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Chronic ankle instability

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https://www.readbyqxmd.com/read/28800713/application-of-high-speed-dual-fluoroscopy-to-study-in-vivo-tibiotalar-and-subtalar-kinematics-in-patients-with-chronic-ankle-instability-and-asymptomatic-control-subjects-during-dynamic-activities
#1
Koren E Roach, K Bo Foreman, Alexej Barg, Charles L Saltzman, Andrew E Anderson
BACKGROUND: Abnormal angular and translational (ie, kinematic) motion at the tibiotalar and subtalar joints is believed to cause osteoarthritis in patients with chronic ankle instability (CAI). METHODS: In this preliminary study the investigators quantified and compared in vivo tibiotalar and subtalar kinematics in 4 patients with CAI (3 women) and 10 control subjects (5 men) using dual fluoroscopy during a balanced, single-leg heel-rise and treadmill walking at 0...
August 1, 2017: Foot & Ankle International
https://www.readbyqxmd.com/read/28799810/acute-effects-of-whole-body-vibration-on-balance-in-persons-with-and-without-chronic-ankle-instability
#2
Nicole K Rendos, Hyung-Pil Jun, Karen Lew Feirman, Kysha Harriell, Sae Yong Lee, Joseph F Signorile
Chronic ankle instability (CAI) is a common condition following ankle injury that is associated with compromised balance. Whole body vibration training (WBVT) programmes are linked with improved balance and function in athletic and non-athletic populations and may improve balance in CAI. Twelve healthy and seven CAI participants completed two randomly assigned interventions. Two Power Plate® platforms were attached back to back using a Theraband®. Participants stood on the active plate and inactive plate for WBVT and sham interventions, respectively...
August 11, 2017: Research in Sports Medicine
https://www.readbyqxmd.com/read/28765981/-anatomic-stabilization-of-chronic-lateral-instability-of-the-ankle-gold-technique
#3
REVIEW
T Diermeier, B Scheiderer, L Lacheta, A B Imhoff
OBJECTIVES: Anatomical reconstruction of the lateral ligament complex in the ankle. INDICATIONS: Chronic lateral ankle instability. CONTRAINDICATIONS: Severe osteoarthritis, obesity, hindfoot varus, general contraindications (infection, circulatory disorders, diabetic foot syndrome). SURGICAL TECHNIQUE: Anatomical V‑shaped reconstruction of the lateral ligament complex with half of the peroneus brevis tendon and additional retinaculum stabilization...
August 1, 2017: Operative Orthopädie und Traumatologie
https://www.readbyqxmd.com/read/28745068/arthroscopic-capsular-shrinkage-for-treatment-of-chronic-lateral-ankle-instability
#4
Gwendolyn Vuurberg, Jasper S de Vries, Rover Krips, Leendert Blankevoort, Alex W F M Fievez, C Niek van Dijk
BACKGROUND: Capsular shrinkage is an arthroscopic stabilization technique that can be used in patients with chronic ankle instability (CAI), if desired in addition to primary arthroscopic procedures. Despite positive short-term results, long-term follow-up of these patients has not yet been performed. Therefore, our objective was to assess whether capsular shrinkage still provided functional outcome after 12-14 years compared to preoperative scores. METHODS: This study was a retrospective long-term follow-up of a prospectively conducted longitudinal multicenter trial...
July 1, 2017: Foot & Ankle International
https://www.readbyqxmd.com/read/28732483/effects-of-dual-task-and-walking-speed-on-gait-variability-in-people-with-chronic-ankle-instability-a-cross-sectional-study
#5
Shmuel Springer, Uri Gottlieb
BACKGROUND: Recent evidence suggests that impaired central sensorimotor integration may contribute to deficits in movement control experienced by people with chronic ankle instability (CAI). This study compared the effects of dual-task and walking speed on gait variability in individuals with and without CAI. METHODS: Sixteen subjects with CAI and 16 age- and gender-matched, able-bodied controls participated in this study. Stride time variability and stride length variability were measured on a treadmill under four different conditions: self-paced walking, self-paced walking with dual-task, fast walking, and fast walking with dual-task...
