Dynamic Postural-Stability Deficits After Cryotherapy to the Ankle Joint

J Athl Train. 2015 Sep;50(9):893-904. doi: 10.4085/1062-6050-50.7.07. Epub 2015 Aug 18.

Abstract

Context: Decreased postural stability is a primary risk factor for lower limb musculoskeletal injuries. During athletic competitions, cryotherapy may be applied during short breaks in play or during half-time; however, its effects on postural stability remain unclear.

Objective: To investigate the acute effects of a 15-minute ankle-joint cryotherapy application on dynamic postural stability.

Design: Controlled laboratory study.

Setting: University biomechanics laboratory.

Patients or other participants: A total of 29 elite-level collegiate male field-sport athletes (age = 20.8 ± 1.12 years, height = 1.80 ± 0.06 m, mass = 81.89 ± 8.59 kg) participated.

Intervention(s): Participants were tested on the anterior (ANT), posterolateral (PL), and posteromedial (PM) reach directions of the Star Excursion Balance Test before and after a 15-minute ankle-joint cryotherapy application.

Main outcome measure(s): Normalized reach distances; sagittal-plane kinematics of the hip, knee, and ankle joints; and associated mean velocity of the center-of-pressure path during performance of the ANT, PL, and PM reach directions of the Star Excursion Balance Test.

Results: We observed a decrease in reach-distance scores for the ANT, PL, and PM reach directions from precryotherapy to postcryotherapy (P < .05). No differences were observed in hip-, knee-, or ankle-joint sagittal-plane kinematics (P > .05). We noted a decrease in mean velocity of the center-of-pressure path from precryotherapy to postcryotherapy (P < .05) in all reach directions.

Conclusions: Dynamic postural stability was adversely affected immediately after cryotherapy to the ankle joint.

Keywords: kinetics; lower limb; postural balance.

Publication types

  • Clinical Study

MeSH terms

  • Adolescent
  • Adult
  • Analysis of Variance
  • Ankle Joint / physiology*
  • Biomechanical Phenomena / physiology
  • Body Temperature / physiology
  • Cryotherapy / adverse effects*
  • Hip Joint / physiology
  • Humans
  • Knee Joint / physiology
  • Male
  • Postural Balance / physiology*
  • Range of Motion, Articular / physiology
  • Track and Field / physiology*
  • Young Adult