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Hou X, Qian J, Cai J, Su W, Ruan B, Gao Q. Using clinician-oriented and laboratory-oriented assessments to study dynamic stability of individuals with chronic ankle instability. iScience 2024; 27:108842. [PMID: 38327777 PMCID: PMC10847673 DOI: 10.1016/j.isci.2024.108842] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/26/2023] [Revised: 10/08/2023] [Accepted: 01/03/2024] [Indexed: 02/09/2024] Open
Abstract
To compare the dynamic stability of lower extremities between Copers and individuals with chronic ankle instability (CAI) using clinician-oriented assessments (Y-balance test, YBT) and laboratory-oriented assessments (time to stabilization, TTS). 90 participants (Copers, 45; CAIs, 45) were recruited and measured by YBT and TTS to evaluate dynamic stability. The difference of dynamic stability between Copers and CAIs was examined using a two-factor MANOVA. Only for females in anterior direction, YBT scores for the AS side of Copers were significantly higher than that of CAIs. For males, the TTS of CAIs was significantly shorter than that of Copers in the anterior, lateral, and medial direction separately. For females, the TTS of CAIs is also significantly shorter than that of Copers in the anterior, lateral, and medial direction separately. There are opposite results when evaluating the dynamic stability difference between Copers and CAIs using YBT and TTS.
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Affiliation(s)
- Xiao Hou
- School of Sport Science, Beijing Sport University, Beijing, China
- Exercise Rehabilitation Science Laboratory, Beijing Sport University, Beijing, China
| | - Jinghua Qian
- Exercise Rehabilitation Science Laboratory, Beijing Sport University, Beijing, China
- School of Sport Medicine and Rehabilitation, Beijing Sport University, Beijing, China
| | - Jingxian Cai
- Exercise Rehabilitation Science Laboratory, Beijing Sport University, Beijing, China
- School of Sport Medicine and Rehabilitation, Beijing Sport University, Beijing, China
| | - Wanrongyu Su
- Exercise Rehabilitation Science Laboratory, Beijing Sport University, Beijing, China
- School of Sport Medicine and Rehabilitation, Beijing Sport University, Beijing, China
| | - Bing Ruan
- Exercise Rehabilitation Science Laboratory, Beijing Sport University, Beijing, China
- School of Sport Medicine and Rehabilitation, Beijing Sport University, Beijing, China
| | - Qi Gao
- Exercise Rehabilitation Science Laboratory, Beijing Sport University, Beijing, China
- School of Sport Medicine and Rehabilitation, Beijing Sport University, Beijing, China
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Klaewkasikum K, Patathong T, Angsanuntsukh C, Woratanarat T, Sanguantrakul J, Woratanarat P. The ankle kinematic reference of normal gait pattern in Thai adults. Front Surg 2022; 9:915090. [PMID: 36034375 PMCID: PMC9403080 DOI: 10.3389/fsurg.2022.915090] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/07/2022] [Accepted: 07/07/2022] [Indexed: 11/13/2022] Open
Abstract
ObjectiveThis study was aimed to establish the reference values of ankle kinematics and factors associated with ankle kinematics of healthy Thai adults.MethodsA prospective cohort was conducted among healthy volunteers aged between 18 and 40 years and evaluated gait analysis between 2016 and 2020. After applying the modified Halen Hayes marker set, participants were assigned to walk 8–10 rounds with their preferred speed. Demographic data i.e., age, gender and body mass index (BMI) and ankle kinematics (varus-valgus, dorsiflexion-plantar flexion, foot progression, and ankle rotation) using motion analysis software were recorded and analyzed.Results98 volunteers (60 females and 38 males) aged 28.6 ± 5.4 years with body mass index 21.2 ± 2.0 kg/m2 were included. The average ranges of ankle kinematics entire gait cycle were varus-valgus −1.62 to 3.17 degrees, dorsiflexion-plantar flexion 0.67 to 14.52 degrees, foot progression −21.73 to −8.47 degrees, and ankle rotation 5.22 to 9.74 degrees. The ankle kinematic data in this study population was significantly different from the normal values supplied by OrthoTrak software of the motion analysis program, especially more ankle internal rotation at mid-stance (5.22 vs. −12.10 degrees) and terminal stance (5.48 vs. −10.74 degrees) with P < 0.001. Foot progression significantly exhibited more external rotation for 1.5 degrees on the right compared to the left side, and for 5 degrees more in males than females. One increment in age was significantly correlated with ankle internal rotation at mid-swing (coefficient 0.21 degrees, P = 0.039). BMI had no statistical association with ankle kinematics. Statistical parametric mapping for full-time series of angle assessments showed significantly different foot progression at initial contact and terminal stance between sides, and our ankle kinematics significantly differed from the reference values of the motion analysis program in all planes (P < 0.05).ConclusionThe reference of ankle kinematics of Thai adults was established and differences between sides and the normal values of the motion analysis program were identified. Advanced age was associated with ankle internal rotation, and male gender was related to external foot progression. Further studies are needed to define all-age group reference values.
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Affiliation(s)
- Krongkaew Klaewkasikum
- Department of Orthopaedics, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand
| | - Tanyaporn Patathong
- Department of Orthopaedics, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand
| | - Chanika Angsanuntsukh
- Department of Orthopaedics, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand
| | - Thira Woratanarat
- Department of Preventive and Social Medicine, Faculty of Medicine, Chulalongkorn University, BangkokThailand
| | - Jongsook Sanguantrakul
- National Electronics and Computer Technology Center, National Science and Technology Development Agency, Pathumthani, Thailand
| | - Patarawan Woratanarat
- Department of Orthopaedics, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand
- Correspondence: Patarawan Woratanarat
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