The prevalence of chronic ankle instability and its relationship to foot arch characteristics in female collegiate athletes

Abstract

ObjectiveTo determine the prevalence of chronic ankle instability (CAI) and to investigate its relationship to the foot arch in collegiate female athletes by each sports event. DesignCross-sectional study. SettingUniversity setting. Participants138 collegiate female athletes. Main outcome measuresAll subjects were asked about previous ankle sprains, and the arch height index (AHI) was calculated. Athletes with a previous sprain history were evaluated based on the criteria by the International Ankle Consortium (IAC), the severity of ankle instability (CAIT), and foot and ankle function (FAAM). The prevalence of CAI and the relationship between the AHI and ankle instability were analyzed by each sports event. ResultsOf 106 athletes with a previous ankle sprain, 10 (9.4%) met the IAC criteria below the cut-off value of the CAIT, and only 1 athlete (0.9%) was below the FAAM cut-off value. The AHI was not significantly different in athletes with CAI. The AHI was significantly lower in swimmers than in track and field (sprint) athletes. ConclusionMost female athletes with CAI were aware of the severity of ankle instability, but they did not feel dysfunction of the ankle during sports. Additionally, the AHI may depend on the characteristics of sports events.