Investigation of the Relationship Between Kinesiophobia, Foot and Ankle Function and Physical Activity of Athletes with Chronic Ankle Instability

Yıl 2024, Cilt: 26 Sayı: 2, 182 - 188, 31.08.2024

Sinan Seyhan , Görkem Açar , Yusuf Yaşasın , Berkay Üzümcü

https://doi.org/10.15314/tsed.1499080

Öz

Lateral ankle sprains (LAS) are common in athletes and 40% lead to chronic ankle instability (CAI). CAI is characterised by recurrent sprains and limitation of motion. Our study investigated the relationship between kinesiophobia, foot-ankle function, and physical activity in athletes with chronic ankle instability. In our study, 112 individuals with CAI who have been doing regular sports for at least 5 years were included. Tampa kinesiophobia test, Foot and Ankle Ability Measure (FAAM), and International Physical Activity Questionnaire (Short Version) were administered to the included individuals via Google form. IBM Statistical Package for Social Sciences Version 26.0 (SPSS inc, Chicago, IL, USA) was used. Pearson's test analysis was used in the study, and statistical significance was taken as p ≤ 0.05 for all measurements in two directions. 115 participants (75 males and 40 females) were included in the study. The participants were 20.43±3.921(years) years old, 176.14±9.288(cm) tall, and 67.88±11.571(kg) weight. In addition, the subjects' International Physical Activity Score (Short Version) showed that 34 were inactive, 54 were minimally active, and 27 were very active. There was a moderate negative correlation between the Tampa Kinesiophobia score and FAAM sport and DLA subscores (p<.001). Individuals with increased kinesiophobia scores had decreased Foot and Ankle Ability Measure scores. According to the studies, studies on foot and ankle range of motion, position perception, and balance in individuals with CAI may decrease kinesiophobia.

Anahtar Kelimeler

Chronic foot instability, kinesiophobia,, foot function

Kronik Ayak Bileği İnstabilitesi Olan Sporcularda Kinezyofobi, Ayak ve Ayak Bileği Fonksiyonu ve Fiziksel Aktivite Arasındaki İlişkinin İncelenmesi

Öz

Lateral ayak bileği burkulmaları (LAS) sporcularda sık görülmektedir ve %40'ı kronik ayak bileği instabilitesine (KAİ) yol açmaktadır. KAİ, tekrarlayan burkulmalar ve hareket kısıtlılığı ile karakterizedir. Çalışmamızda, kronik ayak bileği instabilitesine sahip sporcularda kinezyofobi, ayak-ayak bileği fonksiyonu ve fiziksel aktivitenin arasındaki ilişkinin incelenmesi hedeflenmiştir. Çalışmamıza en az 5 yıl düzenli spor yapan 112 KAİ’li bireyler dahil edilmiştir. Dahil edilen bireylere Google form aracılığıyla, Tampa kinezyofobi testi, Ayak ve Ayak Bileği Yetenek Ölçüsü (FAAM) ve Uluslararası Fiziksel Aktivite Anketi (Kısa Versiyon) uygulanmıştır. IBM Statistical Package for Social Sciences Version 26.0 (SPSS inc, Chicago, IL, USA) ile incelenmiştir. Çalışmada Pearson test analizi ile hesaplanmış olup, tüm ölçümlerde istatistiksel anlamlılık p≤0.05 olarak iki yönlü alınmıştır. Çalışmamıza 115 kişi (75 erkek ve 40 kadın) dahil edilmiştir. Çalışmaya katılanların tanımlayıcı özellikleri 20,43±3,92 (yıl), 176,14±9,28 (cm) ve 67,88±11,57 (kg) olarak bulundu. Ayrıca kişilerin Uluslararası Fiziksel Aktivite Skoru (Kısa Versiyon) 34 kişi inaktif, 54 kişi minimal aktif ve 27 kişi çok aktif bulundu. Kişilerin Tampa Kinezyofobi skoru ile FAAM spor ve GYA alt skorları arasında orta derecede negatif korelasyon bulundu (p<.001). Kinezyofobi skoru puanında artış olan kişilerde Ayak ve Ayak Bileği Yetenek Ölçüsü puanında azalma bulunmuştur. Yapılan çalışmalara göre, KAİ'li bireylerde ayak ve ayak bileği eklem hareket açıklığı, pozisyon algısı ve denge üzerine yapılan çalışmaların, kinezyofobi üzerinde azalmaya yol açabileceği düşünülmektedir.

