The Effect of Four Weeks Core Stability Training on Some Lower Extremity ‎Kinematical Variables‏ ‏in Girl‏ ‏Athletes with Functional Ankle Instability‏ ‏During Single-‎Leg Drop Landing Task

Document Type : Original Article

Authors

1 Department of Sports Biomechanics, Faculty of Physical Education and Sports Sciences,, University of Tehran, Tehran, Iran

2 Department of Sport and Health Medicine, Faculty of Physical Education and Sport Sciences, University of Tehran, Tehran, Iran

Abstract

Purpose:
Functional ankle instability is one of the most common residual and debilitating symptoms of acute ankle sprain which usually makes the athlete to be out of training program for a while. This study aimed to investigate the effect of four weeks core stability training on some lower extremity kinematics variables in athletes with functional ankle instability during a single-leg drop landing task
Method:
In this semi-experimental research, study population included 24 athletes with functional ankle which were divided into two experimental (n=12), and control (n=12) groups. To assess the drop-landing task with functional instability foot,240 Hz frequency motion analysis system was used. The recorded movements were analyzed by Nexus 2.6 version. The hip, knee, and ankle angles were extracted on the sagittal plane, and finally, repeated measure ANOVA and Bonferroni posthoc were used to compare two groups (p≤0.05).
Result:
There was no significant difference in the angle of the ankle after four weeks training (p≥0.05). However, in the angle of the hip and knee were found a significant difference from pretest to post-test (p≤0.05)
Conclusion:
The results indicated that four weeks core stability training improves kinematics of landing in athletes with functional ankle instability, and it seems that these exercises can be a method of preventing re-injury of the ankle.

