Metabolic Management
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October 17, 2024

Walking with Ankle Weights – Benefits, Risks, and Best Practices

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Updated On
October 29, 2024

Walking is a fundamental exercise that enhances overall health, and incorporating ankle weights can intensify this activity. Ankle weights create resistance, potentially increasing caloric burn and improving muscle tone. This article discusses the benefits and risks associated with using ankle weights.

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Understanding Ankle Weights

Ankle weights are small, adjustable weights designed to be strapped around the ankles during physical activities such as walking or exercising. They come in various weights, allowing users to select the appropriate resistance level based on their fitness goals and capabilities. Adding resistance ankle weights can increase the intensity of workouts, potentially leading to greater strength gains and improved cardiovascular fitness.

The principle behind using ankle weights is progressive overload, which involves gradually increasing resistance to enhance muscle strength and endurance. When used correctly, ankle weights can elevate the heart rate and boost caloric expenditure during walking, making workouts more effective in a shorter time.

However, the ankle joint is complex and can be susceptible to injury if overloaded. Proper technique and awareness of physical limits are critical to minimizing the risk of strain or injury.Β 

Walking With Ankle Weights Benefits

Walking with ankle weights can offer several potential benefits, particularly for those looking to enhance their exercise routine. Here are some of the key advantages:

Increased Caloric Burn: Adding ankle weights can elevate walking intensity, increasing energy expenditure. This can be particularly beneficial for weight management and fat loss, as studies have shown that increased exercise can help reduce abdominal fat.

Enhanced Muscle Activation: The additional resistance provided by ankle weights can increase muscle activity in the lower body. This can improve muscle strength and endurance as the muscles work harder to overcome the added weight.

Improved Cardiovascular Fitness: Ankle weights can improve cardiovascular health by increasing the heart rate and oxygen consumption during exercise. The added resistance challenges the cardiovascular system, potentially improving heart and lung function.

Convenience and Accessibility: Ankle weights are a simple and portable way to increase the intensity of a walking routine without requiring specialized equipment or facilities. This makes them an accessible option for individuals looking to enhance their fitness routine at home or outdoors.

Risks and Considerations

While walking with ankle weights can offer several benefits, it is important to be aware of the potential risks and considerations to ensure safe and effective use:

  • Joint Stress and Injury Risk: The additional weight can increase the load on the joints, particularly the knees and ankles, potentially leading to strain or injury. This is especially relevant for individuals with pre-existing joint issues or those who are overweight, as the added stress can exacerbate these conditions.
  • Altered Gait Mechanics: Ankle weights can change the natural biomechanics of walking, affecting balance and gait. This can lead to an increased risk of falls or muscle imbalances if not carefully monitored.
  • Increased Perceived Exertion: Using ankle weights can elevate the rate of perceived exertion, making the exercise feel more challenging. This can benefit those looking to intensify their workouts but may not be suitable for everyone, particularly beginners or those with cardiovascular concerns.
  • Contraindications: Individuals with certain health conditions, such as severe arthritis, balance disorders, or recent lower limb injuries, should consult a healthcare provider before using ankle weights. Assessing whether the benefits outweigh the potential risks in these cases is important.

To mitigate these risks, it is advisable to start with lighter weights and gradually increase the resistance as strength and balance improve.Β 

Best Practices for Walking with Ankle Weights

When walking with ankle weights, it is important to follow the best practices:

  • Choosing the Right Weight: Start with lighter weights, such as 0.5 to 1 pound per ankle. Gradually increase the weight as your strength and endurance improve. Avoid weights that are too heavy, as they can increase the risk of injury.
  • Gradual Progression: Introduce ankle weights slowly into your routine. Begin by using them for short durations and gradually increase the time as your body adapts. This helps to prevent overloading the joints and muscles.
  • Proper Technique: Maintain good posture and walking form. Keep your back straight, your shoulders relaxed, and engage your core muscles. Ensure your foot strikes the ground heel-first and rolls through to the toe to maintain natural gait mechanics.
  • Listening to Your Body: When using ankle weights, pay attention to any discomfort or pain. If you experience joint pain or muscle strain, discontinue use and consult with a healthcare professional.
  • Consultation with a Professional: Before incorporating ankle weights into your routine, especially if you have pre-existing health conditions or concerns, consult a healthcare provider or a fitness professional.Β 

Do Ankle Weights Work?

