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Medical Science Monitor : International... Jan 2019BACKGROUND Ankle sprain reduces capacity for neurosensory information processing, and these patients commonly progress to chronic ankle instability (CAI). To address... (Randomized Controlled Trial)
Randomized Controlled Trial
BACKGROUND Ankle sprain reduces capacity for neurosensory information processing, and these patients commonly progress to chronic ankle instability (CAI). To address this problem, the short-foot exercise (SFE) may be used. However, there has been no previous research on the neurosensory impact of SFE. Therefore, the aim of this study was to assess improvement of quantitative neurosensory indicators after SFE and to determine the effect of proprioceptive sensory exercise (PSE) in patients with CAI. MATERIAL AND METHODS The present study included 30 adults (age range: 19-29 years; 50% female). Selection criteria for CAI (Cumberland Ankle Instability Tool £24) were implemented, and participants were randomly allocated to 2 groups: SFE (n1=15) and PSE (n2=15). Exercises were conducted 3 times per week for 8 weeks. Measurements of quantitative somatosensory of joint position sense and vibration sensory thresholds, dynamic balance, and ankle instability assessment were evaluated before and after completion of each intervention. Data were analyzed using a repeated- measures analysis of variance. RESULTS In a time-by-group comparison, the SFE group showed a more significant improvement with regards to eversion joint position sense (F1,28=4.543, p<0.05). For vibration sensory threshold, the SFE group showed a more significant improvement (F1,28=8.280, p<0.01). Balance index according to anterio-posterior, mediolateral, and overall index the SFE group a more significant improvement (F1,28=6.666, 4.585, 5.207, p<0.05). And ankle instability SFE group showed a more significant improvement (F1,28=6.890, p<0.05). CONCLUSIONS SFE is more effective than PSE for treating ankle sprain patients. There is a need to develop and promote an effective and controlled exercise program to facilitate the return of ankle sprain patients to normal daily life.
Topics: Adult; Ankle; Ankle Injuries; Ankle Joint; Exercise; Exercise Therapy; Female; Humans; Joint Instability; Male; Physical Therapy Modalities; Postural Balance; Young Adult
PubMed: 30665229
DOI: 10.12659/MSM.912785 -
Sports Health 2022
Topics: Ankle; Ankle Injuries; Ankle Joint; Athletes; Foot Injuries; Humans
PubMed: 35546065
DOI: 10.1177/19417381221089976 -
Medical Science Monitor : International... Nov 2017BACKGROUND The objective of this study was to investigate the immediate effect on gait function when ankle balance taping is applied to amateur soccer players with... (Clinical Trial)
Clinical Trial
BACKGROUND The objective of this study was to investigate the immediate effect on gait function when ankle balance taping is applied to amateur soccer players with lateral ankle sprain. MATERIAL AND METHODS A cross-over randomized design was used. Twenty-two soccer players with an ankle sprain underwent 3 interventions in a random order. Subjects were randomly assigned to ankle balance taping, placebo taping, and no taping groups. The assessment was performed using the GAITRite portable walkway system, which records the location and timing of each footfall during ambulation. RESULTS Significant differences were found in the velocity, step length, stride length, and H-H base support among the 3 different taping methods (p<0.05). The ankle balance taping group showed significantly greater velocity, step length, and stride length in comparison to the placebo and no taping group. The ankle balance taping group showed a statistically significant decrease (p<0.05) in the H-H base support compared to the placebo and no taping groups, and the placebo group showed significantly greater velocity in comparison to the no taping group (p<0.05). CONCLUSIONS We conclude that ankle balance taping that uses kinesiology tape instantly increased the walking ability of amateur soccer players with lateral ankle sprain. Therefore, ankle balance taping is a useful alternative to prevent and treat ankle sprain of soccer players.
Topics: Adolescent; Ankle; Ankle Injuries; Ankle Joint; Athletes; Athletic Tape; China; Cross-Over Studies; Gait; Humans; Kinesiology, Applied; Male; Postural Balance; Soccer; Young Adult
PubMed: 29158472
DOI: 10.12659/msm.905385 -
BioMed Research International 2021Successful reconstruction of the feet and ankles remains challenging due to limited quantities of soft tissue and laxity. The free lateral arm flap (LAF) is an...
