Browse > Article
http://dx.doi.org/10.5103/KJSB.2019.29.1.33

The Effect of Diminished Plantar Cutaneous Sensation in Y-balance Test between Chronic Ankle Instability (CAI) Patients versus Healthy Individuals  

Kim, Chang Young (Graduate School of Physical Education, Yonsei University)
Kang, Tae Kyu (Graduate School of Physical Education, Yonsei University)
Kim, Byong Hun (Graduate School of Physical Education, Yonsei University)
Lee, Sae Yong (Graduate School of Physical Education, Yonsei University)
Publication Information
Korean Journal of Applied Biomechanics / v.29, no.1, 2019 , pp. 33-41 More about this Journal
Abstract
Objective: This study aimed to investigate the effect of diminished plantar sensation in Y-balance test between chronic ankle instability (CAI) patients versus Healthy individuals. Method: A total of 90 subjects and CAI group (N=45) (age: $24.49{\pm}2.52yrs$, height: $173.53{\pm}8.20cm$, weight: $69.62{\pm}12.92kg$) and healthy group (N=45) (age: $24.85{\pm}2.70yrs$, height: $170.27{\pm}7.70cm$, weight: $66.04{\pm}11.60kg$) participated in this study. Participants were tested on the anterior (ANT), posterolateral (PL), and posteromedial (PM) reach directions of the Y-Balance Test before and after a 10-minute of plantar cutaneous sensation application using ice ($2^{\circ}C$). Normalized reach distances were measured 3 times each direction. Results: We observed a decrease in reach-distance scores for the reach directions after diminished plantar cutaneous sensation in all reach directions (p<.01). Also, we observed a decrease in reach-distance scores for the PL, and PM reach directions between groups (p<.05). Conclusion: Our results indicated that dynamic postural control was adversely affected immediately after diminished plantar cutaneous sensation between CAI group and healthy group. Future research may suggest that determine the studies involving more realistic dynamic movement, such as walking or running, landing.
Keywords
Y-balance test; Chronic ankle instability; Plantar cutaneous sensation;
Citations & Related Records
Times Cited By KSCI : 1  (Citation Analysis)
연도 인용수 순위
1 Lim, S. G., & Oh, D. W. & Shim, J. H. (2008). The Effect of 4-Week Proprioceptive Exercise Program in Patients with Ankle Sprain and Chronic Ankle Instability. Journal of Korean Physical Therapy Science, 15(3), 19-29.
2 Basnett, C. R., Hanish, M. J., Wheeler, T. J., Miriovsky, D. J., Danielson, E. L., Barr, J. B. & Grindstaff, T. L. (2013). Ankle dorsiflexion range of motion influences dynamic balance in individuals with chronic ankle instability. International Journal of Sports Physical Therapy, 8(2), 121-128.
3 Berquin, A. D., Lijesevic, V., Blond, S. & Plaghki, L. (2010). An adaptive procedure for routine measurement of light-touch sensitivity threshold. Muscle & Nerve, 42(3), 328-338.   DOI
4 Cote, K. P., Brunet, M. E., Gansneder, B. M. & Shultz, S. J. (2005). Effects of Pronated and Supinated Foot Postures on Static and Dynamic Postural Stability. Journal of Athletic Training, 40(1), 41-46.
5 Croy, T., Saliba, S. A., Saliba, E., Anderson, M. W. & Hertel, J. (2012). Differences in lateral ankle laxity measured via stress ultrasonography in individuals with chronic ankle instability, ankle sprain copers, and healthy individuals. Journal of Orthopaedic & Sports Physical Therapy, 42(7), 593-600.   DOI
6 Docherty, C. L., Gansneder, B. M., Arnold, B. L. & Hurwitz, S. R. (2006). Development and reliability of the ankle instability instrument. Journal of Athletic Training, 41(2), 154-158.
