Wilczyński Bartosz, Cabaj Paulina, Biały Maciej, Zorena Katarzyna
Department of Immunobiology and Environment Microbiology, Medical University of Gdańsk, Gdansk, Poland.
Gdańsk College of Health, Gdansk, Poland.
BMJ Open Sport Exerc Med. 2024 Dec 22;10(4):e002293. doi: 10.1136/bmjsem-2024-002293. eCollection 2024.
Lateral ankle sprains (LASs) are prevalent in soccer and can affect long-term performance, injury recurrence and risk for chronic ankle instability. This case-control study examined functional impairments associated with LAS in professional soccer players aged 17-21.
40 players were divided into 2 groups: 21 with a history of LAS and 19 healthy matched controls. Functional assessments included the Foot and Ankle Ability Measure (FAAM), Y Balance Test (YBT), Weight Bearing Lunge Test, Heel Rise Test, Side Hop Test, and ankle and hip isometric strength measurements.
Soccer players with a history of LAS exhibited significant deficits in dynamic balance, particularly in the anterior and composite YBT scores, with moderate effect sizes (p<0.05). FAAM scores also revealed functional limitations in daily activities and sports performance for the LAS group. No significant differences were observed in strength or mobility measures, including the Heel Rise, Side Hop and isometric tests. There were also no differences between injured and non-injured legs in the LAS group in the performance tests.
These findings highlight the persistent deficits in dynamic balance following LAS, emphasising the need for targeted rehabilitation to mitigate the risk of reinjury and enhance performance in soccer players.
外侧踝关节扭伤（LAS）在足球运动中很常见，并且会影响长期运动表现、损伤复发以及慢性踝关节不稳定的风险。本病例对照研究调查了17 - 21岁职业足球运动员中与LAS相关的功能障碍。
40名运动员被分为两组：21名有LAS病史的运动员和19名健康匹配对照组。功能评估包括足踝能力测量（FAAM）、Y平衡测试（YBT）、负重弓步测试、提踵测试、侧跳测试以及踝关节和髋关节等长力量测量。
有LAS病史的足球运动员在动态平衡方面表现出显著缺陷，特别是在前向和综合YBT得分方面，效应量中等（p<0.05）。FAAM得分也显示LAS组在日常活动和运动表现方面存在功能限制。在力量或活动度测量方面未观察到显著差异，包括提踵、侧跳和等长测试。LAS组受伤腿和未受伤腿在性能测试中也没有差异。
这些发现突出了LAS后动态平衡方面持续存在的缺陷，强调了进行有针对性的康复训练以降低再次受伤风险并提高足球运动员运动表现的必要性。
