Eccentric reinforcement of the ankle evertor muscles after lateral ankle sprain
Identifieur interne : 006881 ( Istex/Corpus ); précédent : 006880; suivant : 006882Eccentric reinforcement of the ankle evertor muscles after lateral ankle sprain
Auteurs : H. Collado ; J. M. Coudreuse ; F. Graziani ; L. Bensoussan ; J. M. Viton ; A. DelarqueSource :
- Scandinavian Journal of Medicine & Science in Sports [ 0905-7188 ] ; 2010-04.
Abstract
To compare two methods of ankle evertor muscle reinforcement after ankle sprain: concentric vs eccentric reinforcement. Eighteen subjects practising sport with first episode of ankle sprain. The first randomized group underwent conventional physical therapy including concentric reinforcement of the evertor ankle muscles [concentric group (CG)]. The second randomized group underwent eccentric reinforcement [eccentric group (EG)]. At the end of the physical therapy, the strength of the evertor muscles was tested using an isokinetic dynamometer. The measurements were peak torques in the concentric and eccentric modes; ankle strength deficits, expressed as percentages of the healthy ankle values recorded in the concentric and eccentric modes; ratios between concentric/eccentric values. After the concentric reinforcement, in the CG group, there is both significant concentric strength deficit and an eccentric strength deficit on the injured side in comparison with the healthy side. After the eccentric reinforcement in the EG group, the muscle strength was significantly greater during concentric movements. Eccentric rehabilitation therefore restored the strength of the injured evertor muscles. These results show the value of this method, especially as the weakness of these muscles after sprains is one of the main risk factors contributing to instability and the recurrence of sprains.
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DOI: 10.1111/j.1600-0838.2009.00882.x
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Coudreuse</name><affiliation><mods:affiliation>Department of Physical and Rehabilitation Medicine, Department of Sport Medicine, Faculté de Médecine, Université de la Méditerranée – Assistance Publique Hopitaux de Marseille – University Hospital La Timone, Marseille, France</mods:affiliation></affiliation></author><author><name sortKey="Graziani, F" sort="Graziani, F" uniqKey="Graziani F" first="F." last="Graziani">F. Graziani</name><affiliation><mods:affiliation>Department of Physical and Rehabilitation Medicine, Department of Sport Medicine, Faculté de Médecine, Université de la Méditerranée – Assistance Publique Hopitaux de Marseille – University Hospital La Timone, Marseille, France</mods:affiliation></affiliation></author><author><name sortKey="Bensoussan, L" sort="Bensoussan, L" uniqKey="Bensoussan L" first="L." last="Bensoussan">L. 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Collado</name><affiliation><mods:affiliation>Department of Physical and Rehabilitation Medicine, Department of Sport Medicine, Faculté de Médecine, Université de la Méditerranée – Assistance Publique Hopitaux de Marseille – University Hospital La Timone, Marseille, France</mods:affiliation></affiliation></author><author><name sortKey="Coudreuse, J M" sort="Coudreuse, J M" uniqKey="Coudreuse J" first="J. M." last="Coudreuse">J. M. Coudreuse</name><affiliation><mods:affiliation>Department of Physical and Rehabilitation Medicine, Department of Sport Medicine, Faculté de Médecine, Université de la Méditerranée – Assistance Publique Hopitaux de Marseille – University Hospital La Timone, Marseille, France</mods:affiliation></affiliation></author><author><name sortKey="Graziani, F" sort="Graziani, F" uniqKey="Graziani F" first="F." last="Graziani">F. Graziani</name><affiliation><mods:affiliation>Department of Physical and Rehabilitation Medicine, Department of Sport Medicine, Faculté de Médecine, Université de la Méditerranée – Assistance Publique Hopitaux de Marseille – University Hospital La Timone, Marseille, France</mods:affiliation></affiliation></author><author><name sortKey="Bensoussan, L" sort="Bensoussan, L" uniqKey="Bensoussan L" first="L." last="Bensoussan">L. Bensoussan</name><affiliation><mods:affiliation>Department of Physical and Rehabilitation Medicine, Department of Sport Medicine, Faculté de Médecine, Université de la Méditerranée – Assistance Publique Hopitaux de Marseille – University Hospital La Timone, Marseille, France</mods:affiliation></affiliation></author><author><name sortKey="Viton, J M" sort="Viton, J M" uniqKey="Viton J" first="J. M." last="Viton">J. M. Viton</name><affiliation><mods:affiliation>Department of Physical