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Evaluating Postural Control and Lower-extremity Muscle Activation in Individuals with Chronic Ankle Instability
Published on: September 18, 2020
8.5K
Ankle joint contact force profiles differ between those with and without chronic ankle instability during walking.
1MOTION Science Institute, Department of Exercise & Sport Science, University of North Carolina at Chapel Hill, NC, USA.
Gait & Posture
|December 2, 2022
Summary
Individuals with chronic ankle instability (CAI) show altered ankle joint loading patterns during walking. They experience lower compressive forces but higher shear forces, potentially impacting joint health.
Area of Science:
- Biomechanics
- Orthopedics
- Sports Medicine
Background:
- Chronic ankle instability (CAI) is linked to abnormal gait mechanics.
- Altered biomechanics may lead to early ankle joint degeneration.
- Joint contact forces (JCF) can estimate joint loading non-invasively.
Purpose of the Study:
- To compare ankle JCF profiles during walking in individuals with and without CAI.
- To investigate differences in compressive and shear JCF during the stance phase.
Main Methods:
- Gait assessment of 10 individuals with CAI and 10 controls on an instrumented treadmill.
- Musculoskeletal modeling used to estimate ankle JCF (compressive, anteroposterior shear, mediolateral shear).
- Analysis of peak, impulse, and loading rates for JCF variables.
Main Results:
- Individuals with CAI exhibited significantly different JCF compared to controls across all directions.
- CAI group showed lower compressive force peaks and impulse.
- CAI group demonstrated higher anteroposterior and mediolateral shear forces.
Conclusions:
- Individuals with CAI display distinct ankle joint loading patterns during walking.
- Differences in JCF are direction-dependent, varying with the axis of movement.
- Findings highlight altered joint loading in CAI, relevant for understanding post-traumatic osteoarthritis.
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