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Alexandre É, Monteiro D, SottoMayor R, Jacinto M, Silva FM, Cid L, Duarte-Mendes P. Assessing Functional Ankle Instability in Sport: A Critical Review and Bibliometric Analysis. Healthcare (Basel) 2024; 12:1733. [PMID: 39273757 PMCID: PMC11395028 DOI: 10.3390/healthcare12171733] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/05/2024] [Revised: 08/23/2024] [Accepted: 08/28/2024] [Indexed: 09/15/2024] Open
Abstract
Functional Ankle Instability (FAI) is the subject of extensive research in sports and other environments. Given the importance of accurately measuring this latent construct, it is imperative to carry out a careful assessment of the available tools. In this context, the aim of this review was to take an in-depth look at the six most cited measurement tools to assess FAI, with a specific focus on patient-reported outcome measures related to ankle and foot. Four electronic databases (Web of Science, Scopus, Pubmed, and SportDiscus) were searched (up to November 2022) to identify the six most cited questionnaires for assessing FAI. Our analysis showed that the most cited questionnaires are the following: the Lower Extremity Functional Scale (LEFS), the Foot Function Index (FFI), the Foot and Ankle Ability Measure (FAAM), the Foot and Ankle Outcome Score (FAOS), the Olerud and Molander Ankle Score (OMAS), and the Cumberland Ankle Instability Tool (CAIT). Each questionnaire was thoroughly assessed and discussed in three sections: Development, Reliability, and Summaries. In addition, bibliometric data were calculated to analyze the relevance of each questionnaire. Despite variations in terms of validity and reliability, conceptualization, structure, and usefulness, the six questionnaires proved to be robust from a psychometric point of view, being widely supported in the literature. The bibliometric analyses suggested that the FAOS ranks first and the FFI ranks sixth in the weighted average of the impact factors of their original publications.
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Affiliation(s)
| | - Diogo Monteiro
- ESECS-Polytechnic of Leiria, 2411-901 Leiria, Portugal
- Research Center in Sport, Health, and Human Development (CIDESD), 5001-801 Vila Real, Portugal
| | | | - Miguel Jacinto
- ESECS-Polytechnic of Leiria, 2411-901 Leiria, Portugal
- Research Center in Sport, Health, and Human Development (CIDESD), 5001-801 Vila Real, Portugal
| | - Fernanda M Silva
- Research Unit for Sport and Physical Activity (CIDAF), Faculty of Sport Sciences and Physical Education, University of Coimbra, 3040-248 Coimbra, Portugal
| | - Luis Cid
- Research Center in Sport, Health, and Human Development (CIDESD), 5001-801 Vila Real, Portugal
- Sport Sciences School of Rio Maior, Polytechnic of Santarém (ESDRM-IPSantarém), 2001-904 Santarém, Portugal
| | - Pedro Duarte-Mendes
- Department of Sports and Well-Being, Polytechnic Institute of Castelo Branco, 6000-266 Castelo Branco, Portugal
- Sport Physical Activity and Health Research & Innovation Center, SPRINT, 2040-413 Santarém, Portugal
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Miskovsky S, Khambete P, Faraji N, Harlow ER, Ina J, Mengers S, Voos J. Prevalence of Asymptomatic Talar Bone Marrow Edema in Professional Ballet Dancers: Preliminary Data From a 2-Year Prospective Study. Orthop J Sports Med 2023; 11:23259671231159910. [PMID: 37152549 PMCID: PMC10159254 DOI: 10.1177/23259671231159910] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/02/2022] [Accepted: 11/15/2022] [Indexed: 05/09/2023] Open
Abstract
Background Compared with symptomatic bone marrow edema (BME) associated with stress fractures, asymptomatic BME seen on magnetic resonance imaging (MRI) is a phenomenon that has been described in high-level athletes and is thought to be related to bone adaptation to biomechanical loading unique to each sport. However, the prevalence, natural history, and management of these lesions remain poorly understood, particularly in dance, which places tremendous stress on the feet and ankles. Purposes/Hypothesis The purposes of this study were to (1) determine the prevalence of asymptomatic BME in the talus before the start of the performance season, (2) identify contributing demographic and training factors, and (3) compare the radiological evidence of talar BME with validated functional foot and ankle scores. We hypothesized that talar BME would be highly prevalent among asymptomatic professional dancers. Study Design Case series; Level of evidence, 4. Methods A total of 14 professional ballet dancers (6 female and 8 male; mean age, 24 years) were included in this 2-year prospective study. For each participant, we recorded complete medical and surgical history along with scores on the Foot and Ankle Ability Measure (FAAM) and the Foot and Ankle Disability Index. Bilateral foot and ankle 3.0-T MRI scans without contrast were completed before the start of the performance season and were evaluated for BME of the talus using the Fredericson criteria. Results Evidence of talar BME was seen in 15 of the 28 (54%) ankles examined and in 9 of 14 (64%) dancers. We found that 6 dancers demonstrated bilateral talar BME, 3 dancers demonstrated unilateral BME, and 5 dancers demonstrated no evidence of BME. The most common location of BME was the posterior talus, seen in 8 of 15 (53%) ankles. No statistically significant differences were noted in dancers with versus those without talar BME with regard to functional scores, demographic characteristics, or weekly training hours. Conclusion Asymptomatic talar BME was highly prevalent (64%) in professional ballet dancers and tended to occur posteriorly. Long-term clinical and radiographic follow-up is necessary to determine the natural history of these lesions.
