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Endocrine, Metabolic & Immune Disorders - Drug Targets

Editor-in-Chief

ISSN (Print): 1871-5303
ISSN (Online): 2212-3873

Research Article

Electronic Method (Pro-Kin) for Improving and Speeding Up the Recovery After Ankle Sprain

Author(s): Riccardo Marvulli, Giancarlo Ianieri, Giovanni Pignatelli, Dario Santagati, Maurizio Ranieri and Marisa Megna*

Volume 24, Issue 13, 2024

Published on: 29 May, 2024

Page: [1572 - 1580] Pages: 9

DOI: 10.2174/1871530322666220523155452

Price: $65

Abstract

Background and Objective: Ankle sprains, very common injuries occurred especially during sports activities, are mainly caused by indirect trauma, which influences exaggerated stress exceeding the strength of stabilization mechanisms. Up to 85% of such injuries result from a sudden flexion and inversion of the foot. In this study, we analyzed the effectiveness of the platform Pro-kin, an innovative system that has given us the possibility to combine the functionality of the older proprioceptive boards with very accurate software in order to improve and accelerate the recovery after ankle injuries.

Methods: 30 patients with moderate ankle sprain outcomes in two groups (A and B) were included in this study. Group A was only treated with proprioceptive exercises for 3 weeks, while the group B was trained with the innovative Pro-kin. In both groups, we evaluated VAS scale, the ratio between the number of circumductions performed by the injured foot and the time spent on doing them and the percentage of load among the injured and the healthy foot in statics and dynamics with electronic baropodometry. Our data has been collected at t0 (beginning of study), t1 (one week later), t2 (two weeks later), t3 (one month later), t4 (two months later), and then analyzed by the two-way analysis of variance (2-way ANOVA) test.

Results: At t0 no statistical differences of pain in the 2 groups (3.3 and 3.4); the values were similar, as well as at time t1, t2, t3 and t4. Therefore we deduce that Pro-kin treatment is not painful. The number of circumductions performed was definitely better in B group since the first week; for the A group the values considerably increased only at t3 (one month later). Comparing the load percentages on two feet detected by the electronic baropodometer in statics and in dynamics, we deduced that the patients of A group tend to lean mostly on the healthy foot than B group.

Conclusion: This study demonstrates that new technological resources (such as Pro-kin) may be helpful to improve and speed up the recovery of ankle sprain in athletes.

Keywords: Ankle sprain, proprioceptive exercises, proprioceptive receptors, electronic baropodometry, electronic software platform, balance.

