융합정보논문지 (Journal of Convergence for Information Technology)

중소기업융합학회 (Convergence Society for SMB)
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불안정 판을 이용한 훈련이 높은 굽 신발을 신은 여자 대학생의 발목관절 변위와 동적균형능력에 미치는 영향

The effect of unstable plate on the ankle joint displacement and dynamic balance ability of female college students wearing high-heeled shoes

  • 남택길 (대전보건대학교 물리치료과) ;
  • 이지현 (유원대학교 작업치료학과)
  • Nam, Taek-Gill (Department of Physical Therapy, Daejeon Health & Science College) ;
  • Lee, Ji-Hyun (Department of Occupational Therapy, U1 University)
  • 투고 : 2017.08.31
  • 심사 : 2017.10.20
  • 발행 : 2017.10.31
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초록

본 연구는 불안정 판을 이용한 훈련이 높은 굽 신발을 신은 여자대학생의 발목관절의 변위와 동적균형에 어떤 영향을 미치는지 알아보기 위해 실시하였다. 여자 대학생 18명을 무작위로 실험군과 대조군으로 나누고, 굽 높이가 9cm인 신발을 착용 한 후 3D 동작분석기를 이용하여 5m 보행 시의 발뒤꿈치와 발목의 변위를 검사하고, 동적 균형능력 평가를 실시하였다. 중재 프로그램은 실험군에게 4주 동안 주 3회, 불안정 판을 이용한 균형 훈련을 실시하고, 대조군에게는 중재를 실시하지 않았다. 연구 결과, 중재 후 실험군의 발목관절의 변위는 전반적으로 감소하였고, 동적균형능력은 유의하게 상승하였다. 대조군은 발목관절의 변위, 동적균형능력의 변화가 거의 없었다. 불안정 판을 이용한 훈련이 대상자들의 발목관절을 안정화 시켜주고 동적균형능력을 향상시키는 것으로 나타났다.

The purpose of this study was to investigate the effect of training using unstable plate on displacement and dynamic balance ability of ankle joints in women college students wearing high heel shoes. Subjects were randomly divided into experimental group and control group. 3D motion analysis was performed while walking 9cm high-heeled shoes and walking 5m. Dynamic balanced ability evaluation was performed. The intervention program was administered to experimental subjects three times a week for four weeks. They performed balance training using unstable plates. There was no intervention in the control group. The results showed that the displacement of the ankle joints in the experimental group after the intervention was decreased overall and the dynamic balance ability was significantly increased. The control group showed little change. As a result, the training using unstable plate stabilizes the ankle joints and improves the dynamic balance ability of the subjects wearing high-heeled shoes.