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Affiliation(s)
- Shana Miskovsky
- Department of Orthopaedic Surgery,
University Hospitals Cleveland Medical Center, Cleveland, Ohio, USA
- Sports Medicine Institute, University
Hospitals Cleveland Medical Center, Cleveland, Ohio, USA
- Shana Miskovsky, MD,
Department of Orthopaedic Surgery, University Hospitals Cleveland Medical
Center, 11100 Euclid Avenue, Cleveland, OH 44106, USA (
)
| | - Pranav Khambete
- Case Western Reserve University School
of Medicine, Cleveland, Ohio, USA
| | - Navid Faraji
- Musculoskeletal Imaging Division,
Department of Radiology, University Hospitals Cleveland Medical Center, Cleveland,
Ohio, USA
| | - Ethan R. Harlow
- Department of Orthopaedic Surgery,
University Hospitals Cleveland Medical Center, Cleveland, Ohio, USA
| | - Jason Ina
- Department of Orthopaedic Surgery,
University Hospitals Cleveland Medical Center, Cleveland, Ohio, USA
| | - Sunita Mengers
- Department of Orthopaedic Surgery,
University Hospitals Cleveland Medical Center, Cleveland, Ohio, USA
| | - James Voos
- Department of Orthopaedic Surgery,
University Hospitals Cleveland Medical Center, Cleveland, Ohio, USA
- Sports Medicine Institute, University
Hospitals Cleveland Medical Center, Cleveland, Ohio, USA
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Bestwick-Stevenson T, Ifesemen OS, Pearson RG, Edwards KL. Association of Sports Participation With Osteoarthritis: A Systematic Review and Meta-Analysis. Orthop J Sports Med 2021; 9:23259671211004554. [PMID: 34179201 PMCID: PMC8207281 DOI: 10.1177/23259671211004554] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/18/2020] [Accepted: 12/21/2020] [Indexed: 12/02/2022] Open
Abstract
Background: The association between participating in sport and osteoarthritis is not fully understood. Purpose: To investigate the association between osteoarthritis and participating in sports not listed in previous reviews: American football, archery, baseball, bobsleigh, curling, handball, ice hockey, shooting, skeleton, speed skating, and wrestling. Study Design: Systematic review; Level of evidence, 3. Methods: We searched 4 electronic databases and hand searched recent/in-press editions of relevant journals. The criteria for study selection were case-control studies, cohort studies, nested case-control studies, and randomized trials with a control group that included adults to examine the effect of exposure to any of the included sports on the development of osteoarthritis. Results: The search returned 6197 articles after deduplication. Nine studies were included in the final review, covering hip, knee, and ankle osteoarthritis. There were no studies covering archery, baseball, skeleton, speed skating, or curling. The 6 sports included in the review were analyzed as a collective; the results of the meta-analysis indicated that participation in the sports analyzed was associated with an increased risk of developing osteoarthritis of the hip (relative risk [RR] = 1.67 [95% confidence interval (CI), 1.15-2.41]; P = .04), knee (RR = 1.60 [95% CI, 1.23-2.08]; P < .001), and ankle (RR = 7.08 [95% CI, 1.24-40.51]; P = .03) as compared with controls. Meta-analysis suggested a significantly increased likelihood of developing hip osteoarthritis through participating in wrestling (RR = 1.78 [95% CI, 1.20-2.64]; P = .004) and ice hockey (RR = 1.70 [95% CI, 1.27-2.29]; P < .001), while there was no significant difference through participating in handball (RR = 2.50 [95% CI, 0.85-7.36]; P = .10). Likelihood of developing knee osteoarthritis was significantly increased in wrestling (RR = 2.22 [95% CI, 1.59-3.11]) and ice hockey (RR = 1.52 [95% CI, 1.18-1.96]; both P < .002). According to the meta-analysis, shooting did not have a significant effect on the RR of knee osteoarthritis as compared with other sports (RR = 0.43 [95% CI, 0.06-2.99]; P = .39). Conclusion: The likelihood of developing hip and knee osteoarthritis was increased for ice hockey and wrestling athletes, and the risk of developing hip osteoarthritis was increased for handball athletes. The study also found that participation in the sports examined, as a collective, resulted in an increased risk of developing hip, knee, and ankle osteoarthritis.
