IF: 1.90
Original Article

Alterations in Ankle Eversion-to-Inversion Muscle Strength and Postural Control in Individuals with Chronic Lateral Ankle Instability
Wei-Chuang Cai1#, Xiao-Bing Cai2#, Yue-Zhen Liang3, Wen-Shuang Cao1, Zhi-Ning Zhang4, Wen-Zhen Shao5, Yong Zhang4
1.
Department of Surgery, Beidaihe Rest and Recuperation Center of the Joint Logistics Support Force of PLA, Hebei Province, China
2.
Emergency Department, The Second Affiliated Hospital of Shantou University Medical College, Guangdong Province, China
3.
Medical and Nursing Department, Beidaihe Rest and Recuperation Center of the Joint Logistics Support Force of PLA, Hebei Province, China
4.
Department of Bone and Joint Rehabilitation, Beidaihe Rest and Recuperation Center of the Joint Logistics Support Force of PLA, Hebei Province, China
5.
Information Section, Xingcheng Special Service Sanatorium of PLA, Liaoning Province, China
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Equal Contribution
Abstract
Objective: This study examined alterations in ankle eversion/inversion strength and postural control in chronic lateral ankle instability (CLAI). Methods: Twenty-three CLAI patients and 14 matched controls underwent isokinetic strength testing at 30°/s, 60°/s, and 90°/s (peak torque/body weight: PT/BW). Postural control was assessed via center-of-pressure (COP) trajectory length and peripheral area during eyes-open and eyes-closed single-leg stance. Results: The CLAI group demonstrated significantly lower eversion PT/BW across all angular velocities versus controls (p<0.05). Inversion PT/BW was not significantly different for the group effect (p>0.05). The eversion-to-inversion strength ratio was consistently lower in CLAI (p<0.05). No between-group differences in COP metrics occurred during eyes-open stance (p>0.05). However, with eyes closed, the CLAI group exhibited significantly longer COP trajectory [107.52 (94.90,118.70) cm vs. 93.75 (83.09,95.25) cm] and larger peripheral area [8.34 (5.73,12.90) cm2 vs. 5.92 (5.05,6.88) cm2] (p<0.05). Conclusions: CLAI is characterized by eversion muscle weakness and an impaired eversion-to-inversion strength ratio. Postural control deficits manifest primarily under visual deprivation, suggesting proprioceptive impairment, though visual input enables partial compensation during eyes-open conditions.
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