功能性踝关节不稳患者单脚静立平衡能力与踝关节肌力和位置觉的关系

doi:10.3969/j.issn.1006-9771.2024.02.016

Abstract

Abstract:

Objective To analyze the relationship of the static single-leg stance balance with ankle muscles strength and position sense in individuals with functional ankle instability (FAI).
Methods From March to May, 2023, 44 FAI individuals were recruited in Hebei Normal University, and the maximum isokinetic muscle strength (60°/s and 180°/s) and position sense as ankle flexion, extension, inversion and eversion were measured using isokinetic dynamometer; while the center of pressure (COP) sway distance and envelope area were measured as static single-leg stance with eyes open or closed using three-dimensional force plate.
Results The maximum isokinetic torque as ankle eversion at 180°/s correlated with the COP anterior-posterior sway distance with eyes closed (r = -0.378, P < 0.05).
Conclusion Explosive ankle eversion strength is related with the balance in static single-leg stance, which may help to evaluate and intervent the ankle function of FAI individuals.

Key words: functional ankle instability, balance, muscle strength, position sense

CLC Number:

R684.7

LIU Hao, LI Zongtao, CAI Yanwei. Relationship of balance in static single-leg stance to muscle strength and position sense of ankle in individuals with functional ankle instability[J]. Chinese Journal of Rehabilitation Theory and Practice, 2024, 30(2): 243-248.

