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Decreased perceived ankle and knee joint health in individuals with perceived chronic ankle instability

  • ANKLE
  • Published:
Knee Surgery, Sports Traumatology, Arthroscopy Aims and scope

Abstract

Purpose

Abnormal movement patterns and neuromuscular impairments at the ankle are thought to contribute to ankle joint degeneration in those with chronic ankle instability. However, these impairments are not confided to the ankle; rather, proximal neuromuscular deficiencies at the knee and aberrant movement patterns, thought to be responsible for reductions in knee joint health, have also been identified. While neuromuscular impairments and self-reported functional limitations have been examined in those with chronic ankle instability, patient-generated symptoms associated with joint health of the ankle and knee have not been investigated. Therefore, the purpose was to compare perceived ankle and knee joint health in individuals with and without chronic ankle instability.

Methods

The Ankle Osteoarthritis Scale and the Knee Injury and Osteoarthritis Outcome Score assessed region-specific ankle and knee joint health.

Results

Participants with chronic ankle instability reported more ankle pain (P < 0.001) and disability (P < 0.001) than the control group. Chronic ankle instability individuals also reported worse knee joint health (P < 0.05).

Conclusions

The increased symptomology associated with decreased ankle joint health further supports information demonstrating joint degeneration in young adults with chronic ankle instability. The decreased perceived knee joint health provides preliminary evidence of the negative impact proximal neuromuscular impairments associated with chronic ankle instability that may have on joints other than the ankle. Assessing subjective ankle and knee joint function can guide clinicians in developing individualized rehabilitation by providing them with an understanding if a patient presenting with chronic ankle instability suffers from symptoms arising from more than just the ankle.

Level of evidence

Case–control, Level III.

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Abbreviations

CAI:

Chronic ankle instability

PTOA:

Posttraumatic osteoarthritis

AOS:

Ankle Osteoarthritis Scale

KOOS:

Knee Injury Osteoarthritis Outcome Scale

PRO:

Patient-reported outcome

OA:

Osteoarthritis

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Authors and Affiliations

  1. University of Kentucky, 206B Wethington Building, 900 South Limestone Street, Lexington, KY, 40536-0200, USA

    Kyle B. Kosik, Nathan Johnson & Phillip Gribble

  2. Ritsumeikan University, Kusatsu, Shiga, Japan

    Masafumi Terada

  3. Old Dominion University, Norfolk, VA, USA

    Ryan McCann

  4. University of North Carolina at Charlotte, Charlotte, NC, USA

    Abbey Thomas

Authors
  1. Kyle B. Kosik
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  2. Masafumi Terada
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  3. Ryan McCann
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  4. Abbey Thomas
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  5. Nathan Johnson
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  6. Phillip Gribble
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Correspondence to Kyle B. Kosik.

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The authors declare no potential conflicts of interest with respect to authorship and/or publication of this article.

Ethical approval

All procedures performed were in accordance with the ethical standards of the institutional research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

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Informed consent was obtained from all individual participants included in the study.

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Kosik, K.B., Terada, M., McCann, R. et al. Decreased perceived ankle and knee joint health in individuals with perceived chronic ankle instability. Knee Surg Sports Traumatol Arthrosc 28, 177–183 (2020). https://doi.org/10.1007/s00167-018-5163-4

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  • DOI: https://doi.org/10.1007/s00167-018-5163-4

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