Arthrometric measurement of ankle-complex motion: normative values
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Published on: July 7, 2016
Neil A Schwarz1, John E Kovaleski, Robert J Heitman
1Department of Health & Physical Education, University of South Alabama, Mobile, USA. Neil_Schwarz@baylor.edu
Context:
Valid and reliable measurements of ankle-complex motion have been reported using the Hollis Ankle Arthrometer. No published normative data of ankle-complex motion obtained from ankle arthrometry are available for use as a reference for clinical decision making.
Objective:
To describe the distribution variables of ankle-complex motion in uninjured ankles and to establish normative reference values for use in research and to assist in clinical decision making.
Design:
Descriptive laboratory study.
Setting:
University research laboratory.
Patients Or Other Participants:
Both ankles of 50 men and 50 women (age = 21.78 ± 2.0 years [range, 19-25 years]) were tested.
Intervention(S):
Each ankle underwent anteroposterior (AP) and inversion-eversion (I-E) loading using an ankle arthrometer.
Main Outcome Measure(S):
Recorded anterior, posterior, and total AP displacement (millimeters) at 125 N and inversion, eversion, and total I-E rotation (degrees) at 4 Nm.
Results:
Women had greater ankle-complex motion for all variables except for posterior displacement. Total AP displacement of the ankle complex was 18.79 ± 4.1 mm for women and 16.70 ± 4.8 mm for men (U = 3742.5, P < .01). Total I-E rotation of the ankle complex was 42.10 degrees ± 9.0 degrees for women and 34.13 degrees ± 10.1 degrees for men (U = 2807, P < .001). All variables were normally distributed except for anterior displacement, inversion rotation, eversion rotation, and total I-E rotation in the women's ankles and eversion rotation in the men's ankles; these variables were skewed positively.
Conclusions:
Our study increases the available database on ankle-complex motion, and it forms the basis of norm-referenced clinical comparisons and the basis on which quantitative definitions of ankle pathologic conditions can be developed.
