Ankle instability consider Core & Diaphram also…. – Proactive Physio Knowledge

Why is this relevant?:

The rehabilitation for an ankle sprain has consisted of stretching and strengthening exercises for the foot/ankle complex, as well as balance activities. the ankle remains a clear area of the body that is very vulnerable to re-injury . Authors investigated the effect of distal injuries on proximalsegments of the body.  The research study reviewed in this article compares the function of the diaphragm in individuals with and without chronic ankle instability.

Chronic Ankle Instability –

Study Summary
Study Design : Single Blinded Case Control Design
Level of Evidence III - Evidence from non-experimental descriptive studies, such as compa

Demographics data:

Volunteers were recruited from a local college campus and divided into a control group (CONG) with 28 participants and chronic ankle instability group (CAIG) with 27 participants.
* Age: CAIG = 22.58 yrs

CONG = 21.04 yrs

* Gender: CAIG = 4 male/23 female;

CONG = 9 male/19 female

* Inclusion Criteria:

  • for the CAIG: h/o of at least 1 significant lateral ankle sprain
  • reports of ankle “giving way” at least twice in past 6 months;
  • ongoing ankle instability & dysfunction during daily activities;
  • score of >5 on the Ankle Instability Instrument
  • score of >11 on the Identification of Functional Ankle Instability
  • 2yrs(other than lateral ankle sprain)

Outcome Measures:

Participant Characteristics:* Physical Activity Levels  (GLTEQ)* Height* Body Mass

* BMI

Diaphragm Contractility:

* Right and Left hemi diaphragm thickness was measured at the end of resting inspiration & expiration  in supine postition. For statistical analysis. Greater change in thickness from inspiration to expiration indicated greater contractility.

Results :

* Height, Body Mass, BMI and physical activity levels were not significantly different between the groups (p>.05).* CAIG scored significantly higher on the Ankle Instability Instrument  & Identification of Functional Ankle Instability  measures (p