International Journal of Medical and Pharmaceutical Research
2026, Volume-7, Issue 1 : 429-433
Original Article
Ankle Power Asymmetry Between the Dominant and Non-Dominant Limbs in Healthy Adults
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Received
Dec. 6, 2025
Accepted
Jan. 3, 2026
Published
Jan. 13, 2026
Abstract

Background: Ankle power is a critical component of lower limb biomechanics, influencing movement efficiency, athletic performance, and injury risk. Limb dominance may contribute to asymmetry in ankle power, potentially affecting functional outcomes and injury susceptibility.

Objective: To quantify ankle power asymmetry between dominant and non-dominant limbs in healthy adults.

Methods: A cross-sectional study was conducted among 70 healthy adults aged 18–30 years recruited from an orthopaedic outpatient department. Ankle plantarflexion and dorsiflexion power were measured bilaterally using a portable push–pull dynamometer and recorded in Newtons (N). Dominant and non-dominant limb values were compared using a paired t-test with a significance level of p < 0.05.

Results: Mean plantarflexion power was significantly higher in the dominant limb compared to the non-dominant limb (62.69 ± 11.99 N vs 61.56 ± 11.90 N; t = 3.21, p = 0.002). Dominant limb dorsiflexion power was also significantly greater (48.01 ± 10.29 N vs 47.23 ± 10.08 N; t = 2.33, p = 0.023).

Conclusion: Healthy adults exhibit a statistically significant ankle power asymmetry favoring the dominant limb for both plantarflexion and dorsiflexion. Quantifying ankle power asymmetry may aid in injury prevention, rehabilitation planning, and performance optimization.

Keywords
INTRODUCTION

Ankle power plays a pivotal role in lower limb biomechanics by contributing to propulsion, balance, and efficient movement during functional activities such as walking, running, and jumping.¹ Adequate plantarflexion and dorsiflexion power are essential for athletic performance and injury prevention.⁴ Limb dominance often results in asymmetrical loading patterns, particularly in tasks involving unilateral or repetitive movements.²,³

 

Previous biomechanical studies have demonstrated that the dominant limb typically generates greater propulsive forces, whereas the non-dominant limb contributes more to stabilization and braking.² Zifchock et al. reported consistent interlimb asymmetries in ground reaction forces that influence ankle joint kinetics during gait.³ In high-intensity activities such as sprinting and jumping, athletes exhibit greater power output from the dominant limb.⁵

 

Although mild asymmetries are considered physiological, excessive imbalances may alter movement mechanics and increase injury risk.⁶ Despite existing research focusing on muscle strength and ground reaction forces, limited studies have directly quantified ankle power asymmetry using portable dynamometry. This study aimed to evaluate ankle power differences between dominant and non-dominant limbs in healthy adults.

 

Methodology

This cross-sectional study included 70 healthy adults aged 18–30 years attending an orthopaedic outpatient department. Participants were recruited using consecutive sampling over a six-month period.

 

Inclusion Criteria

  • Age 18–30 years
  • No history of ankle injury

Exclusion Criteria

  • Age <18 or >30 years
  • Previous ankle surgery
  • Neuromuscular disorders
  • Congenital deformities

 

Data Collection

Ankle plantarflexion and dorsiflexion power were measured bilaterally using a portable push–pull dynamometer, a validated tool for ankle muscle assessment,⁷ and recorded in Newtons (N). Limb dominance was identified based on the participant’s preferred limb.

 

Statistical Analysis

Descriptive statistics were expressed as mean ± standard deviation (SD). Dominant and non-dominant limb values were compared using a paired t-test. Statistical significance was set at p < 0.05.

 

Results

A total of 70 healthy adults (mean age: 22.8 ± 1.6 years) participated in the study. Both male and female participants were included, with right-side dominance observed in the majority of subjects.

 

Ankle plantarflexion and dorsiflexion power values were compared between dominant and non-dominant lower limbs using a paired t-test.

 

Mean ankle plantarflexion power was significantly higher in the dominant limb (62.69 ± 11.99 N) compared to the non-dominant limb (61.56 ± 11.90 N). This difference was statistically significant (t = 3.21, p = 0.002).

 

Similarly, dominant limb dorsiflexion power (48.01 ± 10.29 N) was significantly greater than that of the non-dominant limb (47.23 ± 10.08 N), with a statistically significant difference observed (t = 2.33, p = 0.023).

