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  • Title: Ankle dorsiflexion among healthy men with different qualities of lower extremity movement.
    Author: Rabin A, Kozol Z, Spitzer E, Finestone A.
    Journal: J Athl Train; 2014; 49(5):617-23. PubMed ID: 25098656.
    Abstract:
    CONTEXT: Lower extremity movement patterns have been implicated as a risk factor for various knee disorders. Ankle-dorsiflexion (DF) range of motion (ROM) has previously been associated with a faulty movement pattern among healthy female participants. OBJECTIVE: To determine the association between ankle DF ROM and the quality of lower extremity movement during the lateral step-down test among healthy male participants. DESIGN: Cross-sectional study. SETTING: Training facility of the Israel Defense Forces. PATIENTS OR OTHER PARTICIPANTS: Fifty-five healthy male Israeli military recruits (age = 19.7 ± 1.1 years, height = 175.4 ± 6.4 cm, mass = 72.0 ± 7.6 kg). INTERVENTION(S): Dorsiflexion ROM was measured in weight-bearing and non-weight-bearing conditions using a fluid-filled inclinometer and a universal goniometer, respectively. Lower extremity movement pattern was assessed visually using the lateral step-down test and classified categorically as good or moderate. All measurements were performed bilaterally. MAIN OUTCOME MEASURE(S): Weight-bearing and non-weight-bearing DF ROM were more limited among participants with moderate quality of movement than in those with good quality of movement on the dominant side (P = .01 and P = .02 for weight-bearing and non-weight-bearing DF, respectively). Non-weight-bearing DF demonstrated a trend toward a decreased range among participants with moderate compared with participants with good quality of movement on the nondominant side (P = .03 [adjusted P = .025]). Weight-bearing DF was not different between participants with good and moderate movement patterns on the nondominant side (P = .10). Weight-bearing and non-weight-bearing ankle DF ROM correlated significantly with the quality of movement on both sides (P < .01 and P < .05 on the dominant and nondominant side, respectively). CONCLUSIONS: Ankle DF ROM was associated with quality of movement among healthy male participants. The association seemed weaker in males than in females.
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