Evidence map›Paper›PMID 34049565›Full record

SynthesisJournal of foot and ankle research2021

The epidemiology of chronic ankle instability with perceived ankle instability- a systematic review.

Chiao-I Lin, Sanne Houtenbos, Yu-Hsien Lu, Frank Mayer, Pia-Maria Wippert

3 registry-linked trialsOpen access · goldAbstract readSystematic Review
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in Journal of foot and ankle research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 69 papers, 9 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
69citing papers in PubMed, 9 pooled it
11.9field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05942417 nacompletednot on this mapstarted 2023, after this paper: background citation

Effects of Echoguided Percutaneous Neuromodulation (EPNM) of the Common Peroneal Nerve and Neuromuscular Exercise in the Management of Chronic Ankle Instability (CAI): a Randomized Clinical Trial (RCT).

TypeinterventionalSponsorEscoles Universitaries GimbernatRan2023 to 2025Enrolled32ConditionsTranscutaneous Electric Nerve Stimulation, Ankle Injuries and Disorders : Chronic Ankle Instability, Exercise TherapyArmsEchoguided percutaneous neuromodulation plus exercise, Strength program
NCT05997797 completednot on this mapstarted 2022, after this paper: background citation

Translation, Cross-Cultural Adaptation and Reliability of Urdu Version of The Foot and Ankle Ability Measures (FAAM-U)

TypeobservationalSponsorUniversity of LahoreRan2022 to 2022Enrolled175ConditionsFoot Injuries, Ankle InjuriesArmsFAAM
NCT06149052 nacompletednot on this mapstarted 2023, after this paper: background citation

Effects of SMART Training Intervention Versus Foot Intensive Rehabilitation (FIRE) on Strength and Performance in Athletes With Chronic Ankle Instability

TypeinterventionalSponsorSehat Medical ComplexRan2023 to 2024Enrolled25ConditionsChronic Ankle InstabilityArmsSMART TRAINING, FIRE training
3 · Its place in the literature

Who cites it

69 citing papers in PubMed, 9 syntheses or guidelines pooled it, 124 citations in OpenAlex.

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9 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 2 countries.

Chiao-I LinMedical Sociology and Psychobiology, Department of Physical Activity and Health, University of Potsdam, Am Neuen Palais 10, House 12, 14469, Potsdam, Germany. chialin@uni-potsdam.de.ORCID http://orcid.org/0000-0002-1898-172X
Sanne HoutenbosMedical Sociology and Psychobiology, Department of Physical Activity and Health, University of Potsdam, Am Neuen Palais 10, House 12, 14469, Potsdam, Germany.
Yu-Hsien LuJC School of Public Health and Primary Care Faculty of Medicine, The Chinese University of Hong Kong, Shatin, NT, Hong Kong, China.
Frank MayerUniversity Outpatient Clinic, Centre of Sports Medicine, University of Potsdam, Am Neuen Palais 10, House 12, Potsdam, Germany.
Pia-Maria WippertMedical Sociology and Psychobiology, Department of Physical Activity and Health, University of Potsdam, Am Neuen Palais 10, House 12, 14469, Potsdam, Germany.
University of Potsdam · DEChinese University of Hong Kong · HK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundChronic ankle instability, developing from ankle sprain, is one of the most common sports injuries. Besides it being an ankle issue, chronic ankle instability can also cause additional injuries. Investigating the epidemiology of chronic ankle instability is an essential step to develop an adequate injury prevention strategy. However, the epidemiology of chronic ankle instability remains unknown. Therefore, the purpose of this study was to investigate the epidemiology of chronic ankle instability through valid and reliable self-reported tools in active populations.

methodsAn electronic search was performed on PubMed and Web of Science in July 2020. The inclusion criteria for articles were peer-reviewed, published between 2006 and 2020, using one of the valid and reliable tools to evaluate ankle instability, determining chronic ankle instability based on the criteria of the International Ankle Consortium, and including the outcome of epidemiology of chronic ankle instability. The risk of bias of the included studies was evaluated with an adapted tool for the sports injury review method.

resultsAfter removing duplicated studies, 593 articles were screened for eligibility. Twenty full-texts were screened and finally nine studies were included, assessing 3804 participants in total. The participants were between 15 and 32 years old and represented soldiers, students, athletes and active individuals with a history of ankle sprain. The prevalence of chronic ankle instability was 25%, ranging between 7 and 53%. The prevalence of chronic ankle instability within participants with a history of ankle sprains was 46%, ranging between 9 and 76%. Five included studies identified chronic ankle instability based on the standard criteria, and four studies applied adapted exclusion criteria to conduct the study. Five out of nine included studies showed a low risk of bias.

conclusionsThe prevalence of chronic ankle instability shows a wide range. This could be due to the different exclusion criteria, age, sports discipline, or other factors among the included studies. For future studies, standardized criteria to investigate the epidemiology of chronic ankle instability are required. The epidemiology of CAI should be prospective. Factors affecting the prevalence of chronic ankle instability should be investigated and clearly described.

Indexed as

Ankle JointAdolescentAdultAnkle InjuriesAthletic InjuriesChronic DiseaseFemaleHumansJoint InstabilityMalePrevalenceYoung AdultAnkle sprainFunctional ankle instabilitySports injury

Identifiers

PMID34049565
PMCPMC8161930
OpenAlexW3164001868

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.