Can ankle proprioception be improved by repeated exposure to an ankle movement discrimination task requiring step-landing in individuals with and without CAI?

To determine whether individuals with and without Chronic Ankle Instability (CAI) can improve their ankle movement discrimination sensitivity by repeated exposure to an ankle proprioceptive task requiring landing. A repeated-measures study. University laboratory. 24 university students, 11 with CAI...

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Detalles Bibliográficos
Publicado en:Physical Therapy in Sport Vol. 58; pp. 68 - 74
Autores principales: Yu, Ruoni, Yang, Zonghan, Witchalls, Jeremy, Adams, Roger, Waddington, Gordon, Han, Jia
Formato: research Journal Article
Publicado: Elsevier B.V. Nov2022
Acceso en línea:Ver este registro en EBSCOhost
Descripción
Sumario:To determine whether individuals with and without Chronic Ankle Instability (CAI) can improve their ankle movement discrimination sensitivity by repeated exposure to an ankle proprioceptive task requiring landing. A repeated-measures study. University laboratory. 24 university students, 11 with CAI and 13 without CAI. Ankle proprioception was measured using the Ankle Inversion Discrimination Apparatus for Landing (AIDAL) over 3 occasions: AIDAL-1 and AIDAL-2 separated with a 10-min interval, and AIDAL-3 at 24 h post AIDAL-2. Better Cumberland Ankle Instability Tool (CAIT) questionnaire scores were correlated with higher AIDAL scores (rho = 0.465, p = 0.022). Two-way ANOVA showed a significant CAI main effect for step landing ankle inversion proprioception, with CAI worse (F = 8.410, p = 0.008), but the Time main effect across the 3 AIDAL tests was not significant (F = 1.552, p = 0.223). The AIDAL assessment was sensitive in terms of discriminating between individuals with or without CAI. However, the step-down component of the AIDAL proprioceptive task was possibly too challenging. For CAI, physical therapy exercises should take into account the difficulty of the training task, so that a demonstrable learning effect can be achieved. • Ankle proprioceptive performance in CAI patients was worse than those without CAI. • CAI patients did not improve ankle proprioceptive performance through landing test. • CAIT scores were positively correlated to the landing proprioceptive scores. • Decreased ankle proprioception measured in landing may be associated with CAI.