 

Ankle Power Comparison Between Limbs

Movement

Dominant Mean ± SD (N)

Non-dominant Mean ± SD (N)

p-value

Plantarflexion

62.69 ± 11.99

61.56 ± 11.90

0.002

Dorsiflexion

48.01 ± 10.29

47.23 ± 10.08

0.023

 Both plantarflexion and dorsiflexion power were significantly higher in the dominant limb.

 

Table 1 : Demographic data

 

S.NO

 

NAME

 

AGE

 

SEX

 

DOMI

NANT

SIDE

 

RIGHT ANKLE

PLANTAR

FLEXION

 

LEFT ANKLE

PLANTAR

FLEXION

 

DIFF

 

RIGHT ANKLE

DORSI

FLEXION

 

LEFT ANKLE

DORSI

FLEXION

 

DIFF

1.       

YUVARANI

23

F

R

72

71

1

65

63

2

2.       

SRINIDHI

22

F

R

61

64

3

54

55

1

3.       

SOWMIYA

22

F

R

64

63

1

49

47

2

4.       

SANJANA

23

F

R

51

50

1

44

42

2

5.       

BHOOMIKA

24

F

R

52

54

2

44

45

1

6.       

KARTHIGA

22

F

R

51

50

1

47

44

3

7.       

HARITHA

22

F

R

61

58

3

50

47

3

8.       

EBESHYAM

23

F

R

52

52

0

44

43

1

9.       

AISHVARYA

23

F

R

64

60

4

52

50

2

10.    

SATHISH KUMAR

24

M

R

68

65

3

44

42

2

11.    

MRIDULA

21

F

R

64

69

5

52

55

3

12.    

ATCHAYA

21

F

L

56

60

4

41

44

3

13.    

SHREE GUHAN

23

M

R

59

59

0

43

42

1

14.    

ABHAY

22

M

R

69

71

2

56

57

2

15.    

HARISH

21

M

L

60

64

4

43

45

2

16.    

NIJANTHAN

24

M

R

71

70

1

56

60

4

17.    

KEERTHIVASAN

22

M

R

76

77

1

64

62

2

18.    

PRASANNA

23

M

R

80

84

4

43

45

2

19.    

MONISH KUMAR

22

M

R

84

80

4

52

55

3

20.    

VIRDAN KUMAR

21

M

R

64

62

2

53

50

3

21.    

MOUNISH

23

M

R

80

80

0

55

57

2

22.    

RAHSHIT SHANKAR

22

M

R

77

73

4

45

41

4

23.    

MOHAMMED IMRAN

22

M

R

59

57

2

37

37

0

24.    

PRAISY

23

F

R

61

60

1

57

54

3

25.    

NIVETHA A

22

F

R

60

65

5

44

48

4

26.    

PRIYADARSHINI

23

F

R

53

49

4

57

55

2

27.    

PAVITHRA

26

F

R

61

61

0

53

50

3

28.    

POOVIZHI

22

F

R

50

46

4

53

49

4

29.    

PRIYA

23

F

R

66

66

0

52

53

1

30.    

KISHOR

22

M

R

60

56

4

45

47

2

31.    

PRANESH RAJ

24

M

R

77

79

2

55

55

0

32.    

MELVIN THOMAS

22

M

R

62

60

2

52

51

1

33.    

POOJA

22

F

R

66

62

4

45

41

4

34.    

DHANYA

22

F

R

64

60

4

35

32

3

35.    

DHEVADHARSHINI

25

F

R

72

68

4

30

34

4

36.    

ANANYA

22

F

R

77

73

4

37

32

5

37.    

HARINI

24

F

R

45

42

3

33

37

4

38.    

SWATHI

21

F

R

40

42

2

34

33

1

39.    

AKSHAYA

21

F

R

54

50

4

39

35

4

40.    

SUSHMITHA

22

F

R

73

70

3

38

36

2

41.    

KAUSHIKA

22

F

R

42

38

3

30

26

4

42.    

BASHEER

23

F

R

47

42

5

56

52

4

43.    

JENITHA

21

F

R

56

54

2

66

64

2

44.    

THARANESAGARI

22

F

R

71

65

5

72

68

3

45.    

LOGAMITHRA

21

F

R

61

56

4

53

48

5

46.    

VARINGA

23

F

R

57

53

4

29

24

5

47.    

ALFA

23

F

R

62

60

2

47

46

1

48.    

