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Lateral ankle sprain

Christopher J Burcal, Michelle A Sandrey, Tricia Hubbard-Turner, Patrick O McKeon, Erik A Wikstrom
OBJECTIVES: Balance training typically features as a central component of exercise-based rehabilitation programs for patients with lateral ankle sprain and chronic ankle instability (CAI). The purpose of this study was to conduct a responder/non-responder analysis using existing data to identify factors associated with improvements in dynamic balance performance in CAI patients. DESIGN: Secondary data analysis. METHODS: Data was used from 73 CAI patients who participated in 6 previous investigations that used the same balance training program...
November 15, 2018: Journal of Science and Medicine in Sport
Cody Mansfield, Lucas VanEtten, Richard Willy, Stephanie Di Stasi, Robert Magnussen, Matthew Briggs
STUDY DESIGN: Systematic review with meta-analysis. BACKGROUND: Needling has been shown to decrease pain in the short-term; however, its effects on muscle force production are unclear. OBJECTIVE: Evaluate the evidence regarding the comparative effects of needling on muscle force production. METHODS: An electronic search was performed using keywords related to needling. Methodological quality of articles was appraised and effect sizes calculated...
November 30, 2018: Journal of Orthopaedic and Sports Physical Therapy
Masafumi Terada, Nathan Johnson, Kyle Kosik, Phillip Gribble
PURPOSE: This study aimed to quantify differences in white matter microstructure and static postural control in individuals with and without a previous history of a lateral ankle sprain. METHODS: Ten participants with a history of a lateral ankle sprain and 10 controls performed 3, 20-second trials of single-leg static balance on a force platform under an eyes-open condition. Resultant sample entropy (SampEn) was used to assess static postural control performance...
November 21, 2018: Medicine and Science in Sports and Exercise
Sailesh V Tummala, David E Hartigan, Justin L Makovicka, Karan A Patel, Anikar Chhabra
Background: Ankle injury is the most common injury in men's and women's basketball, regardless of the level of competition. Purpose: To use the National Collegiate Athletic Association (NCAA) Injury Surveillance Program/System (ISP/ISS) to review the 10-year epidemiology of ankle injuries in men's and women's collegiate basketball players. Study Design: Descriptive epidemiology study. Methods: The NCAA ISP was queried for men's and women's collegiate basketball ankle injury data from the 2004 through 2014 academic years...
November 2018: Orthopaedic Journal of Sports Medicine
Michelle M Gosselin, Jacob A Haynes, Jeremy J McCormick, Jeffery E Johnson, Sandra E Klein
BACKGROUND: Ankle sprains are the most common musculoskeletal injury in the United States. Chronic lateral ankle instability can ultimately require operative intervention to decrease pain and restore stability to the ankle joint. There are no anatomic studies investigating the vascular supply to the lateral ankle ligamentous complex. PURPOSE: To define the vascular anatomy of the lateral ligament complex of the ankle. STUDY DESIGN: Descriptive laboratory study...
November 19, 2018: American Journal of Sports Medicine
Cassandra S Thompson, Claire E Hiller, Siobhan M Schabrun
OBJECTIVES: To compare soleus spinal reflex excitability, presynaptic inhibition and recurrent inhibition between chronic ankle instability (CAI), acute Lateral Ankle Sprain coper (LAS-coper) and healthy populations. The relationship between spinal reflex excitability and pain and perceived instability in people with CAI was also examined. DESIGN: Cross-sectional laboratory experiment. METHODS: Twelve individuals with CAI, twelve 'copers' and twelve healthy age, limb and gender-matched controls participated...
November 6, 2018: Journal of Science and Medicine in Sport
Duncan P Fransz, Arnold Huurnink, Idsart Kingma, Vosse A de Boode, Ide C Heyligers, Jaap H van Dieën
BACKGROUND: Soccer has a high injury rate, with lateral ankle sprains being a common injury. Therefore, an approach to prevent or at least reduce the occurrence is warranted. Injury prevention can be improved by identifying specific risk factors and individuals at risk. PURPOSE: To assess drop-jump landing performance as a potential predictor of lateral ankle sprain within 3-year follow-up. STUDY DESIGN: Case-control study; Level of evidence, 3...
