NDLI: Balance assessments for predicting functional ankle instability and stable ankles.

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Balance assessments for predicting functional ankle instability and stable ankles.

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Balance assessments for predicting functional ankle instability and stable ankles.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Ross, Scott E. Linens, Shelley W. Wright, Cynthia J. Arnold, Brent L.
Description	Country affiliation: United States Author Affiliation: Ross SE ( Department of Health and Human Performance, Virginia Commonwealth University, PO Box 842020, 1015 W. Main St., Richmond, VA 23284-2020, USA. seross@vcu.edu)
Abstract	A number of instrumented and non-instrumented measures are used to detect balance deficits associated with functional ankle instability (FAI). Determining outcome measures that detect balance deficits associated with FAI might assist clinicians in identifying impairments that may otherwise go undetected with less responsive balance measures. Thus, our objective was to determine the balance measure that best predicted ankle group membership (FAI or stable ankle). Participants included 17 subjects without a history of ankle sprains (168±9 cm, 66±14 kg, 24±5 yr) and 17 subjects with FAI (172±9 cm, 71±11 kg, 22±3 yr). Balance trials were performed without vision and subjects stood on a single leg as motionless as possible for 20s. Balance was quantified with center-of-pressure measures (velocity, area) and error score. Measures were positively correlated with each other (r range: 0.60-0.76). The multifactorial model with all three measures best predicted group membership (F((3,30))=7.20, P=0.001; R(2)=0.42; percent classified correctly=77%), and was followed by the multifactorial model with resultant center-of-pressure velocity and error score (F((2,31))=8.73, P=0.001; R(2)=0.36; percent classified correctly=74%). The resultant center-of-pressure velocity (F((1,32))=13.46, P=0.001; R(2)=0.30; percent classified correctly=74%; unique variance=12.7%) and error score (F((1,32))=12.51, P=0.001; R(2)=0.28; percent classified correctly=71%; unique variance=12.0%) predicted group membership; however, 95th percentile center-of-pressure area ellipse did not (F((1,32))=4.16, P=0.05; R(2)=0.12; percent classified correctly=65%; unique variance=5.8%). A multifactorial single leg balance assessment is best for predicting group membership. COPV is the best single predictor of group membership, but clinicians may use error score to identify deficits associated with FAI if force plates are not available.
File Format	HTM / HTML
ISSN	09666362
Issue Number	4
Volume Number	34
e-ISSN	18792219
Journal	Gait & Posture
Language	English
Publisher	Elsevier
Publisher Date	2011-10-01
Publisher Place	Great Britain (UK)
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Young Adult Ankle Joint Discipline Orthopedics Biomechanical Phenomena Humans Female Male Physiology Joint Instability Postural Balance Journal Article Physiopathology
Content Type	Text
Resource Type	Article
Subject	Orthopedics and Sports Medicine Rehabilitation Biophysics Sports Science

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