Evidence map›Paper›PMID 39480775›Full record

ArticleJournal of athletic training2025

Chronic Pain Influences Lower Extremity Energetics During Landing Cutting in Patients With Chronic Ankle Instability.

Minsub Oh, Hyunwook Lee, Seunguk Han, J Ty Hopkins

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Article in Journal of athletic training, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

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1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Minsub OhDepartment of Exercise Science, Brigham Young University, Provo, UT.
Hyunwook LeeDepartment of Exercise and Sport Science, University of North Carolina, Chapel Hill.
Seunguk HanDivision of Sport Science, Pusan National University, Busan, South Korea.
J Ty HopkinsDepartment of Exercise Science, Brigham Young University, Provo, UT.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

contextChronic ankle instability (CAI) patients exhibit altered movement patterns during jump landing/cutting movements. Persistent pain is one of the residual symptoms that may affect movements. Calculating joint energetics affected by chronic pain offers a novel method to understand how chronic pain influences energetics of lower extremity joints in CAI patients.

objectiveTo identify the effects of chronic pain on lower extremity energy dissipation and generation during jump landing and cutting in patients with CAI.

designCross-sectional study.

settingLaboratory. PATIENTS OR OTHER

participantsFifteen CAI patients with higher pain (6 men and 9 women; age = 22.1 ± 2.1 years, height = 1.74 ± 0.09 m, mass = 71.3 ± 10.6 kg, pain = 66.9 ± 9.4), 15 patients with CAI and lower pain (6 men and 9 women; age = 22.3 ± 2.1 years, height = 1.74 ± 0.08 m, mass = 70.1 ± 10.7 kg, pain = 89.3 ± 2.6), and 15 healthy control individuals (6 men and 9 women; age = 21.3 ± 1.7 years, height = 1.73 ± 0.08 m, mass = 70 ± 10.3 kg, pain = 100 ± 0). MAIN OUTCOME MEASURE(S): Ground reaction force data were collected during 5 trials of maximal jump landing/cutting tasks. Joint power was defined as the product of angular velocity and joint moment. Energy dissipation and generation by the ankle, knee, and hip joints were calculated by integrating regions of the joint power curve.

resultsCAI patients with higher pain displayed less ankle energy dissipation (P = .013 and P = .018) and generation in the ankle (P = .002 and P = .028) than CAI patients with lower pain and healthy control individuals during the jump landing/cutting phase. CAI patients with higher pain showed more hip energy generation than CAI patients with lower pain (P = .038) and healthy control individuals (P = .013) during the cutting phase.

conclusionsCAI patients with higher pain changed both energy dissipation and generation in the lower extremities, reducing the burden of the ankle joint during jump landing/cutting and having a hip-dominant compensatory strategy during the cutting phase. Our results suggest that chronic pain could be one of the factors that affect motor strategies in the CAI population.

Indexed as

Ankle JointChronic PainJoint InstabilityLower ExtremityAdultAnkle InjuriesBiomechanical PhenomenaCross-Sectional StudiesFemaleHumansMaleMovementYoung Adultchronic ankle instabilitychronic painenergeticsmotor control

Identifiers

PMID39480775
PMCPMC11935304

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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.