Figures/Tables 3

Table 1

Table 2

Table 3

References 57

[1]	HOOTMAN J M, DICK R, AGEL J. Epidemiology of collegiate injuries for 15 sports: summary and recommendations for injury prevention initiatives[J]. J Athl Train, 2007, 42(2): 311-319.
[2]	SERRA-ANO P, INGLES M, ESPI-LOPEZ G V, et al. Biomechanical and viscoelastic properties of the ankle muscles in men with previous history of ankle sprain[J]. J Biomech, 2021, 115: 110191. doi: 10.1016/j.jbiomech.2020.110191
[3]	VAES P H, DUQUET W, CASTELEYN P P, et al. Static and dynamic roentgenographic analysis of ankle stability in braced and nonbraced stable and functionally unstable ankles[J]. Am J Sports Med, 1998, 26(5): 692-702. doi: 10.1177/03635465980260051601
[4]	SHAH S, THOMAS A C, NOONE J M, et al. Incidence and cost of ankle sprains in United States emergency departments[J]. Sports Health, 2016, 8(6): 547-552. doi: 10.1177/1941738116659639 pmid: 27474161
[5]	BELATTI D A, PHISITKUL P. Economic burden of foot and ankle surgery in the US medicare population[J]. Foot Ankle Int, 2014, 35(4): 334-340. doi: 10.1177/1071100713519777 pmid: 24449755
[6]	WEBSTER K A, GRIBBLE P A. Functional rehabilitation interventions for chronic ankle instability: a systematic review[J]. J Sport Rehabil, 2010, 19(1): 98-114. doi: 10.1123/jsr.19.1.98 pmid: 20231748
[7]	ARNOLD B L, DE LA MOTTE S, LINENS S, et al. Ankle instability is associated with balance impairments: a meta-analysis[J]. Med Sci Sports Exerc, 2009, 41(5): 1048-1062. doi: 10.1249/MSS.0b013e318192d044
[8]	MCKEON P O, HERTEL J. Systematic review of postural control and lateral ankle instability, part I: can deficits be detected with instrumented testing[J]. J Athl Train, 2008, 43(3): 293-304. doi: 10.4085/1062-6050-43.3.293
[9]	POPE M, CHINN L, MULLINEAUX D, et al. Spatial postural control alterations with chronic ankle instability[J]. Gait Posture, 2011, 34(2): 154-158. doi: 10.1016/j.gaitpost.2011.04.012 pmid: 21600773
[10]	MCKEON P O, HERTEL J. Spatiotemporal postural control deficits are present in those with chronic ankle instability[J]. BMC Musculoskelet Disord, 2008, 9(1): 76. doi: 10.1186/1471-2474-9-76
[11]	LY K, MICHAUD L, LAJOIE Y. The effects of kinesiology tape on static postural control in individuals with functional ankle instability[J]. Phys Ther Sport, 2021, 48(1): 146-153. doi: 10.1016/j.ptsp.2021.01.003
[12]	KHALILI S M, BARATI A H, OLIVEIRA R, et al. Effect of combined balance exercises and kinesio taping on balance, postural stability, and severity of ankle instability in female athletes with functional ankle instability[J]. Life (Basel), 2022, 12(2): 178.
[13]	朱燕, 陈永强, 丁莹, 等. 功能性踝关节不稳的运动员与非运动员踝内外翻肌等速向心及等速离心测试的比较分析[J]. 中国康复医学杂志, 2012, 27(5): 437-441.
	ZHU Y, CHEN Y Q, DING Y, et al. Analysis on isokinetic concentric and eccentric muscle strength test of ankle invertor and evertor in athlete and non-athlete subjects with functional ankle instability[J]. Chin J Rehabil Med, 2012, 27(5): 437-441.
[14]	FORKIN D M, KOCZUR C, BATTLE R, et al. Evaluation of kinesthetic deficits indicative of balance control in gymnasts with unilateral chronic ankle sprains[J]. J Orthop Sports Phys Ther, 1996, 23(4): 245-250. doi: 10.2519/jospt.1996.23.4.245
[15]	LOFVENBERG R, KARRHOLM J, SUNDELIN G, et al. Prolonged reaction time in patients with chronic lateral instability of the ankle[J]. Am J Sports Med, 1995, 23(4): 414-417. doi: 10.1177/036354659502300407
[16]	OLMSTED L C, CARCIA C R, HERTEL J, et al. Efficacy of the star excursion balance tests in detecting reach deficits in subjects with chronic ankle instability[J]. J Athl Train, 2002, 37(4): 501-506.
[17]	HERTEL J. Sensorimotor deficits with ankle sprains and chronic ankle instability[J]. Clin Sports Med, 2008, 27(3): 353-370. doi: 10.1016/j.csm.2008.03.006
[18]	ARNOLD B L, LINENS S W, DE LA MOTTE S J, et al. Concentric evertor strength differences and functional ankle instability: a meta-analysis[J]. J Athl Train, 2009, 44(6): 653-662. doi: 10.4085/1062-6050-44.6.653
[19]	DONNELLY L, DONOVAN L, HART J M, et al. Eversion strength and surface electromyography measures with and without chronic ankle instability measured in 2 positions[J]. Foot Ankle Int, 2017, 38(7): 769-778. doi: 10.1177/1071100717701231 pmid: 28391722
[20]	CHO B K, PARK J K, CHOI S M, et al. The peroneal strength deficits in patients with chronic ankle instability compared to ankle sprain copers and normal individuals[J]. Foot Ankle Surg, 2019, 25(2): 231-236. doi: 10.1016/j.fas.2017.10.017
[21]	KONRADSEN L, MAGNUSSON P. Increased inversion angle replication error in functional ankle instability[J]. Knee Surg Sports Traumatol Arthrosc, 2000, 8(4): 246-251. doi: 10.1007/s001670000124
[22]	SANTOS M J, LIU W. Possible factors related to functional ankle instability[J]. J Orthop Sports Phys Ther, 2008, 38(3): 150-157.
[23]	张阳, 张秋霞. 单侧功能性踝关节不稳者两侧踝内外翻等速肌力差异性的研究[J]. 北京体育大学学报, 2013, 36(12): 88-92.
	ZHANG Y, ZHANG Q X. The bilateral isokinetic difference of ankle invertors and evertors with and without unilateral functional ankle instability[J]. J Peking Sport Univ, 2013, 36(12): 88-92.
[24]	EDOUARD P, CHATARD J C, FOURCHET F, et al. Invertor and evertor strength in track and field athletes with functional ankle instability[J]. Isokinet Exerc Sci, 2011, 19(2): 91-96.
[25]	HUBBARD T J, KRAMER L C, DENEGAR C R, et al. Contributing factors to chronic ankle instability[J]. Foot Ankle Int, 2007, 28(3): 343-354. doi: 10.3113/FAI.2007.0343 pmid: 17371658
[26]	FOX J, DOCHERTY C L, SCHRADER J, et al. Eccentric plantar-flexor torque deficits in participants with functional ankle instability[J]. J Athl Train, 2008, 43(1): 51-54. doi: 10.4085/1062-6050-43.1.51
[27]	NEGAHBAN H, MORADI-BOUSARI A, NAGHIBI S, et al. The eccentric torque production capacity of the ankle, knee, and hip muscle groups in patients with unilateral chronic ankle instability[J]. Asian J Sports Med, 2013, 4(2): 144-152.
[28]	LIU Y W, JENG S C, LEE A J Y. The influence of ankle sprains on proprioception[J]. J Exerc Sci Fit, 2005, 3(1): 33-38.