Graphical Abstract

[1]
Doherty, C.; Delahunt, E.; Caulfield, B.; Hertel, J.; Ryan, J.; Bleakley, C. The incidence and prevalence of ankle sprain injury: A systematic review and meta-analysis of prospective epidemiological studies. Sports Med., 2014, 44(1), 123-140.
[http://dx.doi.org/10.1007/s40279-013-0102-5] [PMID: 24105612]
[2]
Eisenhart, A.W.; Gaeta, T.J.; Yens, D.P. Osteopathic manipulative treatment in the emergency department for patients with acute ankle injuries. J. Am. Osteopath. Assoc., 2003, 103(9), 417-421.
[PMID: 14527076]
[3]
Barrois, B.; Davenne, B.; Ribinik, P. Entorses de cheville.Med. Chir. Kinésithérapie-Médecine Physique – Réadaptation; Elsevier., 2002, p. 8.
[4]
Lazarou, L.; Kofotolis, N.; Pafis, G.; Kellis, E. Effects of two proprioceptive training programs on ankle range of motion, pain, functional and balance performance in individuals with ankle sprain. J. Back Musculoskeletal Rehabil., 2018, 31(3), 437-446.
[http://dx.doi.org/10.3233/BMR-170836] [PMID: 28946541]
[5]
Ferran, N.A.; Maffulli, N. Epidemiology of sprains of the lateral ankle ligament complex. Foot Ankle Clin., 2006, 11(3), 659-662.
[http://dx.doi.org/10.1016/j.fcl.2006.07.002] [PMID: 16971255]
[6]
Beynnon, B.D.; Murphy, D.F.; Alosa, D.M. Predictive factors for lateral ankle sprains: A literature reviews. J. Athl. Train., 2002, 37(4), 376-380.
[PMID: 12937558]
[7]
Willems, T.M.; Witvrouw, E.; Delbaere, K.; Mahieu, N.; Bourdeaudhuij, De.; De Clercq, D. Intrinsic risk factors for inversion ankle sprains in male subjects. Am. J. Sports Med., 2005, 33(3), 415-423.
[http://dx.doi.org/10.1177/0363546504268137]
[8]
Fong, D.T.; Hong, Y.; Chan, L.K.; Yung, P.S.; Chan, K.M. A systematic review on ankle injury and ankle sprain in sports. Sports Med., 2007, 37(1), 73-94.
[http://dx.doi.org/10.2165/00007256-200737010-00006] [PMID: 17190537]
[9]
Munn, J.; Sullivan, S.J.; Schneiders, A.G. Evidence of sensorimotor deficits in functional ankle instability: A systematic review with meta-analysis. J. Sci. Med. Sport, 2010, 13(1), 2-12.
[http://dx.doi.org/10.1016/j.jsams.2009.03.004] [PMID: 19442581]
[10]
Hertel, J.; Denegar, C.R.; Monroe, M.M.; Stokes, W.L. Talocrural and subtalar joint instability after lateral ankle sprain. Med. Sci. Sports Exerc., 1999, 31(11), 1501-1508.
[http://dx.doi.org/10.1097/00005768-199911000-00002] [PMID: 10589849]
[11]
Doherty, C.; Bleakley, C.; Delahunt, E.; Holden, S. Treatment and prevention of acute and recurrent ankle sprain: An overview of systematic reviews with meta-analysis. Br. J. Sports Med., 2017, 51(2), 113-125.
[http://dx.doi.org/10.1136/bjsports-2016-096178] [PMID: 28053200]
[12]
Delahunt, E.; Bleakley, C.M.; Bossard, D.S.; Caulfield, B.M.; Docherty, C.L.; Doherty, C.; Fourchet, F.; Fong, D.T.; Hertel, J.; Hiller, C.E.; Kaminski, T.W.; McKeon, P.O.; Refshauge, K.M.; Remus, A.; Verhagen, E.; Vicenzino, B.T.; Wikstrom, E.A.; Gribble, P.A. Clinical assessment of acute lateral ankle sprain injuries (ROAST): 2019 consensus statement and recommendations of the International Ankle Consortium. Br. J. Sports Med., 2018, 52(20), 1304-1310.
[http://dx.doi.org/10.1136/bjsports-2017-098885] [PMID: 29886432]
[13]
Mohammadi, F. Comparison of 3 preventive methods to reduce the recurrence of ankle inversion sprains in male soccer players. Am. J. Sports Med., 2007, 35(6), 922-926.
[http://dx.doi.org/10.1177/0363546507299259] [PMID: 17379918]
[14]
Freeman, M.A. Instability of the foot after injuries to the lateral ligament of the ankle. J. Bone Joint Surg. Br., 1965, 47(4), 669-677.
