The correlation between chronic ankle instability and strength deficit of the hip and knee musculature: a review of the literature
DOI:
https://doi.org/10.47197/retos.v50.97830Keywords:
strength, lower extremity, ankle injury, joint instabilityAbstract
Introduction: The aim of the present study is to analyze the correlation between people that suffer from chronic ankle instability and muscle strength deficits of the proximal joints of the lower limb, which are the hip and knee. Methods: The narrative review was conducted on MEDLINE using the selected keywords to build the search string. After inclusion and exclusion criteria were applied, the articles were independently screened by two authors reading the titles and abstracts or full articles. The quality assessment was conducted using the NIH quality assessment tool for observational cohort and cross-sectional studies, the methodological index for non-randomized studies scale, the risk-of-bias tool for non-randomized trials, and the Critical Appraisal Skills Programme checklist. Result: From 506 papers originally identified through database search, six studies were finally selected. The quality score was medium to low in all studies according to selected tool. Major of the included studies underlined that the lower limb strength deficits represent a key factor in the rehabilitation path in patients with chronic ankle instability (CAI) and, in addition to predictable ankle’s muscle impairments, hip strength was a significant weakness in performance evaluation in this type of patients. Conclusion: It’s not possible to confirm to our knowledge a strictly significant correlation between strength deficit of hip and knee, when appreciated. These results, however, might suggest another time that the difference between people who suffer from CAI and coper is the rehabilitation program that patients follow after an injury.
Keywords: Strength, Lower Extremity, Ankle Injury, Joint Instability
References
Apaza-Ramos, V., Zevallos-Ramos, F., & Bravo-Cucci, S. (2023). Association between ankle sprain and the presence of low back pain in ballet dancers in Lima, Peru. Retos, 47, 893–901. doi: https://doi.org/10.47197/retos.v47.95593
Barra-San Martín, CM., Rojas-Cabezas, G., & Troc-Gajardo J. (2021) Propuesta de modelo predic-tivo de riesgo de lesión en base a descriptores anatómicos y funcionales que se relacionan con la inestabilidad articular en rodilla y tobillo en jugadores de baloncesto no profesionales. Retos, 39, 257–63. doi: https://doi.org/10.47197/retos.v0i39.76987
Bezerra, J. C. P., Vale, R. G. d. S., Brandão, P. P., Pernambuco, C. S., & Dantas, E. H. M. (2022). Fatiga oncológica en pacientes oncológicos con diferentes niveles de actividad física (Oncological fatigue in cancer patients of different levels of physical activity). Retos, 45, 422–431. doi: https://doi.org/10.47197/retos.v45i0.92484
Chui, K. K., Tudini, F., Corkery, M. B., & Yen, S. C. (2021). Power Training in Older Adults With Hip Osteoarthritis and Total Hip Arthroplasty. Top Geriatr Rehabil, 37(1), 28-37.
Cuenca-Zaldívar, J. N., Acevedo, A. M., Caballero-Nahúm, M., & Fernández-Carnero, J. (2021). Application of a Multicomponent Exercise Program on Functional Capacity in Hip Fractures in Hospitalized Older Adults: An Observational Study. Top Geriatr Rehabil, 37(4), 252-260.
de-la-Morena, J. M., Alguacil-Diego, I. M., Molina-Rueda, F., Ramiro-Gonzalez, M., Villafane, J. H., & Fernandez-Carnero, J. (2015). The Mulligan ankle taping does not affect balance performance in healthy subjects: a prospective, randomized blinded trial. J Phys Ther Sci, 27(5), 1597-1602. doi: 10.1589/jpts.27.1597
Dejong, A. F., Koldenhoven, R. M., & Hertel, J. (2020). Proximal Adaptations in Chronic Ankle Instability: Systematic Review and Meta-analysis. Med Sci Sports Exerc, 52(7), 1563-1575. doi: 10.1249/MSS.0000000000002282
Donovan, L., Hart, J. M., Saliba, S. A., Park, J., Feger, M. A., Herb, C. C., & Hertel, J. (2016). Rehabilitation for Chronic Ankle Instability With or Without Destabilization Devices: A Randomized Controlled Trial. J Athl Train, 51(3), 233-251. doi: 10.4085/1062-6050-51.3.09
Enríquez-Reyna, M. C., Carranza-Bautista D., & Navarro-Orocio, R. (2019). Nivel de actividad física, masa y fuerza muscular de mujeres mayores de la comunidad: Diferencias por grupo etario. Retos, 35, 121–25. doi: https://doi.org/10.47197/retos.v0i35.59956.
