Physical Therapy Korea (한국전문물리치료학회지)

Korean Research Society of Physical Therapy (한국전문물리치료학회)
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Assessment of Gait Ability of Subjects With Chronic Ankle Instability During an Inter-trial Variability Gait Task According to Changes in Gait Speed

  • Jeonghan Kwon (Rehabilitation Center, Catholic Kwandong University International St. Mary's Hospital) ;
  • Jongduk Choi (Department of Physical Therapy, College of Health and Medical Science, Daejeon University)
  • Received : 2023.11.05
  • Accepted : 2023.11.14
  • Published : 2023.11.20
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Abstract

Background: Ankle sprains occur frequently among humans who undertake various body movements. Diverse walking environments and dual tasks, that can affect ankle sprains, have been studied. However, there is a lack of research on inter-trial variability according to the changes in gait speed. Objects: The purpose of this study was to compare the adaptive ability of walking between the subjects with chronic ankle instability and healthy adults while performing a walking task with different walking speeds. Methods: In this study, 24 people in the chronic ankle instability group and 24 people in the healthy ankle group were selected as subjects. The length of the pre-measurement and the actual walking measurement were both set to 4.6 m. Once the subjects entered the measurement section, they changed their gait speed according to the randomly assigned speed change. Gait was measured twice and the average value was used for the analysis. Results: The coefficient of variation (CV) of cycle time in subjects with chronic ankle instability showed a significant difference in all cases except when the subjects changed their speed from preferred to slow and from slow to preferred. The CV of step length demonstrated a significant difference in all cases except for the change from slow to preferred and from preferred to fast. The cycle time and step length differential showed a significant difference only when the subjects changed the speed from slow to fast. Conclusion: The subjects with chronic ankle instability were found to have significantly reduced walking adaptability while performing inter-trial variability tasks with different gait speeds compared to healthy subjects.

