The correlation between postural control and upper limb position sense in people with chronic ankle instability

The goal of this study was to assess the correlation between lower limb postural control and upper limb position sense among people with CAI, to facilitate further exploration of the function of the central neural control in people with CAI. Fourteen participants (10 males, 4 females) with self-reported CAI and 14 age- and gender-matched, healthy controls participated in this study. Each participant completed single-limb stance postural control tests and shoulder position sense tests. The Overall Stability Index (OSI) was used as a measure of postural stability. The average of the absolute error score (AES) was calculated as a measure of shoulder position sense. Pearson correlations between the scores of the four body sites -lower limb postural stability (preferred/non-preferred), shoulder (preferred/non-preferred) were determined separately for each group. In the control group, significant correlations were found between the OSI score of the right and left ankles (r = 0.887, p < 0.001), between the AES of the right and left shoulders (r = 0.656, p = 0.011), as well as between the OSI score and the AES of the non-preferred side (r = 0.649, p = 0.012). In the CAI group, significant correlation was only observed between the OSI score at both ankles (r = 0.6, p = 0.002).

Individuals with CAI exhibited lower limb postural control and upper limb position sense similar to those shown in healthy controls. However, correlations between the lower and upper limbs were found only in the healthy controls. Clinicians can use this information and employ activities that focus on coordinating the upper and lower extremities in the design of neuromuscular control training programs for patients with CAI.

Therapeutic Interventions for the Shoulder

Explore evidence-based interventions for shoulder pain including the Shoulder Symptom Modification Procedure and prescription considerations. Covers clinical approaches to management of specific conditions including instability, rotator cuff and subacromial pain.

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