REVIEW ARTICLE
Role of ankle dorsiflexion in sports performance and injury risk: A narrative review
 
More details
Hide details
1
Department of Physical Therapy, College of Applied Medical Sciences, Imam Abdulrahman Bin Faisal University, Dammam, SAUDI ARABIA
 
 
Online publication date: 2023-06-19
 
 
Publication date: 2023-09-01
 
 
Electron J Gen Med 2023;20(5):em521
 
KEYWORDS
ABSTRACT
The objective of this literature review is to understand the role of ankle dorsiflexion range of motion in sports performance and the risk of injuries. The ankle harmonizes the interaction between the body and the supporting surface through adjusting to the supporting surface and handling forces to contribute effectually to different functional activities. Ankle dorsiflexion is an essential construct in many sport-specific skills. Ankle dorsiflexion is associated with activation of brain areas involved in movement preparation, sensory integration, motor planning/execution, balance, and visuomotor coordination. Ankle dorsiflexion was associated with enhanced activation of deep core and quadriceps muscles. Decreased ankle dorsiflexion is linked to compensations and altered kinetics and kinematics that can potentially affect sports performance and increase the chances of sustaining injuries. It is vindicated to consider more focus on ankle dorsiflexion range of motion in research studies, sports-related pre-season screening, clinical examination, injury rehabilitation, and return-to-sports judgment.
 
REFERENCES (97)
1.
Brockett CL, Chapman GJ. Biomechanics of the ankle. Orthop trauma. 2016;30(3):232-8. https://doi.org/10.1016/j.mpor... PMid:27594929 PMCid:PMC4994968.
 
2.
McKeon JMM, Hoch MC. The ankle-joint complex: A kinesiologic approach to lateral ankle sprains. J Athl Train. 2019;54(6):589-602. https://doi.org/10.4085/1062-6... PMid:31184957 PMCid:PMC6602390.
 
3.
Kiefer EA, Wikstrom EA, McDonald JD. Ankle dislocation without fracture: An on-field perspective. Clin J Sport Med. 2006;16(3):269-70. https://doi.org/10.1097/000427... PMid:16778550.
 
4.
Kannan P, Winser S, Goonetilleke R, Cheing G. Ankle positions potentially facilitating greater maximal contraction of pelvic floor muscles: A systematic review and meta-analysis. Disabil Rehabil. 2019;41(21):2483-91. https://doi.org/10.1080/096382... PMid:29733699.
 
5.
Martinez AF, Scattone Silva R, Paschoal BLF, Souza LLA, Serrão FV. Association of ankle dorsiflexion and landing forces in jumping athletes. Sports Health. 2022;14(6):932-7. https://doi.org/10.1177/194173... PMid:34961379 PMCid:PMC9631040.
 
6.
Schroeder LE, Tatarski RL, Weinhandl JT. Increased ankle range of motion reduces knee loads during landing in healthy adults. J Appl Biomech. 2021;37(4):333-42. https://doi.org/10.1123/jab.20... PMid:33931575.
 
7.
Fong CM, Blackburn JT, Norcross MF, McGrath M, Padua DA. Ankle-dorsiflexion range of motion and landing biomechanics. J Athl Train. 2011;46(1):5-10. https://doi.org/10.4085/1062-6... PMid:21214345 PMCid:PMC3017488.
 
8.
Demirkan E, Ozkadi T, Can S, Alagoz I. Does ankle plantar and dorsiflexion affect fifty-meter swimming time in swimmers? Turk J Sport Exerc. 2021;23(3):353-8.
 
9.
Kruszewski M, Kruszewski A, Tabęcki R, Mierzejewski B, Pągowski Ł. Range of motion in selected joints in relation to sports performance and technique effectiveness in weightlifting. Pol J Sport Tour. 2022;29(1):9-13. https://doi.org/10.2478/pjst-2....
 
10.
Rezazadeh F, Shojaeddin SS, Badicu G. Functional stretching decreases knee joint loading in male athletes with gastric-soleus tightness. J Men Health. 2021;17(3):145-52.
 
