Correlation analysis between ankle proprioception and biomechanical characteristics in patients with chronic ankle instability

Ping Guo; Juan Wang

doi:10.37190/abb/224681

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Correlation analysis between ankle proprioception and biomechanical characteristics in patients with chronic ankle instability

Acta of Bioengineering and Biomechanics

Volume 28 (2026): Issue 2 (June 2026)

By: Ping Guo and Juan Wang

Open Access

|Sep 2026

Roos, K.G., Kerr, Z.Y., Mauntel, T.C., Djoko, A., Dompier, T.P., Wikstrom, E.A., The epidemiology of lateral ligament complex ankle sprains in national collegiate athletic association sports, Am. J. sports Med., 2017, 45(1): 201–209. 10.1177/0363546516660980, PMID: 27573356.
Open DOI Search in Google Scholar Back to article
Picot, B., Fourchet, F., Rauline, G., Freiha, K., Wikstrom, E., Lopes, R., et al., Ankle-go score is associated with the probability of becoming coper after lateral ankle sprain: A 1-year prospective cohort study, Br. J. sports Med., 2024, 58(19): 1115–1122. 10.1136/bjsports-2024-108361, PMID: 39122369.
Open DOI Search in Google Scholar Back to article
Lin, C.I., Houtenbos, S., Lu, Y.H., Mayer, F., Wippert, P.M., The epidemiology of chronic ankle instability with perceived ankle instability - a systematic review, J. foot ankle Res., 2021, 14(1): 41. 10.1186/s13047-021-00480-w, PMID: 34049565.
Open DOI Search in Google Scholar Back to article
Hertel, J., Corbett, R.O., An updated model of chronic ankle instability, J. Athl. Train., 2019, 54(6): 572–588. 10.4085/1062-6050-344-18, PMID: 31162943.
Open DOI Search in Google Scholar Back to article
Du, Y., Wang, S., Yang , F., Xu, H., Cheng, Y., Yu, J., Effects of chronic ankle instability after grade I ankle sprain on the post-traumatic osteoarthritis, Arthritis Res. Ther., 2024, 26(1): 168. 10.1186/s13075-024-03402-w, PMID: 39342326.
Open DOI Search in Google Scholar Back to article
Hong, C.C., Tan, K.J., Calder, J., Chronic lateral ankle ligament instability - current evidence and recent management advances., J. Clin. Orthop. trauma., 2024, 48. 102328. 10.1016/j.jcot.2023.102328, PMID: 38274643.
Open DOI Search in Google Scholar Back to article
Donovan, L., Hetzel, S., Laufenberg, C.R., Mcguine, T.A., Prevalence and impact of chronic ankle instability in adolescent athletes, Orthopaedic J. Sports Med., 2020, 8(2): 2325967119900962. 10.1177/2325967119900962, PMID: 32118082.
Open DOI Search in Google Scholar Back to article
Gong, Y., Xu, M., Chen, P., Hu, X., Zhou, W., Wang, L., 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, J. Foot Ankle RES., 2025, 18(3): 70082. 10.1002/jfa2.70082, PMID: 40922104.
Open DOI Search in Google Scholar Back to article
He, Z., Zhu, H., Ye, B., Zheng, Z., Liu, G., Pan, H., Liu, R., Does chronic ankle instability patients lead to changes in biomechanical parameters associated with anterior cruciate ligament injury during landing? A systematic review and meta-analysis., Front. Physiol., 2024, 15, 1428879. 10.3389/fphys.2024.1428879, PMID: 39268191.
Open DOI Search in Google Scholar Back to article
Sylvester, A.D., Lautzenheiser, S.G., Kramer, P.A., A review of musculoskeletal modelling of human locomotion, Interface Focus., 2021, 11(5): 20200060. 10.1098/rsfs.2020.0060, PMID: 34938430.
Open DOI Search in Google Scholar Back to article
Huang, Y., Jia, Q., Impact biomechanics in sports and exercise: Understanding the mechanical forces behind sports-related injuries, Mol. Cell Biomech., 2024, 21(1): 325.
Search in Google Scholar Back to article
Peterka, R.J., Sensory integration for human balance control, Handb. Clin. Neurol., 2018, 159: 27–42. 10.1016/B978-0-444-63916-5.00002-1, PMID: 30482320.
Open DOI Search in Google Scholar Back to article