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참고문헌

  1. R. P. D. Fabio. (1995). Sensitivity and specificity of platform posturography for identifying patients with vestibular dysfunction. Physical Therapy, 75(4), 290-305. DOI : 10.1093/ptj/75.4.290
  2. B. L. Johnson & J. K. Nelson. (1986). Practical Measurements for Evaluation in Physical Education. Minnesota : Burgess.
  3. D. H. Jeong & H. C. Kwon. (1999). A Study on Control of Posture and Balance. The Journal of Korean society of physical therapy, 11(3), 23-36.
  4. Y. C. Kim, S. J. Jang & M. Y. Park. (1992). Prognostic Factors of Ambulation in Stroke Patients. Annals of Rehabilitation Medicine, 16(4), 443-451.
  5. F. B. Horak. (2006). Postural orientation and equilibrium: what do we need to know about neural control of balance to prevent falls?. Age Ageing, 35(2), 7-11. DOI: 10.1093/ageing/afl077
  6. P. A. Houglum & D. B. Bertoti. (2011). Brunnstrom's clinical kinesiology. Seoul : Yeong Mun
  7. C. F. Rung, C. L. Shupert, F. B. Horak & F. E. Zajac. (1999). Ankle and hip postural strategies defined by joint torques. Gait Posture, 10(2), 161-170. DOI : 10.1016/S0966-6362(99)00032-6
  8. F. B. Horak, L. M. Nashner & H. C. Diener. (1990). Postural strategies associated with somatosensory and vestibular loss. Experimental Brain Research, 82(1), 167-177. DOI: 10.1007/BF00230848
  9. L. Nashner. (1977). Fixed patterns of rapid postural responses among leg muscles during stance. Experimental Brain Research, 30(1), 13-24. DOI: 10.1007/BF00237855
  10. J. A. Yaggie & S. J. Mc Gregor. (2002). Effects of isokinetic ankle fatigue on the maintenance of balance and postural limits. Archives of Physical Medicine and Rehabilitation, 83(2), 224-228. DOI: 10.1053/apmr.2002.2803
  11. M. E. Franklin, T. C. Chenier, L. Brauninger, H. Cook & S. Harris. (1995). Effect of positive heel inclination on posture. Journal of Orthopaedic and Sports Physical Therapy, 21(2), 94-99. DOI: 10.2519/jospt.1995.21.2.94
  12. M. Nyska, C. McCabe, K. Linge & L. Klenerman. (1996). Plantar foot pressures during treadmill walking with high-heel and low-heel shoes. Foot & Ankle International, 17(11), 662-666. DOI: 10.1177/107110079601701103
  13. W. H. Kim & E. Y. Park. (1997). Effects of the High-Heeled Shoes on the Sensory System and Balance in Women. Physical Therapy Korea, 4(2), 10-17.
  14. J. E. Bullock-Saxton. (1994). Local Sensation Changes and Altered Hip Muscle Function Following Severe Ankle Sprain. Physical Therapy, 74(1), 17-28. DOI: 10.1093/ptj/74.1.17
  15. R. E. Snow & K. R. Williams. (1994). High Heeled Shoes: Their Effect on Center of Mass Position, Posture, Three-Dimensional Kinematics, Rearfoot Motion, and Ground Reaction Forces. Archives of physical medicine and rehabilitation, 75(5), 568-576.
  16. E. J. Kim, S. B. Jeon & K. Y. Jeong. (2015). Influences of Short-term High-heeled Walking on the Activities of Ankle-stabilizing Muscles in Healthy Young Females. The Journal of Korean Academy of Orthopedic Manual Therapy, 21(2), 39-46.
  17. A. Gefen, M. Megido-Ravid, Y. Tzchak & M. Arcan. (2002). Analysis of muscular fatigue and foot stability during high-heeled gait. Gait Posture, 15(1), 56-63. DOI : 10.1016/S0966-6362(01)00180-1
  18. C. H. Lee, E. H. Jeong & A. Freivalds. (2001). Biomechanical effects of wearing high-heeled shoes. International Journal of Industrial Ergonomics, 28(6), 321-326. DOI : 10.1016/S0169-8141(01)00038-5
  19. A. Gefen, M. Megido-Ravid, Y. Itzchak & M. Arcan. (2002). Analysis of muscular fatigue and foot stability during high-heeled gait. Gait & Posture, 15(1), 56-63. DOI : 10.1016/S0966-6362(01)00180-1
  20. D. J. Stefanyshyn, B. M. Nigg, V. Fisher, B. O'Flynn & W. Liu. (2000). The Influence of High Heeled Shoes on Kinematics, Kinetics, and Muscle EMG of Normal Female Gait. Journal of Applied Biomechanics, 16(3), 309-319. DOI: 10.1123/jab.16.3.309