[29]	NAKASA T, FUKUHARA K, ADACHI N, et al. The deficit of joint position sense in the chronic unstable ankle as measured by inversion angle replication error[J]. Arch Orthop Trauma Surg, 2008, 128(5): 445-449. doi: 10.1007/s00402-007-0432-6
[30]	BOYLE J, NEGUS V. Joint position sense in the recurrently sprained ankle[J]. Aust J Physiother, 1998, 44(3): 159-163. pmid: 11676729
[31]	WILLEMS T, WITVROUW E, VERSTUYFT J, et al. Proprioception and muscle strength in subjects with a history of ankle sprains and chronic instability[J]. J Athl Train, 2002, 37(4): 487-493.
[32]	FU A S, HUI-CHAN C W. Ankle joint proprioception and postural control in basketball players with bilateral ankle sprains[J]. Am J Sports Med, 2005, 33(8): 1174-1182. doi: 10.1177/0363546504271976
[33]	HILLER C E, NIGHTINGALE E J, LIN C W, et al. Characteristics of people with recurrent ankle sprains: a systematic review with meta-analysis[J]. Br J Sports Med, 2011, 45(8): 660-672. doi: 10.1136/bjsm.2010.077404
[34]	GRIBBLE P A, DELAHUNT E, BLEAKLEY C, et al. Selection criteria for patients with chronic ankle instability in controlled research: a position statement of the International Ankle Consortium[J]. J Orthop Sports Phys Ther, 2013, 43(8): 585-591. doi: 10.2519/jospt.2013.0303
[35]	ROEMER F W, JOMAAH N, NIU J, et al. Ligamentous injuries and the risk of associated tissue damage in acute ankle sprains in athletes: a cross-sectional MRI study[J]. Am J Sports Med, 2014, 42(7): 1549-1557. doi: 10.1177/0363546514529643 pmid: 24753239
[36]	WIKSTROM E A, MCKEONP O. Predicting manual therapy treatment success in patients with chronic ankle instability: improving self-reported function[J]. J Athl Train, 2017, 52(4): 325-331. doi: 10.4085/1062-6050-52.2.07
[37]	BARAY A L, PHILIPPOT R, FARIZON F, et al. Assessment of joint position sense deficit, muscular impairment and postural disorder following hemi-castaing ankle ligamentoplasty[J]. Orthop Traumatol Surg Res, 2014, 100(6): S271-S274.
[38]	CHEN X, QU X. Age-related differences in the relationships between lower-limb joint proprioception and postural balance[J]. Hum Factors, 2019, 61(5): 702-711. doi: 10.1177/0018720818795064 pmid: 30130130
[39]	HENRY M, BAUDRY S. Age-related changes in leg proprioception: implications for postural control[J]. J Neurophysiol, 2019, 122(2): 525-538. doi: 10.1152/jn.00067.2019 pmid: 31166819
[40]	WIKSTROM E A, MCKEON P O. Predicting balance improvements following STARS treatments in chronic ankle instability participants[J]. J Sci Med Sport, 2017, 20(4): 356-361. doi: S1440-2440(16)30203-1 pmid: 27840034
[41]	ZHANG W, LOW L F, SCHWENK M, et al. Review of gait, cognition, and fall risks with implications for fall prevention in older adults with dementia[J]. Dement Geriatr Cogn Disord, 2019, 48(1-2): 17-29. doi: 10.1159/000504340
[42]	BONNIN J G. Injuries to the ankle[J]. Postgrad Med J, 1951, 27(305): 148.
[43]	CAO S, WANG C, ZHANG G, et al. In vivo kinematics of functional ankle instability patients during the stance phase of walking[J]. Gait Posture, 2019, 73: 262-268. doi: S0966-6362(19)30401-1 pmid: 31382233
[44]	FREEMAN M A, DEAN M R, HANHAM I W. The etiology and prevention of functional instability of the foot[J]. J Bone Joint Surg Br, 1965, 47(4): 678-685.
[45]	HARBOURNE R T, STERGIOU N. Movement variability and the use of nonlinear tools: principles to guide physical therapist practice[J]. Phys Ther, 2009, 89(3): 267-282. doi: 10.2522/ptj.20080130 pmid: 19168711
[46]	SONG K, BURCAL C J, HERTEL J, et al. Increased visual use in chronic ankle instability: a meta-analysis[J]. Med Sci Sports Exerc, 2016, 48(10): 2046-2056. doi: 10.1249/MSS.0000000000000992
[47]	GERBER E D, NICHOLS P, GIRALDO C, et al. Rambling-trembling center-of-pressure decomposition reveals distinct sway responses to simulated somatosensory deficit[J]. Gait Posture, 2022, 91: 276-283. doi: 10.1016/j.gaitpost.2021.10.017
[48]	SOZZI S, NARDONE A, SCHIEPPATI M. Specific posture-stabilising effects of vision and touch are revealed by distinct changes of body oscillation frequencies[J]. Front Neurol, 2021, 12: 756984. doi: 10.3389/fneur.2021.756984
[49]	MANI H, KATO N, HASEGAWA N, et al. Visual feedback in the lower visual field affects postural control during static standing[J]. Gait Posture, 2022, 97: 1-7. doi: 10.1016/j.gaitpost.2022.07.004 pmid: 35843008
[50]	YU P, CEN X, XIANG L, et al. Regional plantar forces and surface geometry variations of a chronic ankle instability population described by statistical shape modeling[J]. Gait Posture, 2023, 106: 11-17. doi: 10.1016/j.gaitpost.2023.08.007
[51]	STEIB S, ZECH A, HENTSCHKE C, et al. Fatigue-induced alterations of static and dynamic postural control in athletes with a history of ankle sprain[J]. J Athl Train, 2013, 48(2): 203-208. doi: 10.4085/1062-6050-48.1.08
[52]	FEGER M A, DONOVAN L, HART J M, et al. Lower extremity muscle activation in patients with or without chronic ankle instability during walking[J]. J Athl Train, 2015, 50(4): 350-357. doi: 10.4085/1062-6050-50.2.06
[53]	AMIN D J, HERRINGTON L C. The relationship between ankle joint physiological characteristics and balance control during unilateral stance[J]. Gait Posture, 2014, 39(2): 718-722. doi: 10.1016/j.gaitpost.2013.10.004 pmid: 24176551
[54]	RYAN L. Mechanical stability, muscle strength and proprioception in the functionally unstable ankle[J]. Aust J Physiother, 1994, 40(1): 41-47. doi: 10.1016/S0004-9514(14)60453-0 pmid: 25026490
[55]	MORAES M R, CAVALCANTE M L, LEITE J A, et al. Histomorphometric evaluation of mechanoreceptors and free nerve endings in human lateral ankle ligaments[J]. Foot Ankle Int, 2008, 29(1): 87-90. doi: 10.3113/FAI.2008.0087 pmid: 18275744
[56]	PINTSAAR A, BRYNHILDSEN J, TROPP H. Postural corrections after standardised perturbations of single limb stance: effect of training and orthotic devices in patients with ankle instability[J]. Br J Sports Med, 1996, 30(2): 151-155. doi: 10.1136/bjsm.30.2.151
[57]	TROPP H, ODENRICK P. Postural control in single-limb stance[J]. Orthop Res, 1988, 6(6): 833-839. doi: 10.1002/jor.v6:6

