Abnormalities of foot and ankle alignment in individuals with chronic ankle instability: a systematic review.
Abnormalities of foot and ankle alignment in individuals with chronic ankle instability: a systematic review.
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DOI：
10.1186/s12891-021-04537-6
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发表时间：
2021-08-12
影响因子：
2.3
通讯作者：
Miki T
中科院分区：
文献类型：
--
作者：
Kobayashi T;Koshino Y;Miki T
为了防止复发性踝关节扭伤，阐明慢性踝关节不稳定（CAI）的病理是很重要的。有报道称CAI与足部姿势和踝关节排列异常有关。目前还没有共识的类型，这些异常发生在个人与CAI。本系统综述的目的是阐明足姿势和踝关节排列异常与CAI的相关性。对PubMed、CINAHL、SPORTDiscus、Web of Science和科克伦临床试验注册数据库进行了系统的计算机文献检索。所选研究将CAI患者与对照组或CAI踝关节与对侧健康踝关节进行了比较，并特别报告了结局中的足姿势和踝关节对线。该等报告以英文撰写，并于二零二一年六月前发表。纳入研究的方法学质量使用16个问题的指数进行评价。数据由两名评审员独立提取，并使用GRADE方法评估证据的确定性。纳入了16项研究，包括872例方法学质量从高到低的患者。这些结果显示CAI踝关节存在明显的距骨前移位和内旋（证据不足），但对于腓骨对线或足部姿势尚无共识。本综述显示CAI踝关节存在明显的距骨前移位和内旋，但对腓骨和足部对线的特征没有达成共识。需要进一步的调查，以澄清特征的足和踝关节排列不良CAI，以促进有效的干预措施的发展。在线版本包含补充材料，可通过10.1186/s12891-021-04537-6获得。
To prevent recurrent ankle sprain, it is important to clarify the pathology of chronic ankle instability (CAI). An association has been reported between CAI and abnormalities of foot posture and ankle alignment. There is no consensus on the types of these abnormalities that occur in individuals with CAI. The objective of this systematic review is to clarify the relevance of abnormality of foot posture and ankle alignment for CAI. A systematic computerized literature search was performed of the PubMed, CINAHL, SPORTDiscus, Web of Science, and the Cochrane Register of Clinical Trials databases. The selected studies either compared CAI patients with a control group or CAI ankles with contralateral healthy ankles and specifically reported foot posture and alignment of the ankle in the outcomes. They were written in English and published prior to June 2021. The methodological quality of the included studies was evaluated using a 16-question index. Data were extracted independently by two reviewers, and the certainty of evidence was assessed using GRADE approach. Sixteen studies including 872 patients of high to low methodological quality were included. These showed there was significant anterior displacement and internal rotation of the talus in CAI ankles (low evidence), but there was no consensus on fibular alignment or foot posture. This review showed there was significant anterior displacement and internal rotation of the talus in CAI ankles but found no consensus on the characteristics of fibular and foot alignment. Further investigations are required to clarify the characteristic foot and ankle malalignment in CAI to facilitate the development of efficient interventions. The online version contains supplementary material available at 10.1186/s12891-021-04537-6.
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DOI：
10.1016/j.apmr.2016.08.474
发表时间：
2017-01-01
影响因子：
4.3
作者：
Baldwin, Jennifer N.;McKay, Marnee J.;Burns, Joshua
通讯作者：
Burns, Joshua
DOI：
10.3109/17453679009006505
发表时间：
1990-04-01
期刊：
ACTA ORTHOPAEDICA SCANDINAVICA
影响因子：
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作者：
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通讯作者：
ANGERMANN, P
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1.7
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通讯作者：
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影响因子：
6.3
作者：
Downs, SH;Black, N
通讯作者：
Black, N
影响因子：
2.8
作者：
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通讯作者：
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