Research Article The Effect of Basketball Shoe Collar on Ankle Stability: A Systematic Review and Meta-Analysis
by Yingming Gao1, Lei Gao1, Wei Yang1, Dandan Lin1, Huan Long2*
1School of Physical Education, Kunming University of Science and Technology, No. 727 South Jingming Road, Chenggong District, Kunming City, Yunnan Province, China 650500 2North China Institute of Science and Technology, Yanjiao Economic Development Zone, Sanhe City, Langfang City, Hebei Province, China, 065201
*Corresponding author: Huan Long, North China Institute of Science and Technology, Yanjiao Economic Development Zone, Sanhe City, Langfang City, Hebei Province,China
Received Date: 09 August 2024
Accepted Date: 23 August 2024
Published Date: 26 August 2024
Citation: Gao Y, Gao L, Yang W, Lin D, Long H (2024) The Effect of Basketball Shoe Collar on Ankle Stability: A Systematic Review and Meta-Analysis. Sports Injr Med 8: 202. https://doi.org/10.29011/2576-9596.100202
Abstract
Introduction: Ankle sprains are common basketball injuries that can lead to chronic instability. Shoe collar designs may influence ankle biomechanics and injury risk, but evidence is unclear. This review evaluated the effect of basketball shoe collar height on ankle stability and function.Methods: A comprehensive search strategy was developed and conducted on the following electronic databases with search string from January 2000- May 2024: PubMed, MEDLINE, EMBASE, Web of Science, CINAHL, and the Cochrane Central Register of Controlled Trials for studies comparing high-top versus mid/low-top basketball shoes. Randomized and non-randomized controlled trials were eligible. Risk of bias was assessed using standardized tools. Meta-analyses pooled dichotomous injury rates and continuous range of motion (ROM) and stability outcomes using random/fixed effect models as appropriate. Sensitivity analyses explored impacts of study quality.Results: 20 studies (17 randomized, 3 non-randomized) involving over 2500 participants met inclusion criteria. High-top designs significantly reduced ankle injury rates compared to controls (RR 0.59, 95%CI 0.44-0.79, I2=0%). ROM was augmented (SMD 13.7°, 95%CI 11.3-16.1°, I2=90%) but heterogeneity necessitated caution. Stability index consistently improved (SMD -0.47, 95%CI -0.58--0.36, I2=0%). No single study influenced significance and effects persisted when restricting to low bias research.Conclusion: High-top basketball shoes effectively decrease ankle injury risk and enhance joint mechanics compared to mid/low-top styles. Biomechanically, shoe uppers provide structural support counteracting inversion forces. Multimodal strategies incorporating proprioceptive exercises optimize both externally braced and intrinsic stabilization capacities. While heterogeneity tempered continuous outcomes, overall evidence supports footwear recommendations alongside rehabilitation to prevent instability. Future randomized comparisons of specific collar heights would strengthen mechanistic interpretations.
Keywords: Ankle Injuries; Basketball; Shoes; Sneakers; Biomechanics; Instability; Chronic; Injury Rates; Stability; Function; Range of Motion
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