Dong Wook Lee, Se Jong Kim, Jiho Kang, Kyeongtak Song, Sae Yong Lee
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引用次数: 0
Abstract
Objective: This study aimed to differentiate subgroups of chronic ankle instability (CAI), including mechanical ankle instability (structural damage), functional ankle instability (FAI: neuromuscular deficits), Copers (individuals who recovered functional stability without recurrent symptoms), and controls (healthy individuals), using a validated questionnaire set (Cumberland ankle instability tool [CAIT], identification of functional ankle instability [IdFAI], ankle instability instrument [AII], foot and ankle ability measurement [FAAM]/Activities of Daily Living, FAAM/Sports). Additionally, we sought to present a standardized scoring system to classify CAI, Copers, and control participants.
Design: Case-control study.
Methods: A total of 104 people participated in the study, including 26 mechanical ankle instability, 26 functional ankle instability, 26 Copers, and 26 healthy controls. The Kruskal-Wallis test was used for analysis, and the Mann-Whitney test was used for post hoc tests. The cutoff value for each group was confirmed using the receiver operating characteristic curve.
Results: Analyses comparing the CAI, Copers, and control groups revealed significant differences in CAIT (P < .001), IdFAI (P < .001), AII (P < .001), FAAM/Activities of Daily Living (P < .001), and FAAM/Sports (P < .001). The cutoff values for each group were confirmed for CAIT, IdFAI, AII, FAAM/Activities of Daily Living, and FAAM/Sports. For CAIT, it was 0 to 8.5 mechanical ankle instability, 8.6 to 23 for functional ankle instability, 24 to 29.5 for Copers, and 29.6 to 30 for control.
Conclusion: These findings support using CAIT, IdFAI, and AII to classify CAI subtypes and identify Copers. Questionnaire-based cutoff values may assist rehabilitation planning and clinical decision-making. A CAIT score below 8.5 may indicate surgical consideration, supported by comprehensive clinical assessment.
期刊介绍：
The Journal of Sport Rehabilitation (JSR) is your source for the latest peer-reviewed research in the field of sport rehabilitation. All members of the sports-medicine team will benefit from the wealth of important information in each issue. JSR is completely devoted to the rehabilitation of sport and exercise injuries, regardless of the age, gender, sport ability, level of fitness, or health status of the participant.
JSR publishes peer-reviewed original research, systematic reviews/meta-analyses, critically appraised topics (CATs), case studies/series, and technical reports that directly affect the management and rehabilitation of injuries incurred during sport-related activities, irrespective of the individual’s age, gender, sport ability, level of fitness, or health status. The journal is intended to provide an international, multidisciplinary forum to serve the needs of all members of the sports medicine team, including athletic trainers/therapists, sport physical therapists/physiotherapists, sports medicine physicians, and other health care and medical professionals.
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