Research Article

Evaluation of peroneal muscle thickness and muscle strength in individuals with unilateral chronic ankle instability

Volume: 9 Number: 1 January 5, 2026
TR EN

Evaluation of peroneal muscle thickness and muscle strength in individuals with unilateral chronic ankle instability

Abstract

Aims: The aim of this study was to compare peroneal muscle thickness and ankle circumference muscle strength between the affected and unaffected sides in individuals with unilateral chronic ankle instability. Methods: Thirty-four participants with unilateral chronic ankle instability were included in the study. The foot posture of participants with unilateral chronic ankle instability was evaluated with the Foot Posture Index, the strength of the muscles around the ankle was evaluated with a hand-held dynamometer, and peroneus longus (PL) and peroneus brevis (PB) muscle thicknesses were evaluated with ultrasonography. Since the normal distribution assumption was not met, measurements of the affected and unaffected extremities were compared using the Wilcoxon signed rank test. Results: As a result of the study, both PB (p=0.024) and PL (p=0.043) muscle thicknesses of the participants were thinner on the affected side. When the muscle strength of the participants on the affected and unaffected sides was examined, no statistically significant difference was observed between the two sides for plantar flexor, dorsiflexor, invertor, and evertor muscle strength (p>0.05). Conclusion: As a result, in participants with unilateral chronic ankle instability, PL and PB muscle thickness were less on the affected side. Furthermore, there was no difference in muscle strength between the sides in participants with unilateral chronic ankle instability.

Keywords

Supporting Institution

Atılım University

Ethical Statement

Ethics committee approval was received from Atılım University Human Research Ethics Committee on 14.11.2024 with protocol code E-59394181-604.01-99557

References

  1. Medina McKeon JM, Hoch MC. The ankle-joint complex: a kinesiologic approach to lateral ankle sprains. J Athl Train. 2019;54(6):589-602. doi: 10.4085/1062-6050-472-17
  2. Silver JK, Rizzo TD. Essentials of physical medicine and rehabilitation: musculoskeletal disorders, pain, and rehabilitation. Elsevier Health Sciences. 2008.
  3. Chan LYT, Sim YTN, Gan FK, et al. Effect of chronic ankle instability on lower extremity kinematics, dynamic postural stability, and muscle activity during unilateral jump-landing tasks: a systematic review and meta-analysis. Phys Ther Sport. 2022;55:176-188. doi:10.1016/j.ptsp.2022. 04.005
  4. Wenning M, Gehring D, Mauch M, et al. Functional deficits in chronic mechanical ankle instability. J Orthop Surg Res. 2020;15:304. doi:10.11 86/s13018-020-01847-8
  5. Pereira H, Guillo S, Glazebrook M, et al. Lateral ankle instability. Springer. 2021.
  6. Hoch MC, McKeon PO. Peroneal reaction time after ankle sprain: a systematic review and meta-analysis. Med Sci Sports Exerc. 2014;46(3):54 6-56 doi:10.1249/MSS.0b013e3182a6a93b
  7. Dong S, Liu Y, Liu Z, et al. Can arthrogenic muscle inhibition exist in peroneal muscles among people with chronic ankle instability? a cross-sectional study. Sports Med Open. 2024;10:35. doi:10.1186/s40798-024-0 0710-y
  8. Rossi F, Zaottini F, Picasso R, Martinoli C, Tagliafico AS. Ankle and foot ultrasound: reliability of side-to-side comparison of small anatomic structures. J Ultrasound Med. 2019;38(8):2143-2153. doi:10.1002/jum.14911