[http://dx.doi.org/10.1302/0301-620X.47B4.669] [PMID: 5846766]
[15]
Postle, K.; Pak, D.; Smith, T.O. Effectiveness of proprioceptive exercises for ankle ligament injury in adults: A systematic literature and meta-analysis. Man. Ther., 2012, 17(4), 285-291.
[http://dx.doi.org/10.1016/j.math.2012.02.016] [PMID: 22459604]
[16]
Aman, J.E.; Elangovan, N.; Yeh, I-L.; Konczak, J. The effectiveness of proprioceptive training for improving motor function: A systematic review. Front. Hum. Neurosci., 2015, 8, 1075.
[http://dx.doi.org/10.3389/fnhum.2014.01075] [PMID: 25674059]
[17]
Willems, T.; Witvrouw, E.; Verstuyft, J.; Vaes, P.; De Clercq, D. Proprioception and muscle strength in subjects with a history of ankle sprains and chronic instability. J. Athl. Train., 2002, 37(4), 487-493.
[PMID: 12937572]
[18]
Streiner, D.L.; Norman, G.R. Health measurement scales. A practical guide to their development and use. Oxford University Press: New York, 1989.
[19]
Scott, J.; Huskisson, E.C. Vertical or horizontal visual analogue scales. Ann. Rheum. Dis., 1979, 38(6), 560.
[http://dx.doi.org/10.1136/ard.38.6.560] [PMID: 317239]
[20]
Stephenson, N.L.; Herman, J.A. Pain measurement: a comparison using horizontal and vertical visual analogue scales. Appl. Nurs. Res., 2000, 13(3), 157-158.
[http://dx.doi.org/10.1053/apnr.2000.7658] [PMID: 10961000]
[21]
Clark, P.; Lavielle, P.; Martínez, H. Learning from pain scales: Patient perspective. J. Rheumatol., 2003, 30(7), 1584-1588.
[PMID: 12858463]
[22]
Herr, K.A.; Spratt, K.; Mobily, P.R.; Richardson, G. Pain intensity assessment in older adults: Use of experimental pain to compare psychometric properties and usability of selected pain scales with younger adults. Clin. J. Pain, 2004, 20(4), 207-219.
[http://dx.doi.org/10.1097/00002508-200407000-00002] [PMID: 15218405]
[23]
Huskisson, E.C. Measurement of pain. Lancet, 1974, 2(7889), 1127-1131.
[http://dx.doi.org/10.1016/S0140-6736(74)90884-8] [PMID: 4139420]
[24]
Scott, J.; Huskisson, E.C. Accuracy of subjective measurements made with or without previous scores: An important source of error in serial measurement of subjective states. Ann. Rheum. Dis., 1979, 38(6), 558-559.
[http://dx.doi.org/10.1136/ard.38.6.558] [PMID: 317238]
[25]
Zanoli, G.; Strömqvist, B.; Jönsson, B. Visual analog scales for interpretation of back and leg pain intensity in patients operated for degenerative lumbar spine disorders. Spine, 2001, 26(21), 2375-2380.
[http://dx.doi.org/10.1097/00007632-200111010-00015] [PMID: 11679824]
[26]
Felicetti, G; Maini, M; Brignoli, E; Chiappano, G; Molino, A; Ferretti, C; Maestri, R; Marchioni, M. Fondazione salvatore maugeri, clinica del lavoro e della riabilitazione, IRCCS, istituto scientifico di montescano (PV), divisione di RRF I. Function recovery in patients with knee arthroplasty: Role of proprioceptive rehabilitation., 2006, (4), 498-503.
[27]
Liu, X.H.; Li, Y.; Xu, H.L.; Sikandar, A.; Lin, W.H.; Li, G.H.; Li, X.F.; Alimu, A.; Yu, S.B.; Ye, X.H.; Wang, N.; Ni, J.; Chen, W.J.; Gan, S.R. Quantitative assessment of postural instability in spinocerebellar ataxia type 3 patients. Ann. Clin. Transl. Neurol., 2020, 7(8), 1360-1370.
[http://dx.doi.org/10.1002/acn3.51124] [PMID: 32638517]
[28]
Chen, Z.; Shen, Z.; Ye, X.; Wu, J.; Wu, H.; Xu, X. Association between foot posture asymmetry and static stability in patients with knee osteoarthritis: A case-control study. BioMed Res. Int., 2020, 2020, 1890917.
[http://dx.doi.org/10.1155/2020/1890917] [PMID: 32596282]
[29]
