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Patti A, Gervasi M, Giustino V, Figlioli F, Canzone A, Drid P, Thomas E, Messina G, Vicari DSS, Palma A, Bianco A. The Influence of Ankle Mobility and Foot Stability on Jumping Ability and Landing Mechanics: A Cross-Sectional Study. J Funct Morphol Kinesiol 2024; 9:160. [PMID: 39311268 PMCID: PMC11417945 DOI: 10.3390/jfmk9030160] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/19/2024] [Revised: 09/05/2024] [Accepted: 09/06/2024] [Indexed: 09/26/2024] Open
Abstract
Practicing physical activities or sports that involve frequent jumping and landing can strain the muscles and joints of the lower limbs, especially in those who do not have adequate physical preparation. The objective of this study was to (a) determine the correlation between ankle range of motion (ROM) and landing stability following jumps; (b) assess the association between the jump height in a counter-movement jump (CMJ) test and ankle ROM; and (c) examine the connection between stabilometry during specific jumps movements present in many sports and in ankle stabilization. Sixty-two healthy amateur volleyball players participated in the study (age: thirty-seven females and twenty-five males; age (years): 16.5 ± 4.25; height (cm): 166 ± 11.4; weight (Kg): 61.6 ± 13.7). Participants were recruited for the study in collaboration with student sports associations. The evaluations encompassed the measurement of ankle joint mobility for both lower limbs using an inertial sensor, a static baropodometric and stabilometric analysis using a pressure platform, and the CMJ test using the Microgate system. After the assessments, participants performed a "specific jump landing task". Significant correlations were found between foot range of motion (ROM) and counter-movement jump (CMJ) performance. Specifically, the ROM of the right foot had a strong correlation with the CMJ (r = 0.81, p < 0.001), while the left foot ROM showed a moderate correlation (r = 0.46, p < 0.001). The specific jump task revealed substantial changes in stabilometry parameters, particularly during forward hops compared to lateral jumps. Dorsiflexion ROM significantly impacts jumping ability. Evaluating landing patterns and stabilometry during targeted activities can help optimize training, improve dynamic balance, and reduce ankle injury risk.
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Affiliation(s)
- Antonino Patti
- Sport and Exercise Sciences Research Unit, Department of Psychology, Educational Science and Human Movement, University of Palermo, Via Giovanni Pascoli 6, 90144 Palermo, Italy; (A.P.); (F.F.); (A.C.); (E.T.); (D.S.S.V.); (A.P.); (A.B.)
| | - Marco Gervasi
- Department of Biomolecular Sciences, Division of Exercise and Health Sciences, University of Urbino Carlo Bo, 61029 Urbino, Italy;
| | - Valerio Giustino
- Sport and Exercise Sciences Research Unit, Department of Psychology, Educational Science and Human Movement, University of Palermo, Via Giovanni Pascoli 6, 90144 Palermo, Italy; (A.P.); (F.F.); (A.C.); (E.T.); (D.S.S.V.); (A.P.); (A.B.)
| | - Flavia Figlioli
- Sport and Exercise Sciences Research Unit, Department of Psychology, Educational Science and Human Movement, University of Palermo, Via Giovanni Pascoli 6, 90144 Palermo, Italy; (A.P.); (F.F.); (A.C.); (E.T.); (D.S.S.V.); (A.P.); (A.B.)
| | - Alberto Canzone
- Sport and Exercise Sciences Research Unit, Department of Psychology, Educational Science and Human Movement, University of Palermo, Via Giovanni Pascoli 6, 90144 Palermo, Italy; (A.P.); (F.F.); (A.C.); (E.T.); (D.S.S.V.); (A.P.); (A.B.)
| | - Patrik Drid
- Faculty of Sport and Physical Education, University of Novi Sad, 21000 Novi Sad, Serbia;
| | - Ewan Thomas
- Sport and Exercise Sciences Research Unit, Department of Psychology, Educational Science and Human Movement, University of Palermo, Via Giovanni Pascoli 6, 90144 Palermo, Italy; (A.P.); (F.F.); (A.C.); (E.T.); (D.S.S.V.); (A.P.); (A.B.)
| | - Giuseppe Messina
- Department of Human Sciences and Promotion of the Quality of Life, San Raffaele University, 20132 Rome, Italy;
| | - Domenico Savio Salvatore Vicari
- Sport and Exercise Sciences Research Unit, Department of Psychology, Educational Science and Human Movement, University of Palermo, Via Giovanni Pascoli 6, 90144 Palermo, Italy; (A.P.); (F.F.); (A.C.); (E.T.); (D.S.S.V.); (A.P.); (A.B.)
