The peroneal strength deficits in patients with chronic ankle instability compared to ankle sprain copers and normal individuals

Cho, Byung-Ki; Park, Ji-Kang; Choi, Seung-Myung; Kang, Sang-Woo; SooHoo, Nelson F.

doi:10.1016/j.fas.2017.10.017

Cited by 34 publications

(39 citation statements)

References 28 publications

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“…Self-report function was assessed using the FAAM (20% of studies) and Foot and Ankle Disability Index (FADI; 10% of studies), both of which contain activities of daily living (ADL) and sport subscales. Among CAI participants, average scores for the FAAM-ADL and FAAM-sport were 84.3% and 65.3%, respectively 29 34 35 37. FADI and FADI-sport scores ranged from 89.3% to 90.5%, and 64.1% to 75.6%, respectively, for CAI participants 32 36.…”

Section: Resultsmentioning

confidence: 99%

“…Studies are dichotomised into those published before and after the International Ankle Consortium publication. Only one recent study used all five recommended selection criteria (5% of studies)29 and only six studies (30% of studies) used four out of the five criteria 30–35. All studies required participants to have a previous ankle sprain, and eight studies (40%) required the injury to result in pain, swelling and activity restriction.…”

Section: Resultsmentioning

confidence: 99%

“…It should be noted that the definition of ‘giving way’ in most of the reviewed studies deviated from that of the International Ankle Consortium (eg, one episode of giving way in the past year or two episodes of giving way in the past 6 months). Only 6 of the 20 studies (30%) described the level of function or disability experienced by CAI participants 29 32 34–37. Self-report function was assessed using the FAAM (20% of studies) and Foot and Ankle Disability Index (FADI; 10% of studies), both of which contain activities of daily living (ADL) and sport subscales.…”

Section: Resultsmentioning

confidence: 99%

“…The aim of this systematic review was to determine whether individuals with CAI have impairments in ankle, knee and hip muscle strength compared with controls. The majority of studies included in this review (n=18) investigated strength of muscles around the ankle complex,30–35 37–41 43–48 with a few studies (n=4) investigating deficits more proximally at the hip and knee 29 32 34 36. In overview, where meta-analyses were possible, data indicate substantial impairments in eccentric invertor torque at a velocity of 60°/s in individuals with CAI compared with controls.…”

Section: Discussionmentioning

confidence: 99%

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Is chronic ankle instability associated with impaired muscle strength? Ankle, knee and hip muscle strength in individuals with chronic ankle instability: a systematic review with meta-analysis

Khalaj

Vicenzino

Heales³

et al. 2020

Br J Sports Med

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ObjectiveDetermine whether impairments in lower limb muscle strength exist in individuals with chronic ankle instability (CAI) compared with uninjured controls.DesignSystematic review with meta-analysis.Data sourceA comprehensive search of PubMed, Cochrane, CINAHL, Web of Science and EMBASE electronic databases from inception to 10 February 2019.Eligibility criteria for selecting studiesCross-sectional and case–control studies were included if they objectively measured lower limb muscle strength in individuals with CAI compared with controls. Risk of bias and quality of included studies were assessed. Data of included studies were extracted, and meta-analysis was conducted where appropriate.Results12 397 unique studies were identified, of which 20 were included and 16 were eligible for meta-analysis. Reviewed studies clearly described the aim/hypothesis and main outcome measure, but most lacked sample size calculation and assessor blinding. Meta-analyses showed individuals with CAI had lower eccentric and concentric evertor strength (30 and 120°/s; Nm; standardised mean difference (SMD) between −0.73 and −0.95), eccentric invertor strength (60 and 120°/s; both Nm and Nm/kg; SMD between −0.61 and −1.37), concentric invertor strength (60 and 120°/s; Nm; SMD=−0.7) and concentric knee extensor strength (SMD=−0.64) compared with control participants. Ankle eccentric dorsiflexor strength was not different between groups. Although pooling was not possible, data from three separate studies indicated that hip flexor, abductor and external rotator strength, but not hip adductor and extensor strength, was lower in individuals with CAI than in control participants.ConclusionIndividuals with CAI have ankle inversion and eversion strength deficits. Our data also point to differences between individuals with CAI and controls in hip and knee strength. These elements of the kinetic chain should be evaluated by clinicians who rehabilitate individuals with CAI.PROSPERO registration numberCRD42016037759.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Is chronic ankle instability associated with impaired muscle strength? Ankle, knee and hip muscle strength in individuals with chronic ankle instability: a systematic review with meta-analysis

Khalaj

Vicenzino

Heales³

et al. 2020

Br J Sports Med

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“…Meta-analy-ses 111,112 have shown consistent eversion concentricstrength deficits in patients with CAI. Deficits have also been reported in concentric inversion 113,114 and plantarflexion 115,116 strength and eccentric eversion, 117,118 inversion, 118,119 plantar-flexion, 120 and dorsiflexion 121 strength.…”

Section: Motor-behavioral Impairmentsmentioning

confidence: 96%

An Updated Model of Chronic Ankle Instability

Hertel

Corbett

2019

Journal of Athletic Training

492

386

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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.

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