Journal of Bodywork and Movement Therapies
Volume 11, Issue 3 , Pages 203-213 , July 2007

Neuromuscular contributions to functional instability of the ankle joint

  • Eamonn Delahunt, PhD, BSc (Physiotherapy)

      Affiliations

    • Corresponding Author InformationTel.: +35318040659; fax: +35318040656.

Received 17 January 2007 ,Revised 6 March 2007 ,Accepted 19 March 2007.

References 

  1. Ashton-Miller JA, Ottaviani RA, Hutchinson C, Wojtys EM. What best protects the inverted weightbearing ankle against further inversion?. American Journal of Sports Medicine. 1996;24:800–809
  2. Baier M, Hopf T. Ankle orthoses effect on single-limb standing balance in athletes with functional ankle instability. Archives of Physical Medicine and Rehabilitation. 1998;79:939–944
  3. Bernier JN, Perrin DH, Rijke A. Effect of unilateral functional instability of the ankle on postural sway and inversion and eversion strength. Journal of Athletic Training. 1997;33:226–232
  4. Beynnon BD, Vacek PM, Murphy D, Alosa D, Paller D. First-time Inversion ankle ligament trauma. The effects of sex, level of competition, and sport on the incidence of injury. American Journal of Sports Medicine. 2005;33:1485–1491
  5. Birmingham TB, Chesworth BM, Hartsell HD, Stevenson AL, Lapenskie GL, Vandervoort AA. Peak passive resistive torque at maximum inversion range of motion in subjects with recurrent ankle inversion sprains. Journal of Orthopaedic and Sports Physical Therapy. 1997;25:342–348
  6. Bosien WR, Staples OS, Russell SW. Residual disability following acute ankle sprains. Journal of Bone and Joint Surgery America. 1955;37:1237–1243
  7. Boyle J, Negus V. Joint position sense in the recurrently sprained ankle. Australian Journal of Physiotherapy. 1998;44:159–163
  8. Caulfield BM. Functional instability of the ankle joint: features and underlying causes. Physiotherapy. 2000;86:401–411
  9. Caulfield B, Garrett M. Changes in ground reaction force during jump landing in subjects with functional instability of the ankle joint. Clinical Biomechanics. 2004;19:617–621
  10. Caulfield BM, Garrett M. Functional instability of the ankle: differences in patterns of ankle and knee movement prior to and post landing in a single leg jump. International Journal of Sports Medicine. 2002;23:64–68
  11. Caulfield B, Crammond T, O’ Sullivan A, Reynolds S, Ward T. Altered ankle-muscle activation during jump landing in participants with functional instability of the ankle joint. Journal of Sports Rehabilitation. 2004;13:189–200
  12. Clark VM, Burden AM. A 4-week wobble board exercise programme improved muscle onset latency and perceived stability in individuals with a functionally unstable ankle. Physical Therapy in Sport. 2005;6:181–187
  13. Delahunt E, Monaghan K, Caulfield B. Altered neuromuscular control and ankle joint kinematics during walking in subjects with functional instability of the ankle joint. American Journal of Sports Medicine. 2006;34:1970–1976
  14. Delahunt E, Monaghan K, Caulfield B. Year Changes in lower limb kinematics, kinetics and muscle activity in subjects with functional instability of the ankle joint during a single leg drop jump. Journal of Orthopaedic Research. 2006;24:1991–2000
  15. Ebig M, Lephart SM, Burdett RG, Miller MC, Pincivero DM. The effect of sudden inversion stress on EMG activity of the peroneal and tibialis anterior muscles in the chronically unstable ankle. Journal of Orthopaedic and Sports Physical Therapy. 1997;26:73–77
  16. Eils E, Rosenbaum D. A multi-station proprioceptive exercise program in patients with ankle instability. Medicine and Science in Sports and Exercise. 2001;33:1991–1998
  17. Freeman MA, Dean MR, Hanham IW. The etiology and prevention of functional instability of the foot. Journal of Bone and Joint Surgery Britain. 1965;47:678–685
  18. Garn SN, Newton RA. Kinsethetic awareness in subjects with multiple ankle sprains. Physical Therapy. 1988;68:1667–1671
  19. Garrick JG. The frequency of injury, mechanism of injury, and epidemiology of ankle sprains. American Journal of Sports Medicine. 1977;5:241–242