11.
Daikuya S, Okayama Y. Physiotherapy for limitation of ankle dorsiflexion–New concept of classification and improvement strategies. J Bodyw Mov Ther. 2021;28:294-7. https://doi.org/10.1016/j.jbmt... PMid:34776155.
 
12.
de la Motte SJ, Lisman P, Gribbin TC, Murphy K, Deuster PA. Systematic review of the association between physical fitness and musculoskeletal injury risk: Part 3-Flexibility, power, speed, balance, and agility. J Strength Cond Res. 2019;33(6):1723-35. https://doi.org/10.1519/JSC.00... PMid:29239989.
 
13.
Abdulmassih S, Phisitkul P, Femino JE, Amendola A. Triceps surae contracture: Implications for foot and ankle surgery. J Am Acad Orthop Surg. 2013;21(7):398-407. https://doi.org/10.5435/JAAOS-... PMid:23818027.
 
14.
Aquino MRC, Resende RA, Kirkwood RN, Souza TR, Fonseca ST, Ocarino JM. Spatial-temporal parameters, pelvic and lower limb movements during gait in individuals with reduced passive ankle dorsiflexion. Gait Posture. 2022;93:32-8. https://doi.org/10.1016/j.gait... PMid:35063755.
 
15.
Teyhen DS, Shaffer SW, Butler RJ, et al. What risk factors are associated with musculoskeletal injury in US army rangers? A prospective prognostic study. Clin Orthop Relat Res. 2015;473(9):2948-58. https://doi.org/10.1007/s11999... PMid:26013150 PMCid:PMC4523518.
 
16.
Jiang T, Wu W, Wang X, Weng C, Wang Q, Guo Y. Activation of brain areas following ankle dorsiflexion versus plantar flexion: Functional magnetic resonance imaging verification. Neural Regen Res. 2012;7(7):501-5.
 
17.
Francis S, Lin X, Aboushoushah S, et al. fMRI analysis of active, passive and electrically stimulated ankle dorsiflexion. Neuroimage. 2009;44(2):469-79. https://doi.org/10.1016/j.neur... PMid:18950717.
 
18.
Trinastic JP, Kautz SA, McGregor K, et al. An fMRI study of the differences in brain activity during active ankle dorsiflexion and plantarflexion. Brain Imaging Behav. 2010;4(2):121-31. https://doi.org/10.1007/s11682... PMid:20502995.
 
19.
Capaday C. The special nature of human walking and its neural control. Trends Neurosci. 2002;25(7):370-6. https://doi.org/10.1016/S0166-... PMid:12079766.
 
20.
Lauber B, Gollhofer A, Taube W. Differences in motor cortical control of the soleus and tibialis anterior. J Exp Biol. 2018;221(Pt 20):jeb174680. https://doi.org/10.1242/jeb.17... PMid:30194250.
 
21.
Chon SC, Chang KY, You JS. Effect of the abdominal draw-in manoeuvre in combination with ankle dorsiflexion in strengthening the transverse abdominal muscle in healthy young adults: A preliminary, randomized, controlled study. Physiotherapy. 2010;96(2):130-6. https://doi.org/10.1016/j.phys... PMid:20420959.
 
22.
Brantingham JW, Lee Gilbert J, Shaik J, Globe G. Sagittal plane blockage of the foot, ankle and hallux and foot alignment-prevalence and association with low back pain. J Chiropr Med. 2006;5(4):123-7. https://doi.org/10.1016/S0899-... PMid:19674683.
 
23.
Faude O, Koch T, Meyer T. Straight sprinting is the most frequent action in goal situations in professional football. J Sports Sci. 2012;30(7):625-31. https://doi.org/10.1080/026404... PMid:22394328.
 
24.
Liska D, Liptakova E, Baťalík L, Rutkowski S. The ankle joint dorsiflexion range of motion in the closed kinematic chain of judokas and football players-pilot study. Arch Budo. 2021;17:145-50.
 
25.
Secomb JL, Farley ORL, Lundgren L, et al. Associations between the performance of scoring manoeuvres and lower-body strength and power in elite surfers. Int J Sports Sci Coach. 2015;10(5):911-8. https://doi.org/10.1260/1747-9....
 