and Rehabilitation Medicine, Department of Sport Medicine, Faculté de Médecine, Université de la Méditerranée – Assistance Publique Hopitaux de Marseille – University Hospital La Timone, Marseille, France</mods:affiliation></affiliation></author><author><name sortKey="Delarque, A" sort="Delarque, A" uniqKey="Delarque A" first="A." last="Delarque">A. Delarque</name><affiliation><mods:affiliation>Department of Physical and Rehabilitation Medicine, Department of Sport Medicine, Faculté de Médecine, Université de la Méditerranée – Assistance Publique Hopitaux de Marseille – University Hospital La Timone, Marseille, France</mods:affiliation></affiliation></author></analytic><monogr></monogr><series><title level="j" type="main">Scandinavian Journal of Medicine & Science in Sports</title><title level="j" type="alt">SCANDINAVIAN JOURNAL MEDICINE SCIENCE IN SPORTS</title><idno type="ISSN">0905-7188</idno><idno type="eISSN">1600-0838</idno><imprint><biblScope unit="vol">20</biblScope><biblScope unit="issue">2</biblScope><biblScope unit="page" from="241">241</biblScope><biblScope unit="page" to="246">246</biblScope><biblScope unit="page-count">6</biblScope><publisher>Blackwell Publishing Ltd</publisher><pubPlace>Oxford, UK</pubPlace><date type="published" when="2010-04">2010-04</date></imprint><idno type="ISSN">0905-7188</idno></series></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0905-7188</idno></seriesStmt></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">To compare two methods of ankle evertor muscle reinforcement after ankle sprain: concentric vs eccentric reinforcement. Eighteen subjects practising sport with first episode of ankle sprain. The first randomized group underwent conventional physical therapy including concentric reinforcement of the evertor ankle muscles [concentric group (CG)]. The second randomized group underwent eccentric reinforcement [eccentric group (EG)]. At the end of the physical therapy, the strength of the evertor muscles was tested using an isokinetic dynamometer. The measurements were peak torques in the concentric and eccentric modes; ankle strength deficits, expressed as percentages of the healthy ankle values recorded in the concentric and eccentric modes; ratios between concentric/eccentric values. After the concentric reinforcement, in the CG group, there is both significant concentric strength deficit and an eccentric strength deficit on the injured side in comparison with the healthy side. After the eccentric reinforcement in the EG group, the muscle strength was significantly greater during concentric movements. Eccentric rehabilitation therefore restored the strength of the injured evertor muscles. These results show the value of this method, especially as the weakness of these muscles after sprains is one of the main risk factors contributing to instability and the recurrence of sprains.</div></front></TEI><istex><corpusName>wiley</corpusName><keywords><teeft><json:string>sprain</json:string><json:string>evertor</json:string><json:string>healthy side</json:string><json:string>ankle sprain</json:string><json:string>evertor muscles</json:string><json:string>concentric reinforcement</json:string><json:string>concentric</json:string><json:string>eccentric reinforcement</json:string><json:string>physical therapy</json:string><json:string>reinforcement</json:string><json:string>isokinetic</json:string><json:string>lateral</json:string><json:string>eccentric modes</json:string><json:string>eccentric mode</json:string><json:string>ankle</json:string><json:string>peak torque</json:string><json:string>evertor ankle muscles</json:string><json:string>healthy subjects</json:string><json:string>eccentric group</json:string><json:string>eccentric peak torques</json:string><json:string>control group</json:string><json:string>athl train</json:string><json:string>concentric mode</json:string><json:string>ligament</json:string><json:string>recurrence</json:string><json:string>peak torques</json:string><json:string>ankle sprains</json:string><json:string>eccentric strength</json:string><json:string>isokinetic dynamometer</json:string><json:string>muscle strength</json:string><json:string>results show</json:string><json:string>concentric group</json:string><json:string>healthy ankle values</json:string><json:string>ankle instability</json:string><json:string>landing foot</json:string><json:string>ankle strength</json:string><json:string>lateral ankle sprain</json:string><json:string>eccentric peak torque</json:string><json:string>eccentric</json:string><json:string>sports practice</json:string><json:string>eccentric