Skip to main content
Erschienen in: Knee Surgery, Sports Traumatology, Arthroscopy 4/2016

09.08.2015 | Ankle

Kinematics and muscle activities of the lower limb during a side-cutting task in subjects with chronic ankle instability

verfasst von: Yuta Koshino, Tomoya Ishida, Masanori Yamanaka, Yuya Ezawa, Takumi Okunuki, Takumi Kobayashi, Mina Samukawa, Hiroshi Saito, Harukazu Tohyama

Erschienen in: Knee Surgery, Sports Traumatology, Arthroscopy | Ausgabe 4/2016

Einloggen, um Zugang zu erhalten

Abstract

Purpose

The purpose of the present study was to evaluate lower limb kinematics and muscular activities during walking, side-turning while walking, and side-cutting movement in athletes with chronic ankle instability and compare the results to those of athletes without chronic ankle instability.

Methods

Lower limb kinematics and muscular activities were evaluated in 10 athletes with chronic ankle instability and 10 healthy control athletes using a three-dimensional motion analysis system and surface electromyography during the 200-ms pre-initial contact (IC) and stance phases while walking, side-turning while walking, and side-cutting.

Results

During walking or side-turning while walking, there were no significant differences in kinematics or muscle activities between the subjects with and without chronic ankle instability. For the side-cutting task, however, ankle inversion angles during the 200-ms pre-IC and late stance phases [effect sizes (ESs) = 0.95–1.43], the hip flexion angle (ESs = 0.94–0.96) and muscular activities of the gastrocnemius medialis (ESs = 1.04–1.73) during the early stance phase were significantly greater in the athletes with chronic ankle instability than in the healthy control athletes.

Conclusions

Alterations of kinematics in athletes with chronic ankle instability were found not only at the ankle but also at hip joints during the side-cutting movement. These alterations were not detected during walking or side-turning while walking. The findings of the present study indicate that clinicians should take into account the motion of the hip joint during the side-cutting movement in persons with chronic ankle instability.

