Term of Award

Spring 2016

Degree Name

Master of Science in Kinesiology (M.S.)

Document Type and Release Option

Thesis (open access)

Copyright Statement / License for Reuse

Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.

Department

Department of Health and Kinesiology

Committee Chair

Jessica Mutchler

Committee Member 1

Barry Munkasy

Committee Member 2

Tamerah Hunt

Abstract

Ankle sprains, specifically to the lateral ligament complex, are one of the most common injuries seen during athletic participation and may lead to chronic ankle instability (CAI).1 Residual symptoms of CAI can include feelings of giving way and instability as well as, persistent weakness, pain during activity, and self-reported disability, which may affect postural control and functional performance.2 The purpose of this study was to determine if there was a relationship between perceived kinesiophobia and dorsiflexion range of motion (DROM), measures of dynamic postural control, and measures of functional performance, within active individuals with CAI. Thirty-seven physically active individuals with self-reported CAI, filled out the Foot and Ankle Ability Measure (FAAM), Cumberland Ankle Instability Tool (CAIT), Tampa Scale of Kinesiophobia 11 (TSK-11), and the NASA Physical Activity Scale (NASA-PAS). Of those, five qualified as having CAI based on the 5th International Ankle Consortium guidelines for CAI classification1 and completed one test session lasting approximately 45 minutes that included basic demographic data, leg length measurements, DROM, three directions of the Star Excursion Balance Test (SEBT), triple crossover hop test, and figure 8 hop test.Means and standard deviations were calculated and reported for all measures. Due to small sample size, only observational analysis could be performed between perceived kinesiophobia and dorsiflexion range of motion (DROM), measures of dynamic postural control, and measures of functional performance. Although only five participants classified as CAI, 36 of 37 participants reported some degree of kinesiophobia. Therefore we chose to examine the inclusionary questionnaires, and how they relate to our measure of kinesiophobia (TSK-11) and the number of reported ankle sprains. Pearson product-moment correlations were used to determine these relationships. Based on observational analysis there may be trends between kinesiophobia and DROM, and figure-8 hop test time. A strong positive relationship between the FAAM activities of daily living (FAAM-ADL) and FAAM-Sport subscales (r = 0.815, p ˂ 0.001), a moderate negative relationship between the FAAM-ADL subscale and TSK-11 scores (r = -0.509, p=0.001), and a moderate negative relationship between the FAAM-Sport subscale and TSK-11 scores (r= -0.599, p ˂ 0.001) were shown. There was also a moderate negative relationship between number of sprains and both the FAAM-ADL (r= -0.436, p= 0.007) and FAAM-Sport (r= -0.464, p=0.004) subscales. The current study showed potential trends between kinesiophobia and DROM, as well as functional performance specific to agility. Measures of functional performance and DROM in the current study when wearing ankle braces did not appear similar to previously published data. The TSK-11 was only moderately correlated to the FAAM. Therefore, perceived kinesiophobia may be independent of self-reported disability, and should be accounted for within the CAI population. Future research should further investigate the relationship between kinesiophobia and measures of dynamic postural control and functional performance.

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