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. 2023 Dec 8;24(1):955.
doi: 10.1186/s12891-023-07079-1.

Relationship between ankle pain, range of motion, strength and balance in individuals with functional ankle instability: a cross-sectional study

Lu Wang  1 , Ge Yu  1 , Xi Zhang  1 , Yu-Zhang Wang  2 , Ya-Ping Chen  3
Affiliations

Relationship between ankle pain, range of motion, strength and balance in individuals with functional ankle instability: a cross-sectional study

Lu Wang et al. BMC Musculoskelet Disord. .

Abstract

Background: About 15-60% of individuals with ankle sprains may develop functional ankle instability (FAI), which is characterised by ankle pain, decreased muscle strength, limited range of motion, and impaired balance, causing a decline in social activity and quality of life. However, the relationship between those characters is still unclear. This study aimed to investigate whether a relationship existed between ankle pain, active range of motion (AROM), strength and balance and if ankle pain, AROM and strength can predict balance in individuals with FAI.

Methods: Seventy-seven subjects (46 males; 31 females) with unilateral FAI participated in this study. Ankle pain was measured by the visual analogue scale (VAS), ankle AROM was measured using a universal goniometer, ankle strength was measured using a handheld dynamometer, the static balance was measured by the Time in Balance Test (TBT) and the dynamic balance was measured by the modified Star Excursion Balance Test (mSEBT). Pearson product-moment correlations were used to determine the correlations between ankle pain, AROM, strength and balance. Multiple linear regressions were used to investigate if ankle pain, AROM and strength can predict balance in individuals with FAI.

Results: VAS and AROM-plantarflexion predicted 25.6% of the TBT (f2 = 0.344, P < 0.001). AROM-dorsiflexion predicted 24.6% of the mSEBT-anterior reach (f2 = 0.326, P < 0.001). VAS, AROM-plantarflexion and strength-plantarflexion predicted 33.5% of the mSEBT-posteromedial reach (f2 = 0.504, P < 0.001). AROM-plantarflexion and strength-plantarflexion predicted 28.2% of the mSEBT-posterolateral reach (f2 = 0.393, P < 0.001).

Conclusion: This study shows that ankle plantarflexion strength, AROM of dorsiflexion and plantarflexion and pain are predictors of balance in individuals with FAI. These factors could be considered in the rehabilitation of FAI.

Trial registration: Trial registration number: ChiCTR2200063532.

Keywords: Balance; Functional ankle instability; Pain; Range of motion; Strength.

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Conflict of interest statement

The authors declare no competing interests.

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References

    1. Jungmann PM, Lange T, Wenning M, et al. Ankle sprains in athletes: current epidemiological, clinical and imaging trends. Open Access J Sports Med. 2023;14:29–46. doi: 10.2147/OAJSM.S397634. - DOI - PMC - PubMed
    1. Kosik KB, McCann RS, Terada M, et al. Therapeutic interventions for improving self-reported function in patients with chronic ankle instability: a systematic review. Br J Sports Med. 2017;51:105–12. doi: 10.1136/bjsports-2016-096534. - DOI - PubMed
    1. Sarcon AK, Heyrani N, Giza E, et al. Lateral ankle sprain and chronic ankle instability. Foot Ankle Orthopedics. 2019;4(2):2473011419846938. - PMC - PubMed
    1. Doherty C, Bleakley C, Hertel J, et al. Recovery from a first-time lateral ankle sprain and the predictors of chronic ankle instability: a prospective cohort analysis. Am J Sports Med. 2016;44:995–1003. doi: 10.1177/0363546516628870. - DOI - PubMed
    1. Freeman M, Dean M, Hanham I. The etiology and prevention of functional instability of the foot. J Bone Joint Surg Br. 1965;47:678–85. doi: 10.1302/0301-620X.47B4.678. - DOI - PubMed

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