rehabilitation</json:string><json:string>risk factors</json:string><json:string>eccentric muscle reinforcement results</json:string><json:string>greater muscle output</json:string><json:string>concentric strength</json:string><json:string>clinical assessment</json:string><json:string>sixth session</json:string><json:string>ankle evertor muscle reinforcement</json:string><json:string>marseille university hospital</json:string><json:string>main risk factors</json:string><json:string>randomized groups</json:string><json:string>second group</json:string><json:string>assistance publique hopitaux</json:string><json:string>sport medicine</json:string><json:string>seventh session</json:string><json:string>rehabilitation care</json:string><json:string>rehabilitation medicine</json:string><json:string>initial position</json:string><json:string>rest period</json:string><json:string>proprioceptive rehabilitation</json:string><json:string>freeman plate</json:string><json:string>baps board</json:string><json:string>physical examination</json:string><json:string>concentric movements</json:string><json:string>significant difference</json:string><json:string>evertor muscle strength</json:string><json:string>eccentric muscle strength</json:string><json:string>isokinetic tests</json:string><json:string>persistent pain</json:string><json:string>lateral ankle instability</json:string><json:string>ankle evertor muscles</json:string><json:string>orthop clin</json:string><json:string>physical therapy treatment</json:string></teeft></keywords><author><json:item><name>H. Collado</name><affiliations><json:string>Department of Physical and Rehabilitation Medicine, Department of Sport Medicine, Faculté de Médecine, Université de la Méditerranée – Assistance Publique Hopitaux de Marseille – University Hospital La Timone, Marseille, France</json:string></affiliations></json:item><json:item><name>J. M. Coudreuse</name><affiliations><json:string>Department of Physical and Rehabilitation Medicine, Department of Sport Medicine, Faculté de Médecine, Université de la Méditerranée – Assistance Publique Hopitaux de Marseille – University Hospital La Timone, Marseille, France</json:string></affiliations></json:item><json:item><name>F. Graziani</name><affiliations><json:string>Department of Physical and Rehabilitation Medicine, Department of Sport Medicine, Faculté de Médecine, Université de la Méditerranée – Assistance Publique Hopitaux de Marseille – University Hospital La Timone, Marseille, France</json:string></affiliations></json:item><json:item><name>L. Bensoussan</name><affiliations><json:string>Department of Physical and Rehabilitation Medicine, Department of Sport Medicine, Faculté de Médecine, Université de la Méditerranée – Assistance Publique Hopitaux de Marseille – University Hospital La Timone, Marseille, France</json:string></affiliations></json:item><json:item><name>J. M. Viton</name><affiliations><json:string>Department of Physical and Rehabilitation Medicine, Department of Sport Medicine, Faculté de Médecine, Université de la Méditerranée – Assistance Publique Hopitaux de Marseille – University Hospital La Timone, Marseille, France</json:string></affiliations></json:item><json:item><name>A. Delarque</name><affiliations><json:string>Department of Physical and Rehabilitation Medicine, Department of Sport Medicine, Faculté de Médecine, Université de la Méditerranée – Assistance Publique Hopitaux de Marseille – University Hospital La Timone, Marseille, France</json:string></affiliations></json:item></author><subject><json:item><lang><json:string>eng</json:string></lang><value>ankle sprain</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>evertor muscle</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>eccentric reinforcement</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>collateral lateral ligament</value></json:item></subject><articleId><json:string>SMS882</json:string></articleId><language><json:string>eng</json:string></language><originalGenre><json:string>article</json:string></originalGenre><abstract>To compare two methods of ankle evertor muscle reinforcement after ankle sprain: concentric vs eccentric reinforcement. Eighteen subjects practising sport with first episode of ankle sprain. The first randomized group underwent conventional physical therapy including concentric reinforcement of the evertor ankle muscles [concentric group (CG)]. The second randomized group underwent eccentric reinforcement [eccentric group (EG)]. At the end of the physical therapy, the strength of the evertor muscles was tested using an isokinetic dynamometer. The measurements were peak torques in the concentric and eccentric modes; ankle strength deficits, expressed as percentages of the healthy ankle values recorded in the concentric and eccentric modes; ratios between concentric/eccentric values. After the concentric reinforcement, in the CG group, there is both significant concentric strength deficit and an eccentric strength deficit on the injured side in comparison with the healthy side. After the eccentric reinforcement in the EG group, the muscle strength was significantly greater during concentric movements. Eccentric rehabilitation therefore restored the strength of the injured evertor muscles. 