The effectiveness of ankle weights largely depends on the user's goals and how they are incorporated into an exercise routine. Here are some key points regarding their effectiveness:

  • Increased Intensity: Ankle weights can make a walking routine more challenging by adding resistance, leading to increased caloric burn and muscle engagement. This can be particularly effective for individuals looking to enhance their cardiovascular workouts or improve muscle endurance.
  • Muscle Strengthening: By requiring more effort from the muscles, ankle weights can contribute to muscle strengthening, particularly in the lower body. This can benefit those aiming to tone and build muscle mass in the legs.
  • Versatility: Ankle weights can be used in various exercises beyond walking, such as leg lifts or other strength-training exercises, making them a versatile tool for enhancing overall fitness.
  • Comparison with Other Methods: While ankle weights can be effective, they may not be as efficient as other forms of resistance training, such as weightlifting or resistance bands, for building significant muscle mass. They are best used as a supplementary tool rather than a primary method for strength training.

Clinical Studies and Research

Clinical studies present a mixed view of ankle weights, showing benefits and important considerations.Β 

  • Research on Ankle Weights and Fall-Related Fitness: A study on elderly women demonstrated that a 3-month walking program with ankle weights improved fall-related fitness, bone metabolism, and psychological factors related to falling. Significant improvements were noted in upper body strength, leg strength, aerobic endurance, and body composition, suggesting positive effects on overall fitness and confidence in mobility.Β 
  • Gait and Ankle Weights: Research on gait parameters with unilateral weight indicates that ankle weights can affect gait mechanics, potentially leading to asymmetries. This highlights the importance of using ankle weights cautiously to avoid altering natural walking patterns.Β 
  • Blood Pressure and Perceived Exertion: An experimental study comparing treadmill walking with and without ankle weights found that adding weights increased both blood pressure and the rate of perceived exertion, indicating a more intense workout. This suggests that ankle weights can effectively enhance the cardiovascular demand of walking.Β Β 
  • Gait Rehabilitation in Children: A study involving children with spastic diplegia showed that using ankle weights in combination with botulinum A injections improved knee flexion during gait, suggesting benefits in specific rehabilitation contexts.
  • Ankle Pressure and Walking Performance: Research on the influence of shoe collar pressure on walking performance indicates that increased circumferential pressure can affect ankle range of motion and muscle activity, emphasizing the need to consider ankle support during exercise carefully.Β 
  • Chronic Ankle Instability: An observational study on individuals with chronic ankle instability found that plantar pressure distribution and posture balance were affected, highlighting the importance of targeted rehabilitation to address balance and stability issues in these patients.Β 
  • Frailty Prevention in Older Adults: A study on older adults using ankle weights for frailty prevention showed improvements in physical and motor function, such as increased muscle strength and better performance in functional tests, supporting using ankle weights as a safe home exercise option for maintaining strength and mobility.Β 

Tips for Safe and Effective Workouts

Healthcare professionals should focus on clear, evidence-based guidelines that prioritize safety and individual needs to effectively teach patients about the safe use of ankle weights.Β 

Before Using Ankle Weights

  1. Warm-Up: Begin with a thorough warm-up to prepare your muscles and joints for the added resistance. This can include dynamic stretches or a short walk without weights to increase blood flow and flexibility.
  2. Assess Your Fitness Level: Evaluate your fitness level and any potential health concerns. Ensure that you can handle the additional resistance to prevent injury.
  3. Set Clear Goals: Define what you aim to achieve with ankle weights, whether it's increased calorie burn, improved muscle tone, or enhanced endurance. Having clear goals can help you tailor your routine effectively.

