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June 25 (Reuters) – Pro soccer players are much more likely

to suffer ankle sprains when one foot is stronger than the

other, according to a Greek study.

Ankle sprains occur when a ligament in the joint is over

stretched or torn, often from a sudden twist or awkward landing.

They are among the most common injuries in soccer and can lead

to pain and stability problems lasting months or even years for

some.

Though there have been a number of studies into why athletes

suffer sprains, few have focused on soccer players, said George

Vagenas, from the University of Athens and lead researcher, and

colleagues, who published their findings in the American Journal

of Sports Medicine.

The researchers did pre-season tests of ankle strength and

stability in 100 players from four professional soccer teams in

Greece, then followed the players over the next 10 months to see

who would get hurt on the field.

Seventeen players suffered one or more non-contact sprains

during the season. Those with considerable strength differences

between their left and right ankles were nine times as likely to

suffer sprains as those whose ankles were about the same

strength.

When a player cuts or lands from a jump, it’s important to

have symmetrical activation of the two sets of ankle muscles to

help the joints absorb the impact and prevent damage, Vagenas

told Reuters Health by email.

“All soccer players, professionals or not, must be evaluated

during the pre-seasonal period by sports specialists for

verification of potential functional asymmetry of the ankle

joint,” he said.

Sports medicine experts said the report has an important

message for amateur athletes as well.

“This study does suggest that if soccer players want to

lower their risk of suffering ankle sprains, then they should

strengthen their ankle musculature evenly, so that they have a

good balance between both legs,” said Erik Wikstrom, an expert

in ankle sprains at the University of North Carolina at

Charlotte.

“Proper balance between the lower extremities is very

important.”

Earlier studies have shown that both lace-up ankle braces

and balance training on a “wobble board” can help stave off

injuries to the joint.

“I tell people to go ahead and balance on one leg, then the

other for two to three minutes,” said Timothy McGuine, a sports

medicine specialist at the University of Wisconsin-Madison, who

added that two to three times a week is a good start.

The Greek researchers also found that heavy players were

more prone to sprains, which makes sense given the extra force

their ankles have to absorb when they land or cut.

Apart from keeping a healthy weight, McGuine told Reuters

Health that it’s important to learn how to land properly too.

“Don’t land stiff legged. We want a soft foot strike.”

SOURCE: http://bit.ly/MoUQb5

(Reporting from New York by Frederik Joelving at Reuters

Health; Editing by Elaine Lies and Ed Lane)