Balance and recovery from a perturbation are impaired in people with functional ankle instability

Clin J Sport Med. 2007 Jul;17(4):269-75. doi: 10.1097/JSM.0b013e3180f60b12.


Objective: To determine if differences in balance and recovery would be found between controls and participants with unilateral or bilateral functional ankle instability (FAI).

Design: Cross-Sectional Study.

Setting: University laboratory and Community premises.

Participants: Twenty healthy participants(C), 19 participants with unilateral FAI [both the uninjured (UC) and unstable ankle (UI) were included] and 22 participants with bilateral FAI (BI).

Main outcome measures: Balance was measured in single leg stance as: number of part foot lifts in 30 s; magnitude of medio-lateral ankle movement in two foot positions; and ability to balance on the ball of the foot. Recovery was determined by time to return to baseline medio-lateral ankle movement after a 15 degree inversion perturbation.

Results: The controls lifted the foot fewer times than the other three groups [C = 12.7 +/- 1.8 (mean +/- SE) foot lifts, UC = 22.9 +/- 2.5, UI = 25.1 +/- 2.3, and BI = 21.1 +/- 2.2, t-test, P = 0.006] and recovered significantly faster than the unstable ankles [C = 1.53 +/- 0.42 sec (median +/- SE), UI = 2.34 +/- 0.30 sec, BI = 2.15 +/- 0.70 sec, P < 0.02]. With FAI measured by the Cumberland Ankle Instability Tool, the external control group balanced on demi-pointe better than both instability groups (P < 0.05), and recovered quicker than all groups.

Conclusion: There are differences in balance and recovery between external controls and participants with both unilateral and bilateral FAI but not between the legs of participants with unilateral FAI.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Ankle Joint / physiopathology*
  • Cross-Sectional Studies
  • Female
  • Humans
  • Male
  • New South Wales
  • Postural Balance / physiology*
  • Recreation
  • Sports