After Using Ankle Weights

  1. Cool Down: After your workout, engage in a cool-down routine to help your body recover. This can include gentle stretching to reduce muscle tension and improve flexibility.
  2. Monitor Your Body's Response: Pay attention to how your body responds to the workout. Look for any signs of discomfort or pain, particularly in the joints or muscles, and adjust your routine accordingly.
  3. Evaluate Progress: Regularly assess your progress towards your fitness goals. This can help determine if weight, duration, or frequency of use adjustments are needed to continue making gains.
  4. Recovery and Rest: Allow recovery between sessions to prevent overuse injuries. Adequate rest is essential for muscle repair and growth, especially when incorporating resistance training into your routine.

By following these guidelines before and after using ankle weights, individuals can enhance their workout effectiveness while minimizing the risk of injury.

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Key Takeaways

  • Ankle weights can enhance workout intensity and muscle engagement but should be used cautiously to avoid joint stress and altered gait mechanics.
  • Tailoring ankle weights to individual fitness levels, health conditions, and specific goals is essential for maximizing benefits and minimizing risks.
  • It is key to educate patients on the safe selection, application, and progression of ankle weights in their exercise routines.
  • Regularly assessing patients’ responses to ankle weights and adjusting their use accordingly can help ensure safe and effective workouts.
The information in this article is designed for educational purposes only and is not intended to be a substitute for informed medical advice or care. This information should not be used to diagnose or treat any health problems or illnesses without consulting a doctor. Consult with a health care practitioner before relying on any information in this article or on this website.

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Aamir, J., Huxley, T., Clarke, M., Dalal, N., Johnston, A., Rigkos, D., Kutty, J., Gunn, C., Condurache, C., McKeever, D., Gomaa, A., & Mason, L. (2024). Deltoid ligament reconstruction in ankle fractures: Does it prevent pes planus? Orthopaedic Proceedings, 106-B(SUPP_13), 3–3. https://doi.org/10.1302/1358-992X.2024.13.003

Achuff, J. (2024, March 20). A Step Towards Health: Unveiling the Link Between Daily Steps, Sedentary Time, and Longevity. Rupa Health. https://www.rupahealth.com/post/a-step-towards-health-unveiling-the-link-between-daily-steps-sedentary-time-and-longevity

Akatsu, H., Manabe, T., Kawade, Y., Masaki, Y., Hoshino, S., Jo, T., Kobayashi, S., Hayakawa, T., & Ohara, H. (2022). Effect of ankle weights as a frailty prevention strategy in the community-dwelling elderly: A preliminary report. International Journal of Environmental Research and Public Health, 19(12), 7350. https://doi.org/10.3390/ijerph19127350

Baig, M. S., Mehta, S., Morales, D. S., Maniar, H. H., Dahodwala, T., & Horwitz, D. S. (2023). Successful primary treatment of ankle fractures in diabetic patients with peripheral neuropathy using a tibiotalocalcaneal nail: A case series. Indian Journal of Orthopaedics, 57(7), 1068–1075. https://doi.org/10.1007/s43465-023-00882-x

Bryan, G. M., Franks, P. W., Song, S., Reyes, R., O’Donovan, M. P., Gregorczyk, K. N., & Collins, S. H. (2021). Optimized hip-knee-ankle exoskeleton assistance reduces the metabolic cost of walking with worn loads. Journal of NeuroEngineering and Rehabilitation, 18, 161. https://doi.org/10.1186/s12984-021-00955-8

Buthut, M., Reber, P., Siebert, E., Eisenhut, K., Thaler, F., Finck, J., Soekadar, S. R., & PrΓΌss, H. (2023). Letter to the Editor: Novel TREM2 frameshift mutation in a 30-year-old woman with suspected frontotemporal dementia. Neurological Sciences, 44(7), 2581–2585. https://doi.org/10.1007/s10072-023-06726-8

Capodaglio, P., Gobbi, M., Donno, L., Fumagalli, A., Buratto, C., Galli, M., & Cimolin, V. (2021). Effect of obesity on knee and ankle biomechanics during walking. Sensors (Basel, Switzerland), 21(21), 7114. https://doi.org/10.3390/s21217114

Chang, G., Henry, T., Sobol, K., & Krieg, J. (2020). Short term complications in geriatric ankle fractures using a protocolized approach to surgical treatment: Is early weight bearing safe? The Iowa Orthopaedic Journal, 40(1), 159–165.

