Evidence map›Paper›PMID 39958068›Full record

ArticleCureus2025

Analyzing Lower Limb Muscle Imbalance Patterns Associated With Chronic Ankle Instability.

Sonam Jagadale, Sandeep Shinde, Sawani Aphale

Abstract read
In one paragraph

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

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Chronic Ankle Instability and Low Back Pain: A Narrative Review With a Conceptual Framework Linking Distal and Proximal Sensorimotor Dysfunction.Physiotherapy research international : the journal for researchers and clinicians in physical therapy · 2026
    Review
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

3 authors.

Sonam JagadaleDepartment of Musculoskeletal Sciences, Krishna College of Physiotherapy, Krishna Vishwa Vidyapeeth, Deemed to be University, Karad, IND.
Sandeep ShindeDepartment of Musculoskeletal Sciences, Krishna College of Physiotherapy, Krishna Vishwa Vidyapeeth, Deemed to be University, Karad, IND.
Sawani AphaleDepartment of Musculoskeletal Sciences, Krishna College of Physiotherapy, Krishna Vishwa Vidyapeeth, Deemed to be University, Karad, IND.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesOur main objective was to find a complex relationship between chronic ankle instability (CAI) and factors contributing to lower limb proximal-distal muscle imbalance.

methodsThis cross-sectional study, conducted in the physiotherapy department of Krishna Vishwa Vidyapeeth, Karad, included 111 volunteers selected through simple random sampling. Outcome assessments involved manual muscle testing, range of motion evaluation, and gait pattern analysis based on specific inclusion and exclusion criteria.

resultsThe study interpreted that individuals with CAI exhibited significant muscle imbalances on the affected side compared to the unaffected side. Core muscle weakness was present in 97 (87.2%) of patients involving multifidus and rectus abdominals majorly, while 90 (84.6%) experienced lower limb muscle weakness. The ankle joint's range of motion was the most affected, with ankle plantar flexors and evertors showing the greatest weakness. Abnormalities in gait were also noted, with cautious gait observed in 83 (75%) patients, knee hyperextension in 24 (22%), and foot slap in four (3%).

conclusionThe present study concluded that CAI could cause abnormal gait patterns due to weak muscle strength, impaired muscle length-tension relationships, and reduced range of motion. An efficient core gives optimal efficiency in the entire kinetic chain during movements like acceleration, deceleration, and dynamic stabilization and provides proximal stability to the lower extremities. In the study, lower limb muscle imbalance and core muscle weakness are significant contributors to CAI, impacting both stability and functional performance. Considering the study findings as an important part of patient assessment, it will be used to customize the rehabilitation programs as per the patient's requirement and, thus, enhance positive outcomes.

Indexed as

functional instabilitygait analysisinjury preventionmuscle strengthobesity

Identifiers

PMID39958068
PMCPMC11830422

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.