Keywords

References

  1. Gribble PA, Robinson RH. Alterations in knee kinematics and dynamic stability associated with 1. chronic ankle instability. J. Athl. Train 2009; 44(4): 350-355.
  2. Fu SN, Hui-Chan CW. Modulation of prelanding lower-limb   muscle    responses   in   athletes   with multiple ankle sprains. Med Sci Sports Exerc MED SCI SPORT EXER 2007; 39(10): 1774-1783.
  3. Hertel J. Functional anatomy, pathomechanics, and pathophysiology of lateral ankle instability. J. Athl. Train 2002; 37(4): 364.
  4. Gerber JP, Williams GN, Scoville CR, Arciero RA, et al. Persistent disability associated with ankle sprains: a prospective examination of an athletic population. FAI 1998; 19(10): 653-660.
  5. Caulfield B, Garrett M. Functional instability of the ankle: differences in patterns of ankle and knee
  6. movement prior to and post landing in a single leg jump. Int. J. Sports Med 2002; 23(01): 64-68.
  7. Delahunt E, Monaghan K, Caulfield B. Changes in lower limb kinematics, kinetics, and muscle activity in subjects with functional instability of the ankle joint during a single leg drop jump. J. Orthop. Surg. Res 2006; 24(10): 1991-2000.
  8. Delahunt E, Monaghan K, Caulfield B. Ankle function during hopping in subjects with functional instability of the ankle joint. Scand J Med Sci Sports  2007; 17(6): 641-648.
  9. Brown CN, Padua DA, Marshall SW, Guskiewicz KM. Hip kinematics during a stop-jump task in patients with chronic ankle instability. J. Athl. Train 2011; 46 (5): 461-470.
  10. Devita P, Skelly WA. Effect of landing stiffness on joint kinetics and energetics in the lower extremity. Med Sci Sports Exerc 1992; 24(1): 108-115.
  11. Van Deun S, Staes FF, Stappaerts KH, Janssens L, et al. Relationship of chronic ankle instability to muscle activation patterns during the transition from double-leg to single-leg stance. Am. J. Sports Med 2007; 35(2): 274-281.
  12. Brown C, Ross S, Mynark R, Guskiewicz K. Assessing functional ankle instability with joint position sense, time to stabilization, and electromyography. J. Sport Rehabil 2004; 13(2): 122-134.
  13. Ortiz A, Olson S, Libby CL. Core stability for the female athlete: a review. Journal of Women’s Health Physical Therapy 2006; 30(2): 11-7.
  14. Zazulak BT, Hewett TE, Reeves NP, Goldberg B, et al. Deficits in neuromuscular control of the trunk predict knee injury risk a prospective biomechanical-epidemiologic study. Am. J. Sports Med.  2007.35(7):1121-1130
  15. Murphy D, Connolly D, Beynnon B. Risk factors for lower extremity injury: a review of the literature. Br. J. Sports Med 2003; 37(1): 13-29.
  16. Bouisset S. Relationship between postural support and intentional movement: biomechanical approach. Archives internationales de physiologie, de biochimie et de biophysique 1991; 99(5): A77-92.
  17. Hodges PW, Richardson CA, Hasan Z. Contraction of the abdominal muscles associated with movement of the lower limb. Phys. Ther 1997; 77(2): 132
  18. Hodges PW, Richardson CA. Altered trunk muscle recruitment in people with low back pain with upper limb movement at different speeds. Arch. Phys. Med. Rehabil 1999; 80(9): 1005-1012.
  19. Kibler WB, Press J, Sciascia A. The role of core stability in athletic function. Sports medicine 2006; 36(3): 189-198.
  20. Aminaka N, Pietrosimone BG, Armstrong CW, Meszaros A, et al. Patellofemoral pain syndrome alters neuromuscular control and kinetics during stair ambulation. J Electromyogr Kinesiol 2011; 21(4): 645-651.
  21. Fredericson M, Moore T. Muscular balance, core stability, and injury prevention for middle-and long-distance runners. Phys Med Rehabil Clin N Am 2005; 16(3): 669-689.
  22. Bullock-Saxton J, Janda V, Bullock M. The influence of ankle sprain injury on muscle activation during hip extension. Int. J. Sports Med 1994; 15(06): 330-334.
  23. Beckman SM, Buchanan TS. Ankle inversion injury and hypermobility: effect on hip and ankle muscle electromyography onset latency. Arch. Phys. Med. Rehabil 1995; 76(12): 1138-1143.
  24. Joanne E. Local sensation changes and altered hip muscle function following severe ankle sprain. Phys. Ther 1994; 74:17-31
  25. Gage MJ. The Effects of Abdominal Training on Postural Control, Lower Extremity Kinematics, Kinetics, and Muscle Activation. 2009.
  26. Myer GD, Ford KR, McLean SG, Hewett TE. The effects of plyometric versus dynamic stabilization and balance training on lower extremity biomechanics. Am. J. Sports Med 2006; 34(3): 445-455.
  27. O'Driscoll J, Kerin F, Delahunt E. Effect of a 6-week dynamic neuromuscular training programme on ankle joint function: a case report. Sports Medicine, Arthroscopy, Rehabilitation,Therapy & Technology 2011; 3(1): 13.
  28. Araujo S, Cohen D, Hayes L. Six weeks of core stability training improves landing kinetics among female capoeira athletes: a pilot study. J. Hum. Kinet 2015; 45(1): 27-37
  29. Arnold BL, Linens SW, De La Motte SJ, Ross SE. Concentric evertor strength differences and functional ankle instability: a meta-analysis. J. Athl. Train. 2009; 44(6): 653-662.
  30. Tropp H, Odenrick P, Gillquist J. Stabilometry recordings in functional and mechanical instability of the ankle joint. Int. J. Sports Med 1985; 6(03): 180-182.
  31. Haddas R, Hooper T, James CR, Sizer PS. Volitional Spine Stabilization During a Drop Vertical Jump From Different Landing Heights: Implications for Anterior Cruciate Ligament Injury. J. Athl. Train 2016; 51(12): 1003–1012.
  32. Comerford MJ, Mottram SL. Movement and stability dysfunction–contemporary developments. Man. Ther 2001; 6(1): 15-26.
  33. Hodges PW. Core stability exercise in chronic low back pain. Orthopedic Clinics of North America 2003; 34(2): 245-254.
  34. Hewett TE, Myer GD, Ford KR, Heidt Jr RS, et al. Biomechanical measures of neuromuscular control and valgus loading of the knee predict anterior cruciate ligament injury risk in female athletes: a prospective study. Am. J. Sports Med 2005; 33(4): 492-501.
  35. Hewett TE, Myer GD, Ford KR. Anterior cruciate ligament injuries in female athletes: Part 1, mechanisms and risk factors. Am. J. Sports Med 2006; 34(2): 299-311.
  36. Ireland ML, Willson JD, Ballantyne BT, Davis IM. Hip strength in females with and without patellofemoral pain. J Orthop Sports Phys Ther 2003; 33(11): 671-676.
Journal of Paramedical Sciences & Rehabilitation
Volume 10, Issue 2
September 2021
Pages 17-28

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