26.
Dowse RA, Secomb JL, Bruton M, Nimphius S. Ankle proprioception, range of motion and drop landing ability differentiates competitive and non-competitive surfers. J Sci Med Sport. 2021;24(6):609-13. https://doi.org/10.1016/j.jsam... PMid:33414023.
 
27.
Francia P, Toni S, Iannone G, et al. How ankle joint mobility changes in young soccer players of different ages: A time series analysis. J Phys Educ Sport. 2021;21:2173-82.
 
28.
Moreno-Pérez V, Soler A, Ansa A, et al. Acute and chronic effects of competition on ankle dorsiflexion ROM in professional football players. Eur J Sport Sci. 2020;20(1):51-60. https://doi.org/10.1080/174613... PMid:31072261.
 
29.
Araújo VL, Carvalhais VO, Souza TR, Ocarino JM, Gonçalves GG, Fonseca ST. Validity and reliability of clinical tests for assessing passive ankle stiffness. Rev Bras Fisioter. 2011;15(2):166-73. https://doi.org/10.1590/S1413-... PMid:21789368.
 
30.
You JY, Lee HM, Luo HJ, Leu CC, Cheng PG, Wu SK. Gastrocnemius tightness on joint angle and work of lower extremity during gait. Clinical Biomech (Bristol, Avon). 2009;24(9):744-50. https://doi.org/10.1016/j.clin... PMid:19666202.
 
31.
Karas MA, Hoy DJ. Compensatory midfoot dorsiflexion in the individual with heelcord tightness: Implications for orthotic device designs. J Prosthet Orthot. 2002;14(2):82-93. https://doi.org/10.1097/000085....
 
32.
Norkin CC, White DJ. Measurement of joint motion: A guide to goniometry. F. A. Davis Company; 2016.
 
33.
Renaud PJ, Robbins SM, Dixon PC, Shell JR, Turcotte RA, Pearsall DJ. Ice hockey skate starts: A comparison of high and low calibre skaters. Sports Eng. 2017;20(4):255-66. https://doi.org/10.1007/s12283....
 
34.
Yun SJ, Kim MH, Weon JH, Kim Y, Jung SH, Kwon OY. Correlation between toe flexor strength and ankle dorsiflexion ROM during the countermovement jump. J Phys Ther Sci. 2016;28(8):2241-4. https://doi.org/10.1589/jpts.2... PMid:27630405 PMCid:PMC5011569.
 
35.
Papaiakovou G. Kinematic and kinetic differences in the execution of vertical jumps between people with good and poor ankle joint dorsiflexion. J Sports Sci. 2013;31(16): 1789-96. https://doi.org/10.1080/026404... PMid:23879544.
 
36.
Godinho I, Pinheiro BN, Júnior LDS, et al. Effect of reduced ankle mobility on jumping performance in young athletes. Motricidade. 2019;15(2-3):46-51.
 
37.
Panoutsakopoulos V, Kotzamanidou MC, Papaiakovou G, Kollias IA. The ankle joint range of motion and its effect on squat jump performance with and without arm swing in adolescent female volleyball players. J Funct Morphol Kinesiol. 2021;6(1):14. https://doi.org/10.3390/jfmk60... PMid:33546291 PMCid:PMC7931004.
 
38.
Gonzalo-Skok O, Serna J, Rhea MR, Marín PJ. Relationships between functional movement tests and performance tests in young elite male basketball players. Int J Sports Phys Ther. 2015;10(5):628-38.
 
39.
Backman LJ, Danielson P. Low range of ankle dorsiflexion predisposes for patellar tendinopathy in junior elite basketball players: A 1-year prospective study. The Am J Sports Med. 2011;39(12):2626-33. https://doi.org/10.1177/036354... PMid:21917610.
 
40.
Richards DP, Ajemian SV, Wiley JP, Brunet JA, Zernicke RF. Relation between ankle joint dynamics and patellar tendinopathy in elite volleyball players. Clin J Sport Med. 2002;12(5):266-72. https://doi.org/10.1097/000427... PMid:12394197.
 
41.
Devita P, Skelly WA. Effect of landing stiffness on joint kinetics and energetics in the lower extremity. Med Sci Sports Exerc. 1992;24(1):108-15. https://doi.org/10.1249/000057... PMid:1548984.
 
