The influence of orthoses on the proprioception of the ankle joint

  • J. Jerosch
  • I. Hoffstetter
  • H. Bork
  • M. Bischof


The ankle joints of 14 healthy volunteers and 16 patients with unstable ankle joints were tested regarding their functional and proprioceptive capabilities. All of them were active athletes. Three tests were used of the study: single-leg stance test, single-leg jumping course test, angle-reproduction test. The influence of three stabilization devices (lace-on-brace/“Mikros”, stirrup-brace/ “Aircast”, taping) on the proprioceptivity of stable and unstable ankle joints was evaluated. The scores of the singleleg jumping course without any stabilizing device (category “standard”) ranged between 8.06 and 13.68 (10.65±1.29). In the categories “Mikros” (9.85±0.99), and “Aircast” (9.99±1.14) as well as with the tape bandage (10.27±0.81) better scores were achieved. The differences “standard vs. Mikros” and “standard vs. Aircast” revealed a significant reduction of the scores with orthoses (P<0.01). The error rate in the single-leg stance test was within the range of 0–16 (5.12±2.85) for the category “standard”. It was lower for the categories “Mikros” (3.65±2.65) and “Aircast” (4.17±2.59). The error rate was highest in the group with a tape bandage (5.79±3.53). The differences “standard vs Mikros” as well as “standard vs. Aircast” were significant (P<0.01). There was also a significant difference between these categories regarding injured and not injured ankle joints (P<0.01). The angle-reproduction-test showed higher values for the category “standard” (2.36°±0.97) in comparison to the categories “Mikros” (1.46°±0.72), “Aircast” (1.62°±0.91) and “taping” (1.84°±0.41). In the category “standard” the reproduction error was lower testing not injured ankle joints (2.30°±1.04) than testing the group of unstable ankle joints (2.44°±0.81), whereas in all other categories the reproduction error was higher in the group of not injured joints. The differences in all measurements between “standard vs. Mikros” and “standard vs. Aircast” were significant (P<0.01). The results of the three tests showed a highly significant difference between injured and not injured ankle joints (P<0.01).