BACKGROUND
Successful reconstruction of the feet and ankles remains challenging due to limited quantities of soft tissue and laxity. The free lateral arm flap (LAF) is an alternative to conventional flaps and has been widely used due to advancements in its flap characteristics. This study is aimed at utilizing the advantages of this flap to validate its increased applications for foot and ankle defects.
METHODS
Twenty patients with various LAF types between May 2011 and May 2020 were enrolled. Clinical data was retrospectively collected, and defect sites were classified according to the subunit principle. We utilized various LAF types, such as LAFs with sensate, extended, osteomyocutaneous, or myocutaneous flaps, as necessary. A two-point discrimination test was performed, and results were statistically compared between flaps.
RESULTS
Among the diverse etiologies of skin defects, chronic inflammation was the most common cause of defects. Various LAF types, including LAFs with fasciocutaneous, extended fasciocutaneous, musculocutaneous, and osteomyocutaneous flaps, were used. The versatility of free LAF helped successfully cover various defects in all cases. Results of the two-point discrimination test were statistically significant between groups.
CONCLUSIONS
Free LAF is a unique soft tissue free flap that is more versatile than other flaps, allowing flaps to be continuously modified and applied to various foot and ankle defects under different clinical conditions.
Topics: Aged; Aged, 80 and over; Ankle; Ankle Injuries; Ankle Joint; Arm; Female; Foot; Foot Deformities, Congenital; Free Tissue Flaps; Humans; Lower Extremity; Male; Middle Aged; Plastic Surgery Procedures; Retrospective Studies; Skin Transplantation; Soft Tissue Injuries
PubMed: 34754880
DOI: 10.1155/2021/4128827 -
Journal of the American Academy of... Dec 2023Lateral ankle sprains and instability are an increasingly identified pain point for patients, accounting for 20 to 25% of musculoskeletal injuries. Lateral ankle... (Review)
Review
Lateral ankle sprains and instability are an increasingly identified pain point for patients, accounting for 20 to 25% of musculoskeletal injuries. Lateral ankle injuries are especially concerning given the propensity for patients to develop chronic lateral ankle instability and for the high risk of reinjury on an unstable ankle. With the complex articulation of the tibiofibular syndesmosis, subtalar, and talocrural joints, pinpointing ankle dysfunction remains difficult. Multiple reviews have evaluated management and diagnosis of lateral ankle instability, but with newer treatment options available, a more comprehensive assessment of the current literature was conducted. Although multiple surgical options exist, many nonsurgical functional options have also been developed for patients that may help patients prevent the development of chronic lateral ankle instability. In recent times, many new options have come up, including in-office needle arthroscopy and continual advancements in diagnosis and our understanding of this difficult topic. Multiple reviews have evaluated the management and diagnosis of lateral ankle instability, but with newer treatment options available, a more comprehensive assessment of the current literature was conducted. Given this, this review will help to highlight new diagnostic and nonsurgical therapeutic options for the management of lateral ankle instability.
Topics: Humans; Ankle; Joint Instability; Ankle Joint; Lower Extremity; Ankle Injuries
PubMed: 38149942
DOI: 10.5435/JAAOSGlobal-D-23-00251 -
Scientific Reports Mar 2022This study examines how people learn to perform lower limb control in a novel task with a hoverboard requiring to maintain dynamic balance. We designed an experiment to...
This study examines how people learn to perform lower limb control in a novel task with a hoverboard requiring to maintain dynamic balance. We designed an experiment to investigate the learning of hoverboard balance and two control strategies: A hip strategy, which mainly uses hip movements to change the angle of the foot, and an ankle strategy relying more on ankle motion to control the orientation of hoverboard plates controlling the motion. Motor learning was indicated by a significant [Formula: see text]% decrease in the trial completion time (p < 0.001) and a significant 24 ± 11% decrease in total muscle activation (p < 0.001). Furthermore, the participants, who had no prior experience riding a hoverboard, learned an ankle strategy to maintain their balance and control the hoverboard. This is supported by significantly stronger cross-correlation, phase synchrony, lower dynamic time warping distance between the hoverboard plate orientation controlling hoverboard motion, and the ankle angle when compared to the hip angle. The adopted ankle strategy was found to be robust to the foot orientation despite salient changes in muscle group activation patterns. Comparison with results of an experienced hoverboard rider confirmed that the first-time riders adopted an ankle strategy.
