Br J Sports Med 40:824-828 doi:10.1136/bjsm.2006.029645
  • Review

Do voluntary strength, proprioception, range of motion, or postural sway predict occurrence of lateral ankle sprain?

  1. M de Noronha1,
  2. K M Refshauge1,
  3. R D Herbert1,
  4. S L Kilbreath1
  1. 1School of Physiotherapy, Faculty of Health Sciences, University of Sydney, Sydney, NSW, Australia
  1. Correspondence to:
 M de Noronha
 School of Physiotherapy, University of Sydney, PO Box 170, Lidcombe, NSW 1825, Australia; made6338{at}
  • Accepted 23 July 2006
  • Published Online First 18 August 2006


Prevention of ankle sprain, the most common sporting injury, is only possible once risk factors have been identified. Voluntary strength, proprioception, postural sway, and range of motion are possible risk factors. A systematic review was carried out to investigate these possiblities. Eligible studies were those with longitudinal design investigating ankle sprain in subjects aged ⩾15 years. The studies had to have measured range of motion, voluntary strength, proprioception, or postural sway before monitoring incidence of lateral ankle sprain. Dorsiflexion range strongly predicted risk of ankle sprain. Postural sway and possibly proprioception were also predictors. Therefore the preliminary evidence suggests that people with reduced ankle dorsiflexion range may be at increased risk of ankle sprain.


  • Published Online First 18 August 2009

  • Competing interests: none declared

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