Influence of Landing in Neuromuscular Control and Ground Reaction Force with Ankle Instability: A Narrative Review.

Jian-Zhi Lin,Wei-Hsun Tai,Yu-An Lin,Chung-Yu Chen

doi:10.3390/bioengineering9020068

Jian-Zhi Lin, Wei-Hsun Tai + Show 2 more

Open Access

https://doi.org/10.3390/bioengineering9020068

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Abstract

Ankle sprains are generally the most common injuries that are frequently experienced by competitive athletes. Ankle sprains, which are the main cause of ankle instability, can impair long-term sports performance and cause chronic ankle instability (CAI). Thus, a comprehensive understanding of the key factors involved in repeated ankle strains is necessary. During jumping and landing, adaptation to the landing force and control of neuromuscular activation is crucial in maintaining ankle stability. Ankle mobility provides a buffer during landing, and peroneus longus activation inhibits ankle inversion; together, they can effectively minimize the risk of ankle inversion injuries. Accordingly, this study recommends that ankle mobility should be enhanced through active and passive stretching and muscle recruitment training of the peroneus longus muscles for landing strategies should be performed to improve proprioception, which would in turn prevent ankle sprain and injury to neighboring joints.

Highlights

Competitive athletes often experience lower extremity musculoskeletal injuries during sport and military style physical activities, lateral ankle sprains (LAS) [1,2,3,4].Studies indicate that 40–75% of people who experienced LAS for the first time developed chronic ankle instability (CAI) due to pathomechanical impairments, sensory–perceptual impairments, or motor behavioral impairments
The most direct consequence of sprains is the incomplete activation of the ducted a study of 21 people with functional ankle instability (FAI) and 19 control group peroneus longus muscle before landing, which has long been considered key to preventing participants who were asked to perform vertical smashes with both feet
The results showed that the CAI and coper groups exhibited less ankle plantar flexion at touchdown

Summary

Introduction

Competitive athletes often experience lower extremity musculoskeletal injuries during sport and military style physical activities, lateral ankle sprains (LAS) [1,2,3,4]. The mechanism of an ankle sprain involves over-inversion and/or foot adduction (calcaneal supination), may or may not present plantar flexion [40,41], and includes the impact of external forces during landing; an ankle sprain occurs when the peroneus longus muscle cannot prevent inversion in a timely manner [25,42]. Suda et al [43] conducted a study of 21 people with functional ankle instability (FAI) and 19 control group participants who were asked to perform vertical jump smashes with both feet They analyzed the activation of the tibialis anterior, gastrocnemius, and peroneus longus muscles 200 ms before and aftermuscle landing and found that those with(%)

Relative strength percentage of ankle

The Influence of Landing Force on Ankle Instability

How CAI Patients Show Postural Control Deficits during Landing Tasks

Conclusions