Is balance impaired by recurrent sprained ankle?

OBJECTIVE: To evaluate uninjured and recurrent sprained ankles during single leg standing, both with and without visual input, and the contribution of related proprioceptive feedback in this event. METHODS: A force measuring system was used for monitoring reaction forces in the anteroposterior and mediolateral directions during single leg standing. Differences between selected variables obtained in the uninjured and sprained ankles were analysed using two way analysis of variance. RESULTS: Foot-ground reaction forces in both anteroposterior and mediolateral directions were the same in normal and sprained ankles of each subject while standing with either open or closed eyes. However, standing with closed eyes, irrespective of the ankle status, always produced significantly higher reaction forces than those obtained with open eyes (P < 0.05). CONCLUSIONS: The amount of postural sway during single leg standing is similar in the chronically sprained and the uninjured ankle joint.

[1]  R. Schmidt,et al.  Muscle receptors with fine afferent fibers which may evoke circulatory reflexes. , 1981, Circulation research.

[2]  A. Andersen,et al.  Ruptures of the lateral ligaments of the ankle. Clinical diagnosis. , 1982, Acta orthopaedica Scandinavica.

[3]  B. Jones,et al.  Stress examination of traumatized lateral ligaments of the ankle. , 1986, Clinical orthopaedics and related research.

[4]  D S Barrett,et al.  Joint proprioception in normal, osteoarthritic and replaced knees. , 1991, The Journal of bone and joint surgery. British volume.

[5]  R. Newton,et al.  Joint receptor contributions to reflexive and kinesthetic responses. , 1982, Physical therapy.

[6]  M. R. Walters,et al.  The Relationship between Muscle Function and Ankle Stability. , 1990, The Journal of orthopaedic and sports physical therapy.

[7]  H. Tropp Pronator Muscle Weakness in Functional Instability of the Ankle Joint , 1986, International journal of sports medicine.

[8]  Edward V. Evarts,et al.  Sherrington's concept of proprioception , 1981, Trends in Neurosciences.

[9]  L. Konradsen,et al.  Proprioception at the ankle: the effect of anaesthetic blockade of ligament receptors. , 1993, Journal of Bone and Joint Surgery-british Volume.

[10]  M A Freeman,et al.  Instability of the foot after injuries to the lateral ligament of the ankle. , 1965, The Journal of bone and joint surgery. British volume.

[11]  H Tropp,et al.  Stabilometry Recordings in Functional and Mechanical Instability of the Ankle Joint , 1985, International journal of sports medicine.

[12]  Eli Isakov,et al.  Response of the Peroneal Muscles to Sudden Inversion of the Ankle during Standing , 1986 .

[13]  Margaret B. Freeman,et al.  The etiology and prevention of functional instability of the foot. , 1965, The Journal of bone and joint surgery. British volume.

[14]  J Mizrahi,et al.  Standing sway and weight-bearing distribution in people with below-knee amputations. , 1992, Archives of physical medicine and rehabilitation.

[15]  S. Vatner,et al.  Reduction of Maximal Coronary Vasodilator Capacity in Conscious Dogs with Severe Right Ventricular Hypertrophy , 1981, Circulation research.

[16]  R. Smith,et al.  Treatment of ankle sprains in young athletes , 1986, The American journal of sports medicine.

[17]  B. Morrey,et al.  Ankle instability: current concepts, diagnosis, and treatment. , 1984, Mayo Clinic proceedings.

[18]  D Brunt,et al.  Postural responses to lateral perturbation in healthy subjects and ankle sprain patients. , 1992, Medicine and science in sports and exercise.

[19]  L. Konradsen,et al.  Ankle instability caused by prolonged peroneal reaction time. , 1990, Acta orthopaedica Scandinavica.