  20. Gerber JP, Williams GN, Scoville CR, Arciero RA, Taylor DC. Persistent disability associated with ankle sprains: a prospective examination of an athletic population. Foot and Ankle International. 1998;19:654–660
  21. Gribble PA, Hertel J, Denegar CR, Buckley WE. The effects of fatigue and chronic instability on dynamic postural control. Journal of Athletic Training. 2004;39:321–329
  22. Gross M. Effects of recurrent lateral ankle sprains on active and passive judgements of joint position. Physical Therapy. 1987;67:1505–1509
  23. Hertel J. Functional anatomy, pathomechanics, and pathophysiology of lateral ankle instanbility. Journal of Athletic Training. 2002;37:364–375
  24. Hertel J, Olmsted-Kramer LC. Deficits in time-to-boundary measures of postural control with chronic ankle instability. Gait and Posture. 2007;25:33–39
  25. Hertel J, Miller S, Denegar C. Intratest and intertest reliability during the Star Excursion Balance Test. Journal of Sports Rehabilitation. 2000;9:104–116
  26. Hiller CE, Refshauge KM, Beard DJ. Sensorimotor control is impaired in dancers with functional ankle instability. American Journal of Sports Medicine. 2004;32:216–223
  27. Hosea TM, Carey CC, Harrer MF. The gender issue: epidemiology of ankle injuries in athletes who participate in basketball. Clinical Orthopaedics and Related Research. 2000;372:45–49
  28. Hubbard TJ, Kaminski TW. Kinesthesia is not affected by functional ankle instability status. Journal of Athletic Training. 2002;37:481–486
  29. Isakov E, Mizrahi J. Is balance impaired by recurrent sprained ankle?. British Journal of Sports Medicine. 1997;31:65–67
  30. Isakov E, Mizrahi J, Solzi P, Susak Z, Lotem M. Response of peroneal muscles to sudden inversion at the ankle. International Journal of Sports Biomechanics. 1986;2:100–109
  31. Jerosch J, Bischof M. Proprioceptive capabilities of the ankle in stable and unstable joints. Sports Exercise and Injury. 1996;2:167–171
  32. Kaminski TW, Perrin DH, Gansneder BM. Eversion strength analysis of uninjured and functionally unstable ankles. Journal of Athletic Training. 1999;34:239–245
  33. Karlsson J, Andreasson GO. The effect of external ankle support in chronic lateral ankle joint instability: an electromyographic study. American Journal of Sports Medicine. 1992;20:257–261
  34. Kinsella S, Harrison D. A study to examine the balance of subjects with recurrent ankle sprains. Physiotherapy Ireland. 1998;19:9–13
  35. Kinzey SJ, Armstrong CW. The reliability of the star-excursion test in assessing dynamic balance. Journal of Orthopaedic and Sports Physical Therapy. 1998;27:356–360
  36. Konradsen L. Sensori-motor control of the uninjured and injured human ankle. Journal of Electromyography and Kinesiology. 2002;12:199–203
  37. Konradsen L, Ravn JB. Ankle instability caused by prolonged peroneal reaction time. Acta Orthopaedica Scandinavia. 1990;61:388–390
  38. Konradsen L, Voigt M. Inversion injury biomechanics in functional ankle instability: a cadaver study of simulated gait. Scandinavian Journal of Medicine and Science in Sports. 2002;12:329–336
  39. Konradsen L, Ravn JB, Sorensen AI. Proprioception at the ankle: the effect of anaesthetic blockade of ligament receptors. Journal of Bone and Joint Surgery Britain. 1993;75:433–436
  40. Konradsen L, Voigt M, Hojsgaard C. Ankle inversion injuries. The role of the dynamic defence mechanism. American Journal of Sports Medicine. 1997;25:54–58
  41. Lentell G, Katzman L, Walters M. The relationship between muscle function and ankle stability. Journal of Orhtopaedic and Sports Physical Therapy. 1990;11:605–611
  42. Lentell G, Baas B, Lopez D, McGuire L, Sarrels M, Snyder P. The contributions of proprioceptive deficits, muscle function, and anatomic laxity to functional instability of the ankle joint. Journal of Orthopaedic and Sports Physical Therapy. 1995;21:206–215
  43. Lephart S, Henry T. The physiological basis for open and closed kinetic chain rehabilitation for the upper extremity. Journal of Sports Rehabilitation. 1996;5:71–87
