Toe-in Landing Increases the Ankle Inversion Angle and Moment During Single-Leg Landing: Implications in the Prevention of Lateral Ankle Sprains

2017 ◽  
Vol 26 (6) ◽  
pp. 530-535 ◽  
Author(s):  
Yuta Koshino ◽  
Tomoya Ishida ◽  
Masanori Yamanaka ◽  
Mina Samukawa ◽  
Takumi Kobayashi ◽  
...  
Keyword(s):  
Angular Velocity ◽  
Outcome Measures ◽  
Repeated Measures ◽  
Transverse Plane ◽  
Ankle Sprains ◽  
Lateral Ankle ◽  
Ankle Inversion ◽  
Reaction Forces ◽  
Vertical Ground Reaction Forces ◽  
Foot Position

Context:Identifying the foot positions that are vulnerable to lateral ankle sprains is important for injury prevention. The effects of foot position in the transverse plane on ankle biomechanics during landing are unknown.Objective:To examine the effects of toe-in or toe-out positioning on ankle inversion motion and moment during single-leg landing.Design:Repeated measures.Setting:Motion analysis laboratory.Participants:18 healthy participants (9 men and 9 women).Interventions:Participants performed single-leg landing trials from a 30-cm high box under 3 conditions: natural landing, foot internally rotated (toe-in), and foot externally rotated (toe-out).Main Outcome Measures:4 toe-in or toe-out angles were calculated against 4 reference coordinates (laboratory, pelvis, thigh, and shank) in the transverse plane. Ankle inversion angle, angular velocity, and external moment in the 200 ms after initial foot-to-ground contact were compared between the 3 landing conditions.Results:All toe-in or toe-out angles other than those calculated against the shank were significantly different between each of the 3 landing conditions (P < .001). Ankle inversion angle, angular velocity, and moment were highest during toe-in landings (P < .01), while eversion angle and moment were highest during toe-out landings (P < .001). The effect sizes of these differences were large. Vertical ground reaction forces were not different between the 3 landing conditions (P = .290).Conclusions:Toe-in or toe-out positioning during single-leg landings impacts on ankle inversion and eversion motion and moment. Athletes could train not to land with the toe-in positioning to prevent lateral ankle sprains.

Temporal Influences of Functional Knee Bracing on Torque Production of the Lower Extremity

2006 ◽  
Vol 15 (3) ◽  
pp. 215-227
Author(s):  
Brian Campbell ◽  
James Yaggie ◽  
Daniel Cipriani
Keyword(s):  
Lower Extremity ◽  
Outcome Measures ◽  
Repeated Measures ◽  
Exercise Intervention ◽  
Three Dimensional ◽  
Exercise Program ◽  
Joint Moments ◽  
Repeated Measures Design ◽  
Reaction Forces ◽  
Vertical Ground Reaction Forces

Context:Functional knee braces (FKB) are used prophylactically and in rehabilitation to aide in the functional stability of the knee.Objective:To determine if alterations in select lower extremity moments persist throughout a one hour period in healthy individuals.Design:2X5 repeated measures design.Setting:Biomechanics Laboratory.Subjects:Twenty subjects (14 male and 6 female, mean age 26.5±7 yrs; height 172.4±13 cm; weight 78.6±9 kg), separated into braced (B) and no brace (NB) groups.Intervention:A one-hour exercise program divided into three 20 minute increments.Main Outcome Measures:Synchronized three-dimensional kinematic and kinetic data were collected at 20-minute increments to assess the effect of the FKB on select lower extremity moments and vertical ground reaction forces.Results:Increase in hip moment and a decrease in knee moment were noted immediately after brace application and appeared to persist throughout a one hour bout of exercise.Conclusions:The FKB and the exercise intervention caused decreases in knee joint moments and increases in hip joint moments.

Difference in Response Latency of the Peroneus Longus Between the Dominant and Nondominant Legs

2011 ◽  
Vol 20 (3) ◽  
pp. 321-332 ◽  
Author(s):  
Adam C. Knight ◽  
Wendi H. Weimar
Keyword(s):  
Outcome Measures ◽  
Ankle Sprain ◽  
Muscle Activity ◽  
Repeated Measures ◽  
Previous History ◽  
Ankle Sprains ◽  
Physically Active ◽  
Lateral Ankle ◽  
Peroneus Longus ◽  
The Moment

Context:The latency of the peroneus longus in response to an inversion perturbation is a key component in the prevention of lateral ankle sprains. In addition, the dominant ankle is sprained more frequently than the nondominant ankle, but the cause of this has not been examined.Objective:To investigate the combination of these 2 research-supported statements, the purpose of this study was to use an inversion perturbation that replicates the mechanism of a lateral ankle sprain to determine whether there is a difference in the latency of the peroneus longus between the dominant and nondominant legs.Design:Repeated-measures single-group design.Setting:University laboratory.Participants:15 physically active healthy volunteers with no previous history of an ankle sprain or lower extremity surgery or fracture.Interventions:Outer sole with fulcrum was used to cause 25° of inversion at the subtalar joint on landing from a 27-cm step-down task. Participants performed 10 trials on both the dominant and nondominant leg.Main Outcome Measures:2 latency measures of the peroneus longus of both the dominant and nondominant leg, calculated as the amount of time from the moment of touchdown of the fulcrum until muscle activity exceeded 5 and 10 SD above baseline muscle activity.Results:The latency of the peroneus longus of the nondominant leg was significantly shorter when using both 5 SD (F1,14 = 9.34, P = .009, d = .895) and 10 SD (F1,14 = 18.56, P = .001, d = .920) above baseline muscle activity.Conclusions:This difference in latency may be a result of the different demands placed on the dominant and nondominant legs during activity and may predispose the dominant ankle to a greater number of ankle sprains than the nondominant ankle.

scholarly journals Can foot angle influence the risk of injury to the lower limb joints during a field hockey hit?

2019 ◽  
Vol 5 (1) ◽  
pp. e000568
Author(s):  
Frances E Feeley ◽  
Graham P Arnold ◽  
Sadiq Nasir ◽  
Weijie W Wang ◽  
Rami Abboud
Keyword(s):  
Lower Limb ◽  
Injury Risk ◽  
Knee Injury ◽  
Body Part ◽  
Ankle Sprains ◽  
Field Hockey ◽  
Joint Angles ◽  
Lateral Ankle ◽  
Risk Of Injury ◽  
Foot Position

ObjectivesThe lower limb is widely reported as the most commonly injured body part in the field of hockey, more specifically lateral ankle sprains and internal knee injury. Despite this, there remains limited understanding of how the biomechanics of the sport could be adapted to minimise injury. The aim of this study was to propose a foot position during the hockey hit that results in the smallest joint angles and moments, from a total of four different foot positions: 0°, 30°, 60° and 90°, which may correlate to injury risk.MethodEighteen players from the local University Ladies Hockey Club participated in this study. Each player was required to perform a hit with their lead foot in four different positions: 0°, 30°, 60° and 90°, where 0° was a lead foot position perpendicular to the direction of motion of the ball. Angles and moments were calculated with the Vicon system using force plates and motion analysis.ResultsSignificant differences (p<0.05) were found between the angles and moments of the four foot positions tested, indicating that foot angle can influence the degree of angulation, and moments, produced in the lower limb joints during the hockey hit.ConclusionThere is a relationship between lead foot position and the angles and moments produced in the lower limb joints during the hockey hit, and this may correlate with injury risk.

Difference in Ratio of Evertor to Invertor Activity Between the Dominant and Nondominant Legs During Simulated Lateral Ankle Sprain

2013 ◽  
Vol 22 (4) ◽  
pp. 272-278 ◽  
Author(s):  
Adam C. Knight ◽  
Wendi H. Weimar
Keyword(s):  
Outcome Measures ◽  
Ankle Sprain ◽  
Muscle Activity ◽  
Repeated Measures ◽  
Previous History ◽  
Physically Active ◽  
Lateral Ankle ◽  
History Of ◽  
University Laboratory

Context:The dominant and nondominant legs respond asymmetrically during landing tasks, and this difference may occur during an inversion perturbation and provide insight into the role of ankle-evertor and -invertor muscle activity.Objective:To determine if there is a difference in the ratio of evertor to invertor activity between the dominant and nondominant legs and outer-sole conditions when the ankle is forced into inversion.Design:Repeated-measures single-group design.Setting:University laboratory.Participants:15 physically active healthy volunteers with no previous history of an ankle sprain or lower extremity surgery or fracture.Interventions:An outer sole with fulcrum was used to cause 25° of inversion at the subtalar joint after landing from a 27-cm step-down task. Participants performed 10 fulcrum trials on both the dominant and nondominant leg.Main Outcome Measures:The ratio of evertor to invertor muscle activity 200 ms before and 200 ms after the inversion perturbation was measured using electromyography. This ratio was the dependent variable. Independent variables included outer-sole condition (fulcrum, flat), leg (dominant, nondominant), and time (prelanding, postlanding). The data were analyzed with separate 2-way repeated-measures ANOVA, 1 for the prelanding ratios and 1 for the postlanding ratios.Results:For the postlanding ratios, the fulcrum outer sole had a significantly greater (P < .05) ratio than the flat outer sole, and the nondominant leg had a significantly greater (P < .05) ratio than the dominant leg.Conclusions:These results indicate that a greater evertor response is produced when the ankle is forced into inversion, and a greater response is produced for the nondominant leg, which may function better during a postural-stabilizing task than the dominant leg.

