CONTENTS

Effect of Strengthening Training of Hip Muscles on Functional Ankle Instability

  • LUO Li ,
  • SUN Wu-dong ,
  • ZHAO Xiang-hu ,
  • XU Liang ,
  • CAI Qian ,
  • XIAO Qi ,
  • MA Ming
Expand
  • 1. Rehabilitation Medicine Department, Zhongda Hospital Affiliated to Southeast University, Nanjing, Jiangsu 210009, China;
    2. Nanjing Gulou District Jianning Road Community Health Service Center, Nanjing, Jiangsu 210009, China

Received date: 2017-04-01

  Revised date: 2017-06-05

  Online published: 2017-11-03

Abstract

Objective To observe the effect of strengthening training of hip muscles on functional ankle instability (FAI).Methods From May, 2015 to June, 2016, 40 patients with FAI were randomly divided into control group (n=20) and observation group (n=20). Both groups were treated with routine exercise training including muscle strength and proprioceptive training of the ankle joint, while the treatment group received hip muscle strength training in addition, for six weeks. They were evaluated with hip force assessment, postural stability assessment, Star Excursion Balance Test (SEBT) and Cumberland Ankle Instability Tool (CAIT).Results There was no significant difference in all the indexes between two groups before treatment (P>0.05). After treatment, the peak torques of hip muscles increased in the observation group (t>3.528, P<0.01); the overall stability index, anteroposterior stability index, middle-lateral stability index decreased in both groups (t>2.360, P<0.05); the distance of eight direction in SEBT increased in both groups (t>2.254, P<0.05); the score of CAIT increased in both groups (t>3.268, P<0.01). All the above indexes were better in the observation group than in the control group (t>2.161, P<0.05).Conclusion Strengthening training of hip muscle, based on conventional ankle muscle strength and proprioceptive training, could facilitate to improve FAI.

Cite this article

LUO Li , SUN Wu-dong , ZHAO Xiang-hu , XU Liang , CAI Qian , XIAO Qi , MA Ming . Effect of Strengthening Training of Hip Muscles on Functional Ankle Instability[J]. Chinese Journal of Rehabilitation Theory and Practice, 2017 , 23(10) : 1195 -1199 . DOI: 10.3969/j.issn.1006-9771.2017.10.015