July 21, 2017: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/28729007/the-feasibility-of-point-of-care-ankle-ultrasound-examination-in-patients-with-recurrent-ankle-sprain-and-chronic-ankle-instability-comparison-with-magnetic-resonance-imaging
#6
Sun Hwa Lee, Seong Jong Yun
OBJECTIVE: To evaluate the feasibility of point-of-care ankle ultrasound compared with magnetic resonance imaging (MRI) for diagnosing major ligaments and Achilles tendon injuries in patients with recurrent ankle sprain and chronic instability, and to evaluate inter-observer reliability between an emergency physician and a musculoskeletal radiology fellow. MATERIAL AND METHODS: A prospective cross-sectional study was conducted in an emergency department. Patients with recurrent ankle sprain and chronic instability were recruited...
July 13, 2017: Injury
https://www.readbyqxmd.com/read/28722491/comparative-effectiveness-of-plantar-massage-techniques-on-postural-control-in-those-with-chronic-ankle-instability
#7
Erik A Wikstrom, Kyeongtak Song, Ashley Lea, Nastassia Brown
CONTEXT:   One of the major concerns after an acute lateral ankle sprain is the potential for development of chronic ankle instability (CAI). The existing research has determined that clinician-delivered plantar massage improves postural control in those with CAI. However, the effectiveness of self-administered treatments and the underlying cause of any improvements remain unclear. OBJECTIVES:   To determine (1) the effectiveness of a self-administered plantar-massage treatment in those with CAI and (2) whether the postural-control improvements were due to the stimulation of the plantar cutaneous receptors...
July 2017: Journal of Athletic Training
https://www.readbyqxmd.com/read/28717619/comparison-of-dynamic-postural-stability-scores-between-athletes-with-and-without-chronic-ankle-instability-during-lateral-jump-landing
#8
Zeinab Shiravi, Azadeh Shadmehr, Saeed Talebian Moghadam, Behrouz Attarbashi Moghadam
BACKGROUNDS: Many ankle injuries occur while participating in sports that require jumping and landing such as basketball, volleyball and soccer. Most recent studies have investigated dynamic postural stability of patients with chronic ankle instability after landing from a forward jump. The present study aimed to investigate the dynamic postural stability of the athletes who suffer from chronic ankle sprain while landing from a lateral jump. METHODS: Twelve athletes with self-reported unilateral chronic ankle instability (4 females and 8 males) and 12 matched controls (3 females and 9 males) voluntarily participated in the study...
January 2017: Muscles, Ligaments and Tendons Journal
https://www.readbyqxmd.com/read/28704635/rehabilitation-and-improvement-of-health-related-quality-of-life-detriments-in-individuals-with-chronic-ankle-instability-a-meta-analysis
#9
Cameron J Powden, Johanna M Hoch, Matthew C Hoch
OBJECTIVE:   To conduct a systematic review with meta-analysis assessing the effectiveness of conservative rehabilitation programs for improving health-related quality of life (HRQL) in individuals with chronic ankle instability (CAI). DATA SOURCES:   PubMed, MEDLINE, CINAHL, and SPORTDiscus were searched from inception to January 2016. STUDY SELECTION:   Studies were included if the researchers examined the effects of a conservative rehabilitation protocol in individuals with CAI, used validated patient-reported outcomes (PROs) to quantify participant-perceived HRQL, and provided adequate data to calculate the effect sizes (ESs) and 95% confidence intervals (CIs)...
July 13, 2017: Journal of Athletic Training
https://www.readbyqxmd.com/read/28682728/improved-quality-of-life-after-transtibial-amputation-in-patients-with-diabetes-related-foot-complications
#10
Dane K Wukich, Junho Ahn, Katherine M Raspovic, Javier La Fontaine, Larry A Lavery
The purpose of this study was to evaluate health-related quality of life after major lower-extremity amputation in a cohort of patients with diabetes mellitus. We evaluated 81 patients with diabetes and transtibial amputation (TTA) who had a minimum of 1 year of follow-up. Of these 81 patients, 50.6% completed the Short Form Survey (SF-36) and the Foot and Ankle Ability Measure (FAAM) preoperatively and postoperatively. Outcome measures before and after TTA were compared using Welch's ANOVA for continuous variables and Fisher's exact test for categorical variables...