Chinnakkannu, K., Barbachan Mansur, N. S., Glass, N., Phisitkul, P., Amendola, A., & Femino, J. E. (2023). Risks associated with posterior ankle hindfoot arthroscopy complications. Foot & Ankle International, 44(5), 385–391. https://doi.org/10.1177/10711007231157714

Cloyd, J. (2023, July 3). The Role of Physical Activity in Promoting Heart Health. Rupa Health. https://www.rupahealth.com/post/the-role-of-physical-activity-and-exercise-in-promoting-heart-health-including-the-use-of-alternative-exercise-modalities-such-as-tai-chi-and-qigong

Corin, N., Pearkes, T., Hristova, K., Nagaraj, P., Bassett, J., Riddick, A., Harries, W., Hepple, S., Winson, I., & Robinson, P. (2023). The use of hindfoot nails for elderly complex distal tibial and ankle fractures. The Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons, 62(5), 797–801. https://doi.org/10.1053/j.jfas.2023.03.010

Dahmen, J., Bayer, S., Toale, J., Mulvin, C., Hurley, E. T., Batista, J., Berlet, G. C., DiGiovanni, C. W., Ferkel, R. D., Hua, Y., Kearns, S., Lee, J. W., Pearce, C. J., Pereira, H., Prado, M. P., Raikin, S. M., Schon, L. C., Stone, J. W., Sullivan, M., … Murawski, C. D. (2022). Osteochondral lesions of the tibial plafond and ankle instability with ankle cartilage lesions: Proceedings of the international consensus meeting on cartilage repair of the ankle. Foot & Ankle International, 43(3), 448–452. https://doi.org/10.1177/10711007211049169

Ekstedt, M., Nordheim, E. S., HellstrΓΆm, A., Strandberg, S., & Hagerman, H. (2023). Patient safety and sense of security when telemonitoring chronic conditions at home: The views of patients and healthcare professionals - a qualitative study. BMC Health Services Research, 23, 581. https://doi.org/10.1186/s12913-023-09428-1

Galle, S., Malcolm, P., & Clercq, D. (2015). Walking with a plantar flexion assisting ankle-foot exoskeleton in an older population. https://www.semanticscholar.org/paper/Walking-with-a-plantar-flexion-assisting-ankle-foot-Galle-Malcolm/7ccdeb542851b669fc4e80e2c3f08351f46ed3c5

Graves, J. E., Martin, A. D., Miltenberger, L. A., & Pollock, M. L. (1988). Physiological responses to walking with hand weights, wrist weights, and ankle weights. Medicine and Science in Sports and Exercise, 20(3), 265–271. https://doi.org/10.1249/00005768-198806000-00009

Hardie, P., O’Donovan, R., Jarvis, S., & Redmond, C. (2022). Key tips to providing a psychologically safe learning environment in the clinical setting. BMC Medical Education, 22, 816. https://doi.org/10.1186/s12909-022-03892-9

Henry, E. (2022, January 4). How To Reverse Weight Gain And Slowed Metabolism. Rupa Health. https://www.rupahealth.com/post/a-functional-medicine-approach-to-slow-metabolism-middle-age

Hintermann, B., & Ruiz, R. (2024). Simultaneous hindfoot arthrodesis in total ankle arthroplasty: Challenging risks for a benefit? Foot & Ankle International, 45(6), 574–575. https://doi.org/10.1177/10711007241249643

