A Comparison of Feed-Forward Activity of Selected Ankle Muscles between Active Collegiate Girls at the Risk of Ankle Sprain and Healthy Girls

Document Type : Research Paper


1 Ph.D. in Corrective Exercises and Sport Injury, Department of Sport Sciences, Sistan & Baluchestan University, Zahedan, Iran

2 Professor, Department of Sport Medicine, Faculty of Physical Education and Sport Sciences, University of Tehran, Tehran, Iran

3 Associated Professor, Department of Sport Medicine, Faculty of Physical Education and Sport Sciences, University of Tehran, Tehran, Iran


The high incidence of ankle sprain, early resignation from sport and related disabilities have attracted the attention of researchers to identify and control those factors influencing the risk of this injury. The aim of this study wasto compare feed-forward activity of selected muscles of the ankle between collegiate active girls at the risk of ankle sprain and healthy girls.For this purpose, 32 active female students of physical education without a history of ankle sprain were divided into two groups (each group 16 subjects) including group at risk of ankle sprain (with less balance) and healthy group purposively and based on dynamic balance test scores (Y test). The feed-forward activity of muscles was evaluated by electromyography during jump-drop landing. The data were analyzed using multivariate analysis of variance (MANOVA) at P≤0.05. A lower feed-forward activity of peroneus longus and soleus muscles was observed in the group of at risk of ankle sprain (lower balance) when compared with the control group (P˂0.05). Probably, lower activity of these muscles in subjects with less balance could endanger the stability of the ankle and put them at risk of ankle sprain.