Topics: Ankle; Ankle Joint; Biomechanical Phenomena; Foot; Humans; Lower Extremity; Movement; Postural Balance
PubMed: 35296707
DOI: 10.1038/s41598-022-08291-0 -
Chinese Journal of Traumatology =... Nov 2023Arthroscopic treatment of ankle impingement syndrome (AIS) is a minimally invasive surgical procedure used to address symptoms caused by impingement in the ankle joint.... (Review)
Review
Arthroscopic treatment of ankle impingement syndrome (AIS) is a minimally invasive surgical procedure used to address symptoms caused by impingement in the ankle joint. This syndrome occurs when there is abnormal contact between certain bones or soft tissues in the ankle, leading to pain, swelling, or limited range of motion. Traditionally, open surgery was the standard approach for treating AIS. However, with advancements in technology and surgical techniques, arthroscopic treatment has become a preferred method for many patients and surgeons. With improved visualization and precise treatment of the arthroscopy, patients can experience reduced pain and improved functionality, allowing them to return to their daily activities sooner. In this paper, we reviewed the application and clinical efficacy the of arthroscopic approach for treating AIS, hoping to provide a reference for its future promotion.
Topics: Humans; Ankle Joint; Ankle; Joint Diseases; Treatment Outcome; Arthroscopy; Pain
PubMed: 37852876
DOI: 10.1016/j.cjtee.2023.09.006 -
Lakartidningen Oct 2020
Topics: Ankle; Ankle Joint; Humans; Walking
PubMed: 33150580
DOI: No ID Found -
British Medical Journal Oct 1951
Topics: Ankle; Ankle Injuries; Ankle Joint; Humans; Tarsal Bones
PubMed: 14869780
DOI: 10.1136/bmj.2.4737.957 -
The Journal of Arthroplasty Jun 2022Several studies have investigated the distribution of hip-knee-ankle (HKA) angle in healthy populations; however, few have evaluated this metric in patients undergoing...
BACKGROUND
Several studies have investigated the distribution of hip-knee-ankle (HKA) angle in healthy populations; however, few have evaluated this metric in patients undergoing total knee arthroplasty (TKA). The purpose of this study is to compare HKA angle distribution in early and advanced knee osteoarthritis (OA) patients.
METHODS
Full limb radiographs were used to measure HKA angle for 983 subjects from the Osteoarthritis Initiative (OAI) cohort and 4,901 pre-TKA patients from an institutional cohort. Measurements were made using a previously validated deep learning algorithm. Linear regression models were used to determine the association of HKA alignment angle with patient characteristics.
RESULTS
The mean ± standard deviation HKA angle was -1.3° ± 3.2° in the OAI cohort and -4.1° ± 6.1° in the pre-TKA cohort. In the OAI cohort, normal alignment (64%) was the most common knee alignment followed by varus (29%), and valgus (7%). In pre-TKA patients, the most common alignment was varus (62%), followed by normal (27%) and valgus (11%). In pre-TKA patients, mean HKA angle in primary knee OA, post-traumatic knee OA, and rheumatoid arthritis patients were -4.3° ± 6.1°, -3.2° ± 6.4°, and -2.9° ± 6.1°, respectively. HKA angle was strongly associated (P < .001) with gender and body mass index.
CONCLUSION
TKA patients have a wider alignment distribution and more severe varus and valgus alignment than individuals "at risk" for knee OA from the OAI cohort. These epidemiologic findings improve our understanding of HKA angle distribution and its correlation with demographic characteristics in early and late-stage arthritis.
Topics: Ankle; Ankle Joint; Arthroplasty, Replacement, Knee; Humans; Knee Joint; Osteoarthritis, Knee; Retrospective Studies
PubMed: 35210147
DOI: 10.1016/j.arth.2021.12.009