Fatigue-induced alterations of static and dynamic postural control in athletes with a history of ankle sprain
Deutscher übersetzter Titel: | Durch Ermüdung induzierte Veränderungen der statischen und dynamischen Haltungskontrolle bei Sportlern mit zurückliegender Sprunggelenkdistorsion |
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Autor: | Steib, Simon; Zech, Astrid; Hentschke, Christian; Pfeifer, Klaus |
Erschienen in: | Journal of athletic training |
Veröffentlicht: | 48 (2013), 2, S. 203-208, Lit. |
Format: | Literatur (SPOLIT) |
Publikationstyp: | Zeitschriftenartikel |
Medienart: | Elektronische Ressource (online) Gedruckte Ressource |
Sprache: | Englisch |
ISSN: | 1062-6050, 0160-8320, 1938-162X |
DOI: | 10.4085/1062-6050-48.1.08 |
Schlagworte: | |
Online Zugang: | |
Erfassungsnummer: | PU201305003379 |
Quelle: | BISp |
Abstract
Context: Sensorimotor control is impaired after ankle injury and in fatigued conditions. However, little is known about fatigue-induced alterations of postural control in athletes who have experienced an ankle sprain in the past. Objective: To investigate the effect of fatiguing exercise on static and dynamic balance abilities in athletes who have successfully returned to preinjury levels of sport activity after an ankle sprain. Design: Cohort study. Setting: University sport science research laboratory. Patients or Other Participants: 30 active athletes, 14 with a previous severe ankle sprain (return to sport activity 6–36 months before study entry; no residual symptoms or subjective instability) and 16 uninjured controls. Intervention(s): Fatiguing treadmill running in 2 experimental sessions to assess dependent measures. Main Outcome Measure(s): Center-of-pressure sway velocity in single-legged stance and time to stabilization (TTS) after a unilateral jump-landing task (session 1) and maximum reach distance in the Star Excursion Balance Test (SEBT) (session 2) were assessed before and immediately after a fatiguing treadmill exercise. A 2-factorial linear mixed model was specified for each of the main outcomes, and effect sizes (ESs) were calculated as Cohen d. Results: In the unfatigued condition, between-groups differences existed only for the anterior-posterior TTS (P = .05, ES = 0.39). Group-by-fatigue interactions were found for mean SEBT (P = .03, ES = 0.43) and anterior-posterior TTS (P = .02, ES = 0.48). Prefatigue versus postfatigue SEBT and TTS differences were greater in previously injured athletes, whereas static sway velocity increased similarly in both groups. Conclusions: Fatiguing running significantly affected static and dynamic postural control in participants with a history of ankle sprain. Fatigue-induced alterations of dynamic postural control were greater in athletes with a previous ankle sprain. Thus, even after successful return to competition, ongoing deficits in sensorimotor control may contribute to the enhanced ankle reinjury risk. Verf.-Referat