1. Morrison KE, Kaminski TW. Foot characteristics in association with inversion ankle injury. Journal of Athletic Training. 2007;42(1):135-142.
2. Fong DTP, Hong Y, Chan LK, Yung PSH, Chan KM. A systematic review on ankle injury and ankle sprain in sports. Sports Medicine. 2007;37(1): 73-94.
3. McKeon PO, Mattacola CG. Interventionsfor the prevention of first time and recurrent ankle sprains. Clinics in sports medicine. 2008;27(3):371-382.
4. Pollock KM. The star excursion balance test as a predictor of lower extremity injury in high school football player [MSc]. Toledo University;2010.
5. Comfort P, Abrahamson E. Sports rehabilitation and injury prevention. Wiley-Blackwell; 2010.
6. Hertel J. Overview of the etiology of chronic ankle instability. In 3rd International Ankle Symposium. Dublin; 2006.
7. Akbari M, Karimi H, Farahini H, Faghihzadeh S. Balance problems after unilateral lateral ankle sprains. Journal of rehabilitation research and development. 2006;43(7):819-828.
8. Knight AC, Weimar WH. Effects of inversion perturbation after step-down on the latency of the peroneus longus and peroneus brevis. Journal of applied biomechanics. 2011;27(4):283-290.
9. Dinesha A, Prasad A. Effect of 2-week and 4-week wobble board exercise program for improving the muscle onset latency and perceived stability in basketball players with recurrent ankle sprain. Indian Journal Physiother Occup Ther. 2011;5(1):27-32.
10. Chen Q. Comparison of methods simulating the ankle sprain mechanism: Inversion drop test and landing on a slanted surface [MSc]. Tennessee University; 2009.
11. Janssen KW, Hendriks MRC, Mechelen WV, Verhagen E. The cost-effectiveness of measures to prevent recurrent ankle sprains results of a 3-arm randomized controlled trial. The American Journal of Sports Medicine. 2014;42(7):1534-1541.
12. McKeon PO, Hertel J. Systematic review of postural control and lateral ankle instability, part I: can deficits be detected with instrumented testing. Journal of Athletic Training. 2008;43(3):293-304.
13. McGuine T, Greene J, Best T, Leverson G. Balance as a predictor of ankle injuries in high school basketball players. Clinical journal of sport medicine: official journal of the Canadian Academy of Sport Medicine. 2000;10(4):239-244.
14. Noronha M, França L, Haupenthal A, Nunes G. Intrinsic predictive factors for ankle sprain in active university students: A prospective study. Scadinavian Journal of Medicine & Science in Sports. 2013;23(5):541-547.
15. Gribble PA, Hertel J. Considerations for normalizing measures of the Star Excursion Balance Test. Measurement in physical education and exercise science. 2003;7(2):89-100.
16. Kalantariyan M, Minoonejad H, Rajabi R, Beyranvand R,  Zahiri A. [The comparison of the electromyography activity of selected muscles of the ankle joint in athletes with ankle dorsiflexion range of motion limitation with healthy athletes during the single-leg jump landing )In Persian(]. J Rehab Med. 2013;2(2):14-23.
17. Samadi H. The effect of neuromuscular training on electromyographic parameters of selective calf muscles in male athletes with functional ankle instability [Ph.D.]. Tehran University; 2013.
18. Caulfield BM, Crammond T, O’Sullivan A, Reynolds S, Ward T. Altered ankle-muscle activation during jump landing in participants with functional instability of the ankle joint. JSR. 2004;13(3):189-200.
19. Delahunt E, Monaghan K, Caulfield B. Changes in lower limb kinematics, kinetics, and muscle activity in subjects with functional instability of the ankle joint during a single leg drop jump. Journal of Orthopaedic Research. 2006;24(10):1991-2000.
20. Gutierrez GM, Knight CA, Swanik CB, Royer T, Manal K, Caulfield B. Examining neuromuscular control during landings on a supinating platform in persons with and without ankle instability. Am J Sports Med. 2012;40(1):193-201.
21. Suda EY, Amorim CF, Sacco ICN. Influence of ankle functional instability on the ankle electromyography during landing after volleyball blocking. Journal of Electromyography and Kinesiology. 2009;19(2):e84-e93.
22. Santello M. Review of motor control mechanisms underlying impact absorption from falls. Gait & posture. 2005;21(1):85-94.
23. Delahunt E, Monaghan K, Caulfield B. Ankle function during hopping in subjects with functional instability of the ankle joint. Scandinavian Journal of Medicine & Science in Sports. 2007;17(6):641-648.
24. Gutierrez GM, Kaminski TW, Douex AT. Neuromuscular control and ankle instability. PM&R. 2009;1(4):359-365.
25. McKinley P, Pedotti A. Motor strategies in landing from a jump: the role of skill in task execution. Experimental Brain Research. 1992;90(2):427- 440.
26. Willems T. Intrinsic risk factors for sports injuries to the lower leg and ankle [Ph.D.]. Ghent University; 2004.
27. Gribble PA, Hertel J, Plisky P. Using the Star Excursion Balance Test to assess dynamic postural-control deficits and outcomes in lower extremity injury: a literature and systematic review. Journal of Athletic Training. 2012;47(3):339-357.
28. Gribble PA, Kelly SE, Refshauge KM, Hiller CE. Interrater reliability of the Star Excursion Balance Test. Journal of Athletic Training. 2013; 48(5):621-626.
29. Plisky PJ, Rauh MJ, Kaminski TW, Underwood FB. Star Excursion Balance Test as a predictor of lower extremity injury in high school basketball players. The Journal of orthopaedic and sports physical therapy. 2006;36(12):911-919.
31. Kalantariyan M. The comparition of the pattern and electromyography activity of selected muscles of the ankle joint in athletes with ankle dorsiflexion range of motion limitation with healthy athletes during the single-leg jump landing [MSc]. Tehran University; 2013.
32. Konrad P. The abc of emg, A practical introduction to kinesiological electromyography. Noraxon INC; 2005. p. 17-20.
33. Hadadnezhad M. Compare the performance and plyometric exercises influence on some parameters of EMG in active females with Trunk Neuromuscular Control Deficit [Ph.D.]. Tehran University; 2013.
34. Feger MA, Donovan L, Hart JM, Hertel J. Lower extremity muscle activation in patients with or without chronic ankle instability during walking. Journal of Athletic Training. 2015;50(4):350-357.
35. Wright I, Neptune R, Van Den Bogert A, Nigg B. The influence of foot positioning on ankle sprain. Journal of biomechanics. 2000;33(5):513-519.
36. Suda EY, Sacco IC. Altered leg muscle activity in volleyball players with functional ankle instability during a sideward lateral cutting movement. Physical therapy in sport. 2011;12(4):164-170.
37. Tropp H. Commentary: functional ankle instability revisited. Journal of Athletic Training. 2002;37(4):512-515.
38. Delahunt E, Monaghan K, Caulfield B. Altered neuromuscular control and ankle joint kinematics during walking in subjects with functional instability of the ankle joint. Am J Sports Med. 2006;34(12):1970-1976.
39. Neptune RR, Wright I, Van den Bogert AJ. Muscle coordination and function during cutting movements. Medicine and science in sports and exercise. 1999;31(2):294-302.
40. Sinsurin K, Vachalathiti R, Jalayondeja W, Limroongreungrat W. How to control ankle joint in various directions of one leg jump-landing: frontal plane moment and EMG study. ISBS-Conference Proceedings Archive; 2013.
41. Santello M, McDonagh M. The control of timing and amplitude of EMG activity in landing movements in humans. Experimental Physiology. 1998;83(6):857-874.
42. Wikstrom E, Tillman M, Schenker S, Borsa P. Failed jump landing trials: deficits in neuromuscular control. Scandinavian Journal of Medicine & Science in Sports. 2008;18(1):55-61.
43. Sekir U, Yildiz Y, Hazneci B, Ors F, Aydin T. Effect of isokinetic training on strength, functionality and proprioception in athletes with functional ankle instability. Knee surgery, sports traumatology, arthroscopy. 2007;15(5):654-664.
44. Lee AJ, Lin WH, Huang C. Impaired proprioception and poor static postural control in subjects with functional instability. J Exerc Sci Fit. 2006;4(2):117-125.