Level of evidence

III.
Literatur
2.
Zurück zum Zitat Beckman SM, Buchanan TS (1995) Ankle inversion injury and hypermobility: effect on hip and ankle muscle electromyography onset latency. Arch Phys Med Rehabil 76(12):1138–1143CrossRefPubMed Beckman SM, Buchanan TS (1995) Ankle inversion injury and hypermobility: effect on hip and ankle muscle electromyography onset latency. Arch Phys Med Rehabil 76(12):1138–1143CrossRefPubMed
3.
Zurück zum Zitat Brown CN, Padua DA, Marshall SW, Guskiewicz KM (2011) Hip kinematics during a stop-jump task in patients with chronic ankle instability. J Athl Train 46(5):461–467PubMedPubMedCentral Brown CN, Padua DA, Marshall SW, Guskiewicz KM (2011) Hip kinematics during a stop-jump task in patients with chronic ankle instability. J Athl Train 46(5):461–467PubMedPubMedCentral
4.
Zurück zum Zitat Brown CN, Padua DA, Marshall SW, Guskiewicz KM (2008) Individuals with mechanical ankle instability exhibit different motion patterns than those with functional ankle instability and ankle sprain copers. Clin Biomech (Bristol, Avon) 23(6):822–831CrossRef Brown CN, Padua DA, Marshall SW, Guskiewicz KM (2008) Individuals with mechanical ankle instability exhibit different motion patterns than those with functional ankle instability and ankle sprain copers. Clin Biomech (Bristol, Avon) 23(6):822–831CrossRef
5.
Zurück zum Zitat Caulfield BM, Garrett M (2002) Functional instability of the ankle: differences in patterns of ankle and knee movement prior to and post landing in a single leg jump. Int J Sports Med 23(1):64–68CrossRefPubMed Caulfield BM, Garrett M (2002) Functional instability of the ankle: differences in patterns of ankle and knee movement prior to and post landing in a single leg jump. Int J Sports Med 23(1):64–68CrossRefPubMed
6.
Zurück zum Zitat Delahunt E, Coughlan GF, Caulfield B, Nichtingale EJ, Lin CW, Hiller CE (2010) Inclusion criteria when investigating insufficiencies in chronic ankle instability. Med Sci Sports Exerc 42(11):2106–2121CrossRefPubMed Delahunt E, Coughlan GF, Caulfield B, Nichtingale EJ, Lin CW, Hiller CE (2010) Inclusion criteria when investigating insufficiencies in chronic ankle instability. Med Sci Sports Exerc 42(11):2106–2121CrossRefPubMed
7.
Zurück zum Zitat Delahunt E, Monaghan K, Caulfield B (2006) Altered neuromuscular control and ankle joint kinematics during walking in subjects with functional instability of the ankle joint. Am J Sports Med 34(12):1970–1976CrossRefPubMed Delahunt E, Monaghan K, Caulfield B (2006) Altered neuromuscular control and ankle joint kinematics during walking in subjects with functional instability of the ankle joint. Am J Sports Med 34(12):1970–1976CrossRefPubMed
8.
Zurück zum Zitat Delahunt E, Monaghan K, Caulfield B (2007) Ankle function during hopping in subjects with functional instability of the ankle joint. Scand J Med Sci Sports 17(6):641–648CrossRefPubMed Delahunt E, Monaghan K, Caulfield B (2007) Ankle function during hopping in subjects with functional instability of the ankle joint. Scand J Med Sci Sports 17(6):641–648CrossRefPubMed
9.
Zurück zum Zitat Delahunt E, Monaghan K, Caulfield B (2006) Changes in lower limb kinematics, kinetics, and muscle activity in subjects with functional instability of the ankle joint during a single leg drop jump. J Orthop Res 24(10):1991–2000CrossRefPubMed Delahunt E, Monaghan K, Caulfield B (2006) Changes in lower limb kinematics, kinetics, and muscle activity in subjects with functional instability of the ankle joint during a single leg drop jump. J Orthop Res 24(10):1991–2000CrossRefPubMed
10.
Zurück zum Zitat Delp SL, Loan JP, Hoy MG, Zajac FE, Topp EL, Rosen JM (1990) An interactive graphics-based model of the lower extremity to study orthopedic surgical procedures. IEEE Trans Biomed Eng 37(8):757–767CrossRefPubMed Delp SL, Loan JP, Hoy MG, Zajac FE, Topp EL, Rosen JM (1990) An interactive graphics-based model of the lower extremity to study orthopedic surgical procedures. IEEE Trans Biomed Eng 37(8):757–767CrossRefPubMed
11.
Zurück zum Zitat Doherty C, Bleakley C, Hertel J, Caulfield B, Ryan J, Delahunt E (2015) Single-leg drop landing motor control strategies following acute ankle sprain injury. Scand J Med Sci Sports 25(4):525–533CrossRefPubMed Doherty C, Bleakley C, Hertel J, Caulfield B, Ryan J, Delahunt E (2015) Single-leg drop landing motor control strategies following acute ankle sprain injury. Scand J Med Sci Sports 25(4):525–533CrossRefPubMed
12.
