ATHLETIC THERAPY TODAY JULY 2010 9
© 2010 Human Kinetics - ATT 15(4), pp. 9-12
NKLE instability associated with an inver-
sion injury mechanism has primarily been
related to excessive inversion displacement
of the foot segment in relation to the leg
segment, excessive lateral tilt of the talus within the
tibio-fibular mortise, and excessive anterior translation
of the talus from beneath the tibio-fibular mortise.
Rehabilitation exercises, external ankle supports, and
surgical reconstruction techniques tend to focus on
restraint of excessive ankle motion within the frontal
plane, but the literature contains considerable evidence
that antero-lateral rotary instability (ALRI) within the
transverse plane leads to chronic ankle dysfunction and
progressive chondral degeneration. The subtalar sling
(ST sling) ankle taping procedure has been advocated
Michael G. Dolan, MA, ATC, CSCS, Report Editor
Analysis of Rotary Ankle Instability
and Taping Restraint in a Cadaver Specimen
RESEARCH REPORT
Gary B. Wilkerson, EdD, ATC • University of Tennessee at Chattanooga; Jesse F. Doty,
MD • University of Tennessee College of Medicine – Chattanooga; Larry R. Gurchiek,
DA, ATC and J. Marcus Hollis, PhD • University of South Alabama
as a means to restrain ALRI (Figures 1 & 2).
1
The pur-
pose of this report is to present the findings of a study
that quantified internal rotation of the foot segment of
a cadaver specimen with ankle ligaments intact, after
sequential sectioning of three selected ligaments, with
the presence of a Gibney tape configuration, and with
the addition of ST sling component to a Gibney tape
configuration.
A
Figure 1 Vertical and antero-posterior components of vector created
by tension within the ST sling, which is oriented perpendicular to the
functional axis of the STJ. Reprinted with permission from Wilkerson
GB. Biomechanical and neuromuscular effects of ankle taping and
bracing. J Athl Train. 2002;37:436-445.
Figure 2 Restraint of ALRI provided by tension within the ST sling,
which increases with inversion of the STJ and external rotation of the
leg. Reprinted with permission from Wilkerson GB. Biomechanical
and neuromuscular effects of ankle taping and bracing. J Athl Train.
2002;37:436-445.