7 Doherty, C., Delahunt, E., Caulfield, B., Hertel, J., Ryan, J. & Bleakley, C. (2014). The incidence and prevalence of ankle sprain injury: a systematic review and meta-analysis of prospective epidemiological studies. Sports Medicine, 44(1), 123-140.   DOI
8 Dyck, P. J., O'Brien, P. C., Kosanke, J. L., Gillen, D. A. & Karnes, J. L. (1993). A 4, 2, and 1 stepping algorithm for quick and accurate estimation of cutaneous sensation threshold. Neurology, 43(8), 1508-1512.   DOI
9 Eils, E., Nolte, S., Tewes, M., Thorwesten, L., Volker, K. & Rosenbaum, D. (2002). Modified pressure distribution patterns in walking following reduction of plantar sensation. Journal of Biomechanics, 35(10), 1307-1313.   DOI
10 Fong, D. T., Hong, Y., Chan, L. K., Yung, P. S. & Chan, K. M. (2007). A systematic review of ankle injury and ankle sprain in sports. Sports Medicine, 37(1), 73-94.   DOI
11 Freeman, M. A. (1965). Instability of the foot after injuries to the lateral ligament of the ankle. Journal of Bone and Joint Surgery-British, 47(4), 669-677.   DOI
12 Fullam, K., Caulfield, B., Coughlan, G. F., McGroarty, M. & Delahunt, E. (2015). Dynamic Postural-Stability Deficits After Cryotherapy to the Ankle Joint. Journal of Athletic Training, 50(9), 893-904.   DOI
13 Garrick, J. G. (1977). The frequency of injury, mechanism of injury, and epidemiology of ankle sprains. American Journal of Sports Medicine, 5(6), 241-242.   DOI
14 Gribble, P. A., Hertel, J. & Plisky, P. (2012). Using the Star Excursion Balance Test to assess dynamic postural-control deficits and outcomes in lower extremity injury: a literature and systematic review. Journal of Athletic Training, 47(3), 339-357.   DOI
15 Guskiewicz, K. M. & Perrin, D. H. (1996). Research and Clinical Applications of Assessing Balance. Journal of Sport Rehabilitation, 5(1), 45-63.   DOI
16 Hertel, J. (2000). Functional instability following lateral ankle sprain. Sports Medicine, 29(5), 361-371.   DOI
17 Hertel, J. (2002). Functional Anatomy, Pathomechanics, and Pathophysiology of Lateral Ankle Instability. Journal of Athletic Training, 37(4), 364-375.
18 Hertel, J., Gay, M. R. & Denegar, C. R. (2002). Differences in Postural Control During Single-Leg Stance Among Healthy Individuals With Different Foot Types. Journal of Athletic Training, 37(2), 129-132.
19 Eils, E., Behrens, S., Mers, O., Thorwesten, L., Volker, K. & Rosenbaum, D. (2004). Reduced plantar sensation causes a cautious walking pattern. Gait & Posture, 20(1), 54-60.   DOI
20 Hertel, J. (2008). Sensorimotor deficits with ankle sprains and chronic ankle instability. Clinics in Sports Medicine, 27(3), 353-370.   DOI
21 Hiller, C. E., Nightingale, E. J., Lin, C. W., Coughlan, G. F., Caulfield, B. & Delahunt, E. (2011). Characteristics of people with recurrent ankle sprains: a systematic review with meta-analysis. British Journal of Sports Medicine, 45(8), 660-672.   DOI
22 Hrysomallis, C. (2007). Relationship between balance ability, training and sports injury risk. Sports Medicine, 37(6), 547-556.   DOI
23 Hubbard, T. J. & Hertel, J. (2006). Mechanical contributions to chronic lateral ankle instability. Sports Medicine, 36(3), 263-277.   DOI
24 Kirby, J. L., Houston, M. N., Gabriner, M. L. & Hoch, M. C. (2016). Relationships between mechanical joint stability and somatosensory function in individuals with chronic ankle instability. The Foot (Edinb), 28, 1-6.   DOI
25 Lentell, G., Baas, B., Lopez, D., McGuire, L., Sarrels, M. & Snyder, P. (1995). The contributions of proprioceptive deficits, muscle function, and anatomic laxity to functional instability of the ankle. Journal of Orthopaedic & Sports Physical Therapy, 21, 206-215.   DOI
26 Linens, S. W., Ross, S. E., Arnold, B. L., Gayle, R. & Pidcoe, P. (2014). Postural-stability tests that identify individuals with chronic ankle instability. Journal of Athletic Training, 49(1), 15-23.   DOI
