Physiotherapy

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Browsing Physiotherapy by Author "Muath Deab Imran AbuShkeidem"

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    Determinants of Ankle Sprain Among Soccer Players in Hebron Governorate- Case Control Study
    (Al-Quds University, 2023-12-30) Muath Deab Imran AbuShkeidem; معاذ دياب عمران أبو شخيدم
    Chronic ankle sprain is a persistent condition resulting from repeated or improperly healed ankle ligament injuries. It can lead to ongoing pain, instability, and functional limitations, This study's primary objective is to examine the epidemiological aspects of ankle sprains (AS) in Palestinian athletes in Hebron, focusing on incidence, risk factors, and injury patterns. Methods: The research employed a case-control study design to explore the factors influencing Ankle Sprain (AS) by comparing athletes in the AS case group (n=30) with athletes having no history of AS in the control group (n=30). Data collected included age, weight, height, true limb length, the disparity in muscle bulks (gastrocnemius and quadriceps muscles), proprioception, balance (one-leg stance with eyes open and closed), dominant foot, and history of knee and ankle sprain injuries, were collected from participants. The Y balance test was conducted to assess the impact of determinant factors on both case and control groups. Outcome measures, such as the Cumberland Ankle Instability Tool (CAIT) and Foot and Ankle Ability Measure (FAAM) were calculated. Results: The control and case groups differ in age and athletic age with p-values 0.00 and 0.00, but not in training hours weekly or BMI. There are statistically significant variations in quadriceps measurements between the case and control groups (P = 0.00). The gastrocnemius and patella epicondylar circumferences were not significantly different (p-values of 0.721 and 0.152). The case and control groups had no statistically significant differences in dorsiflexion, plantarflexion, inversion, or eversion ROM. Athletic age, play to return number of days, and age were predictive factors that contributed 56.8% of the variation in the case group. Also, risk factor analysis found substantial relationships between right and left knee injuries. Positive Single leg stance (OR = 1.522) and Ankle angle reproduction (proprioception) test (OR = 1.385). These factors affected case-control group differences in balancing right and left close eyes and proprioception with p-values of 0.01, 0.00, and 0.005. The Y balancing test influenced right and left posteromedial and posterolateral aspects, with p-values of 0.021 and 0.03 for left and 0.03 and 0.01 for right. CAIT (right and left) and FAAM indicated significant group differences with p-values of 0.00 for outcome evaluations. Conclusion: The study provides valuable insights into the determinants of ankle sprains among Palestinian athletes, highlighting the importance athletic age, age, Days to play return, and history of previous left and right knee injury. These risk factors may be used in and rehabilitating these injuries, that can be detected by single leg stance with eyes closed and Y balance test, in addition to CAIT and FAAM measurements.