Comparison of Ankle Taping and Bracing on Ankle Biomechanics during Landing in Functional Ankle Instability

• Authors: Hayley McKelle Ulm , Brett Windsor , Gregory Dedrick , Douglas W. Powell
• Languages of publication: EN

Abstracts

EN

Lateral ankle sprains are one of the most common injuries in athletics. Injury to lateral ankle ligaments can result in persistent instability of the ankle joint, known as functional ankle instability (FAI). Two methods of treating FAI are ankle taping and ankle bracing. The purpose of this study was to compare the effects of ankle taping and ankle bracing on ankle joint kinematics and kinetics during a landing task. Methods: Seven individuals with FAI and seven healthy controls performed three landing trials in each of three conditions: control, taped and braced. Ground reaction forces and three-dimensional kinematics were collected simultaneously while participants performed single-leg step-off landing trials from a box with a height of 0.6m. Peak ankle joint angles and moments were calculated using customized software. Results: Individuals with FAI produced significantly smaller inversion moments compared to healthy controls (p = 0.006). Ankle stabilization did not significantly alter ankle joint angles, ranges of motion or moments. Discussion: The present findings suggest that individuals with FAI exhibit unique ankle biomechanics independent of ankle stabilization modality. Future research may seek to investigate the multi-joint biomechanical adaptations associated with ankle stabilization in individuals with FAI compared to healthy controls.

Keywords

EN

ankle biomechanics; bracing; injury; landing; taping; treatment

Discipline

• MEDICINE: MEDICINE

• Publisher: Uniwersytet Szczeciński. Wydawnictwo Naukowe Uniwersytetu Szczecińskiego
• Journal: Central European Journal of Sport Sciences and Medicine
• Year: 2015
• Volume: 11
• Issue: 3
• Pages: 5-14

Contributors

author

Hayley McKelle Ulm

• Carolina Family Practice and Sports Medicine, Cary, NC, USA

author

Brett Windsor

• Department of Physical Therapy, College of Pharmacy & Health Sciences, Campbell University, Buies Creek, NC, USA

author

Gregory Dedrick

• Department of Physical Therapy, College of Pharmacy & Health Sciences, Campbell University, Buies Creek, NC, USA

author

Douglas W. Powell

• Department of Physiology, School of Osteopathic Medicine, Campbell University, Buies Creek, NC, USA

References

• Alt W., Lohrer H., Gollhofer A. Functional properties of adhesive ankle taping: neuromuscular and mechanical effects before and after exercise. Foot Ankle Int. 1999; 20 (4): 238–245.
• Arendt E., Dick R. Knee injury patterns among men and women in collegiate basketball and soccer. NCAA data and review of literature. Am J Sports Med. 1995; 23 (6): 694–701.
• Ashton-Miller J.A., Ottaviani R.A., Hutchinson C., Wojtys E.M. What best protects the inverted weightbearing ankle against further inversion? Evertor muscle strength compares favorably with shoe height, athletic tape, and three orthoses. Am J Sports Med. 1996; 24 (6): 800–809.
• Beynnon B.D., Murphy D.F., Alosa D.M. Predictive Factors for Lateral Ankle Sprains: A Literature Review. J Athl Train. 2002; 37 (4): 376–380.
• Chen Q., Wortley M.,. Bhaskaran D, Milner C.E., Zhang S. Is the inverted surface landing more suitable in evaluating ankle braces and ankle inversion perturbation?” Clin J Sport Med. 2012; 22 (3): 214–220.
• Cordova M.L., Ingersoll C.D., LeBlanc M.J. Influence of ankle support on joint range of motion before and after exercise: a metaanalysis. J Orthop Sports Phys Ther. 2000; 30 (4): 170–177; discussion 178–182.
• Cordova M.L., Ingersoll C.D., Palmieri R.M. Efficacy of Prophylactic Ankle Support: An Experimental Perspective. J Athl Train. 2002; 37 (4): 446–457.
• De Clercq D.L. Ankle bracing in running: the effect of a Push type medium ankle brace upon movements of the foot and ankle during the stance phase. Int J Sports Med. 1997; 18 (3): 222–228.
• Docherty C.L., Rybak-Webb K. Reliability of the anterior drawer and talar tilt tests using the LigMaster joint arthrometer. J Sport Rehabil. 2009; 18 (3): 389–397.
• Fong D.T., Hong Y., Chan L.K., Yung P.S., Chan K.M. A systematic review on ankle injury and ankle sprain in sports. Sports Med. 2007; 37 (1): 73–94.
• Garrick J.G. The frequency of injury, mechanism of injury, and epidemiology of ankle sprains. Am J Sports Med. 1977; 5 (6): 241–242.
• Hertel J. Functional anatomy, pathomechanics and pathophysiology of lateral ankle instability. Journal of Athletic Training. 2002; 37 (4): 364–375.
• Hertel J., Denegar C.R., Monroe M.M., Stokes W.L. Talocrural and subtalar joint instability after lateral ankle sprain. Med Sci Sports Exerc. 1991; 31 (11): 1501–1508.
• Hootman J.M., Dick R., Agel J. Epidemiology of collegiate injuries for 15 sports: summary and recommendations for injury prevention initiatives. J Athl Train. 2007; 42 (2): 311–319.
• Hubbard T.J., Kaminski T.W. Kinesthesia Is Not Affected by Functional Ankle Instability Status. J Athl Train. 2002; 37 (4): 481–486.
• Kristianslund E., Krosshaug T., van den Bogert A.J. Effect of low pass filtering on joint moments from inverse dynamics: implications for injury prevention. J Biomech. 2012; 45 (4): 666–671.
• Madras D., Barr J. Rehabilitation for functional ankle instability. Journal of Sport Rehabilitation. 2003; 12 (2): 133–142.
• McKay G. D., Goldie P. A., Payne W. R., Oakes B. W. Ankle injuries in basketball: injury rate and risk factors. Br J Sports Med. 2001; 35 (2): 103–108.
• Powell D.W., Hanson N.J., Long B., Williams D.S. 3rd Frontal plane landing mechanics in high-arched compared with low-arched female athletes. Clin J Sport Med. 2012; 22 (5): 430–435.
• Thonnard J.L., Bragard D., Willems P.A., Plaghki L. Stability of the braced ankle. A biomechanical investigation. Am J Sports Med. 1996; 24 (3): 356–361.
• Vaseenon T., Gao Y., Phisitkul P. Comparison of two manual tests for ankle laxity due to rupture of the lateral ankle ligaments. Iowa Orthop J. 2012; 32: 9–16.
• Wright I.C., Neptune R.R., van den Bogert A.J., Nigg B.M. The influence of foot positioning on ankle sprains. J Biomech. 2000; 33 (5): 513–519.
• Yeung M.S., Chan K.M., So C.H., Yuan W.Y. An epidemiological survey on ankle sprain. Br J Sports Med. 1994; 28 (2): 112–116.
• Zhang S., Chen Q., Wortley M. Biomechanical characteristics of drop landing on an inverted surface with ankle brace.The 33rd Annual Meeting of the American Society of Biomechanics. State College, Pennsylvania, USA. 2009a; August 26–29.
• Zhang S., Wortley M., Chen Q., Freedman J. Efficacy of an ankle brace with a subtalar locking system in inversion control in dynamic movements. J Orthop Sports Phys Ther. 2009b; 39 (12): 875–883.
• Zhang S., Wortley M., Silvernail J.F., Carson D., Paquette M.R. Do ankle braces provide similar effects on ankle biomechanical variables in subjects with and without chronic ankle instability during landing? J of Sport and Health Sci. 2012; 1: 114–120.

• Document Type: article