Comparison of Anterior Ankle Translation With and Without Ankle Braces.

Foot & ankle specialist Pub Date : 2024-06-01 Epub Date: 2023-07-06 DOI:10.1177/19386400231184125
Dawn T Gulick, Todd S Everett, Kerstin M Palombaro
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Abstract

Background: Lateral ankle sprains are a common musculoskeletal injury. Ankle braces are frequently used to prevent ankle injuries.

Aim: The purpose of this study was to examine the anterior translation of the talocrural joint of 2 ankle braces relative to a control.

Methods: Ankle mobility was assessed with the Mobil-Aider arthrometer in 3 conditions: TayCo ankle brace, Aircast ankle brace, and control. Three measures were recorded for each condition.

Results: Thirty participants (9 male and 21 female patients) participated. Friedman's analysis of variance found significant between-group differences for the trial with the largest translation. Wilcoxon signed-ranks post hoc testing found significant between-group differences between the control and TayCo (P < .001) and the control and Aircast conditions (P < .001). Post hoc power analysis revealed a Kendall's W of 0.804.

Clinical application: The TayCo brace is unique in that it is worn on the outside of the athletic shoe, whereas the Aircast is composed of lateral constraints worn inside the shoe. Both braces provided significant constraint over anterior talus translation when compared to control. The TayCo brace (51%-52% of control) was also significantly better than the Aircast (58%-59% of control) with less anterior translation permitted. This may be instrumental in preventing ankle injuries.

Level of evidence: 2b.

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使用和不使用踝关节支架时踝关节前移的比较。
背景:踝关节外侧扭伤是一种常见的肌肉骨骼损伤:踝关节外侧扭伤是一种常见的肌肉骨骼损伤。目的:本研究的目的是检测 2 个踝关节支架相对于对照组的距骨关节前移情况:方法:使用 Mobil-Aider 关节测量仪评估 3 种情况下的踝关节活动度:方法:使用 Mobil-Aider 关节测量仪评估 3 种情况下的踝关节活动度:TayCo 护踝、Aircast 护踝和对照组。结果:30 名参与者(9 名男性和 21 名女性)的踝关节活动度进行了评估:30 名参与者(9 名男性和 21 名女性患者)参加了此次研究。弗里德曼方差分析发现,平移量最大的试验组间差异显著。Wilcoxon 符号秩和事后检验发现,对照组和 TayCo(P < .001)以及对照组和 Aircast 条件(P < .001)之间存在显著的组间差异。事后功率分析显示 Kendall's W 为 0.804:TayCo 支具的独特之处在于它是穿在运动鞋外面的,而 Aircast 是由穿在鞋内的侧向约束组成的。与对照组相比,两种支具都对距骨前移有明显的限制作用。TayCo 支架(51%-52% 的对照组)也明显优于 Aircast 支架(58%-59% 的对照组),允许的前移更少。这可能有助于预防踝关节损伤。
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