Fatigue’s Effect on Eversion Force Sense in Individuals With and Without Functional Ankle Instability

2012 ◽  
Vol 21 (2) ◽  
pp. 127-136 ◽  
Author(s):  
Cynthia J. Wright ◽  
Brent L. Arnold
Keyword(s):  
Outcome Measures ◽  
Repeated Measures ◽  
Sports Medicine ◽  
Ankle Instability ◽  
Absolute Error ◽  
Ankle Sprains ◽  
Functional Ankle Instability ◽  
Maximal Voluntary Isometric Contraction ◽  
Medicine Research ◽  
Force Sense

Context:Force sense (FS), the proprioceptive ability to detect muscle-force generation, has been shown to be impaired in individuals with functional ankle instability (FAI). Fatigue can also impair FS in healthy individuals, but it is unknown how fatigue affects FS in individuals with FAI.Objective:To assess the effect of fatigue on ankle-eversion force-sense error in individuals with and without FAI. Design: Case control with repeated measures.Setting:Sports medicine research laboratory.Participants:32 individuals with FAI and 32 individuals with no ankle sprains or instability in their lifetime. FAI subjects had a history of ≥1 lateral ankle sprain and giving-way ≥1 episode per month.Interventions:Three eversion FS trials were captured per load (10% and 30% of maximal voluntary isometric contraction) using a load cell before and after a concentric eversion fatigue protocol.Main Outcome Measures:Trial error was the difference between the target and reproduction forces. Constant error (CE), absolute error (AE), and variable error (VE) were calculated from 3 trial errors. A Group × Fatigue × Load repeated-measures ANOVA was performed for each error.Results:There were no significant 3-way interactions or 2-way interactions involving group (all P > .05). CE and AE had a significant 2-way interaction between load and fatigue (CE: F1,62 = 8.704, P = .004; AE: F1,62 = 4.024, P = .049), and VE had a significant main effect for fatigue (F1,62 = 5.130, P = .027), all of which indicated increased FS error with fatigue at 10% load. However, at 30% load only VE increased with fatigue. The FAI group had greater error as measured by AE (F1,62 = 4.571, P = .036) but not CE or VE (P > .05).Conclusions:Greater AE indicates that FAI individuals are less accurate in their force production. Fatigue impaired force sense in all subjects equally. These deficits provide evidence of impaired proprioception with fatigue and in individuals with FAI.

scholarly journals A Comparison of Kinesiology and Athletic Taping on Ankle Range of Motion

2018 ◽  
Vol 3 (3) ◽  
pp. 2473011418S0022
Author(s):  
Eric Folmar ◽  
Adam Thomas
Keyword(s):  
Range Of Motion ◽  
Repeated Measures ◽  
Weight Bearing ◽  
Ankle Dorsiflexion ◽  
Ankle Injuries ◽  
Ankle Sprains ◽  
Kinetic Chain ◽  
Limited Mobility ◽  
Ankle Inversion ◽  
Athletic Tape