Hong, W., Um, H.-J., Kim, H.-S., Kim, H., & Hur, P. (2020). Effects of material of the 3D printed foot on ankle kinematics/kinetics and toe joint bending during prosthetic walking. https://www.semanticscholar.org/paper/Effects-of-material-of-the-3D-printed-foot-on-ankle-Hong-Um/e7511153842ad179807dfed270e21188e22dd885

Hupman, S. (2017). Effects of ankle weights on metabolic response and muscle activity on a lower body positive pressure treadmill. https://www.semanticscholar.org/paper/Effects-of-ankle-weights-on-metabolic-response-and-Hupman/8cdc080fec6c4d07f1a06c2c2a34315210c36856

Ibrahim, N. M., Galal Abdallah Ibrahim, H., Alsayad, T., Seddeek, M. I., Dawa, T. A., Ibrahim Azzam, A., Gaber, A. E.-H., & Abdelkader, A. (2022). Gait rehabilitation in ambulant diplegic children using botulinum a injection and ankle weights. International Journal of Clinical Practice, 2022, 6544813. https://doi.org/10.1155/2022/6544813

Kaur, H., Tiwari, P., Saini, G. S., & Bansal, N. (2024). Complete ankle joint that is tibiotalar and distal tibiofibular coalition presenting with foot and ankle pain – a case report. Journal of Orthopaedic Case Reports, 14(5), 32–35. https://doi.org/10.13107/jocr.2024.v14.i05.4424

Keene, D. J., SchlΓΌssel, M. M., Thompson, J., Hagan, D. A., Williams, M. A., Byrne, C., Goodacre, S., Cooke, M., Gwilym, S., Hormbrey, P., Bostock, J., Haywood, K., Wilson, D., Collins, G. S., & Lamb, S. E. (2018). Prognostic models for identifying risk of poor outcome in people with acute ankle sprains: The SPRAINED development and external validation study. Health Technology Assessment (Winchester, England), 22(64), 1–112. https://doi.org/10.3310/hta22640

Krzywicka-MichaΕ‚owska, M., Dylewicz, P., Wilk, M., Borowicz-BieΕ„kowska, S., Przywarska, I., & Sobczak, D. (2016). Ocena efektΓ³w treningu fizycznego z zastosowaniem dodatkowego obciΔ…ΕΌenia koΕ„czyn w trakcie wczesnej rehabilitacji pacjentΓ³w po leczonym interwencyjnie ostrym zespole wieΕ„cowym. Folia Cardiologica, 10(6), 395–400. https://doi.org/10.5603/FC.2015.0076

Lazzarini, P. A., & Jarl, G. (2021). Knee-high devices are gold in closing the foot ulcer gap: A review of offloading treatments to heal diabetic foot ulcers. Medicina, 57(9), 941. https://doi.org/10.3390/medicina57090941

Leclair, J., Pardoel, S., Helal, A., & Doumit, M. (2020). Development of an unpowered ankle exoskeleton for walking assist. Disability and Rehabilitation. Assistive Technology, 15(1), 1–13. https://doi.org/10.1080/17483107.2018.1494218

Lin, C.-W. C., Donkers, N. A. J., Refshauge, K. M., Beckenkamp, P. R., Khera, K., & Moseley, A. M. (2012). Rehabilitation for ankle fractures in adults. The Cochrane Database of Systematic Reviews, 11, CD005595. https://doi.org/10.1002/14651858.CD005595.pub3

Liu, A.-M., Chu, I.-H., Lin, H.-T., Liang, J.-M., Hsu, H.-T., & Wu, W.-L. (2021). Training benefits and injury risks of standing yoga applied in musculoskeletal problems: Lower limb biomechanical analysis. International Journal of Environmental Research and Public Health, 18(16), 8402. https://doi.org/10.3390/ijerph18168402

Mauri, G., Nicosia, L., Varano, G. M., Bonomo, G., Della Vigna, P., Monfardini, L., & Orsi, F. (2017). Tips and tricks for a safe and effective image-guided percutaneous renal tumour ablation. Insights into Imaging, 8(3), 357–363. https://doi.org/10.1007/s13244-017-0555-4

