A novel method of assessing proprioception in the foot-ankle joint complex after lateral ankle sprain

IF 2.2 3区医学 Q1 REHABILITATION

Physical Therapy in Sport Pub Date : 2025-05-01 DOI:10.1016/j.ptsp.2025.04.009

Takahiro Watanabe , Eiichi Kuroyanagi , Hinata Furusawa , Masahiro Tsutsumi , Shintarou Kudo

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引用次数: 0

Abstract

Objectives

To investigate the validity of a novel method for assessing intra-foot proprioception impaired by chronic ankle instability (CAI) and its association with perceived ankle instability, and to include a conventional joint position reproduction (JPR).

Design

Case-control study.

Setting

University laboratory.

Participants

Eleven controls and 19 individuals with CAI.

Main outcome measures

A circumduction reproduction test was developed to evaluate proprioception by measuring absolute errors between eyes-opened and closed conditions during ankle circumduction movement, consisting of inversion and eversion phases. Errors in hallux marker trajectory and intra-foot joint relative angles were analyzed. Additionally, the JPR was administered to comparison with the novel method.

Results

During the eversion phase, the CAI group had significantly more errors in the X and Y component than the control group. The Pearson's r between the X component and IdFAI was 0.354 (p = 0.054). The X component correlated with the movement of the rearfoot, midfoot and forefoot, with correlations of r > 0.4. However, the JPR did not detect differences between two groups (p > 0.05).

Conclusions

The circumduction reproduction test has discriminant validity for distinguishing between two groups and may provide an advantage over JPR.

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一种评估外侧踝关节扭伤后足-踝关节复合体本体感觉的新方法

目的探讨一种评估慢性踝关节不稳定（CAI）所致足内本体感觉受损的新方法的有效性及其与感知踝关节不稳定的关系，并包括传统的关节位置再现（JPR）。DesignCase-control研究。SettingUniversity实验室。参与者包括16名对照和19名CAI患者。主要结果测量：通过测量踝关节绕行运动（包括内翻和外翻阶段）睁眼和闭眼之间的绝对误差，开发了一种绕行再现试验来评估本体感觉。分析了拇趾标记轨迹和足内关节相对角度误差。此外，还进行了JPR与新方法的比较。结果在版本阶段，CAI组在X和Y分量上的误差明显高于对照组。X分量与IdFAI之间的Pearson’s r为0.354 （p = 0.054）。X分量与后脚、中脚和前脚的运动相关，r >相关；0.4. 然而，JPR并没有发现两组之间的差异(p >；0.05)。结论绕行生殖试验具有区分两组的判别效度，具有优于JPR的优势。

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

Physical Therapy in Sport 医学-康复医学

CiteScore

4.50

自引率

8.30%

发文量

125

审稿时长

39 days

期刊介绍： Physical Therapy in Sport is an international peer-reviewed journal that provides a forum for the publication of research and clinical practice material relevant to the healthcare professions involved in sports and exercise medicine, and rehabilitation. The journal publishes material that is indispensable for day-to-day practice and continuing professional development. Physical Therapy in Sport covers topics dealing with the diagnosis, treatment, and prevention of injuries, as well as more general areas of sports and exercise medicine and related sports science. The journal publishes original research, case studies, reviews, masterclasses, papers on clinical approaches, and book reviews, as well as occasional reports from conferences. Papers are double-blind peer-reviewed by our international advisory board and other international experts, and submissions from a broad range of disciplines are actively encouraged.