Korean J Sports Med.  2019 Sep;37(3):75-83. 10.5763/kjsm.2019.37.3.75.

Effects of Reduced Plantar Cutaneous Sensation on Static Postural the Kinematic Strategy Control in Individuals with or without Chronic Ankle Instability

• Kang TK
• Kim CY
• Kim BH
• Jeong HS
• Lee SC
• Lee SY

• KMID: 2456194
• DOI: http://doi.org/10.5763/kjsm.2019.37.3.75

Abstract

PURPOSE
To investigate the alteration of lower extremity movement during maintaining balance test with their eyes closed in chronic ankle instability (CAI) patients compared to healthy group with and without plantar cutaneous sensation.
METHODS
Ten healthy volunteers (age, 23.40±2.22 years; height, 165.42±6.67 cm; weight, 60.93±13.42 kg) and 10 CAI patients (age, 23.90±2.56 years; height, 166.89±10.50 cm; weight, 67.43±12.96 kg), were recruited. Subjects immersed both feet in an ice water for 10 minutes and performed three trials of a single-leg stance balance test with their eyes closed while standing on a force plate for 10 seconds.
RESULTS
CAI group showed increased knee flexion, reduced knee external rotation, and hip internal rotation compared to the healthy group from single-limb stance with eyes closed after diminished plantar cutaneous sensation. However, there was no significant interaction between group and time.
CONCLUSION
These findings indicate that the postural kinematic analyses revealed that individuals with CAI used different strategy of controlling their lower extremities, which alters transverse plane motion of hip and knee compared to the healthy group in order to compensate for their ankle deficits after freezing the plantar cutaneous.

Keyword

Chronic ankle instability; Plantar cutaneous sensation; Static postural control

MeSH Terms

Ankle*
Foot
Freezing
Healthy Volunteers
Hip
Humans
Ice
Knee
Lower Extremity
Sensation*
Water
Ice
Water

Figure

• 

  Fig. 1. Lower-body plug-in-gait marker set. RASI: right anterior superior iliac spine, LASI: left anterior superior iliac spine, RTHI: right thigh, LTHI: left thigh, RKNE: right knee, LKNE: left knee, RTIB: right tibia, LTIB: left tibia, RANK: right ankle, LANK: left ankle, RTOE: right toe, LTOE: left toe, LPSI: left posterior superior iliac spine, RPSI: right posterior superior iliac spine, LHEE: left heel, RHEE: right heel.

• 

  Fig. 2. Semmes-Weinstein monofilaments results. ∗p ＜0.001: significant difference between pre-ice and ice 10 minutes; ∗∗p＜0.001: significant difference between pre-ice and after ice 10＋1 minutes.

• 

  Fig. 3. Ensemble curves of the lower extremity joint during the single-leg stance test. (A) Hip flexion (Flex)/extension (Ext), hip adduction (ADD)/abduction (ABD), hip internal rotation (IR)/external rotation (ER). (B) Knee Flex/Ext, knee varus (Var)/valgus (Val), knee IR/ER. (C) Ankle dorsi flexion (DF)/plantar flexion (PF), ankle inversion (IV)/eversion (EV), ankle IR/ER. CAI: chronic ankle instability, CI: confidence interval, Diff: difference.

Reference

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