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References

  1. Linz JC, Conti SF, Stone DA. Foot and ankle injuries. In: Fu FH, Stone DA editors. Sports injuries: mechanisms, prevention, treatment. 2nd ed. Lippincott Williams & Wilkins; 2001;1135-63.
  2. Anandacoomarasamy A, Barnsley L. Long term outcomes of inversion ankle injuries. Br J Sports Med 2005;39(3):e14; discussion e14.
  3. Feger MA, Glaviano NR, Donovan L, Hart JM, Saliba SA, Park JS, et al. Current trends in the management of lateral ankle sprain in the United States. Clin J Sport Med 2017;27(2):145-52. https://doi.org/10.1097/JSM.0000000000000321
  4. Hintermann B, Boss A, Schafer D. Arthroscopic findings in patients with chronic ankle instability. Am J Sports Med 2002;30(3):402-9. https://doi.org/10.1177/03635465020300031601
  5. Hubbard TJ, Hertel J. Mechanical contributions to chronic lateral ankle instability. Sports Med 2006;36(3):263-77. https://doi.org/10.2165/00007256-200636030-00006
  6. Suda EY, Sacco IC. Altered leg muscle activity in volleyball players with functional ankle instability during a sideward lateral cutting movement. Phys Ther Sport 2011;12(4):164-70. https://doi.org/10.1016/j.ptsp.2011.01.003
  7. Choi WS, Choi JD. Effect of the confusion level of dual-tasks using a smartphone on the gait of subjects with chronic ankle instability while walking. J Korean Soc Phys Med 2020;15(3):99-108. https://doi.org/10.13066/kspm.2020.15.3.99
  8. Monaghan K, Delahunt E, Caulfield B. Ankle function during gait in patients with chronic ankle instability compared to controls. Clin Biomech (Bristol, Avon) 2006;21(2):168-74. https://doi.org/10.1016/j.clinbiomech.2005.09.004
  9. Murray MP. Gait as a total pattern of movement. Am J Phys Med 1967;46(1):290-333.
  10. Magill RA. Motor learning and control: concepts and applications. 8th ed. McGraw-Hill; 2006.
  11. Liebenson C. Spinal stabilization training: the transverse abdominus. J Bodyw Mov Ther 1998;2(4):218-23. https://doi.org/10.1016/S1360-8592(98)80018-1
  12. Murray MP, Kory RC, Clarkson BH, Sepic SB. Comparison of free and fast speed walking patterns of normal men. Am J Phys Med 1966;45(1):8-23. https://doi.org/10.1097/00002060-196602000-00002
  13. Grillner S, Halbertsma J, Nilsson J, Thorstensson A. The adaptation to speed in human locomotion. Brain Res 1979;165(1):177-82. https://doi.org/10.1016/0006-8993(79)90059-3
  14. Cavanagh PR, Gregor RJ. Knee joint torque during the swing phase of normal treadmill walking. J Biomech 1975;8(5):337-44. https://doi.org/10.1016/0021-9290(75)90086-X
  15. Yang JJ, Song YH. Gait variability of children according to walking path width and motor development level. Korean J Elem Phys Educ 2019;24(4):97-108. https://doi.org/10.26844/ksepe.2019.24.4.97
  16. Kisner C, Colby LA, Borstad J. Therapeutic exercise: foundations and techniques. 7th ed. F.A. Davis; 2018;31-40.
  17. Yang L, He C, Pang MY. Reliability and validity of dual-task mobility assessments in people with chronic stroke. PLoS One 2016;11(1):e0147833.
  18. Springer S, Gottlieb U. Effects of dual-task and walking speed on gait variability in people with chronic ankle instability: a cross-sectional study. BMC Musculoskelet Disord 2017;18(1):316.
  19. Nyska M, Shabat S, Simkin A, Neeb M, Matan Y, Mann G. Dynamic force distribution during level walking under the feet of patients with chronic ankle instability. Br J Sports Med 2003;37(6):495-7. https://doi.org/10.1136/bjsm.37.6.495
  20. Rosen AB, Than NT, Smith WZ, Yentes JM, McGrath ML, Mukherjee M, et al. Attention is associated with postural control in those with chronic ankle instability. Gait Posture 2017;54:34-8. https://doi.org/10.1016/j.gaitpost.2017.02.023
  21. Choi JS, Kang DW, Tack GR. Effects of walking speeds and cognitive task on gait variability. Korean J Sport Biomech 2008;18(2):49-58. https://doi.org/10.5103/KJSB.2008.18.2.049
  22. Kim DY, Park C, Choi YS, Moon JY, Lim JY, Kim DY, et al. Effect of slow walking speed on gait. J Korean Acad Rehabil Med 2007;31(3):317-23.
  23. Schmid A, Duncan PW, Studenski S, Lai SM, Richards L, Perera S, et al. Improvements in speed-based gait classifications are meaningful. Stroke 2007;38(7):2096-100. https://doi.org/10.1161/STROKEAHA.106.475921
  24. Polese JC, Teixeira-Salmela LF, Nascimento LR, Faria CD, Kirkwood RN, Laurentino GC, et al. The effects of walking sticks on gait kinematics and kinetics with chronic stroke survivors. Clin Biomech (Bristol, Avon) 2012;27(2):131-7. https://doi.org/10.1016/j.clinbiomech.2011.08.003
  25. Drewes LK, McKeon PO, Paolini G, Riley P, Kerrigan DC, Ingersoll CD, et al. Altered ankle kinematics and shank-rear-foot coupling in those with chronic ankle instability. J Sport Rehabil 2009;18(3):375-88. https://doi.org/10.1123/jsr.18.3.375
  26. Martin CL, Phillips BA, Kilpatrick TJ, Butzkueven H, Tubridy N, McDonald E, et al. Gait and balance impairment in early multiple sclerosis in the absence of clinical disability. Mult Scler 2006;12(5):620-8. https://doi.org/10.1177/1352458506070658
  27. Boripuntakul S, Kamnardsiri T, Lord SR, Maiarin S, Worakul P, Sungkarat S. Gait variability during abrupt slow and fast speed transitions in older adults with mild cognitive impairment. PLoS One 2022;17(10):e0276658.
  28. Soni S, Lamontagne A. Characterization of speed adaptation while walking on an omnidirectional treadmill. J Neuroeng Rehabil 2020;17(1):153. Erratum in: J Neuroeng Rehabil 2021;18(1):40.