Anahtar Kelimeler

Kronik Ayak İnstabilitesi, Kinezyofobi, Ayak Foksiyonu

Kaynakça

• 1. Alshahrani MS, Reddy RS. Relationship between kinesiophobia and ankle joint position sense and postural control in ındividuals with chronic ankle ınstability-A Cross-Sectional Study. International journal of environmental research and public health, 2022; 19(5): 2792.
• 2. Brown OS, Hu L, Demetriou C, Smith, TO, Hing, CB. The effects of kinesiophobia on outcome following total knee replacement: a systematic review. Archives of orthopaedic and trauma surgery, 2020; 140(12), 2057–2070.
• 3. Castanho B, Cordeiro N, Pinheira V. The influence of kinesiophobia on clinical practice in physical therapy: an integrative literature review. Int J Med Res Health Sci, 2021; 10, 78-94.
• 4. Cross SJ, Gill DL, Brown PK, Reifsteck EJ. Prior ınjury, health-related quality of life, disablement, and physical activity in former women's soccer players. Journal of athletic training, 2022; 57(1), 92–98.
• 5. Donovan L, Hertel JA. New paradigm for rehabilitation of patients with chronic ankle instability. The physician and sportsmedicine, 2012; 40(4), 41–51.
• 6. Frigg A, Frigg R, Hintermann B, Barg, A, Valderrabano V. The biomechanical influence of tibio-talar containment on stability of the ankle joint. Knee surgery, sports traumatology, arthroscopy: Official journal of the ESSKA, 15(11), 2007; 1355–1362.
• 7. Frigg A, Magerkurth O, Valderrabano V, Ledermann HP, Hintermann B. The effect of osseous ankle configuration on chronic ankle instability. British journal of sports medicine, 2007; 41(7), 420–424.
• 8. Golanó P, Vega J, de Leeuw PA., Malagelada F, Manzanares MC, Götzens V, van Dijk CN. Anatomy of the ankle ligaments: a pictorial essay. Knee surgery, sports traumatology, arthroscopy: Official journal of the ESSKA, 2016; 24(4), 944–956.
• 9. Gonzalez-Sanchez M Li GZ, Ruiz Munoz M, Cuesta-Vargas AI. Foot and ankle ability measure to measure functional limitations in patients with foot and ankle disorders: a Chinese cross-cultural adaptation and validation. Disability and rehabilitation, 2017; 39(21): 2182-2189.
• 10. Gribble PA, Bleakley CM, Caulfield BM, Docherty CL, Fourchet F, Fong DT, Hertel J, Hiller CE, Kaminski TW, McKeon PO, Refshauge K M, Verhagen EA, Vicenzino BT, Wikstrom EA, Delahunt E. Evidence review for the ınternational ankle consortium consensus statement on the prevalence, impact and long-term consequences of lateral ankle sprains. British journal of sports medicine, 2016; 50(24), 1496–1505.
• 11. Han S, Oh M, Lee H, Hopkins JT. The effects of kinesiophobia on postural control with chronic ankle instability. Gait & posture, 2024; 107: 269–274.
• 12. Hertel J. Functional anatomy, pathomechanics, and pathophysiology of lateral ankle ınstability. Journal of athletic training, 2002; 37(4), 364–375.
• 13. Hoch JM, Druvenga B, Ferguson BA, Houston MN, Hoch MC. Patient-reported outcomes in male and female collegiate soccer players during an athletic season. Journal of athletic training, 2015; 50(9), 930–936.
• 14. Hølmer P, Søndergaard L, Konradsen L, Nielsen PT, Jørgensen LN. Epidemiology of sprains in the lateral ankle and foot. Foot & ankle international, 1994; 15(2), 72–74.
• 15. Hootman JM, Dick R, Agel J. Epidemiology of collegiate injuries for 15 sports: summary and recommendations for injury prevention initiatives. J Athl Train. 2007; 42(2): 311–319.
• 16. Hsu CJ, Meierbachtol A, George SZ, Chmielewski TL. Fear of Reinjury in Athletes. Sports health, 2017; 9(2), 162–167.
• 17. Hubbard-Turner T, Turner M. J. Physical activity levels in college students with chronic ankle ınstability. Journal of athletic training, 2015; 50(7), 742–747.
• 18. Kese B, Salcı Y, Yılmaz ÖT. Validity and reliability of the Tampa Kinesiophobia-Fatigue Scale in patients with multiple sclerosis. Irish journal of medical science, 2023; 192(1), 285–290.
