Identifying Range-of-Motion Deficits and Talocrural Joint Laxity After an Acute Lateral Ankle Sprain
| Autor: | Charles Buz Swanik, Todd D. Royer, Carrie L. Docherty, Thomas W. Kaminski, Geoff Gustavsen, Bethany Wisthoff, Joseph J. Glutting |
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| Rok vydání: | 2021 |
| Předmět: |
Joint Instability
Male Lateral ankle Physical Therapy Sports Therapy and Rehabilitation Context (language use) Joint laxity Weight-Bearing 03 medical and health sciences Young Adult 0302 clinical medicine Anterior drawer test medicine Humans Orthopedics and Sports Medicine Ankle Injuries Range of Motion Articular Physical Examination 030222 orthopedics business.industry Anterior talofibular ligament 030229 sport sciences General Medicine medicine.anatomical_structure Cross-Sectional Studies Anesthesia Athletic Injuries Ligament Sprains and Strains Female Analysis of variance Ankle Range of motion business Lateral Ligament Ankle Ankle Joint |
| Zdroj: | J Athl Train |
| ISSN: | 1938-162X |
| Popis: | Context Approximately 72% of patients with an ankle sprain report residual symptoms 6 to 18 months later. Although 44% of patients return to activity in less than 24 hours after experiencing a sprain, residual symptoms should be evaluated in the long term to determine if deficits exist. These residual symptoms may be due to the quality of ligament tissue and motion after injury. Objective To compare mechanical laxity of the talocrural joint and dorsiflexion range of motion (DFROM) over time (24 to 72 hours, 2 to 4 weeks, and 6 months) after an acute lateral ankle sprain (LAS). Design Cross-sectional study. Setting Athletic training research laboratory. Patients or Other Participants A total of 108 volunteers were recruited. Fifty-five participants had an acute LAS and 53 participants were control individuals without a history of LAS. Main Outcome Measure(s) Mechanical laxity (talofibular interval and anterior talofibular ligament length) was measured in inversion (INV) and via the anterior drawer test. The weight-bearing lunge test was conducted and DFROM was measured. The data were analyzed using repeated-measures analysis of variance, independent-samples t tests, and 1-way analysis of variance. Results Of the 55 LASs, 21 (38%) were grade I, 27 (49%) were grade II, and 7 (13%) were grade III. Increases were noted in DFROM over time, between 24 and 72 hours, at 2 to 4 weeks, and at 6 months (P < .05). The DFROM was less in participants with grade III than grade I LASs (P = .004) at 24 to 72 hours; INV length was greater at 24 to 72 hours than at 2 to 4 weeks (P = .023) and at 6 months (P = .035) than at 24 to 72 hours. The anterior drawer length (P = .001) and INV talofibular interval (P = .004) were greater in the LAS group than in the control group at 6 months. Conclusions Differences in range of motion and laxity were evident among grades at various time points and may indicate different clinical responses after an LAS. |
| Databáze: | OpenAIRE |
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