42.
Bloomquist K, Langberg H, Karlsen S, Madsgaard S, Boesen M, Raastad T. Effect of range of motion in heavy load squatting on muscle and tendon adaptations. Eur J Appl Physiol. 2013;113(8):2133-42. https://doi.org/10.1007/s00421... PMid:23604798.
 
43.
Hartmann H, Wirth K, Klusemann M, Dalic J, Matuschek C, Schmidtbleicher D. Influence of squatting depth on jumping performance. J Strength Cond Res. 2012;26(12): 3243-61. https://doi.org/10.1519/JSC.0b... PMid:22344055.
 
44.
Gomes J, Neto T, Vaz JR, Schoenfeld BJ, Freitas SR. Is there a relationship between back squat depth, ankle flexibility, and Achilles tendon stiffness? Sports Biomech. 2022;21(7):782-95. https://doi.org/10.1080/147631... PMid:32022631.
 
45.
da Costa GV, de Castro MP, Sanchotene CG, Ribeiro DC, de Brito Fontana H, Ruschel C. Relationship between passive ankle dorsiflexion range, dynamic ankle dorsiflexion range and lower limb and trunk kinematics during the single-leg squat. Gait Posture. 2021;86:106-11. https://doi.org/10.1016/j.gait... PMid:33713896.
 
46.
Chimera NJ, Knoeller S, Cooper R, Kothe N, Smith C, Warren M. Prediction of functional movement screen™ performance from lower extremity range of motion and core tests. Int J Sports Phys Ther. 2017;12(2):173-81.
 
47.
Kiesel K, Plisky PJ, Voight ML. Can serious injury in professional football be predicted by a preseason functional movement screen? N Am J Sports Phys Ther. 2007;2(3):147-58.
 
48.
Taylor JB, Wright ES, Waxman JP, Schmitz RJ, Groves JD, Shultz SJ. Ankle dorsiflexion affects hip and knee biomechanics during landing. Sports Health. 2022; 14(3):328-35. https://doi.org/10.1177/194173... PMid:34096370 PMCid:PMC9112706.
 
49.
Stanley LE, Harkey M, Luc-Harkey B, et al. Ankle Dorsiflexion displacement is associated with hip and knee kinematics in females following anterior cruciate ligament reconstruction. Res Sports Med. 2019;27(1):21-33. https://doi.org/10.1080/154386... PMid:30084269.
 
50.
Rabin A, Portnoy S, Kozol Z. The association of ankle dorsiflexion range of motion with hip and knee kinematics during the lateral step-down test. J Orthop Sports Phys Ther. 2016;46(11):1002-9. https://doi.org/10.2519/jospt.... PMid:27686412.
 
51.
Hoch MC, Staton GS, McKeon PO. Dorsiflexion range of motion significantly influences dynamic balance. J Sci Med Sport. 2011;14(1):90-2. https://doi.org/10.1016/j.jsam... PMid:20843744.
 
52.
He Y, Lv X, Zhou Z, Sun D, Baker JS, Gu Y. Comparing the kinematic characteristics of the lower limbs in table tennis: Differences between diagonal and straight shots using the forehand loop. J Sports Sci Med. 2020;19(3):522-8.
 
53.
Davids K, Glazier P, Araújo D, Bartlett R. Movement systems as dynamical systems: The functional role of variability and its implications for sports medicine. Sports Med. 2003;33(4):245-60. https://doi.org/10.2165/000072... PMid:12688825.
 
54.
Hamill J, Palmer C, Van Emmerik RE. Coordinative variability and overuse injury. Sports Med Arthrosc Rehabil Ther Technol. 2012;4(1):45. https://doi.org/10.1186/1758-2... PMid:23186012 PMCid:PMC3536567.
 
55.
Mason-Mackay AR, Whatman C, Reid D. The effect of reduced ankle dorsiflexion on lower extremity mechanics during landing: A systematic review. J Sci Med Sport. 2017; 20(5):451-8. https://doi.org/10.1016/j.jsam... PMid:26117159.
 
