Correlations of strength, proprioception, and dynamic balance to the Cumberland Ankle Instability Tool Score among patients with chronic ankle instability: a cross-sectional study
Abstract Background The Cumberland Ankle Instability Tool (CAIT) is used to screen patients with chronic ankle instability (CAI) and to quantify the severity of ankle instability. Neuromuscular deficits are common in CAI, including proprioception, strength, and balance issues. The relationship betwe...
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BMC
2024-11-01
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| Series: | BMC Musculoskeletal Disorders |
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| Online Access: | https://doi.org/10.1186/s12891-024-08092-8 |
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| author | Dehao Peng Huiru Tang Min Mao Qipeng Song Dewei Mao Jiangna Wang Wei Sun |
| author_facet | Dehao Peng Huiru Tang Min Mao Qipeng Song Dewei Mao Jiangna Wang Wei Sun |
| author_sort | Dehao Peng |
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| description | Abstract Background The Cumberland Ankle Instability Tool (CAIT) is used to screen patients with chronic ankle instability (CAI) and to quantify the severity of ankle instability. Neuromuscular deficits are common in CAI, including proprioception, strength, and balance issues. The relationship between CAIT scores and neuromuscular factors is unclear. The purpose of this study was to investigate the correlation between ankle instability and ankle muscle strength, proprioception, and dynamic balance. Methods Thirty-four individuals with chronic ankle instability were included in this study. The participants’ CAIT scores, muscle strength (isokinetic) and proprioception in plantarflexion (PF), dorsiflexion (DF), inversion (IV), and eversion (EV), and dynamic balance (Star Excursion Balance Test in anterior, posteromedial, and posterolateral directions) were assessed. Bivariate correlations were used to determine the relationship between CAIT scores and ankle muscle strength, proprioception, and dynamic balance. Results In terms of muscle strength, ankle PF (r = 0.378, 95%CI: 0.046–0.635, P = 0.027) and IV (r = 0.527, 95%CI: 0.233–0.736, P = 0.001) strength were positively correlated with CAIT Score, whereas ankle DF and EV strength had no significant correlation with CAIT Score. In terms of proprioception, ankle IV proprioception (r = -0.340, 95%CI: -0.608–0.002, P = 0.027) was negatively correlated with CAIT Score, while ankle PF, DF, and EV proprioception had no significant correlation with CAIT Score. In terms of dynamic balance, the SEBT posteromedial (r = 0.444, 95%CI: 0.124–0.680, P = 0.001) was positively correlated with CAIT Score. The SEBT anterior and posterolateral were not significantly correlated with the CAIT Score. Conclusion This study found that increasing ankle plantarflexion and inversion muscle strength, improving dynamic balance in the posteromedial direction, and decreasing ankle inversion proprioceptive thresholds may help improve the subjective stability of CAI. This provides data support for targeted ankle neuromuscular function rehabilitation training for patients. Trial registration Chinese Clinical Trial Registry ChiCTR2100044089. Registered on 10 March 2021. |
| format | Article |
| id | doaj-art-e46cf8b71a5143a69629fecc8dc4c9d4 |
| institution | OA Journals |
| issn | 1471-2474 |
| language | English |
| publishDate | 2024-11-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Musculoskeletal Disorders |
| spelling | doaj-art-e46cf8b71a5143a69629fecc8dc4c9d42025-08-20T02:08:15ZengBMCBMC Musculoskeletal Disorders1471-24742024-11-0125111010.1186/s12891-024-08092-8Correlations of strength, proprioception, and dynamic balance to the Cumberland Ankle Instability Tool Score among patients with chronic ankle instability: a cross-sectional studyDehao Peng0Huiru Tang1Min Mao2Qipeng Song3Dewei Mao4Jiangna Wang5Wei Sun6College of Sports and Health, Shandong Sport UniversityChild Rehabilitation Department, Linyi Maternal and Child Healthcare HospitalSchool of Nursing and Rehabilitation, Shandong UniversityCollege of Sports and Health, Shandong Sport UniversityDivision of Physical Education, The Chinese University of Hong KongCollege of