Exploring the interplay between ankle muscle strength, postural control, and pain intensity in chronic ankle instability: A comprehensive analysis
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作者:
Alshahrani, Mastour Saeed
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King Khalid Univ, Coll Appl Med Sci, Dept Med Rehabil Sci, Abha 61421, Saudi ArabiaKing Khalid Univ, Coll Appl Med Sci, Dept Med Rehabil Sci, Abha 61421, Saudi Arabia
Alshahrani, Mastour Saeed
[1
]
Reddy, Ravi Shankar
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King Khalid Univ, Coll Appl Med Sci, Dept Med Rehabil Sci, Abha 61421, Saudi ArabiaKing Khalid Univ, Coll Appl Med Sci, Dept Med Rehabil Sci, Abha 61421, Saudi Arabia
Reddy, Ravi Shankar
[1
]
Alshahrani, Adel
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Najran Univ, Coll Appl Med Sci, Dept Med Rehabil Sci, Physiotherapy Program, Najran 55461, Saudi ArabiaKing Khalid Univ, Coll Appl Med Sci, Dept Med Rehabil Sci, Abha 61421, Saudi Arabia
Alshahrani, Adel
[2
]
Gautam, Ajay Prashad
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King Khalid Univ, Coll Appl Med Sci, Dept Med Rehabil Sci, Abha 61421, Saudi ArabiaKing Khalid Univ, Coll Appl Med Sci, Dept Med Rehabil Sci, Abha 61421, Saudi Arabia
Gautam, Ajay Prashad
[1
]
Alsubaie, Saud F.
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Prince Sattam Bin Abdulaziz Univ, Coll Appl Med Sci, Dept Hlth & Rehabil Sci, Al Kharj 11942, Saudi ArabiaKing Khalid Univ, Coll Appl Med Sci, Dept Med Rehabil Sci, Abha 61421, Saudi Arabia
Alsubaie, Saud F.
[3
]
机构:
[1] King Khalid Univ, Coll Appl Med Sci, Dept Med Rehabil Sci, Abha 61421, Saudi Arabia
[2] Najran Univ, Coll Appl Med Sci, Dept Med Rehabil Sci, Physiotherapy Program, Najran 55461, Saudi Arabia
[3] Prince Sattam Bin Abdulaziz Univ, Coll Appl Med Sci, Dept Hlth & Rehabil Sci, Al Kharj 11942, Saudi Arabia
Background: Chronic Ankle Instability (CAI) is a common musculoskeletal condition characterized by recurring ankle sprains and impaired postural control (PC). Understanding the relationship between ankle muscle strength, PC, and the role of pain is essential for effective management. Objectives: This prospective cross sectional study aimed to 1. Compare ankle isometric muscle strength (IMS) and PC between CAI and asymptomatic sides. 2. Assess the correlations between ankle IMS and PC and explore the potential mediating effect of pain in individuals with CAI. Methods: A total of 44 individuals with CAI, were enrolled in the study. Ankle IMS (dorsiflexors, plantar flexors, invertors, and evertors) was measured using a dynamometer, while PC was evaluated using sway parameters (anterior-posterior and medial-lateral sway, ellipse area). Pain levels were reported using a Visual Analog Scale. Results: The CAI ankles exhibited significantly lower ankle IMS in all muscle groups compared to the asymptomatic ankles (p < 0.001). Additionally, the CAI side showed increased postural sway and a larger ellipse area (p < 0.001), indicating reduced PC. Negative correlations were observed between ankle IMS and PC parameters on the CAI side, with dorsiflexor strength showing correlations ranging from -0.423 to -0.387, plantar flexor strength ranging from -0.423 to -0.371, invertor strength ranging from -0.412 to -0.238, and evertor strength ranging from -0.451 to -0.365 (p < 0.001). Mediation analysis revealed that pain played a significant mediating role in connecting ankle IMS and PC parameters among individuals with CAI, with statistical significance (p < 0.05). Conclusions: Individuals with CAI exhibit weaker ankle IMS and diminished PC in comparison to their healthy side. Moreover, pain was identified as a mediator in the relationship between ankle IMS and PC in CAI. These findings underscore the importance of addressing both ankle IMS and pain in the rehabilitation and management of CAI.