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Affiliation(s)
- Thomas Bestwick-Stevenson
- Centre for Sport, Exercise and Osteoarthritis Research Versus Arthritis, University of Nottingham, Nottingham, UK.,Academic Orthopaedics, Trauma and Sports Medicine, School of Medicine, University of Nottingham, Nottingham, UK
| | - Onosi S Ifesemen
- Centre for Sport, Exercise and Osteoarthritis Research Versus Arthritis, University of Nottingham, Nottingham, UK
| | - Richard G Pearson
- Academic Orthopaedics, Trauma and Sports Medicine, School of Medicine, University of Nottingham, Nottingham, UK
| | - Kimberley L Edwards
- Centre for Sport, Exercise and Osteoarthritis Research Versus Arthritis, University of Nottingham, Nottingham, UK.,Academic Orthopaedics, Trauma and Sports Medicine, School of Medicine, University of Nottingham, Nottingham, UK
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Attia S, Diefenbach J, Schmermund D, Böttger S, Pons-Kühnemann J, Scheibelhut C, Heiss C, Howaldt HP. Donor-Site Morbidity after Fibula Transplantation in Head and Neck Tumor Patients: A Split-Leg Retrospective Study with Focus on Leg Stability and Quality of Life. Cancers (Basel) 2020; 12:E2217. [PMID: 32784461 PMCID: PMC7465780 DOI: 10.3390/cancers12082217] [Citation(s) in RCA: 14] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/30/2020] [Revised: 08/06/2020] [Accepted: 08/07/2020] [Indexed: 12/21/2022] Open
Abstract
The free fibula flap has been one of the most important microvascular grafts for orofacial reconstruction for more than 30 years. The complication rates at the donor-site reported in literature are considered to be low, but the published data vary greatly in some cases. In particular, restrictions in the stability and balance of the involved leg and their effects on the quality of life have been described very inconsistently to date. Therefore, this study mainly focuses on the stability and balance of the affected leg in a split-leg design. Between December 2014 and January 2018, out of 119 subjects who underwent mainly jaw ablative tumor surgery and reconstruction using a fibula flap, 68 subjects were examined for donor site morbidity. Besides reporting general types of complications, two specific test procedures were used. The Star Excursion Balance Test (SEBT) as a practical test for ankle function and the Foot and Ankle Disability Index (FADI) as a questionnaire in order to assess quality of life, depending on the lower leg function. SEBT revealed an average of 55.3 cm with the operated leg as the supporting leg, which corresponds to 95.5% of 57.9 cm achieved with the healthy leg as the supporting leg. An average FADI score of 89.4% was recorded. SEBT and FADI seem to be suitable methods of examination for subjects post fibular transplantation and pointed out minimal limitations of the involved legs in comparison to the unaffected legs. These limitations were clinically not relevant and they had minor influence on the subjects' quality of life and their daily activities.
