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Published in: Sports Medicine 11/2014

01-11-2014 | Systematic Review

Chronic Ankle Instability in Sporting Populations

Authors: Alison Suzanne Attenborough, Claire E. Hiller, Richard M. Smith, Max Stuelcken, Andrew Greene, Peter J. Sinclair

Published in: Sports Medicine | Issue 11/2014

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Abstract

Background

Chronic ankle instability (CAI) is a term used to identify certain insufficiencies of the ankle joint complex following an acute ankle injury. Acute ankle injuries are often associated with sporting mishaps; however, this review was the first to identify the aspects of CAI (perceived instability, mechanical instability and recurrent sprain), and persisting symptoms following an ankle sprain, that have been reported within sporting cohorts.

Objective

To determine the presence of common aspects of CAI within individual sports.

Methods

A systematic search of the MEDLINE, Web of Science, CINAHL, SPORTDiscus and AMED databases up until 1 October, 2013 produced 88 studies appropriate for review. A calculated weighted percentage of the outcome data allowed the comparison of figures across a range of sports.

Results

Soccer, basketball and volleyball were the most represented sports and recurrent ankle injury/sprain was the most reported aspect of CAI. Soccer had the highest percentage of participants with recurrent sprain (61 %) and mechanical instability (38 %), whilst track and field had the highest percentage of participants with perceived instability (41 %). Gymnasts had the highest percentage of ankles with persisting symptoms following an initial ankle sprain.

Conclusion

This review was the first to assess aspects of CAI within sporting cohorts and has identified limitations to the research reporting these data. The problem of CAI across a range of sports remains unclear and thus advocates the need for further controlled research in the area to ascertain the true extent of CAI within sporting populations.
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Metadata
Title
Chronic Ankle Instability in Sporting Populations
Authors
Alison Suzanne Attenborough
Claire E. Hiller
Richard M. Smith
Max Stuelcken
Andrew Greene
Peter J. Sinclair
Publication date
01-11-2014
Publisher
Springer International Publishing
Published in
Sports Medicine / Issue 11/2014
Print ISSN: 0112-1642
Electronic ISSN: 1179-2035
DOI
https://doi.org/10.1007/s40279-014-0218-2

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