alexa Altered Kinematics and Muscle Activity during Heel Rise in Individuals with or without Functional Ankle Instability
ISSN: 2329-910X

Clinical Research on Foot & Ankle
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Research Article

Altered Kinematics and Muscle Activity during Heel Rise in Individuals with or without Functional Ankle Instability

Akihiko Masunari1*, Shun Kunugi2, Naruto Yoshida3 and Shumpei Miyakawa2

1Center for Medical Sciences, Ibaraki Prefectural University of Health Sciences, Japan

2Laboratory of Sports Medicine, Graduate School of Comprehensive Human Sciences, University of Tsukuba, Japan

3Faculty of Health Care, Teikyo Heisei University, Tokyo, Japan

Corresponding Author:
Akihiko Masunari
Center for Medical Sciences
Ibaraki Prefectural University of Health Sciences, Japan
Tel: +81-9049666197
E-mail: [email protected]

Received Date: June 29, 2017; Accepted Date: July 12, 2017; Published Date: July 18, 2017

Citation: Masunari A, Kunugi S, Yoshida N, Miyakawa S (2017) Altered Kinematics and Muscle Activity during Heel Rise in Individuals with or without Functional Ankle Instability. Clin Res Foot Ankle 5:240. doi:10.4172/2329-910X.1000240

Copyright: © 2017 Masunari A, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.



Background: The purpose of this study was to investigate the differences in the kinematics of the ankle joint and the activity of the lower leg muscles in subjects with functional ankle instability (FAI) during a double-leg heel rise.

Methods: Ten male athletes with FAI (age=19.9 ± 1.4 years; height=1.71 ± 0.04 m, weight=66.5 ± 3.6 kg) and ten male control athletes (age=20.1 ± 1.1 years; height=1.74 ± 0.03 m, weight=67.1 ± 4.5 kg) performed the heel rise on a force plate. The kinematic data and the electromyography (EMG) activity of the tibialis anterior (TA), gastrocnemius lateralis (GL), peroneus longus (PL), peroneus brevis (PB) and tibialis posterior (TP) muscles during the heel rise were recorded. Ankle movement was divided into two phases, a heel rise phase and a pause phase, and the data collected for each motion was compared between the two groups.

Results: During the pause phase, subjects with FAI tended to present a more abducted position and a less inverted position compared with that of the controls, which was accompanied by decreased peroneus brevis activity during the same period. An altered movement of the ankle joint due to deficits of muscle function was observed in subjects with FAI. The kinematic and kinetic differences observed in subjects with FAI may lead to recurrent ankle sprain.


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