Acceleration and Jerk After a Jump Stabilization Task in Individuals With and Without Chronic Ankle Instability

in Journal of Applied Biomechanics
View More View Less
  • 1 University of Kentucky
  • | 2 HCA Virginia Sports Medicine
Restricted access

Purchase article

USD  $24.95

Student 1 year online subscription

USD  $88.00

1 year online subscription

USD  $118.00

Student 2 year online subscription

USD  $168.00

2 year online subscription

USD  $224.00

Studies have demonstrated that individuals with chronic ankle instability (CAI) have diminished dynamic stability. Jerk-based measures have been utilized to examine dynamic balance because of their ability to quantify changes in acceleration and may provide an understanding of the postural corrections that occur during stabilizing following a jumping task. The purpose of this study was to compare acceleration and jerk following a jump stabilization task between individuals with CAI and the uninjured controls. Thirty-nine participants volunteered to participate in this case control study. Participants completed a jump stabilization task requiring them to jump off 2 feet, touch a marker set at 50% of their maximal vertical jump height, land on a single limb, and maintain balance for 3 seconds. Acceleration was calculated as the second derivative, and jerk was calculated as the third derivative of the displacement of the resultant vector position. Participants with CAI had greater acceleration (mean difference = 55.6 cm/s2; 95% confidence interval, 10.3 to 100.90; P = .017) and jerk compared with the uninjured controls (mean difference = 1804.5 cm/s3; 95% confidence interval, 98.7 to 3510.3; P = .039). These results suggest that individuals with CAI made faster and more frequent active postural control corrections to regain balance following a jump compared with the uninjured controls.

Kosik, Hoch, and Gribble are with the Department of Athletic Training and Clinical Nutrition, University of Kentucky, Lexington, KY, USA. Lucas and Bain are with the Department of Rehabilitation Sciences, University of Kentucky, Lexington, KY, USA. Hartzell is with HCA Virginia Sports Medicine, Richmond, VA, USA.

Kosik (kyle.kosik@uky.edu) is corresponding author.
  • 1.

    Hootman JM, Dick R, Agel J. Epidemiology of collegiate injuries for 15 sports: summary and recommendations for injury prevention initiatives. J Athl Train. 2007;42(2):311319. PubMed ID: 17710181

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 2.

    Welton KL, Kraeutler MJ, Pierpoint LA, Bartley JH, McCarty EC, Comstock RD. Injury recurrence among high school athletes in the United States: a decade of patterns and trends, 2005–2006 through 2015–2016. Orthop J Sports Med. 2018;6(1):232596711774578. PubMed ID: 29318177 doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 3.

    Anandacoomarasamy A, Barnsley L. Long term outcomes of inversion ankle injuries. Br J Sports Med. 2005;39(3):e14; discussion e14. PubMed ID: 15728682 doi:

  • 4.

    Gerber JP, Williams GN, Scoville CR, Arciero RA, Taylor DC. Persistent disability associated with ankle sprains: a prospective examination of an athletic population. Foot Ankle Int. 1998;19(10):653660. PubMed ID: 9801078 doi:

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 5.

    Gribble PA, Delahunt E, Bleakley C, et al. . Selection criteria for patients with chronic ankle instability in controlled research: a position statement of the International Ankle Consortium. Br J Sports Med. 2014;48(13):10141018. PubMed ID: 24255768 doi:

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 6.

    Houston MN, Hoch MC, Hoch JM. Health-related quality of life in athletes: a systematic review with meta-analysis. J Athl Train. 2016;51(6):442453. PubMed ID: 27258942 doi:

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 7.

    Hubbard-Turner T, Turner MJ. Physical activity levels in college students with chronic ankle instability. J Athl Train. 2015;50(7):742747. PubMed ID: 25898110 doi:

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 8.

    Hubbard-Turner T, Wikstrom EA, Guderian S, Turner MJ. An acute lateral ankle sprain significantly decreases physical activity across the lifespan. J Sports Sci Med. 2015;14(3):556561. PubMed ID: 26336342

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 9.

