Original scientific paper

The effect of foot type and laterality on ankle sprain in elite female volleyball athletes

Ivan Vařeka orcid.org/0000-0003-4871-8073 ; Department of Physiotherapy, Faculty of PE, University of Palacky in Olomouc, the Czech Republic
Renata Vařeková ; Department of Functional Anthropology and Physiology, Faculty of PE, University of Palacky in Olomouc, the Czech Republic
Michal Lehnert ; Department of Anthropomotorics and Sport Training, Faculty of PE, University of Palacky in Olomouc, the Czech Republic
Pavel Kolář ; Department of Rehabilitation and Exercise medicine, The 2nd Faculty of Medicine, Charles University in Prague, the Czech Republic
David Stejskal ; Department of Laboratory Medicine & Metabolic Outpatient Centre, Central Moravian Hospital County Inc., Prostějov, the Czech Republic

Abstract

Volleyball is a team game with a high incidence of ankle sprain. The purpose of our research was to investigate the ankle sprain history and incidence in elite female volleyball athletes according to the Root functional foot type and laterality. The additional aims were to investigate the foot type prevalence and the effect of age on ankle sprain incidence. Sixty-two elite female volleyball athletes (17-25 years, mean=20.7, SD=2.03) were investigated by an experienced rehabilitation physician for functional foot type according to Root, while the personal history of ankle sprain and laterality were estimated based on asking questions. The obtained data of ankle sprain cases in the subjects did not have the normal distribution (Kolmogorov-Smirnov, d=.26, p<.01). Also, the Spearman correlation and the Wilcoxon and Kruskall-Wallis tests were used to find out the significance of each case. Almost 68% of the subjects had a history of ankle sprain (1-13 cases per person, 2 cases on average). Ankle sprain has been confirmed as a very common injury in volleyball athletes. Spearman’s correlation did not show the significance of age (Spearman’s correlation, r1=-.1873; p<.05) in spite of the exclusion of three subjects with extremely high ankle sprain incidence (ASI) (r2=-.1656; p<.05). Laterality was not significant, either. (Wilcoxon test, p=.07). The findings supported previously described differences in the prevalence of various functional foot types – compensated rearfoot varus and flexible forefoot valgus were the most common ones (56.6% and 27.4%, respectively), compensated forefoot varus, rigid forefoot valgus and neutral foot were relatively rare (8.1%, 4.8% and 3.3%, respectively). Subjects with the two most common foot types had an obviously higher average incidence of ankle sprain (2.4 and 2.0, respectively) than the other ones (.8, .7 and .5, respectively), but without significance (Kruskall-Wallis, p=.44). The non-significance of foot type effect on ankle sprain frequency was questionable due to the very low prevalence or lack of other functional foot types with known empirical evidence of increased ankle sprain risk.

Keywords

ankle injury; Root model; biomechanics

Hrčak ID:

45837

URI

https://hrcak.srce.hr/45837

Publication date:

29.12.2009.

Article data in other languages: croatian

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