The Prevalence and Characteristics of Chronic Ankle Instability in Elite Athletes of Different Sports: A Cross-Sectional Study

Background: Ankle sprains are one of the most common injuries in athletic populations. Misdiagnosed and untreated ankle sprains will cause chronic ankle instability (CAI), which can significantly affect the performance of athletes. This study aimed to investigate the prevalence and characteristics o...

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Main Authors: Congda Zhang, Na Chen, Jingsong Wang, Zhengzheng Zhang, Chuan Jiang, Zhong Chen, Jianhui Fang, Juhua Peng, Weiping Li, Bin Song
Format: Article
Language:English
Published: MDPI AG 2022-12-01
Series:Journal of Clinical Medicine
Subjects:
Online Access:https://www.mdpi.com/2077-0383/11/24/7478
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author Congda Zhang
Na Chen
Jingsong Wang
Zhengzheng Zhang
Chuan Jiang
Zhong Chen
Jianhui Fang
Juhua Peng
Weiping Li
Bin Song
author_facet Congda Zhang
Na Chen
Jingsong Wang
Zhengzheng Zhang
Chuan Jiang
Zhong Chen
Jianhui Fang
Juhua Peng
Weiping Li
Bin Song
author_sort Congda Zhang
collection DOAJ
description Background: Ankle sprains are one of the most common injuries in athletic populations. Misdiagnosed and untreated ankle sprains will cause chronic ankle instability (CAI), which can significantly affect the performance of athletes. This study aimed to investigate the prevalence and characteristics of CAI in elite athletes of different sports. Method: This cross-sectional study included 198 elite athletes from Guangdong provincial sports teams. All participants answered a questionnaire about ankle sprains and ankle instability. The severity of their ankle instability was evaluated by the Cumberland Ankle Instability Tool (CAIT). Participants further underwent clinical examinations from sports medicine doctors to determine the presence and characteristics of ankle instability. The datasets were analyzed to determine the differences in prevalence between age, gender, sports teams, and sports categories. Results: In 198 athletes, 39.4% (n = 78) had bilateral CAI while 25.3% (n = 50) had unilateral CAI. Female athletes had a higher prevalence of CAI than male athletes in the study (<i>p</i> = 0.01). Prevalence showed differences between sports categories, and were significantly higher in acrobatic athletes than non-contact athletes (<i>p</i> = 0.03). Conclusions: CAI was highly prevalent among elite athletes in this study, with female athletes and athletes in acrobatic sports being associated with a higher risk of developing CAI in their professional careers. Therefore, extra precautions need to be taken into account when applying ankle protections for these athletes.
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spelling doaj.art-e49a845d78844f9b9f4f96c5cef34d632023-11-24T15:46:18ZengMDPI AGJournal of Clinical Medicine2077-03832022-12-011124747810.3390/jcm11247478The Prevalence and Characteristics of Chronic Ankle Instability in Elite Athletes of Different Sports: A Cross-Sectional StudyCongda Zhang0Na Chen1Jingsong Wang2Zhengzheng Zhang3Chuan Jiang4Zhong Chen5Jianhui Fang6Juhua Peng7Weiping Li8Bin Song9Department of Orthopedics, Sun Yat-sen Memorial Hospital, Guangzhou 510130, ChinaDepartment of Orthopedics, Sun Yat-sen Memorial Hospital, Guangzhou 510130, ChinaDepartment of Orthopedics, Sun Yat-sen Memorial Hospital, Guangzhou 510130, ChinaDepartment of Orthopedics, Sun Yat-sen Memorial Hospital, Guangzhou 510130, ChinaDepartment of Orthopedics, Sun Yat-sen Memorial Hospital, Guangzhou 510130, ChinaDepartment of Orthopedics, Sun Yat-sen Memorial Hospital, Guangzhou 510130, ChinaDepartment of Rehabilitation, Guangdong Sport Hospital, Guangzhou 510105, ChinaDepartment of Rehabilitation, Guangdong Sport Hospital, Guangzhou 510105, ChinaDepartment of Orthopedics, Sun Yat-sen Memorial Hospital, Guangzhou 510130, ChinaDepartment of Orthopedics, Sun Yat-sen Memorial Hospital, Guangzhou 510130, ChinaBackground: Ankle sprains are one of the most common injuries in athletic populations. Misdiagnosed and untreated ankle sprains will cause chronic ankle instability (CAI), which can significantly affect the performance of athletes. This study aimed to investigate the prevalence and characteristics of CAI in elite athletes of different sports. Method: This cross-sectional study included 198 elite athletes from Guangdong provincial sports teams. All participants answered a questionnaire about ankle sprains and ankle instability. The severity of their ankle instability was evaluated by the Cumberland Ankle Instability Tool (CAIT). Participants further underwent clinical examinations from sports medicine doctors to determine the presence and characteristics of ankle instability. The datasets were analyzed to determine the differences in prevalence between age, gender, sports teams, and sports categories. Results: In 198 athletes, 39.4% (n = 78) had bilateral CAI while 25.3% (n = 50) had unilateral CAI. Female athletes had a higher prevalence of CAI than male athletes in the study (<i>p</i> = 0.01). Prevalence showed differences between sports categories, and were significantly higher in acrobatic athletes than non-contact athletes (<i>p</i> = 0.03). Conclusions: CAI was highly prevalent among elite athletes in this study, with female athletes and athletes in acrobatic sports being associated with a higher risk of developing CAI in their professional careers. Therefore, extra precautions need to be taken into account when applying ankle protections for these athletes.https://www.mdpi.com/2077-0383/11/24/7478ankle sprainschronic ankle instabilityelite athletesprevalencesports
spellingShingle Congda Zhang
Na Chen
Jingsong Wang
Zhengzheng Zhang
Chuan Jiang
Zhong Chen
Jianhui Fang
Juhua Peng
Weiping Li
Bin Song
The Prevalence and Characteristics of Chronic Ankle Instability in Elite Athletes of Different Sports: A Cross-Sectional Study
Journal of Clinical Medicine
ankle sprains
chronic ankle instability
elite athletes
prevalence
sports
title The Prevalence and Characteristics of Chronic Ankle Instability in Elite Athletes of Different Sports: A Cross-Sectional Study
title_full The Prevalence and Characteristics of Chronic Ankle Instability in Elite Athletes of Different Sports: A Cross-Sectional Study
title_fullStr The Prevalence and Characteristics of Chronic Ankle Instability in Elite Athletes of Different Sports: A Cross-Sectional Study
title_full_unstemmed The Prevalence and Characteristics of Chronic Ankle Instability in Elite Athletes of Different Sports: A Cross-Sectional Study
title_short The Prevalence and Characteristics of Chronic Ankle Instability in Elite Athletes of Different Sports: A Cross-Sectional Study
title_sort prevalence and characteristics of chronic ankle instability in elite athletes of different sports a cross sectional study
topic ankle sprains
chronic ankle instability
elite athletes
prevalence
sports
url https://www.mdpi.com/2077-0383/11/24/7478
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