Lower extremity joint kinematics of a simulated lateral ankle sprain after drop landings in participants with chronic ankle instability

Sports Biomech. 2022 Apr;21(4):428-446. doi: 10.1080/14763141.2021.1908414. Epub 2021 Apr 26.

Abstract

This study examined lower extremity joint kinematics in individuals with chronic ankle instability (CAI) and controls during unanticipated and anticipated single-leg drop landings onto a laterally inclined platform. Physically active adults with CAI 15 (n = 15) and controls (n = 15) performed an unanticipated and anticipated 30 cm single-leg drop landing onto a 20° laterally inclined platform. Three-dimensional ankle, knee and hip-joint kinematics were recorded 200 ms pre- to 200 post-landing and analysed with a 2 (group) × 2 (landing condition) SPM ANOVA (p < 0.05). Results revealed individuals with CAI displayed significantly greater ankle internal rotation post-landing across both landing conditions. Anticipated landings elicited significantly greater pre-landing ankle inversion and external rotation, knee abduction and hip adduction. Additionally, significantly less ankle inversion, knee and hip flexion, and knee adduction and hip abduction were present during post-landing of the anticipated landing. Greater ankle internal rotation during landing may contribute to the ankle 'giving way' in individuals with CAI. However, preparatory and reactive proximal-joint kinematics were similar in both groups during landing. This highlights the possible role of the knee and hip joints in assisting with ankle-joint stability during anticipated inversion perturbations.

Keywords: Injury simulation; ankle stability; anticipated landings; jump-landings.

MeSH terms

  • Adult
  • Ankle
  • Ankle Injuries*
  • Ankle Joint
  • Biomechanical Phenomena
  • Humans
  • Joint Instability*
  • Knee Joint
  • Lower Extremity