References

[1] 孟令成,徐敏,李国强,等. 指压养老穴及周边反应点配合运动治疗急性外踝扭伤28例[J]. 中国针灸, 2016, 36(6): 636.
[2] Doherty C, Delahunt E, Caulfield B, et al. The incidence and prevalence of ankle sprain injury: a systematic review and meta-analysis of prospective epidemiological studies [J]. Sports Med, 2014, 44(1): 123-140.
[3] 罗永忠,吴波,赵新刚,等. 半腱肌腱联合锚钉重建外侧副韧带治疗慢性踝关节不稳的临床观察[J]. 中国矫形外科杂志, 2013, 21(20): 47-50.
[4] Chan KW, Ding BC, Mroczek KJ. Acute and chronic lateral ankle instability in the athlete [J]. Bull NYU Hosp Jt Dis, 2011, 69(1): 17-26.
[5] McCriskin BJ, Cameron KL, Orr JD, et al. Management and prevention of acute and chronic lateral ankle instability in athletic patient populations [J]. World J Orthop, 2015, 6(2): 161-171.
[6] 尹彦,罗冬梅,刘卉,等.功能性踝关节不稳者姿势稳定性的研究进展[J]. 体育科学, 2016, 36(4): 61-67.
[7] Di Martino A, Sittinger M, Risbud MV. Chitosan: a versatile biopolymer for orthopaedic tissue-engineering [J]. Biomaterials, 2005, 26(30): 5983-5990.
[8] Chainani A, Hippensteel KJ, Kishan A, et al. Multilayered electrospun scaffolds for tendon tissue engineering [J]. Tissue Eng Part A, 2013, 19(23-24): 2594-2604.
[9] Al-Mohrej OA, Al-Kenani NS. Chronic ankle instability: current perspectives [J]. Avicenna J Med, 2016, 6(4): 103-108.
[10] Zamboni C, Campos FA, Foni NO, et al. Tibial shaft fracture and ankle injury–Case report [J]. Rev Bras Ortop, 2016, 51(5): 597-600.
[11] Caulfield BM, Garrett M. Functional instability of the ankle: differences in patterns of ankle and knee movement prior to and post landing in a single leg jump [J]. Int J Sports Med, 2002, 23(1): 64-68.
[12] Sekir U, Yildiz Y, Hazneci B, et al. Effect of isokinetic training on strength, functionality and proprioception in athletes with functional ankle instability [J]. Knee Surg Sports Traumatol Arthrosc, 2007, 15(5): 654-664.
[13] 高丕明,罗小兵,虞亚明,等. 运动干预防治踝关节不稳效应的Meta分析[J]. 中华物理医学与康复杂志, 2016, 38(7): 530-536.
[14] Lentell G, Baas B, Lopez D, et al. The contributions of proprioceptive deficits, muscle function, and anatomic laxity to functional instability of the ankle [J]. J Orthop Sports Phys Ther, 1995, 21(4): 206-215.
[15] 钱菁华. 功能性踝关节不稳的神经肌肉控制机制及PNF干预效果研究[D]. 北京: 北京体育大学, 2011.
[16] Panjabi MM. The Stabilizing System of Spine. Part 1. function, dysfunction, adaptation, and enhancement [J]. J Spinal Disord, 1992, 5(4): 383-389.
[17] Tropp H, Odenrick P, Gillquist J. Stabilometry recordings in functional and mechanical instability of the ankle joint [J]. Int J Sports Med, 1985, 6(3): 180-182.
[18] 刘巧云,高松年,王斌,等. 康复综合治疗踝关节损伤后功能障碍的疗效[J]. 江苏医药, 2015, 41(18): 2200-2201.
[19] Arnold BL, Linens SW, De La Motte SJ, et al. Concentric evertor strength differences and functional ankle instability: a meta-analysis [J]. J Athl Train, 2009, 44(6): 653-662.
[20] Nakasa T, Fukuhara K, Adachi N, et al. The deficit of joint position sense in the chronic unstable ankle as measured by inversion angle replication error [J]. Arch Orthop Trauma Surg, 2008, 128(5): 445-449.
[21] Hopkins JT, Brown TN, Christensen L, et al. Deficits in peroneal latency and electromechanical delay in patients with functional ankle instability [J]. J Orthop Res, 2009, 27(12):1541-1546.
[22] 张秋霞. 功能性不稳踝关节神经肌肉控制研究[D]. 苏州:苏州大学, 2010.
[23] Golditz T, Welsch GH, Pachowsky M, et al. A multimodal approach to ankle instability: Interrelations between subjective and objective assessments of ankle status in athletes [J]. J Orthop Res, 2016, 34(3): 525-532.
[24] Kofod LM, Døssing M, Steentoft J, et al. Resistance training with ankle weight cuffs is feasible in patients with acute exacerbation of COPD [J]. J Cardiopulm Rehabil Prev, 2017, 37(1): 49-56.
[25] Cuğ M. Stance foot alignment and hand positioning alter star excursion balance test scores in those with chronic ankle instability: what are we really assessing [J]. Physiother Theory Pract, 2017, 33(4): 316-322.
[26] Bączkowicz D, Falkowski K, Majorczyk E. Assessment of relationships between joint motion quality and postural control in patients with chronic ankle joint instability [J]. J Orthop Sports Phys Ther, 2016, 4: 1-26.
[27] Gribble PA, Terada M, Beard MQ, et al. Prediction of lateral ankle sprains in football players based on clinical tests and body mass index [J]. Am J Sports Med, 2016, 44(2): 460-467.
[28] Lucas-Cuevas AG, Baltich J, Enders H, et al. Ankle muscle strength influence on muscle activation during dynamic and static ankle training modalities [J]. J Sports Sci, 2016, 34(9): 803-810.
[29] Zemková E. Sport-specific balance [J]. Sports Med, 2014, 44(5): 579-590.
[30] Kapandji A.骨关节功能解剖学[M]. 顾冬云,戴尅戎,赵杰,等,译. 北京:人民军医出版社, 2011: 174-175.
[31] FeRbeR R, Noehren B, Hamill J, et al. Competitive female runners with a history of iliotibial band syndrome demonstrate atypical hip and knee kinematics [J]. J Orthop Sports Phys Ther, 2010, 40(2): 52-58.
[32] Kernozek TW, Gheidi N, Zellmer M, et al. Effects of anterior knee displacement during squatting on patellofemoral joint stress [J]. J Sport Rehabil, 2017, 19: 1-26.
[33] Pollard CD, Sigward SM, Powers CM. Limited hip and knee flexion during landing is associated with increased frontal plane knee motion and moments [J]. Clin Biomech (Bristol, Avon), 2010, 25(2): 142-146.
[34] Gonçalves GH, Selistre LF, Petrella M, et al. Kinematic alterations of the lower limbs and pelvis during an ascending stairs task are associated with the degree of knee osteoarthritis severity [J]. Knee, 2017, 24(2): 295-304.
[35] Magee DJ. 骨科检查评估[M]. 邱贵兴,罗卓荆,译. 北京:人民军医出版社, 2007: 553-554.
[36] Chaudhari AM, Andriacchi TP. The mechanical consequences of dynamic frontal plane limb alignment for non-contact ACL injury [J]. J Biomech, 2006, 39(2): 330-338.
[37] Gowda AL, Mease SJ, Donatelli R, et al. Gluteus medius strengthening and the use of the Donatelli Drop Leg Test in the athlete [J]. Phy Ther Sport, 2014, 15(1): 15-19.
Outlines

/