机构:
Fujian Univ Tradit Chinese Med, Dept Rehabil Assessment, Rehabil Hosp, Fuzhou, Peoples R China
Hong Kong Polytech Univ, Dept Rehabil Sci, Hong Kong, Peoples R ChinaFujian Univ Tradit Chinese Med, Dept Rehabil Assessment, Rehabil Hosp, Fuzhou, Peoples R China
Ye, Jiajia
Simpson, Michael William
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Hong Kong Polytech Univ, Dept Rehabil Sci, Hong Kong, Peoples R ChinaFujian Univ Tradit Chinese Med, Dept Rehabil Assessment, Rehabil Hosp, Fuzhou, Peoples R China
Simpson, Michael William
Liu, Yang
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机构:
Indiana Univ, Dept Kinesiol & Program Neurosci, Bloomington, IN USAFujian Univ Tradit Chinese Med, Dept Rehabil Assessment, Rehabil Hosp, Fuzhou, Peoples R China
Liu, Yang
Lin, Wei
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机构:
Fujian Univ Tradit Chinese Med, Acad Integrat Med, Fuzhou, Peoples R ChinaFujian Univ Tradit Chinese Med, Dept Rehabil Assessment, Rehabil Hosp, Fuzhou, Peoples R China
Lin, Wei
Zhong, Weihong
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Fujian Univ Tradit Chinese Med, Dept Rehabil Assessment, Rehabil Hosp, Fuzhou, Peoples R ChinaFujian Univ Tradit Chinese Med, Dept Rehabil Assessment, Rehabil Hosp, Fuzhou, Peoples R China
Zhong, Weihong
Cai, Shuhe
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机构:
Fujian Univ Tradit Chinese Med, Rehabil Hosp, Dept Orthopaed Rehabil, Fuzhou, Peoples R China
Fujian Prov Rehabil Ind Inst, Fuzhou, Peoples R ChinaFujian Univ Tradit Chinese Med, Dept Rehabil Assessment, Rehabil Hosp, Fuzhou, Peoples R China
Cai, Shuhe
Zou, Liye
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机构:
Shenzhen Univ, Exercise & Mental Hlth Lab, Shenzhen Key Lab Affect & Social Cognit Sci, Shenzhen, Peoples R ChinaFujian Univ Tradit Chinese Med, Dept Rehabil Assessment, Rehabil Hosp, Fuzhou, Peoples R China
机构:
Ningbo Univ, Fac Sports Sci, Ningbo, Peoples R China
Ningbo Univ, Res Acad Grand Hlth, Ningbo, Peoples R China
Univ Auckland, Auckland Bioengn Inst, Auckland, New ZealandNingbo Univ, Fac Sports Sci, Ningbo, Peoples R China
Yu, Peimin
Mei, Qichang
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h-index: 0
机构:
Ningbo Univ, Fac Sports Sci, Ningbo, Peoples R China
Ningbo Univ, Res Acad Grand Hlth, Ningbo, Peoples R China
Univ Auckland, Auckland Bioengn Inst, Auckland, New ZealandNingbo Univ, Fac Sports Sci, Ningbo, Peoples R China
Mei, Qichang
Xiang, Liangliang
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机构:
Ningbo Univ, Fac Sports Sci, Ningbo, Peoples R China
Ningbo Univ, Res Acad Grand Hlth, Ningbo, Peoples R China
Univ Auckland, Auckland Bioengn Inst, Auckland, New ZealandNingbo Univ, Fac Sports Sci, Ningbo, Peoples R China
Xiang, Liangliang
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机构:
Fernandez, Justin
Gu, Yaodong
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机构:
Ningbo Univ, Fac Sports Sci, Ningbo, Peoples R China
Ningbo Univ, Res Acad Grand Hlth, Ningbo, Peoples R China
