Comparison of strength and proprioception parameters between subjects with and without functional ankle instability
DOI:
https://doi.org/10.590/1809-2950/12675222012015Abstract
After an ankle sprain 40% of individuals continue to report a sensation of joint instability that is related to musculoskeletal dysfunction called functional ankle instability (FAI). However, a mechanism like this musculoskeletal dysfunction occurs remains unknown. In this sense, the knowledge of musculoskeletal changes that occur in individuals with FAI may be an important factor to plot more effective preventive interventions. Thus, the aim of this study was to compare peak torque (PT) concentric inversion (INV) and eversion (EVE), conventional ratio (EVE/ INV) and passive joint repositioning in individuals with and without FAI in recreational athletes females. The sample consisted of 22 volunteers aged 18-25 years who were divided into control group and the group with FAI. The torque rating was performed on an isokinetic dynamometer with five maximal concentric contractions at speeds of 60 and 120 graus.s-1 in INV and EVE movement and passive joint repositioning to target angle of 10° and 20° of inversion. PT data, conventional ratio and average absolute error of the target angle were analyzed. Statistical analysis was performed using the Student t-test for independent samples. Found that individuals with LFS showed decreased evertor strength compared to control subjects, as well as unbalanced muscle ratio, which may increase the susceptibility of this group to ankle sprains.Downloads
References
Fortes CRN, Carazzato JG. Estudo epidemiológico da entorse de
tornozelo em atletas de voleibol de alto rendimento. Acta Ortop
Bras. 2008;16(3):142-7.
Cardoso JR, Guerino CSM, Santos MB, Mustafá TAA, Lopes AR,
Paula MC. Influência da utilização da órtese de tornozelo durante
atividades do voleibol: avaliação eletromiográfica. Rev Bras Med
Esporte. 2005;11(5):276-80.
Noronha M de, França LC, Haupenthal A, Nunes GS. Intrinsic
predictive factors for ankle sprain in active university students: a
prospective study. Scand J Med Sci Sports. 2013;23(5):541-7.
O´Driscoll J, Delahunt E. Neuromuscular training to enhance
sensorimotor and functional deficits in subjects with chronic ankle
instability: a systematic review and best evidence synthesis. Sports
Med Arthrosc Rehabil Ther Technol. 2011;3(19):1-20.
Waterman BR, Owens BD, Davey S, Zacchilli MA, Belmont PJ Jr. The
epidemiology of ankle sprains in the United States. J Bone Joint
Surg Am. 2010;92(13):2279-84.
Darrow CJ, Collins CL, Yard EE, Comstock RD. Epidemiology of severe injuries among United States high school athletes: 2005-2007.
Am J Sports Med. 2009;37(9):1798-805.
Pacheco AM, Vaz MA, Pacheco I. Avaliação do tempo de resposta
eletromiográfica em atletas de voleibol e não atletas que sofreram
entorse de tornozelo. Rev Bras Med Esporte. 2005;11(6):325-30.
Hopkins JT, Brown TN, Christensen L, Palmieri-Smith RM.
Deficits in peroneal latency and electromechanical delay
in patients with functional ankle instability. J Orthop Res.
;27(12):1541-46.
Sekir U, Yildiz Y, Hazneci B, Ors F, Aydin T. Effect of isokinetic training on strength, functionality and proprioception in athletes with
functional ankle instability. Knee Surg Sports Traumatol Arthrosc.
;15(5):654-64.
Freeman MA, Dean MR, Hanham IW. The etiology and prevention of functional instability of the foot. J Bone Joint Surg Br.
;47(4):678-85.
Gutierrez GM, Knight CA, Swanik CB, Royer T, Manal K, Caulfield B,
Kaminski TW. Examining neuromuscular control during landings on
a supinating platform in persons with and without ankle instability.
Am J Sports Med. 2012;40(1):193-201.
Docherty CL, Arnold BL, Hurwitz S. Contralateral force sense
deficits are related to the presence of functional ankle instability. J
Orthop Res. 2006;24(7):1412-9.
Arnold BL, Linens SW, Motte SJ, Ross SE. Concentric evertor
strength differences and functional ankle instability: a meta-analysis. J Athl Train. 2009;44(6):653-62.
Delahunt E, Monaghan K, Caulfield B. Altered neuromuscular
control and ankle joint kinematics during walking in subjects
with functional instability of the ankle joint. Am J Sports Med.
;34(12):1970-6.
Sefton JM, Hicks-Little CA, Hubbard TJ, Clemens MG, Yengo CM,
Koceja DM, et al. Sensorimotor function as a predictor of chronic
ankle instability. Clin Biomech (Bristol, Avon). 2009;24(5):451-8.
Konradsen L. Factors contributing to chronic ankle instability: kinesthesia and joint position sense. J Athl Train. 2002;37(4):381-5.
Noronha M, Refshauge KM, Kilbreath SL, Figueiredo VG. Crosscultural adaptation of the Brazilian-Portuguese version of
the Cumberland ankle instability tool (CAIT). Disab Rehab.
;30(26):1959-65.
Bolgla LA, Keskula DR. Reliability of lower extremity functional
performance tests. J Orthop Sports Phys Ther. 1997;26(3):138-42.
Van Cingel HER, Kleinrensink GJ, Rooijens PPGM, Uitterlinden EJ,
Aufdemkampe G, Stoeckart R. Learning effect in isokinetic testing
of ankle invertors and evertors. Isokinet Exerc Sci. 2001;9(4):171-7.
Hartsell HD, Spaulding SJ. Eccentric/concentric ratios at selected
velocities for the invertor and evertor muscles of the chronically
unstable ankle. Br J Sports Med. 1999;33(4):255-8.
Pontaga I. Ankle joint evertor–invertor muscle torque ratio decrease
due to recurrent lateral ligament sprains. Clin Biomech (Bristol,
Avon). 2004;19(7):760-2.
Silverthorn DU. Fisiologia humana, uma abordagem integrada. São
Paulo: Manole; 2003.
Milanezi FC, Marques NR, Cardozo AC, Hallal CZ, Fonseca LCS,
Gonçalves M. Senso de posicionamento articular de jovens praticantes de basquetebol com e sem instabilidade de tornozelo. In:
Gonçalves M, Cardozo AC, Hallal CZ, Marques NR. Princípios biomecânicos aplicados ao treinamento e reabilitação. Curitiba: CRV; 2011.
p. 43-50.
Andrews JAR, Wilk AH. Reabilitação física do atleta. Rio de Janeiro:
Elsevier; 2005.
Kaminski TW, Perrin DH, Gansneder BM. Eversion strength analysis
of uninjured and functionally unstable ankles. Journal of Athletic
Training. 1999;34(3):239-45.
Fong DT, Hong Y, Chan LK, Yung PS, Chan KM. A systematic
review on ankle injury and ankle sprain in sports. Sports Med.
;37(1):73-94.
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