The Relationship between the Ability to Cope with Unexpected Perturbations and Mechanical and Functional Ankle Instability
Round 1
Reviewer 1 Report
In the introduction, a greater number of bibliographical references is necessary, since the injury mentioned by the ankle sprain is a highly studied topic both in the sports field and in other fields. I believe that they should make more references regarding injuries and their causes.
The conclusions must be written based on the results, specifying whether the objectives have been met or not and what has been obtained, they are too short.
The study was carried out on physical education students, but their previous physical condition was not taken into account, given that they are healthy patients and have specific characteristics that have not been evaluated, such as the previous muscle tone of the muscle groups of the ankle and joint mobility.
In addition, although there are no differences between men and women in BMI, it is necessary to consider the ligamentous laxity of the patients, which has not been taken into account individually, nor between men and women, because women tend to present greater ligamentous laxity than men. can influence the tests performed
Author Response
October 4, 2022
Einat Kodesh
Gali Dar
Special Issue Editors
Applied Sciences- Sport & Exercise Medicine
Dear Prof. Kodesh and Prof. Dar,
We would like to thank you for reviewing our paper entitled “The relationship between the ability to cope with unexpected perturbations and mechanical and functional ankle instability”, and for giving us the opportunity to revise the paper according to the journal reviewers’ comments. We have carefully read the reviewers’ comments and suggestions and made all the modifications required. We believe that this has greatly strengthened the paper, and we are thankful to them for helping us to make the paper better.
Reviewer 1.
- In the introduction, a greater number of bibliographical references is necessary, since the injury mentioned by the ankle sprain is a highly studied topic both in the sports field and in other fields. I believe that they should make more references regarding injuries and their causes.
Author response: Following the reviewer's comment, additional explanations and references were added to better describe ankle sprain prevalence and the factors associated with that injury (Page 3, Lines 30-37).
- The conclusions must be written based on the results, specifying whether the objectives have been met or not and what has been obtained, they are too short.
Author response: As suggested, the whole Conclusion section was expended to better represent the results of the current study.
- The study was carried out on physical education students, but their previous physical condition was not taken into account, given that they are healthy patients and have specific characteristics that have not been evaluated, such as the previous muscle tone of the muscle groups of the ankle and joint mobility.
Author response: thank you for that comments. That limitation appears on the revised "limitations of the study" section.
- In addition, although there are no differences between men and women in BMI, it is necessary to consider the ligamentous laxity of the patients, which has not been taken into account individually, nor between men and women, because women tend to present greater ligamentous laxity than men. can influence the tests performed.
Author response: The reviewer is right. In the current study ligamentous laxity measurements (such as generalized joint hypermobility test) were not taken into consideration. That limitation was added to the "Limitations of the study" and future studies section (Page 16, Lines 357-359 and 362-363).
Furthermore, as the clinical assessments used in this study (Talar Tilt Test and the Anterior Drawer Test) might be differ between genders, chi-square test was used to compared between genders in those parameters and added to the revised text (Page 8, line 167; Page 9, Lines 188-189).
We thank the Reviewer for his/her valuable comments
Reviewer 2 Report
Thank you for the opportunity to revise this interesting work. It deals with postural control and the ability of the healthy individual to respond to changes in weighbearing conditions and compensation capacity.
The work is well presented, sounds scientific, and clearly describes the materials and methods and the results.
Some issues to address remain:
- Please, in order to understand your questionnaires, add the questions list to the manuscript (as a figure or as a list). This would make the study replicable by other researchers.
- Please, add figures showing the clinical tests as you describe them (TTT and ADT).
- in the wide-ranging discussion section, the argument could be supplemented by the inclusion of postural control and its reconditioning in the field of prevention. Therefore, I suggest to cite these three paper that are clear and explanatory and that would complement the discussion of such an article:
Mosca M, Caravelli S, Massimi S, et al. Evaluation of proprioception and postural control at a minimum 1 year follow-up after ankle capsuloligamentous lateralplasty with Brostrom technique: A cohort study. Medicine (Baltimore). 2020;99(17):e19862.
