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Alterations in stride-to-stride variability during walking in individuals with chronic ankle instability
Institution:1. Department of Rehabilitation Sciences and Physiotherapy, Ghent University, De Pintelaan 185, Ghent 9000, Belgium;2. Department of Physiotherapy and Orthopedics, Ghent University, De Pintelaan 185, Ghent 9000, Belgium;3. Faculty of Science, School of Sport and Exercise Sciences, Liverpool John Moores University, Liverpool, UK;1. Biomechanics Laboratory, Department of Kinesiology, University of Georgia, 330 River Rd, Athens, GA 30602, USA;2. School of Health, Physical Education and Recreation, University of Nebraska at Omaha, HPER Building 207Y, Omaha, NE 68182-0216, USA;1. School of Physical Therapy and Athletic Training, College of Heath Sciences, Old Dominion University, Health Sciences Annex, RM 102, Norfolk, VA, USA;2. Department of Kinesiology, Franklin College, Franklin, IN, USA;3. Department of Kinesiology, Recreation, and Sports Studies, The University of Tennessee, Knoxville, TN, USA
Abstract:The aim of this study was to evaluate stride-to-stride variability of the lower extremity during walking in individuals with and without chronic ankle instability (CAI) using a nonlinear analysis. Twenty-five participants with self-reported CAI and 27 healthy control participants volunteered for this study. Participants walked on a motor-driven treadmill for 3 min at their selected speed. Lower extremity kinematics in the sagittal and frontal planes were recorded using a passive retroreflective marker motion capture system. The temporal structure of walking variability was analyzed with sample entropy (SampEn). The CAI group produced lower SampEn values in frontal-plane ankle kinematics compared to the control group (P = .04). No significant group differences were observed for SampEn values of other kinematics (P > .05). Participants with CAI demonstrated less stride-to-stride variability of the frontal plane ankle kinematics compared to healthy controls. Decreased variability of walking patterns demonstrated by participants with CAI indicates that the presence of CAI may be associated with a less adaptable sensorimotor system to environmental changes. The altered sensorimotor function associated with CAI may be targets for clinical interventions, and it is critical to explore how interventions protocols affect sensorimotor system function.
Keywords:Joint injury  Movement pattern  Sensorimotor control  Gait
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