Gunay Ucurum, S.; Altas, E.U.; Ozer Kaya, D. Comparison of the spinal characteristics, postural stability and quality of life in women with and without osteoporosis. J. Orthop. Sci., 2020, 25(6), 960-965.
[http://dx.doi.org/10.1016/j.jos.2019.12.015] [PMID: 32046937]
[30]
Zhao, W.; You, H.; Jiang, S.; Zhang, H.; Yang, Y.; Zhang, M. Effect of Pro-kin visual feedback balance training system on gait stability in patients with cerebral small vessel disease. Medicine (Baltimore), 2019, 98(7), e14503.
[http://dx.doi.org/10.1097/MD.0000000000014503] [PMID: 30762779]
[31]
Fousekis, K.; Tsepis, E.; Vagenas, G. Intrinsic risk factors of noncontact ankle sprains in soccer: A prospective study on 100 professional players. Am. J. Sports Med., 2012, 40(8), 1842-1850.
[http://dx.doi.org/10.1177/0363546512449602] [PMID: 22700889]
[32]
Lee, J.H.; Lee, S.H.; Choi, G.W.; Jung, H.W.; Jang, W.Y. Individuals with recurrent ankle sprain demonstrate postural instability and neuromuscular control deficits in unaffected side. Knee Surg. Sports Traumatol. Arthrosc., 2020, 28(1), 184-192.
[http://dx.doi.org/10.1007/s00167-018-5190-1] [PMID: 30291398]
[33]
Toprak Celenay, S.; Mete, O.; Coban, O.; Oskay, D.; Erten, S. Trunk position sense, postural stability, and spine posture in fibromyalgia. Rheumatol. Int., 2019, 39(12), 2087-2094.
[http://dx.doi.org/10.1007/s00296-019-04399-1] [PMID: 31367796]
[34]
Cheng, W.L.; Jaafar, Z. Effects of lateral ankle sprain on range of motion, strength and postural balance in competitive basketball players: A cross-sectional study. J. Sports Med. Phys. Fitness, 2020, 60(6), 895-902.
[http://dx.doi.org/10.23736/S0022-4707.20.10619-4] [PMID: 32487984]
[35]
Zhang, M.; You, H.; Zhang, H.; Zhao, W.; Han, T.; Liu, J.; Jiang, S.; Feng, X. Effects of visual feedback balance training with the Pro-kin system on walking and self-care abilities in stroke patients. Medicine (Baltimore), 2020, 99(39), e22425.
[http://dx.doi.org/10.1097/MD.0000000000022425] [PMID: 32991477]
[36]
You, H.; Zhang, H.; Liu, J.; Han, T.; Zhang, M.; Zhao, W.; Jiang, S. Effect of balance training with Pro-kin System on balance in patients with white matter lesions. Medicine (Baltimore), 2017, 96(51), e9057.
[http://dx.doi.org/10.1097/MD.0000000000009057] [PMID: 29390433]
[37]
Alghadir, A.H.; Iqbal, Z.A.; Iqbal, A.; Ahmed, H.; Ramteke, S.U. Effect of chronic ankle sprain on pain, range of motion, proprioception, and balance among athletes. Int. J. Environ. Res. Public Health, 2020, 17(15), 5318.
[http://dx.doi.org/10.3390/ijerph17155318] [PMID: 32718066]
[38]
Haliloglu, O.; Topsakal, N.; Camliguney, F.; Polat Korkmaz, O.; Sahin, S.; Cotuk, B.; Kadioglu, P.; Erkut, O. Static and dynamic balances of patients with acromegaly and impact of exercise on balance. Pituitary, 2019, 22(5), 497-506.
[http://dx.doi.org/10.1007/s11102-019-00979-3] [PMID: 31368031]
[39]
Saadat, M.; Salehi, R.; Negahban, H.; Shaterzadeh, M.J.; Mehravar, M.; Hessam, M. Postural stability in patients with non-specific chronic neck pain: A comparative study with healthy people. Med. J. Islam. Repub. Iran, 2018, 32, 33.
[http://dx.doi.org/10.14196/mjiri.32.33] [PMID: 30159284]
[40]
Walia, S.; Kumar, P.; Kataria, C. Efficacy of electrical stimulation-augmented virtual reality training in improving balance in individuals with incomplete spinal cord injury: study protocol of a randomized controlled trial. Asian Spine J., 2021, 15(6), 865-873.
[http://dx.doi.org/10.31616/asj.2020.0047] [PMID: 33371624]

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