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Affiliation(s)
- Sameh Attia
- Department of Cranio Maxillofacial Surgery, Justus-Liebig University Giessen, Klinik Str. 33, 35392 Giessen, Germany; (J.D.); (D.S.); (S.B.); (H.-P.H.)
| | - Jonas Diefenbach
- Department of Cranio Maxillofacial Surgery, Justus-Liebig University Giessen, Klinik Str. 33, 35392 Giessen, Germany; (J.D.); (D.S.); (S.B.); (H.-P.H.)
| | - Daniel Schmermund
- Department of Cranio Maxillofacial Surgery, Justus-Liebig University Giessen, Klinik Str. 33, 35392 Giessen, Germany; (J.D.); (D.S.); (S.B.); (H.-P.H.)
| | - Sebastian Böttger
- Department of Cranio Maxillofacial Surgery, Justus-Liebig University Giessen, Klinik Str. 33, 35392 Giessen, Germany; (J.D.); (D.S.); (S.B.); (H.-P.H.)
| | - Jörn Pons-Kühnemann
- Institute for Medical Informatics, Medical Statistics, Faculty of Medicine, Justus-Liebig University Giessen, Rudolf-Buchheim Str. 6, 35392 Giessen, Germany; (J.P.-K.); (C.S.)
| | - Christine Scheibelhut
- Institute for Medical Informatics, Medical Statistics, Faculty of Medicine, Justus-Liebig University Giessen, Rudolf-Buchheim Str. 6, 35392 Giessen, Germany; (J.P.-K.); (C.S.)
| | - Christian Heiss
- Department of Trauma, Hand and Reconstructive Surgery, Justus-Liebig University Giessen, Rudolf-Buchheim- Str. 7, 35392 Giessen, Germany;
| | - Hans-Peter Howaldt
- Department of Cranio Maxillofacial Surgery, Justus-Liebig University Giessen, Klinik Str. 33, 35392 Giessen, Germany; (J.D.); (D.S.); (S.B.); (H.-P.H.)
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5
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Nguyen A, Ramasamy A, Walsh M, McMenemy L, Calder JDF. Autologous Osteochondral Transplantation for Large Osteochondral Lesions of the Talus Is a Viable Option in an Athletic Population. Am J Sports Med 2019; 47:3429-3435. [PMID: 31671274 DOI: 10.1177/0363546519881420] [Citation(s) in RCA: 32] [Impact Index Per Article: 6.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/31/2023]
Abstract
BACKGROUND Autologous osteochondral transplantation (AOT) has been shown to be a viable treatment option for large osteochondral lesions of the talus. However, there are limited data regarding the management of large lesions in an athletic population, notably with regard to return to sport. Our investigation focused on assessing both qualitative and quantitative outcomes in the high-demand athlete with large (>150 mm2) lesions. HYPOTHESIS AOT is a viable option in athletes with large osteochondral lesions and can allow them to return to sport at their preinjury level. STUDY DESIGN Case series; Level of evidence, 4. METHODS The study population was limited to professional and amateur athletes (Tegner score, >6) with a talar osteochondral lesion size of 150 mm2 or greater. The surgical intervention was AOT with a donor site from the lateral femoral condyle. Clinical outcomes at a minimum of 24 months included return to sport, visual analog scale (VAS) for pain score, and Foot and Ankle Outcome Score (FAOS). In addition, graft incorporation was evaluated by magnetic resonance imaging (MRI) using MOCART (magnetic resonance observation of cartilage repair tissue) scores at 12 months after surgery. RESULTS A total of 38 athletes, including 11 professional athletes, were assessed. The mean follow-up was 45 months. The mean lesion size was 249 mm2. Thirty-three patients returned to sport at their previous level, 4 returned at a lower level compared with preinjury, and 1 did not return to sport (mean return to play, 8.2 months). The VAS improved from 4.53 preoperatively to 0.63 postoperatively (P = .002). FAOSs improved significantly in all domains (P < .001). Two patients developed knee donor site pain, and both had 3 osteochondral plugs harvested. Univariant analysis demonstrated no association between preoperative patient or lesion characteristics and ability to return to sport. However, there was a strong correlation between MOCART scores and ability to return to sport. The area under receiver operating characteristic of the MOCART score and return to play was 0.891 (P = .005), with a MOCART score of 52.50 representing a sensitivity of 0.85 and specificity of 0.80 in determining ability to return to one's previous level of activity. CONCLUSION Our study suggests that AOT is a viable option in the management of large osteochondral talar defects in an athletic population, with favorable return to sport level, patient satisfaction, and FAOS/VAS scores. The ability to return to sport is predicated upon good graft incorporation, and further research is required to optimize this technique. Our data also suggest that patients should be aware of the increased risk of developing knee donor site pain when 3 osteochondral plugs are harvested.
