Korean Journal of Applied Biomechanics (한국운동역학회지)

Korean Society of Applied Biomechanics (한국운동역학회)
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The Structural Characteristics of the Ankle Joint Complex and Declination of the Subtalar Joint Rotation Axis between Chronic Ankle Instability (CAI) Patients and Healthy Control

만성 발목 불안정성(CAI) 환자와 건강 대조군 간의 발목 관절 복합체 구조적 특징과 목말밑 관절 회전 축 기울기

  • Kim, Chang Young (Yonsei Institute of Sports Science and Exercise Medicine (YISSEM), Yonsei University) ;
  • Ryu, Ji Hye (Graduate School of Education, Yonsei University) ;
  • Kang, Tae Kyu (Yonsei Institute of Sports Science and Exercise Medicine (YISSEM), Yonsei University) ;
  • Kim, Byong Hun (Yonsei Institute of Sports Science and Exercise Medicine (YISSEM), Yonsei University) ;
  • Lee, Sung Cheol (Yonsei Institute of Sports Science and Exercise Medicine (YISSEM), Yonsei University) ;
  • Lee, Sae Yong (Yonsei Institute of Sports Science and Exercise Medicine (YISSEM), Yonsei University)
  • Received : 2019.03.13
  • Accepted : 2019.05.02
  • Published : 2019.06.30
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Abstract

Objective: This study aimed to investigate the characteristics of the declination of the subtalar joint rotation axis and the structural features of the ankle joint complex such as rear-foot angle alignment and ligament laxity test between chronic ankle instability (CAI) patients and healthy control. Method: A total of 76 subjects and CAI group (N=38, age: $23.11{\pm}7.63yrs$, height: $165.67{\pm}9.54cm$, weight: $60.13{\pm}11.71kg$) and healthy control (N=38, age: $23.55{\pm}7.03yrs$, height: $167.92{\pm}9.22cm$, weight: $64.58{\pm}13.40kg$) participated in this study. Results: The declination of the subtalar joint rotation axis of the CAI group was statistically different from healthy control in both sagittal slope and transverse slope. The rear-foot angle of CAI group was different from a healthy control. Compared to healthy control, they had the structure of rear-foot varus that could have a high occurrence rate of ankle varus sprain. CAI group had loose ATFL and CFL compared to the healthy control. Conclusion: The results of this study showed that the deviation of the subtalar joint rotation axis and the structural features of the ankle joint complex were different between the CAI group and the healthy control and this difference is a meaningful factor in the occurrence of lateral ankle sprains.

Keywords

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Figure 1. Normal and medial deviated axis of subtalar joint

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Figure 2. Subtalar locator measurement

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Figure 3. Rear-foot angle measurement

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Figure 4. Normal inclination of subtalar joint axis of rotation with shoes on

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Figure 5. Rear foot angle alignment between two groups

Table 1. Inclusion criteria (CAI)

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Table 2. Characteristic subject

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Table 3. Research equipment

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Table 5. Result of subtalar joint locator

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Table 6. Result of rear-foot angle

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Table 4. Intra-class correlation coefficient (ICC) of all measure

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Table 7. Result of anterior drawer test and talar tilt test

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