Frigon, A., Akay, T., Prilutsky, B.I., Control of mammalian locomotion by somatosensory feedback, Compr. Physiol., 2021, 12(1): 2877–2947. 10.1002/cphy.c210020, PMID: 34964114.
Open DOI Search in Google Scholar Back to article
Levin, M.F., Piscitelli, D., Motor control: A conceptual framework for rehabilitation, Mot. Control., 2022, 26(4): 497–517. 10.1123/mc.2022-0026, PMID: 35894963.
Open DOI Search in Google Scholar Back to article
Martin, R.L., Davenport, T.E., Fraser, J.J., Sawdon-Bea, J., Carcia, C.R., Carroll, L.A., et al., Ankle stability and movement coordination impairments: Lateral ankle ligament sprains revision 2021. J. Orthop. Sports Phys. Ther., 2021, 51(4): Cpg1–Cpg80. 10.2519/jospt.2021.0302
Open DOI Search in Google Scholar Back to article
Quan, W., Zhou, H., Xu, D., Gu, Y., Effect of taping on multi-segmental foot biomechanical mechanics during the running in chronic ankle instability, Sports Biomech., 2025, 24(12): 3449–3472. 10.1080/14763141.2025.2526694, PMID: 40642921.
Open DOI Search in Google Scholar Back to article
Wang, L., Chen, P., Ding, Y., Fan, S., Wang, G., Jia, S., et al., Effects of kinesio taping on lower limb biomechanical characteristics during unexpected jumping in patients with chronic ankle instability, Scand. J. Med. ci Sports, 2024, 34(1): 14566. 10.1111/sms.14566, PMID: 38268069.
Open DOI Search in Google Scholar Back to article
Hiller, C.E., Refshauge, K.M., Bundy, A.C., Herbert, R.D., Kilbreath, S.L., The cumberland ankle instability tool: A report of validity and reliability testing, Arch. Phys. Med. Rehabilitation, 2006, 87(9): 1235–41. 10.1016/j.apmr.2006.05.022, PMID: 16935061.
Open DOI Search in Google Scholar Back to article
Hu, X., Gong, Y., Xu, L., Wang, L., Influence of short-term plantar–sensory stimulation with different body loadings on postural control and sensory strategies in individuals with chronic ankle instability, Sport. Sci. Health, 2025, 21: 2813–2823. 10.1007/s11332-025-01486-8.
Open DOI Search in Google Scholar Back to article
Hu, X., Hou, X., Wang, L., Bilateral alterations in sensorimotor function and altered sensory strategy in individuals with unilateral chronic ankle instability., J. Exerc. Sci. Fit., 2025, 23(1): 21–31. 10.1016/j.jesf.2024.12.002, PMID: 39758855.
Open DOI Search in Google Scholar Back to article
Chen, P., Wang, L., Dong, S., Ding, Y., Zuo, H., Jia, S., et al., Abnormal lower limb biomechanics during a bilateral vertical jump despite the symmetry in single-leg vertical hop height in athletes after ACL reconstruction, Orthopaedic J. Sports Med., 2024, 12(2): 23259671241230989. 10.1177/23259671241230989, PMID: 38414664.
Open DOI Search in Google Scholar Back to article
Chen, P., Wang, L., Dong, S., Ding, Y., Jia, S., Zheng, C., Can symmetry of single-leg vertical jump height represent normal lower limb biomechanics of athletes after anterior cruciate ligament reconstruction? Sports Health, 2024, 16(4): 596–605. 10.1177/19417381231190119, PMID: 37554095.
Open DOI Search in Google Scholar Back to article
Hermens, H.J., Freriks, B., Disselhorst-Klug, C., Rau, G., Development of recommendations for sEMG sensors and sensor placement procedures, J. Electromyogr. Kinesiol., 2000. 10(5): 361–74. 10.1016/s1050-6411(00)00027-4, PMID: 11018445.
Open DOI Search in Google Scholar Back to article
Kotsifaki, A., Whiteley, R., Van Rossom, S., Korakakis, V., Bahr, R., Sideris, V., et al., Single leg hop for distance symmetry masks lower limb biomechanics: Time to discuss hop distance as decision criterion for return to sport after ACL reconstruction? Br. J. Sports Med., 2022, 56(5): 249–256. 10.1136/bjsports-2020-103677, PMID: 33687928.
Open DOI Search in Google Scholar Back to article
