Browse > Article
http://dx.doi.org/10.5103/KJSB.2021.31.3.168

Biomechanical Characteristics of Comprehensive Ankle Joint Complex between Chronic Ankle Instability (CAI) and Healthy Control  

Kim, Byong Hun (Department of Physical Education, Yonsei University)
Jeong, Hee Seong (Department of Sports and Health Management, Mokwon University)
Lee, Inje (Department of Physical Education, Yonsei University)
Jeon, Hyung Gyu (Department of Physical Education, Yonsei University)
Lee, Sae Yong (Department of Physical Education, Yonsei University)
Publication Information
Korean Journal of Applied Biomechanics / v.31, no.3, 2021 , pp. 168-175 More about this Journal
Abstract
Objective: To investigate the static and dynamic analysis of ankle joint complex between subjects with chronic ankle instability (CAI) and healthy controls. Method: A total of 38 subjects and CAI group (N=19) and healthy control (N=19) participated in this first study. Variables that were measured in this study were as follows: 1) Subtalar joint axis inclination and deviation 2) Rearfoot angle 3) Navicular drop test 4) Heel alignment view in alignment analysis. Intra Correlation Coefficient (ICC) is used for reliability. A secondary 17 subjects are recruited including 9 of CAI and healthy for gait analysis between group. Lower extremity sagittal, frontal, and transverse kinematics were measured. All data were analyzed to ensemble curve analysis. Results: 1) There were statistically significant differences in standing rearfoot, navicular drop, heel alignment view, subtalar joint (STJ) inclination and deviation. 2) Only in sagittal, meaningful difference is showed during walking in gait analysis. Conclusion: Morphological problem can affect ankle sprain in aspect of structure with no relation to compensation of neuromuscular.
Keywords
Chronic ankle instability; Ankle sprains; Biomechanical characteristics; Motion capture analysis;
Citations & Related Records
연도 인용수 순위
  • Reference
1 Terwee, C. B., Mokkink, L. B., Knol, D. L., Ostelo, R. W., Bouter, L. M. & de Vet, H. C. (2012). Rating the methodological quality in systematic reviews of studies on measurement properties: a scoring system for the COSMIN checklist. Quality of Life Research, 21(4), 651-657.   DOI
2 Wikstrom, E. A., Bishop, M. D., Inamdar, A. D. & Hass, C. J. (2010). Gait termination control strategies are altered in chronic ankle instability subjects. Medicine & Science in Sports & Exercise, 42(1), 197-205.   DOI
3 Kim, B. H. & Lee, S. Y. (2021). Validity and Reliability of a Novel Instrument for the Measurement of Subtalar Joint Axis of Rotation. International Journal of Environmental Research and Public Health, 18(10), 5494.   DOI
4 Shultz, S. J., Nguyen, A. D. & Levine, B. J. (2009). The relationship between lower extremity alignment characteristics and anterior knee joint laxity. Sports Health, 1(1), 54-60.   DOI
5 Trimble, M. H., Bishop, M. D., Buckley, B. D., Fields, L. C. & Rozea, G. D. (2002). The relationship between clinical measurements of lower extremity posture and tibial translation. Clinical Biomechanics, 17(4), 286-290.   DOI
6 Beynnon, B. D., Renstrom, P. A., Alosa, D. M., Baumhauer, J. F. & Vacek, P. M. (2001). Ankle ligament injury risk factors: a prospective study of college athletes. Journal of Orthopaedic Research, 19(2), 213-220.   DOI
7 Brockett, C. L. & Chapman, G. J. (2016). Biomechanics of the ankle. Orthopaedics and Trauma, 30(3), 232-238.   DOI
8 Chinn, L., Dicharry, J. & Hertel, J. (2013). Ankle kinematics of individuals with chronic ankle instability while walking and jogging on a treadmill in shoes. Physical Therapy in Sport, 14(4), 232-239.   DOI