Fatima, S., Bhati, P., Singla, D., Choudhary, S., & Hussain, M. E. (2020). Electromyographic Activity of Hip Musculature During Functional Exercises in Participants With and Without Chronic Ankle Instability. J Chiropr Med, 19(1), 82-90. doi: 10.1016/j.jcm.2019.07.002
Flores-Leon, A. F., Leyton Quezada, V. C., Martínez Hernández, M. J., Salazar Reinoso, D. A., & Berral de la Rosa, F. J. (2022). Efecto de la modificación del rango de movimiento del tobillo sobre el índice de valgo dinámico durante una sentadilla monopodal, en jugadoras de fútbol. Retos, 44, 952–959. doi: https://doi.org/10.47197/retos.v44i0.91454
Friel, K., McLean, N., Myers, C., & Caceres, M. (2006). Ipsilateral hip abductor weakness after inversion ankle sprain. J Athl Train, 41(1), 74-78.
Gribble, P. A., & Robinson, R. H. (2009). An examination of ankle, knee, and hip torque production in individuals with chronic ankle instability. J Strength Cond Res, 23(2), 395-400. doi: 10.1519/JSC.0b013e31818efbb2
Hertel, J., & Corbett, R. O. (2019). An Updated Model of Chronic Ankle Instability. J Athl Train, 54(6), 572-588. doi: 10.4085/1062-6050-344-18
Houston, M. N., Hoch, J. M., & Hoch, M. C. (2015). Patient-Reported Outcome Measures in Individuals With Chronic Ankle Instability: A Systematic Review. J Athl Train, 50(10), 1019-1033. doi: 10.4085/1062-6050-50.9.01
Hubbard, T. J., Kramer, L. C., Denegar, C. R., & Hertel, J. (2007). Contributing factors to chronic ankle instability. Foot Ankle Int, 28(3), 343-354. doi: 10.3113/FAI.2007.0343
Kaminski, T. W., & Hartsell, H. D. (2002). Factors Contributing to Chronic Ankle Instability: A Strength Perspective. J Athl Train, 37(4), 394-405.
Khalaj, N., Vicenzino, B., Heales, L. J., & Smith, M. D. (2020). Is chronic ankle instability associated with impaired muscle strength? Ankle, knee and hip muscle strength in individuals with chronic ankle instability: a systematic review with meta-analysis. Br J Sports Med, 54(14), 839-847. doi: 10.1136/bjsports-2018-100070
Kosik, K. B., Johnson, N. F., Terada, M., Thomas, A. C., Mattacola, C. G., & Gribble, P. A. (2020). Decreased ankle and hip isometric peak torque in young and middle-aged adults with chronic ankle instability. Phys Ther Sport, 43, 127-133. doi: 10.1016/j.ptsp.2020.02.014
Lentell, G., Baas, B., Lopez, D., McGuire, L., Sarrels, M., & Snyder, P. (1995). The contributions of proprioceptive deficits, muscle function, and anatomic laxity to functional instability of the ankle. J Orthop Sports Phys Ther, 21(4), 206-215. doi: 10.2519/jospt.1995.21.4.206
McCann, R. S., Bolding, B. A., Terada, M., Kosik, K. B., Crossett, I. D., & Gribble, P. A. (2018). Isometric Hip Strength and Dynamic Stability of Individuals With Chronic Ankle Instability. J Athl Train, 53(7), 672-678. doi: 10.4085/1062-6050-238-17
McCann, R. S., Crossett, I. D., Terada, M., Kosik, K. B., Bolding, B. A., & Gribble, P. A. (2017). Hip strength and star excursion balance test deficits of patients with chronic ankle instability. J Sci Med Sport, 20(11), 992-996. doi: 10.1016/j.jsams.2017.05.005
Mulligan, E. P., & DeVahl, J. (2020). Can Proximal Hip Strength and Dynamic Control Differentiate Functional Ankle Stability Classifications? Int J Sports Phys Ther, 15(6), 1061-1072. doi: 10.26603/ijspt20201061
Negahban, H., Moradi-Bousari, A., Naghibi, S., Sarrafzadeh, J., Shaterzadeh-Yazdi, M. J., Goharpey, S., . . . Feizi, A. (2013). The eccentric torque production capacity of the ankle, knee, and hip muscle groups in patients with unilateral chronic ankle instability. Asian J Sports Med, 4(2), 144-152. doi: 10.5812/asjsm.34515
Negrini, S., Imperio, G., Villafane, J. H., Negrini, F., & Zaina, F. (2013). Systematic reviews of physical and rehabilitation medicine Cochrane contents. Part 1. Disabilities due to spinal disorders and pain syndromes in adults. Eur J Phys Rehabil Med, 49(4), 597-609.
