower Extremity Joint Health…”

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 98%

Altered Walking Neuromechanics in Patients With Chronic Ankle Instability

Son

Kim

Seeley

et al. 2019

Journal of Athletic Training

View full text Add to dashboard Cite

show abstract

“…During walking, patients with CAI tend to exhibit greater inversion and plantar flexion of the foot relative to the tibia, a more laterally deviated center of pressure throughout stance, and alterations in fibularis muscle activation. 131 Biomechanical alterations during jogging and running tend to mimic those seen during walking. 131 The kinematic changes were amplified using a dual-task paradigm in which participants performed a cognitive task while ambulating.…”

Section: Motor-behavioral Impairmentsmentioning

confidence: 99%

“…131 Biomechanical alterations during jogging and running tend to mimic those seen during walking. 131 The kinematic changes were amplified using a dual-task paradigm in which participants performed a cognitive task while ambulating. 132 A more inverted foot is likely to lead to an LAS.…”

Section: Motor-behavioral Impairmentsmentioning

confidence: 99%

An Updated Model of Chronic Ankle Instability

Hertel

Corbett

2019

Journal of Athletic Training

499

386

View full text Add to dashboard Cite

Lateral ankle sprains (LASs) are among the most common injuries incurred during participation in sport and physical activity, and it is estimated that up to 40% of individuals who experience a first-time LAS will develop chronic ankle instability (CAI). Chronic ankle instability is characterized by a patient's being more than 12 months removed from the initial LAS and exhibiting a propensity for recurrent ankle sprains, frequent episodes or perceptions of the ankle giving way, and persistent symptoms such as pain, swelling, limited motion, weakness, and diminished self-reported function. We present an updated model of CAI that aims to synthesize the current understanding of its causes and serves as a framework for the clinical assessment and rehabilitation of patients with LASs or CAI. Our goal was to describe how primary injury to the lateral ankle ligaments from an acute LAS may lead to a collection of interrelated pathomechanical, sensory-perceptual, and motor-behavioral impairments that influence a patient's clinical outcome. With an underpinning of the biopsychosocial model, the concepts of self-organization and perception-action cycles derived from dynamic systems theory and a patient-specific neurosignature, stemming from the Melzack neuromatrix of pain theory, are used to describe these interrelationships.

show abstract

“…Thus, examining inter-joint or inter-segment coordination may be able to generate further insight into the central control issue in individuals with CAI. A review of literature revealed that most gait studies on CAI focused on examining individual joints rather than coordination (Moisan et al, 2017). Few studies examined if CAI is associated with coordination change during gait, but they only looked at coordination between two segments (Herb et al, 2014;Drewes, McKeon, Paolini, et al, 2009) or two joints (Yen et al, 2017), e.g., ankle-ankle or hip-ankle.…”

Section: Introductionmentioning

confidence: 99%

Self-expressive subspace clustering to recognize motion dynamics for chronic ankle instability

Qian

Yen

Folmar

et al. 2019

IISE Transactions on Healthcare Systems Engineering

View full text Add to dashboard Cite

Ankle sprains and instability are major public health concerns. Up to 70% of individuals do not fully recover from single ankle sprains and eventually develop chronic ankle instability (CAI).The diagnosis of CAI has been mainly based on self-report rather than objective biomechanical measures. The goal of this study is to quantitatively recognize the motion patterns of a multi-joint coordinate system using gait data of bilateral hip, knee, and ankle joints, and further distinguish CAI from control cohorts. We propose an analytic framework, where the concept of subspace clustering is applied to characterize the dynamic gait patterns in a lower dimensional subspace from an interdependent network of multiply joints. A support vector machine model is built to validate the learned measures compared to traditional statistical measures in a leave-one-subject-out cross validation. The experimental results showed >70% classification accuracy on average for the dataset of 47 subjects (24 with CAI and 23 controls) recruited to examine in our designed experiment. It is found that CAI can be observed from other joints (e.g., hips) significantly, which reflects the fact that there exists inter-dependency in the multi-joint coordinate system. The proposed framework presents a potential to support clinical decisions using quantitative measures during diagnosis, treatment, rehabilitation of gait abnormality caused by physical injuries (e.g., ankle sprains in this study) or even central nervous system disorders.

show abstract

Effects of chronic ankle instability on kinetics, kinematics and muscle activity during walking and running: A systematic review

Cited by 105 publications

References 52 publications

Altered Walking Neuromechanics in Patients With Chronic Ankle Instability

Altered Walking Neuromechanics in Patients With Chronic Ankle Instability

An Updated Model of Chronic Ankle Instability

Self-expressive subspace clustering to recognize motion dynamics for chronic ankle instability

Contact Info

Product

Resources

About