Measurement and relationships of proprioceptive isokinetic repositioning,postural control,and a self-reported questionnaire in patients with chronic ankle instability
Free accessResearch articleFirst published online February, 2017
Measurement and relationships of proprioceptive isokinetic repositioning,postural control,and a self-reported questionnaire in patients with chronic ankle instability
In subjects with chronic ankle instability (CAI), balance and functionality have been evaluated to determine the stability of the ankle, but there is limited evidence about relationships between these variables with active (AJR) and passive (PJR) isokinetic joint repositioning.
OBJECTIVE:
To determine the correlation between isokinetic joint repositioning, static balance, dynamic balance and a self-reported questionnaire in CAI participants.
METHODS:
Twenty subjects with unilateral CAI participated. AJR, PJR, average velocity (AV), average radius (AR), Modified Star Excursion Balance Test (SEBT) and Identification of Functional Ankle Instability were measured.
RESULTS:
The principal correlations were between the AJR of the affected ankle and the bilateral static balance [AV (r = -0.74, R2= 0.55, p = 0.005) and AR (r = -0.73, R2 = 0.53, p = 0.006)]. A correlation between the PJR of the non-affected ankle with the SEBT of non-affected ankle in a posterolateral direction (r = -0.67, R2= 0.45, p = 0.017) was observed.
CONCLUSIONS:
Strong relationships were seen between the AJR of the affected ankle and the bilateral static balance. In standing position, the non-affected ankle could mask the altered proprioception and balance.
HillerCE, NightingaleEJ, RaymondJ, KilbreathSL, BurnsJ, BlackDA, et al. Prevalence and impact of chronic musculoskeletal ankle disorders in the community. Arch Phys Med Rehabil. 2012; 93(10): 1801-1807.
2.
van RijnRM, van OsAG, BernsenRM, LuijsterburgPA, KoesBW, Bierma-ZeinstraSM. What is the clinical course of acute ankle sprains? A systematic literature review. Am J Med. 2008; 121(4): 324-331.
3.
YeungMS, ChanKM, SoCH, YuanWY. An epidemiological survey on ankle sprain. Br J Sports Med. 1994; 28: 112-116.
4.
HertelJ. Functional Anatomy, Pathomechanics, and Pathophysiology of Lateral Ankle Instability. J Athl Train. 2002; 37(4): 364-375.
5.
HillerCE, KilbreathSL, RefshaugeKM. Chronic ankle instability: evolution of the model. J Athl Train. 2011; 46(2): 133-141.
6.
GribblePA, DelahuntE, BleakleyC, CaulfieldB, DochertyCL, FourchetF, et al. Selection criteria for patients with chronic ankle instability in controlled research: a position statement of the International Ankle Consortium. J Orthop Sports Phys Ther. 2013; 43(8): 585-591.
7.
HoustonMN, HochJM, GabrinerML, KirbyJL, HochMC. Clinical and laboratory measures associated with health-related quality of life in individuals with chronic ankle instability. Phys Ther Sport. 2015; 16(2): 169-175.
8.
HubbardTJ, KramerLC, DenegarCR, HertelJ. Correlations among multiple measures of functional and mechanical instability in subjects with chronic ankle instability. J Athl Train. 2007; 42(3): 361-366.
9.
KimKM, HartJM, SalibaSA, HertelJ. Relationships between self-reported ankle function and modulation of Hoffmann reflex in patients with chronic ankle instability. Phys Ther Sport. 2015 May 27. pii: S1466-853X(15)00039-5. [Epub ahead of print] PMID: 26541975.
10.
Méndez-RebolledoG, Guzmán-MuñozE, Gatica-RojasV, Zbinden-FonceaH. Longer reaction time of the fibularis longus muscle and reduced postural control in basketball players with functional ankle instability: A pilot study. Phys Ther Sport. 2015; 16(3): 242-247.
11.
de VriesJS, KingmaI, BlankevoortL, van DijkCN. Difference in balance measures between patients with chronic ankle instability and patients after an acute ankle inversion trauma. Knee Surg Sports Traumatol Arthrosc. 2010; 18(5): 601-606.
12.
EechauteC, VaesP, DuquetW. The dynamic postural control is impaired in patients with chronic ankle instability: reliability and validity of the multiple hop test. Clin J Sport Med. 2009; 19(2): 107-114.
13.
TroppH, OdenrickP, GillquistJ. Stabilometry recordings in functional and mechanical instability of the ankle joint. Int J Sports Med. 1985; 6(3): 180-182.
14.
GoldiePA, EvansOM, BachTM. Postural control following inversion injuries of the ankle. Arch Phys Med Rehabil. 1994; 75(9): 969-975.
15.