  21. C. J. Ebbeling, J. Hamill & J. A. Crussemeyer. (1994). Lower extremity mechanics and energy cost of .walking in high-heeled shoes. Journal of Orthopedic and Sports Physical Therapy, 19(4), 190-196. DOI : 10.1136/bmjopen-2015-010053
  22. J. S. Ryu. (2010). Effects of High-heeled Shoe with Different Height on the Balance during Standing and Walking. Korean Journal of Sport Biomechanics, 20(4), 479-486. DOI: 10.5103/KJSB.2010.20.4.479
  23. E. William Prentice. (2003). Rehabilitation Techniques In Sports Medicine. Seoul : Hyungsul.
  24. S. H. Cha. (2007). The effects of baps board training and trampoline training on functional stability of ankles. Major in Exercise Prescription. Kyungwon University, Seongnam.
  25. R. Craig Denegar & J. Sayers Miller III. (2002). Can Chronic Ankle Instability Be Prevented? Rethinking Management of Lateral Ankle Sprains. Journal of Athletic Training, 37(4), 430-435.
  26. R. Baker et al. (2009). The gait profile score and movement analysis profile. Gait Posture, 30(3), 265-269. DOI : 10.1016/j.gaitpost.2009.05.020
  27. G. E. Gorton, D. A. Hebert & M. E. Gannotti. (2009). Assessment of the kinematic variability among 12 motion analysis laboratories. Gait Posture, 29(3), 398-402. DOI: 10.1016/j.gaitpost.2008.10.060
  28. A. Phillip Gribble, J. Hertel, C. R. Denegar & W. E. Buckley. The Effects of Fatigue and Chronic Ankle Instability on Dynamic Postural Control. Journal of Athletic Training, 39(4), 321-329.
  29. J. E. Earl & J. Hertel. (2001). Lower-Extremity Muscle Activation During the Star Excursion Balance Tests. Journal of Sports Rehabilitation, 10(2), 93-104. DOI : 10.1123/jsr.10.2.93
  30. B. J. Nam, J. J. Kim, S. D. We & D. H. Nam. (1998). Stretching for sports events. Seoul : Dae-Keung.
  31. I. S. Ahn. (2015). Style changes of women's heel height in Vogue 1950-2014. The Research Journal of the Costume Culture, 23(4), 604-615. DOI : 10.7741/rjcc.2015.23.4.604
  32. J. S. Ryu. (2009). The Temporal Coordination of the Lower Extremity by Increasing High-heel Height during Walking. Korean Journal of Sport Biomechanics, 19(3), 593-601. https://doi.org/10.5103/KJSB.2009.19.3.593
  33. J. S. Ryu. (2009). The effect of walking with high-heel shoes on Local dynamic stability. The Korean Journal of Physical Education, 48(1), 431-438.
  34. G. Kirkesola. (2000). Sling-Exercise-Therapy (S-E-T): A concept for exercise and active treatment of musculoskeletal disorders. Physiotherapist, 12, 9-16.
  35. K. Hakkinen, M. Alen & P. V. Komi. (1985). Changes in isometric force- and relaxation-time, electromyographic and muscle fibre characteristics of human skeletal muscle during strength training and detraining. Acta physiologica Scandinavica, 125, 537-585. DOI: 10.1111/j.1748-1716.1985.tb07759.x
  36. H. S. Kang et al. (2002). Physiology of sport and exercise. 5th. Seoul : Daehanmedia
  37. R. A. Schmidt, H. N. Zelaznik, B. Hawkins, J. S. Frank & J. T. Jr. Quinn. (1979). Motor output variability: A theory for the accuracy of rapid motor acts. Psycological Review, 47(5), 415-451. DOI: 10.1037/0033-295X.86.5.415
  38. T. H. Kim & C. H. Youn. (2013). Effects of Knee Joint Muscle Fatigue and Overweight on the Angular Displacement and Moment of the Lower Limb Joints during Landing. Korean Journal of Sport Biomechanics, 23(1), 63-76. DOI: 10.5103/KJSB.2013.23.1.063
  39. M. H. Won. (2011). Changes of Electromyographic Activity in Trunk and Lower Leg Muscles During Dynamic Balance Control. Eulji University, Seoul.
  40. Y. J. Oh. (2008). The Study on 3-Dimensional Impact Acceleration and Displacement of Lower Limbs Joint during Gait. Dong-Eui University, Busan.
  41. R. G. Hamman, I. Mekjavic, A. I. Mallinson & N. S. Longridge. (1992). Training effect during repeated therapy sessions of balance training using visual feedback. Archive Physical Medicine Rehabilitation, 73(8), 738-744.
  42. R. Dickstein, S. Shefi, E. Marcovitz & Y. Villa. (2004). Anticipatory postural adjustment in selected trunk muscles in poststroke hemiparetic patients. Archive Physical Medicine Rehabilitation, 85(2), 261-267. DOI: 10.1016/j.apmr.2003.05.011