SHRUTHI

23

F

R

55

58

3

24

28

4

49.    

SOORYAN

23

M

R

68

68

0

62

63

1

50.    

NIVETHA G

22

F

R

40

37

3

40

42

2

51.    

DEEPAK S

23

M

R

56

53

3

37

35

2

52.    

BROWLIN SHINNU

24

F

R

31

34

2

33

30

3

53.    

SAISRUTHI

21

F

R

42

42

0

35

39

4

54.    

SHREYA KOUSHIKA

23

F

R

63

61

2

65

60

5

55.    

SHREYA P

23

F

R

52

56

3

46

50

4

56.    

SANTHOSHI

22

F

R

59

61

2

39

35

3

57.    

SAMYUKTHA

22

F

R

56

58

2

45

43

2

58.    

SHRINIDHI

22

F

R

63

60

3

42

45

3

59.    

JAYASURYA

23

M

R

83

80

3

39

38

1

60.    

DHINESH

24

M

R

88

85

3

53

57

4

61.    

SHUBA

24

F

R

61

65

4

52

50

2

62.    

ANVAI

23

F

R

65

61

4

60

58

2

63.    

SANGESH

23

M

R

68

70

2

44

48

4

64.    

ASMA D

35

F

R

57

52

5

52

50

2

65.    

YOGESH KANNAN

21

M

R

65

63

2

56

57

1

66.    

DHARANEESH

23

M

R

66

62

3

53

51

2

67.    

TAMIZHMARAI

23

M

R

90

87

3

68

65

3

68.    

HARSHVARTHAN

23

M

R

89

85

4

66

62

4

69.    

YAMUNA

24

F

R

62

65

3

50

48

2

70.    

RAJ

23

M

R

77

76

1

55

54

1

 

 

 

Image 1: Push and Pull Dynamometer

 

Image 2: Measuring Ankle Plantarflexion with Dynamometer

 

Image 3: Measuring Ankle Dorsiflexion with Dynamometer

 

DISCUSSION

The present study demonstrates a statistically significant ankle power asymmetry favoring the dominant limb in healthy adults. These findings are consistent with previous studies reporting greater propulsive and power-generating capacity in the dominant limb during gait and athletic tasks.²,⁵ Bishop et al. emphasized that repeated unilateral loading may accentuate interlimb asymmetries, potentially increasing injury risk if unaddressed.⁶

 

Although the magnitude of asymmetry observed in this study was relatively small, even subtle differences may influence movement efficiency and load distribution over time. The use of a portable push–pull dynamometer provides a practical, clinically applicable approach for assessing ankle power asymmetry in both research and rehabilitation settings.⁷

 

Limitations

The study was limited to a young, healthy population and did not assess long-term functional outcomes, sport-specific demands, or injury incidence.

 

Conclusion

Healthy adults exhibit statistically significant asymmetry in ankle plantarflexion and dorsiflexion power, with higher values observed in the dominant limb. Assessment of ankle power asymmetry using portable dynamometry may be valuable for clinical evaluation, injury prevention, and individualized rehabilitation planning.

 

REFERENCES

  1. Farris DJ, Trewartha G, McGuigan MP, Lichtwark GA. Differential strain patterns of the human Achilles tendon determined in vivo with freehand ultrasound elastography. J Exp Biol. 2013;216(4):594–600.
  2. Sadeghi H, Allard P, Prince F, Labelle H. Symmetry and limb dominance in able-bodied gait: A review. Gait Posture. 2000;12(1):34–45.
  3. Zifchock RA, Davis I, Higginson J, McCaw S, Royer T. Side-to-side differences in overground running mechanics. J Biomech. 2008;41(12):2620–2626.
  4. Hannah R, Folland JP, Smith SL. Explosive neuromuscular performance of males versus females. Exp Physiol. 2017;102(5):677–689.
  5. Exell TA, Gittoes MJ, Irwin G, Kerwin DG. Biomechanics of bilateral asymmetry in running and jumping. J Sports Sci. 2012;30(6):653–661.
  6. Bishop C, Read P, Lake J, Chavda S. Interlimb asymmetries: Understanding how to assess and address them. Strength Cond J. 2018;40(4):33–44.
  7. Cho SY, Myong Y, Park S, et al. A portable articulated dynamometer for ankle dorsiflexion and plantar flexion strength measurement: Design, validation, and user experience study. Sci Rep. 2023;13:22221.

 

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