9 Donatelli, R. & Wolf, S. (1990). The Biomechanics ofthe Foot and Ankle. In: Philadelphia, Pa: FA Davis Co.
10 Drewes, L. K., McKeon, P. O., Kerrigan, D. C. & Hertel, J. (2009). Dorsiflexion deficit during jogging with chronic ankle instability. Journal of Science and Medicine in Sport, 12(6), 685-687.   DOI
11 Monaghan, K., Delahunt, E. & Caulfield, B. (2006). Ankle function during gait in patients with chronic ankle instability compared to controls. Clinical Biomechanics, 21(2), 168-174.   DOI
12 Hertel, J. (2002). Functional anatomy, pathomechanics, and pathophysiology of lateral ankle instability. Journal of Athletic Training, 37(4), 364.
13 Kim, B. H., Kim, C. Y., Kang, T. K., Cho, Y. J. & Lee, S. Y. (2018). Immediate Effects of Joint Mobilization Techniques on Clinical Measures in Individuals with CAI. Korean Journal of Sport Biomechanics, 28(4), 219-225.   DOI
14 Kirby, K. A. (2001). Subtalar joint axis location and rotational equilibrium theory of foot function. Journal of the American Podiatric Medical Association, 91(9), 465-487.   DOI
15 Mueller, M., Host, J. & Norton, B. (1993). Navicular drop as a composite measure of excessive pronation. Journal of the American Podiatric Medical Association, 83(4), 198-202.   DOI
16 Palmer, M. L. & Epler, M. E. (1990). Clinical assessment procedures in physical therapy: Lippincott Williams & Wilkins.
17 Picciano, A. M., Rowlands, M. S. & Worrell, T. (1993). Reliability of open and closed kinetic chain subtalar joint neutral positions and navicular drop test. Journal of Orthopaedic & Sports Physical Therapy, 18(4), 553-558.   DOI
18 Ribeiro, A. P., Trombini-Souza, F., Tessutti, V., Rodrigues Lima, F., Sacco, I. d. C. N. & Joao, S. M. A. (2011). Rearfoot alignment and medial longitudinal arch configurations of runners with symptoms and histories of plantar fasciitis. Clinics, 66, 1027-1033.   DOI
19 Saki, F., Yalfani, A., Fousekis, K., Sodejani, S. H. & Ramezani, F. (2021). Anatomical risk factors of lateral ankle sprain in adolescent athletes: A prospective cohort study. Physical Therapy in Sport, 48, 26-34.   DOI
20 Saltzman, C. L. & El-Khoury, G. Y. (1995). The hindfoot alignment view. Foot & Ankle International, 16(9), 572-576.   DOI
21 Simpson, J. D., Stewart, E. M., Turner, A. J., Macias, D. M., Wilson, S. J., Chander, H. ight, A. C. (2019). Neuromuscular control in individuals with chronic ankle instability: A comparison of unexpected and expected ankle inversion perturbations during a single leg drop-landing. Human Movement Science, 64, 133-141.   DOI
22 Sofka, C. M. (2021). Imaging Techniques for Assessment of Dynamically Unstable Sports Related Foot and Ankle Injuries. Foot and Ankle Clinics, 26(1), 205-224.   DOI
23 Van Deun, S., Staes, F. F., Stappaerts, K. H., Janssens, L., Levin, O. & Peers, K. K. (2007). Relationship of chronic ankle instability to muscle activation patterns during the transition from double-leg to single-leg stance. The American Journal of Sports Medicine, 35(2), 274-281.   DOI
24 Yen, S. C., Chui, K. K., Corkery, M. B., Allen, E. A. & Cloonan, C. M. (2017). Hip-ankle coordination during gait in individuals with chronic ankle instability. Gait & Posture, 53, 193-200.   DOI
25 Dejong, A. F., Koldenhoven, R. M. & Hertel, J. (2020). Proximal Adaptations in Chronic Ankle Instability: Systematic Review and Meta-analysis. Medicine and Science in Sports and Exercise.