56.
Hewett TE, Myer GD, Ford KR, et al. Biomechanical measures of neuromuscular control and valgus loading of the knee predict anterior cruciate ligament injury risk in female athletes: A prospective study. Am J Sports Med. 2005;33(4):492-501. https://doi.org/10.1177/036354... PMid:15722287.
 
57.
Mauntel TC, Begalle RL, Cram TR, et al. The effects of lower extremity muscle activation and passive range of motion on single leg squat performance. J Strength Cond Res. 2013;27(7):1813-23. https://doi.org/10.1519/JSC.0b... PMid:23096063.
 
58.
Howe LP. The acute effects of ankle mobilizations on lower extremity joint kinematics. J Bodyw Mov Ther. 2017;21(4):775-80. https://doi.org/10.1016/j.jbmt... PMid:29037626.
 
59.
Howe LP, Bampouras TM, North J, Waldron M. Ankle dorsiflexion range of motion is associated with kinematic but not kinetic variables related to bilateral drop-landing performance at various drop heights. Hum Mov Sci. 2019;64:320-8. https://doi.org/10.1016/j.humo... PMid:30836206.
 
60.
Lima YL, Ferreira V, de Paula Lima PO, Bezerra MA, de Oliveira RR, Almeida GPL. The association of ankle dorsiflexion and dynamic knee valgus: A systematic review and meta-analysis. Phys Ther Sport. 2018;29:61-9. https://doi.org/10.1016/j.ptsp... PMid:28974358.
 
61.
Nakagawa TH, Petersen RS. Relationship of hip and ankle range of motion, trunk muscle endurance with knee valgus and dynamic balance in males. Phys Ther Sport. 2018;34:174-9. https://doi.org/10.1016/j.ptsp... PMid:30347312.
 
62.
Rabin A, Kozol Z, Spitzer E, Finestone A. Ankle dorsiflexion among healthy men with different qualities of lower extremity movement. J Athl Train. 2014;49(5):617-23. https://doi.org/10.4085/1062-6... PMid:25098656 PMCid:PMC4208865.
 
63.
Macrum E, Bell DR, Boling M, Lewek M, Padua D. Effect of limiting ankle-dorsiflexion range of motion on lower extremity kinematics and muscle-activation patterns during a squat. J Sport Rehabil. 2012;21(2):144-50. https://doi.org/10.1123/jsr.21... PMid:22100617.
 
64.
Witvrouw E, Lysens R, Bellemans J, Cambier D, Vanderstraeten G. Intrinsic risk factors for the development of anterior knee pain in an athletic population. A two-year prospective study. Am J Sports Med. 2000;28(4):480-9. https://doi.org/10.1177/036354... PMid:10921638.
 
65.
Piva SR, Goodnite EA, Childs JD. Strength around the hip and flexibility of soft tissues in individuals with and without patellofemoral pain syndrome. J Orthop Sports Phys Ther. 2005;35(12):793-801. https://doi.org/10.2519/jospt.... PMid:16848100.
 
66.
Bell DR, Padua DA, Clark MA. Muscle strength and flexibility characteristics of people displaying excessive medial knee displacement. Arch Phys Med Rehabil. 2008;89(7):1323-8. https://doi.org/10.1016/j.apmr... PMid:18586134.
 
67.
Malloy P, Morgan A, Meinerz C, Geiser C, Kipp K. The association of dorsiflexion flexibility on knee kinematics and kinetics during a drop vertical jump in healthy female athletes. Knee Surg Sports Traumatol Arthrosc. 2015; 23(12):3550-5. https://doi.org/10.1007/s00167... PMid:25112598 PMCid:PMC4977993.
 
68.
Noehren B, Hamill J, Davis I. Prospective evidence for a hip etiology in patellofemoral pain. Med Sci Sports Exerc. 2013;45(6):1120-4. https://doi.org/10.1249/MSS.0b... PMid:23274607.
 
69.
Greiwe RM, Saifi C, Ahmad CS, Gardner TR. Anatomy and biomechanics of patellar instability. Oper Tech Sports Med. 2010;18(2):62-7. https://doi.org/10.1053/j.otsm....
 
