Journal of International Academy of Physical Therapy Research (국제물리치료학회지)

International Academy of Physical Therapy Research (국제물리치료연구학회)
권호 표지
DOI QR코드

DOI QR Code

Comparison of the Difference of Ankle Range of Motion and Hip Strength in Both Legs of Fencing Athletes with Ankle Instability

  • Park, Chibok (Department of Physical Therapy, Chunnam Techno University) ;
  • Park, Seju (Department of Physical Therapy, Nambu University) ;
  • Kim, Byeonggeun (Department of Physical Therapy, Nambu University)
  • Received : 2020.03.15
  • Accepted : 2020.05.02
  • Published : 2020.06.30
Download PDF
⟨ Previous Next ⟩

Abstract

Background: Ankle sprain in the Lead Leg Side (ALLS) is common in fencing athletes, and studies comparing the ankle range of motion (ROM) and strength of both legs are insufficient. Objectvies: To compare the ankle ROM and hip strength between two legs in fencing athletes who has ankle instability in the lead leg side. Design: Cross-sectional design. Methods: Seven fencing athletes with ankle instability participated in this study, and they randomly assigned into ankle in the Lead Leg Side (ALLS) and ankle in the Rear Leg Side (ARLS). Instability was determined by the Cumberland Ankle Instability Tool (CAIT), and then joint ROM and hip muscle strength were measured. Results: There were significant differences in dorsiflexion ROM, hip strength (extension and abduction) between the ALLS with ankle instability and ARLS (P<.05). Conclusion: This study suggests that the ankle ROM and hip muscle strength of ARLS are greater than ALLS in fencing athletes with ankle instability.