Details

Primary Language

English

Subjects

Physiotherapy, Rehabilitation

Journal Section

Research Article

Publication Date

January 5, 2026

Submission Date

August 19, 2025

Acceptance Date

November 21, 2025

Published in Issue

Year 2026 Volume: 9 Number: 1

APA
Korkusuz, S., Seçkinoğulları Korkusuz, B., Beyazkılıç, N. B., Tuncel, B. E., Kılıç, A., Elsharkawi, İ., Gök, T., Gümüşsoy, F. B., & Yavuz, F. (2026). Evaluation of peroneal muscle thickness and muscle strength in individuals with unilateral chronic ankle instability. Journal of Health Sciences and Medicine, 9(1), 65-70. https://doi.org/10.32322/jhsm.1768804
AMA
1.Korkusuz S, Seçkinoğulları Korkusuz B, Beyazkılıç NB, et al. Evaluation of peroneal muscle thickness and muscle strength in individuals with unilateral chronic ankle instability. J Health Sci Med / JHSM. 2026;9(1):65-70. doi:10.32322/jhsm.1768804
Chicago
Korkusuz, Süleyman, Büşra Seçkinoğulları Korkusuz, Nureddin Berkay Beyazkılıç, et al. 2026. “Evaluation of Peroneal Muscle Thickness and Muscle Strength in Individuals With Unilateral Chronic Ankle Instability”. Journal of Health Sciences and Medicine 9 (1): 65-70. https://doi.org/10.32322/jhsm.1768804.
EndNote
Korkusuz S, Seçkinoğulları Korkusuz B, Beyazkılıç NB, Tuncel BE, Kılıç A, Elsharkawi İ, Gök T, Gümüşsoy FB, Yavuz F (January 1, 2026) Evaluation of peroneal muscle thickness and muscle strength in individuals with unilateral chronic ankle instability. Journal of Health Sciences and Medicine 9 1 65–70.
IEEE
[1]S. Korkusuz et al., “Evaluation of peroneal muscle thickness and muscle strength in individuals with unilateral chronic ankle instability”, J Health Sci Med / JHSM, vol. 9, no. 1, pp. 65–70, Jan. 2026, doi: 10.32322/jhsm.1768804.
ISNAD
Korkusuz, Süleyman - Seçkinoğulları Korkusuz, Büşra - Beyazkılıç, Nureddin Berkay - Tuncel, Behrad Eren - Kılıç, Ayça - Elsharkawi, İbrahim - Gök, Talha - Gümüşsoy, Fatih Buğra - Yavuz, Ferdi. “Evaluation of Peroneal Muscle Thickness and Muscle Strength in Individuals With Unilateral Chronic Ankle Instability”. Journal of Health Sciences and Medicine 9/1 (January 1, 2026): 65-70. https://doi.org/10.32322/jhsm.1768804.
JAMA
1.Korkusuz S, Seçkinoğulları Korkusuz B, Beyazkılıç NB, Tuncel BE, Kılıç A, Elsharkawi İ, Gök T, Gümüşsoy FB, Yavuz F. Evaluation of peroneal muscle thickness and muscle strength in individuals with unilateral chronic ankle instability. J Health Sci Med / JHSM. 2026;9:65–70.
MLA
Korkusuz, Süleyman, et al. “Evaluation of Peroneal Muscle Thickness and Muscle Strength in Individuals With Unilateral Chronic Ankle Instability”. Journal of Health Sciences and Medicine, vol. 9, no. 1, Jan. 2026, pp. 65-70, doi:10.32322/jhsm.1768804.
Vancouver
1.Süleyman Korkusuz, Büşra Seçkinoğulları Korkusuz, Nureddin Berkay Beyazkılıç, Behrad Eren Tuncel, Ayça Kılıç, İbrahim Elsharkawi, Talha Gök, Fatih Buğra Gümüşsoy, Ferdi Yavuz. Evaluation of peroneal muscle thickness and muscle strength in individuals with unilateral chronic ankle instability. J Health Sci Med / JHSM. 2026 Jan. 1;9(1):65-70. doi:10.32322/jhsm.1768804

Interuniversity Board (UAK) Equivalency: Article published in Ulakbim TR Index journal [10 POINTS], and Article published in other (excuding 1a, b, c) international indexed journal (1d) [5 POINTS].

The Directories (indexes) and Platforms we are included in are at the bottom of the page.

Note: Our journal is not WOS indexed and therefore is not classified as Q.

You can download Council of Higher Education (CoHG) [Yüksek Öğretim Kurumu (YÖK)] Criteria) decisions about predatory/questionable journals and the author's clarification text and journal charge policy from your browser. https://dergipark.org.tr/tr/journal/2316/file/4905/show







The indexes of the journal are ULAKBİM TR Dizin, ICI World of Journals, DOAJ, Directory of Research Journals Indexing (DRJI), General Impact Factor, ASOS Index, WorldCat (OCLC), MIAR, OpenAIRE, Türkiye Citation Index, Türk Medline Index, InfoBase Index, Scilit, etc.

       images?q=tbn:ANd9GcRB9r6zRLDl0Pz7om2DQkiTQXqDtuq64Eb1Qg&usqp=CAU

500px-WorldCat_logo.svg.png

atifdizini.png

logo_world_of_journals_no_margin.png

images?q=tbn%3AANd9GcTNpvUjQ4Ffc6uQBqMQrqYMR53c7bRqD9rohCINkko0Y1a_hPSn&usqp=CAU

doaj.png  

images?q=tbn:ANd9GcSpOQFsFv3RdX0lIQJC3SwkFIA-CceHin_ujli_JrqBy3A32A_Tx_oMoIZn96EcrpLwTQg&usqp=CAU

ici2.png

asos-index.png

drji.png





The platforms of the journal are Google Scholar, CrossRef (DOI), ResearchBib, Open Access, COPE, ICMJE, NCBI, ORCID, Creative Commons, etc.

COPE-logo-300x199.jpgimages?q=tbn:ANd9GcQR6_qdgvxMP9owgnYzJ1M6CS_XzR_d7orTjA&usqp=CAU

icmje_1_orig.png

cc.logo.large.png

ncbi.pngimages?q=tbn:ANd9GcRBcJw8ia8S9TI4Fun5vj3HPzEcEKIvF_jtnw&usqp=CAU

ORCID_logo.png

1*mvsP194Golg0Dmo2rjJ-oQ.jpeg


Our Journal using the DergiPark system indexed are;

Ulakbim TR Dizin,  Index Copernicus, ICI World of JournalsDirectory of Research Journals Indexing (DRJI), General Impact FactorASOS Index, OpenAIRE, MIAR,  EuroPub, WorldCat (OCLC)DOAJ,  Türkiye Citation Index, Türk Medline Index, InfoBase Index


Our Journal using the DergiPark system platforms are;

Google, Google Scholar, CrossRef (DOI), ResearchBib, ICJME, COPE, NCBI, ORCID, Creative Commons, Open Access, and etc.


Journal articles are evaluated as "Double-Blind Peer Review". 

Our journal has adopted the Open Access Policy and articles in JHSM are Open Access and fully comply with Open Access instructions. All articles in the system can be accessed and read without a journal user.  https//dergipark.org.tr/tr/pub/jhsm/page/9535

Journal charge policy   https://dergipark.org.tr/tr/pub/jhsm/page/10912

Our journal has been indexed in DOAJ as of May 18, 2020.

Our journal has been indexed in TR-Dizin as of March 12, 2021.


17873

Articles published in Journal of Health Sciences and Medicine have open access and are licensed under the Creative Commons CC BY-NC-ND 4.0 International License.