Zurück zum Zitat Doherty C, Bleakley C, Hertel J, Caulfield B, Ryan J, Delahunt E (2014) Single-leg drop landing movement strategies 6 months following first-time acute lateral ankle sprain injury. Scand J Med Sci Sports. doi:10.1111/sms.12390 Doherty C, Bleakley C, Hertel J, Caulfield B, Ryan J, Delahunt E (2014) Single-leg drop landing movement strategies 6 months following first-time acute lateral ankle sprain injury. Scand J Med Sci Sports. doi:10.​1111/​sms.​12390
13.
Zurück zum Zitat Feger MA, Donovan L, Hart JM, Hertel J (2015) Lower extremity muscle activation in patients with or without chronic ankle instability. J Athl Train 50(4):350–357CrossRefPubMedPubMedCentral Feger MA, Donovan L, Hart JM, Hertel J (2015) Lower extremity muscle activation in patients with or without chronic ankle instability. J Athl Train 50(4):350–357CrossRefPubMedPubMedCentral
14.
Zurück zum Zitat Ford KR, Myer GD, Toms HE, Hewett TE (2005) Gender differences in the kinematics of unanticipated cutting in young athletes. Med Sci Sports Exerc 37(1):124–129CrossRefPubMed Ford KR, Myer GD, Toms HE, Hewett TE (2005) Gender differences in the kinematics of unanticipated cutting in young athletes. Med Sci Sports Exerc 37(1):124–129CrossRefPubMed
15.
Zurück zum Zitat Gribble P, Robinson R (2010) Differences in spatiotemporal landing variables during a dynamic stability task in subjects with CAI. Scand J Med Sci Sports 20(1):e63–e71CrossRefPubMed Gribble P, Robinson R (2010) Differences in spatiotemporal landing variables during a dynamic stability task in subjects with CAI. Scand J Med Sci Sports 20(1):e63–e71CrossRefPubMed
16.
Zurück zum Zitat Gribble PA, Delahunt E, Bleakley CM et al (2014) Selection criteria for patients with chronic ankle instability in controlled research: a position statement of the International Ankle Consortium. J Athl Train 49(1):121–127CrossRefPubMedPubMedCentral Gribble PA, Delahunt E, Bleakley CM et al (2014) Selection criteria for patients with chronic ankle instability in controlled research: a position statement of the International Ankle Consortium. J Athl Train 49(1):121–127CrossRefPubMedPubMedCentral
17.
Zurück zum Zitat Hertel J (2002) Functional anatomy, pathomechanics, and pathophysiology of lateral ankle instability. J Athl Train 37(4):364–375PubMedPubMedCentral Hertel J (2002) Functional anatomy, pathomechanics, and pathophysiology of lateral ankle instability. J Athl Train 37(4):364–375PubMedPubMedCentral
18.
Zurück zum Zitat Hislop H, Montgomery J (2002) Muscle testing, techniques of manual examination, 7th edn. W.B. Saunders, Philadelphia, pp 180–242 Hislop H, Montgomery J (2002) Muscle testing, techniques of manual examination, 7th edn. W.B. Saunders, Philadelphia, pp 180–242
19.
Zurück zum Zitat Iguchi J, Tateuchi H, Taniguchi M, Ichihashi N (2014) The effect of sex and fatigue on lower limb kinematics, kinetics, and muscle activity during unanticipated side-step cutting. Knee Surg Sports Traumatol Arthrosc 22(1):41–48CrossRefPubMed Iguchi J, Tateuchi H, Taniguchi M, Ichihashi N (2014) The effect of sex and fatigue on lower limb kinematics, kinetics, and muscle activity during unanticipated side-step cutting. Knee Surg Sports Traumatol Arthrosc 22(1):41–48CrossRefPubMed
20.
Zurück zum Zitat Iida Y, Kanehisa H, Inaba Y, Nakazawa K (2011) Activity modulations of trunk and lower limb muscles during impact-absorbing landing. J Electromyogr Kinesiol 21(4):602–609CrossRefPubMed Iida Y, Kanehisa H, Inaba Y, Nakazawa K (2011) Activity modulations of trunk and lower limb muscles during impact-absorbing landing. J Electromyogr Kinesiol 21(4):602–609CrossRefPubMed
21.
Zurück zum Zitat Kadaba MP, Ramakrishnan HK, Wootten ME, Gainey J, Gorton G, Cochran GV (1989) Repeatability of kinematic, kinetic, and electromyographic data in normal adult gait. J Orthop Res 7(6):849–860CrossRefPubMed Kadaba MP, Ramakrishnan HK, Wootten ME, Gainey J, Gorton G, Cochran GV (1989) Repeatability of kinematic, kinetic, and electromyographic data in normal adult gait. J Orthop Res 7(6):849–860CrossRefPubMed
22.
Zurück zum Zitat Lin CF, Chen CY, Lin CW (2011) Dynamic ankle control in athletes with ankle instability during sports maneuvers. Am J Sports Med 39(9):2007–2015CrossRefPubMed Lin CF, Chen CY, Lin CW (2011) Dynamic ankle control in athletes with ankle instability during sports maneuvers. Am J Sports Med 39(9):2007–2015CrossRefPubMed
23.
24.
Zurück zum Zitat Oliveira AS, Silva PB, Lund ME, Farina D, Kersting UG (2014) Slipping during side-step cutting: anticipatory effects and familiarization. Hum Mov Sci 34:128–136CrossRefPubMed Oliveira AS, Silva PB, Lund ME, Farina D, Kersting UG (2014) Slipping during side-step cutting: anticipatory effects and familiarization. Hum Mov Sci 34:128–136CrossRefPubMed
