Effect of Limb Dominance on Chronic Ankle Instability: Does It Matter?

Abstract

Our study aimed to examine preoperative differences in strength and balance between dominant foot (DF) and nondominant foot (non-DF) of individuals undergoing ligament stabilization surgery in the general population. Patients with records of preoperative evaluation, including isokinetic dynamometric strength evaluation, Y-balance test (YBT), and Foot and Ankle Outcome Score (FAOS), were included in the study. The DF was the preferred leg for accurately kicking a ball through a goal. Statistical analysis determined the differences between DF and non-DF and the correlations between muscle strength, balance, and FAOS. There was no statistically significant difference between DF and non-DF regarding evertor and invertor muscle strength (p=0.082–0.951). The YBT revealed no significant difference between the two groups (p=0.082–0.951). There was a significant correlation between the evertor peak torque and total work deficits at 30°/s (p=0.022), as well as the evertor peak torque deficit at 120°/s (p=0.048). No significant differences in muscle strength and balance were found between DF and non-DF in nonathletes with chronic ankle instability. Peroneal muscle strength deficit was associated with functional impairment. Tailored interventions are needed to address limb dominance and muscle strength deficits in CAI management.

Keywords

dominant foot - muscle strength - balance - foot and ankle outcome score

Publication History

Received: 20 February 2024

Accepted: 18 May 2024

Article published online:
19 June 2024

• References

• 1 Lalevee M, Anderson DD, Wilken JM. Current Challenges in Chronic Ankle Instability: Review and Perspective. Foot Ankle Clin 2023; 28: 129-143
• 2 Mohamadi S, Rahmani N, Ebrahimi I. et al. The Effect of Leg Dominance and Group Difference in Star Excursion Balance Test between Individuals with Chronic Ankle Instability, Ankle Sprain Copers and Healthy Controls. Arch Bone Jt Surg 2023; 11: 206-211
• 3 Pashak R. Susceptibility to Ankle Sprain Injury between Dominant and Non-Dominant Leg During Jump Landings. Masterʼs Thesis. United States: University of Kentucky 2019; 40 DOI: 10.13023/etd.2019.451.
• 4 Alomar AI, Nuhmani S, Ahsan M. et al. A comparison of the range of motion and dynamic stability of the ankle joint of athletes with an ankle sprain as compared to healthy controls: A cross-sectional study. Int J Crit Illn Inj Sci 2023; 13: 138-144
• 5 Beynnon BD, Murphy DF, Alosa DM. Predictive Factors for Lateral Ankle Sprains: A Literature Review. J Athl Train 2002; 37: 376-380
• 6 DeLang MD, Salamh PA, Farooq A. et al. The dominant leg is more likely to get injured in soccer players: Systematic review and meta-analysis. Biol Sport 2021; 38: 397-435
• 7 van Melick N, Meddeler BM, Hoogeboom TJ. et al. How to determine leg dominance: The agreement between self-reported and observed performance in healthy adults. PLoS One 2017; 12: e0189876
• 8 Wang H, Yu H, Kim YH. et al. Comparison of the Effect of Resistance and Balance Training on Isokinetic Eversion Strength, Dynamic Balance, Hop Test, and Ankle Score in Ankle Sprain. Life (Basel) 2021; 11 DOI: 10.3390/life11040307.
• 9 Shaffer SW, Teyhen DS, Lorenson CL. et al. Y-balance test: A reliability study involving multiple raters. Mil Med 2013; 178: 1264-1270
• 10 Roos EM, Brandsson S, Karlsson J. Validation of the foot and ankle outcome score for ankle ligament reconstruction. Foot Ankle Int 2001; 22: 788-794
• 11 Lee KM, Chung CY, Kwon SS. et al. Transcultural adaptation and testing psychometric properties of the Korean version of the Foot and Ankle Outcome Score (FAOS). Clin Rheumatol 2013; 32: 1443-1450
• 12 Ekstrand J, Gillquist J. Soccer injuries and their mechanisms: A prospective study. Med Sci Sports Exerc 1983; 15: 267-270
• 13 Beynnon BD, Renstrom PA, Alosa DM. et al. Ankle ligament injury risk factors: A prospective study of college athletes. J Orthop Res 2001; 19: 213-220
• 14 Surve I, Schwellnus MP, Noakes T. et al. A fivefold reduction in the incidence of recurrent ankle sprains in soccer players using the Sport-Stirrup orthosis. Am J Sports Med 1994; 22: 601-606
• 15 Gonzalez-Rave JM, Juarez D, Rubio-Arias JA. et al. Isokinetic leg strength and power in elite handball players. J Hum Kinet 2014; 41: 227-233
• 16 Eler N, Eler S, Cobanoglu G. et al. Profile of ankle isokinetic strength and proprioception in elite female handball players. Int J Morphol 2023; 41: 1118-1122
• 17 Wong DL, Glasheen-Way M, Andrews LF. Isokinetic Evaluation of the Ankle lnvertors and Evertors*. J Orthop Sports Phys Ther 1984; 5: 246-252
• 18 Pontaga I. Ankle joint evertor-invertor muscle torque ratio decrease due to recurrent lateral ligament sprains. Clin Biomech (Bristol, Avon) 2004; 19: 760-762
• 19 Arnold BL, Linens SW, de la Motte SJ. et al. Concentric evertor strength differences and functional ankle instability: A meta-analysis. J Athl Train 2009; 44: 653-662