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Investigating the Anticipatory Postural Adjustment Phase of Gait Initiation in Different Directions in Chronic Ankle Instability Patients Publisher Pubmed



Ebrahimabadi Z1 ; Naimi SS2 ; Rahimi A2 ; Sadeghi H3 ; Hosseini SM2 ; Baghban AA4 ; Arslan SA5
Authors
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Authors Affiliations
  1. 1. Department of Physiotherapy, School of Rehabilitation, Shahid Beheshti University of Medical Sciences, Tehran, Iran
  2. 2. Physiotherapy Research Centre, School of Rehabilitation, Shahid Beheshti University of Medical Sciences, Tehran, Iran
  3. 3. Department of Kinesiology, School of Physical Education, Kharazmi University, Tehran, Iran
  4. 4. Physiotherapy Research Centre, Department of Basic Sciences, School of Rehabilitation, Shahid Beheshti University of Medical Sciences, Tehran, Iran
  5. 5. Department of Physiotherapy, School of Rehabilitation, TUMS, Tehran, Iran

Source: Journal of Bodywork and Movement Therapies Published:2018


Abstract

Objective The main objective of the present study was to analyze how supra spinal motor control mechanisms are altered in different directions during anticipatory postural phase of gait initiation in chronic ankle instability patients. It seems that supra spinal pathways modulate anticipatory postural adjustment phase of gait initiation. Yet, there is a dearth of research on the effect of chronic ankle instability on the anticipatory postural adjustment phase of gait initiation in different directions. Method A total of 20 chronic ankle instability participants and 20 healthy individuals initiated gait on a force plate in forward, 30° lateral, and 30° medial directions. Results According to the results of the present study, the peak lateral center of pressure shift decreased in forward direction compared to that in other directions in both groups. Also, it was found that the peak lateral center of pressure shift and the vertical center of mass velocity decreased significantly in chronic ankle instability patients, as compared with those of the healthy individuals. Conclusion According to the results of the present study, it seems that chronic ankle instability patients modulate the anticipatory postural adjustment phase of gait initiation, compared with healthy control group, in order to maintain postural stability. These changes were observed in different directions, too. © 2017 Elsevier Ltd