TY - JOUR AU - Steib, Simon A2 - Steib, Simon A2 - Zech, Astrid A2 - Hentschke, Christian A2 - Pfeifer, Klaus DB - BISp DP - BISp KW - Erschöpfung KW - Gelenkinstabilität KW - Gelenkstabilität KW - Gleichgewichtsvermögen KW - Haltungsstabilität KW - Muskelermüdung KW - Neuromotorik KW - Orthopädie KW - Sensomotorik KW - Sportler KW - Sportmedizin KW - Sprunggelenkdistorsion KW - Stabilisierung KW - Untersuchung, empirische LA - eng TI - Fatigue-induced alterations of static and dynamic postural control in athletes with a history of ankle sprain TT - Durch Ermüdung induzierte Veränderungen der statischen und dynamischen Haltungskontrolle bei Sportlern mit zurückliegender Sprunggelenkdistorsion PY - 2013 N2 - 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 L2 - http://natajournals.org/doi/full/10.4085/1062-6050-48.1.08 L2 - http://natajournals.org/doi/pdf/10.4085/1062-6050-48.1.08 L2 - https://dx.doi.org/10.4085/1062-6050-48.1.08 DO - 10.4085/1062-6050-48.1.08 SP - S. 203-208 SN - 1062-6050 JO - Journal of athletic training IS - 2 VL - 48 M3 - Elektronische Ressource (online) M3 - Gedruckte Ressource ID - PU201305003379 ER -