December 2018: American Journal of Sports Medicine
Adrian D K Le, Lawrence Enweze, Malcolm R DeBaun, Jason L Dragoo
PURPOSE OF REVIEW: This review evaluates current clinical literature on the use of platelet-rich plasma (PRP), including leukocyte-rich PRP (LR-PRP) and leukocyte-poor PRP (LP-PRP), in order to develop evidence-based recommendations for various musculoskeletal indications. RECENT FINDINGS: Abundant high-quality evidence supports the use of LR-PRP injection for lateral epicondylitis and LP-PRP for osteoarthritis of the knee. Moderate high-quality evidence supports the use of LR-PRP injection for patellar tendinopathy and of PRP injection for plantar fasciitis and donor site pain in patellar tendon graft BTB ACL reconstruction...
December 2018: Current Reviews in Musculoskeletal Medicine
Kyung-Min Kim, Joo-Sung Kim, Jeonghoon Oh, Sae Yong Lee
BACKGROUND: Acute lateral ankle sprain (ALAS) impairs unipedal balance both with the injured and uninjured limb, suggesting that balance during bipedal stance may also be compromised. However, a previous study failed to find such impairment because of poorly sensitive balance outcomes. Time-to-boundary (TTB) analysis may be sensitive enough for detecting latent deficits in bipedal balance following ALAS. RESEARCH QUESTION: We aimed to examine postural stability during bipedal stance in patients with ALAS using TTB outcomes, and to determine bilateral deficits in unipedal balance...
January 2019: Gait & Posture
J K G Louwerens, D T Mensch, O J W Verhoof, P R de Reuver, T S Bijlsma, A van Noort, M P J van den Bekerom
BACKGROUND: The outcome of a removable (MOK-cast) versus a non-removable polyester wrap for acute lateral ankle ligament injury is unknown. METHODS: Patients with grade II-III lateral ankle ligament injuries were randomized between treatment with a MOK-cast and a wrap. Primary outcome is the Karlsson score for function. Secondary outcomes are patient satisfaction and pain at 4 months follow-up. RESULTS: Randomisation resulted in 53 and 54 patients per arm...
March 26, 2018: Foot and Ankle Surgery: Official Journal of the European Society of Foot and Ankle Surgeons
Masafumi Terada, Megan Beard, Sara Carey, Kate Pfile, Brian Pietrosimone, Elizabeth Rullestad, Heather Whitaker, Phillip Gribble
This study aimed to compare time-to-boundary and sample entropy during a single-leg balance task between individuals with chronic ankle instability (CAI), lateral ankle sprain copers, and healthy controls. Twenty-two participants with CAI, 20 lateral ankle sprain copers, and 24 healthy controls performed a single-leg balance task during an eyes-closed condition. Participants with CAI exhibited lower time-to-boundary values compared with lateral ankle sprain copers and healthy controls. However, we did not find differences in sample entropy variables between cohorts...
October 13, 2018: Motor Control
Peilong Dong, Song Gu, Yiqiu Jiang, Wangxiang Yao, Kaibin Zhang, Tianqi Tao, Yang Li, Wang Li, Jianchao Gui
Lateral ankle sprains are one of the most common injuries in sports. Recently, arthroscopic lateral ligament reconstruction has been recently advocated, however no biomechanical studies and clinical application of this technique are available. In this biomechanical study, eighteen fresh-frozen cadaveric ankles were randomized into three groups: (1) intact anterior talofibular ligament (ATFL) and calcaneofibular ligament (CFL), (2) arthroscopic anatomic reconstruction of ATFL and CFL, and (3) all arthroscopic remnant-preserving reconstruction of ATFL and CFL...
November 10, 2018: Biochemical and Biophysical Research Communications
Brittany Mann, Allison H Gruber, Shane P Murphy, Carrie L Docherty
CONTEXT: The lateral ankle sprain is one of the most common lower extremity injuries in sports. Previous research has found that some prophylactic ankle supports reduce the risk of recurrent ankle sprains and provide extra support to the joint. However, there is a continued concern that these supports may negatively influence performance. OBJECTIVE: To determine if wearing an ankle brace influences athlete performance and ankle kinematics during functional performance tests (FPTs)...