Orellana-Vásquez, K., López-Vásquez, M., Méndez-Rebolledo, G., & Guzmán-Muñoz, E. E. (2019). Efectos de un entrenamiento neuromuscular sobre el equilibrio postural dinámico y propiocepción en basquetbolistas juveniles con inestabilidad funcional de tobillo. Retos, 44, 1104–12 doi: https://doi.org/10.47197/retos.v44i0.91257.
San Martín Barra, C. M., Rojas Cabezas, G., & Troc Gajardo, J. (2021). Propuesta de modelo predictivo de riesgo de lesión en base a descriptores anatómicos y funcionales que se relacionan con la inestabilidad articular en rodilla y tobillo en jugadores de baloncesto no profesionales. Retos, 39, 893–901. doi: https://doi.org/10.47197/retos.v0i39.76987
Slim, K., Nini, E., Forestier, D., Kwiatkowski, F., Panis, Y., & Chipponi, J. (2003). Methodological index for non-randomized studies (minors): development and validation of a new instrument. ANZ J Surg, 73(9), 712-716. doi: 10.1046/j.1445-2197.2003.02748.x
Thompson, C., Schabrun, S., Romero, R., Bialocerkowski, A., van Dieen, J., & Marshall, P. (2018). Factors Contributing to Chronic Ankle Instability: A Systematic Review and Meta-Analysis of Systematic Reviews. Sports Med, 48(1), 189-205. doi: 10.1007/s40279-017-0781-4
Tieland, M., Trouwborst, I., & Clark, B. C. (2018). Skeletal muscle performance and ageing. J Cachexia Sarcopenia Muscle, 9(1), 3-19. doi: 10.1002/jcsm.12238
Valderrabano, V., Hintermann, B., & Dick, W. (2004). Scandinavian total ankle replacement: a 3.7-year average followup of 65 patients. Clin Orthop Relat Res(424), 47-56.
Vásquez-Orellana, K., López-Vásquez, M., Méndez-Rebolledo, G., & Guzman Muñoz, E. (2022). Effects of neuromuscular training on dynamic postural balance and proprioception in youth. Retos, 44, 1104–1112. doi: https://doi.org/10.47197/retos.v44i0.91257
Villafane, J. H. (2021). Preface: Aging-mediated gastrointestinal microbiome changes are postulated to affect osteoarthritis-related pain. Top Geriatr Rehabil, 37(4), 207-208.
Villafane, J. H. (2022). Movilidad social e hidalguía en Castilla y América (1580-1937): In saecula saeculorum. Historia 396, 12(2), 221-248.
Villafañe, J. H., Valdes, K., Buraschi, R., Martinelli, M., Bissolotti, L., & Negrini, S. (2016). Reliability of the Handgrip Strength Test in Elderly Subjects With Parkinson Disease. Hand, 11(1), 54–58. doi: 10.1177/1558944715614852
Villafane, J. H., Valdes, K., Pedersini, P., & Berjano, P. (2019). Osteoarthritis: a call for research on central pain mechanism and personalized prevention strategies. Clin Rheumatol, 38(2), 583-584. doi: 10.1007/s10067-018-4270-4.
Webster, K. A., Pietrosimone, B. G., & Gribble, P. A. (2016). Muscle Activation During Landing Before and After Fatigue in Individuals With or Without Chronic Ankle Instability. J Athl Train, 51(8), 629-636. doi: 10.4085/1062-6050-51.10.01
Wilkerson, G. B., Pinerola, J. J., & Caturano, R. W. (1997). Invertor vs. evertor peak torque and power deficiencies associated with lateral ankle ligament injury. J Orthop Sports Phys Ther, 26(2), 78-86. doi: 10.2519/jospt.1997.26.2.78
Willems, T., Witvrouw, E., Verstuyft, J., Vaes, P., & De Clercq, D. (2002). Proprioception and Muscle Strength in Subjects With a History of Ankle Sprains and Chronic Instability. J Athl Train, 37(4), 487-493.
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