Sports and Health, Shandong Sport UniversityCollege of Sports and Health, Shandong Sport UniversityAbstract Background The Cumberland Ankle Instability Tool (CAIT) is used to screen patients with chronic ankle instability (CAI) and to quantify the severity of ankle instability. Neuromuscular deficits are common in CAI, including proprioception, strength, and balance issues. The relationship between CAIT scores and neuromuscular factors is unclear. The purpose of this study was to investigate the correlation between ankle instability and ankle muscle strength, proprioception, and dynamic balance. Methods Thirty-four individuals with chronic ankle instability were included in this study. The participants’ CAIT scores, muscle strength (isokinetic) and proprioception in plantarflexion (PF), dorsiflexion (DF), inversion (IV), and eversion (EV), and dynamic balance (Star Excursion Balance Test in anterior, posteromedial, and posterolateral directions) were assessed. Bivariate correlations were used to determine the relationship between CAIT scores and ankle muscle strength, proprioception, and dynamic balance. Results In terms of muscle strength, ankle PF (r = 0.378, 95%CI: 0.046–0.635, P = 0.027) and IV (r = 0.527, 95%CI: 0.233–0.736, P = 0.001) strength were positively correlated with CAIT Score, whereas ankle DF and EV strength had no significant correlation with CAIT Score. In terms of proprioception, ankle IV proprioception (r = -0.340, 95%CI: -0.608–0.002, P = 0.027) was negatively correlated with CAIT Score, while ankle PF, DF, and EV proprioception had no significant correlation with CAIT Score. In terms of dynamic balance, the SEBT posteromedial (r = 0.444, 95%CI: 0.124–0.680, P = 0.001) was positively correlated with CAIT Score. The SEBT anterior and posterolateral were not significantly correlated with the CAIT Score. Conclusion This study found that increasing ankle plantarflexion and inversion muscle strength, improving dynamic balance in the posteromedial direction, and decreasing ankle inversion proprioceptive thresholds may help improve the subjective stability of CAI. This provides data support for targeted ankle neuromuscular function rehabilitation training for patients. Trial registration Chinese Clinical Trial Registry ChiCTR2100044089. Registered on 10 March 2021.https://doi.org/10.1186/s12891-024-08092-8Ankle muscle strengthProprioceptionDynamic balanceCumberland Ankle Instability ToolChronic ankle instability |
| spellingShingle | Dehao Peng Huiru Tang Min Mao Qipeng Song Dewei Mao Jiangna Wang Wei Sun Correlations of strength, proprioception, and dynamic balance to the Cumberland Ankle Instability Tool Score among patients with chronic ankle instability: a cross-sectional study BMC Musculoskeletal Disorders Ankle muscle strength Proprioception Dynamic balance Cumberland Ankle Instability Tool Chronic ankle instability |
| title | Correlations of strength, proprioception, and dynamic balance to the Cumberland Ankle Instability Tool Score among patients with chronic ankle instability: a cross-sectional study |
| title_full | Correlations of strength, proprioception, and dynamic balance to the Cumberland Ankle Instability Tool Score among patients with chronic ankle instability: a cross-sectional study |
| title_fullStr | Correlations of strength, proprioception, and dynamic balance to the Cumberland Ankle Instability Tool Score among patients with chronic ankle instability: a cross-sectional study |
| title_full_unstemmed | Correlations of strength, proprioception, and dynamic balance to the Cumberland Ankle Instability Tool Score among patients with chronic ankle instability: a cross-sectional study |
| title_short | Correlations of strength, proprioception, and dynamic balance to the Cumberland Ankle Instability Tool Score among patients with chronic ankle instability: a cross-sectional study |
| title_sort | correlations of strength proprioception and dynamic balance to the cumberland ankle instability tool score among patients with chronic ankle instability a cross sectional study |
| topic | Ankle muscle strength Proprioception Dynamic balance Cumberland Ankle Instability Tool Chronic ankle instability |
| url | https://doi.org/10.1186/s12891-024-08092-8 |
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