Category: Other Introduction/Purpose: A high prevalence of ankle sprains exists in athletic and non-athletic populations. White athletic tape (WAT), commonly used for prevention and treatment, provides ankle stability while limiting mobility. Athletic taping has demonstrated the ability to limit ROM in all directions, particularly ankle inversion, as inversion injuries represent a vast majority of ankle sprains. Use of kinesiology taping (KT) for the purpose of limiting mobility in the ankle has not been examined. While limiting inversion range of motion may be beneficial in prophylactic management of ankle injuries, limiting ROM in other directions may impact kinematics of other joints in the kinetic chain. To determine the effectiveness of an innovative KT technique for limiting ankle inversion ROM while allowing movement in the other movements of the ankle. Methods: Fifty-three healthy 18-25 year old college students were recruited for this study. Subjects received each of the taping conditions (traditional basket weave WAT, a novel KT method, and no tape) in a randomized order. Manual goniometer measurements were taken in non-weight bearing in the inversion, eversion, dorsiflexion and plantarflexion directions. A handheld inclinometer was used to measure weight bearing ankle dorsiflexion. Measures for each were compared across each taping condition. A repeated measures ANOVA was performed. Results: Significant decreases in ankle ROM (p <.01) were observed in all measures between WAT and no tape. KT demonstrated significant decreases in all ROM compared to no tape (p <.01), except for a minimal decrease in weight bearing ankle dorsiflexion (p>.05). WAT demonstrated significantly greater ROM restriction in all directions than did KT (p<.01), including weight-bearing ankle DF. Conclusion: These results suggest that KT allows for more ankle ROM than traditional WAT in non-weight bearing and weight bearing measures, while still providing significant motion limitation in all motions except weight bearing dorsiflexion (in comparison to no tape). Limiting excessive inversion while simultaneously allowing closer to normal ROM in all other planes may decrease the risk of negatively impacting kinetic chain kinematics associated limited mobility of the ankle.

Landing Technique Improvements After an Aquatic-Based Neuromuscular Training Program in Physically Active Women

2017 ◽  
Vol 26 (1) ◽  
pp. 8-14 ◽  
Author(s):  
Samantha E. Scarneo ◽  
Hayley J. Root ◽  
Jessica C. Martinez ◽  
Craig Denegar ◽  
Douglas J. Casa ◽  
...  
Keyword(s):  
Outcome Measures ◽  
Repeated Measures ◽  
Injury Risk ◽  
Repeated Measure ◽  
Neuromuscular Training ◽  
Physically Active ◽  
Joint Stress ◽  
Jump Landing ◽  
Movement Screening ◽  
Reaction Forces

Context:Neuromuscular training programs (NTPs) improve landing technique and decrease vertical ground-reaction forces (VGRFs), resulting in injury-risk reduction. NTPs in an aquatic environment may elicit the same improvements as land-based programs with reduced joint stress.Objective:To examine the effects of an aquatic NTP on landing technique as measured by the Landing Error Scoring System (LESS) and VGRFs, immediately and 4 mo after the intervention.Design and Setting:Repeated measures, pool and laboratory.Participants:Fifteen healthy, recreationally active women (age 21 ± 2 y, mass 62.02 ± 8.18 kg, height 164.74 ± 5.97 cm) who demonstrated poor landing technique (LESS-Real Time > 4).Interventions:All participants completed an aquatic NTP 3 times/wk for 6 wk.Main Outcome Measures:Participants’ landing technique was evaluated using a jump-landing task immediately before (PRE), immediately after (POST), and 4 mo after (RET) the intervention period. A single rater, blinded to time point, graded all videos using the LESS, which is a valid and reliable movement-screening tool. Peak VGRFs were measured during the stance phase of the jump-landing test. Repeated-measure analyses of variance with planned comparisons were performed to explore differences between time points.Results:LESS scores were lower at POST (4.46 ± 1.69 errors) and at RET (4.2 ± 1.72 errors) than at PRE (6.30 ± 1.78 errors) (P < .01). No significant differences were observed between POST and RET (P > .05). Participants also landed with significantly lower peak VGRFs (P < .01) from PRE (2.69 ± .72 N) to POST (2.23 ± .66 N).Conclusions:The findings introduce evidence that an aquatic NTP improves landing technique and suggest that improvements are retained over time. These results show promise of using an aquatic NTP when there is a desire to reduce joint loading, such as early stages of rehabilitation, to improve biomechanics and reduce injury risk.

Lower-Extremity-Joint Cryotherapy Does Not Affect Vertical Ground-Reaction Forces during Landing

2001 ◽  
Vol 10 (2) ◽  
pp. 132-142 ◽  
Author(s):  
Andrew G Jameson ◽  
Stephen J Kinzey ◽  
Jeffrey S Hallam
Keyword(s):  
Repeated Measures ◽  
Vertical Jump ◽  
Reaction Force ◽  
Vertical Ground Reaction Force ◽  
Physically Active ◽  
Before And After ◽  
Reaction Forces ◽  
Vertical Ground ◽  
Chronic Injuries ◽  
Vertical Ground Reaction Forces