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M.</forename><surname>Coudreuse</surname></persName><affiliation>Department of Physical and Rehabilitation Medicine, Department of Sport Medicine, Faculté de Médecine, Université de la Méditerranée – Assistance Publique Hopitaux de Marseille – University Hospital La Timone, Marseille, France<address><country key="FR"></country></address></affiliation></author><author xml:id="author-0002"><persName><forename type="first">F.</forename><surname>Graziani</surname></persName><affiliation>Department of Physical and Rehabilitation Medicine, Department of Sport Medicine, Faculté de Médecine, Université de la Méditerranée – Assistance Publique Hopitaux de Marseille – University Hospital La Timone, Marseille, France<address><country key="FR"></country></address></affiliation></author><author xml:id="author-0003"><persName><forename type="first">L.</forename><surname>Bensoussan</surname></persName><affiliation>Department of Physical and Rehabilitation Medicine, Department of Sport Medicine, Faculté de Médecine, Université de la Méditerranée – Assistance Publique Hopitaux de Marseille – University Hospital La Timone, Marseille, France<address><country key="FR"></country></address></affiliation></author><author xml:id="author-0004"><persName><forename type="first">J. M.</forename><surname>Viton</surname></persName><affiliation>Department of Physical and Rehabilitation Medicine, Department of Sport Medicine, Faculté de Médecine, Université de la Méditerranée – Assistance Publique Hopitaux de Marseille – University Hospital La Timone, Marseille, France<address><country key="FR"></country></address></affiliation></author><author xml:id="author-0005"><persName><forename type="first">A.</forename><surname>Delarque</surname></persName><affiliation>Department of Physical and Rehabilitation Medicine, Department of Sport Medicine, Faculté de Médecine, Université de la Méditerranée – Assistance Publique Hopitaux de Marseille – University Hospital La Timone, Marseille, France<address><country key="FR"></country></address></affiliation></author><idno type="istex">DF6E4F9E8ABE3F42C0A0C229462ECF0CDEE2AE73</idno><idno type="DOI">10.1111/j.1600-0838.2009.00882.x</idno><idno type="unit">SMS882</idno><idno type="supplier">882</idno><idno type="toTypesetVersion">file:SMS.SMS882.pdf</idno></analytic><monogr><title level="j" type="main">Scandinavian Journal of Medicine & Science in Sports</title><title level="j" type="alt">SCANDINAVIAN JOURNAL MEDICINE SCIENCE IN SPORTS</title><idno type="pISSN">0905-7188</idno><idno type="eISSN">1600-0838</idno><idno type="book-DOI">10.1111/(ISSN)1600-0838</idno><idno type="book-part-DOI">10.1111/sms.2010.20.issue-2</idno><idno type="product">SMS</idno><idno type="publisherDivision">ST</idno><imprint><biblScope unit="vol">20</biblScope><biblScope unit="issue">2</biblScope><biblScope unit="page" from="241">241</biblScope><biblScope unit="page" to="246">246</biblScope><biblScope unit="page-count">6</biblScope><publisher>Blackwell Publishing Ltd</publisher><pubPlace>Oxford, UK</pubPlace><date type="published" when="2010-04"></date></imprint></monogr></biblStruct></sourceDesc></fileDesc><profileDesc><abstract xml:lang="en" style="main"><p>To compare two methods of ankle evertor muscle reinforcement after ankle sprain: concentric vs eccentric reinforcement. Eighteen subjects practising sport with first episode of ankle sprain. The first randomized group underwent conventional physical therapy including concentric reinforcement of the evertor ankle muscles [concentric group (CG)]. The second randomized group underwent eccentric reinforcement [eccentric group (EG)]. At the end of the physical therapy, the strength of the evertor muscles was tested using an isokinetic dynamometer. The measurements were peak torques in the concentric and eccentric modes; ankle strength deficits, expressed as percentages of the healthy ankle values recorded in the concentric and eccentric modes; ratios between concentric/eccentric values. After the concentric reinforcement, in the CG group, there is both significant concentric strength deficit and an eccentric strength deficit on the injured side in comparison with the healthy side. After the eccentric reinforcement in the EG group, the muscle strength was significantly greater during concentric movements. Eccentric rehabilitation therefore restored the strength of the injured evertor muscles. These results show the value of this method, especially as the weakness of these muscles after sprains is one of the main risk factors contributing to instability and the recurrence of sprains.