动作		闭眼			睁眼
动作		COPx	COPy	包络面积	COPx	COPy	包络面积
跖屈	r值	0.198	-0.019	0.151	-0.025	0.119	-0.056
跖屈	P值	0.227	0.907	0.359	0.880	0.470	0.733
背屈	r值	0.184	0.046	0.130	0.157	0.055	0.114
背屈	P值	0.262	0.782	0.430	0.341	0.740	0.490
内翻	r值	0.083	-0.134	0.032	0.073	0.042	0.056
内翻	P值	0.616	0.418	0.848	0.657	0.801	0.733
外翻	r值	0.188	-0.263	0.068	-0.215	-0.176	-0.181
外翻	P值	0.251	0.105	0.681	0.190	0.285	0.269

动作		闭眼			睁眼
动作		COPx	COPy	包络面积	COPx	COPy	包络面积
跖屈	r值	0.210	0.133	0.165	0.163	0.030	0.129
跖屈	P值	0.199	0.420	0.314	0.321	0.856	0.434
背屈	r值	0.094	0.175	0.048	0.134	0.418	0.096
背屈	P值	0.571	0.287	0.771	0.418	0.377	0.561
内翻	r值	0.107	-0.119	0.054	0.125	0.029	0.079
内翻	P值	0.517	0.470	0.744	0.447	0.861	0.633
外翻	r值	-0.084	-0.378	-0.173	-0.295	-0.270	-0.237
外翻	P值	0.611	0.018	0.293	0.068	0.096	0.146