Mendicino, R., Bischoff, A., & Hill, Z. (2024). The aggressive open anterior ankle cheilectomy as joint salvage for anterior ankle impingement syndrome and arthritis. Foot & Ankle Specialist, 17(1_suppl), 57S-62S. https://doi.org/10.1177/19386400221148538

Metcalfe, D., Lancaster, S., & Keene, D. (2023). Revisiting the humble ankle sprain. Emergency Medicine Journal: EMJ, 40(8), 540–541. https://doi.org/10.1136/emermed-2023-213287

Miksch, R. C., Herterich, V., Barg, A., BΓΆcker, W., Polzer, H., & Baumbach, S. F. (2023). Open reduction and internal fixation of the posterior malleolus fragment in ankle fractures improves the patient-rated outcome: A systematic review. Foot & Ankle International, 44(8), 727–737. https://doi.org/10.1177/10711007231165771

Miller, R. (2022). 3-year follow-up of arthroscopic debridement and interposition with acellular allograft dermal matrix for ankle arthritis with anterior impingement. Foot & Ankle Orthopaedics, 7(4), 2473011421S00809. https://doi.org/10.1177/2473011421S00809

Naderi, Z., & Jalali, K. (2018, September 1). The effect of eight weeks of core stability and pilates trainings on ankle proprioception, postural control, walking performance, self-efficacy and fear of falling in elderly women. https://www.semanticscholar.org/paper/The-Effect-of-Eight-Weeks-of-Core-Stability-and-on-Naderi-Jalali/0ad30ef8d2a76b33293ca99162c9aeea36dc1d3e

Nasirzadeh, A., Yang, S.-T., Yun, J., Yang, J., Yoon Bae, Y., Park, J., Ahn, J., & Lee, G. (2023). Influence of circumferential ankle pressure of shoe collar on the kinematics, dynamic stability, electromyography, and plantar pressure during normal walking. PLOS ONE, 18(2), e0281684. https://doi.org/10.1371/journal.pone.0281684

Odeh, A., Archer, J., Budair, B., Marsh, A., & Fenton, P. (2022). Management of open ankle fractures in elderly patients with a fibula nail is a safe and reliable technique. Foot & Ankle Specialist, 19386400221099660. https://doi.org/10.1177/19386400221099660

Ovis. (2016, March 13). How fast march turned into an effective workout? Here are a few tips. https://www.semanticscholar.org/paper/How-fast-march-turned-into-an-effective-workout-are-Ovis/6b25a2567dd0920950eb3b53ad840b9a64f725b1

Pande, K. V., Joshi, M. R., & Joshi, R. K. (2023). To compare the effects of adding handheld and ankle weights during treadmill walking on blood pressure and rate of perceived exertion in normal healthy adults: An experimental study. Journal of Indian College of Cardiology, 13(3), 113–117. https://doi.org/10.4103/jicc.jicc_19_23

Paton, J., Collings, R., Glasser, S., & Kent, B. (2014). The effects of foot and ankle devices on balance, gait and falls in adults with sensory perception loss: A systematic review protocol. JBI Database of Systematic Reviews and Implementation Reports, 12(11), 74–91. https://doi.org/10.11124/jbisrir-2014-1634

Pellicer Costa, J. J., & Dusza, J. J. (2014). Influence of unilateral weight on bilateral cyclograms (R. S. Romaniuk, Ed.; p. 92901T). https://doi.org/10.1117/12.2075167

Piri, E., Barghamadi, M., & Farzizadeh, R. (2023). Effect of exercises in water and thera-band on the electrical activity of lower limb muscles in people with pronated foot during walking: A clinical trial study. Journal of Shahid Sadoughi University of Medical Sciences. https://doi.org/10.18502/ssu.v31i6.13478