</p></abstract><textClass><keywords xml:lang="en"><term xml:id="k1">ankle sprain</term><term xml:id="k2">evertor muscle</term><term xml:id="k3">eccentric reinforcement</term><term xml:id="k4">collateral lateral ligament</term></keywords><classCode scheme="tocHeading1">ORIGINAL ARTICLES</classCode></textClass><langUsage><language ident="EN"></language></langUsage></profileDesc></teiHeader></istex:fulltextTEI><json:item><extension>txt</extension><original>false</original><mimetype>text/plain</mimetype><uri>https://api.istex.fr/document/DF6E4F9E8ABE3F42C0A0C229462ECF0CDEE2AE73/fulltext/txt</uri></json:item></fulltext><metadata><istex:metadataXml wicri:clean="Wiley, elements deleted: body"><istex:xmlDeclaration>version="1.0" encoding="UTF-8" standalone="yes"</istex:xmlDeclaration><istex:document><component version="2.0" type="serialArticle" xml:lang="en"><header><publicationMeta level="product"><publisherInfo><publisherName>Blackwell Publishing Ltd</publisherName><publisherLoc>Oxford, UK</publisherLoc></publisherInfo><doi origin="wiley" registered="yes">10.1111/(ISSN)1600-0838</doi><issn type="print">0905-7188</issn><issn type="electronic">1600-0838</issn><idGroup><id type="product" value="SMS"></id><id type="publisherDivision" value="ST"></id></idGroup><titleGroup><title type="main" sort="SCANDINAVIAN JOURNAL MEDICINE SCIENCE IN SPORTS">Scandinavian Journal of Medicine & Science in Sports</title></titleGroup></publicationMeta><publicationMeta level="part" position="04002"><doi origin="wiley">10.1111/sms.2010.20.issue-2</doi><numberingGroup><numbering type="journalVolume" number="20">20</numbering><numbering type="journalIssue" number="2">2</numbering></numberingGroup><coverDate startDate="2010-04">April 2010</coverDate></publicationMeta><publicationMeta level="unit" type="article" position="10" status="forIssue"><doi origin="wiley">10.1111/j.1600-0838.2009.00882.x</doi><idGroup><id type="unit" value="SMS882"></id><id type="supplier" value="882"></id></idGroup><countGroup><count type="pageTotal" number="6"></count></countGroup><titleGroup><title type="tocHeading1">ORIGINAL ARTICLES</title></titleGroup><copyright>© 2009 John Wiley & Sons A/S</copyright><eventGroup><event type="firstOnline" date="2009-03-29"></event><event type="publishedOnlineFinalForm" date="2010-03-10"></event><event type="xmlConverted" agent="Converter:BPG_TO_WML3G version:2.3.2 mode:FullText source:FullText result:FullText" date="2010-03-12"></event><event type="xmlConverted" agent="Converter:WILEY_ML3G_TO_WILEY_ML3GV2 version:3.8.8" date="2014-02-08"></event><event type="xmlConverted" agent="Converter:WML3G_To_WML3G version:4.1.7 mode:FullText,remove_FC" date="2014-11-03"></event></eventGroup><numberingGroup><numbering type="pageFirst" number="241">241</numbering><numbering type="pageLast" number="246">246</numbering></numberingGroup><correspondenceTo>Corresponding author: Hervé Collado, MD, Department of Physical and Rehabilitation Medicine and Department of Sport Medicine, Faculté de Médecine, Université de la Méditerranée – Assistance Publique Hopitaux de Marseille – University Hospital La Timone, 264 rue Saint‐Pierre. 13005 Marseille. France. Tel: +33 4 91 38 56 01, Fax: +33 4 91 38 46 12, E‐mail: <email normalForm="hervecollado@hotmail.fr">hervecollado@hotmail.fr</email></correspondenceTo><linkGroup><link type="toTypesetVersion" href="file:SMS.SMS882.pdf"></link></linkGroup></publicationMeta><contentMeta><unparsedEditorialHistory>Accepted for publication 13 October 2008</unparsedEditorialHistory><countGroup><count type="figureTotal" number="2"></count><count type="tableTotal" number="4"></count><count type="formulaTotal" number="0"></count><count type="referenceTotal" number="28"></count><count type="wordTotal" number="4853"></count><count type="linksCrossRef" number="30"></count></countGroup><titleGroup><title type="main">Eccentric reinforcement of the ankle evertor muscles after lateral ankle sprain</title><title type="shortAuthors">Collado et al.