Does chronic ankle instability affect side-cutting in female soccer players?

Abstract

Lateral ankle sprains have a high recurrence rate, often developing into chronic ankle instability (CAI). CAI affects movement strategy during side-cutting maneuvers, with inconsistent results in many studies. This study aimed to clarify the characteristics of movement strategies during side-cutting maneuvers in female soccer players with and without CAI. Thirteen female soccer players with CAI and twelve healthy controls performed 10 successful trials of side-cutting maneuvers in three directions (anterolateral, lateral, and posterolateral) under unanticipated conditions. Compared to the control group, the CAI group displayed an increased stance time in the lateral and posterolateral side-cutting maneuvers (lateral: p=0.021, effect size=0.97, posterolateral: p=0.014, effect size=1.00). In posterolateral side-cutting maneuvers, the CAI group displayed a decreased posterior ground reaction force at 19–30% and 42–54% of the entire stance phase compared with the control group (p=0.001, effect size=1.30–1.42). Female soccer players with CAI may display increased stance time to compensate for self-reported ankle instability and may also exhibit decreased braking and propulsive force when side-cutting to sharper angles. These observations suggest a hypothesis that could help in the assessment of cutting maneuvers under unanticipated conditions after ankle sprains.

Keywords

lateral ankle sprain - anticipation - cutting maneuvers - movement strategies - chronic ankle instability