Plotkin, D., Coleman, M., Van Every, D., Maldonado, J., Oberlin, D., Israetel, M., Feather, J., Alto, A., Vigotsky, A. D., & Schoenfeld, B. J. (2022). Progressive overload without progressing load? The effects of load or repetition progression on muscular adaptations. PeerJ, 10(10), e14142. https://doi.org/10.7717/peerj.14142

PolechoΕ„ski, J., Kostorz, K., & PolechoΕ„ski, P. (2023). Using ankle weights as an effective way to increase the intensity of physical activity while playing immersive virtual reality games on an omnidirectional treadmill. Applied Sciences, 13(20), 11536. https://doi.org/10.3390/app132011536

Ramesh, P. V., Parthasarthi, S., Ramesh, S. V., Rajasekaran, R., & Ramesh, M. K. (2021). Interconnecting ophthalmic gadgets (Infinity stones) at finger tips (Personal computer desktop) with local area network for safe and effective practice during COVID-19 crises. Indian Journal of Ophthalmology, 69(2), 449–452. https://doi.org/10.4103/ijo.IJO_2609_20

Ribeiro, M. M., Andrade, A., & Nunes, I. (2022a). Physical exercise in pregnancy: Benefits, risks and prescription. Journal of Perinatal Medicine, 50(1), 4–17. https://doi.org/10.1515/jpm-2021-0315

Ribeiro, M. M., Andrade, A., & Nunes, I. (2022b). Physical exercise in pregnancy: Benefits, risks and prescription. Journal of Perinatal Medicine, 50(1), 4–17. https://doi.org/10.1515/jpm-2021-0315

RodrΓ­guez-FernΓ‘ndez, A., Lobo-Prat, J., TarragΓ³, R., Chaverri, D., Iglesias, X., Guirao-Cano, L., & Font-Llagunes, J. M. (2022). Comparing walking with knee-ankle-foot orthoses and a knee-powered exoskeleton after spinal cord injury: A randomized, crossover clinical trial. Scientific Reports, 12, 19150. https://doi.org/10.1038/s41598-022-23556-4

Saffuri, E., Izak, E., Tal, Y., Kodesh, E., Epstein, Y., & Solav, D. (2024). Walking with unilateral ankle-foot unloading: A comparative biomechanical analysis of three assistive devices. Journal of Neuroengineering and Rehabilitation, 21(1), 67. https://doi.org/10.1186/s12984-024-01333-w

Serafin, A., Ryk, A., & Fendler, W. (2023). Safe and effective use of a passive safety needle by healthcare professionals in a simulated environment, including perceptions and preferences. Expert Review of Medical Devices, 20(11), 963–971. https://doi.org/10.1080/17434440.2023.2254680

Shakked, R. (2019). What is the best technique for performing aspiration of patients with total ankle arthroplasty (Taa)? Foot & Ankle International, 40(1_suppl), 25S-26S. https://doi.org/10.1177/1071100719859568

Slullitel, G., Tanaka, Y., Rogero, R., Lopez, V., Iwata, E., & Yamamoto, Y. (2019). What are the benefits and risks associated with the use of vancomycin powder in the wound during total ankle arthroplasty (Taa) or other foot and ankle procedures? Foot & Ankle International, 40(1_suppl), 12S-14S. https://doi.org/10.1177/1071100719859010

Smith, A., Sloan, J., Wass, A., & Draycott, S. (2009). Soft tissue injury commissioned series: 6 Lower leg, ankle and foot. Emergency Medicine Journal: EMJ, 26(3), 193–200. https://doi.org/10.1136/emj.2008.070508

Smolen, C., & Quenneville, C. (2015). Quantifying the effect of ankle posture on the positions of bones of the foot/ankle complex. https://www.semanticscholar.org/paper/Quantifying-the-effect-of-ankle-posture-on-the-of-Smolen-Quenneville/b6ab61456118814c9a46d2ec3741115b75ff40c9

Sonkusare Hemal Patel, B. (2023). Prevalence of foot and ankle pain in physiotherapists across ahmedabad city. International Journal of Science and Research (IJSR), 12(5), 2318–2320. https://doi.org/10.21275/SR23524160927