June 2017: International Journal of Lower Extremity Wounds
https://www.readbyqxmd.com/read/28677942/effect-of-fibular-repositioning-taping-in-adult-basketball-players-with-chronic-ankle-instability-a-randomized-placebo-controlled-crossover-trial
#11
Yanina Alves, Fernando Ribeiro, Anabela G Silva
BACKGROUND: Chronic ankle instability presents a high incidence and prevalence in basketbal players. It's important to develop strategies to reduce the functional and mechanical limitations resulting from this condition. To compare the effect of Mulligan ́s fibular repositioning taping with a placebo taping immediatly after application and after a running test (Yo-Yo IRT). METHODS: 16 adult basketball players (10 male, 6 female) with chronic ankle instability and mean age 21...
July 5, 2017: Journal of Sports Medicine and Physical Fitness
https://www.readbyqxmd.com/read/28653780/gait-training-for-chronic-ankle-instability-improves-neuromechanics-during-walking
#12
Mark A Feger, Joseph M Hart, Susan Saliba, Mark F Abel, Jay Hertel
A novel gait-training device has been shown to improve gait patterns while patients with chronic ankle instability (CAI) are using the device and our current objective was to analyze the effect of structured gait training with the device on plantar pressure and surface electromyography (sEMG) following repeated gait training sessions. Sixteen CAI patients participated. Plantar pressure and sEMG were collected simultaneously during walking pre- and post-gait training. Plantar pressure (pressure time integral, peak pressure, time to peak pressure, contact area, contact time, and center of pressure trajectory) of the entire foot and nine specific regions of the foot were recorded concurrently with sEMG root mean square amplitudes from the anterior tibialis, peroneus longus, medial gastrocnemius, and gluteus medius...
June 27, 2017: Journal of Orthopaedic Research: Official Publication of the Orthopaedic Research Society
https://www.readbyqxmd.com/read/28645550/intermediate-to-long-term-longevity-and-incidence-of-revision-of-the-modified-brostr%C3%A3-m-gould-procedure-for-lateral-ankle-ligament-repair-a-systematic-review
#13
REVIEW
Eric So, Nathaniel Preston, Timothy Holmes
The Broström-Gould procedure is an effective procedure for chronic lateral ankle instability. However, long-term studies are limited, and the durability of this procedure remains unclear. A systematic review of the published data was undertaken to determine the outcomes and incidence of revision after long-term follow-up. Eleven studies involving 669 Broström-Gould procedures met the inclusion criteria. The revision rate was 1.2% at a weighted mean follow-up period of 8.4 years. Our systematic review of the available data revealed that the Broström-Gould procedure results in low revision rates for chronic lateral ankle instability...
June 20, 2017: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/28626319/short-term-effect-of-spiral-taping-on-the-pain-and-walking-performance-of-individuals-with-chronic-ankle-instability
#14
Chae-Gil Lim
[Purpose] This study was designed to investigate the effects of spiral taping (ST) on the pain and walking performance of individual with chronic ankle instability (CAI). [Subjects and Methods] 12 men and 13 women (mean: 21.52 years; range: 20-31 years) with unilateral CAI (Cumberland ankle instability score: ≤24) were included. All the participants received 3 mm-wide ST. The latter was applied in a 3 × 4 cross shape onto the medial malleolus, the lateral malleolus, and the anterior talotibial joint of the unstable ankle...
June 2017: Journal of Physical Therapy Science
https://www.readbyqxmd.com/read/28610477/lower-extremity-joint-coupling-variability-during-gait-in-young-adults-with-and-without-chronic-ankle-instability
#15
Thomas Lilley, Christopher C Herb, Joseph Hart, Jay Hertel
Chronic ankle instability (CAI) is a condition resulting from a lateral ankle sprain. Shank-rearfoot joint-coupling variability differences have been found in CAI patients; however, joint-coupling variability (VCV) of the ankle and proximal joints has not been explored. Our purpose was to analyse VCV in adults with and without CAI during gait. Four joint-coupling pairs were analysed: knee sagittal-ankle sagittal, knee sagittal-ankle frontal, hip frontal-ankle sagittal and hip frontal-ankle frontal. Twenty-seven adults participated (CAI:n = 13, Control:n = 14)...
