Clinical predictors for ankle sprain recurrence of amateur volleyball athletes

Mendes, David Costa; Oliveira, Mariene Cristine Silva; Santos, Filipe de Souza; Santos, Vanessa Eduarda Lopes; Alves, João Warley; Machado, Frederico Sander Mansur; Tinini, Rodolpho Cesar dos Reis; Rodrigues, Ana Carolina de Mello Alves

doi:10.1590/rbce.47.e20240020

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Original Article • Rev. Bras. Ciênc. Esporte 47 • 2025 • https://doi.org/10.1590/rbce.47.e20240020 linkcopy

Clinical predictors for ankle sprain recurrence of amateur volleyball athletes

Preditores clínicos para recorrência de entorse de tornozelo em atletas amadores de voleibol

Predictores clínicos de la recurrencia del esguince de tobillo en atletas aficionados de voleibol

Authorship SCIMAGO INSTITUTIONS RANKINGS

ABSTRACT

To evaluate the risk factors and complications in the recurrence of ankle sprains in amateur volleyball athletes. 22 male amateur volleyball athletes, divided into groups with sprains (n=11) and a control (n=11) were evaluated using the Foot and Ankle Outcome Score questionnaire, Visual Analogue Scale (VAS), Y Balance Test, Dorsiflexion Lunge. Our results indicate a direct correlation between the middle blocker and ankle sprains. A significant difference was observed between the groups on the VAS. The present study shows that reduced ankle range of motion, pain, athlete position are possible predictors for the recurrence of ankle sprains.

Keywords:
Sports’ lesions; Rehabilitation; Lesion recurrence; Orthopedics

Variables		Sprain (n=11)	Control (n=11)	p-value
Age (years)		25.27 (±1.19)	20.91 (±0.5)	0.41
Mass weight (Kg)		86.65 (±4.03)	79.27 (±4.72)	0.50
Height (m)		1.84 (±0.02)	1.81 (±0.01)	0.54
Time practicing the sport (years)		8.05 (±1.69)	6.09 (±0.69)	0.68
Volleyball position	Middle Blocker	4 (36.4%)	2 (18.2%)	0.00*
	Setter	2 (18.2%)	2 (18.2%)
	Libero	0 (0.0%)	2 (18.2%)
	Opposite	3 (27.3%)	3 (27.3%)
	Outside Hitter	2 (18.2%)	2 (18.2%)

Variables		Sprain (n=11)		Control (n=11)		p-value
Variables		RLL - healthy	LLL – sprained	RLL	LLL	p-value
ROMs (degrees)	Dorsiflexion	19.64 (± 1.31)	16.73 (± 1.24)	19.91 (± 0.48)	20.82 (± 0.52)	R: 0.25; L: 0.07
	Plantar flexion	40.91 (± 1.48)	39.27 (± 1.30)	41.36 (± 0.98)	39.73 (± 0.95)	R: 0.68; L: 0.70
	Eversion	19.91 (± 1.58)	18.82 (± 1.48)	24.18 (± 1.88)	24.73 (± 1.74)	R: 0.40; L:0.09
	Inversion	35.91 (± 1.78)	31.64 (± 2.00)	37.55 (± 2.08)	36.00 (± 2.13)	R: 0.33; L: 0.16
Y Balance Test (cm)	Anterior	67.55 (±3.01)	66.36 (±4.14)	64.18 (±1.95)	65.45 (±2.32)	R: 0.46; L: 0.34
	Posterolateral	105.45 (±2.67)	104.73 (±2.27)	95.18 (±2.67)	97.55 (±2.13)	R: 0.40; L:0.40
	Posteromedial	102.18 (±2.58)	97.64 (±2.45)	94.27 (±3.30)	95.27 (±3.28)	R: 0.40; L: 0.40
Lunge Test (cm)		37.91 (±1.88)	33.18 (±2.49)	37.09 (±1.17)	36.00 (±1.43)	R: 0.14; L: 0.07
VAS	current	2.27 (±0.80)		0.27 (±0.20)		0.28
	2 days before	2.82 (±0.77)		0 (±0.0)		0.034*
	7 days before	2.91 (±0.93)		0.36 (±0.36)		0.13

FAOS domains	Sprain (n=11)	Control (n=11)	p-value
Symptoms	17.18 (±1.14)	21.64 (±0.56)	0.05
Pain	25.27 (±1.87)	30.82 (±0.75)	0.41
Activity of daily living	60.91 (±2.91)	66.45 (±1.36)	0.28
Sport and functional recreations	10.82 (±1.26)	14.27 (±0.80)	0.44
Quality of life in relation to the foot and ankle	11.00 (±1.39)	14.82 (±0.52)	0.15
Normalized total score	74.51 (±4.51)	88.09 (±2.09)	0.32

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[1] Note: Mean (± standard deviation).

[TFN1] ^*
significant difference (p<0.05).