70.
Aderem J, Louw QA. Biomechanical risk factors associated with iliotibial band syndrome in runners: A systematic review. BMC Musculoskelet Disord. 2015;16:356. https://doi.org/10.1186/s12891... PMid:26573859 PMCid:PMC4647699.
 
71.
Räisänen AM, Pasanen K, Krosshaug T, et al. Association between frontal plane knee control and lower extremity injuries: A prospective study on young team sport athletes. BMJ Open Sport Exerc Med. 2018;4(1):e000311. https://doi.org/10.1136/bmjsem... PMid:29387448 PMCid:PMC5783037.
 
72.
Boden BP, Sheehan FT, Torg JS, Hewett TE. Noncontact anterior cruciate ligament injuries: Mechanisms and risk factors. J Am Acad Orthop Surg. 2010;18(9):520-7. https://doi.org/10.5435/001246... PMid:20810933 PMCid:PMC3625971.
 
73.
Aali S, Rezazadeh F, Badicu G, Grosz WR. Effect of heel-first strike gait on knee and ankle mechanics. Medicina (Kaunas). 2021;57(7):657. https://doi.org/10.3390/medici... PMid:34206943 PMCid:PMC8304808.
 
74.
Kuhman DJ, Paquette MR, Peel SA, Melcher DA. Comparison of ankle kinematics and ground reaction forces between prospectively injured and uninjured collegiate cross country runners. Hum Mov Sci. 2016;47:9-15. https://doi.org/10.1016/j.humo... PMid:26827155.
 
75.
Norcross MF, Lewek MD, Padua DA, Shultz SJ, Weinhold PS, Blackburn JT. Lower extremity energy absorption and biomechanics during landing, part II: Frontal-plane energy analyses and interplanar relationships. J Athl Train. 2013; 48(6):757-63. https://doi.org/10.4085/1062-6... PMid:23944381 PMCid:PMC3867086.
 
76.
Wang L-I. Lower extremity stiffness modulation: Effect of impact load of a landing task from different drop heights. Int Sport Med J. 2009;10(4):186-93.
 
77.
Dowling B, McPherson AL, Paci JM. Weightbearing ankle dorsiflexion range of motion and sagittal plane kinematics during single leg drop jump landing in healthy male athletes. J Sports Med Phys Fitness. 2018;58(6):867-74. https://doi.org/10.23736/S0022... PMid:28639442.
 
78.
Ameer MA, Muaidi QI. Relation between peak knee flexion angle and knee ankle kinetics in single-leg jump landing from running: A pilot study on male handball players to prevent ACL injury. Phys Sportsmed. 2017;45(3):337-43. https://doi.org/10.1080/009138... PMid:28628348.
 
79.
Yu B, Garrett WE. Mechanisms of non-contact ACL injuries. Br J Sports Med. 2007;41 Suppl 1(Suppl 1):i47-51. https://doi.org/10.1136/bjsm.2... PMid:17646249 PMCid:PMC2465243.
 
80.
Koga H, Muneta T, Bahr R, Engebretsen L, Krosshaug T. ACL injury mechanisms: Lessons learned from video analysis. In: Musahl V, Karlsson J, Kuroda R, Zaffagnini S, editors. Rotatory knee instability. Springer; 2017. p. 27-36. https://doi.org/10.1007/978-3-....
 
81.
Leppänen M, Pasanen K, Kujala UM, et al. Stiff landings are associated with increased ACL injury risk in young female basketball and floorball players. Am J Sports Med. 2017;45(2):386-93. https://doi.org/10.1177/036354... PMid:27637264.
 
82.
Waldén M, Krosshaug T, Bjørneboe J, Andersen TE, Faul O, Hägglund M. Three distinct mechanisms predominate in non-contact anterior cruciate ligament injuries in male professional football players: A systematic video analysis of 39 cases. Br J Sports Med. 2015;49(22):1452-60. https://doi.org/10.1136/bjspor... PMid:25907183 PMCid:PMC4680158.
 
83.
Souza TR, Pinto RZ, Trede RG, Kirkwood RN, Pertence AE, Fonseca ST. Late rearfoot eversion and lower-limb internal rotation caused by changes in the interaction between forefoot and support surface. J Am Podiatr Med Assoc. 2009;99(6):503-11. https://doi.org/10.7547/099050... PMid:19917736.
 