Stamuli, E., Torgerson, D., Northgraves, M., Ronaldson, S., & Cherry, L. (2017). Identifying the primary outcome for a randomised controlled trial in rheumatoid arthritis: The role of a discrete choice experiment. Journal of Foot and Ankle Research, 10, 57. https://doi.org/10.1186/s13047-017-0240-3

Tell, R. A., & Tell, C. A. (2018). Perspectives on setting limits for RF contact currents: A commentary. BioMedical Engineering OnLine, 17, 2. https://doi.org/10.1186/s12938-018-0434-3

Tong, J., Ajrawat, P., Chahal, J., Daud, A., Whelan, D. B., Nauth, A., Dehghan, N., & Hoit, G. (2024). Early versus delayed weight bearing and mobilization after ankle fracture fixation surgery: A systematic review and meta-analysis of randomized controlled trials. Orthopedics, 47(2), 71–78. https://doi.org/10.3928/01477447-20230804-08

Usuelli, F. G., Paoli, T., Indino, C., Maccario, C., & Di Silvestri, C. A. (2023). Fast-track for total ankle replacement: A novel enhanced recovery protocol for select patients. Foot & Ankle International, 44(2), 148–158. https://doi.org/10.1177/10711007221140841

van Nes, I. J. W., Rijken, H., Keijsers, N. L. W., Louwerens, J. W., & Nonnekes, J. (2023). Improved walking capacity after complementary ankle-foot surgery and gait training in a person with an incomplete tetraplegia; a case report. Spinal Cord Series and Cases, 9(1), 22. https://doi.org/10.1038/s41394-023-00579-1

Wan, D., Bao, H., Wang, J., Wei, J., Ma, J., Yao, S., & Xu, C. (2023). Plantar pressure distribution and posture balance during walking in individuals with unilateral chronic ankle instability: An observational study. Medical Science Monitorβ€―: International Medical Journal of Experimental and Clinical Research, 29, e940252-1-e940252-9. https://doi.org/10.12659/MSM.940252

Weinberg, J. (2022, July 26). 5 Things You Can Do To Find Relief For Arthritis. Rupa Health. https://www.rupahealth.com/post/a-functional-medicine-approach-to-osteoarthritis

Wolfe, I., Conti, M. S., Demetracopoulos, C., & Ellis, S. J. (2023). Outpatient total ankle arthroplasty (Taa) as a safe and lower cost alternative to inpatient taa. Foot & Ankle Orthopaedics, 8(4), 2473011423S00054. https://doi.org/10.1177/2473011423S00054

Yen, S.-C., Gutierrez, G. M., Wang, Y.-C., & Murphy, P. (2015). Alteration of ankle kinematics and muscle activity during heel contact when walking with external loading. European Journal of Applied Physiology, 115(8), 1683–1692. https://doi.org/10.1007/s00421-015-3154-4

Yoo, E. J., Jun, T. W., & Hawkins, S. A. (2010). The effects of a walking exercise program on fall-related fitness, bone metabolism, and fall-related psychological factors in elderly women. Research in Sports Medicine (Print), 18(4), 236–250. https://doi.org/10.1080/15438627.2010.510098

Yoshimura, H. (2023, November 7). The remarkable power of exercise on our health: A comprehensive overview. Rupa Health. https://www.rupahealth.com/post/the-remarkable-power-of-exercise-on-our-health-a-comprehensive-overview

Zeininger, A., Schmitt, D., Jensen, J. L., & Shapiro, L. J. (2024). Variable gearing at the ankle during walking in adults and young children: Implications for foot development and evolution. Frontiers in Earth Science, 12, 1348921. https://doi.org/10.3389/feart.2024.1348921

Zhang, Z., Chien, B. Y., Noori, N., Day, J., Robertson, C., & Schon, L. (2023). Application of the mayo periprosthetic joint infection risk score for total ankle arthroplasty. Foot & Ankle International, 44(5), 451–458. https://doi.org/10.1177/10711007231157697

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