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BioMed Research International 2015Balance control improvement is one of the most important goals in sports and exercise. Better balance is strongly positively associated with enhanced athletic... (Review)
Review
Balance control improvement is one of the most important goals in sports and exercise. Better balance is strongly positively associated with enhanced athletic performance and negatively associated with lower limb sports injuries. Proprioception plays an essential role in balance control, and ankle proprioception is arguably the most important. This paper reviews ankle proprioception and explores synergies with balance control, specifically in a sporting context. Central processing of ankle proprioceptive information, along with other sensory information, enables integration for balance control. When assessing ankle proprioception, the most generalizable findings arise from methods that are ecologically valid, allow proprioceptive signals to be integrated with general vision in the central nervous system, and reflect the signal-in-noise nature of central processing. Ankle proprioceptive intervention concepts driven by such a central processing theory are further proposed and discussed for the improvement of balance control in sport.
Topics: Ankle; Ankle Joint; Athletic Performance; Humans; Postural Balance; Proprioception
PubMed: 26583139
DOI: 10.1155/2015/842804 -
Clinics in Podiatric Medicine and... Jan 2023Posterior ankle impingement is typically seen in athletes, primarily dancers and soccer players, secondary to dynamic and repetitive push-off maneuvers and forced... (Review)
Review
Posterior ankle impingement is typically seen in athletes, primarily dancers and soccer players, secondary to dynamic and repetitive push-off maneuvers and forced hyperplantarflexion. Posterior ankle impingement results from chronic, repetitive trauma to the posterior ankle capsule, flexor hallucis longus tendon, and/or os trigonum. It is important to perform a thorough workup by isolating and testing the posterior compartment muscles and obtaining proper imaging with radiographs to identify any osseous abnormalities and MRI to evaluate the soft tissue structures. Nonsurgical treatment includes activity modification, physical therapy, and steroid injections.
Topics: Humans; Ankle; Joint Diseases; Ankle Joint; Talus; Syndrome; Magnetic Resonance Imaging
PubMed: 36368844
DOI: 10.1016/j.cpm.2022.07.014 -
Disability and Rehabilitation 2015To evaluate the effects of joint mobilization, in which movement is applied to the ankle's dorsiflexion range of motion, on dynamic postural control and on the... (Randomized Controlled Trial)
Randomized Controlled Trial
PURPOSE
To evaluate the effects of joint mobilization, in which movement is applied to the ankle's dorsiflexion range of motion, on dynamic postural control and on the self-reported instability of patients with chronic ankle instability (CAI).
METHODS
A double-blind, placebo-controlled, randomized trial with repeated measures and a follow-up period. Ninety patients with a history of recurrent ankle sprain, self-reported instability, and a limited dorsiflexion range of motion, were randomly assigned to either the intervention group (Joint Mobilizations, 3 weeks, two sessions per week) the placebo group (Sham Mobilizations, same duration as joint mobilization) or the control group, with a 6 months follow-up. Dorsiflexion Range of Motion (DFROM), Star Excursion Balance Test (SEBT) and CAI Tool (CAIT) were outcome measures. A separate 3 × 4 mixed model analysis of variance was performed to examine the effect of treatment conditions and time, and intention-to-treat (ITT) analysis was applied to evaluate the effect of the independent variable.
RESULTS
The application of joint mobilization resulted in better scores of DFROM, CAIT, and SEBTs in the intervention group when compared with the placebo or the control groups (p < 0.001). The effect sizes of group-by-time interaction, measured with eta-squared, oscillated between 0.954 for DFROM and 0.288 for SEBT posteromedial distance. In within-group analysis, the manipulation group showed an improvement at 6 months follow-up in CAIT [mean = 5.23, CI 95% (4.63-5.84)], DFROM [mean = 6.77, CI 95% (6.45-7.08)], anterior SEBT [mean = 7.35, CI 95% (6.59-8.12)], posteromedial SEBT [mean = 3.32, CI 95% (0.95-5.69)], and posterolateral SEBT [mean = 2.55, CI 95% (2.20-2.89)].
CONCLUSION
Joint mobilization techniques applied to subjects suffering from CAI were able to improve ankle DFROM, postural control, and self-reported instability. These results suggest that joint mobilization could be applied to patients with recurrent ankle sprain to help restore their functional stability. Implications for Rehabilitation Functional instability is a very common sequela in patients with CAI, resulting in reduced quality of living due to the limitations it imposes on daily life activities. The mobilization with movement technique presented by Mulligan, and based on the joint mobilization accompanied by active movement, appears as a valuable tool to be employed by physical therapists to restore ankle function after a recurrent ankle sprain history. ROM restriction, subjective feeling of instability and dynamic postural control are benefiting from the joint mobilization application.
