Kinematics of balance controls in people with chronic ankle instability during unilateral stance on a moving platform

Abstract Balance control deficits resulting from ankle sprains are central to chronic ankle instability (CAI) and its persistent symptoms. This study aimed to identify differences in balance control between individuals with CAI and healthy controls (HC) using challenging single-leg balance tasks. Tw...

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Main Authors: Xiaohan Xu, Joanna Bowtell, Daniel T. P. Fong, William R. Young, Genevieve K. R. Williams
Format: Article
Language:English
Published: Nature Portfolio 2025-01-01
Series:Scientific Reports
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Online Access:https://doi.org/10.1038/s41598-025-85220-x
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author Xiaohan Xu
Joanna Bowtell
Daniel T. P. Fong
William R. Young
Genevieve K. R. Williams
author_facet Xiaohan Xu
Joanna Bowtell
Daniel T. P. Fong
William R. Young
Genevieve K. R. Williams
author_sort Xiaohan Xu
collection DOAJ
description Abstract Balance control deficits resulting from ankle sprains are central to chronic ankle instability (CAI) and its persistent symptoms. This study aimed to identify differences in balance control between individuals with CAI and healthy controls (HC) using challenging single-leg balance tasks. Twenty-three CAI and 23 HC participants performed balance tasks on a force plate that either remained static or moved mediolaterally. Force and kinematic data were recorded to measure balance and joint movements. The CAI group showed significantly shorter time-to-boundary during static conditions but no significant differences during moving conditions compared to HC. During moving conditions, CAIs exhibited greater proximal compensations, with greater range of motion and higher angular velocity in the knee, hip, and torso. while no significant differences were observed in these parameters during static conditions. Principal component analysis indicated specific kinetic chain in CAI during one-leg balance under both static and moving conditions compared to HC. These findings suggest an altered movement strategy in CAI, that ankle injuries impair the ability to stabilize both distal and proximal joints, and an altered kinetic chain from ankle to torso. Rehabilitation programs for CAI might benefit from considering the integration of the entire kinetic chain, addressing both distal and proximal joint dynamics to support effective recovery and prevent secondary injuries.
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issn 2045-2322
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spelling doaj-art-97c8097352044c65a9616a618728b1822025-01-12T12:18:21ZengNature PortfolioScientific Reports2045-23222025-01-0115111210.1038/s41598-025-85220-xKinematics of balance controls in people with chronic ankle instability during unilateral stance on a moving platformXiaohan Xu0Joanna Bowtell1Daniel T. P. Fong2William R. Young3Genevieve K. R. Williams4Public Health and Sports Sciences Department, University of ExeterPublic Health and Sports Sciences Department, University of ExeterNational Centre for Sport and Exercise Medicine, School of Sport, Exercise and Health Sciences, Loughborough UniversityPublic Health and Sports Sciences Department, University of ExeterPublic Health and Sports Sciences Department, University of ExeterAbstract Balance control deficits resulting from ankle sprains are central to chronic ankle instability (CAI) and its persistent symptoms. This study aimed to identify differences in balance control between individuals with CAI and healthy controls (HC) using challenging single-leg balance tasks. Twenty-three CAI and 23 HC participants performed balance tasks on a force plate that either remained static or moved mediolaterally. Force and kinematic data were recorded to measure balance and joint movements. The CAI group showed significantly shorter time-to-boundary during static conditions but no significant differences during moving conditions compared to HC. During moving conditions, CAIs exhibited greater proximal compensations, with greater range of motion and higher angular velocity in the knee, hip, and torso. while no significant differences were observed in these parameters during static conditions. Principal component analysis indicated specific kinetic chain in CAI during one-leg balance under both static and moving conditions compared to HC. These findings suggest an altered movement strategy in CAI, that ankle injuries impair the ability to stabilize both distal and proximal joints, and an altered kinetic chain from ankle to torso. Rehabilitation programs for CAI might benefit from considering the integration of the entire kinetic chain, addressing both distal and proximal joint dynamics to support effective recovery and prevent secondary injuries.https://doi.org/10.1038/s41598-025-85220-xBalance controlKinematicsChronic ankle instabilityPostural strategyPerturbationPrincipal component analysis
spellingShingle Xiaohan Xu
Joanna Bowtell
Daniel T. P. Fong
William R. Young
Genevieve K. R. Williams
Kinematics of balance controls in people with chronic ankle instability during unilateral stance on a moving platform
Scientific Reports
Balance control
Kinematics
Chronic ankle instability
Postural strategy
Perturbation
Principal component analysis
title Kinematics of balance controls in people with chronic ankle instability during unilateral stance on a moving platform
title_full Kinematics of balance controls in people with chronic ankle instability during unilateral stance on a moving platform
title_fullStr Kinematics of balance controls in people with chronic ankle instability during unilateral stance on a moving platform
title_full_unstemmed Kinematics of balance controls in people with chronic ankle instability during unilateral stance on a moving platform
title_short Kinematics of balance controls in people with chronic ankle instability during unilateral stance on a moving platform
title_sort kinematics of balance controls in people with chronic ankle instability during unilateral stance on a moving platform
topic Balance control
Kinematics
Chronic ankle instability
Postural strategy
Perturbation
Principal component analysis
url https://doi.org/10.1038/s41598-025-85220-x
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AT danieltpfong kinematicsofbalancecontrolsinpeoplewithchronicankleinstabilityduringunilateralstanceonamovingplatform
AT williamryoung kinematicsofbalancecontrolsinpeoplewithchronicankleinstabilityduringunilateralstanceonamovingplatform
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