</title><title type="short">A new rehabilitation care for ankle sprain</title></titleGroup><creators><creator creatorRole="author" xml:id="cr1" affiliationRef="#a1"><personName><givenNames>H.</givenNames><familyName>Collado</familyName></personName></creator><creator creatorRole="author" xml:id="cr2" affiliationRef="#a1"><personName><givenNames>J. M.</givenNames><familyName>Coudreuse</familyName></personName></creator><creator creatorRole="author" xml:id="cr3" affiliationRef="#a1"><personName><givenNames>F.</givenNames><familyName>Graziani</familyName></personName></creator><creator creatorRole="author" xml:id="cr4" affiliationRef="#a1"><personName><givenNames>L.</givenNames><familyName>Bensoussan</familyName></personName></creator><creator creatorRole="author" xml:id="cr5" affiliationRef="#a1"><personName><givenNames>J. M.</givenNames><familyName>Viton</familyName></personName></creator><creator creatorRole="author" xml:id="cr6" affiliationRef="#a1"><personName><givenNames>A.</givenNames><familyName>Delarque</familyName></personName></creator></creators><affiliationGroup><affiliation xml:id="a1" countryCode="FR"><unparsedAffiliation>Department of Physical and Rehabilitation Medicine, Department of Sport Medicine, Faculté de Médecine, Université de la Méditerranée – Assistance Publique Hopitaux de Marseille – University Hospital La Timone, Marseille, France</unparsedAffiliation></affiliation></affiliationGroup><keywordGroup xml:lang="en"><keyword xml:id="k1">ankle sprain</keyword><keyword xml:id="k2">evertor muscle</keyword><keyword xml:id="k3">eccentric reinforcement</keyword><keyword xml:id="k4">collateral lateral ligament</keyword></keywordGroup><abstractGroup><abstract type="main" xml:lang="en"><p>To compare two methods of ankle evertor muscle reinforcement after ankle sprain: concentric vs eccentric reinforcement. Eighteen subjects practising sport with first episode of ankle sprain. The first randomized group underwent conventional physical therapy including concentric reinforcement of the evertor ankle muscles [concentric group (CG)]. The second randomized group underwent eccentric reinforcement [eccentric group (EG)]. At the end of the physical therapy, the strength of the evertor muscles was tested using an isokinetic dynamometer. The measurements were peak torques in the concentric and eccentric modes; ankle strength deficits, expressed as percentages of the healthy ankle values recorded in the concentric and eccentric modes; ratios between concentric/eccentric values. After the concentric reinforcement, in the CG group, there is both significant concentric strength deficit and an eccentric strength deficit on the injured side in comparison with the healthy side. After the eccentric reinforcement in the EG group, the muscle strength was significantly greater during concentric movements. Eccentric rehabilitation therefore restored the strength of the injured evertor muscles. These results show the value of this method, especially as the weakness of these muscles after sprains is one of the main risk factors contributing to instability and the recurrence of sprains.</p></abstract></abstractGroup></contentMeta></header></component></istex:document></istex:metadataXml><mods version="3.6"><titleInfo lang="en"><title>Eccentric reinforcement of the ankle evertor muscles after lateral ankle sprain</title></titleInfo><titleInfo type="abbreviated" lang="en"><title>A new rehabilitation care for ankle sprain</title></titleInfo><titleInfo type="alternative" contentType="CDATA" lang="en"><title>Eccentric reinforcement of the ankle evertor muscles after lateral ankle sprain</title></titleInfo><name type="personal"><namePart type="given">H.</namePart><namePart type="family">Collado</namePart><affiliation>Department of Physical and Rehabilitation Medicine, Department of Sport Medicine, Faculté de Médecine, Université de la Méditerranée – Assistance Publique Hopitaux de Marseille – University Hospital La Timone, Marseille, France</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">J. M.</namePart><namePart type="family">Coudreuse</namePart><affiliation>Department of Physical and Rehabilitation Medicine, Department of Sport Medicine, Faculté de Médecine, Université de la Méditerranée – Assistance Publique Hopitaux de Marseille – University Hospital La Timone, Marseille, France</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">F.</namePart><namePart type="family">Graziani</namePart><affiliation>Department of Physical and Rehabilitation Medicine, Department of Sport Medicine, Faculté de Médecine, Université de la Méditerranée – Assistance Publique Hopitaux de Marseille – University Hospital La Timone, Marseille, France</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">L.