Impact of chronic ankle instability on gait loading strategy in individuals with chronic ankle instability: a comparative study

Review written by Dr Carlo Wood info

Key Points

  1. The results demonstrate the loading strategy associated with chronic ankle instability (CAI) is higher over the lateral rearfoot.
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BACKGROUND & OBJECTIVE

Chronic ankle instability (CAI) is defined as having recurring sprains, pain, weakness, limited motion, and a sensation of the ankle giving way, at least one year post injury. Sensorimotor and mechanical impairments could result in CAI. Gait changes include spatiotemporal impairments in step length, cadence, speed, stance duration, base of support (larger) and altered activation of the peroneus longus. During a stance phase, there is greater ankle inversion and a lateral deviation of the center of pressure (COP).

This study investigated the changes in gait loading strategy in CAI, hypothesizing that there is a significant difference without CAI.

Chronic ankle instability is defined as having recurring sprains, pain, weakness, limited motion, and a sensation of the ankle giving way, at least one year post injury.
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Myofascial decompression to the medial leg, lateral glides and eversion of the STJ can improve eversion.

METHODS

  • The study was composed of 56 male subjects: 28 subjects with unilateral CAI; and 28 subjects without a history of ankle sprains.
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