  44. Lephart SM, Pincivero DM, Rozzi SL. Proprioception of the ankle and knee. Sports Medicine. 1998;25:149–155
  45. McKnight CM, Armstrong CW. The role of ankle strength in functional ankle instability. Journal of Sports Rehabilitation. 1997;6:21–29
  46. Monaghan K, Delahunt E, Caulfield B. Ankle function during gait in patients with chronic ankle instability compared to controls. Clinical Biomechanics. 2006;21:168–174
  47. Mulloy Forkin D, Koczur C, Battle R, Newton RA. Evaluation of kinaesthetic deficits indicative of balance control in gymnasts with unilateral chronic ankle sprain. Journal of Orthopaedic and Sports Physical Therapy. 1996;23:245–250
  48. Munn J, Beard DJ, Refshauge KM, Lee RY. Eccentric muscle strength in functional ankle instability. Medicine and Science in Sports and Exercise. 2003;35:245–250
  49. Newton RA. Joint receptor contributions to reflexive and kinaesthetic responses. Physical Therapy. 1982;62:22–29
  50. Olmsted LC, Carcia CR, Hertel J, Shultz SJ. Efficacy of the Star Excursion Balance Test in detecting reach deficits in subjects with chronic ankle instability. Journal of Athletic Training. 2002;37:501–506
  51. Ottaviani RA, Ashton-Miller JA, Kothari SU, Wojtys EM. Basketball shoe height and the maximal muscular resistance to applied ankle inversion and eversion moments. American Journal of Sports Medicine. 1995;23:418–423
  52. Refshauge KM, Kilbreath SL, Raymond J. The effect of recurrent ankle inversion sprain and taping on proprioception at the ankle. Medicine and Science in Sports and Exercise. 2000;32:10–15
  53. Riemann B, Caggiano N, Lephart S. Examination of a clinical method of assessing postural control during a functional task performance. Journal of Sports Rehabilitation. 1999;8:171–183
  54. Ross SE, Guskiewicz KM. Effect of coordination training with and without stochastic resonance stimulation on dynamic postural stability of subjects with functional ankle instability and subjects with stable ankles. Clinical Journal of Sports Medicine. 2006;16:323–328
  55. Ross SE, Guskiewicz KM, Yu B. Single-leg jump-landing stabilization times in subjects with functional ankle instability. Journal of Athletic Training. 2005;40:298–304
  56. Rowinski MJ. Orthopaedic and Sports Physical Therapy. St Louis: CV Mosby; 1990;
  57. Ryan L. Mechanical stability, muscle strength, and proprioception in the functionally unstable ankle. Australian Journal of Physiotherapy. 1994;40:41–47
  58. Staples OS. Result study of ruptures of lateral ligament of the ankle. Clinical Orthopaedics. 1972;85:50–58
  59. Swearingen RL, Dehne E. A study of pathological muscle function following injury to a joint. Journal of Bone and Joint Surgery America. 1964;46:1364
  60. Tropp H. Pronator muscle weakness in functional instability of the ankle joint. International Journal of Sports Medicine. 1986;7:291–294
  61. Tropp H. Commentary: functional ankle instability revisited. Journal of Athletic Training. 2002;37:512–515
  62. Tropp H, Odenrick P, Gillquist J. Stabilometry recordings in functional and mechanical instability of the ankle joint. International Journal of Sports Medicine. 1985;6:180–182
  63. Wilkerson GB, Nitz AJ. Dynamic ankle stability: mechanical and neuromuscular interrelationships. Journal of Sports Rehabilitation. 1994;3:43–57
  64. Wilkerson G, Pinerola J, Caturano R. Invertor versus evertor torque and power deficiencies associated with lateral ankle ligament injury. Journal of Orthopaedic and Sports Physical Therapy. 1997;26:78–86
  65. Wright IC, Neptune RR, van den Bogert AJ, Nigg BM. The influence of foot positioning on ankle sprains. Journal of Biomechanics. 2000;33:513–519
  66. Wyke B. The neurology of joints. Annals of the Royal College of Surgeons England. 1967;41:25–50
  67. Yeung M, Chan K, So C, Yuan W. An epidemiological survey on ankle sprain. British Journal of Sports Medicine. 1994;28:112–116

PII: S1360-8592(07)00040-X

doi: 10.1016/j.jbmt.2007.03.002

Journal of Bodywork and Movement Therapies
Volume 11, Issue 3 , Pages 203-213 , July 2007