</namePart><namePart type="family">Bensoussan</namePart><affiliation>Department of Physical and Rehabilitation Medicine, Department of Sport Medicine, Faculté de Médecine, Université de la Méditerranée – Assistance Publique Hopitaux de Marseille – University Hospital La Timone, Marseille, France</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">J. M.</namePart><namePart type="family">Viton</namePart><affiliation>Department of Physical and Rehabilitation Medicine, Department of Sport Medicine, Faculté de Médecine, Université de la Méditerranée – Assistance Publique Hopitaux de Marseille – University Hospital La Timone, Marseille, France</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">A.</namePart><namePart type="family">Delarque</namePart><affiliation>Department of Physical and Rehabilitation Medicine, Department of Sport Medicine, Faculté de Médecine, Université de la Méditerranée – Assistance Publique Hopitaux de Marseille – University Hospital La Timone, Marseille, France</affiliation><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre type="article" displayLabel="article"></genre><originInfo><publisher>Blackwell Publishing Ltd</publisher><place><placeTerm type="text">Oxford, UK</placeTerm></place><dateIssued encoding="w3cdtf">2010-04</dateIssued><edition>Accepted for publication 13 October 2008</edition><copyrightDate encoding="w3cdtf">2010</copyrightDate></originInfo><language><languageTerm type="code" authority="rfc3066">en</languageTerm><languageTerm type="code" authority="iso639-2b">eng</languageTerm></language><physicalDescription><internetMediaType>text/html</internetMediaType><extent unit="figures">2</extent><extent unit="tables">4</extent><extent unit="references">28</extent><extent unit="words">4853</extent></physicalDescription><abstract lang="en">To compare two methods of ankle evertor muscle reinforcement after ankle sprain: concentric vs eccentric reinforcement. Eighteen subjects practising sport with first episode of ankle sprain. The first randomized group underwent conventional physical therapy including concentric reinforcement of the evertor ankle muscles [concentric group (CG)]. The second randomized group underwent eccentric reinforcement [eccentric group (EG)]. At the end of the physical therapy, the strength of the evertor muscles was tested using an isokinetic dynamometer. The measurements were peak torques in the concentric and eccentric modes; ankle strength deficits, expressed as percentages of the healthy ankle values recorded in the concentric and eccentric modes; ratios between concentric/eccentric values. After the concentric reinforcement, in the CG group, there is both significant concentric strength deficit and an eccentric strength deficit on the injured side in comparison with the healthy side. After the eccentric reinforcement in the EG group, the muscle strength was significantly greater during concentric movements. Eccentric rehabilitation therefore restored the strength of the injured evertor muscles. These results show the value of this method, especially as the weakness of these muscles after sprains is one of the main risk factors contributing to instability and the recurrence of sprains.</abstract><subject lang="en"><genre>keywords</genre><topic>ankle sprain</topic><topic>evertor muscle</topic><topic>eccentric reinforcement</topic><topic>collateral lateral ligament</topic></subject><relatedItem type="host"><titleInfo><title>Scandinavian Journal of Medicine & Science in Sports</title></titleInfo><genre type="journal">journal</genre><identifier type="ISSN">0905-7188</identifier><identifier type="eISSN">1600-0838</identifier><identifier type="DOI">10.1111/(ISSN)1600-0838</identifier><identifier type="PublisherID">SMS</identifier><part><date>2010</date><detail type="volume"><caption>vol.</caption><number>20</number></detail><detail type="issue"><caption>no.</caption><number>2</number></detail><extent unit="pages"><start>241</start><end>246</end><total>6</total></extent></part></relatedItem><identifier type="istex">DF6E4F9E8ABE3F42C0A0C229462ECF0CDEE2AE73</identifier><identifier type="DOI">10.1111/j.1600-0838.2009.00882.x</identifier><identifier type="ArticleID">SMS882</identifier><accessCondition type="use and reproduction" contentType="copyright">© 2009 John Wiley & Sons A/S</accessCondition><recordInfo><recordContentSource>WILEY</recordContentSource><recordOrigin>Blackwell Publishing Ltd</recordOrigin></recordInfo></mods></metadata><serie></serie></istex></record>Pour manipuler ce document sous Unix (Dilib)
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