Balance, strength and physical activity after ankle sprain: Comparison between children with chronic ankle instability and copers

IF 2.2 3区医学 Q1 REHABILITATION Physical Therapy in Sport Pub Date : 2023-11-22 DOI:10.1016/j.ptsp.2023.11.004

Thitirat Suphasubtrakul, Raweewan Lekskulchai, Chutima Jalayondeja

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Abstract

Objective

The aim of this study was to compare muscle strength, balance, and physical activity between children with chronic ankle instability and copers.

Design

Cross-sectional study.

Setting

Pediatric Physical Therapy laboratory.

Participants

Children aged between 7 and 12 years old from regular schools who had a history of unilateral ankle sprain.

Main outcome measures

Lower extremity strength, Static and dynamic standing balance, and Level of physical activity.

Results

Fifteen children with chronic ankle instability and 15 copers were recruited. Demographic data showed no differences between group except for sex and the Cumberland Ankle Instability Tool-Youth (CAITY) score. Children with CAI had a significantly lower score during the standing long jump test (p < 0.05), poorer performance of single leg stance test (p < 0.001) and Y-Balance test in the anterior, posteromedial, and posterolateral directions (p < 0.05) when compared to copers. Total METs per week was significantly higher in the copers (p < 0.05).

Conclusion

Children with chronic ankle instability exhibited weaker lower limb strength, poorer static and dynamic standing balance, and participate in less physical activity compared to those in a coper group which may have future negative health consequences. Knowledge about the differences between the two groups may provide guidance for physical educators and physical therapists. (200 words)

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踝关节扭伤后的平衡、力量和体力活动:慢性踝关节不稳定儿童与慢性踝关节不稳定儿童的比较

目的本研究的目的是比较慢性踝关节不稳定儿童和慢性踝关节不稳定儿童的肌肉力量、平衡和身体活动。DesignCross-sectional研究。儿科物理治疗实验室。参与者年龄在7到12岁之间，来自正规学校，有单侧踝关节扭伤病史。主要结果测量:下肢力量、静态和动态站立平衡、体力活动水平。结果15例慢性踝关节不稳患儿和15例成人入选。人口统计数据显示，除了性别和坎伯兰踝关节不稳定工具-青年(CAITY)评分外，各组之间没有差异。在立定跳远测试中，CAI患儿得分显著降低(p <0.05)，单腿站立测试成绩较差(p <0.001)和前、后内侧和后外侧方向的Y-Balance测试(p <0.05)。每周总代谢当量显著高于对照组(p <0.05)。结论慢性踝关节不稳患儿下肢力量较弱，静、动态站立平衡能力较差，参与体力活动较少，可能对健康造成不良影响。了解这两个群体之间的差异可以为体育教育者和物理治疗师提供指导。(200字)

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来源期刊

Physical Therapy in Sport 医学-康复医学

CiteScore

4.50

自引率

8.30%

发文量

125

审稿时长

39 days

期刊介绍： Physical Therapy in Sport is an international peer-reviewed journal that provides a forum for the publication of research and clinical practice material relevant to the healthcare professions involved in sports and exercise medicine, and rehabilitation. The journal publishes material that is indispensable for day-to-day practice and continuing professional development. Physical Therapy in Sport covers topics dealing with the diagnosis, treatment, and prevention of injuries, as well as more general areas of sports and exercise medicine and related sports science. The journal publishes original research, case studies, reviews, masterclasses, papers on clinical approaches, and book reviews, as well as occasional reports from conferences. Papers are double-blind peer-reviewed by our international advisory board and other international experts, and submissions from a broad range of disciplines are actively encouraged.