25.
Zurück zum Zitat Suda EY, Sacco IC (2011) Altered leg muscle activity in volleyball players with functional ankle instability during a sideward lateral cutting movement. Phys Ther Sports 12(4):164–170CrossRef Suda EY, Sacco IC (2011) Altered leg muscle activity in volleyball players with functional ankle instability during a sideward lateral cutting movement. Phys Ther Sports 12(4):164–170CrossRef
26.
Zurück zum Zitat Terada M, Pietrosimone BG, Gribble PA (2014) Alterations in neuromuscular control at the knee in individuals with chronic ankle instability. J Athl Train 49(5):599–607CrossRefPubMedPubMedCentral Terada M, Pietrosimone BG, Gribble PA (2014) Alterations in neuromuscular control at the knee in individuals with chronic ankle instability. J Athl Train 49(5):599–607CrossRefPubMedPubMedCentral
27.
Zurück zum Zitat Valderrabano V, Hintermann B, Horisberger M, Fung TS (2006) Ligamentous postraumatic ankle osteoarthritis. Am J Sports Med 34(4):612–620CrossRefPubMed Valderrabano V, Hintermann B, Horisberger M, Fung TS (2006) Ligamentous postraumatic ankle osteoarthritis. Am J Sports Med 34(4):612–620CrossRefPubMed
28.
Zurück zum Zitat Van Deun S, Staes FF, Stappaerts KH, Janssens L, Levin O, Peers KK (2007) Relationship of chronic ankle instability to muscle activation patterns during the transition from double-leg to single-leg stance. Am J Sports Med 35(2):274–281CrossRefPubMed Van Deun S, Staes FF, Stappaerts KH, Janssens L, Levin O, Peers KK (2007) Relationship of chronic ankle instability to muscle activation patterns during the transition from double-leg to single-leg stance. Am J Sports Med 35(2):274–281CrossRefPubMed
29.
Zurück zum Zitat Van Rijn RM, van Os AG, Bernsen RMD, Luijsterburg PA, Koes BW, Bierma-Zeinstra SMA (2008) What is the clinical course of acute ankle sprains? A systematic literature review. Am J Med 121(4):324–331CrossRefPubMed Van Rijn RM, van Os AG, Bernsen RMD, Luijsterburg PA, Koes BW, Bierma-Zeinstra SMA (2008) What is the clinical course of acute ankle sprains? A systematic literature review. Am J Med 121(4):324–331CrossRefPubMed
30.
Zurück zum Zitat Webster KA, Gribble PA (2013) A comparison of electromyography of gluteus medius and maximus in subjects with and without chronic ankle instability during two functional exercises. Phys Ther Sports 14(1):17–22CrossRef Webster KA, Gribble PA (2013) A comparison of electromyography of gluteus medius and maximus in subjects with and without chronic ankle instability during two functional exercises. Phys Ther Sports 14(1):17–22CrossRef
31.
Zurück zum Zitat Woods C, Hawkins R, Hulse M, Hodson A (2003) The Football Association Medical Research Programme: an audit of injuries in professional football: an analysis of ankle sprains. Br J Sports Med 37(3):233–238CrossRefPubMedPubMedCentral Woods C, Hawkins R, Hulse M, Hodson A (2003) The Football Association Medical Research Programme: an audit of injuries in professional football: an analysis of ankle sprains. Br J Sports Med 37(3):233–238CrossRefPubMedPubMedCentral
32.
Zurück zum Zitat Wright CJ, Arnold BL, Ross SE, Linens SW (2014) Recalibration and validation of the Cumberland Ankle Instability Tool cutoff score for individuals with chronic ankle instability. Arch Phys Med Rehabil 95(10):1853–1859CrossRefPubMed Wright CJ, Arnold BL, Ross SE, Linens SW (2014) Recalibration and validation of the Cumberland Ankle Instability Tool cutoff score for individuals with chronic ankle instability. Arch Phys Med Rehabil 95(10):1853–1859CrossRefPubMed
Metadaten
Titel
Kinematics and muscle activities of the lower limb during a side-cutting task in subjects with chronic ankle instability
verfasst von
Yuta Koshino
Tomoya Ishida
Masanori Yamanaka
Yuya Ezawa
Takumi Okunuki
Takumi Kobayashi
Mina Samukawa
Hiroshi Saito
Harukazu Tohyama
Publikationsdatum
09.08.2015
Verlag
Springer Berlin Heidelberg
Erschienen in
Knee Surgery, Sports Traumatology, Arthroscopy / Ausgabe 4/2016
Print ISSN: 0942-2056
Elektronische ISSN: 1433-7347
DOI
https://doi.org/10.1007/s00167-015-3745-y

Weitere Artikel der Ausgabe 4/2016

Knee Surgery, Sports Traumatology, Arthroscopy 4/2016 Zur Ausgabe

Arthropedia

Grundlagenwissen der Arthroskopie und Gelenkchirurgie. Erweitert durch Fallbeispiele, Videos und Abbildungen. 
» Jetzt entdecken

Update Orthopädie und Unfallchirurgie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.