Romain Terrier1, Francis Degache2, François Fourchet3, Boris Gojanovic3, Nicolas Forestier4. 1. University Savoie - Mont BlancEA 7424 - Inter-university Laboratory of Human Movement Science, France; CEVRES Santé, Savoie Technolac, BP 322, 73377 Le Bourget du lac cedex, France. Electronic address: romain.terrier@cevres.com. 2. University of Health Sciences, University of Applied Sciences and Arts Western Switzerland, Lausanne, Switzerland. 3. Motion Analysis Laboratory, Physiotherapy Department, Hôpital La Tour, Avenue J-D Maillard 3, 1217 Meyrin, Geneve, Switzerland. 4. University Savoie - Mont BlancEA 7424 - Inter-university Laboratory of Human Movement Science, France.
Abstract
BACKGROUND: Ankle sprain is the most common sport-related injury and eccentric weakness of ankle evertors is regarded as a significant muscular deficit related to chronic ankle instability. However, the eccentric performance of the evertors is rarely assessed by clinicians because procedures used for research purposes (i.e. isokinetic tests) are not easily applicable in daily practice. METHODS: The present study assessed the ability of two different testing procedures to distinguish between groups of 12 healthy subjects or 12 patients suffering from chronic ankle instability. On the one hand, the strength of evertors was assessed with a goldstandard isokinetic procedure. On the other hand, we assessed the ability of the subjects to control ankle inversion during weight bearing (functional standing test). FINDINGS: Data showed no significant difference between groups for isokinetic peak torque values normalized to body weight. Conversely, the functional test revealed a significantly impaired ability to control ankle inversion during weight bearing in subjects with chronic ankle instability. INTERPRETATION: This suggests that this easy-to-apply functional test is better suited compared to isokinetic testing procedures to assess weakness of evertors in patients suffering from chronic ankle instability. Moreover, this test may also be used to objectively monitor improvements during rehabilitation or progression in prevention protocols.
BACKGROUND: Ankle sprain is the most common sport-related injury and eccentric weakness of ankle evertors is regarded as a significant muscular deficit related to chronic ankle instability. However, the eccentric performance of the evertors is rarely assessed by clinicians because procedures used for research purposes (i.e. isokinetic tests) are not easily applicable in daily practice. METHODS: The present study assessed the ability of two different testing procedures to distinguish between groups of 12 healthy subjects or 12 patients suffering from chronic ankle instability. On the one hand, the strength of evertors was assessed with a goldstandard isokinetic procedure. On the other hand, we assessed the ability of the subjects to control ankle inversion during weight bearing (functional standing test). FINDINGS: Data showed no significant difference between groups for isokinetic peak torque values normalized to body weight. Conversely, the functional test revealed a significantly impaired ability to control ankle inversion during weight bearing in subjects with chronic ankle instability. INTERPRETATION: This suggests that this easy-to-apply functional test is better suited compared to isokinetic testing procedures to assess weakness of evertors in patients suffering from chronic ankle instability. Moreover, this test may also be used to objectively monitor improvements during rehabilitation or progression in prevention protocols.
Authors: Brice Picot; Alexandre Hardy; Romain Terrier; Bruno Tassignon; Ronny Lopes; François Fourchet Journal: Front Sports Act Living Date: 2022-05-26