Topics: Adult; Ankle; Ankle Injuries; Ankle Joint; Chronic Disease; Double-Blind Method; Exercise Therapy; Female; Follow-Up Studies; Humans; Joint Instability; Male; Movement; Postural Balance; Range of Motion, Articular; Self Report; Weight-Bearing; Young Adult
PubMed: 24989067
DOI: 10.3109/09638288.2014.935877 -
Foot and Ankle Clinics Mar 2022End-stage ankle arthritis typically affects an active younger patient population as compared with hip and knee arthritis. The optimal surgical treatment depends on... (Review)
Review
End-stage ankle arthritis typically affects an active younger patient population as compared with hip and knee arthritis. The optimal surgical treatment depends on several patient-specific factors. Open ankle arthrodesis has achieved reliable outcomes for this condition over years; however, arthroscopic techniques seem to be advantageous and feasible even in cases with significant intraarticular deformity. This article describes the surgical technique of arthroscopic ankle arthrodesis and discusses the outcome compared with that of open ankle fusion and total ankle replacement.
Topics: Ankle; Ankle Joint; Arthrodesis; Arthroplasty, Replacement, Ankle; Arthroscopy; Humans; Retrospective Studies; Treatment Outcome
PubMed: 35219365
DOI: 10.1016/j.fcl.2021.11.008 -
Clinics in Podiatric Medicine and... Jul 2023
Topics: Humans; Arthroscopy; Ankle; Ankle Joint; Foot Joints; Lower Extremity
PubMed: 37236693
DOI: 10.1016/j.cpm.2023.03.006 -
Sports Medicine and Arthroscopy Review Dec 2018Ankle arthroscopy is a diagnostic and therapeutic surgical procedure which was first attempted on cadavers by Dr Burman in 1931 and first successfully described in... (Review)
Review
Ankle arthroscopy is a diagnostic and therapeutic surgical procedure which was first attempted on cadavers by Dr Burman in 1931 and first successfully described in patients by Dr Takagi in 1939. Two general approaches to ankle arthroscopy currently exist: (1) anterior ankle arthroscopy and (2) posterior ankle arthroscopy. The indications for ankle arthroscopy have expanded as increased experience has been obtained treating various pathologic entities and as the surgical results have been reported in the literature. There has been significant progress in ankle arthroscopic surgery over the past decades, notably allowing surgical procedures to be performed with fewer complications and with quicker return to work and play. We anticipate that expanding indications for arthroscopic ankle surgical procedures combined with further development of biomedical devices to enhance these procedures will result in improved patient outcomes in the future.
Topics: Ankle; Ankle Joint; Arthroscopy; Humans; Joint Instability
PubMed: 30395066
DOI: 10.1097/JSA.0000000000000222 -
Foot and Ankle Clinics Sep 2022
Topics: Ankle; Ankle Joint; Humans; Surgeons
PubMed: 36096561
DOI: 10.1016/j.fcl.2022.04.001 -
Foot and Ankle Clinics Jun 2020
Topics: Ankle; Ankle Joint; Bones of Lower Extremity; Foot Bones; Foot Deformities; Foot Joints; Humans; Leg Bones; Orthopedic Procedures
PubMed: 32381321
DOI: 10.1016/j.fcl.2020.04.001 -
European Journal of Trauma and... Aug 2021
Topics: Ankle; Ankle Joint; Humans
PubMed: 34324014
DOI: 10.1007/s00068-021-01726-9 -
Clinics in Podiatric Medicine and... Jul 2023This article is devoted to managing posterior ankle impingement syndrome and its management using endoscopic to arthroscopic surgical instrumentation. The authors... (Review)
Review
This article is devoted to managing posterior ankle impingement syndrome and its management using endoscopic to arthroscopic surgical instrumentation. The authors explore the critical anatomy, pathogenesis, and clinical examination. Operative techniques, including the approach, and instrumentation used, are outlined. The postoperative protocol is discussed. Finally, a literature review is provided, which also defines known complications.
Topics: Humans; Ankle; Arthroscopy; Endoscopy; Joint Diseases; Ankle Joint
PubMed: 37236679
DOI: 10.1016/j.cpm.2022.12.002