Publication Name	World Journal of Orthopedics
Manuscript ID	115692
Country	South Korea

Category	Orthopedics
Manuscript Type	Letter to the Editor
Article Title	Clinical impact of normative data in ankle strength evaluation
Manuscript Source	Unsolicited Manuscript
All Author List	Haewon Byeon
Funding Agency and Grant Number	Funding Agency Grant Number Basic Science Research Program through the National Research Foundation of Korea RS-2023-00237287
Corresponding Author	Haewon Byeon, Associate Professor, Director, PhD, Worker's Care and Digital Health Lab, Department of Future Technology, Korea University of Technology and Education, 1600, Chungjeol-Road, Cheonan 31253, South Korea. bhwpuma@naver.com
Key Words	Ankle isokinetic; Normative data; Limb symmetry index; Return-to-sport criteria; Neuromuscular deficits
Core Tip	The work by da Fonseca et al provides a crucial, long-awaited normative dataset for isokinetic ankle strength. What’s particularly striking is their finding that healthy ankles naturally exhibit over 90% bilateral symmetry, as measured by both limb symmetry index and their new muscular deficiency index. This empirically grounds the > 90% threshold, a standard borrowed from knee rehabilitation, as a valid and achievable goal for the ankle. The clinical takeaway is clear: We now have objective, gender-specific benchmarks that allow us to move beyond the flawed assumption that the uninjured limb is a perfect ‘control’. This research equips clinicians with the tools to make more precise and defensible decisions about rehabilitation progress and safe return to activity.
Citation	Byeon H. Clinical impact of normative data in ankle strength evaluation. World J Orthop 2025; In press

Received	2025-10-24 08:04
Peer-Review Started	2025-10-24 08:04
First Decision by Editorial Office Director	2025-11-18 09:56
Return for Revision	2025-11-18 09:56
Revised	2025-11-19 12:35
Publication Fee Transferred
Second Decision by Editor	2025-12-26 02:38
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director	2025-12-26 06:26
Articles in Press	2025-12-26 06:26
Edit the Manuscript by Language Editor
Typeset the Manuscript

ISSN	2218-5836 (online)
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