Rehabilitation of Ankle and Foot Injuries in Athletes

Chinn, Lisa; Hertel, Jay

doi:10.1016/j.csm.2009.09.006

Cited by 99 publications

(61 citation statements)

References 14 publications

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“…It presents with a sharp pain under the anteromedial heel, often present on waking and worst on beginning walking. The pain may lessen with further movement, but in athletes, pain increases during activities which distribute weight frequently onto the toes [14].…”

Section: Presentationmentioning

confidence: 99%

Imaging of plantar fascia and Achilles injuries undertaken at the London 2012 Olympics

et al. 2013

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This file was dowloaded from the institutional repository Brage NIH -brage.bibsys.no/nih Elias, D. A., Carne, A., Bethapudi, S., Engebretsen, L., Budgett, R., O'Connor, P. (2013 AbstractPlantar fascia and distal Achilles injuries are common in elite athletes. Acute athletic injuries of the plantar fascia include acute plantar fasciopathy and partial or complete tears. Underlying most acute injuries is a background of underlying chronic plantar fasciopathy. Injuries may affect the central or less commonly lateral portions of the fascia and acute tears are generally proximal. Athletic Achilles injuries may occur at the mid tendon or the distal insertion, and there may be an underlying chronic tendinopathy. Acute or chronic paratendinopathy may occur as a separate entity or combined with Achilles injury. In this article the spectrum of athletic injuries of the plantar fascia and Achilles is described, illustrated by imaging findings from the London 2012 Olympic games.

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Section: Presentationmentioning

confidence: 99%

Imaging of plantar fascia and Achilles injuries undertaken at the London 2012 Olympics

et al. 2013

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“…Ankle and foot injuries are common among athletes and physically active individuals (Chinn and Hertel 2010). The most common residual disability, ankle sprain, is characterized by instability along with postural sway (Denegar and Miller 2002).…”

Section: Introductionmentioning

confidence: 99%

Correlation between Mechanical Properties of the Ankle Muscles and Postural Sway during the Menstrual Cycle

Yim

Petrofsky²,

Lee

2018

Tohoku J. Exp. Med.

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Ankle and foot injuries are common among athletes and physically active individuals. The most common residual disability, ankle sprain, is characterized by instability along with postural sway. If the supporting structures around a joint become lax, posture stability and balance are also affected. Previous studies have examined muscle stiffness and elasticity and postural sway separately; however, the relationship between these factors is yet unknown. It is well known that the levels of sex hormones, especially estrogen, change in women over the phase of the menstrual cycle. Therefore, this study examined the relationship between the mechanical properties of tissue and balance activity using a non-invasive digital palpation device to determine if they undergo any changes over the menstrual cycle in young women. Sixteen young women with regular menstrual cycles completed the study. Tone, stiffness, and elasticity of the ankle muscles (lateral gastrocnemius, peroneus longus, and tibialis anterior) were measured using a non-invasive digital palpation device. Postural sway was recorded while the participants performed balance tasks during ovulation and menstruation. Significantly greater posture sway characteristics and ankle muscle elasticity were found during ovulation than during menstruation; lower tone and stiffness of the ankle muscles were observed at ovulation (p < 0.05). Additionally, weak-to-strong relationships between ankle muscle mechanical properties and postural sway characteristics were found (p < 0.05). These results suggest the effect of estrogen on human connective tissues. We therefore postulate that estrogen increases joint and muscle laxity and affects posture stability according to the phase of the menstrual cycle.

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“…31 Rehabilitation programs are typically geared toward improving ankle motion, increasing strength of the lateral stabilizers, and regaining neuromuscular control. 9,45,54 Despite efforts to restore strength and function, many individuals resprain their ankle. 58 Repetitive sprains may increase the risk of ankle osteoarthritis.…”

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confidence: 99%

Effects of a Proximal or Distal Tibiofibular Joint Manipulation on Ankle Range of Motion and Functional Outcomes in Individuals With Chronic Ankle Instability

Beazell

Grindstaff²,

Sauer

et al. 2012

Journal of Orthopaedic & Sports Physical Therapy

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Study Design Randomized clinical trial. Objectives To determine whether manipulation of the proximal or distal tibiofibular joint would change ankle dorsiflexion range of motion and functional outcomes over a 3-week period in individuals with chronic ankle instability. Background Altered joint arthrokinematics may play a role in chronic ankle instability dysfunction. Joint mobilization or manipulation may offer the ability to restore normal joint arthrokinematics and improve function. Methods Forty-three participants (mean ± SD age, 25.6 ± 7.6 years; height, 174.3 ± 10.2 cm; mass, 74.6 ± 16.7 kg) with chronic ankle instability were randomized to proximal tibiofibular joint manipulation, distal tibiofibular joint manipulation, or a control group. Outcome measures included ankle dorsiflexion range of motion, the single-limb stance on foam component of the Balance Error Scoring System, the step-down test, and the Foot and Ankle Ability Measure sports subscale. Measurements were obtained prior to the intervention (before day 1) and following the intervention (on days 1, 7, 14, and 21). Results There was no significant change in dorsiflexion between groups across time. When groups were pooled, there was a significant increase (P<.001) in dorsiflexion at each postintervention time interval. No differences were found among the Balance Error Scoring System foam, step-down test, and Foot and Ankle Ability Measure sports subscale scores. Conclusions The use of a proximal or distal tibiofibular joint manipulation in isolation did not enhance outcome effects beyond those of the control group. Collectively, all groups demonstrated increases in ankle dorsiflexion range of motion over the 3-week intervention period. These increases might have been due to practice effects associated with repeated testing. Level of Evidence Therapy, level 2b-. J Orthop Sports Phys Ther 2012;42(2):125–134. doi:10.2519/jospt.2012.3729

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Rehabilitation of Ankle and Foot Injuries in Athletes

Cited by 99 publications

References 14 publications

Imaging of plantar fascia and Achilles injuries undertaken at the London 2012 Olympics

Imaging of plantar fascia and Achilles injuries undertaken at the London 2012 Olympics

Correlation between Mechanical Properties of the Ankle Muscles and Postural Sway during the Menstrual Cycle

Effects of a Proximal or Distal Tibiofibular Joint Manipulation on Ankle Range of Motion and Functional Outcomes in Individuals With Chronic Ankle Instability

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