October 9, 2018: Journal of Sport Rehabilitation
Jin Hyuck Lee, Soon Hyuck Lee, Gi Won Choi, Hae Woon Jung, Woo Young Jang
PURPOSE: To compare proprioception, postural stability, and neuromuscular control between patients with mechanical laxity and recurrent ankle sprain. METHODS: Among 86 patients with ankle instability, 45 patients had mechanical laxity (mean age 27.2 ± 7.0 years) and 41 had recurrent ankle sprain (mean age 25.1 ± 9.2 years). Both the affected and unaffected ankles of each patient were evaluated. Proprioception and neuromuscular control tests were conducted using an isokinetic machine, and postural stability was tested using a postural stabilometry system...
October 5, 2018: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
Frédéric Noé, Xavier García-Massó, Damien Ledez, Thierry Paillard
OBJECTIVE: This study was undertaken in order to provide new insight into sensorimotor control of posture when wearing high-shaft (HS) boots as ski boots. BACKGROUND: Previous studies into the effects of HS boots on postural control have produced controversial results. Some studies reported postural control impairments with ski boots in bipedal postural tasks due to ankle movement restrictions without quantifying the actual restrictive effect of these boots and specifying the adaptations of the postural control system...
October 3, 2018: Human Factors
Matt Greig, Hannah Emmerson, John McCreadie
CONTEXT: Contemporary developments in GPS technology present a means of quantifying mechanical loading in a clinical environment with high ecological validity. However, applications to date have typically focussed on performance rather than rehabilitation. OBJECTIVE: To examine the efficacy of GPS micro-technology in quantifying the progression of loading during functional rehabilitation from ankle sprain injury, given the prevalence of re-injury and need for quantifiable monitoring...
September 17, 2018: Journal of Sport Rehabilitation
Dana M Otzel, Chris J Hass, Erik A Wikstrom, Mark D Bishop, Paul A Borsa, Mark D Tillman
CONTEXT: Following a lateral ankle sprain, approximately 40% of individuals develop chronic ankle instability (CAI), characterized by recurrent injury and sensations of giving way. Deafferentation due to mechanoreceptor damage post-injury is suggested to contribute to arthrogenic muscle inhibition (AMI). Whole-body vibration (WBV) has the potential to address the neurophysiologic deficits accompanied by CAI and therefore possibly prevent re-injury. OBJECTIVE: To determine if an acute bout of WBV can improve AMI and proprioception in individuals with CAI...
September 17, 2018: Journal of Sport Rehabilitation
Bethany Wisthoff, Shannon Matheny, Aaron Struminger, Geoffrey Gustavsen, Joseph Glutting, Charles Swanik, Thomas W Kaminski
OBJECTIVES: Lateral ankle sprains commonly occur in an athletic population and can lead to chronic ankle instability (CAI). The objective of this study was to compare ankle strength measurements in athletes who have mechanical laxity and report functional instability after a history of unilateral ankle sprains. DESIGN: Retrospective cohort. SETTING: Athletic Training Research Lab. PARTICIPANTS: 165 National Collegiate Athletic Association Division I athletes, 97 males and 68 females, with history of unilateral ankle sprains participated...
September 17, 2018: Journal of Sport Rehabilitation
Noha Mahmoud Youssef, Azza Mohammed Abdelmohsen, Ahmed Atteya Ashour, Naglaa Mohamed Elhafez, Salam Mohamed Elhafez
BACKGROUND: Chronic ankle instability (CAI) is a common sequence of ankle sprain. Conservative treatment of CAI is currently accepted as a primary mean of managing the condition and preventing of recurrence. OBJECTIVES: The purpose of the current study was to evaluate the effect of Weight-bearing Exercise for Better Balance (WEBB) program and unilateral balance training exercises on postural control in females with CAI. METHODS: Thirty-five females with CAI participated in this study...
2018: Acta of Bioengineering and Biomechanics
L A Gómez-Carlín, V J Ramírez-Gómez, A E Torres-Ortega, A M Contreras-Navarro, R Ortega-Orozco
BACKGROUND: The most frequent sequel to the ankle sprain is the instability of the lateral ligament complex; the results of surgical treatment have not been evaluated with multiple scales simultaneously. The objective of the study was to assess the clinical and functional results with three scales in patients with lateral instability of ankle undergoing Broström-Gould technique, using for fixation, anchors with suture to distal fibula. MATERIAL AND METHODS: The design of the study was cross-sectional and descriptive; we included patients with lateral instability of ankle and partial or complete rupture of the APA or CP ligament subject to repair with Broström-Gould technique...
March 2018: Acta Ortopédica Mexicana
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