Hip strength and star excursion balance test deficits of patients with chronic ankle instability

Ryan S. McCann, Ian D. Crossett, Masafumi Terada, Kyle B. Kosik, Brenn A. Bolding, Phillip A. Gribble

Research output: Contribution to journalArticlepeer-review

48 Scopus citations

Abstract

Objectives To examine isometric hip strength in those with and without CAI, and determine the degree of Star Excursion Balance Test (SEBT) variance explained by isometric hip strength. Design Single-blinded, cross-sectional, case-control study. Methods Thirty individuals with CAI, 29 lateral ankle sprain (LAS) copers, and 26 healthy controls participated. We assessed dynamic postural control with the SEBT anterior (SEBT-ANT), posteromedial (SEBT-PM), and posterolateral (SEBT-PL) reaches, and isometric hip extension (EXT), abduction (ABD) and external rotation (ER) strength with hand-held dynamometry. The CAI and LAS coper groups’ involved limbs and randomly selected limbs in controls were tested. Separate Kruskal–Wallis tests compared SEBT scores and isometric hip strength between groups. Backwards linear regression models determined the degree of SEBT variance explained by isometric hip strength. Statistical significance was set a priori at P < 0.05. Results The CAI group had lower SEBT-ANT scores compared to LAS copers (P = 0.03) and controls (P = 0.03). The CAI group had lower ABD compared to LAS copers (P = 0.03) and controls (P = 0.02). The CAI group had lower ER compared to LAS copers (P = 0.01) and controls (P = 0.01). ER (R2 = 0.25, P = 0.01) and ABD (R2 = 0.25, P = 0.01) explained 25% of the CAI group's SEBT-PM and SEBT-PL variances, respectively. Conclusions The CAI group had deficient dynamic postural control and isometric hip strength compared to LAS copers and controls. Additionally, the CAI group's isometric hip strength significantly influenced dynamic postural control performance. Future CAI rehabilitation strategies should consider hip muscular strengthening to facilitate improvements in dynamic postural control.

Original languageEnglish
Pages (from-to)992-996
Number of pages5
JournalJournal of Science and Medicine in Sport
Volume20
Issue number11
DOIs
StatePublished - Nov 2017

Keywords

  • Chronic ankle instability
  • Dynamic postural control
  • Hip muscular strength
  • Lateral ankle sprain coper
  • Star excursion balance test

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine
  • Physical Therapy, Sports Therapy and Rehabilitation

Fingerprint

Dive into the research topics of 'Hip strength and star excursion balance test deficits of patients with chronic ankle instability'. Together they form a unique fingerprint.

Cite this