Effects of stair riser height on ankle proprioception in individuals with and without chronic ankle stability

BackgroundAnkle sprains during stair descent are prevalent, especially in those with chronic ankle instability (CAI), which may be attributed to diminished ankle proprioception associated with CAI.ObjectiveThis study aimed to determine whether individuals with CAI have lower ankle proprioceptive per...

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Main Authors: Xueying Wang, Zheng Wang, Roger Adams, Yang Gao, Jie Lyu, Jia Han
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-02-01
Series:Frontiers in Bioengineering and Biotechnology
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Online Access:https://www.frontiersin.org/articles/10.3389/fbioe.2025.1457233/full
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author Xueying Wang
Xueying Wang
Zheng Wang
Roger Adams
Roger Adams
Yang Gao
Jie Lyu
Jia Han
Jia Han
author_facet Xueying Wang
Xueying Wang
Zheng Wang
Roger Adams
Roger Adams
Yang Gao
Jie Lyu
Jia Han
Jia Han
author_sort Xueying Wang
collection DOAJ
description BackgroundAnkle sprains during stair descent are prevalent, especially in those with chronic ankle instability (CAI), which may be attributed to diminished ankle proprioception associated with CAI.ObjectiveThis study aimed to determine whether individuals with CAI have lower ankle proprioceptive performance during stair descent and to determine to what extent stair riser height may affect ankle proprioception.Methods40 university students, including 21 CAI (9 males and 12 males, mean age 22.38 years, mean height 169.97 cm and mean weight 64.88 kg) and 19 healthy controls (11 males and 8 males, mean age 23.05 years, mean height 169.42 cm and mean weight 65.18 kg) volunteered. The Ankle Inversion Discrimination Apparatus for Stair Descent (AIDASD) was used to measure ankle inversion proprioception across 3 different riser heights: 15 cm, 17.5 cm, and 20 cm during stair descent.ResultsANOVA showed that individuals with CAI performed significantly worse than health group across all tested riser heights (F = 44.066, p < 0.001), with a significant main effect of riser height (F = 13.288, p < 0.001). Significant differences in proprioceptive acuity were found between 15 cm and higher risers (p < 0.001), but not between 17.5 cm and 20 cm (p = 0.675), alongside a significant linear downward trend with increasing riser height (F = 15.476, p < 0.001). No significant interaction was observed between the group and riser height (F = 0.745, p = 0.478).ConclusionThe presence of ankle instability and increased riser height significantly negatively affected ankle inversion proprioceptive performance during stair descent, which may increase the risk of ankle sprain.ApplicationPotential applications of this research include the assessment of ankle proprioception during stair descent attributable to effective ankle instability rehabilitation and riser height selection for safe stair design.
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spelling doaj-art-e98877417ed14f9d8ad3020658c495c72025-02-07T06:49:50ZengFrontiers Media S.A.Frontiers in Bioengineering and Biotechnology2296-41852025-02-011310.3389/fbioe.2025.14572331457233Effects of stair riser height on ankle proprioception in individuals with and without chronic ankle stabilityXueying Wang0Xueying Wang1Zheng Wang2Roger Adams3Roger Adams4Yang Gao5Jie Lyu6Jia Han7Jia Han8Department of Sport and Physical Education, Faculty of Arts and Social Sciences, Hong Kong Baptist University, Kowloon Tong, Hong Kong SAR, ChinaSchool of Exercise and Health, Shanghai University of Sport, Shanghai, ChinaShanghai Sixth People’s Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, ChinaResearch Institute for Sport and Exercise, Faculty of Health, University of Canberra, Canberra, ACT, AustraliaCollege of Rehabilitation Sciences, Shanghai University of Medicine and Health Sciences, Shanghai, ChinaDepartment of Sport and Physical Education, Faculty of Arts and Social Sciences, Hong Kong Baptist University, Kowloon Tong, Hong Kong SAR, ChinaCollege of Rehabilitation Sciences, Shanghai University of Medicine and Health Sciences, Shanghai, ChinaCollege of Rehabilitation Sciences, Shanghai University of Medicine and Health Sciences, Shanghai, ChinaScience, Technology, Engineering and Mathematics (STEM) College, RMIT University, Melbourne, VIC, AustraliaBackgroundAnkle sprains during stair descent are prevalent, especially in those with chronic ankle instability (CAI), which may be attributed to diminished ankle proprioception associated with CAI.ObjectiveThis study aimed to determine whether individuals with CAI have lower ankle proprioceptive performance during stair descent and to determine to what extent stair riser height may affect ankle proprioception.Methods40 university students, including 21 CAI (9 males and 12 males, mean age 22.38 years, mean height 169.97 cm and mean weight 64.88 kg) and 19 healthy controls (11 males and 8 males, mean age 23.05 years, mean height 169.42 cm and mean weight 65.18 kg) volunteered. The Ankle Inversion Discrimination Apparatus for Stair Descent (AIDASD) was used to measure ankle inversion proprioception across 3 different riser heights: 15 cm, 17.5 cm, and 20 cm during stair descent.ResultsANOVA showed that individuals with CAI performed significantly worse than health group across all tested riser heights (F = 44.066, p < 0.001), with a significant main effect of riser height (F = 13.288, p < 0.001). Significant differences in proprioceptive acuity were found between 15 cm and higher risers (p < 0.001), but not between 17.5 cm and 20 cm (p = 0.675), alongside a significant linear downward trend with increasing riser height (F = 15.476, p < 0.001). No significant interaction was observed between the group and riser height (F = 0.745, p = 0.478).ConclusionThe presence of ankle instability and increased riser height significantly negatively affected ankle inversion proprioceptive performance during stair descent, which may increase the risk of ankle sprain.ApplicationPotential applications of this research include the assessment of ankle proprioception during stair descent attributable to effective ankle instability rehabilitation and riser height selection for safe stair design.https://www.frontiersin.org/articles/10.3389/fbioe.2025.1457233/fullchronic ankle instabilitymotor controlankle proprioceptionstair descentbiomechanics
spellingShingle Xueying Wang
Xueying Wang
Zheng Wang
Roger Adams
Roger Adams
Yang Gao
Jie Lyu
Jia Han
Jia Han
Effects of stair riser height on ankle proprioception in individuals with and without chronic ankle stability
Frontiers in Bioengineering and Biotechnology
chronic ankle instability
motor control
ankle proprioception
stair descent
biomechanics
title Effects of stair riser height on ankle proprioception in individuals with and without chronic ankle stability
title_full Effects of stair riser height on ankle proprioception in individuals with and without chronic ankle stability
title_fullStr Effects of stair riser height on ankle proprioception in individuals with and without chronic ankle stability
title_full_unstemmed Effects of stair riser height on ankle proprioception in individuals with and without chronic ankle stability
title_short Effects of stair riser height on ankle proprioception in individuals with and without chronic ankle stability
title_sort effects of stair riser height on ankle proprioception in individuals with and without chronic ankle stability
topic chronic ankle instability
motor control
ankle proprioception
stair descent
biomechanics
url https://www.frontiersin.org/articles/10.3389/fbioe.2025.1457233/full
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