    Wikstrom EA, Song K, Tennant JN, Dederer KM, Paranjape C, Pietrosimone B. T1ρ MRI of the talar articular cartilage is increased in those with chronic ankle instability. Osteoarthritis Cartilage. 2019;27(4):646649. PubMed ID: 30634032 doi:

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 10.

    Golditz T, Steib S, Pfeifer K, et al. . Functional ankle instability as a risk factor for osteoarthritis: using T2-mapping to analyze early cartilage degeneration in the ankle joint of young athletes. Osteoarthritis Cartilage. 2014;22(10):13771385. PubMed ID: 24814687 doi:

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 11.

    Terada M, Gribble PA. Jump landing biomechanics during a laboratory recorded recurrent ankle sprain. Foot Ankle Int. 2015;36(7):842848. PubMed ID: 25761852 doi:

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 12.

    Gribble P, Robinson R. Differences in spatiotemporal landing variables during a dynamic stability task in subjects with CAI. Scand J Med Sci Sports. 2010;20(1):e63e71. PubMed ID: 19522752 doi:

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 13.

    Ross SE, Guskiewicz KM. Examination of static and dynamic postural stability in individuals with functionally stable and unstable ankles. Clin J Sport Med. 2004;14(6):332338. PubMed ID: 15523204 doi:

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 14.

    McCann RS, Bolding BA, Terada M, Kosik KB, Crossett ID, Gribble PA. Isometric hip strength and dynamic stability of individuals with chronic ankle instability. J Athl Train. 2018;53(7):672678. PubMed ID: 30084648 doi:

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 15.

    Ross SE, Guskiewicz KM. Time to stabilization: a method for analyzing dynamic postural stability. Athletic Therapy Today. 2003;8(3):3739. doi:

  • 16.

    Colby SM, Hintermeister RA, Torry MR, Steadman JR. Lower limb stability with ACL impairment. J Orthop Sports Phys Ther. 1999;29(8):444451; discussion 452–444. PubMed ID: 10444734 doi:

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 17.

    Wikstrom EA, Tillman MD, Smith AN, Borsa PA. A new force-plate technology measure of dynamic postural stability: the dynamic postural stability index. J Athl Train. 2005;40(4):305309. PubMed ID: 16404452

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 18.

    Wikstrom EA, Tillman MD, Borsa PA. Detection of dynamic stability deficits in subjects with functional ankle instability. Med Sci Sports Exerc. 2005;37(2):169175. PubMed ID: 15692310 doi:

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 19.

    Ross SE, Guskiewicz KM, Yu B. Single-leg jump-landing stabilization times in subjects with functionally unstable ankles. J Athl Train. 2005;40(4):298304. PubMed ID: 16404451

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 20.

    Brown CN, Bowser B, Orellana A. Dynamic postural stability in females with chronic ankle instability. Med Sci Sports Exerc. 2010;42(12):22582263. PubMed ID: 20421830 doi:

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 21.

    Hogan N, Sternad D. Sensitivity of smoothness measures to movement duration, amplitude, and arrests. J Mot Behav. 2009;41(6):529534. PubMed ID: 19892658 doi:

  • 22.

    Chen T, Fan Y, Zhuang X, et al. . Postural sway in patients with early Parkinson’s disease performing cognitive tasks while standing. Neurol Res. 2018;40(6):491498. PubMed ID: 29869975 doi:

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 23.

    McCann RS, Terada M, Kosik KB, Gribble PA. Landing kinematics and isometric hip strength of individuals with chronic ankle instability. Foot Ankle Int. 2019;40(8):969977. PubMed ID: 31023077 doi:

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 24.

    Cohen J. Statistical Power Analysis for Behavioral Sciences. 2nd ed. Hillsdale, NJ: Lawrence Erlbaum Associates; 1988.

  • 25.

