SUMMARY
Background. Ankle sprains and Chronic ankle instability (CAI) are extremely common traumatic conditions that have a negative impact. Today, there is no accredited diagnostic protocol for identify and classify CAI patients. The purpose of this study is to report the most reliable clinical assessments in the literature on ankle instability and to try to propose a reliable and easily reproducible diagnostic algorithm.
Methods. We searched PubMed for articles that included keywords such as: CAI, ankle instability, SEBT, Hop-Test and Functional test. We focused on the most recent articles, selecting those of greatest interest such as meta-analyzes and prospective studies. Finally, we focused on how the next diagnostic process could be constructed.
Results and conclusions. From our research, it could be hypothesized that the most promising tests for a correct diagnosis of CAI are the ALDT, two hop tests, the foot lift, and the SEBT. In the patient with functional instability, a correct classification can derive from neurological Tests. Patient with negative radiological exams but with symptoms and positive clinical and functional tests, it would be advisable to investigate further with ankle arthroscopy. However, the major difficulty for a clinician in diagnosing CAI is represented by the total absence of cut-offs in the various functional tests and by a standardized diagnostic protocol. In our opinion, further studies need to be directed toward this goal.
Clinical Assessment of Ankle Instability: An Update on Which, When, Why
Raffaele Vitiello, Andrea De Fazio, Angelo Carosini, Roberto Rossi, Matteo Turchetta, Giulio Maccauro, Fabrizio Forconi
Review, 284-291
Keywords: ankle, Anterior-Draw-Test, CAI, electro-myography, Hop-test, instability, SEBT,
Table of Content: Vol. 14 (No.2) 2024 April/June
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Improving how Orthopedic Journals Report Research Outcomes Based on Sex and Gender
Seth S. Leopold, Robert N. Hensinger, Andrew J. Schoenfeld, Marc Swiontkowski, Michael J. Rossi, Kimberly J. TempletonEditorial, 231-234 -
Ref: Serra G. et al. The effect of hydrokinetic therapy on patients with low back pain: a systematic review and meta-analysis (doi: 10.32098/mltj.01.2023.10)
Eduarda Hirle dos Santos, Jefferson Rosa CardosoLetter to the Editor and Corresponding author's Comment, 235-238 -
Orthobiologics Injection Therapies in the Treatment of Muscle and Tendon Disorders in Athletes: Fact or Fake?
Alberto Vascellari, Andrea Demeco, Filippo Vittadini, Rossana Gnasso, Domiziano Tarantino, Immacolata Belviso, Alessandro Corsini, Antonio Frizziero, Leopoldo Buttinoni, Andrea Marchini, Marco Vecchiato, Marcello Zappia, Francesco Oliva, Nicola Maffulli, Felice Sirico, Stefano PalermiReview, 239-246 -
Effect of Mechanical Traction and Therapeutic Exercises in Treatment of Primary Knee Osteoarthritis
Moaaz Ragab Riyad, Ibrahim Magdy Elnaggar, Karima Abdelaty HassanOriginal Article, 247-255 -
Effects of Long and Sprint High-Intensity Interval Training on Body Mass Composition, Aerobic Capacity, and Biochemical Markers of Metabolic Syndrome and Liver Damage in Physical Activity Practitioners Adults
Luciano Lima dos Santos, Aline Tito Barbosa Silva, Marcos Alexandre de Souza Peçanha da Cruz, Samir Ezequiel da Rosa, Marcos de Sá Rego Fortes, Rodolfo de Alkmim Moreira Nunes, Juliana Brandão Pinto de Castro, Diego Gama Linhares, Andressa Oliveira Barros dos Santos, Lilliany de Souza Cordeiro, Claudio Joaquim Borba-Pinheiro, Rodrigo Gomes de Souza ValeOriginal Article, 256-268 -
Analysis of Muscle Damage Through Urine Staining and Density as Prevention of Rhabdomyolysis During Physical Training
