Inter-joint coordination strategies during unilateral stance 6-months following fi rst-time lateral ankle sprain
Publication Type:
Refereed Original Article
Abstract:
Longitudinal analyses of participants with a history of lateral ankle sprain are lacking. This investi-
gation combined measuresof inter-joint coordination and stabilometryto evaluate eyes-open (condition 1)and
eyes-closed (condition 2) static unilateral stance performance in a group of participants, 6-months after they
sustained an acute,
fi
rst-time lateral ankle sprain in comparison to a control group.
Methods:
Sixty-nine participants with a 6-month history of
fi
rst-time lateral ankle sprain and 20 non-injured
controls completed three 20-second unilateral stance task trials in conditions 1 and 2. An adjusted coef
fi
cient
of multiple determination statistic was used to compare stance limb 3-dimensional kinematic data for similarity
in the aim of establishing patterns of lower-limb inter-joint coordination. The fractal dimension of the stance
limb centre of pressure path was also calculated.
Findings:
Between-groupanalysesrevealedsigni
fi
cantdifferencesinstancelimbinter-jointcoordinationstrategies
for conditions 1 and 2, and inthe fractal dimension of the centre-of-pressure path for condition 2 only. Injured par-
ticipantsdisplayedincreasesinankle
–
hiplinkedcoordinationcomparedtocontrolsincondition1(sagittal/frontal
plane: 0.15 [0.14] vs 0.06 [0.04];
η
2
= .19; sagittal/transverse plane: 0.14 [0.11] vs 0.09 [0.05];
η
2
= 0.14) and
condition 2 (sagittal/frontal plane: 0.15 [0.12] vs 0.08 [0.06];
η
2
=0.23),withanassociateddecreaseinthefractal
dimension of the centre-of-pressure path
(injured limb: 1.23 [0.13] vs 1.36 [0.13];
η
2
=0.20).
Interpretation:
Participants with a 6-month history of
fi
rst-time lateral ankle sprain exhibit a hip-dominant coordi-
nation strategy for static unilateral stance compared to non-injured controls.
Digital Object Identifer (DOI):
10.1016/j.clinbiomech.2014.12.011
Publication Status:
Published
Publication Date:
01/02/2015
Journal:
Elsevier - Clinical Biomechanics
Research Group:
Institution:
National University of Ireland, Dublin (UCD)
Open access repository:
No
Publication document: