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Salinee Chaiyakul1, Supattra Chaibal1,2

1Physical Therapy Department, School of Allied Health Sciences, Walailak University, Thailand
2Research Excellence Center for Innovation and Health Products, Walailak University, Thailand

Physical Performance and Psychological Status of Professional Football Players with Recurrent Ankle Sprains

Sport Mont 2022, 20(2), 17-22 | DOI: 10.26773/smj.220603

Abstract

This study aims to compare physical performance and psychological status between professional football players with no history of ankle sprain and those with recurrent ankle sprains. The participants in this study included 40 male professional football players from 6 football clubs in Thailand. Participants were classified into two groups, those with no history of ankle sprain (control) and those with recurrent ankle sprains, with 20 participants in each group. All participants were asked to perform four physical performance tests, namely, the weight bearing lunge test, star excursion balance test, vertical jump test, and Illinois agility test; and to complete two psychological questionnaires, assessing anxiety and burnout. The physical test results showed that the posteromedial direction in the star excursion balance test was significantly lower in the recurrent ankle sprain group compared to the control (p<0.05). There were no differences in anterior and posterolateral directions. In addition, there were no significant differences in weight bearing lunge, vertical jump, and Illinois agility between the groups. The results of the psychological questionnaires showed a significant difference in terms of the achievement dimension of burnout between the groups (p<0.05), while in other psychological parameters there was no difference. The difference was partially achieved, only in two tests, while in others there was no difference at all. Therefore, in accordance with the achieved results, the coach and rehabilitation team should raise awareness and include treatment programs to help athletes avoid physical and mental problems associated with recurring ankle injuries.

Keywords

recurrent ankle sprain, professional football players, anxiety, burnout, physical performance



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References

Alghadir, A.H., Iqbal, Z. A., Iqbal, A., Ahmed, H., & Ramteke, S. U. (2020). Effect of chronic ankle sprain on pain, range of motion, proprioception, and balance among athletes. International Journal of Environmental Research and Public Health, 17(15), 5318. https://doi.org/10.3390/ijerph17155318

Clanton, T. O., Matheny, L. M., Jarvis, H. C., & Jeronimus, A. B. (2012). Return to play in athletes following ankle injuries. Sports Health, 4(6), 471-474. https://doi.org/10.1177/1941738112463347

Delahunt, E., & Remus, A. (2019). Risk factors for lateral ankle sprains and chronic ankle instability. Journal of Athletic Training, 54 (6), 611–616. https://doi.org/10.4085/1062-6050-44-18

Frigg, A., Magerkurth, O., Valderrabano, V., Ledermann, H-P, & Hintermann, B. (2007). The effects of osseous ankle configuration on chronic ankle instability. British Journal Sports Medicine, 41 (7), 420-424. http://dx.doi.org/10.1136/bjsm.2006.032672

Gould, D., Bridges, D., Udry, E., & Beck, L. (1997). Stress sources encountered when rehabilitating from season-ending ski injuries. Sport Psychologist, 11 (4), 361-378. https://doi.org/https://doi.org/10.1123/tsp.11.4.361

Herzog, M. M., Kerr, Z. Y., Marshall, S. W., & Wilktrom, E. A. (2019). Epidemiology of ankle sprains and chronic ankle instability. Journal of Athletic Training, 54 (6), 603-610. https://doi.org/10.4085/1062-6050-447-17

Hubbard, T. J., Hertel, J., & Sherbondy, P. (2006). Fibular position in indiduals with selt-reportd chronic ankle instability. Journal of Orthopaedic and Sports Physical Therapy, 36 (1), 3-9. https://www.jospt.org/doi/10.2519/jospt.2006.36.1.3

McKay, G., Goldie, P., & Payne W. (2002). Ankle injuries in basketball: injury rate and risk factors. British Journal of Sports Medicine, 35 (2), 103-108. https://doi.org/10.1136/bjsm.35.2.103

Michelson, J. D., & Hutchins, C. (1995). Mechanoreceptors in human ankle ligaments. Journal of Bone and Joint Surgery British, 77 (2), 219–224.

