Changes in Physical Activity Behavior in Chronic Ankle Instability Patient after Episodes of “Giving-Way”
Presenter Type
UNO Graduate Student (Doctoral)
Major/Field of Study
Biomechanics
Advisor Information
Adam B. Rosen
Location
MBSC302 - G (Doctoral)
Presentation Type
Oral Presentation
Start Date
24-3-2023 2:30 PM
End Date
24-3-2023 3:45 PM
Abstract
INTRODUCTION
People with a history of ankle sprain have an increased likelihood of experiencing repeated ankle injury and developing a common debilitating condition known as chronic ankle instability (CAI). Increased fear of reinjury more commonly referred to as kinesiophobia is often observed in patients with CAI, could potentially account for the decreased levels of physical activity, however, this relationship remains unclear. During physical activity, CAI often manifests as persistent ankle dysfunction with episodes of “giving way, advances in monitoring through accelerometers can allow researchers to capture these events during real-time situations to assess their impact more comprehensively and accurately on patient health and function. Therefore, understanding the relationship between physical activity and fear of reinjury and the impact of “giving way episodes on physical activity during real-time monitoring are critical to improving long-term patient function and outcomes.
METHODS
26 physically active participants participated in this study. Participants were asked to complete the questionnaires. Inclusion criteria for the CAI participants included a history of initial ankle sprain occurring at least 12 months prior, but more than 3 months before to study. Participants with a score of ≤ 25 on the CAIT and the presence of “giving-way” episodes or “feelings of instability” were assigned to this study. After completing questionnaires, the baseline of clinical examinations was taken, and participants were provided physical activity tracker to track their physical activity levels for 4 weeks. Participants were asked to provide a description and complete questionnaires after each “giving- way” episode. To investigate the relationship between physical activity level and kinesiophobia, Pearson correlation coefficients were calculated. Correlational coefficients were interpreted as0.8 very large. A dependent samples T-test was completed to assess differences in patient-reported outcomes and physical activity comparing the data before and after that episode.
RESULTS AND DISCUSSION
There was a significant difference in physical activity after giving-way episodes (125.95±132.62, t = 2.69, p = 0.31). These results demonstrate that “giving-way” episodes lower the physical activity levels in the 7 days following that event compared to their prior 7 days of physical activity. However, there was no relationship between kinesiophobia and physical activity.
Scheduling
2:30 -3:45 p.m.
Changes in Physical Activity Behavior in Chronic Ankle Instability Patient after Episodes of “Giving-Way”
MBSC302 - G (Doctoral)
INTRODUCTION
People with a history of ankle sprain have an increased likelihood of experiencing repeated ankle injury and developing a common debilitating condition known as chronic ankle instability (CAI). Increased fear of reinjury more commonly referred to as kinesiophobia is often observed in patients with CAI, could potentially account for the decreased levels of physical activity, however, this relationship remains unclear. During physical activity, CAI often manifests as persistent ankle dysfunction with episodes of “giving way, advances in monitoring through accelerometers can allow researchers to capture these events during real-time situations to assess their impact more comprehensively and accurately on patient health and function. Therefore, understanding the relationship between physical activity and fear of reinjury and the impact of “giving way episodes on physical activity during real-time monitoring are critical to improving long-term patient function and outcomes.
METHODS
26 physically active participants participated in this study. Participants were asked to complete the questionnaires. Inclusion criteria for the CAI participants included a history of initial ankle sprain occurring at least 12 months prior, but more than 3 months before to study. Participants with a score of ≤ 25 on the CAIT and the presence of “giving-way” episodes or “feelings of instability” were assigned to this study. After completing questionnaires, the baseline of clinical examinations was taken, and participants were provided physical activity tracker to track their physical activity levels for 4 weeks. Participants were asked to provide a description and complete questionnaires after each “giving- way” episode. To investigate the relationship between physical activity level and kinesiophobia, Pearson correlation coefficients were calculated. Correlational coefficients were interpreted as0.8 very large. A dependent samples T-test was completed to assess differences in patient-reported outcomes and physical activity comparing the data before and after that episode.
RESULTS AND DISCUSSION
There was a significant difference in physical activity after giving-way episodes (125.95±132.62, t = 2.69, p = 0.31). These results demonstrate that “giving-way” episodes lower the physical activity levels in the 7 days following that event compared to their prior 7 days of physical activity. However, there was no relationship between kinesiophobia and physical activity.