The influence of orthoses on the proprioception of the ankle joint.
The ankle joints of 14 healthy volunteers and 16 patients with unstable ankle joints were tested regarding their functional and proprioceptive capabilities. All of them were active athletes. Three tests were used of the study: single-leg stance test, single-leg jumping course test, angle-reproduction test. The influence of three stabilization devices (lace-on-brace/"Mikros", stirrup-brace/"Aircast", taping) on the proprioceptivity of stable and unstable ankle joints was evaluated. The scores of the single-leg jumping course without any stabilizing device (category "standard") ranged between 8.06 and 13.68 (10.65 +/- 1.29). In the categories "Mikros" (9.85 +/- 0.99), and "Aircast" (9.99 +/- 1.14) as well as with the tape bandage (10.27 +/- 0.81) better scores were achieved. The differences "standard vs. Mikros" and "standard vs. Aircast" revealed a significant reduction of the scores with orthoses (P < 0.01). The error rate in the single-leg stance test was within the range of 0-16 (5.12 +/- 2.85) for the category "standard". It was lower for the categories "Mikros" (3.65 +/- 2.65) and "Aircast" (4.17 +/- 2.59). The error rate was highest in the group with a tape bandage (5.79 +/- 3.53). The differences "standard vs Mikros" as well as "standard vs. Aircast" were significant (P < 0.01). There was also a significant difference between these categories regarding injured and not injured ankle joints (P < 0.01). The angle-reproduction-test showed higher values for the category "standard" (2.36 degrees +/- 0.97) in comparison to the categories "Mikros" (1.46 degrees +/- 0.72), "Aircast" (1.62 degrees +/- 0.91) and "taping" (1.84 degrees +/- 0.41).(ABSTRACT TRUNCATED AT 250 WORDS)
Jerosch
J
J
Department of Orthopaedic Surgery, Westfälische Wilhelms-Universität, Münster, Germany.
Hoffstetter
I
I
Bork
H
H
Bischof
M
M
D000328:Adult; D016512:Ankle Injuries / Q000503:physiopathology / Q000534:rehabilitation; D000843:Ankle Joint / Q000502:physiology*; D001265:Athletic Injuries / Q000503:physiopathology / Q000534:rehabilitation; D001458:Bandages; D001915:Braces; D016022:Case-Control Studies; D004867:Equipment Design; D005260:Female; D006801:Humans; D007593:Joint Instability / Q000503:physiopathology*; D008297:Male; D009989:Orthotic Devices; D004856:Postural Balance; D011187:Posture; D011434:Proprioception; D015203:Reproducibility of Results; D013180:Sprains and Strains / Q000503:physiopathology / Q000534:rehabilitation; D016474:Weight-Bearing