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Effect of a semirigid ankle brace on the in vivo kinematics and muscle activity of patients with functional ankle instability during simulated ankle sprain

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机构: [1]Shanghai Jiao Tong Univ, Dept Orthoped, Tongren Hosp, Sch Med, Shanghai, Peoples R China [2]Fudan Univ, Huashan Hosp, Dept Anesthesiol, Shanghai, Peoples R China [3]Fudan Univ, Huashan Hosp, Dept Orthoped, Shanghai, Peoples R China [4]Ruijin Hosp, Shanghai Inst Traumatol & Orthopaed, Shanghai, Peoples R China
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关键词: brace functional ankle instability kinematics simulated ankle sprain surface electromyography

摘要:
Introduction: Ankle braces can effectively decrease the incidence of recurrent ankle sprain; however, whether the brace can decrease the severity of sprain and its related mechanism during sprain remain unknown. Methods: Twenty-two patients with functional ankle instability (FAI) (12 males and 10 females) and 16 healthy subjects (8 males and 8 females) were enrolled in this study. All of the subjects walked on a custom-built tilting platform that offered a 30 degrees inversion (IV) to mimic the IV of ankle sprain. We collected the kinematic and surface electromyography data of patients with FAI with or without ankle brace and normal controls 6 times. Results: The FAI without brace group showed significantly higher maximum IV angles and average IV velocities than the control group (P < .001). The FAI with brace group revealed significantly lower maximum IV angles and average IV velocities than the FAI without brace group (P < .001); this group also showed significantly higher maximum external rotation (ER) angle and average ER velocities than the FAI with brace (P < .001) and control (P < .001) groups. The FAI with brace group indicated significantly lower average EMG(Prep) (P = .047), EMG(Tilt) (P = .037), and EMG(afterTilt) (P = .004) of the peroneus longus than the FAI without brace group. Conclusions: The ankle brace could effectively decrease IV angles and their velocities and increase ER angles and their corresponding velocities during ankle sprain in patients with FAI. It could also decrease the activity of the peroneus longus muscle during ankle sprain.

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出版当年[2023]版:
大类 | 4 区 医学
小类 | 4 区 医学:内科
最新[2023]版:
大类 | 4 区 医学
小类 | 4 区 医学:内科
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出版当年[2022]版:
Q3 MEDICINE, GENERAL & INTERNAL
最新[2023]版:
Q2 MEDICINE, GENERAL & INTERNAL

影响因子: 最新[2023版] 最新五年平均 出版当年[2022版] 出版当年五年平均 出版前一年[2021版] 出版后一年[2023版]

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第一作者机构: [1]Shanghai Jiao Tong Univ, Dept Orthoped, Tongren Hosp, Sch Med, Shanghai, Peoples R China
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