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Chronic ankle instability

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https://www.readbyqxmd.com/read/28722491/comparative-effectiveness-of-plantar-massage-techniques-on-postural-control-in-those-with-chronic-ankle-instability
#1
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
#2
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
#3
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
#4
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
#5
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
#6
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 9 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
#7
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
#8
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
#9
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
#10
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
#11
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
#12
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
#13
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
#14
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
https://www.readbyqxmd.com/read/28533609/gait-abnormalities-in-patients-with-chronic-ankle-instability-can-improve-following-a-non-invasive-biomechanical-therapy-a-retrospective-analysis
#15
Shay Tenenbaum, Ofir Chechik, Jason Bariteau, Nathan Bruck, Yiftah Beer, Mazen Falah, Ganit Segal, Amit Mor, Avi Elbaz
[Purpose] The purpose of this study was to evaluate the changes in gait patterns and clinical outcomes of patients with chronic ankle instability (CAI) following treatment with a home-based non-invasive biomechanical device. [Subjects and Methods] Thirty-three patients with CAI were compared with 43 healthy controls. Patients underwent a spatiotemporal gait assessment before and three months following treatment. Clinical evaluation was recorded with SF-36 Health Survey and the Foot and Ankle Outcome Score (FAOS)...
April 2017: Journal of Physical Therapy Science
https://www.readbyqxmd.com/read/28508294/preoperative-mri-is-helpful-but-not-sufficient-to-detect-associated-lesions-in-patients-with-chronic-ankle-instability
#16
Kevin Staats, Manuel Sabeti-Aschraf, Sebastian Apprich, Hannes Platzgummer, Stephan E Puchner, Johannes Holinka, Reinhard Windhager, Reinhard Schuh
PURPOSE: The aim of this study was to determine the reliability and validity of preoperative magnetic resonance imaging (MRI) scans for the detection of additional pathologies in patients with chronic ankle instability (CAI) compared to arthroscopic findings. METHODS: Preoperative MRI images of 30 patients were evaluated regarding articular and periarticular comorbidities and compared to intraoperative findings. The reliability of MRI was determined by calculating specificity, sensitivity, as well as positive and negative predictive values...
May 15, 2017: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/28486729/effects-of-synchronous-whole-body-vibration-training-on-a-soft-unstable-surface-in-athletes-with-chronic-ankle-instability
#17
Rafael Sierra-Guzmán, Jose Fernando Jiménez, Carlos Ramírez, Paula Esteban, Javier Abián-Vicén
The aim of this study was to evaluate the effects of a 6-week WBV training program, performed on a soft, unstable surface, on peak torque, reaction time and the electrical activity of ankle muscles in recreational athletes with chronic ankle instability (CAI). 50 recreational athletes with self-reported unilateral CAI were randomly assigned to a vibration group (VIB), non-vibration group (N-VIB) or control group. The VIB and N-VIB groups performed unilateral balance training on the unstable ankle on a BOSU(®) Balance Trainer 3 times weekly for 6 weeks...
June 2017: International Journal of Sports Medicine
https://www.readbyqxmd.com/read/28483559/effect-of-taping-on-multi-segmental-foot-kinematic-patterns-during-walking-in-persons-with-chronic-ankle-instability
#18
Bart Dingenen, Kevin Deschamps, Frauke Delchambre, Evelien Van Peer, Filip F Staes, Giovanni A Matricali
OBJECTIVES: To evaluate multi-segmental foot kinematic patterns in chronic ankle instability (CAI) participants during walking, and to investigate the influence of high-Dye and low-Dye taping on these kinematic patterns. DESIGN: Cross-sectional study. METHODS: Kinematic data of 12 non-injured controls and 15 CAI participants were measured with a three-dimensional motion analysis system during barefoot walking. In addition, the CAI participants walked with high-Dye and low-Dye taping...
April 21, 2017: Journal of Science and Medicine in Sport
https://www.readbyqxmd.com/read/28449249/t2-mapping-evaluation-of-early-cartilage-alteration-of-talus-for-chronic-lateral-ankle-instability-with-isolated-anterior-talofibular-ligament-tear-or-combined-with-calcaneofibular-ligament-tear
#19
Hongyue Tao, Yiwen Hu, Yang Qiao, Kui Ma, Xu Yan, Yinghui Hua, Shuang Chen
PURPOSE: To quantitatively evaluate the cartilage alteration of talus for chronic lateral ankle instability (LAI) with isolated anterior talofibular ligament (ATFL) tear and combined ATFL and calcaneofibular ligament (CFL) tear using T2 -mapping at 3.0T. MATERIALS AND METHODS: In all, 27 patients including 17 with isolated ATFL tear and 10 with ATFL+CFL tear, and 21 healthy subjects were recruited. All participants underwent T2 -mapping scan at 3T and patients completed American Orthopaedic Foot and Ankle Society (AOFAS) scoring...
April 27, 2017: Journal of Magnetic Resonance Imaging: JMRI
https://www.readbyqxmd.com/read/28447855/the-arterial-anatomy-of-the-deltoid-ligament-a-cadaveric-study
#20
Jacob A Haynes, Michelle Gosselin, Brian Cusworth, Jeremy McCormick, Jeffery Johnson, Sandra Klein
BACKGROUND: There is an increasing interest in the operative treatment of deltoid ligament disruption in the setting of chronic ankle instability. Understanding the vascular anatomy of the deltoid complex is beneficial when considering operative procedures on the medial ankle and may provide insight into factors that lead to chronic deltoid insufficiency and ankle instability. METHODS: Thirty-two pairs of cadaveric specimens (64 total legs) were amputated below the knee, and the tibialis anterior, tibialis posterior, and peroneal arteries were injected with India ink and Ward's blue latex...
April 1, 2017: Foot & Ankle International
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