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Affiliation(s)
| | - Arul Ramasamy
- Department of Bioengineering, Imperial College London, London, UK.,Academic Department of Military Surgery and Trauma, Royal Centre for Defence Medicine, ICT Centre, Vincent Drive, Birmingham, West Midlands, UK
| | | | - Louise McMenemy
- Department of Bioengineering, Imperial College London, London, UK.,Academic Department of Military Surgery and Trauma, Royal Centre for Defence Medicine, ICT Centre, Vincent Drive, Birmingham, West Midlands, UK
| | - James D F Calder
- Fortius Clinic, London, UK.,Department of Bioengineering, Imperial College London, London, UK
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6
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Kondo H. Changes in the Ground Reaction Force, Lower-Limb Muscle Activity, and Joint Angles in Athletes with Unilateral Ankle Dorsiflexion Restriction During A Rebound-Jump Task. J Funct Morphol Kinesiol 2018; 3:jfmk3040052. [PMID: 33466981 PMCID: PMC7739253 DOI: 10.3390/jfmk3040052] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/22/2018] [Revised: 10/19/2018] [Accepted: 10/23/2018] [Indexed: 11/16/2022] Open
Abstract
BACKGROUND This study compared differences between a control group and a group with unilateral ankle dorsiflexion restriction in the ground reaction force (GRF), angles of the lower limbs joints, and muscular activity during a rebound-jump task in athletes who continue to perform sports activities with unilateral ankle dorsiflexion restriction. METHODS The athletes were divided into the following two groups: The dorsiflexion group included those with a difference of ≥7° between bilateral ankle dorsiflexion angles (DF), and the control group included those with a difference of <7° between the two ankles (C). An ankle foot orthosis was attached to subjects in group C to apply a restriction on the right-angle dorsiflexion angle. The percentage of maximum voluntary contraction (%MVC) of the legs musculature, components of the GRF, and the hip and knee joint angles during the rebound-jump task were compared between groups DF and C. RESULTS Group DF showed increased %MVC of the quadriceps muscle, decreased upward component of the GRF, decreased hip flexion, and increased knee eversion angles. CONCLUSIONS This study highlighted that athletes with ankle dorsiflexion restriction had significantly larger knee eversion angles in the rebound-jump task. The reduced hip flexion was likely caused by the restricted ankle dorsiflexion and compensated by the observed increase in quadriceps muscle activation when performing the jump.
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Affiliation(s)
- Hitoshi Kondo
- Physical Therapy, Department of Rehabilitation, Fukui College of Health Sciences, 55 Egami-cho 13-1, Fukui 910-3190, Japan; ; Tel.: +81-0776-59-2200
- Physical Therapy, Department of Rehabilitation, Faculty of Health Science, Fukui Health Science University, 55 Egami-cho 13-1, Fukui 910-3190, Japan
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Kim H, Hwang S, Lee BH. Knee injury and osteoarthritis outcome score of Korean national ice hockey players. J Phys Ther Sci 2017; 29:1583-1585. [PMID: 28931992 PMCID: PMC5599825 DOI: 10.1589/jpts.29.1583] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/24/2017] [Accepted: 06/08/2017] [Indexed: 11/24/2022] Open
Abstract
[Purpose] To investigate sports injuries in Korean national ice hockey players by
surveying parts, times, types, frequency, cure, and prevention types of sports injuries
and provide basic data for injury prevention and performance improvement of ice hockey
players. Another purpose of this study was to evaluate the incidence of ice hockey
injuries according to age and the relationship between etiological factors and injuries in
high school students. [Subjects and Methods] This was a cross-sectional study. Eighteen
female ice hockey players in Korean elite athletes were recruited for this study. This
study was conducted by a self-administered questionnaire survey using Knee Injury and
Osteoarthritis Outcome Score (KOOS) of national ice hockey players. [Results] Participants
were injured mainly during training. Injuries were caused by skate, puck-contact, and body
check. Five subscales of KOOS were significantly correlated with each other except that
the correlation between activities of daily living and quality of life was insignificant.
[Conclusion] For injury prevention in national team ice hockey players, full gear is
recommended. In addition, therapist in the field needs to conduct injury prevention
through consistent observations and counseling in order to prevent injury and improve
performance. Ice hockey players also need sufficient rest with systematic and scientific
training for injury prevention and performance improvement.