Riva D, Bianchi R, Rocca F, et al. Proprioceptive training and injury prevention in a professional men's basketball team: a six-year prospective study. J Strength Conditioning Res 2016;30:461–75.
Caldemeyer LE, Brown SM, Mulcahey MK. Neuromuscular training for the prevention of ankle sprains in female athletes: a systematic review. Phys Sportsmed. 2020;48(4):363-369.
Author Response
October 4, 2022
Einat Kodesh
Gali Dar
Special Issue Editors
Applied Sciences- Sport & Exercise Medicine
Dear Prof. Kodesh and Prof. Dar,
We would like to thank you for reviewing our paper entitled “The relationship between the ability to cope with unexpected perturbations and mechanical and functional ankle instability”, and for giving us the opportunity to revise the paper according to the journal reviewers’ comments. We have carefully read the reviewers’ comments and suggestions and made all the modifications required. We believe that this has greatly strengthened the paper, and we are thankful to them for helping us to make the paper better.
Reviewer 2.
Thank you for the opportunity to revise this interesting work. It deals with postural control and the ability of the healthy individual to respond to changes in weigh-bearing conditions and compensation capacity.
The work is well presented, sounds scientific, and clearly describes the materials and methods and the results.
Some issues to address remain:
- Please, in order to understand your questionnaires, add the questions list to the manuscript (as a figure or as a list). This would make the study replicable by other researchers.
Author response: In the revised manuscript, the previous ankle sprains questionnaire was added (Page 6, Lines 109-113).
- Please, add figures showing the clinical tests as you describe them (TTT and ADT).
Author response: As suggested, new figure (#2) with TTT and ADT was added to the revised manuscript.
- in the wide-ranging discussion section, the argument could be supplemented by the inclusion of postural control and its reconditioning in the field of prevention. Therefore, I suggest to cite these three paper that are clear and explanatory and that would complement the discussion of such an article:
Mosca M, Caravelli S, Massimi S, et al. Evaluation of proprioception and postural control at a minimum 1 year follow-up after ankle capsuloligamentous lateralplasty with Brostrom technique: A cohort study. Medicine (Baltimore). 2020;99(17):e19862.
Riva D, Bianchi R, Rocca F, et al. Proprioceptive training and injury prevention in a professional men's basketball team: a six-year prospective study. J Strength Conditioning Res 2016;30:461–75.
Caldemeyer LE, Brown SM, Mulcahey MK. Neuromuscular training for the prevention of ankle sprains in female athletes: a systematic review. Phys Sportsmed. 2020;48(4):363-369.
Author response: Thank you. The suggested references were added to the revised Discussion section (Page 17, Lines 373-380).
We thank the Reviewer for his/her valuable comments
Author Response File: 
Author Response.doc
Reviewer 3 Report
The current study is a great example of how chronic ankle instability correlates with several functional and mechanical tests performed in a lab. It is very well written throughout the text. Only minor suggestions follow:
Abstract
Please explain what CAIT and AII stands for.
line 182: correlate with
line 273: delete “with”.
Author Response
October 4, 2022
Einat Kodesh
Gali Dar
Special Issue Editors
Applied Sciences- Sport & Exercise Medicine
Dear Prof. Kodesh and Prof. Dar,
We would like to thank you for reviewing our paper entitled “The relationship between the ability to cope with unexpected perturbations and mechanical and functional ankle instability”, and for giving us the opportunity to revise the paper according to the journal reviewers’ comments. We have carefully read the reviewers’ comments and suggestions and made all the modifications required. We believe that this has greatly strengthened the paper, and we are thankful to them for helping us to make the paper better.
Reviewer 3.
The current study is a great example of how chronic ankle instability correlates with several functional and mechanical tests performed in a lab. It is very well written throughout the text. Only minor suggestions follow:
Abstract
Please explain what CAIT and AII stands for.
line 182: correlate with
line 273: delete “with”.
Author response: Thank you for your positive feedback. The manuscript was revised to follow your suggestions.
We thank the Reviewer for his/her valuable comments
Author Response File: Author Response.doc
Round 2
Reviewer 2 Report
Thank you for your changes.
Author Response
Thank you for your positive feedback