Publication History

Received: 05 June 2024

Accepted after revision: 25 November 2024

Accepted Manuscript online:
25 November 2024

Article published online:
17 December 2024

• References

• 1 Roos KG, Kerr ZY, Mauntel TC. et al The Epidemiology of Lateral Ligament Complex Ankle Sprains in National Collegiate Athletic Association Sports. Am J Sports Med 2017; 45: 201-209
• 2 Wikstrom EA, Muller C, Cain MS. Lack of Consensus on Return-to-Sport Criteria Following Lateral Ankle Sprain: A Systematic Review of Expert Opinions. J Sport Rehabi 2020; 29: 231-237
• 3 Simpson JD, Koldenhoven RM, Wilson SJ. et al Ankle kinematics, center of pressure progression, and lower extremity muscle activity during a side-cutting task in participants with and without chronic ankle instability. J Electromyogr Kinesiol 2020; 54: 102454
• 4 Hertel J. Functional Anatomy, Pathomechanics, and Pathophysiology of Lateral Ankle Instability. J Athl Train 2002; 37: 364-375
• 5 Zhang X, Su W, Ruan B. et al Alterations in Cortical Activation among Soccer Athletes with Chronic Ankle Instability during Drop-Jump Landing: A Preliminary Study. Brain Sci 2022; 12: 664
• 6 Larsen E, Jensen PK, Jensen PR. Long-term outcome of knee and ankle injuries in elite football. Scand J Med Sci Sports 1999; 9: 285-289
• 7 Woods C, Hawkins R, Hulse M. et al The Football Association Medical Research Programme: an audit of injuries in professional football: an analysis of ankle sprains. Br J Sports Med 2003; 37: 233-238
• 8 Gulbrandsen M, Hartigan DE, Patel KA. et al Ten-Year Epidemiology of Ankle Injuries in Men’s and Women’s Collegiate Soccer Players. J Athl Train 2019; 54: 881-888
• 9 Coso JD, Herrero H, Salinero JJ. Injuries in Spanish female soccer players. J Sport Health Sci 2018; 7: 183-190
• 10 Doherty C, Delahunt E, Caulfield B. et al The Incidence and Prevalence of Ankle Sprain Injury: A Systematic Review and Meta-Analysis of Prospective Epidemiological Studies. Sports Med 2014; 44: 123-140
• 11 Xu Y, Song B, Ming A. et al Chronic ankle instability modifies proximal lower extremity biomechanics during sports maneuvers that may increase the risk of ACL injury: A systematic review. Front Physiol 2022; 13: 1036267
• 12 Son SJ, Kim H, Seeley MK. et al Movement strategies among groups of chronic ankle instability, coper, and control. Med Sci Sports Exerc 2017; 49: 1649-1661
• 13 Born DP, Zinner C, Düking P. et al Multi-Directional Sprint Training Improves Change-Of-Direction Speed and Reactive Agility in Young Highly Trained Soccer Players. J Sports Sci Med 2016; 15: 314-319
• 14 Bloomfield J, Polman R, O’Donoghue P. Physical Demands of Different Positions in FA Premier League Soccer. J Sports Sci Med 2007; 6: 63-70
• 15 Kim JH, Lee KK, Kong SJ. et al Effect of Anticipation on Lower Extremity Biomechanics During Side- and Cross-Cutting Maneuvers in Young Soccer Players. Am J Sports Med 2014; 42: 1985-1992
• 16 Imwalle LE, Myer GD, Ford KR. et al Relationship Between Hip and Knee Kinematics in Athletic Women During Cutting Maneuvers: A Possible Link to Noncontact Anterior Cruciate Ligament Injury and Prevention. J Strength Cond Res 2009; 23: 2223-2230
• 17 Sheu CL, Gray AM, Brown D. et al Sex Differences in Knee Flexion Angle During a Rapid Change of Direction While Running. Orthop J Sports Med 2015; 3: 2325967115617932
• 18 Sigward SM, Cesar GM, Havens KL. Predictors of Frontal Plane Knee Moments During Side-Step Cutting to 45 and 110 Degrees in Men and Women: Implications for Anterior Cruciate Ligament Injury. Clin J Sport Med 2015; 25: 529-534
• 19 Gribble PA, Delahunt E, Bleakley CM. et al Selection Criteria for Patients With Chronic Ankle Instability in Controlled Research: A Position Statement of the International Ankle Consortium. J Athl Train 2014; 49: 121-127
• 20 Leardini A, Benedetti MG, Berti L. et al Rear-foot, mid-foot and fore-foot motion during the stance phase of gait. Gait Posture 2007; 25: 453-462
• 21 Cohen J. A power primer. Psychol Bull 1992; 112: 155-159
• 22 Rosen AB, McGrath ML, Maerlender AL. Males with chronic ankle instability demonstrate deficits in neurocognitive function compared to control and copers. Res Sports Med 2021; 29: 116-128
• 23 Springer S, Gottlieb U. Effects of dual-task and walking speed on gait variability in people with chronic ankle instability: a cross-sectional study. BMC Musculoskelet Disord 2017; 18: 316
• 24 Dai B, Garrett WE, Gross MT. et al The Effects of 2 Landing Techniques on Knee Kinematics, Kinetics, and Performance During Stop-Jump and Side-Cutting Tasks. Am J Sports Med 2015; 43: 466-474
• 25 Dos’Santos T, Thomas C, Comfort P. et al The Effect of Angle and Velocity on Change of Direction Biomechanics: An Angle-Velocity Trade-Off. Sports Med 2018; 48: 2235-2253
• 26 Gottlieb U, Hoffman JR, Springer S. Dynamic postural control in individuals with and without chronic ankle instability-do the modified star-excursion balance test and jump-landing stabilization have the same control mechanism?. Phys Ther Sport 2023; 60: 104-111
• 27 Fuerst P, Gollhofer A, Lohrer H. et al Ankle Joint Control in People with Chronic Ankle Instability During Run-and-cut Movements. Int J Sports Med 2018; 39: 853-859
• 28 Takabayashi T, Edama M, Nakamura M. et al Gender differences associated with rearfoot, midfoot, and forefoot kinematics during running. Eur J Sport Sci 2017; 17: 1289-1296
• 29 Robbins SM, Lima YL, Brown H. et al The Association of Age and Sex With Joint Angles and Coordination During Unanticipated Cutting in Soccer Players. Motor Control 2023; 27: 800-817