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Updated: Feb 4, 2026

Evaluating Postural Control and Lower-extremity Muscle Activation in Individuals with Chronic Ankle Instability
Published on: September 18, 2020
Nonlinear Dynamic Measures for Evaluating Postural Control in Individuals With and Without Chronic Ankle Instability.
Masafumi Terada1, Megan Beard2, Sara Carey3
11 Ritsumeikan University.
Individuals with chronic ankle instability (CAI) show reduced time-to-boundary during single-leg balance, indicating impaired sensorimotor control. Sample entropy did not differ between groups, suggesting balance regularity remains intact despite instability.
Area of Science:
- Biomechanics
- Motor Control
- Sports Medicine
Background:
- Chronic ankle instability (CAI) is a common condition following lateral ankle sprains.
- Impaired sensorimotor control is often associated with CAI, affecting balance.
- Understanding balance deficits is crucial for effective rehabilitation strategies.
Purpose of the Study:
- To compare time-to-boundary and sample entropy during a single-leg balance task.
- To evaluate these measures in individuals with CAI, lateral ankle sprain copers, and healthy controls.
Main Methods:
- Single-leg balance task performed under eyes-closed conditions.
- Involved 22 participants with CAI, 20 copers, and 24 healthy controls.
- Analysis of time-to-boundary and sample entropy of center of pressure data.
Main Results:
- Participants with CAI exhibited significantly lower time-to-boundary values compared to copers and controls.
- No significant differences in sample entropy were found between the three groups.
- Lower time-to-boundary suggests a constrained sensorimotor system in individuals with CAI.
Conclusions:
- Chronic ankle instability may limit the ability to maintain center of pressure within the base of support.
- The regularity of center of pressure velocity appears unaffected in individuals with CAI during this task.
- Time-to-boundary may be a more sensitive indicator of balance deficits in CAI than sample entropy.
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