Ankle laxity affects ankle kinematics during a side-cutting task in male collegiate soccer athletes without perceived ankle instability

Phys Ther Sport. 2020 Nov:46:89-96. doi: 10.1016/j.ptsp.2020.08.012. Epub 2020 Aug 28.

Abstract

Objectives: To investigate whether ankle joint laxity alone influences lower limb kinematics during a side-cutting task.

Design: A cross-sectional study.

Setting: Sports medicine research laboratory.

Participants: In total, 66 male collegiate soccer players with history of ankle sprains with no perceived ankle instability were categorised into three groups: no-laxity copers (n = 26), laxity copers (n = 23), and severe-laxity copers (n = 17).

Main outcome measures: The hip, knee, ankle, rearfoot, midfoot, and forefoot kinematic data during the stance phase (0%-100% indicated initial contact to take-off) of a 45° side-cutting task were analysed using one-dimensional statistical parametric mapping.

Results: The horizontal plane kinematics of the rearfoot differed significantly among the three groups during 30%-91% of the stance phase (P < .05). Severe-laxity copers exhibited a greater external rotation angle than no-laxity copers during 6%-14% and 32%-92% of the stance phase (P < .05).

Conclusion: Our data suggest that severe ankle joint laxity affects rearfoot horizontal plane kinematics in individuals without perceived ankle instability performing a 45° side-cutting task. These findings could be used by clinicians in developing rehabilitation programs to prevent further ankle sprains in patients with severe ankle joint laxity.

Keywords: Ankle sprains; Joint instability; Kinematics; Lateral ligament.

MeSH terms

  • Adult
  • Ankle / physiopathology
  • Ankle Injuries / physiopathology
  • Ankle Joint / physiopathology*
  • Athletes*
  • Biomechanical Phenomena
  • Cross-Sectional Studies
  • Foot / physiopathology
  • Humans
  • Joint Instability / physiopathology*
  • Knee Joint / physiopathology
  • Lower Extremity / physiopathology
  • Male
  • Rotation
  • Soccer / injuries*
  • Task Performance and Analysis