Guilherme Henrique Mattos Dantas, Raman Alves dos Reis, Rodolfo de Alkmim Moreira Nunes, Eduardo Borba Neves, Giullio César Pereira Salustiano Mallen da Silva, Gustavo Casimiro Lopes, Rodrigo Gomes de Souza ValeOriginal Article, 269-277 -
Effect of Therapeutic Ultrasound on the Recovery of the Tibialis Anterior Muscle in Remobilized Wistar Rats after a Period of Immobilization: An Analysis Using the Pathological Index
Ana Julia Kufner Meassi, Caroline de Souza Oliveira, Giulia Pedroso de Oliveira, Juliana Mayumi Novais, Rafaela Sotana Rodrigues, Lucinéia de Fátima Chasko Ribeiro, Dérrick Patrick Artioli, Gladson Ricardo Flor BertoliniOriginal Article, 278-283 -
Clinical Assessment of Ankle Instability: An Update on Which, When, Why
Raffaele Vitiello, Andrea De Fazio, Angelo Carosini, Roberto Rossi, Matteo Turchetta, Giulio Maccauro, Fabrizio ForconiReview, 284-291 -
Prevalence and Radiological Features of Fabella in a Saudi Arabian Population
Vasanthakumar Packirisamy, Khaled Aljarrah, Sameer E. Tasslaq, Jayakumar Saikarthik, Satheesha B. NayakOriginal Article, 292-299 -
Comparison of Radiological Parameters to Predict the Adult Acquired Flatfoot Deformity (AAFD) in Indian population: A Retrospective Study
Yuvraj Gowtham Krishna, Hitesh Shah, Monappa Aroor Naik, Peruvaje Ramakrishna Krishnaprasad, Karthikeya Damodar Hebbar, Yelluru Lakshmisha Rao, Bukkambudhi Virupakshamurthy MurlimanjuOriginal Article, 300-306 -
The Screening Value of Single Leg Squat and Vertical Drop Jump for Predicting Lower Limb Injuries in Professional Male Football Players
Haniyeh Mohammadi, Raheleh Ghaffari, Mahdi HosseinzadehOriginal Article, 307-312 -
The Effect of Short-Set High-Load and Long-Set Low-Load Isometric Exercises Based on Stress-Strain Isometric Time-Dependent Strength Trial on Weightlifters Performing Resistance Training Periodization
Yeliz Kahraman, İsmail VarolOriginal Article, 313-318 -
Acute Effect of Static Stretching Duration for Paravertebral Muscles on Lumbar Multifidus Myoelectric Activity: A Crossover Clinical Trial
Camila Amaral Coracini, Polyana Bortoletto, Érica Provensi, Mateus Vieira Furtuoso, Gladson Ricardo Flor Bertolini, Fábio Mícolis de Azevedo, Alberito Rodrigo de CarvalhoOriginal Article, 319-326 -
Effect of Kinesio Tape Applied to Supraspinatus Muscle on Shoulder Scaption Strength and Upper Extremity Stability in Healthy Women Aged 20 to 30 Years: A Double Blind Randomized Controlled Trial
Dilay Kurt, Havvanur Albayrak, Mahir Topaloglu, Sami Sokucu, Ozden Ozyemisci TaskiranOriginal Article, 327-335 -
Effect of the Cervicothoracic Fascia Stretch on Thoracic Mobility in Elderly Women
Rana Alaa H. Youssef, Nesreen Gharib El-Nahas, Samir A. F. Elgazaar, Alaa Mohamed EL MoatasemOriginal Article, 336-343 -
Effect of Pilates Exercise Combined with Balance Training on Lumbopelvic Stability and Shooting Accuracy in National Level Archers
Sadra Khan, Deepak Malhotra, Meenu Dhingra, Mohammad Ahsan, Shibili Nuhmani, Mohd Arshad BariOriginal Article, 344-351 -
Exercise is Effective for Disease Activity Control with Various Effects on Entheses: An Ultrasound-Based Study
Maroua Slouma, Siwar Ben Dhia, Lobna Kharrat, Celia Bellagha, Hedia Bellali, Imen GharsallahOriginal Article, 352-360 -
IS SARM – Selective Androgen Receptor Modulator: A Chance for Therapeutic Approach in Muscle-Wasting Chronic Conditions?
Alessandro Bartoli, Nicola Maffulli, Gabriella Oliva, Salvatore Ziello, Francesco OlivaReview, 361-366 -
Comparison of the Effect of Sportsmetrics Soccer Training on Movement Performance in Soccer Players with and without Anterior Cruciate Ligament Reconstruction
Amir Shamlou Kazemi, Hassan Daneshmandi, Parisa Sedaghati, Yasin HoseiniOriginal Article, 367-375 -
CatWalk XT Gait Parameters Associated with Mouse Achilles Tendon Injury and Healing
Giulia Crosio, Emily R. King, Alice H. HuangOriginal Article, 376-385