Kinetic changes of gait initiation in individuals with chronic ankle instability: A systematic review

Abstract Background and Aims Gait initiation (GI) in individuals with chronic ankle instability (CAI) has shown differences in the center of pressure (COP) and muscular measures compared to healthy controls. Some studies reported that these alterations appeared when GI was with the affected leg, whi...

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Main Authors: Marzieh Mortezanejad, Aliyeh Daryabor, Zahra Ebrahimabadi, Abbas Rahimi, Mohammad Yousefi, Fatemeh Ehsani, Ali Maleki
Format: Article
Language:English
Published: Wiley 2024-11-01
Series:Health Science Reports
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Online Access:https://doi.org/10.1002/hsr2.70143
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author Marzieh Mortezanejad
Aliyeh Daryabor
Zahra Ebrahimabadi
Abbas Rahimi
Mohammad Yousefi
Fatemeh Ehsani
Ali Maleki
author_facet Marzieh Mortezanejad
Aliyeh Daryabor
Zahra Ebrahimabadi
Abbas Rahimi
Mohammad Yousefi
Fatemeh Ehsani
Ali Maleki
author_sort Marzieh Mortezanejad
collection DOAJ
description Abstract Background and Aims Gait initiation (GI) in individuals with chronic ankle instability (CAI) has shown differences in the center of pressure (COP) and muscular measures compared to healthy controls. Some studies reported that these alterations appeared when GI was with the affected leg, while others indicated that they occurred when GI was with the non‐affected leg. This systematic review aimed to understand kinetic and muscular differences between individuals with CAI, healthy controls, and the affected and non‐affected legs of individuals with CAI. Methods PubMed, Science Direct, Web of Science, Google Scholar, and Scopus databases (1990–2023) were searched using the Population, Exposure, Comparator, and Outcome measure. The PRISMA guidelines were followed. The outcome measures were the peak and rate of COP displacement in the medial‐lateral and anterior‐posterior directions, and resultant plane during phases 1, 2, and 3 of COP trace during GI and the duration of each phase. The other measures included the onset time of the tibialis anterior and soleus muscle activity between individuals with CAI, healthy controls, and the affected and non‐affected legs of the individuals with CAI. The studies' quality assessment was conducted based on the Strengthening the Reporting of Observational Studies in Epidemiology checklist. Results Five studies were included in the final evaluation. The results of included studies showed, individuals with CAI spent less time during phases 1 and 2, as well as a shorter peak of COP displacement in the lateral direction during phase 1 compared to healthy controls, regardless of whether the GI was with the affected or non‐affected leg. Conclusion Individuals with CAI have probably adopted a strategy involving adjusting the peak of COP displacement to manage internal sway while in a single‐leg stance. Overall, there was no comprehensive conclusion about differences between the two legs in individuals with CAI.
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spelling doaj-art-cb2cf125963f47ffa532e4f04fdffac92025-08-20T01:52:44ZengWileyHealth Science Reports2398-88352024-11-01711n/an/a10.1002/hsr2.70143Kinetic changes of gait initiation in individuals with chronic ankle instability: A systematic reviewMarzieh Mortezanejad0Aliyeh Daryabor1Zahra Ebrahimabadi2Abbas Rahimi3Mohammad Yousefi4Fatemeh Ehsani5Ali Maleki6Physiotherapy Research Center School of Rehabilitation, Shahid Beheshti University of Medical Sciences Tehran IranPhysiotherapy Research Center Department of Orthotics and Prosthetics, School of Rehabilitation, Shahid Beheshti University of Medical Sciences Tehran IranPhysiotherapy Research Center School of Rehabilitation, Shahid Beheshti University of Medical Sciences Tehran IranDepartment of Physiotherapy School of Rehabilitation, Shahid Beheshti University of Medical Sciences Tehran IranPhysiotherapy Research Center School of Rehabilitation, Shahid Beheshti University of Medical Sciences Tehran IranNeuromuscular Rehabilitation Research Center Semnan University of Medical Sciences Semnan IranBiomedical Engineering Department Semnan University Semnan IranAbstract Background and Aims Gait initiation (GI) in individuals with chronic ankle instability (CAI) has shown differences in the center of pressure (COP) and muscular measures compared to healthy controls. Some studies reported that these alterations appeared when GI was with the affected leg, while others indicated that they occurred when GI was with the non‐affected leg. This systematic review aimed to understand kinetic and muscular differences between individuals with CAI, healthy controls, and the affected and non‐affected legs of individuals with CAI. Methods PubMed, Science Direct, Web of Science, Google Scholar, and Scopus databases (1990–2023) were searched using the Population, Exposure, Comparator, and Outcome measure. The PRISMA guidelines were followed. The outcome measures were the peak and rate of COP displacement in the medial‐lateral and anterior‐posterior directions, and resultant plane during phases 1, 2, and 3 of COP trace during GI and the duration of each phase. The other measures included the onset time of the tibialis anterior and soleus muscle activity between individuals with CAI, healthy controls, and the affected and non‐affected legs of the individuals with CAI. The studies' quality assessment was conducted based on the Strengthening the Reporting of Observational Studies in Epidemiology checklist. Results Five studies were included in the final evaluation. The results of included studies showed, individuals with CAI spent less time during phases 1 and 2, as well as a shorter peak of COP displacement in the lateral direction during phase 1 compared to healthy controls, regardless of whether the GI was with the affected or non‐affected leg. Conclusion Individuals with CAI have probably adopted a strategy involving adjusting the peak of COP displacement to manage internal sway while in a single‐leg stance. Overall, there was no comprehensive conclusion about differences between the two legs in individuals with CAI.https://doi.org/10.1002/hsr2.70143ankle spraincenter of pressuremuscular changestep initiation
spellingShingle Marzieh Mortezanejad
Aliyeh Daryabor
Zahra Ebrahimabadi
Abbas Rahimi
Mohammad Yousefi
Fatemeh Ehsani
Ali Maleki
Kinetic changes of gait initiation in individuals with chronic ankle instability: A systematic review
Health Science Reports
ankle sprain
center of pressure
muscular change
step initiation
title Kinetic changes of gait initiation in individuals with chronic ankle instability: A systematic review
title_full Kinetic changes of gait initiation in individuals with chronic ankle instability: A systematic review
title_fullStr Kinetic changes of gait initiation in individuals with chronic ankle instability: A systematic review
title_full_unstemmed Kinetic changes of gait initiation in individuals with chronic ankle instability: A systematic review
title_short Kinetic changes of gait initiation in individuals with chronic ankle instability: A systematic review
title_sort kinetic changes of gait initiation in individuals with chronic ankle instability a systematic review
topic ankle sprain
center of pressure
muscular change
step initiation
url https://doi.org/10.1002/hsr2.70143
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