Lateral ankle sprains are a common injury among all levels of athletic competition and can lead to the development of functional ankle instability (FAI). Individuals with FAI often display postural stability deficits. Numerous ankle questionnaires have been developed to classify subjects with FAI; however, the relationship between ankle questionnaires and postural stability is limited and warrants investigation. The primary purpose of this study was to compare measures of static and dynamic postural stability between FAI and healthy controls. The secondary purpose was to identify the relationship between ankle questionnaires and postural stability in FAI subjects. A total of 24 recreationally active subjects, 12 FAI and 12 healthy controls, between the ages of 18-35 were recruited to participate in this study. Static postural stability was assessed during eyes open and eyes closed single-leg stance. Dynamic postural stability was assessed during single-leg jump landings in the anterior and lateral directions. The ankle questionnaires included the Functional Ankle Disability Index, Ankle Instability Instrument, Ankle Joint Functional Assessment Tool, and Cumberland Ankle Instability Tool. Demographic, postural stability and questionnaire variables were compared using independent samples t-tests. A series of Pearson correlation coefficients were computed to determine the relationship between ankle questionnaires and measures of static and dynamic postural stability. The FAI subjects demonstrated worse (greater perceived symptoms of functional instability) scores on the Functional Ankle Disability Index-Sport, Ankle Instability Instrument, Ankle Joint Functional Assessment Tool, and Cumberland Ankle Instability Tool than the healthy controls. Additionally, FAI subjects demonstrated worse (higher) scores for the medial/lateral ground reaction force standard deviation during eyes closed single-leg stance, vertical stability index, and DPSI during anterior and lateral jumps. Significant correlations were observed between the medial lateral stability index and Ankle Joint Functional Assessment Tool and Cumberland Ankle Instability Tool during lateral jumps. The results of the study demonstrate FAI subjects have static and dynamic postural stability deficits compared to healthy controls. Additionally, the ankle questionnaires were poorly correlated with static and dynamic postural stability suggesting the ankle questionnaires may be inadequate at detecting postural stability deficits in FAI subjects.
| Identifer | oai:union.ndltd.org:PITT/oai:PITTETD:etd-07242011-160338 |
| Date | 15 September 2011 |
| Creators | Pederson, Jonathan |
| Contributors | David A. Stone, John P. Abt, Scott M. Lephart, Timothy C. Sell, Mita T. Lovalekar |
| Publisher | University of Pittsburgh |
| Source Sets | University of Pittsburgh |
| Language | English |
| Detected Language | English |
| Type | text |
| Format | application/pdf |
| Source | http://etd.library.pitt.edu/ETD/available/etd-07242011-160338/ |
| Rights | unrestricted, I hereby certify that, if appropriate, I have obtained and attached hereto a written permission statement from the owner(s) of each third party copyrighted matter to be included in my thesis, dissertation, or project report, allowing distribution as specified below. I certify that the version I submitted is the same as that approved by my advisory committee. I hereby grant to University of Pittsburgh or its agents the non-exclusive license to archive and make accessible, under the conditions specified below, my thesis, dissertation, or project report in whole or in part in all forms of media, now or hereafter known. I retain all other ownership rights to the copyright of the thesis, dissertation or project report. I also retain the right to use in future works (such as articles or books) all or part of this thesis, dissertation, or project report. |
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