June 13, 2017: Sports Biomechanics
https://www.readbyqxmd.com/read/28605235/effects-of-hip-strengthening-on-neuromuscular-control-hip-strength-and-self-reported-functional-deficits-in-individuals-with-chronic-ankle-instability
#16
Brent I Smith, Carrie L Docherty, Denice Curtis
CONTEXT: Deficits in ankle and hip strength and lower extremity postural control are associated with chronic ankle instability (CAI). Following strength training, muscle groups demonstrate increased strength. This change is partially credited to improved neuromuscular control and many studies have investigated ankle protocols for subjects with CAI. The effects of isolating hip musculature in strength training protocols in this population is not well understood. OBJECTIVE: Examine the effects of hip strengthening on clinical and self-reported outcomes in patients with CAI...
June 12, 2017: Journal of Sport Rehabilitation
https://www.readbyqxmd.com/read/28595864/hip-strength-and-star-excursion-balance-test-deficits-of-patients-with-chronic-ankle-instability
#17
Ryan S McCann, Ian D Crossett, Masafumi Terada, Kyle B Kosik, Brenn A Bolding, Phillip A Gribble
OBJECTIVES: To examine isometric hip strength in those with and without CAI, and determine the degree of Star Excursion Balance Test (SEBT) variance explained by isometric hip strength. DESIGN: Single-blinded, cross-sectional, case-control study. METHODS: Thirty individuals with CAI, 29 lateral ankle sprain (LAS) copers, and 26 healthy controls participated. We assessed dynamic postural control with the SEBT anterior (SEBT-ANT), posteromedial (SEBT-PM), and posterolateral (SEBT-PL) reaches, and isometric hip extension (EXT), abduction (ABD) and external rotation (ER) strength with hand-held dynamometry...
May 25, 2017: Journal of Science and Medicine in Sport
https://www.readbyqxmd.com/read/28577065/treatment-of-talus-osteochondral-defects-in-chronic-lateral-unstable-ankles-small-sized-lateral-chondral-lesions-had-good-clinical-outcomes
#18
Hong Li, Yinghui Hua, Hongyun Li, Shengkun Li, Kui Ma, Shiyi Chen
PURPOSE: To assess and compare the clinical and MRI outcomes of patients with talus osteochondral defect (OCD) and patients without OCD in a cohort with chronic lateral ankle instability. METHODS: All patients who underwent open or arthroscopic anterior talofibular ligament repair of the lateral ligament complex by a single surgeon were included in this study. Ankle arthroscopic surgery was initially performed to manage any intra-articular OCD, including debridement and microfracture...
June 2, 2017: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/28552041/magnetic-resonance-imaging-and-stress-radiography-in-chronic-lateral-ankle-instability
#19
Hong-Geun Jung, Na-Ra Kim, Tae-Hoon Kim, Joon-Sang Eom, Dong-Oh Lee
BACKGROUND: Studies regarding magnetic resonance imaging (MRI) findings of the lateral ankle ligaments in chronic lateral ankle instability and their clinical relevance for surgery are lacking. This study classified the lateral ankle ligament MRI findings of the anterior talofibular ligament (ATFL) and calcaneofibular ligament (CFL) in chronic lateral ankle instability (CLAI) and correlated these findings with ankle stress radiographs. METHODS: We included 132 ankles with CLAI that underwent ligament reconstructions from 2006 to 2013...
June 2017: Foot & Ankle International
https://www.readbyqxmd.com/read/28535097/comparative-effectiveness-of-plantar-massage-techniques-on-postural-control-in-those-with-chronic-ankle-instability
#20
Erik A Wikstrom, Kyeongtak Song, Ashley Lea, Nastassia Brown
CONTEXT:   One of the major concerns after an acute lateral ankle sprain is the potential for development of chronic ankle instability (CAI). The existing research has determined that clinician-delivered plantar massage improves postural control in those with CAI. However, the effectiveness of self-administered treatments and the underlying cause of any improvements remain unclear. OBJECTIVES:   To determine (1) the effectiveness of a self-administered plantar-massage treatment in those with CAI as well and (2) whether the postural-control improvements were due to the stimulation of the plantar cutaneous receptors...
May 23, 2017: Journal of Athletic Training
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