Korean Journal of Applied Biomechanics (한국운동역학회지)

Korean Society of Applied Biomechanics (한국운동역학회)
권호 표지
DOI QR코드

DOI QR Code

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

만성 발목 불안정성(CAI) 환자와 건강 대조군 간 종합적 발목관절복합체의 생체역학적 특성

  • 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)
  • Received : 2021.07.24
  • Accepted : 2021.09.30
  • Published : 2021.09.30
Download PDF
⟨ Previous Next ⟩

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

Acknowledgement

I am so thankful to our colleagues who provided expertise that greatly assisted the research, with all of the interpretations provided in this paper. 본 연구는 석사학위논문을 바탕으로 작성하였습니다.

References

  1. 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. https://doi.org/10.1016/S0736-0266(00)90004-4
  2. Brockett, C. L. & Chapman, G. J. (2016). Biomechanics of the ankle. Orthopaedics and Trauma, 30(3), 232-238. https://doi.org/10.1016/j.mporth.2016.04.015
  3. 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. https://doi.org/10.1016/j.ptsp.2012.10.001
  4. 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.
  5. Donatelli, R. & Wolf, S. (1990). The Biomechanics ofthe Foot and Ankle. In: Philadelphia, Pa: FA Davis Co.
  6. 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. https://doi.org/10.1016/j.jsams.2008.07.003
  7. Hertel, J. (2002). Functional anatomy, pathomechanics, and pathophysiology of lateral ankle instability. Journal of Athletic Training, 37(4), 364.
  8. 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. https://doi.org/10.5103/KJSB.2018.28.4.219
  9. 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. https://doi.org/10.3390/ijerph18105494
  10. 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. https://doi.org/10.7547/87507315-91-9-465
  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. https://doi.org/10.1016/j.clinbiomech.2005.09.004
  12. 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. https://doi.org/10.7547/87507315-83-4-198
  13. Palmer, M. L. & Epler, M. E. (1990). Clinical assessment procedures in physical therapy: Lippincott Williams & Wilkins.
  14. 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. https://doi.org/10.2519/jospt.1993.18.4.553
  15. 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. https://doi.org/10.1590/S1807-59322011000600018
  16. 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. https://doi.org/10.1016/j.ptsp.2020.12.009
  17. Saltzman, C. L. & El-Khoury, G. Y. (1995). The hindfoot alignment view. Foot & Ankle International, 16(9), 572-576. https://doi.org/10.1177/107110079501600911
  18. 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. https://doi.org/10.1177/1941738108326702
  19. 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. https://doi.org/10.1016/j.humov.2019.01.013
  20. 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. https://doi.org/10.1016/j.fcl.2020.10.003
  21. 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. https://doi.org/10.1007/s11136-011-9960-1
  22. 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. https://doi.org/10.1016/S0268-0033(02)00010-4
  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. https://doi.org/10.1177/0363546506294470
  24. 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. https://doi.org/10.1249/MSS.0b013e3181ad1e2f
  25. 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. https://doi.org/10.1016/j.gaitpost.2017.02.001