- Department of Neurosciences, Biomedicine and Movement Sciences, University of Verona, 37129 Verona, Italy
| | - Antonio Palma
- Sport and Exercise Sciences Research Unit, Department of Psychology, Educational Science and Human Movement, University of Palermo, Via Giovanni Pascoli 6, 90144 Palermo, Italy; (A.P.); (F.F.); (A.C.); (E.T.); (D.S.S.V.); (A.P.); (A.B.)
- Regional Sports School of CONI Sicilia, 90141 Palermo, Italy
| | - Antonino Bianco
- Sport and Exercise Sciences Research Unit, Department of Psychology, Educational Science and Human Movement, University of Palermo, Via Giovanni Pascoli 6, 90144 Palermo, Italy; (A.P.); (F.F.); (A.C.); (E.T.); (D.S.S.V.); (A.P.); (A.B.)
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Migliorini F, Maffulli N, Cocconi F, Schäfer L, Bell A, Katusic D, Vaishya R. Better outcomes using suture button compared to screw fixation in talofibular syndesmotic injuries of the ankle: a level I evidence-based meta-analysis. Arch Orthop Trauma Surg 2024; 144:2641-2653. [PMID: 38740648 DOI: 10.1007/s00402-024-05354-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/30/2023] [Accepted: 04/28/2024] [Indexed: 05/16/2024]
Abstract
INTRODUCTION The present meta-analysis evaluated current level I clinical trials which compared the use of a suture button (SB) versus syndesmotic screw (SS) fixation techniques for syndesmosis injuries of the ankle. The outcomes of interest were to compare patient-reported outcome measures (PROMs) and complications. It was hypothesised that SB might achieve better PROMs along with a lower rate of complications. METHODS This study was conducted according to the 2020 PRISMA statement. In August 2023, PubMed, Web of Science, Google Scholar, and Embase were accessed. All the randomised controlled trials (RCTs) which compared SB versus SS fixation for syndesmosis injuries of the ankle were accessed. Data concerning the American Orthopaedic Foot & Ankle Society (AOFAS), and Olerud-Molander score (OMS) were collected at baseline and at last follow-up. Data on implant failure, implant removal, and joint malreduction were also retrieved. RESULTS Data from seven RCTs (490 patients) were collected. 33% (161 of 490) were women. The mean length of the follow-up was 30.8 ± 27.4 months. The mean age of the patients was 41.1 ± 4.1 years. Between the two groups (SB and SS), comparability was found in the mean age, and men:women ratio. The SS group evidenced lower OMS (P = 0.0006) and lower AOFAS (P = 0.03). The SS group evidenced a greater rate of implant failure (P = 0.0003), implant removal (P = 0.0005), and malreduction (P = 0.04). CONCLUSION Suture button fixation might perform better than the syndesmotic screw fixation in syndesmotic injuries of the ankle.
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Affiliation(s)
- Filippo Migliorini
- Department of Orthopedics and Trauma Surgery, Academic Hospital of Bolzano (SABES-ASDAA), 39100, Bolzano, Italy.
| | - Nicola Maffulli
- Department of Medicine and Psychology, University of Rome "La Sapienza", Rome, Italy
- School of Pharmacy and Bioengineering, Faculty of Medicine, Keele University, Stoke On Trent, ST4 7QB, UK
- Centre for Sports and Exercise Medicine, Barts and the London School of Medicine and Dentistry, Mile End Hospital, Queen Mary University of London, London, E1 4DG, UK
| | - Federico Cocconi
- Department of Orthopedics and Trauma Surgery, Academic Hospital of Bolzano (SABES-ASDAA), 39100, Bolzano, Italy
| | - Luise Schäfer
- Department of Orthopaedic and Trauma Surgery, Eifelklinik St. Brigida, Simmerath, Germany
| | - Andreas Bell
- Department of Orthopaedic and Trauma Surgery, Eifelklinik St. Brigida, Simmerath, Germany
