Ultrasonography assessments of talar cartilage and ATFL after running in chronically unstable, coper, and healthy ankles: a case-control study.

IF 1.6 4区医学 Q2 REHABILITATION

Physiotherapy Theory and Practice Pub Date : 2024-10-01 DOI:10.1080/09593985.2024.2412209

Dongkyun Seo, Jihong Park

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引用次数: 0

Abstract

Background: Comparisons of talar cartilage and the anterior talofibular ligament (ATFL) profiles in individuals with different levels of chronic ankle instability (CAI) provide insight into early adaptation of tissue morphology.

Purpose: This study compared morphologic response and recovery of the talar cartilage and ATFL before and after 30-min of self-paced treadmill running between individuals with CAI, coper (full recovery from a first-time ankle sprain), and healthy controls.

Methods: Sixty young males (24.8 years, 176.9 cm, 75.7 kg) were allocated into the CAI, coper, and healthy control group by their number of ankle sprains and scores on the self-reported ankle instability questionnaires (Cumberland Ankle Instability Tool, and Foot and Ankle Ability Measure-Activities of Daily Living). Ultrasonographic images in the cross-sectional area (CSA; overall, lateral, and medial) and ATFL length (unstressed and stressed and position) before and after treadmill running were recorded and analyzed.

Results: There were no group by time interactions in the talar cartilage CSA (F_14,399 <1.09, p > .36 for all tests) and ATFL length (F_14,399< .69, p > .79 for all tests). Regardless of time, CAIs had the largest overall (F_2,399 = 42.68, p < .001), lateral (F_2,399 = 37.16, p < .001), and medial (F_2,399 = 36.57, p < .001) CSA of talar cartilage and the longest stressed-ATFL length (F_2,399 = 54.42, p < .001), followed by copers and healthy controls.

Conclusion: Morphologic features of the talar cartilage and ATFL appear to depend on the level of ankle instability (e.g. a history of recurrent ankle sprain).

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一项病例对照研究：慢性不稳定踝关节、共济失调踝关节和健康踝关节在跑步后对距骨软骨和ATFL的超声波评估。

背景：目的：本研究比较了不同程度的慢性踝关节不稳定（CAI）患者、慢性踝关节不稳定患者（首次踝关节扭伤后完全恢复）和健康对照组在30分钟自定节奏跑步前后距骨软骨和距骨胫骨前韧带（ATFL）的形态学反应和恢复情况：60 名年轻男性（24.8 岁，176.9 厘米，75.7 千克）按其踝关节扭伤次数和自我报告的踝关节不稳定性问卷（坎伯兰踝关节不稳定性工具和足踝能力测量-日常生活活动）得分被分为 CAI 组、Coper 组和健康对照组。记录并分析了跑步机跑步前后的横截面积（CSA；整体、外侧和内侧）和ATFL长度（未受压、受压和位置）的超声波图像：结果：在距骨软骨CSA（所有测试中，F14,399 p > .36）和ATFL长度（所有测试中，F14,399< .69，p > .79）方面，没有组间时间交互作用。无论时间长短，CAIs 的总和最大（F2,399 = 42.68，p 2,399 = 37.16，p 2,399 = 36.57，p 2,399 = 54.42，p 结论：CAIs 的总和最大：距骨软骨和ATFL的形态特征似乎取决于踝关节的不稳定程度（如复发性踝关节扭伤史）。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Physiotherapy Theory and Practice REHABILITATION-

CiteScore

3.40

自引率

10.00%

发文量

300

期刊介绍： The aim of Physiotherapy Theory and Practice is to provide an international, peer-reviewed forum for the publication, dissemination, and discussion of recent developments and current research in physiotherapy/physical therapy. The journal accepts original quantitative and qualitative research reports, theoretical papers, systematic literature reviews, clinical case reports, and technical clinical notes. Physiotherapy Theory and Practice; promotes post-basic education through reports, reviews, and updates on all aspects of physiotherapy and specialties relating to clinical physiotherapy.