DOI QR코드

DOI QR Code

Altered Ground Reaction Forces in Individuals with Chronic Ankle Instability Compared to Lateral Ankle Sprain Copers and Healthy Controls during Walking

  • Inje Lee (Department of Sports Rehabilitation Medicine, Kyungil University) ;
  • Sunghe Ha (International Olympic Committee Research Centre KOREA) ;
  • Sae Yong Lee (International Olympic Committee Research Centre KOREA)
  • Received : 2023.08.14
  • Accepted : 2023.08.25
  • Published : 2023.09.01

Abstract

Objective: Few studies have investigated alterations of ground reaction force (GRF) in individuals with chronic ankle instability (CAI) compared with lateral ankle sprain (LAS) copers and healthy controls during walking. This study aimed to investigate differences in GRF variables among the CAI, LAS coper, and control groups. Method: Eighteen individuals with CAI, 18 LAS copers, and 18 healthy controls were recruited for this study. All participants walked on 8-m walkway with a force plate three times. GRF data during stance phase were extracted and analyzed. The analysis of variance and ensemble curve analysis were used for statistical analyses of discrete points and time-series data respectively. Results: The CAI group showed a greater loading rate (LR) and a shorter time to impact peak force than the other groups, as well as decreased vGRF from 56% to 65% in the stance phase than the control group. No significant differences were noted in the other variables. Conclusion: Based on these findings, individuals with CAI should enhance their ability to create propulsion during the push-off phase and spend more time absorbing GRF to decrease the LR, which is considered one of risk factors for overuse injury and ankle osteoarthritis.

Keywords

Acknowledgement

The authors would like to thank all participants. We also appreciate the International Olympic Committee Research Centre KOREA and the Institute of Convergence Science (ICONS) of Yonsei University. The experiments complied with the current laws of the country where they were performed.