27 McGuine, T. A., Greene, J. J., Best, T. & Leverson, G. (2000). Balance as a predictor of ankle injuries in high school basketball players. Clinical Journal of Sport Medicine, 10(4), 239-244.   DOI
28 Luchies, C. W., Alexander, N. B., Schultz, A. B. & Ashton-Miller, J. (1994). Stepping responses of young and old adults to postural disturbances: kinematics. Journal of the American Geriatrics Society, 42(5), 506-512.   DOI
29 Marshall, S. W. & Guskiewicz, K. M. (2003). Sports and recreational injury: the hidden cost of a healthy lifestyle. Injury Prevention, 9(2), 100-102.   DOI
30 Martin, R. L., Irrgang, J. J., Burdett, R. G., Conti, S. F. & Van Swearingen, J. M. (2005). Evidence of validity for the Foot and Ankle Ability Measure (FAAM). Foot & Ankle International, 26(11), 968-983.   DOI
31 McIlroy, W. E. & Maki, B. E. (1996). Age-related changes in compensatory stepping in response to unpredictable perturbations The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences 51(6), M289-296.   DOI
32 McKeon, P. O. & Hertel, J. (2007). Plantar hypoesthesia alters time-to-boundary measures of postural control. Somatosensory and Motor Research, 24(4), 171-177.   DOI
33 McKeon, P. O. & Hertel, J. (2008). Systematic review of postural control and lateral ankle instability, part I: can deficits be detected with instrumented testing. Journal of Athletic Training, 43(3), 293-304.   DOI
34 Meyer, P. F., Oddsson, L. I. & De Luca, C. J. (2004). The role of plantar cutaneous sensation in unperturbed stance. Experimental Brain Research, 156(4), 505-512.   DOI
35 Nigg, B. M., Nurse, M. A. & Stefanyshyn, D. J. (1999). Shoe inserts and orthotics for sport and physical activities. Medicine & Science in Sports & Exercise, 31(7 Suppl), S421-428.   DOI
36 Perry, S. D., McIlroy, W. E. & Maki, B. E. (2000). The role of plantar cutaneous mechanoreceptors in the control of compensatory stepping reactions evoked by unpredictable, multi-directional perturbation. Brain Research, 877(2), 401-406.   DOI
37 Nurse, M. A. & Nigg, B. M. (1999). Quantifying a relationship between tactile and vibration sensitivity of the human foot with plantar pressure distributions during gait. Clinical Biomechanics (Bristol, Avon), 14(9), 667-672.   DOI
38 Olmsted, L. C., Carcia, C. R., Hertel, J. & Shultz, S. J. (2002). Efficacy of the Star Excursion Balance Tests in Detecting Reach Deficits in Subjects With Chronic Ankle Instability. Journal of Athletic Training, 37(4), 501-506.
39 Perry, S. D., Santos, L. C. & Patla, A. E. (2001). Contribution of vision and cutaneous sensation to the control of centre of mass (COM) during gait termination. Brain Research, 913(1), 27-34.   DOI
40 Plisky, P. J., Rauh, M. J., Kaminski, T. W. & Underwood, F. B. (2006). Star Excursion Balance Test as a predictor of lower extremity injury in high school basketball players. Journal of Orthopaedic & Sports Physical Therapy, 36(12), 911-919.   DOI
41 Powell, M. R., Powden, C. J., Houston, M. N. & Hoch, M. C. (2014). Plantar cutaneous sensitivity and balance in individuals with and without chronic ankle instability. Clinical Journal of Sport Medicine, 24(6), 490-496.   DOI
42 Song, K., Kang, T. K., Wikstrom, E. A., Jun, H. P. & Lee, S. Y. (2017). Effects of reduced plantar cutaneous sensation on static postural control in individuals with and without chronic ankle instability. Journal of Science and Medicine in Sport, 20(10), 910-914.   DOI
43 Tiberio, D. (1988). Pathomechanics of structural foot deformities. Physical Therapy, 68(12), 1840-1849.   DOI
44 Nurse, M. A. & Nigg, B. M. (2001). The effect of changes in foot sensation on plantar pressure and muscle activity. Clinical Biomechanics (Bristol, Avon), 16(9), 719-727.   DOI
45 Wikstrom, E. A. & Hubbard, T. J. (2010). Talar positional fault in persons with chronic ankle instability. Archives of Physical Medicine and Rehabilitation, 91(8), 1267-1271.   DOI