84.
Mendonça LD, Verhagen E, Bittencourt NF, Gonçalves GG, Ocarino JM, Fonseca ST. Factors associated with the presence of patellar tendon abnormalities in male athletes. J Sci Med Sport. 2016;19(5):389-94. https://doi.org/10.1016/j.jsam... PMid:26087883.
 
85.
Ota S, Ueda M, Aimoto K, Suzuki Y, Sigward S. Acute influence of restricted ankle dorsiflexion angle on knee joint mechanics during gait. Knee. 2014;21(3):669-75. https://doi.org/10.1016/j.knee... PMid:24530209.
 
86.
Kang MH, Lee DK, Park KH, Oh JS. Association of ankle kinematics and performance on the y-balance test with inclinometer measurements on the weight-bearing-lunge test. J Sport Rehabil. 2015;24(1):62-7. https://doi.org/10.1123/jsr.20... PMid:24458334.
 
87.
Hartley EM, Hoch MC, Boling MC. Y-balance test performance and BMI are associated with ankle sprain injury in collegiate male athletes. J Sci Med Sport. 2018; 21(7):676-80. https://doi.org/10.1016/j.jsam... PMid:29102301.
 
88.
Johanson M, Baer J, Hovermale H, Phouthavong P. Subtalar joint position during gastrocnemius stretching and ankle dorsiflexion range of motion. J Athl Train. 2008;43(2):172-8. https://doi.org/10.4085/1062-6... PMid:18345342 PMCid:PMC2267329.
 
89.
Baumbach SF, Braunstein M, Seeliger F, Borgmann L, Böcker W, Polzer H. Ankle dorsiflexion: What is normal? Development of a decision pathway for diagnosing impaired ankle dorsiflexion and M. gastrocnemius tightness. Arch Orthop Trauma Surg. 2016;136(9):1203-11. https://doi.org/10.1007/s00402... PMid:27418341.
 
90.
Malliaras P, Cook JL, Kent P. Reduced ankle dorsiflexion range may increase the risk of patellar tendon injury among volleyball players. J Sci Med Sport. 2006;9(4):304-9. https://doi.org/10.1016/j.jsam... PMid:16672192.
 
91.
Hamilton M, Velasquez JR. Ankle flexibility and jump landing mechanics: Implications for ACL injury risk. Int J Athl Ther Train. 2011;16(6):14-6. https://doi.org/10.1123/ijatt.....
 
92.
Pascual Huerta J. The effect of the gastrocnemius on the plantar fascia. Foot Ankle Clin. 2014;19(4):701-18. https://doi.org/10.1016/j.fcl.... PMid:25456717.
 
93.
DiGiovanni CW, Langer P. The role of isolated gastrocnemius and combined Achilles contractures in the flatfoot. Foot Ankle Clin. 2007;12(2):363-79, viii. https://doi.org/10.1016/j.fcl.... PMid:17561207.
 
94.
Sasaki K, Neptune RR. Differences in muscle function during walking and running at the same speed. J Biomech. 2006;39(11):2005-13. https://doi.org/10.1016/j.jbio... PMid:16129444.
 
95.
Mahieu NN, Witvrouw E, Stevens V, Van Tiggelen D, Roget P. Intrinsic risk factors for the development of achilles tendon overuse injury: A prospective study. Am J Sports Med. 2006; 34(2):226-35. https://doi.org/10.1177/036354... PMid:16260469.
 
96.
Pinto RZ, Souza TR, Trede RG, Kirkwood RN, Figueiredo EM, Fonseca ST. Bilateral and unilateral increases in calcaneal eversion affect pelvic alignment in standing position. Man Ther 2008;13(6):513-9. https://doi.org/10.1016/j.math... PMid:17910932.
 
97.
Alizadeh S, Mattes K. How anterior pelvic tilt affects the lower extremity kinematics during the late swing phase in soccer players while running: A time series analysis. Hum Mov Sci. 2019;66:459-66. https://doi.org/10.1016/j.humo... PMid:31176257.
 
eISSN:2516-3507
Journals System - logo
Scroll to top