CoughlanGF, FullamK, DelahuntE, GissaneC, CaulfieldBM. A comparison between performance on selected directions of the star excursion balance test and the Y balance test. J Athl Train. 2012; 47(4): 366-371.
16.
MissaouiB, PorteroP, BendayaS, HanktieO, ThoumieP. Posture and equilibrium in orthopedic and rheumatologic diseases. Neurophysiol Clin. 2008; 38(6): 447-457.
17.
GuravRS, GanuSS, PanhaleVP. Reliability of the Identification of Functional Ankle Instability (IdFAI) Scale Across Different Age Groups in Adults. N Am J Med Sci. 2014; 6(10): 516-518.
18.
SimonJ, DonahueM, DochertyC. Development of the Identification of Functional Ankle Instability (IdFAI). Foot Ankle Int. 2012; 33(9): 755-763.
19.
Guzmán-MuñozE, Gatica-RojasV, Méndez-RebolledoG. Correlación entre el control postural y neuromuscular con cuestionarios de percepción funcional en deportistas con inestabilidad de tobillo. Fisioterapia. 2015; 37: 60-66.
20.
ErgenE, UlkarB. Proprioception and ankle injuries in soccer. Clin Sports Med. 2008; 27(1): 195-217.
21.
FuSN, Hui-ChanCW. Are there any relationships among ankle proprioception acuity, pre-landing ankle muscle responses, and landing impact in man? Neurosci Lett. 2007; 417(2): 123-127.
22.
HillierS, ImminkM, ThewlisD. Assessing Proprioception: A Systematic Review of Possibilities. Neurorehabil Neural Repair. 2015; 29(10): 933-949.
23.
ClantonTO, MathenyLM, JarvisHC, JeronimusAB. Return to play in athletes following ankle injuries. Sports Health. 2012; 4(6): 471-474.
24.
HertelJ, BrahamRA, HaleSA, Olmsted-KramerLC. Simplifying the star excursion balance test: analyses of subjects with and without chronic ankle instability. J Orthop Sports Phys Ther. 2006; 36(3): 131-137.
NeumannDA. Kinesiology of the musculoskeletal system: Foundations for Rehabilitation. 2nd ed. St. Louis, Missouri: Mosby Elsevier; 2010.
27.
EilsE, RosenbaumD. A multi-station proprioceptive exercise program in patients with ankle instability. Med Sci Sports Exerc. 2001; 33(12): 1991-1998.
28.
KollockR, Van LunenBL, RinglebSI, OñateJA. Measures of functional performance and their association with hip and thigh strength. J Athl Train. 2015; 50(1): 14-22.
29.
EvansT, HertelJ, SebastianelliW. Bilateral deficits in postural control following lateral ankle sprain. Foot Ankle Int. 2004; 25(11): 833-839.
30.
MunnJ, SullivanSJ, SchneidersAG. Evidence of sensorimotor deficits in functional ankle instability: a systematic review with meta-analysis. J Sci Med Sport. 2010; 13(1): 2-12.
31.
WikstromEA, NaikS, LodhaN, CauraughJH. Bilateral balance impairments after lateral ankle trauma: a systematic review and meta-analysis. Gait Posture. 2010; 31(4): 407-414.
32.
NeedleAR, Charles B BuzS, FarquharWB, ThomasSJ, RoseWC, KaminskiTW. Muscle spindle traffic in functionally unstable ankles during ligamentous stress. J Athl Train. 2013; 48(2): 192-202.
33.
RiemannBL, LephartSM. The sensorimotor system, part I: the physiologic basis of functional joint stability. J Athl Train. 2002; 37(1): 71-79.
34.
HochMC, McKeonPO. Peroneal reaction time after ankle sprain: a systematic review and meta-analysis. Med Sci Sports Exerc. 2014; 46(3): 546-556.
35.
McKeonPO, HertelJ. Systematic review of postural control and lateral ankle instability, part I: can deficits be detected with instrumented testing. J Athl Train. 2008; 43(3): 293-304.
36.
RiemannBL, LephartSM. The Sensorimotor System, Part II: The Role of Proprioception in Motor Control and Functional Joint Stability. J Athl Train. 2002; 37(1): 80-84.
37.
LeeHM, LiauJJ, ChengCK, TanCM, ShihJT. Evaluation of shoulder proprioception following muscle fatigue. Clin Biomech (Bristol, Avon). 2003; 18(9): 843-847.
38.
KimCY, ChoiJD. Comparison between ankle proprioception measurements and postural sway test for evaluating ankle instability in subjects with functional ankle instability. J Back Musculoskelet Rehabil. 2015 Jun 26. [Epub ahead of print] PMID: 26406221.