    Doherty C, Bleakley C, Hertel J, Caulfield B, Ryan J, Delahunt E. Single-leg drop landing movement strategies in participants with chronic ankle instability compared with lateral ankle sprain “copers.” Knee Surg Sports Traumatol Arthrosc. 2016;24(4):10491059. PubMed ID: 26572632 doi:

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 26.

    Doherty C, Bleakley C, Hertel J, Caulfield B, Ryan J, Delahunt E. Single-leg drop landing motor control strategies following acute ankle sprain injury. Scand J Med Sci Sports. 2015;25(4):525533. PubMed ID: 24975875 doi:

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 27.

    Doherty C, Bleakley C, Hertel J, Caulfield B, Ryan J, Delahunt E. Single-leg drop landing movement strategies 6 months following first-time acute lateral ankle sprain injury. Scand J Med Sci Sports. 2015;25(6):806817. PubMed ID: 25545409 doi:

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 28.

    Song K, Wikstrom EA. Plausible mechanisms of and techniques to assess ankle joint degeneration following lateral ankle sprains: a narrative review. Phys Sportsmed. 2019;47(3):275283. PubMed ID: 30739572 doi:

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 29.

    Donovan L, Hertel J. A new paradigm for rehabilitation of patients with chronic ankle instability. Phys Sportsmed. 2012;40(4):4151. PubMed ID: 23306414 doi:

  • 30.

    McCann RS, Crossett ID, Terada M, Kosik KB, Bolding BA, Gribble PA. Hip strength and star excursion balance test deficits of patients with chronic ankle instability. J Sci Med Sport. 2017;20(11):992996. PubMed ID: 28595864 doi:

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 31.

    Fraser JJ, Koldenhoven RM, Jaffri AH, et al. . Foot impairments contribute to functional limitation in individuals with ankle sprain and chronic ankle instability. Knee Surg Sports Traumatol Arthrosc. 2020;28(5):16001610. PubMed ID: 29980804 doi:

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 32.

    Hoch MC, Staton GS, Medina McKeon JM, Mattacola CG, McKeon PO. Dorsiflexion and dynamic postural control deficits are present in those with chronic ankle instability. J Sci Med Sport. 2012;15(6):574579. PubMed ID: 22575498 doi:

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 33.

    Hoch MC, Farwell KE, Gaven SL, Weinhandl JT. Weight-bearing dorsiflexion range of motion and landing biomechanics in individuals with chronic ankle instability. J Athl Train. 2015;50(8):833839. PubMed ID: 26067428 doi:

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 34.

    Delahunt E, Cusack K, Wilson L, Doherty C. Joint mobilization acutely improves landing kinematics in chronic ankle instability. Med Sci Sports Exerc. 2013;45(3):514519. PubMed ID: 23034641 doi:

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 35.

    Ericksen HM, Thomas AC, Gribble PA, Doebel SC, Pietrosimone BG. Immediate effects of real-time feedback on jump-landing kinematics. J Orthop Sports Phys Ther. 2015;45(2):112118. PubMed ID: 25552287 doi:

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 36.

    Semak MR, Schwartz J, Heise G. Examining human unipedal quiet stance: characterizing control through jerk. Comput Math Methods Med. 2020;2020:5658321. PubMed ID: 32377224 doi:

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 37.

    McGough EL, Hsu LY, Thompson H, Teri L. Concurrent validity of postural sway measures in older adults with cognitive impairment. Phys Occup Ther Geriatr. 2018;36(4):399410. PubMed ID: 31598029 doi:

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 38.

    De Ridder R, Willems T, Vanrenterghem J, Robinson MA, Roosen P. Lower limb landing biomechanics in subjects with chronic ankle instability. Med Sci Sports Exerc. 2015;47(6):12251231. PubMed ID: 25225885 doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
All Time Past Year Past 30 Days
Abstract Views 212 212 82
Full Text Views 26 26 14
PDF Downloads 13 13 8