Miklovic, T. M., Donovan, L., Protzuk, O. A., Kang, M. S., & Feger, M. A. (2018). Acute lateral ankle sprain to chronic ankle instability: a pathway of dysfunction. Physician and Sportsmedicine, 46 (1), 116-122. https://doi.org/10.1080/00913847.2018.1409604

Mitchell, A., Dyson, R., Hale, T., & Abraham, C. (2008). Biomechanics of ankle instability. Part 2: Postural sway-reaction time relationship. Medicine and Science in Sport and Exercise, 40 (8), 1522-1528. https://doi.org/10.1249/mss.0b013e31817356d6

Podlog, L., & Eklund, R.C. (2010). Returning to competition after a serious injury: the role of self-determination. Journal of Sports Sciences, 28 (8), 819-831. https://doi.org/10.1080/02640411003792729

Shadloo, B., Motevalian, A., Rahimi-Movaghar, V., Amin-Esmaeili, M., Sharifi, V., Hajebi, A., . . . Rahimi-Movaghar, A. (2016). Psychiatric disorders are associated with an increased risk of injuries: data from the Iranian Mental Health Survey (IranMHS). Iranian Journal of Public Health, 45 (5), 623-635.

Stubbe, J.H., van Beijsterveldt, A-M.M.C., van der Knaap, S., Stege, J., Verhagen, E.A., van Mechelen. W., Backx, F.J.G. (2015). Injuries in professional male soccer players in the Netherlands: a prospective cohort study. Journal of Athletic Training, 50 (2), 211–216. https://doi.org/10.4085/1062-6050-49.3.64

Nippert, A.H., & Smith, A.M. (2008). Psychologic stress related to injury and impact on sport performance. Physical Medicine and Rehabilitation Clinics of North America, 19 (2), 399-418. https://doi.org/10.1016/j.pmr.2007.12.003

van Wilgen, C.P., Kaptein, A.A., & Brink, M.S. (2010). Illness perceptions and mood states are associated with injury-related outcomes in athletes. Disability and Rehabilitation, 32 (19), 1576-1585. https://doi.org/10.3109/09638281003596857

Fukano, M., Mineta, S., & Hirose, N. (2020). Fear avoidance beliefs in college athletes with a history of ankle sprain. International Journal of Sports Medicine, 41 (2), 128-133. https://doi.org/10.1055/a-1065-1940.

Kosik, K.B., Johnson, N.F., Terada, M., Thomas-Fenwick, A.C., Mattacola, C.G., & Gribble, P.A. (2020). Health-related quality of life among middle-aged adults with chronic ankle instability, copers, and uninjured controls. Journal of Athletic Training, 55 (7):733-738. https://doi.org/10.4085/1062-6050-190-19.

Doherty, C., Bleakley, C., Hertel, J., Caulfield, B., Ryan, J., & Delehunt, E. (2016). Dynamic balance deficits in individuals with chronic ankle instability compared to ankle sprain copers 1 year after a first-time lateral ankle sprain injury. Knee Surgery, Sports Traumatology, Arthroscopy, 24 (4), 1086-1095. https://doi.org/10.1007/s00167-015-3744-z.

Hall, E.A., & Docherty, C.L. (2017). Validity of clinical outcome measures to evaluate ankle range of motion during the weight bearing test. Journal of Science and Medicine in Sport, 20 (7), 618-621. https://doi.org/10.1016/j.jsams.2016.11.001

Hertel, J., Braham, R.A., Hale, S.A., & Olmsted-Kramer, L.C. (2006). Simplifying the star excursion balance test: analyses of subjects with and without chronic ankle instability. Journal of Orthopaedic & Sports Physical Therapy, 36 (3), 131-137. https://doi.org/10.2519/jospt.2006.36.3.131

Gribble, P.A., Hertel, J., & Plisky, P. (2012). Using the star excursion balance test to assess dynamic postural control deficits and outcomes in lower extremity injury: a literature and systemic review. Journal of Athletic Training, 47 (3), 339-357. https://doi.org/10.4085/1062-6050-47.3.08

Choosuwan, P., Ratrujithong, P., & Tungthongchai, O. (2019). The state anxiety of soccer athletes participated in the 43th Thailand university games. Journal of Health, Physical Education and Recreation, 45 (2):121-134.

