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Differences in Static Lower Extremity Alignment according to the History of Lateral Ankle Sprain: Efficacy and Limitation of Static Lower Limb Alignment Measurement as a Predictor of Lateral Ankle Sprain

외측 발목 염좌 병력에 따른 정적 하지 정렬 차이: 외측 발목 염좌의 예측인자로서 정적 하지 정렬 검사의 효용성과 한계점

  • Jeon, Hyung Gyu (Department of Physical Education, Yonsei University) ;
  • Ha, Sunghe (Department of Physical Education, Yonsei University) ;
  • Lee, Inje (Department of Physical Education, Yonsei University) ;
  • Kang, Tae Kyu (Department of Physical Education, Yonsei University) ;
  • Kim, Eun Sung (Dongwon High School) ;
  • Lee, Sae Yong (Department of Physical Education, Yonsei University)
  • Received : 2020.09.28
  • Accepted : 2021.01.18
  • Published : 2021.03.31

Abstract

Objective: The aim of this study was to investigate 1) the difference in static lower extremity alignment (SLEA) according to a history of lateral ankle sprain (LAS), 2) to identify SLEA factors affecting LAS, and 3) to present the cut-off value and 4) the usefulness and limitations of the SLEA measurement. Method: This case-control study recruited 88 men (age: 27.78±4.69 yrs) and 39 women (age: 24.62±4.20 yrs) subjects with and without LAS. SLEA measurement protocol included Q angle, tibiofemoral angle, genu recurvatum, rear foot (RF) angle, tibal varum and torsion, navicular drop, ankle dorsiflexion range of motion (DF ROM). Independent t-test, logistic regression and receiver operating characteristic (ROC) curve were used for statistical analysis. Results: Men with a history of LAS had significantly smaller Q angles both in standing and in supine position, while women with a history of LAS had significantly greater DF ROM in non-weight bearing (NWB; p < 0.05). Logistic regression model suggests tibial varum (OR = 0.779, p = 0.021) and WB DF ROM (OR = 1.067, p = 0.045) were associated with LAS in men. In case of women, there were no significant SLEA factors for LAS, however, ROC curve analysis revealed standing RF angle (AUC = 0.647, p = 0.028) and NWB DF ROM (AUC = 0.648, p = 0.026) could be affecting factors for LAS. Conclusion: There are differences in SLEA according to the history of LAS, furthermore, the identified items were different by sex. In case of men, tibial varum and WB DF ROM affect LAS occurrence. Standing RF angle and NWB DF ROM of women could be a predictor for LAS. However, since the sensitivity and specificity in most of the SLEA measurements are low, kinematic in dynamic tasks should be considered together for a more accurate evaluation of LAS risk.

Keywords

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