Joint Stability Characteristics of the Ankle Complex in Female Athletes With Histories of Lateral Ankle Sprain, Part II: Clinical Experience Using Arthrometric Measurement
| Autor: | John E. Kovaleski, Robert J. Heitman, Wei Liu, Larry R. Gurchiek, J. M. Hollis, Albert W. Pearsall |
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| Rok vydání: | 2014 |
| Předmět: |
Adult
Joint Instability medicine.medical_specialty Lateral ankle Rotation Joint stability Physical Therapy Sports Therapy and Rehabilitation Context (language use) Young Adult Physical medicine and rehabilitation Sprains and strains medicine Humans Orthopedics and Sports Medicine Ankle Injuries Original Research Arthrometry Articular biology Athletes business.industry Joint instability General Medicine medicine.disease biology.organism_classification Cadaver model Biomechanical Phenomena Cross-Sectional Studies medicine.anatomical_structure Athletic Injuries Sprains and Strains Female Ankle business Ankle Joint |
| Zdroj: | Journal of Athletic Training. 49:198-203 |
| ISSN: | 1062-6050 |
| DOI: | 10.4085/1062-6050-49.2.08 |
| Popis: | Context: This is part II of a 2-part series discussing stability characteristics of the ankle complex. In part I, we used a cadaver model to examine the effects of sectioning the lateral ankle ligaments on anterior and inversion motion and stiffness of the ankle complex. In part II, we wanted to build on and apply these findings to the clinical assessment of ankle-complex motion and stiffness in a group of athletes with a history of unilateral ankle sprain. Objective: To examine ankle-complex motion and stiffness in a group of athletes with reported history of lateral ankle sprain. Design: Cross-sectional study. Setting: University research laboratory. Patients or Other Participants: Twenty-five female college athletes (age = 19.4 ± 1.4 years, height = 170.2 ± 7.4 cm, mass = 67.3 ± 10.0 kg) with histories of unilateral ankle sprain. Intervention(s): All ankles underwent loading with an ankle arthrometer. Ankles were tested bilaterally. Main Outcome Measure(s): The dependent variables were anterior displacement, anterior end-range stiffness, inversion rotation, and inversion end-range stiffness. Results: Anterior displacement of the ankle complex did not differ between the uninjured and sprained ankles (P = .37), whereas ankle-complex rotation was greater for the sprained ankles (P = .03). The sprained ankles had less anterior and inversion end-range stiffness than the uninjured ankles (P < .01). Conclusions: Changes in ankle-complex laxity and end-range stiffness were detected in ankles with histories of sprain. These results indicate the presence of altered mechanical characteristics in the soft tissues of the sprained ankles. |
| Databáze: | OpenAIRE |
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