Zhang, S., Wang, L., Liu, X., Wang, G., Chen, P., Effects of kinesio taping on lower limb biomechanical characteristics during the cutting maneuver in athletes after anterior cruciate ligament reconstruction, PLoS One, 2024, 19(3): 0299216. 10.1371/journal.pone.0299216, PMID: 38451959.
Open DOI Search in Google Scholar Back to article
Lepley, L.K., Wojtys, E.M., Palmieri-Smith, R.M., Combination of eccentric exercise and neuromuscular electrical stimulation to improve biomechanical limb symmetry after anterior cruciate ligament reconstruction, Clin. Biomech., 2015, 30(7): 738–47. 10.1016/j.clinbiomech.2015.04.011, PMID: 25953255.
Open DOI Search in Google Scholar Back to article
Khalaj, N., Vicenzino, B., Smith, M.D., Hip and knee muscle torque and its relationship with dynamic balance in chronic ankle instability, copers and controls, J. Sci. Med. Sport., 2021, 24(7): 647–652. 10.1016/j.jsams.2021.01.009, PMID: 33640262.
Open DOI Search in Google Scholar Back to article
Zhang, Z., Zhang, M., Effect of different ankle braces on lower extremity kinematics and kinetics following special-induced fatigue for volleyball players with functional ankle instability, Heliyon, 2023, 9(6): 16380. 10.1016/j.heliyon.2023.e16380, PMID: 37303535.
Open DOI Search in Google Scholar Back to article
Simpson, J.D., Stewart, E.M., Mosby, A.M., Macias, D.M., Chander, H., Knight, A.C., Lower-extremity kinematics during ankle inversion perturbations: A novel experimental protocol that simulates an unexpected lateral ankle sprain mechanism, J. Sport. Rehabilitation, 2019, 28(6): 593–600. 10.1123/jsr.2018-0061, PMID: 30040015.
Open DOI Search in Google Scholar Back to article
Simpson, J.D., Stewart, E.M., Turner, A.J., Macias, D.M., Wilson, S.J., Chander, H., et al. Neuromuscular control in individuals with chronic ankle instability: A comparison of unexpected and expected ankle inversion perturbations during a single leg drop-landing, Hum. Mov. Sci., 2019, 64, 133–141. 10.1016/j.humov.2019.01.013, PMID: 30721787.
Open DOI Search in Google Scholar Back to article
Herb, C.C., Grossman, K., Feger, M.A., Donovan, L., Hertel, J., Lower extremity biomechanics during a drop-vertical jump in participants with or without chronic ankle instability, J. Athl. Train., 2018, 53(4): 364–371. 10.4085/1062-6050-481-15, PMID: 29667844.
Open DOI Search in Google Scholar Back to article
Hiller, C.E., Nightingale, E.J., Lin, C.W., Coughlan, G.F., Caulfield, B., Delahunt, E., Characteristics of people with recurrent ankle sprains: A systematic review with meta-analysis, Br. J. Sports Med., 2011, 45(8): 660–72. 10.1136/bjsm.2010.077404, PMID: 21257670.
Open DOI Search in Google Scholar Back to article
De Ridder, R., Willems, T., Vanrenterghem, J., Robinson, M., Pataky, T., Roosen, P., Gait kinematics of subjects with ankle instability using a multisegmented foot model, Med. Sci. Sports Exerc., 2013, 45(11): 2129–36. 10.1249/MSS.0b013e31829991a2, PMID: 23657166.
Open DOI Search in Google Scholar Back to article
Hertel, J., Sensorimotor deficits with ankle sprains and chronic ankle instability, Clin. Sports Med., 2008, 27(3): 353–70. 10.1016/j.csm.2008.03.006, PMID: 18503872
Open DOI Search in Google Scholar Back to article
Panagiotakis, E., Mok, K.M., Fong, D.T., Bull, A., Biomechanical analysis of ankle ligamentous sprain injury cases from televised basketball games: Understanding when, how and why ligament failure occurs, J. Sci. Med. Sport., 2017, 20(12): 1057–1061. 10.1016/j.jsams.2017.05.006, PMID: 28587794.
Open DOI Search in Google Scholar Back to article
Gehring, D., Wissler, S., Lohrer, H., Nauck, T., Gollhofer, A., Expecting ankle tilts and wearing an ankle brace influence joint control in an imitated ankle sprain mechanism during walking, Gait Posture, 2014, 39(3): 894–8. 10.1016/j.gaitpost.2013.11.016, PMID: 24365326.
Open DOI Search in Google Scholar Back to article