Polyotha, K., Hengrawit, R., Tongrin, S., Srisawat, T., Chairat, P., & Makmee, P. (2014). An investigation of predictors of burnout in the elite athlete students of Burapha University. Journal of Sport Science and Technology, 14 (2), 187-197.

Khuman, R., Devi, L.S., & Kamlesh, T. (2014). Dynamic postural control assessment with star excursion balance test among chronic ankle instability and healthy asymptomatic participants. International Journal of Health and Rehabilitation Sciences, 3 (2), 55-64. https://doi.org/10.5455/ijhrs.000000053

Hertel, J. (2008). Sensorimotor deficits with ankle sprains and chronic ankle instability. Clinics in Sports Medicine, 27 (3), 353–370. https://doi.org/10.1016/j.csm.2008.03.006.

Hoch, M.C., Staton, G.S., McKeon, J.M.M., Mattacola, C.G., & McKeon, P.O. (2012). Dorsiflexion and dynamic postural control deficits are present in those with chronic ankle instability. Journal of Science and Medicine in Sport, 15 (6), 574-579. https://doi.org/10.1016/j.jsams.2012.02.009

Kubo, K., Morimoto, M., Komuro, T., Yata, H., Tsunoda, N., Kanehisa, H., & Fukunaga, T. (2007). Effects of plyometric and weight training on muscle-tendon complex and jump performance. Medicine and Science in Sports and Exercise, 39 (10), 1801-1810. https://doi.org/10.1249/mss.0b013e31813e630a

Raedeke, T.D., & Smith, A.L. (2001). Development and preliminary validation of an athlete burnout measure. Journal of Sport and Exercise Psychology, 23 (4), 281-306. https://doi.org/10.1123/jsep.23.4.281

Malina, R.M. (2010). Early sport specialization: roots, effectiveness, risks. Current Sports Medicine Reports, 9 (6), 364–371. https://doi.org/10.1249/JSR.0b013e3181fe3166

Matos, N.F., Winsley, R.J., & Williams, C.A. (2011). Prevalence of nonfunctional overreaching/overtraining in young English athletes. Medicine and Science in Sports and Exercise, 43 (7), 1287–1294. https://doi.org/10.1249/MSS.0b013e318207f87b

DiFiori, J.P., Benjamin, H.J., Brenner, J.S., Gregory, A., Jayanthi, N., Landry, G.L, & Luke, A. (2014). Overuse injuries and burnout in youth sports: a position statement from the American Medical Society for Sports Medicine. British Journal of Sports Medicine, 48 (4), 287–288. http://dx.doi.org/10.1136/bjsports-2013-093299

Stambulova, N. (2006). Talent development in sport: A career transitions perspective. In 2006 International Society of Sport Psychology Managing council Meeting and International Forum of the Psychology of Olympic Excellence (pp. 69-78). Taipei, Taiwan: Society of Sport and Exercise Psychology of Taiwan (SSEPT).

Turner, S., Langdon, J., Shaver, G., Graham, V., Naugle, K., & Buckley, T. (2017). Comparison of psychological response between concussion and musculoskeletal injury in collegiate athletes. Sport, Exercise, and Performance Psychology, 6 (3), 277-288. https://doi.org/10.1037/spy0000099

Parnabas, V. (2015). The relationship between competitive state anxiety and sport performance on football players. The International Journal of Indian Psychology, 2 (1), 1-11.

Covassin, T., Crutcher, B., Bleecker, A., Heiden, E.O., Dailey, A. & Yang, J. (2014). Postinjury anxiety and social support among collegiate athletes: a comparison between orthopaedic injuries and concussions. Journal of Athletic Training, 49 (4), 462-468. https://doi.org/10.4085/1062-6059-49.2.03