Ankle Injury Essay

Ankle Injury Essay-9
It is also accepted that poor neuro-muscular control, proprioception, inexperience (learning) and postural control have a large part to play in CAI (Ross et al, 2002. In the acute stages ankle taping is used to control swelling and range of movement (Callaghan 1997) which fulfills the protection, rest and to a lesser extent compression components of the National Institute of Clinical Excellence (N. The participants were asked to heel strike, full foot weight bear and toe off weight bear in a mechanical action where between phases a reading was taken whilst the position was held.This cannot offer a functional representation to gait and does not reflect a real time gait cycle.There are three main lateral ligaments of the ankle, the anterior talofibular ligament, posterior talofibula ligament, and the calcaneofibular ligament.

It is also accepted that poor neuro-muscular control, proprioception, inexperience (learning) and postural control have a large part to play in CAI (Ross et al, 2002. In the acute stages ankle taping is used to control swelling and range of movement (Callaghan 1997) which fulfills the protection, rest and to a lesser extent compression components of the National Institute of Clinical Excellence (N. The participants were asked to heel strike, full foot weight bear and toe off weight bear in a mechanical action where between phases a reading was taken whilst the position was held.This cannot offer a functional representation to gait and does not reflect a real time gait cycle.There are three main lateral ligaments of the ankle, the anterior talofibular ligament, posterior talofibula ligament, and the calcaneofibular ligament.

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Chronic ankle instability can be defined as the inability to control normal motion of the ankle leading to recurrent sprains or giving way (Morrison et al, 2007). Capasso et al (1989) compared non-adhesive and adhesive tape on ankle oedema.

Morrison et al (2007) studied anatomical foot and ankle characteristics associated with CAI during a systematic review and identified several mechanical predisposing factors to CAI: Greater foot width, a high longitudinal arch, greater metatarsalphalangeal joint extension, cavovarus foot deformity, subtalor joint instability and weight bearing on the lateral side of the foot during gait were all seen as risk factors. The authors found that non-adhesive tape should be replaced after three days owing to insufficient compression, however the adhesive tape could last for five days.

Both fatigue and mechanical loosening were deemed responsible for the restrictions in mechanical stability.

Fatigue was not controlled for in this study nor were the participants blinded to the aims – thus creating a participant bias.

The mechanical displacements of the joint complex were analysed before and after controlled athletic exercise.

Inversion was reduced my a mean of 50% using the ‘basket weave’ method of taping and a post exercise restriction decrease of 66% (lower values represent greater restriction).

It must be stressed that in both these studies, testing was performed passively to the limits of restriction, and although these restrictions would maintain talor tilt within normal ranges (uninjured ranges), restriction may not be adequate to prevent sprain.

Studies using non-weight bearing methods of measuring talor tilt do quantify passive restriction qualities of tape nicely, however they cannot be seen as functional.

The authors randomised 50 participants into two even groups: one was treated with an Aircast™ ankle brace and the other with a supportive elastic tape.

Participants were reviewed at 10 days and 1 month post intervention.

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