• 19. Konradsen L, Bech L, Ehrenbjerg M, Nickelsen T. Seven years follow-up after ankle inversion trauma. Scandinavian journal of medicine & science in sports, 2002; 12(3), 129–135.
• 20. Kulunkoglu BA, Celik D. Reliability and validity of the Turkish version of foot and ankle ability measure for patients with chronic ankle disability. The journal of foot and ankle surgery, 2019; 58(1): 38-41.
• 21. Kusan O. Culture of being healthy and physical activity status in individuals who do and do not do sports. Gümüşhane University journal of health sciences, 2023; 12(1), 192-200.
• 22. Luque-Suarez A, Martinez-Calderon J, Falla D. Role of kinesiophobia on pain, disability and quality of life in people suffering from chronic musculoskeletal pain: a systematic review. British journal of sports medicine, 2019; 53(9), 554–559.
• 23. Magerkurth O, Frigg, A, Hintermann B, Dick W, Valderrabano V. Frontal and lateral characteristics of the osseous configuration in chronic ankle instability. British journal of sports medicine, 2010; 44(8), 568–572.
• 24. McPhie ML, Rawana JS. The effect of physical activity on depression in adolescence and emerging adulthood: a growth-curve analysis. Journal of adolescence, 2015; 40, 83–92.
• 25. Öztürk M. Validity and reliability of the ınternational physical activity questionnaire and determination of physical activity levels in university students. H.Ü. Institute of Health Sciences, Master's Thesis, 2005. Ankara.
• 26. Shah S, Thomas AC, Noone JM, Blanchette CM, Wikstrom EA. Incidence and cost of ankle sprains in United States emergency departments. Sports Health. 2016; 8(6): 547–52.
• 27. Stiller-Ostrowski J, Granquist MD, Flett R. Kinesiophobia. Athletic training & sports health care, 2014; 6(6), 248-251.
• 28. Towers JD, Deible CT, Golla SK. Foot and ankle biomechanics. Seminars in musculoskeletal radiology, 2003; 7(1), 67–74.
• 29. Tümer N, Vuurberg G, Blankevoort L, Kerkhoffs GMMJ, Tuijthof GJM, Zadpoor AA. Typical shape differences in the subtalar joint bones between subjects with chronic ankle ınstability and controls. Journal of orthopaedic research : Official publication of the orthopaedic research society, 2019; 37(9), 1892–1902.
• 30. Verhagen RA, de Keizer G, Van Dijk, CN. Long-term follow-up of inversion trauma of the ankle. Archives of orthopaedic and trauma surgery, 1995; 114(2), 92–96.
• 31. Vlaeyen JWS, Kole-Snijders AMJ, Boeren RGB, van Eek H. Fear of movement/(re)injury in chronic low back pain and its relation to behavioral performance. Pain, 1995; 62(3), 363–372.
• 32. Watanabe K, Koshino Y, Kawahara D, Akimoto M, Mishina M, Nakagawa K, Ishida T, Kasahara S, Samukawa M, Tohyama H. Kinesiophobia, self-reported ankle function, and sex are associated with perceived ankle instability in college club sports athletes with chronic ankle instability. Physical therapy in sport : official journal of the association of chartered physiotherapists in sports medicine, 2023; 61, 45–50.
• 33. Whalan M, Lovell R, McCunn R, Sampson JA. The incidence and burden of time loss injury in Australian men's sub-elite football (soccer): A single season prospective cohort study. Journal of science and medicine in sport, 2019; 22(1), 42–47.
• 34. Wikstrom EA, Hubbard-Turner T, McKeon PO. Understanding and treating lateral ankle sprains and their consequences: a constraints-based approach. Sports medicine (Auckland, N.Z.), 2013; 43(6), 385–393.
• 35. Wright SA, Snyder Valier AR. Health-related quality of life in former division ıı collegiate athletes using the disablement of the physically active scale. Athletic Training & Sports Health Care, 2021; 13(2), 85-92.
• 36. Yu P, Mei Q, Xiang L, Fernandez J, Gu Y. Differences in the locomotion biomechanics and dynamic postural control between individuals with chronic ankle instability and copers: a systematic review. Sports biomechanics, 2022; 21(4), 531–549.