| | - Dragana Katusic
- Department of Orthopedics and Trauma Surgery, Academic Hospital of Bolzano (SABES-ASDAA), 39100, Bolzano, Italy
| | - Raju Vaishya
- Department of Orthopaedics, Indraprastha Apollo Hospitals, New Delhi, India
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McMahon JJ, Ripley NJ, Comfort P, Robles-Palazón FJ, Fahey JT, Badby AJ, Bramah C. The Kneeling Isometric Plantar Flexor Test: Preliminary Reliability and Feasibility in Professional Youth Football. J Funct Morphol Kinesiol 2023; 8:164. [PMID: 38132719 PMCID: PMC10744255 DOI: 10.3390/jfmk8040164] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/30/2023] [Revised: 11/20/2023] [Accepted: 11/28/2023] [Indexed: 12/23/2023] Open
Abstract
Calf injuries are common in professional football; thus, the establishment of reliable and time-efficient methods of measuring the peak force capabilities of the plantar flexors with equipment that is accessible to football practitioners is valuable. In this study, we determined the preliminary reliability and feasibility of a new test, termed the kneeling isometric plantar flexion test (KIPFT), for footballers. Twenty-one male youth footballers (age = 17.8 ± 1.1 years, height = 182 ± 5 cm, weight = 77.6 ± 5.9 kg) from English League One football clubs completed three trials of the KIPFT on a wireless force plate at the end (2022-2023) and start (2023-2024) of the season. The within-session reliability of the peak force (relative to body weight) was good-excellent for both limbs and both occasions. On average, performance of the KIPFT took just over 1 min per limb and ~2 min to set up. The peak force values were larger for the non-dominant limbs only at the start versus the end of the season, but there were no between-limb differences. From these results, it was determined that (1) the KIPFT is feasible, (2) a minimum of 32 footballers would be required to establish its between-session reliability with ≥80% statistical power and (3) large-cohort normative data for the KIPFT may be best collected at the start of the football season.
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Affiliation(s)
- John J. McMahon
- Centre for Human Movement and Rehabilitation Research, University of Salford, Salford M6 6PU, UK; (N.J.R.); (P.C.); (F.J.R.-P.); (J.T.F.); (A.J.B.); (C.B.)
| | - Nicholas J. Ripley
- Centre for Human Movement and Rehabilitation Research, University of Salford, Salford M6 6PU, UK; (N.J.R.); (P.C.); (F.J.R.-P.); (J.T.F.); (A.J.B.); (C.B.)
| | - Paul Comfort
- Centre for Human Movement and Rehabilitation Research, University of Salford, Salford M6 6PU, UK; (N.J.R.); (P.C.); (F.J.R.-P.); (J.T.F.); (A.J.B.); (C.B.)
- Centre for Exercise and Sport Science Research, Edith Cowan University, Joondalup, WA 6027, Australia
| | - Francisco Javier Robles-Palazón
- Centre for Human Movement and Rehabilitation Research, University of Salford, Salford M6 6PU, UK; (N.J.R.); (P.C.); (F.J.R.-P.); (J.T.F.); (A.J.B.); (C.B.)
- Department of Physical Activity and Sport, Faculty of Sport Sciences, Campus of Excellence Mare Nostrum, University of Murcia, 30720 Murcia, Spain
| | - Jack T. Fahey
- Centre for Human Movement and Rehabilitation Research, University of Salford, Salford M6 6PU, UK; (N.J.R.); (P.C.); (F.J.R.-P.); (J.T.F.); (A.J.B.); (C.B.)
| | - Andrew J. Badby
- Centre for Human Movement and Rehabilitation Research, University of Salford, Salford M6 6PU, UK; (N.J.R.); (P.C.); (F.J.R.-P.); (J.T.F.); (A.J.B.); (C.B.)
| | - Christopher Bramah
- Centre for Human Movement and Rehabilitation Research, University of Salford, Salford M6 6PU, UK; (N.J.R.); (P.C.); (F.J.R.-P.); (J.T.F.); (A.J.B.); (C.B.)
