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Bilateral compensatory postural adjustments to a unilateral perturbation in subjects with chronic ankle instability

  • Andreia S.P. Sousa
    Correspondence
    Corresponding author.
    Affiliations
    Área Científica de Fisioterapia, Escola Superior de Saúde do Porto, Instituto Politécnico do Porto, Centro de Investigação em Reabilitação - Centro de Estudos de Movimento e Atividade Humana, Rua Dr. António Bernardino de Almeida, 400, 4200-072 Porto, Portugal
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  • Márcia Silva
    Affiliations
    Escola Superior de Saúde do Porto, Instituto Politécnico do Porto, Centro de Investigação em Reabilitação - Centro de Estudos de Movimento e Atividade Humana, Rua Dr. António Bernardino de Almeida, 400, 4200-072 Porto, Portugal
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  • Samuel Gonzalez
    Affiliations
    Escola Superior de Saúde do Porto, Instituto Politécnico do Porto, Centro de Investigação em Reabilitação - Centro de Estudos de Movimento e Atividade Humana, Rua Dr. António Bernardino de Almeida, 400, 4200-072 Porto, Portugal
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  • Rubim Santos
    Affiliations
    Área Científica de Física, Escola Superior de Saúde do Porto, Instituto Politécnico do Porto, Centro de Investigação em Reabilitação - Centro de Estudos de Movimento e Atividade Humana, Rua Dr. António Bernardino de Almeida, 400, 4200-072 Porto, Portugal
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      Highlights

      • Subjects with CAI present postural control dysfunction in both injured and uninjured limbs;
      • In the support limb there is a bilateral decrease of tibialis anterior compensatory adjustments;
      • In the perturbed limb there is a bilateral increase of peroneus brevis compensatory adjustments.

      Abstract

      Background

      To evaluate the magnitude of bilateral compensatory postural adjustments in response to a unilateral sudden inversion perturbation in subjects with chronic ankle instability.

      Methods

      24 athletes with chronic ankle instability (14 with functional ankle instability, 10 with mechanical ankle instability) and twenty controls participated in this study. The bilateral electromyography of ankle muscles was collected during a unilateral sudden ankle inversion to assess the magnitude of subcortical and voluntary compensatory postural adjustments in both the perturbed and the contralateral limb (support limb).

      Findings

      In the support position, compared to the control group, the group with functional ankle instability presented decreased compensatory postural adjustments of the tibialis anterior in both the injured and the uninjured limbs in the support position and of the soleus in the uninjured limb. In the side of the perturbation, participants with functional ankle instability presented decreased soleus compensatory postural adjustments in the uninjured limb when compared to the control group. Increased values of soleus and peroneal brevis compensatory postural adjustments were observed in the group with mechanical instability when compared to the control group and to the group with functional ankle instability.

      Interpretation

      Subjects with functional ankle instability present bilateral impairment of compensatory postural adjustments of the tibialis anterior in a support position and of the soleus of the uninjured limb regardless of the position. Subjects with mechanical instability present bilateral increase of these adjustments in the peroneal brevis regardless of the position and in the soleus muscle in the side of the perturbation.

      Keywords

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