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CAI
repeated giving way or recurrent sprains after a lateral ankle sprain. mainly involves the atfl and cfl. affects 40-70% of people with prior sprains
mechanical vs functional instability
mechanical is ligament laxity or damage. functional is a deficit in neuromuscular control or balance
study 1a (spatiotemporal): CAI vs control
decrease in velocity, cadence, and step/stride length. increases the base of support. increases stance and double-limb support. decreases swing and single-limb support. these are cautious gait strategies
study 1b (ankle angles)
CAI showed more inversion around toe-off and swing, and less dorsiflexion, especially when jogging
clinical meaning
a more inverted foot near ground contact raises re-sprain risk, so target eversion strength, proprioception, and balance in rehab