动作		闭眼			睁眼
动作		COPx	COPy	包络面积	COPx	COPy	包络面积
跖屈	r值	-0.123	-0.284	-0.140	-0.234	-0.184	-0.042
跖屈	P值	0.455	0.079	0.397	0.151	0.261	0.802
背屈	r值	0.138	0.091	0.132	-0.060	-0.013	-0.004
背屈	P值	0.401	0.582	0.423	0.716	0.938	0.980
内翻	r值	-0.062	-0.224	-0.122	-0.123	0.088	-0.120
内翻	P值	0.707	0.170	0.459	0.454	0.593	0.468
外翻	r值	0.081	0.177	0.084	0.025	0.128	-0.024
外翻	P值	0.624	0.281	0.609	0.880	0.437	0.884

Relationship of balance in static single-leg stance to muscle strength and position sense of ankle in individuals with functional ankle instability

RichHTML

PDF (PC)

Knowledge

Abstract

Cite this article

share this article

Figures/Tables 3

References 57

Related Articles 15

Metrics

Comments

Recommended 0

[1]	LIU Hua, JIA Mingyue, DU Xiaoxia, YANG Yaru, LI Jing, LÜ Jihui. Physical fitness and characteristics of cognitive function among people aged 55 to 75 years with high and low risk of dementia in communities in Beijing [J]. Chinese Journal of Rehabilitation Theory and Practice, 2024, 30(2): 195-201.
[2]	WANG Haoyi, SHI Yawei, LU Jun, XU Guangxu. Impact of subjective vertical perception impairment on function in stroke patients: a retrospective study [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2024, 30(1): 68-73.
[3]	YANG Ya'nan, MU Liping, XING Fengmei, XUE Xinhong, WANG Xiaoguang, TAO Yangyu, SUN Zhumei, ZHANG Xiaoli. Effect of intervention based on theory of planned behavior on muscle attenuation and balance of the elderly with sarcopenia [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(8): 869-874.
[4]	SUN Tengfang, REN Mengting, YANG Lin, WANG Yaoting, WANG Hongyu, YAN Xingzhou. Effect of hyperbaric oxygen therapy combined with repetitive peripheral magnetic stimulation on ankle motor function and balance of stroke patients [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(8): 875-881.
[5]	MA Shengnan, KE Jingyue, DONG Hongming, LI Jianping, ZHANG Honghao, LIU Chao, SHEN Shuang, LI Guqiang. Effect of core stability training on dynamic balance and surface electromyography after anterior cruciate ligament reconstruction [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(8): 882-889.
[6]	WANG Ya'nan, LIU Xihua. Correlation and predictive effect of subjective and objective balance function measurements in stroke patients with hemiplegia [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(8): 890-895.
[7]	LI Mengyu, SONG Ya, XU Jian. Characteristics of health-related physical fitness of patients with chronic neck pain [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(7): 756-760.
[8]	XU Renjie, LI Zhou, GUO Yuting, YU Xiqin, MA Jingming, GE Xiangyang, ZHU Ziyun, ZHANG Yuxin, ZHOU Feng. Recovery of proprioception after lateral ankle sprain [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(7): 844-848.
[9]	TAN Xiaohuan, JIANG Guiping, HUANG Xinyi, WANG Dandan, ZHANG Lei, BU Qingguo, WU Xueping. Relationship between lower limb muscle strength and walk speed in community dwelling older adults: the chain mediating role of flexibility and dynamic balance [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(6): 646-653.
[10]	HUANG Dongxu, LI Yinuo, LI Qiujie, YANG Chen, WAN Xianglin. Evaluation method of dynamic postural stability for functional ankle instability based on acceleration signals [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(6): 654-666.
[11]	ZHANG Qian, SUN Xinting. Effect of video-based mirror therapy on lower limb motor function of stroke patients at recovery stage [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(6): 703-707.
[12]	ZHU Xiaomin, LIU Huilin, LIU Yuanmin, YAN Zhiyu, DU Xuejing, WANG Ya'nan, ZHANG Tong. Relationship among spontaneous turning direction, balance and fall risk in stroke patients during walking [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(5): 510-515.
[13]	WANG Lu, CHEN Yan, SU Jiulong, DU Zhiwei, YU Rui, HU Nan, ZENG Yiming, YU Mianxuan, HONG Jing. Effect of three-dimensional motion platform training on balance and walking function of stroke patients [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(4): 485-490.
[14]	LUO Qihang, WU Yuxi, ZHANG Jiaxuan, LI Wanying, OU Haining, LIN Qiang, LIANG Junjie. Brain network during balance in older adults: a functional near-infrared spectroscopy study [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(2): 238-242.
[15]	WANG Xiaojun, WANG Lichun, SHI Meichao, LIU Jun, YING Xiaoce, BAI Dehao. Effect of therapeutic postural placement on postural control and balance in stroke patients with hemiplegia [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(11): 1353-1358.