Reliability of a Functional Test Battery Evaluating Functionality, Proprioception and Strength of the Ankle Joint

Aim: In contrast to the one-sided evaluation methods used in the past, combining multiple tests allows one to obtain a global assessment of the ankle joint. Materials and Methods: Twenty healthy male volunteers participated in this study. One component of the test battery included five different functional ability tests, which included: single limb hopping course, one-legged and triple-legged hop for distance, and six-meter (6-m) and cross 6-m hop for time. Ankle joint position sense and one leg standing test were used for proprioceptive evaluation. Isokinetic strength of the ankle invertor and evertor muscles were evaluated at a velocity of 120°/sec. Reliability of the test battery was assessed by calculating the intraclass correlation coefficient (ICC). Results: The ICCs for ankle functional and proprioceptive ability showed good to high reliability (ICC ranging from 0.89 to 0.98). Furthermore, isokinetic ankle joint inversion and eversion strength measurements represented good reliability (ICCs between 0.86-0.89). Conclusions: The functional test battery investigated in this study proved to be a reliable tool in the assessment of the ankle joints of healthy recreational athletes. Clinicians may use the information of the functional test battery to detect changes in ankle joint performance as a component of a screening evaluation.

Reliability of a Functional Test Battery Evaluating Functionality, Proprioception and Strength of the Ankle Joint

Aim: In contrast to the one-sided evaluation methods used in the past, combining multiple tests allows one to obtain a global assessment of the ankle joint. Materials and Methods: Twenty healthy male volunteers participated in this study. One component of the test battery included five different functional ability tests, which included: single limb hopping course, one-legged and triple-legged hop for distance, and six-meter (6-m) and cross 6-m hop for time. Ankle joint position sense and one leg standing test were used for proprioceptive evaluation. Isokinetic strength of the ankle invertor and evertor muscles were evaluated at a velocity of 120°/sec. Reliability of the test battery was assessed by calculating the intraclass correlation coefficient (ICC). Results: The ICCs for ankle functional and proprioceptive ability showed good to high reliability (ICC ranging from 0.89 to 0.98). Furthermore, isokinetic ankle joint inversion and eversion strength measurements represented good reliability (ICCs between 0.86-0.89). Conclusions: The functional test battery investigated in this study proved to be a reliable tool in the assessment of the ankle joints of healthy recreational athletes. Clinicians may use the information of the functional test battery to detect changes in ankle joint performance as a component of a screening evaluation.

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  • Aydog E, Aydog ST, Cakci A, Doral MN. Reliability of isokinetic ankle inversion- and eversion-strength measurement in neutral foot position, using the Biodex dynamometer. Knee Surg Sports Traumatol Arthrosc 2004; 12: 478-81.
  • Kaminski T, Dover G. Reliability of inversion and eversion peak- and average-torque measurements from the Biodex system 3 dynamometer. J Sport Rehabil 2001; 10: 205-20.
  • Glencross D, Thornton E. Position sense following joint injury. J Sports Med Phys Fitness 1981; 21: 23-7.
  • Deshpande N, Connelly DM, Culham EG, Costigan PA. Reliability and validity of ankle proprioceptive measures. Arch Phys Med Rehabil 2003; 84: 883-9.
  • Giorgetti MM, Harris BA, Jette A. Reliability of clinical balance outcome measures in the elderly. Physiother Res Int 1998; 3: 274-83.
  • Munn J, Beard D, Refshauge K, Lee RJ. Do functional- performance tests detect impairment in subjects with ankle instability? J Sport Rehabil 2002; 11: 40-50.
  • Bolgla LA, Keskula DR. Reliability of lower extremity functional performance tests. J Orthop Sports Phys Ther 1997; 26: 138- 42.
  • Ross MD, Langford B, Whelan PJ. Test-retest reliability of 4 single-leg horizontal hop tests. J Strength Cond Res 2002; 16: 617-22.
  • Aydin T, Yildiz Y, Yildiz C, Atesalp S, Kalyon TA. Proprioception of the ankle: a comparison between female teenaged gymnasts and controls. Foot Ankle Int 2002; 23: 123-9.
  • WMADH. World Medical Association Declaration of Helsinki: Ethical principles for medical research involving human subjects. JAMA 2000; 284: 3043-5.
  • Ronkonkoma NY. Cybex Norm Int Inc: testing and rehabilitation system: pattern selection and set up: automated protocols. User’s guide. New York: Blue Sky Software Corporation; 1995.
  • Currier DP. Elements of Research in Physical Therapy. 3rd ed. Baltimore, MD: Williams and Wilkins; 1990.
  • Weir JP. Quantifying test-retest reliability using the intraclass correlation coefficient and the SEM. J Strength Cond Res 2005; 19: 231-40.
  • Fleiss JL. The design and analysis of clinical experiments. New York: John Wiley & Sons; 1986.
  • Refshauge KM, Kilbreath SL, Raymond J. The effect of recurrent ankle inversion sprain and taping on proprioception at the ankle. Med Sci Sports Exerc 2000; 32: 10-5.
  • Isakov E, Mizrahi J. Is balance impaired by recurrent sprained ankle? Br J Sports Med 1997; 31: 65-7.
  • Ryan L. Mechanical stability, muscle strength and proprioception in the functionally unstable ankle. Austr J Physiother 1994; 40: 41- 7.
  • Boyle J, Negus V. Joint position sense in the recurrently sprained ankle. Austr J Physiother 1998; 44: 159-63.
  • Willems T, Witvrouw E, Verstuyft J, Vaes P, De Clercq D. Proprioception and muscle strength in subjects with a history of ankle sprains and chronic instability. J Athl Train 2002; 37: 487- 93.
  • Noyes FR, Barber SD, Mooar LA. A rationale for assessing sports activity levels and limitations in knee disorders. Clin Orthop 1989; 246: 238-49.
  • Booher LD, Hench KM, Worrell TW, Stikeleather J. Reliability of three single-leg hop tests. J Sport Rehabil 1993; 2: 165-70.
Turkish Journal of Medical Sciences-Cover
  • ISSN: 1300-0144
  • Yayın Aralığı: Yılda 6 Sayı
  • Yayıncı: TÜBİTAK
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