Current Challenges in Chronic Ankle Instability: Review and Perspective

Matthieu Lalevée; Donald D Anderson; Jason M Wilken

doi:10.1016/j.fcl.2022.11.003

Current Challenges in Chronic Ankle Instability: Review and Perspective

Foot Ankle Clin. 2023 Mar;28(1):129-143. doi: 10.1016/j.fcl.2022.11.003. Epub 2023 Jan 3.

Authors

Matthieu Lalevée¹, Donald D Anderson², Jason M Wilken³

Affiliations

¹ CETAPS EA3832, Research Center for Sports and Athletic Activities Transformations, University of Rouen Normandy, F-76821 Mont-Saint-Aignan, France; Department of Orthopedic Surgery, Rouen University Hospital, 37 Bd Gambetta, Rouen 76000, France.
² Department of Orthopedics and Rehabilitation, The University of Iowa, Iowa City, IA 52242, USA; Department of Biomedical Engineering, The University of Iowa, Iowa City, IA 52242, USA; Department of Industrial and Systems Engineering, The University of Iowa, Iowa City, IA 52242, USA.
³ Department of Physical Therapy and Rehabilitation Science, The University of Iowa, 500 Newton Road, 1-249 Medical Education Building, Iowa City, IA 52242-1089, USA. Electronic address: jason-wilken@uiowa.edu.

PMID: 36822682
DOI: 10.1016/j.fcl.2022.11.003

Abstract

Chronic ankle instability (CAI) is common, disabling, and represents a significant socioeconomic burden. Current treatment options are not adequately efficacious. CAI is multifaceted, yet it is commonly addressed in terms of either mechanical instability or functional impairment. Both are inherently linked. Basic research must be conducted to foster reliable translational research encompassing both mechanical and functional aspects. A review was conducted to identify CAI risk factors for inclusion in future studies, and we offer here opinions and perspectives for future research.

Keywords: Ankle instability; Ankle sprain; Functional; Mechanical; Risk factors.

Publication types

Review

MeSH terms

Ankle
Ankle Injuries* / complications
Ankle Joint
Chronic Disease
Humans
Joint Instability* / etiology