Keywords

References

  1. BLAZKIEWICZ M, Borysiuk Z, Gzik M. Determination of loading in the lower limb joints during step-forward lunge in fencing. Acta Bioeng Biomech. 2018;20(4):3-8.
  2. Harmer PA. Epidemiology of time-loss injuries in international fencing: a prospective, 5-year analysis of Federation Internationale d'Escrime competitions. Br J Sports Med. 2019;53(7):442-448. https://doi.org/10.1136/bjsports-2018-100002
  3. Thompson C, Schabrun S, Romero R, Bialocerkowski A, van Dieen J, Marshall P. Factors contributing to chronic ankle instability: a systematic review and meta-analysis of systematic reviews. Sports Med. 2018;48(1):189-205. https://doi.org/10.1007/s40279-017-0781-4
  4. Doherty C, Delahunt E, Caulfield B, Hertel J, Ryan J, Bleakley C. The incidence and prevalence of ankle sprain injury: a systematic review and meta-analysis of prospective epidemiological studies. Sports Med. 2014;44(1):123-140. https://doi.org/10.1007/s40279-013-0102-5
  5. Doherty C, Bleakley C, Hertel J, Caulfield B, Ryan J, Delahunt E. Recovery from a first-time lateral ankle sprain and the predictors of chronic ankle instability: a prospective cohort analysis. Am J Sports Med. 2016;44(4):995-1003. https://doi.org/10.1177/0363546516628870
  6. Freeman M. Instability of the foot affer injuries to the lateral ligament of the ankle. J Bone Joint Surg Br. 1965;47(4):669-677. https://doi.org/10.1302/0301-620X.47B4.669
  7. Tropp H, Odenrick P, Gillquist J. Stabilometry recordings in functional and mechanical instability of the ankle joint. Int J Sports Med. 1985;6(3):180-182. https://doi.org/10.1055/s-2008-1025836
  8. Hertel J. Functional anatomy, pathomechanics, and pathophysiology of lateral ankle instability. J Athl Train. 2002;37(4):364.
  9. Miklovic TM, Donovan L, Protzuk OA, Kang MS, Feger MA. Acute lateral ankle sprain to chronic ankle instability: a pathway of dysfunction. Phys Sportsmed. 2018;46(1):116-122. https://doi.org/10.1080/00913847.2018.1409604
  10. de Noronha M, Refshauge KM, Herbert RD, Kilbreath SL, Hertel J. Do voluntary strength, proprioception, range of motion, or postural sway predict occurrence of lateral ankle sprain? Br J Sports Med. 2006;40(10):824-828. https://doi.org/10.1136/bjsm.2006.029645
  11. Tabrizi P, McIntyre WM, Quesnel MB, Howard AW. Limited dorsiflexion predisposes to injuries of the ankle in children. J Bone Joint Surg Br. 2000;82(8):1103-1106. https://doi.org/10.1302/0301-620X.82B8.0821103
  12. Kelm J, Anagnostakos K, Deubel G, Schliessing P, Schmitt E. The rupture of the tibial anterior tendon in a world class veteran fencer. Sportverletz Sportschaden. 2004;18(3):148-152. https://doi.org/10.1055/s-2004-813362
  13. Neumann DA. Kinesiology of the hip: a focus on muscular actions. J Orthop Sports Phys Ther. 2010;40(2):82-94. https://doi.org/10.2519/jospt.2010.3025
  14. de Ridder R, Witvrouw E, Dolphens M, Roosen P, Van Ginckel A. Hip strength as an intrinsic risk factor for lateral ankle sprains in youth soccer players: a 3-season prospective study. Am J Sports Med. 2017;45(2):410-416. https://doi.org/10.1177/0363546516672650
  15. Hubbard TJ, Kramer LC, Denegar CR, Hertel J. Contributing factors to chronic ankle instability. Foot Ankle Int. 2007;28(3):343-354. https://doi.org/10.3113/FAI.2007.0343
  16. McCann RS, Bolding BA, Terada M, Kosik KB, Crossett ID, Gribble PA. Isometric hip strength and dynamic stability of individuals with chronic ankle instability. J Athl Train. 2018;53(7):672-678. https://doi.org/10.4085/1062-6050-238-17
  17. Webster KA, Gribble PA. A comparison of electromyography of gluteus medius and maximus in subjects with and without chronic ankle instability during two functional exercises. Phys Ther Sport. 2013;14(1):17-22. https://doi.org/10.1016/j.ptsp.2012.02.002
  18. Friel K, McLean N, Myers C, Caceres M. Ipsilateral hip abductor weakness after inversion ankle sprain. J Athl Train. 2006;41(1):74-78.
  19. Cerny K. Pathomechanics of stance: clinical concepts for analysis. Phys Ther. 1984;64(12):1851-1859. https://doi.org/10.1093/ptj/64.12.1851
  20. Steinberg N, Dar G, Dunlop M, Gaida JE. The relationship of hip muscle performance to leg, ankle and foot injuries: a systematic review. Phys Sportsmed. 2017;45(1):49-63. https://doi.org/10.1080/00913847.2017.1280370