Key words

Ankle joint Stabilization devices Proprioceptivity 


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  1. 1.
    Barrett JR, Tanji JL, Drake Ch, Fuller D, Kawasaki RI, Fenton RM (1993) High versus low-top shoes for prevention of ankle sprains in basketball players. Am J Sports Med 21: 582–585Google Scholar
  2. 2.
    Berenberg RA, Sheffner JM, Sabol JJ (1987) Quantitative assessment of position sense at the ankle: a functional approach. Neurology 37: 89–93Google Scholar
  3. 3.
    Biener K, Fasler S (1978) Sportunfälle—Epidemiologie und Prävention. Huber, Stuttgart Wien, pp 97–100Google Scholar
  4. 4.
    Bunch RP, Bednarski K, Holland D, Mancinanti R (1985) Ankle joint support: a comparison of re-usable Lace-on-Braces with taping and wrapping. Physician Sports Med 13: 59–62Google Scholar
  5. 5.
    Chambers RB, Cook TM, Cowell HR (1982) Surgical reconstruction for calcaneonavicular coalition. J Bone Joint Surg [Am] 64: 829–836Google Scholar
  6. 6.
    Corrigan JP, Cashmann WF, Brady MP (1992) Proprioception in the cruciate deficient knee. Bone Joint Surg [Br] 74: 247–250Google Scholar
  7. 7.
    Franke K (1980) Traumatologie des Sports. Thieme, Stuttgart, pp 45–49Google Scholar
  8. 8.
    Freeman MAR (1965) Treatment of ruptures of the lateral ligament of the ankle. J Bone Joint Surg [Br] 47: 661–668Google Scholar
  9. 9.
    Freeman MAR (1965) Instability of the foot after injuries to the lateral ligament of the ankle. J Bone Joint Surg [Br] 47: 669–677Google Scholar
  10. 10.
    Freeman MAR, Dean MRE, Hanham IWF (1965) The etiology and prevention of functional instability of the foot. J Bone Joint Surg [Br] 47: 678–685Google Scholar
  11. 11.
    Gandevia SC, McCloskey DI (1976) Joint sense, muscle sense, and their combination as position sense, measured at the distal interphalangeal joint of the middle finger. J Physiol 260: 387–407Google Scholar
  12. 12.
    Garrick JG, Requa RK (1973) Role of external support in the prevention of ankle sprains. Med Sci Sports 5: 200–203Google Scholar
  13. 13.
    Garrick JG (1977) The frequency of injury, mechanism of injury, and epidemiology of ankle sprains. Am J Sports Med 5: 241–242Google Scholar
  14. 14.
    Gehrke T (1992) Maßnahmen zur Prophylaxe von Sprunggelenkverletzungen: Tapeverband oder Ankle-Brace? Handball-Magazin 12: 42–43Google Scholar
  15. 15.
    Gleitz M, Rupp T, Hess T, Hopf T (1993) Bei instabilen Sprunggelenken: Reflextraining und Stabilisierung. Orthopädie und Schuhtechnik 5: 65–68Google Scholar
  16. 16.
    Glenncross D, Thornton E (1981) Position sense following joint injury. Am J Sports Med 21: 23–27Google Scholar
  17. 17.
    Greene TA, Hillman SK (1990) Comparison of support provided by a semirigid orthosis and adhesive ankle taping before, during, and after exercise. Am J Sports Med 18: 498–506Google Scholar
  18. 18.
    Gross MT (1987) Effects of recurrent lateral ankle sprains on active and passive judgement of joint position. Phys Ther 10: 67–69Google Scholar
  19. 19.
    Gross MT: Bradshaw MK, Ventry LC, Weller KH (1987) Comparison of support provided by ankle taping and semirigid orthosis. J Orthop Sports Phys Ther 9: 33–39Google Scholar
  20. 20.
    Kaikkonen A, Kannus P, Järvinen M (1994) A performance test protocol and scoring scale for the evaluation of ankle injuries. Am J Sports Med 22: 462–469Google Scholar
  21. 21.
    Kimura IF, Nawocenski DA, Epler M, Owen MG (1987) Effect of the air stirrup in controlling ankle inversion stress. J Orthop Sports Phys Ther 9: 190–193Google Scholar
  22. 22.
    Konradsen L, Ravn JP (1990) Ankle instability caused by prolonged peroneal reaction time. Acta Orthop Scand 61: 388–390Google Scholar
  23. 23.
    Konradsen L, Ravn JB, Sørensen AJ (1993) Proprioception at the ankle: the effect of anaesthetic blockade of ligament receptors. J Bone Joint Surg [Br] 75: 433–436Google Scholar
  24. 24.
    Löfvenberg R, Kärrholm J (1993) The influence of an ankle orthosis on the talar and calcaneal motions in chronic lateral instability of the ankle. Am J Sports Med 21: 224–230Google Scholar
  25. 25.
    Luck P, Wolff TH (1991) Atiologie, Lokalisation, Therapie und Prävention typischer Verletzungen in der Sportspielart Handball. Dtsch Z Sportmed 42: 432–439Google Scholar
  26. 26.
    McCluskey GM, Blackburn TA, Lewis T (1976) Prevention of ankle sprains. Am J Sports Med 4: 151–157Google Scholar
  27. 27.
    McCluskey GM, Blackburn TA, Lewis TA (1976) A treatment for ankle sprains. Am J Sports Med 4: 158–161Google Scholar
  28. 28.
    Montag WD, Asmussen PD (1988) Taping-Seminar: Funktionelle Verbände am Bewegungsapparat. Perimed, Erlangen, pp 56–59Google Scholar
  29. 29.
    Pfeil E (1988) Verletzungen im Fußballsport. Enke, Stuttgart, pp 94–103Google Scholar
  30. 30.
    Rovere GD, Clarke ThJ, Yates CS, Burley K (1988) Retrospective comparison of taping and ankle stabilizers in preventing ankle injuries. Am J Sports Med 16: 228–233Google Scholar
  31. 31.
    Schenker M (1989) Tape versus Mikros—Eine experimentelle Untersuchung zum Einfluss äußerer Stabilisierungshilfen auf die Proprioception am Fussgelenk. Thesis Physiotherapieschule Inselspital, BernGoogle Scholar
  32. 32.
    Skinner HB, Barrack RL, Cook SD (1884) Age-related decline in proprioception. Clin Orthop Rel Res 184: 208–211Google Scholar
  33. 33.
    Sitler M, Ryan J, Wheeler B, McBride J, Arciero R, Anderson J, Horodyski MB (1994) The efficacy of a semirigid ankle stabilizer to reduce acute ankle injuties in basketball. Am J Sports Med 22: 454–461Google Scholar
  34. 34.
    Tropp H, Askling C, Gillquist J (1985) Prevention of ankle sprains. Am J Sports Med 13: 259–262Google Scholar
  35. 35.
    Van Linge B (1988) Activity of the peroneal muscles, the maintenance of balance, and prevention of inversion injury of the ankle: an electromyographic and kinematic study. Acta Orthop Scand 59: 67–68Google Scholar
  36. 36.
    Vaes P, De Boeck H, Handelberg F, Opdecam P (1985) Comparative radiologic study of the influence of joint bandages on ankle stability. Am J Sports Med 13: 46–50Google Scholar

Copyright information

© Springer-Verlag 1995

Authors and Affiliations

  • J. Jerosch
    • 1
    • 2
  • I. Hoffstetter
    • 1
  • H. Bork
    • 1
  • M. Bischof
    • 2
  1. 1.Department of Orthopaedic SurgeryWestfälische Wilhelms-UniversitätMünsterGermany
  2. 2.Institute of Sports MedicineWestfälische Wilhelms-UniversitätMünster

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