Univ Auckland, Auckland Bioengn Inst, Auckland, New ZealandNingbo Univ, Fac Sports Sci, Ningbo, Peoples R China
机构:
Fujian Univ Tradit Chinese Med, Dept Rehabil Assessment, Rehabil Hosp, Fuzhou, Peoples R China
Hong Kong Polytech Univ, Dept Rehabil Sci, Hong Kong, Peoples R ChinaFujian Univ Tradit Chinese Med, Dept Rehabil Assessment, Rehabil Hosp, Fuzhou, Peoples R China
Ye, Jiajia
Simpson, Michael William
论文数: 0引用数: 0
h-index: 0
机构:
Hong Kong Polytech Univ, Dept Rehabil Sci, Hong Kong, Peoples R ChinaFujian Univ Tradit Chinese Med, Dept Rehabil Assessment, Rehabil Hosp, Fuzhou, Peoples R China
Simpson, Michael William
Liu, Yang
论文数: 0引用数: 0
h-index: 0
机构:
Indiana Univ, Dept Kinesiol & Program Neurosci, Bloomington, IN USAFujian Univ Tradit Chinese Med, Dept Rehabil Assessment, Rehabil Hosp, Fuzhou, Peoples R China
Liu, Yang
Lin, Wei
论文数: 0引用数: 0
h-index: 0
机构:
Fujian Univ Tradit Chinese Med, Acad Integrat Med, Fuzhou, Peoples R ChinaFujian Univ Tradit Chinese Med, Dept Rehabil Assessment, Rehabil Hosp, Fuzhou, Peoples R China
Lin, Wei
Zhong, Weihong
论文数: 0引用数: 0
h-index: 0
机构:
Fujian Univ Tradit Chinese Med, Dept Rehabil Assessment, Rehabil Hosp, Fuzhou, Peoples R ChinaFujian Univ Tradit Chinese Med, Dept Rehabil Assessment, Rehabil Hosp, Fuzhou, Peoples R China
Zhong, Weihong
Cai, Shuhe
论文数: 0引用数: 0
h-index: 0
机构:
Fujian Univ Tradit Chinese Med, Rehabil Hosp, Dept Orthopaed Rehabil, Fuzhou, Peoples R China
Fujian Prov Rehabil Ind Inst, Fuzhou, Peoples R ChinaFujian Univ Tradit Chinese Med, Dept Rehabil Assessment, Rehabil Hosp, Fuzhou, Peoples R China
Cai, Shuhe
Zou, Liye
论文数: 0引用数: 0
h-index: 0
机构:
Shenzhen Univ, Exercise & Mental Hlth Lab, Shenzhen Key Lab Affect & Social Cognit Sci, Shenzhen, Peoples R ChinaFujian Univ Tradit Chinese Med, Dept Rehabil Assessment, Rehabil Hosp, Fuzhou, Peoples R China
机构:
Ningbo Univ, Fac Sports Sci, Ningbo, Peoples R China
Ningbo Univ, Res Acad Grand Hlth, Ningbo, Peoples R China
Univ Auckland, Auckland Bioengn Inst, Auckland, New ZealandNingbo Univ, Fac Sports Sci, Ningbo, Peoples R China
Yu, Peimin
Mei, Qichang
论文数: 0引用数: 0
h-index: 0
机构:
Ningbo Univ, Fac Sports Sci, Ningbo, Peoples R China
Ningbo Univ, Res Acad Grand Hlth, Ningbo, Peoples R China
Univ Auckland, Auckland Bioengn Inst, Auckland, New ZealandNingbo Univ, Fac Sports Sci, Ningbo, Peoples R China
Mei, Qichang
Xiang, Liangliang
论文数: 0引用数: 0
h-index: 0
机构:
Ningbo Univ, Fac Sports Sci, Ningbo, Peoples R China
Ningbo Univ, Res Acad Grand Hlth, Ningbo, Peoples R China
Univ Auckland, Auckland Bioengn Inst, Auckland, New ZealandNingbo Univ, Fac Sports Sci, Ningbo, Peoples R China
Xiang, Liangliang
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h-index:
机构:
Fernandez, Justin
Gu, Yaodong
论文数: 0引用数: 0
h-index: 0
机构:
Ningbo Univ, Fac Sports Sci, Ningbo, Peoples R China
Ningbo Univ, Res Acad Grand Hlth, Ningbo, Peoples R China
Univ Auckland, Auckland Bioengn Inst, Auckland, New ZealandNingbo Univ, Fac Sports Sci, Ningbo, Peoples R China