PREVENTION OF ANKLE INJURIES IN ATHLETES
Keywords:
prevention, injury, ankle joint, athletesAbstract
The joint is one of the most frequently injured joints in sports and represents a significant problem for athletes. The ligaments that stabilize the ankle joint determine its biomechanics - the changes that result from various sports-related injuries. Acute ankle injuries are among the most common injuries in athletes and are generally treated conservatively, with an emphasis on secondary prevention to reduce the risk of future injury and progression to chronic joint instability. Repetitive ankle joint injuries in athletes can cause chronic instability of the joint, which includes both mechanical laxity of the ligament and functional changes. Appropriate initial treatment, rehabilitation, and secondary prevention of ankle injury can limit the amount of lost playing time and avoid negative long-term consequences (eg, osteochondral lesions, arthritis). On the other hand, major ankle injuries herald a worse prognosis and longer recovery. These injuries usually require surgical stabilization of the joint. Ankle injuries are not one-off injuries, and a common consequence is the development of chronic ankle instability, a condition characterized by repeated sprains or repeated loosening (or both) of the ankle joint. Research objective: To assess the effect of preventive measures for ankle joint injuries in athletes. Material and method: A systematic review of the literature that follows the relevant database , Medline, PabMed, Google Scholar, Research Gate, which is coordinated within the framework of the Prisma system. Results: Through a scientific review of the literature, results were presented on the importance and productivity of ankle joint injury prevention in athletes. Effectiveness has been proven through education and recommendations, regular application of exercises and monitoring of athletes. Conclusion: Clinical management of ankle injury in athletes should include comprehensive assessment and treatment plans. Not all ankle injuries are the same and it is important that each athlete has an individualized treatment plan. Due to the high incidence of recurrent ankle sprains, emphasis must be placed on preventing re-injury with a safe return to sports activities.
References
Rivera, M.J., Winkelmann, Z.K., Powden, C.J., Games, K.E. (2017). Proprioceptive Training for the Prevention of Ankle Sprains: An Evidence-Based Review. J Athl Train. Nov;52(11):1065-1067.
Herzog, M.M., Kerr, Z.Y., Marshall, S.W., Wikstrom, E.A. (2019). Epidemiology of Ankle Sprains and Chronic Ankle Instability. J Athl Train. Jun;54(6):603-610.
Doherty, C., Delahunt, E., Caulfield, B., Hertel, J., Ryan, J., Bleakley. C. (2014). The incidence and prevalence of ankle sprain injury: a systematic review and meta-analysis of prospective epidemiological studies. Sports Med;44(1):123–140.
Waterman, B.R., Owens, B.D., Davey, S., Zacchilli, M.A., Belmon, PJ., (2010).The epidemiology of ankle sprains in the United States. J Bone Joint Surg Am;92(13):2279–2284.
Baydogan, S.N., Tarakci, E., Kasapcopur, O. (2015). Effect of strengthening versus balance-proprioceptive exercises on lower extremity function in patients with juvenile idiopathic arthritis: a randomized, single-blind clinical trial. Am J Phys Med Rehabil;94(6):417–424.
Finch, C. (2006) A new framework for research leading to sports injury prevention. J Sci Med Sport;9(1–2):3–9. discussion 10.
Moher, D., Liberati, A., Tetzlaff, J. (2009). PRISMA Group. Preferred reporting items for systematic reviews and meta-analyses: 206 the PRISMA statement. Ann Intern Med. 151:264–269 , W64.
Al Attar, W.S.A., Khaledi, E.H., Bakhsh, J.M., Faude, O., Ghulam, H., Sanders, R.H. (2022). Injury prevention programs that include balance training exercises reduce ankle injury rates among soccer players: a systematic review. J Physiother. Jul;68(3):165-173.
Brandolini, S., Lugaresi, G., Santagata, A., Ermolao, A., Zaccaria, M., Marchand, A.M., Stecco, A. (2019). Sport injury prevention in individuals with chronic ankle instability: Fascial Manipulation® versus control group: A randomized controlled trial. J Bodyw Mov Ther.Apr;23(2):316-323.
Padua, E., D'Amico, A.G., Alashram, A., Campoli, F., Romagnoli, C., Lombardo, M., Quarantelli, M., Di Pinti, E., Tonanzi, C., Annino, G. (2019). Effectiveness of Warm-Up Routine on the Ankle Injuries Prevention in Young Female Basketball Players: A Randomized Controlled Trial. Medicina (Kaunas). Oct 16;55(10):690.
Owoeye, O.B.A., Palacios-Derflingher, L.M., Emery, C.A. (2018). Prevention of Ankle Sprain Injuries in Youth Soccer and Basketball: Effectiveness of a Neuromuscular Training Program and Examining Risk Factors. Clin J Sport Med. Jul;28(4):325-331.
Wang, F., Guan, Y., Bamber, Z., Cao, X., Qi, Q., Niu, W., Chen, B. (2023). Preventive interventions for lateral ankle sprains: A systematic review and meta-analysis. Clin Rehabil. May;37(5):585-602.
Palazzo, F., Nardi, A., Tancredi, V., Caronti, A., Scalia, Tomba. G., Lebone, P., Padua, E., Annino, G. (2019). Effect of textured insoles on postural control during static upright posture following lower limb muscle fatigue. J. Sports Med. Phys. Fit;59:246–252.
Annino, G., Palazzo, F., Lebone, P., Caronti, A., Lombardo, M., Campoli, F., Padua, E., Iellamo, F. (2015). The efficacy of plantar stimulation on human balance control. Somat. Mot. Res.32:200–205.
Anandacoomarasamy, A., Barnsley, L. (2005). Long term outcomes of inversion ankle injuries. Br J Sports Med.39(3) e14.
Delahunt, E., Coughlan, G.F., Caulfield, B., Nightingale, E.J., Lin, C.W., Hiller, C.E. (2010). Inclusion criteria when investigating insufficiencies in chronic ankle instability. Med Sci Sports Exerc. 42(11):2106–2121.
Baltich, J., Emery, C.A., Stefanyshyn, D., Nigg. B.M. (2014). The effects of isolated ankle strengthening and functional balance training on strength, running mechanics, postural control and injury prevention in novice runners: design of a randomized controlled trial. BMC Musculoskelet Disord. Dec 4;15:407.