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Affiliation(s)
- Hyeyoung Kim
- Department of Sports Medicine and Science, Taereung National Training Center, Republic of Korea.,Graduate School of Physical Therapy, Sahmyook University, Republic of Korea
| | - Sujin Hwang
- Department of Physical Therapy, Baekseok University, Republic of Korea
| | - Byoung-Hee Lee
- Department of Physical Therapy, Sahmyook University: 815 Hwarangro, Nowon-gu, Seoul 139-742, Republic of Korea
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Ozaras N, Havan N, Poyraz E, Rezvanı A, Aydın T. Functional limitations due to foot involvement in spondyloarthritis. J Phys Ther Sci 2016; 28:2005-8. [PMID: 27512252 PMCID: PMC4968494 DOI: 10.1589/jpts.28.2005] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/25/2016] [Accepted: 04/07/2016] [Indexed: 11/24/2022] Open
Abstract
[Purpose] Spondyloarthritis is a major inflammatory disease followed-up in the
rheumatology clinics, foot involvement in spodyloarthritis is common. The functional
states of patients with spondyloarthritis are usually evaluated globally. The aim of this
study was to assess the foot involvement-related functional limitations in patients with
spondyloarthritis. [Subjects and Methods] Patients with ankylosing spondylitis and
psoriatic arthritis with foot pain more than 4 weeks who underwent anteroposterior and
lateral feet radiography were enrolled into the study. A “clinical findings score” was
calculated by assigning 1 point for every finding of swelling, redness, and tenderness.
C-reactive protein and erythrocyte sedimentation rate were used as serum markers for
disease activity. Foot radiograms were evaluated using the spondyloarthropathy tarsal
radiographic index and the foot-related functional state of patients was determined by the
Turkish version of the Foot and Ankle Outcome Score. [Results] There were no relationships
between Foot and Ankle Outcome Score subscales and clinical findings score, serum markers,
or radiologic score. Pain and symptoms subscale scores were result positively correlated
with activity of daily living, sport and recreation, and quality of life subscale scores.
[Conclusion] Pain and symptoms are the main determinants of foot-related functional
limitations in spondyloarthritis.
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Affiliation(s)
- Nihal Ozaras
- Department of Physical Medicine and Rehabilitation, Bezmialem Vakif University, Turkey
| | - Nuri Havan
- Department of Radiology, Afsin State Hospital, Turkey
| | - Emine Poyraz
- Department of Physical Medicine and Rehabilitation, Bezmialem Vakif University, Turkey
| | - Aylin Rezvanı
- Department of Physical Medicine and Rehabilitation, Bezmialem Vakif University, Turkey
| | - Teoman Aydın
- Department of Physical Medicine and Rehabilitation, Bezmialem Vakif University, Turkey
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9
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Kim K, Jeon K. Comparisons of knee and ankle joint angles and ground reaction force according to functional differences during single-leg drop landing. J Phys Ther Sci 2016; 28:1150-4. [PMID: 27190444 PMCID: PMC4868204 DOI: 10.1589/jpts.28.1150] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/18/2015] [Accepted: 12/23/2015] [Indexed: 11/24/2022] Open
Abstract
[Purpose] The purpose of this study was to determine potential predictors of functional instability of the knee and ankle joints during single-leg drop landing based on the prior history of injury. [Subjects and Methods] The subjects were 24 collegiate soccer players without pain or dysfunction. To compare the differences between the stable and unstable sides during single-leg drop landing, 8 motion analysis cameras and a force plate were used. The Cortex 4 software was used for a biomechanical analysis of 3 events. An independent t-test was used for statistical comparison between both sides; p<0.05 indicated significance. [Results] The knee joint movements showed gradual flexion in the sagittal plane. The unstable-side ankle joint showed plantar flexion of approximately 2° relative to the stable side. In the coronal plane, the unstable-side knee joint differed from the stable side in its tendency for valgus movement. The unstable-side ankle joint showed contrasting movement compared with the stable side, and the difference was significant. Regarding the vertical ground reaction force, the stable side showed maximum knee flexion that was approximately 0.1 BW lower than that of the unstable side. [Conclusion] Increasing the flexion angle of the knee joint can help prevent injury during landing.
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Affiliation(s)
- Kewwan Kim
- Division of Sport Science, Incheon National University, Republic of Korea
| | - Kyoungkyu Jeon
- Sport Science Institute, Incheon National University, Republic of Korea
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10
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Kondo H, Someya F. Changes in ground reaction force during a rebound-jump task after hip strength training for single-sided ankle dorsiflexion restriction. J Phys Ther Sci 2016; 28:319-25. [PMID: 27065513 PMCID: PMC4792967 DOI: 10.1589/jpts.28.319] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/17/2015] [Accepted: 10/30/2015] [Indexed: 12/26/2022] Open
Abstract
[Purpose] Lateral ankle sprains are common injuries suffered while playing sports, and
abnormal forward- and inward-directed ground reaction force occurs during a jumping task.
