Chronic ankle instability (CAI), a pathological condition characterized by repetitive bouts of the ankle giving way, commonly develops following a lateral ankle sprain injury. Individuals with CAI have been shown to exhibit deficits in postural control and alterations in movement dynamics, which have been suggested to be contributing factors to the recurrent injury paradigm. The purpose of this investigation was to conduct a comprehensive biomechanical analyses to examine the influence of CAI on postural control and movement dynamics during a single leg squat, side-cut task, and single leg landing on an inverted surface. Fifteen participants with CAI and fifteen participants without CAI completed the study following a between-subjects design, with limb serving as the repeated measure during the single leg squat. Each participant completed a single leg squat, side-cut task, and unexpected and expected single leg landings on a tilted surface. Results from the single leg squat and single leg landings on the tilted surface were analyzed using a 2 x 2 mixed-model ANOVA, while results from the side-cut task were analyzed using an independent samples t-test. Statistical significance was considered for all dependent variables when p < 0.05. Individuals with CAI demonstrated impaired postural control, as indicated by reduced time-to-boundary, during the single leg squat compared to controls. Altered ankle joint kinetics and increased sagittal plane hip joint stiffness were observed in the CAI group compared to controls. With regards to the single leg landings on the inverted surface, during the unexpected landing condition the CAI group displayed altered neuromuscular control and ankle kinematics. However, when the landing on the inverted surface as expected, the CAI group exhibited similar motor control strategies to the control group. Findings from this study indicate CAI alters postural control and movement dynamics during functional and dynamic movements, which may be used by researchers and clinicians to develop rehabilitation protocols to restore maladaptive movement patterns in individuals that develop CAI.
| Identifer | oai:union.ndltd.org:MSSTATE/oai:scholarsjunction.msstate.edu:td-1895 |
| Date | 10 August 2018 |
| Creators | Simpson, Jeffrey Daniel |
| Publisher | Scholars Junction |
| Source Sets | Mississippi State University |
| Detected Language | English |
| Type | text |
| Format | application/pdf |
| Source | Theses and Dissertations |
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