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Impacts of ankle sprain on functional performance in under-20 soccer players: a cross-sectional study.

Oliveira VF, Mesquita LB, Sousa JE, Carmo VJG, Dantas DS, Melo RS et al. · Physical therapy in sport : official journal of the Association of Chartered Physiotherapists in Sports Medicine · 2026

Researchers compared 75 male under-20 soccer players in Brazil with and without a past lateral ankle sprain using tests of ankle stability, self-reported function, dorsiflexion range, dynamic balance (Y-Balance), and hopping performance. Players with a sprain history scored worse across the board: less perceived stability and function, reduced ankle dorsiflexion, poorer dynamic balance, and weaker hop test results.
Takeaway: Screen previously sprained ankles for dorsiflexion, balance, and hop performance, and train those deficits rather than assuming a healed sprain is fully recovered.
Abstract (source)

Objectives: To compare functional and biomechanical parameters related to ankle mobility, neuromuscular control, and dynamic balance in under-20 soccer players with and without a history of lateral ankle sprain.

Study design: Multicenter cross-sectional observational study. Setting Training centers of two professional soccer clubs in Brazil. Participants Seventy-five male soccer players aged 16-20 years. Main outcome measures A comprehensive assessment was performed using the Cumberland Ankle Instability Tool (CAIT) to assess perceived ankle instability, the Foot and Ankle Ability Measure (FAAM) to evaluate self-reported function, the Weight-Bearing Lunge Test (WBLT) to measure ankle dorsiflexion, the Y-Balance Test (YBT) to assess dynamic balance, and the Hop Tests to evaluate lower-limb neuromuscular performance.

Results: Athletes with a history of lateral ankle sprain showed lower joint stability (p ≤ 0.005), reduced functionality (p ≤ 0.040), decreased dorsiflexion (p = 0.031), impaired dynamic balance (p = 0.046), and worse performance in hop tests (p ≤ 0.018)

Conclusions: A history of lateral ankle sprain was associated with poorer ankle function, reduced dorsiflexion, impaired dynamic balance, and lower neuromuscular performance in under-20 soccer players. These

Findings: support the use of comprehensive functional assessment to guide rehabilitation and return-to-sport strategies.

Observational / cohortInjury Prevention & Rehab
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