However, the influence of hip muscle strength training on jumping performance after ankle
injuries has not been fully examined. This study thus examined changes in ground reaction
force during a rebound-jump task after training to strengthen hip muscles. [Subjects and
Methods] Ten of 30 female high school basketball players were assigned as subjects who
showed a difference of 7 or more degrees in dorsiflexion ranges between the bilateral
ankles. The subjects underwent 12 weeks of training to strengthen hip abductors and
external rotators. Comparisons between before and after training were made regarding
ground reaction force components, hip and knee joint angles, percentage of maximum
voluntary contraction in leg muscles, and muscle strength of hip muscles during the
rebound-jump task. [Results] After training, the subjects showed increased strength of
external rotator muscles, increased percentage of maximum voluntary contraction in the
gluteus medius muscle, decreased inward ground reaction force, and increased flexion
angles of the hip and knee joints. [Conclusion] This study suggests that training to
strengthen hip muscles may ameliorate the inward ground reaction force in athletes with
ankle dorsiflexion restriction.
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Affiliation(s)
- Hitoshi Kondo
- Department of Rehabilitation, Physical Therapy, Fukui College of Health Sciences, Japan; Division of Health Sciences, Kanazawa University Graduate School of Medical Science, Japan
| | - Fujiko Someya
- School of Health Sciences, College of Medical, Pharmaceutical and Health Sciences, Kanazawa University, Japan
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11
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de-la-Morena JMD, Alguacil-Diego IM, Molina-Rueda F, Ramiro-González M, Villafañe JH, Fernández-Carnero J. The Mulligan ankle taping does not affect balance performance in healthy subjects: a prospective, randomized blinded trial. J Phys Ther Sci 2015; 27:1597-602. [PMID: 26157271 PMCID: PMC4483449 DOI: 10.1589/jpts.27.1597] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/06/2015] [Accepted: 01/31/2015] [Indexed: 11/24/2022] Open
Abstract
[Purpose] The aim of this study was to evaluate the immediate effects of Mulligan fibular
taping on static and dynamic postural balance in healthy subjects using computerized
dynamic posturography (CDP). [Subjects and Methods] Forty-four volunteers (26 males and 18
females) aged 21 ±2 years participated in the study. The Mulligan tape was applied by a
specialist in this technique. The placebo group received a treatment with a similar tape
but with several cuts to avoid the fibular repositioning effect produced by Mulligan tape.
Main outcome measures: The Sensory Organization Test (SOT) and the Motor Control Test
(MCT) were performed by each subject at baseline and after the interventions. Outcome
measures included equilibrium and strategy scores from each trial and condition of the
SOT, and speed of reaction (latency period) from the MCT. [Results] Mulligan ankle taping
did not have an impact on postural control during static and dynamic balance in subjects
with healthy ankles when compared with placebo taping. [Conclusion] There was no
difference in, equilibrium and strategy (SOT) and speed of reaction (MCT) in any of the
subjects in this study. Therefore, this study suggests that Mulligan ankle taping does not
have an impact on balance in healthy subjects.
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Affiliation(s)
- Jose Maria Delfa de-la-Morena
- Department of Physiotherapy, Occupational Therapy, Rehabilitation and Physical Medicine, Faculty of Health Sciences, University of Rey Juan Carlos, Spain
| | - Isabel Maria Alguacil-Diego
- Department of Physiotherapy, Occupational Therapy, Rehabilitation and Physical Medicine, Faculty of Health Sciences, University of Rey Juan Carlos, Spain
| | - Francisco Molina-Rueda
- Department of Physiotherapy, Occupational Therapy, Rehabilitation and Physical Medicine, Faculty of Health Sciences, University of Rey Juan Carlos, Spain
| | - Maria Ramiro-González
- Department of Physiotherapy, Occupational Therapy, Rehabilitation and Physical Medicine, Faculty of Health Sciences, University of Rey Juan Carlos, Spain
| | | | - Josué Fernández-Carnero
- Department of Physiotherapy, Occupational Therapy, Rehabilitation and Physical Medicine, Faculty of Health Sciences, University of Rey Juan Carlos, Spain
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