Evidence map›Paper›PMID 40922104›Full record

SynthesisJournal of foot and ankle research2025

Characteristics of Lower Extremity Kinematics, Kinetics, and Muscle Activity in Individuals With Chronic Ankle Instability During Landing With Expected and Unexpected Inversion Perturbations: A Systematic Review and Meta-Analysis.

Yixue Gong, Menghan Xu, Peng Chen, Xiaomei Hu, Wenxing Zhou, Lin Wang

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Journal of foot and ankle research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–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

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. 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

6 authors.

Yixue GongSchool of Exercise and Health, Shanghai University of Sport, Shanghai, China.ORCID https://orcid.org/0009-0001-0239-1397
Menghan XuSchool of Exercise and Health, Shanghai University of Sport, Shanghai, China.
Peng ChenSchool of Exercise and Health, Shanghai University of Sport, Shanghai, China.
Xiaomei HuDepartment of Sports Science and Physical Education, The Chinese University of Hong Kong, Hong Kong, China.
Wenxing ZhouSchool of Exercise and Health, Shanghai University of Sport, Shanghai, China.
Lin WangSports Medicine and Rehabilitation Center, Shanghai University of Sport, Shanghai, China.ORCID https://orcid.org/0000-0003-3057-3742

Funding

National Social Science Fund of China 24BTY042
6 · The paper itself

Abstract

objectiveThis study aims to investigate whether alterations in the lower extremity kinematics, kinetics, and muscle activity of individuals with chronic ankle instability (CAI) occur during landing with expected and unexpected inversion perturbations. METHODOLOGY: PubMed, Embase, Cochrane Library, Web of Science, and Scopus databases were searched for relevant studies up to November 30, 2024. Comparative studies investigating the characteristics of lower extremity kinematics, kinetics, and muscle activity in individuals with CAI compared with healthy controls were included. Two independent reviewers extracted the data. Certainty of the evidence was assessed using the Newcastle-Ottawa Scale (NOS) approach. SYNTHESIS: Thirteen studies involving 207 patients with CAI and 215 healthy controls were included. Individuals with CAI exhibited increased activity of the tibialis anterior muscle before landing (SMD = 0.28 and 95% CI: 0.03-0.54). The delayed activation of the peroneus longus muscle (SMD = 1.35 and 95% CI: 0.90-1.80) and increased co-contraction index in the sagittal plane (SMD = 0.41 and 95% CI: 0.06-0.77), ankle inversion angle (SMD = 0.56 and 95% CI: 0.30-0.81), ankle inversion range of motion (SMD = 0.83 and 95% CI: 0.42-1.24), and knee extension moment (SMD = 0.71 and 95% CI: 0.32-1.11) were observed after landing. Besides, subgroup analysis revealed that the anticipation of perturbations influenced muscle activation patterns, with significant differences in peroneus longus latency and coactivation indices.

conclusionPatients with CAI may present differences in lower extremity biomechanics during expected and unexpected inversion-perturbed landings compared with healthy controls. The results of this work may have clinical implications in the development of more effective and targeted rehabilitation programs for individuals with CAI.

trial registrationPROSPERO registration number: CRD42024615006.

Indexed as

Ankle JointJoint InstabilityLower ExtremityMuscle, SkeletalAdultBiomechanical PhenomenaChronic DiseaseFemaleHumansKineticsMaleRange of Motion, ArticularYoung Adultbiomechanicschronic ankle instabilitymeta‐analysispostural control

Identifiers

PMID40922104
PMCPMC12417340

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Registered trials

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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.