  21. Hiller CE, Refshauge KM, Bundy AC, Herbert RD, Kilbreath SL. The Cumberland ankle instability tool: a report of validity and reliability testing. Arch Phys Med Rehabil. 2006;87(9):1235-1241. https://doi.org/10.1016/j.apmr.2006.05.022
  22. Alawna MA, Unver BH, Yuksel EO. The reliability of a smartphone goniometer application compared with a traditional goniometer for measuring ankle joint range of motion. J Am Podiatr Med Assoc. 2019;109(1):22-29. https://doi.org/10.7547/16-128
  23. Pua YH, Wrigley TW, Cowan SM, Bennell KL. Intrarater test-retest reliability of hip range of motion and hip muscle strength measurements in persons with hip osteoarthritis. Arch Phys Med Rehabil. 2008;89(6):1146-1154. https://doi.org/10.1016/j.apmr.2007.10.028
  24. Sisto SA, Dyson-Hudson T. Dynamometry testing in spinal cord injury. J Rehabil Res Dev. 2007;44(1):123-136. https://doi.org/10.1682/JRRD.2005.11.0172
  25. Thorborg K, Petersen J, Magnusson SP, Holmich P. Clinical assessment of hip strength using a hand‐held dynamometer is reliable. Scand J Med Sci Sports. 2010;20(3):493-501.
  26. Caine D, Knutzen K, Howe W, et al. A threeyear epidemiological study of injuries affecting young female gymnasts. Phys Ther Sport. 2003;4(1):10-23. https://doi.org/10.1016/S1466-853X(02)00070-6
  27. Gholipour M, Tabrizi A, Farahmand F. Kinematics analysis of lunge fencing using stereophotogrametry. World J Sport Sci. 2008;1(1):32-37.
  28. Park KJ, Byung SB. Injuries in elite Korean fencers: an epidemiological study. Br J Sports Med. 2017;51(4):220-225. https://doi.org/10.1136/bjsports-2016-096754
  29. Simsek S, Yagci N. Acute effects of distal fibular taping technique on pain, balance and forward lunge activities in Chronic Ankle Instability. J Back Musculoskelet Rehabil. 2019;32(1):15-20. https://doi.org/10.3233/BMR-181132
  30. Hogan KK, Powden CJ, Hoch MC. The influence of foot posture on dorsiflexion range of motion and postural control in those with chronic ankle instability. Clin Biomech. 2016;38:63-67. https://doi.org/10.1016/j.clinbiomech.2016.08.010
  31. Plaza-Manzano G, Vergara-Vila M, Val-Otero S, et al. Manual therapy in joint and nerve structures combined with exercises in the treatment of recurrent ankle sprains: A randomized, controlled trial. Man Ther. 2016;26:141-149. https://doi.org/10.1016/j.math.2016.08.006
  32. Hoch MC, Staton GS, Medina McKeon JM, Mattacola CG, McKeon PO. Dorsiflexion and dynamic postural control deficits are present in. those with chronic ankle instability. J Sci Med Sport. 2012;15(6):574-579. https://doi.org/10.1016/j.jsams.2012.02.009
  33. Gribble PA, Hertel J, Denegar CR, Buckley WE. The effects of fatigue and chronic ankle instability on dynamic postural control. J Athl Train. 2004;39(4):321-329.
  34. Tyler TF, Mchugh MP, Mirabella MR, Mullaney MJ, Nicholas SJ. Risk factors for noncontact ankle sprains in high school football players: the role of previous ankle sprains and body mass index. Am J Sports Med. 2006;34(3):471-475. https://doi.org/10.1177/0363546505280429
  35. Cruz-Diaz D, Lomas Vega R, Osuna-Perez MC, Hita-Contreras F, Martinez-Amat A. Effects of joint mobilization on chronic ankle instability: a randomized controlled trial. Disabil Rehabil. 2015;37(7):601-610. https://doi.org/10.3109/09638288.2014.935877
  36. Fereydounnia S, Shadmehr A, Attarbashi Moghadam B, et al. Improvements in strength and functional performance after Kinesio taping in semi-professional male soccer players with and without functional ankle instability. Foot. 2019;41:12-18. https://doi.org/10.1016/j.foot.2019.06.006
  37. Guilhem G, Giroux C, Couturier A, Chollet D, Rabita G. Mechanical and muscular coordination patterns during a high-level fencing assault. Med Sci Sports Exerc. 2014;46(2):341-350. https://doi.org/10.1249/MSS.0b013e3182a6401b
  38. Tsolakis C, Vagenas G. Anthropometric, physiological and performance characteristics of elite and sub-elite fencers. J Hum Kinet. 2010;23:89-95. https://doi.org/10.2478/v10078-010-0011-8
  39. Guilhem G, Cornu C, Guevel A. Muscle architecture and EMG activity changes during isotonic and isokinetic eccentric exercises. Eur J Appl Physiol. 2011;111(11):2723-2733. https://doi.org/10.1007/s00421-011-1894-3
  40. Roi GS, Bianchedi D. The science of fencing: implications for performance and injury prevention. Sports Med. 2008;38(6):465-481. https://doi.org/10.2165/00007256-200838060-00003