Li, Y., Ko, J., Zhang, S., Brown, C.N., Simpson, K.J. Biomechanics of ankle giving way: A case report of accidental ankle giving way during the drop landing test, J. Sport. Health Sci., 2019, 8(5): 494–502. 10.1016/j.jshs.2018.01.002, PMID: 31534824.
Open DOI Search in Google Scholar Back to article
Remus, A., Caulfield, B., Doherty, C., Crowe, C., Severini, G., Delahunt, E., A laboratory captured “giving way” episode in an individual with chronic ankle instability, J. Biomech., 2018, 76, 241–246. 10.1016/j.jbiomech.2018.05.015, PMID: 29793768.
Open DOI Search in Google Scholar Back to article
Grillner, S., El Manira, A. Current principles of motor control, with special reference to vertebrate locomotion, Physiological Rev., 2020, 100(1): 271–320. 10.1152/physrev.00015.2019, PMID: 31512990.
Open DOI Search in Google Scholar Back to article
Wu, X., Song, W., Zheng, C., Zhou, S., Bai, S. Morphological study of mechanoreceptors in collateral ligaments of the ankle joint, J. Orthopaedic Surg. Res., 2015, 10: 92. 10.1186/s13018-015-0215-7, PMID: 26063220.
Open DOI Search in Google Scholar Back to article
Riemann, B.L., Lephart, S.M. The sensorimotor system, part II: The role of proprioception in motor control and functional joint stability, J. Athl. Train., 2002, 37(1): 80–4, PMID: 16558671.
Search in Google Scholar Back to article
Suttmiller, A., Mccann, R S. Neural excitability of lower extremity musculature in individuals with and without chronic ankle instability: A systematic review and meta-analysis, J. Electromyogr. Kinesiol., 2020, 53, 102436. 10.1016/j.jelekin.2020.102436, PMID: 32505988.
Open DOI Search in Google Scholar Back to article
Goulding, M., Bollu, T., Büschges, A. Sensory feedback and the dynamic control of movement, Annu. Rev. Neurosci., 2025, 48(1): 405–423. 10.1146/annurev-neuro-112723-042229, PMID: 40198854.
Open DOI Search in Google Scholar Back to article
Liu, Y., Song, Q., Liu, Z., Dong, S., Hiller, C., Fong, D., Shen, P., Correlations of postural stability to proprioception, tactile sensation, and strength among people with chronic ankle instability, Mot. Control., 2024, 28(4): 464–479, 10.1123/mc.2023-0084, PMID: 39025466.
Open DOI Search in Google Scholar Back to article
Cho, B.K., Park, J.K. Correlation between joint-position sense, peroneal strength, postural control, and functional performance ability in patients with chronic lateral ankle instability, Foot Ankle Int., 2019, 40(8): 961–968, 10.1177/1071100719846114, PMID: 31018674.
Open DOI Search in Google Scholar Back to article
Thompson, C., Schabrun, S., Romero, R., Bialocerkowski, A., van Dieen, J., Marshall, P., Factors contributing to chronic ankle instability: A systematic review and meta-analysis of systematic reviews, Sports Med. (Auckland, NZ), 2018, 48(1): 189–205, 10.1007/s40279-017-0781-4, PMID: 28887759.
Open DOI Search in Google Scholar Back to article

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DOI: https://doi.org/10.37190/abb/224681 | Journal eISSN: 2450-6303 | Journal ISSN: 1509-409X

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Language: English

Page range: 63 - 72

Submitted on: Mar 1, 2026

Accepted on: Jun 16, 2026

Published on: Sep 28, 2026

Published by: Wroclaw University of Science and Technology

In partnership with: Paradigm Publishing Services

Publication frequency: 4 issues per year

Keywords:

Biomechanics,

Chronic ankle instability,

Correlation analysis,

Proprioception

Related subjects:

Engineering,

Bioengineering and biomedical engineering,

Cellular and tissue engineering,

Biomechanics,

Medicine,

Biomedical engineering,

Materials sciences,

Biomaterials and natural materials

© 2026 Ping Guo, Juan Wang, published by Wroclaw University of Science and Technology
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 License.

Volume 28 (2026): Issue 2 (June 2026)