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Observational Study
Copyright ©The Author(s) 2025.
World J Orthop. Oct 18, 2025; 16(10): 108858
Published online Oct 18, 2025. doi: 10.5312/wjo.v16.i10.108858
Table 1 Peak Torque variables for the four movements studied (n = 200)
Range of motion
Average
Median
SD
P value
EversionDominant28.728.39.8< 0.001
Non-dominant31.230.610.8
InversionDominant34.631.812.20.466
Non-dominant35.133.411,.0
ExtensionDominant47.948.114.30.029
Non-dominant49.450.514.3
FlexionDominant136.4140.043.5< 0.001
Non-dominant144.0146.843.7
Table 2 Agonist/antagonist ratios for left and right ankle and overall values (n = 200)
Agonist/antagonist ratios
Average
Median
SD
CV, %
Min
Max
CI
Evertors/invertors ratioLeft81.879.022.62845.0173.04.4
Right95.896.019.92153.0160.03.9
Overall88.886.022.42545.0173.03.1
Extensors/flexors ratioLeft36.236.09.62617.069.01.9
Right36.136.08.92515.073.01.7
Overall36.136.09.22615.073.01.3
Table 3 Muscle deficiency index values for each movement (n = 200)
Range of motion
Average
Median
SD
CI
P value
Eversion8.669.016.153.170.062
Inversion4.205.517.753.48
Extension3.414.015.503.04
Flexion5.185.512.822.51
Table 4 Correlation between demographic variables and Muscular Deficiency Index (n = 200)
Range of motion
Age
Weight
Height
BMI
Eversionr value-0.0660.0460.0370.041
P value0.5140.6540.7170.686
Inversionr value0.0790.0600.0020.030
P value0.4380.5600.9850.768
Extensionr value-0.085-0.085-0.050-0.059
P value0.4010.4060.6210.564
Flexionr value0.027-0.049-0.0040.026
P value0.7890.6330.9720.800
Table 5 Correlation of age and body mass index with peak torque (n = 200)
Range of motion
Age × movement
P value
BMI × movement
P value
EversionDominant0.0490.8320.1330.564
Non-dominant0.0460.8430.0530.821
InversionDominant0.1300.5750.1890.413
Non-dominant0.1320.5670.0420.858
ExtensionDominant-0.1770.4440.1020.660
Non-dominant-0.1990.3880.0460.845
FlexionDominant-0.0900.699-0.2560.263
Non-dominant0.0740.750-0.1100.635
Table 6 Peak torque values and gender differences (n = 200)
Range of motion
Average
Median
SD
CI
n
P value
EversionFemale22.322.56.61.662< 0.001
Male33.433.29.91.7138
InversionFemale30.026.710.02.562< 0.001
Male37.035.311.61.9138
ExtensionFemale37.437.110.02.562< 0.001
Male53.654.113.02.2138
FlexionFemale100.489.337.29.362< 0.001
Male158.1158.933.45.6138
Table 7 Agonist/antagonist ratio values for the dominant and non-dominant sides (n = 200)
Agonist/antagonist ratio
Average
Median
SD
CI
P value
Evertors/invertorsDominant86.382.525.04.90.011
Non-dominant91.492.019.23.8
Extensors/flexorsDominant36.836.510.12.00.116
Non-dominant35.536.08.21.6