Context:Cryotherapy is commonly used in the care of acute and chronic injuries. It decreases pain, reduces swelling, and causes vasoconstriction of blood vessels. Its detrimental effects on motor activity might predispose physically active individuals to further injury.Objective:To examine the effects of cryotherapy on vertical-ground-reaction-force (VGRF) during a 2-legged landing from a 2-legged targeted vertical jump.Design:2 × 4 MANOVA with repeated measures.Setting:Biomechanics laboratory.Participants:10 men, means: 22.40 ± 1.26 years, 76.01 ± 26.95 kg, 182.88 ± 6.88 cm.Intervention:VGRF during landing from a targeted vertical jump (90% of maximum) was measured before and after four 20-minute cryotherapy treatments.Results:There were no significant differences in VGRF as a result of cryotherapy.Conclusion:Under the constraints of this study there is no evidence that returning to activity immediately after cryotherapy predisposes an athlete to injury because of a change in VGRF.

Cryotherapy Does Not Affect Peroneal Reaction Following Sudden Inversion

2007 ◽  
Vol 16 (4) ◽  
pp. 285-294 ◽  
Author(s):  
Christine L. Berg ◽  
Joseph M. Hart ◽  
Riann Palmieri-Smith ◽  
Kevin M. Cross ◽  
Christopher D. Ingersoll
Keyword(s):  
Ankle Joint ◽  
Outcome Measures ◽  
Repeated Measures ◽  
Treatment Time ◽  
Post Treatment ◽  
Emg Activity ◽  
Root Mean Square Amplitude ◽  
Lateral Ankle ◽  
Repeated Measures Design ◽  
And Control

Context:If ankle joint cryotherapy impairs the ability of the ankle musculature to counteract potentially injurious forces, the ankle is left vulnerable to injury.Objective:To compare peroneal reaction to sudden inversion following ankle joint cryotherapy.Design:Repeated measures design with independent variables, treatment (cryotherapy and control), and time (baseline, immediately post treatment, 15 minutes post treatment, and 30 minutes post treatment).Setting:University research laboratory.Patients or Other Participants:Twenty-seven healthy volunteers.Intervention(s):An ice bag was secured to the lateral ankle joint for 20 minutes.Main Outcome Measures:The onset and average root mean square amplitude of EMG activity in the peroneal muscles was calculated following the release of a trap door mechanism causing inversion.Results:There was no statistically significant change from baseline for peroneal reaction time or average peroneal muscle activity at any post treatment time.Conclusions:Cryotherapy does not affect peroneal muscle reaction following sudden inversion perturbation.

The Effects of Cryotherapy on Ground-Reaction Forces Produced during a Functional Task

2000 ◽  
Vol 9 (1) ◽  
pp. 3-14 ◽  
Author(s):  
Stephen J. Kinzey ◽  
Mitchell L. Cordova ◽  
Kevin J. Gallen ◽  
Jason C. Smith ◽  
Justin B. Moore
Keyword(s):  
Outcome Measures ◽  
Ground Reaction Force ◽  
Repeated Measures ◽  
Vertical Jump ◽  
Weight Bearing ◽  
Reaction Force ◽  
Ground Reaction Forces ◽  
Vertical Ground Reaction Force ◽  
Reaction Forces ◽  
Vertical Ground

Objective:To determine whether a standard 20-min ice-bath (10°C) immersion of the leg alters vertical ground-reaction-force components during a 1 -legged vertical jump.Design:A 1 × 5 factorial repeated-measures model was used.Setting:The Applied Biomechanics Laboratory at The University of Mississippi.Participants:Fifteen healthy and physically active subjects (age = 22.3 ± 2.1 years, height = 177.3 ± 12.2 cm, mass = 76.3 ± 19.1 kg) participated.Intervention:Subjects performed 25 one-legged vertical jumps with their preferred extremity before (5 jumps) and after (20 jumps) a 20-min cold whirlpool to the leg. The 25 jumps were reduced into 5 sets of average trials.Main Outcome Measures:Normalized peak and average vertical ground-reaction forces, as well as vertical impulse obtained using an instrumented force platform.Results:Immediately after cryotherapy (sets 2 and 3), vertical impulse decreased (P= .01); peak vertical ground-reaction force increased (set 2) but then decreased toward baseline measures (P= .02). Average vertical ground-reaction force remained unchanged (P>.05).Conclusions:The authors advocate waiting approximately 15 min before engaging in activities that require the production of weight-bearing explosive strength or power.

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