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Wang L, Ye J, Zhang X. Ankle biomechanics of the three-step layup in a basketball player with chronic ankle instability. Sci Rep 2023; 13:18667. [PMID: 37907629 PMCID: PMC10618240 DOI: 10.1038/s41598-023-45794-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/26/2023] [Accepted: 10/24/2023] [Indexed: 11/02/2023] Open
Abstract
At present, the effects of chronic ankle instability (CAI) on the biomechanics of the ankle joint in the three-step layup of basketball players are not clear. This work aims to thoroughly investigate the impact of CAI on the biomechanical characteristics of the ankle during the execution of a three-step layup in basketball players. Thirty male basketball players were stratified into distinct groups-namely, a CAI group and a non-CAI group-comprising 15 individuals each, based on the presence or absence of CAI. Demographic attributes, including age, weight, height, and the Cumberland Ankle Instability Tool (CAIT) score, were subjected to rigorous statistical examination within both athlete cohorts. The research employed four Whistler 9281CA 3D force measuring platforms (Switzerland), recording at 1000 Hz, in conjunction with eight camera motion analysis systems (USA), functioning at a frequency of 200 Hz. The study recorded maximal plantarflexion angle, inversion angle, dorsiflexion angle, and peak ankle dorsiflexion moment across the subjects during the distinct phases of push-off, landing, and the ensuing landing period. The findings notably exhibited that within the context of the one-foot push-off phase, the maximum ankle inversion angle was notably diminished in the CAI group as contrasted with the non-CAI group, demonstrating statistical significance (t = - 3.006, P < 0.01). The CAI group exhibited a lesser alteration in ankle inversion angle compared to the non-CAI group. Notably, during the one-foot landing period, the CAI group demonstrated a significantly greater maximum ankle inversion angle in contrast to the non-CAI group (t = 8.802, P < 0.001). Furthermore, the CAI group displayed a substantially larger maximum dorsiflexion angle at the ankle joint compared to the non-CAI group (t = 2.265, P < 0.05). Additionally, the CAI group exhibited a prolonged peak time for ankle dorsiflexion moment as compared to the non-CAI group (t = - 2.428, P < 0.05). Collectively, the findings elucidated a reduction in the maximum ankle joint inversion angle during the one-foot push-off phase in individuals with CAI. Furthermore, increased maximum inversion angle and maximum dorsiflexion angle of the ankle joint were observed during the one-foot landing period, alongside a lengthening of the peak time of ankle dorsiflexion moment. These results contribute valuable insights into the selection of training methodologies for basketball players afflicted by CAI.
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Affiliation(s)
- Luyu Wang
- China Basketball College, Beijing Sport University, Beijing City, 100084, China
| | - Jiahui Ye
- China Basketball College, Beijing Sport University, Beijing City, 100084, China
| | - Xuyang Zhang
- China Basketball College, Beijing Sport University, Beijing City, 100084, China.
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Rafagnin CZ, Ferreira ADS, Telles GF, Lemos de Carvalho T, Alexandre DJDA, Nogueira LAC. Anterior component of Y-Balance test is correlated to ankle dorsiflexion range of motion in futsal players: A cross-sectional study. PHYSIOTHERAPY RESEARCH INTERNATIONAL 2023; 28:e2028. [PMID: 37325995 DOI: 10.1002/pri.2028] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/19/2023] [Revised: 05/15/2023] [Accepted: 06/05/2023] [Indexed: 06/17/2023]
Abstract
BACKGROUND AND PURPOSE Restricted dorsiflexion range of motion (DFROM) could impact dynamic balance in sports. This study aimed to investigate the relationship between dorsiflexion range of motion and the Y-Balance Test (YBT) in elite futsal players. METHODS Sixty-one asymptomatic male futsal players (mean age 26.57 (5.64) years, a mean body mass index of 25.40 (2.69) kg/m2 ) were included. DFROM was measured by the weight-bearing lunge test (WBLT). DFROM data were obtained using smartphone-based motion capture. The Pearson correlation coefficient verified the correlation between the variables. RESULTS Dominant and nondominant leg ankle DFROM was significantly correlated with the anterior component of YBT (r = 0.27 and 0.51, respectively). The posteromedial component and the composite score of the YBT were also significantly correlated with nondominant leg ankle DFROM (r = 0.31 and 0.34, respectively)]. The other measures were not statistically significant. DFROM explained between 7% and 24% of the variation of the distances reached in the YBT. CONCLUSION Dorsiflexion range of motion measured by weight bearing lunge test is positively correlated with dynamic balance in futsal players.
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Affiliation(s)
- Camilo Zumbi Rafagnin
- Rehabilitation Science Postgraduation Programme - Augusto Motta University Centre (UNISUAM), Rio de Janeiro, Brazil
| | - Arthur de Sá Ferreira
- Rehabilitation Science Postgraduation Programme - Augusto Motta University Centre (UNISUAM), Rio de Janeiro, Brazil
| | - Gustavo Felicio Telles
- Rehabilitation Science Postgraduation Programme - Augusto Motta University Centre (UNISUAM), Rio de Janeiro, Brazil
| | - Thiago Lemos de Carvalho
- Rehabilitation Science Postgraduation Programme - Augusto Motta University Centre (UNISUAM), Rio de Janeiro, Brazil
| | | | - Leandro Alberto Calazans Nogueira
- Rehabilitation Science Postgraduation Programme - Augusto Motta University Centre (UNISUAM), Rio de Janeiro, Brazil
- Physiotherapy Department, Federal Institute of Rio de Janeiro (IFRJ), Rio de Janeiro, Brazil
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