References

  1. Anandacoomarasamym, A. & Barnsley, L. J. (2005). Long term outcomes of inversion ankle injuries. British Journal of Sports Medicine, 39(3), e14.
  2. Bigouette, J., Simon, J., Liu, K. & Docherty, C. L. (2016). Altered vertical round reaction forces in participants with chronic ankle instability while running. Journal of Athletic Training, 51(9), 682-687.
  3. Brown, C., Padua, D., Marshall, S. W. & Guskiewicz, K. (2008). Inidividuals with mechanical ankle instability exhibit different motion patterns than those with functional ankle instability and ankle sprain copers. Clinical Biomechanics, 23(6), 822-831.
  4. Caulfield, B. & Garrett, M. (2004). Changes in ground reaction force during jump landing in subjects with functional instabiity of the ankle joint. Clinical Biomechanics, 19(6), 617-621.
  5. Delahunt, E., Monaghan, K. & Caulfield, B. (2006). Altered neuromuscular control and anlke joint kinematics during walking in subjects with functional instability of the ankle joint. The American Journal of Sports Medicine, 34(12), 1970-1976.
  6. Doherty, C., Bleakley, C., Hertel, J., Caulfield, B., Ryan, J. & Delahunt, E. (2016). Single-leg drop landing movement strategies in participants with chronic ankle instability compared with lateral ankle sprain 'copers'. Knee Surgery, Sports Traumatology, Arthroscopy, 24(4), 1049-1059.
  7. Drewes, L. K., McKeon, P. O., Paolini, G., Riley, P., Kerrigan, D. C., Ingersoll, C. D. & Hertel, J. (2009). Altered ankle kinematics and shank-rear-foot coupling in those with chronic ankle instability. Journal of Sport Rehabilitation, 18(3), 375-388.
  8. Gribble, P. A., Delahunt, E., Bleakley, C. M., Caulfield, B., Docherty, C. L., Fong, D. T. K., Fourchet, F., Hertel, J., Hiller, C. E., Kaminski, T. W., McKeon, P. O., Refshauge, K. M., Van der Wees, P., Vicenzino, W. & Wikstrom, E. A. (2014). Selection criteria for patients with chronic ankle instability in controlled research: A position statement of the International Ankle Consortium. Journal of Athletic Training, 49(1), 121-127.
  9. Gross, P. & Marti, B. (1999) Risk of degenerative ankle joint disease in volleyball players: Study of former elite athletes. International Journal of Sports Medicine, 20(1), 58-63.
  10. Harrington, K. D. (1979). Degenerative arthritis of the ankle secondary to long-standing lateral ligament instability. The Journal of Bone and Joint Surgery, 61(3), 354-361. https://doi.org/10.2106/00004623-197961030-00006
  11. Hoch, M. C., Farwell, K. E., Gaven, S. L. & Weinhandl, J. T. (2015). Weight-bearing dorsiflexion range of motion and landing biomechanics in individuals with chronic ankle instability. Journal of Athletic Training, 50(8), 833-839.
  12. Hopkins, J. T., Brown, T. N., Christensen, L. & Palmieri-Smih, R. M. (2009). Deficits in peroneal latency and electromechanical delay in patients with functional ankle instability. Journal of Orthopaedic Research, 27(12), 1541-1546.
  13. Hreljac, A., Marshall, R. N. & Hume, P. A. (2000). Evaluation of lower extremity overuse injury potential in runners. Medicine and Science in Sports and Exercise, 32(9), 1635-1641.
  14. Hunt, M. A., Hinman, R. S., Metcalf, B. R., Lim, B. W., Wrigley, T. V., Bowles, K. A., Kemp, G. & Bennell, K. L. (2010). Quadriceps strength is not related to gait impact loading in knee osteoarthritis. The Knee, 17(4), 296-302.
  15. Jeon, H. G., Ha, S., Lee, I., Kang, T. K., Kim, E. S. & Lee, S. Y. (2021). Differnces in static lower extremity alignment according to the history of lateral ankle sprain: Efficacy and limitation of static lower limb alignment measurement as a predictor of lateral ankle sprain. Korean Journal of Sport Biomechanics, 31(1), 1-15.
  16. Kim, H., Son, S. J., Seeley, M. K. & Hopkins, J. T. (2018). Kinetic compensations due to chronic ankle instability during landing and jumping. Medicine and Science in Sports and Exercise, 50(2), 308-317.
  17. Kim, K. M., Ingersoll, C. D. & Hertel, J. (2012). Altered postural modulation of Hoffmann reflex in the soleus and fibularis longus associated with chronic ankle instability. Journal of Electromyography and Kinesiology, 22(6), 997-1002.
  18. Konradsen, L., Bech, L., Ehrenbjerg, M. & Nickelsen, T. (2002) Seven years follow-up after ankle inversion trauma, Scandinavian Journal of Medicine and Science in Sports, 12(3), 129-135.
  19. Monaghan, K., Delahun, E. & Caulfield, B. (2006). Ankle function during gait in patients with chronic ankle instability compared to controls. Clinical Biomehcanics, 21(2), 168-174.
  20. Palmieri-Smith, R. M., Hopkins, J. T. & Brown, T. N. (2009). Peroneal activation deficits in persons with functional ankle instability, The American Journal of Sports Medicine, 37(5), 982-988.
  21. Pamukoff, D. N., Lewek, M. D. & Blackburn, J. T. (2016). Greater vertical loading rate in obese compared to normal weight yough adults. Clinical Biomchanics, 33, 61-65.
  22. Pohl, M. B., Hamill, J. & Davis, I. S. (2009). Biomechanical and anatomic factors associated with a history of plantar fasciitis in female runners. Clinical Journal of Sport Medicine, 19(5), 372-376.
  23. Son, S. J., Kim, H., Seelye, M. K. & Hopkins, J. T. (2017). Movement strategies among groups of chronic ankle instability, coper, and control. Medicine and Science in Sports and Exercise, 49(8), 1649-1661.
  24. Son, S. J., Kim, H., Seeley, M. K. & Hopkins, J. T. (2019). Altered walking neuromechanics in patients with chronic ankle instability. Journal of Athletic Training, 54(6), 684-697.
  25. Van der Worp, H., Vrielink, J. W. & Bredewe, S. W. (2016). Do runners who suffer injuries have higher vertical ground reaction forces than those who remain injury-free? A systematic review and meta-analysis. British Journal of Sports Medicine, 50(8), 450-457.
  26. Wikstrom, E. A. & Brown, C. N. (2014). Minimum reporting standards for copers in chronic ankle instability research. Sports Medicine, 44(2), 251-268.