What did the ankle say to the knee? Estimating knee dynamics during landing — A systematic review and meta-analysis

Tait, Daniel B.; Newman, Phil; Ball, Nick; Spratford, Wayne

doi:10.1016/j.jsams.2021.08.007

Cited by 11 publications

(3 citation statements)

References 55 publications

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“…The ankle is arguably the most important joint, as it is the last joint in the kinetic linkage allowing the lower limbs to interact with the ground ( Han et al, 2015 ). A recent systematic review ( Tait et al, 2022 ) has shown that dynamic ankle measures can precisely estimate peak moments and initial contact angles of the knee. Given the association between ankle proprioception and lower limb neuromuscular control, we assumed that the impaired neuromuscular control as identified in individuals with KOA would be also related to ankle proprioception deficit.…”

Section: Introductionmentioning

confidence: 99%

Knee osteoarthritis patients assessed during walking for ankle inversion movement discrimination sensitivity

Huang,

Li,

Shi

et al. 2024

Front. Bioeng. Biotechnol.

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Background: Knee osteoarthritis (KOA) is a common musculoskeletal condition that affects dynamic balance control and increases the risk of falling during walking. However, the mechanisms underlying this are still unclear. Diminished ankle proprioception during walking has been found to be related to fear of falling in older adults, with a gender difference in incidence of falling. This study aimed to determine 1) whether ankle inversion proprioceptive acuity during walking is impaired in patients with KOA; and 2) whether there is any difference between genders.Methods: Thirty-two patients with KOA (F:M = 17:15, Median age = 52.5, BMI = 22.3 ± 3.0) and 34 healthy controls without KOA (HC) (F:M = 17:17; median age = 49.0, BMI = 22.5 ± 2.7) were recruited. In patients with KOA, ankle inversion proprioceptive acuity was measured on the affected side using the ankle inversion discrimination apparatus for walking (AIDAW), whilst HC were assessed on a randomly selected side. Two-way (2*2) analysis of variance (ANOVA) was performed to determine the main effects and interaction between gender and KOA condition.Results: Two-way ANOVA showed a significant KOA main effect (F = 26.6, p < 0.001, ƞp2 = 0.3) whereby AIDAW scores during walking for individuals with KOA were significantly lower than those without KOA (KOA vs. HC: 0.746 ± 0.057 vs. 0.807 ± 0.035). There was neither a gender main effect nor interaction (both p > 0.05).Conclusion: Individuals with KOA demonstrated lower ankle proprioception scores during walking compared to their healthy counterparts, with a similar level of impairment in ankle proprioceptive acuity between male and female patients. A low score may contribute to an increased risk of falling in the KOA population. The current findings suggest the need for global concern about lower limb proprioception in the clinical management of KOA.

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Section: Introductionmentioning

confidence: 99%

Knee osteoarthritis patients assessed during walking for ankle inversion movement discrimination sensitivity

Huang,

Li,

Shi

et al. 2024

Front. Bioeng. Biotechnol.

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“…Specifically, ankle proprioception is important for postural balance, gait pattern and overall ability to maintain an upright posture. Poor ankle proprioception may influence the rest of the kinetic chain and is associated with increased vulnerability to lower limb injury (3)(4)(5).…”

Section: Introductionmentioning

confidence: 99%

The effect of compression and combined compression-tactile stimulation on lower limb somatosensory acuity

Marchant,

Wallwork,

Ball

et al. 2023

Front. Sports Act. Living

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BackgroundLower limb somatosensation and proprioception are important for maintaining balance. Research has shown that compression garments or exposure to textured surfaces, can enhance somatosensation however, little is known about the effect of combined compression and texture on somatosensory acuity in the lower limb. This study aimed to assess the effects of combined compression socks with a plantar textured sole, on lower limb somatosensory acuity.MethodsThirty participants completed a somatosensory acuity task (active movement extent discrimination apparatus; AMEDA) under three conditions: barefoot (control condition), standard knee-high compression sock (compression sock), and knee-high compression sock with internal rubber nodules situated on the sole (textured-compression sock). Somatosensory acuity was assessed between the different sock conditions for the (i) entire group, (ii) high performers, and (iii) low performers. It was hypothesized that low performers would see gains wearing either sock, but the greatest improvement would be in the textured-compression sock condition.ResultsAMEDA scores were not significantly different between conditions when the entire group was analyzed (p = 0.078). The low performers showed an improvement in somatosensory acuity when wearing the compression sock (p = 0.037) and the textured compression sock (p = 0.024), when compared to barefoot, but there was no difference between the two sock conditions (p > 0.05). The high performers did not show any improvement (p > 0.05 for all).ConclusionThese findings demonstrate that additional sensory feedback may be beneficial to individuals with lower baseline somatosensory acuity but is unlikely to provide benefit for those with higher somatosensory acuity.

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“…The training program regarding modification of trunk motion and foot landing position was effective for the reduction of knee valgus loading during cutting motion [6]. Therefore, trunk, hip, and foot motion during sports movement are important as well as knee joint motion for ACL injury prevention [2, 9, 14, 24, 34, 35].…”

Section: Introductionmentioning

confidence: 99%

Effects of foot progression angle on kinematics and kinetics of a cutting movement

et al. 2022

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Purpose Foot progression angle is a key factor for biomechanical knee load, which is associated with noncontact anterior cruciate ligament (ACL) injury during sports-specific tasks. The purpose of the present study was to assess the biomechanics of trunk, pelvis, and lower extremities during a cutting maneuver under different foot progression angles. Methods Nineteen male collegiate athletes (ages 18–24) participated in the present study. Cutting motion was analyzed using eight infrared cameras (250 Hz), two force plates (1250 Hz), and 44 reflective markers. Subjects performed 45-degree side cutting maneuvers under three foot progression angles, including 20 degrees (toe-out: TO), 0 degrees (neutral: TN), and − 20 degrees (toe-in: TI). Peak values of each biomechanical parameters in trunk, pelvis, hip, and knee within a first 40% stance phase and each parameter at the timing of the peak vertical ground reaction force were assessed. A statistical analysis was performed to compare data among the three-foot progression angles using the Friedman test. Results Peak angles of knee abduction, tibial internal rotation, hip internal rotation, and hip adduction were significantly greater for TI position than for TO position (p < 0.01). Peak moments of knee abduction and tibial internal rotation under TI position were also significantly larger than TO position (p < 0.01). Moreover, greater peak pelvis-trunk rotation was found for TI position than for TN and TO positions (p < 0.01). Conclusion From the present study, TI position could lead to an increased risk of ACL injury during a pre-planned cut maneuver, compared to TO position.

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What did the ankle say to the knee? Estimating knee dynamics during landing — A systematic review and meta-analysis

Cited by 11 publications

References 55 publications

Knee osteoarthritis patients assessed during walking for ankle inversion movement discrimination sensitivity

Knee osteoarthritis patients assessed during walking for ankle inversion movement discrimination sensitivity

The effect of compression and combined compression-tactile stimulation on lower limb somatosensory acuity

Effects of foot progression angle on kinematics and kinetics of a cutting movement

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