Journal of the Korea Convergence Society (한국융합학회논문지)

Korea Convergence Society (한국융합학회)
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Effect of Pressure Taping between Tibia and Fibula on Pain, ROM and Strength in Athletes diagnosed with High Ankle Sprain

원위경비인대결합 손상 선수의 경·비간 압박테이핑 적용이 통증, 관절가동범위, 근력에 미치는 영향

  • Jang, Won-Bong (Sejone Sports Medicine Performance Center) ;
  • Oh, Jae-Keun (Department of Health and Exercise Science, Korea National Sport University) ;
  • Yoon, Jin-Ho (Department of Sports Rehabilitation, Korea Nazarene University)
  • 장원봉 (세종스포츠정형외과 SPC) ;
  • 오재근 (한국체육대학교 건강관리학과) ;
  • 윤진호 (나사렛대학교 스포츠재활전공)
  • Received : 2021.02.02
  • Accepted : 2021.04.20
  • Published : 2021.04.28
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Abstract

This study was conducted to identify the effects of pressure taping between tibia and fibula of High Ankle Sprain athletes on pain, Range of Motion(ROM), and strength and to provide basic data for rehabilitation programs. The subjects of the study were conducted with a total of 10 athletes except for four who gave up who were diagnosed with high ankle sprain, or who were diagnosed with ankle sprain but their physical examinations proved positive. The results showed no significant differences in pain(Visual Analog Scale, VAS). The ROM was significantly increased in inversion(IV) and eversion(EV) in both groups. The Isometric strength was significantly improved in IV(0°, 7°, 14°) and EV(0°) in Taping Group(TG). When taping was applied to athletes with injury to the High Ankle Sprain, ROM and muscle strength improved at the same pain level.

본 연구는 원위경비인대결합이 손상된(High Ankle Sprain) 운동선수들의 경·비간 압박테이핑 적용이 통증, 관절가동범위, 근력에 미치는 영향을 규명하는데 있다. High Ankle Sprain 또는 발목 염좌를 진단받은 선수 중 이학적 검사결과 양성인 운동선수 14명을 대상으로 중도 포기 4명을 제와한 10명을 대상으로 진행하였다. 3주간 아급성기재활 전, 중, 후로 경비간 압박테이핑 처치군(TG)과 적용하지 않는 대조군(NTG)으로 나누어 통증, 관절가동범위, 등척성근력을 측정 하였다. 통계는 반복측정에 의한 변량분석을 실시하였으며 사후검증은 t-test를 실시하였다. 연구 결과 통증(VAS)은 유의한 차이가 발생하지 않았으며, 관절가동범위는 두 그룹 모두 내번과 외번 가동범위가 시기간 유의한 증가를 보였고, 등척성근력은 테이핑 처치군 에서만 내번(0°, 7°, 14°)과 외번(0°)에서 시기간 유의한 향상이 나타났다. 결론적으로 원위경비인대결합 손상 운동선수의 경·비간 압박 테이핑 적용이 아급성기 재활프로그램에서 동일한 통증수준에서도 관절가동범위와 근력의 조기 향상에 효과가 있는 것으로 나타났다.

Keywords

References

  1. D. T. P. Fong, Y. Hong, L. K. Chan, P. S. H, Yung & K. M. Chan. (2007). A systematic review on ankle injury and ankle sprain in sports. Sports medicine, 37(1), 73-94. DOI:10.2165/00007256-200737010-00006
  2. C. Zalavras & D. Thordarson. (2007). Ankle syndesmotic injury. Journal of the American Academy of Orthopaedic Surgeons, 15(6), 330-339. https://doi.org/10.5435/00124635-200706000-00002
  3. B. A. Ferrel & J. E. Whiteman. (2003). Geriatric palliative care. NY: Oxford University Press
  4. S. T. Canale. (2011). Campbell's operative orthopaedics. 11th ed. Philadelphia, Mosby, 3090-7.
  5. W. J. Hopkinson, P. Pierre, J. B Ryan & J. H. Wheeler. (1990). Syndesmosis sprains of the ankle. Foot Ankle, 10(6), 325-330. DOI:10.1177/107110079001000607
  6. H. N. Burwell & A. D. Charnley. (1965). The treatment of displaced fractures at the ankle by rigid internal fixation and early joint movement. The Journal of bone and joint surgery. British volume, 47(4), 634-660.
  7. M. J. Boytim, D. A. Fischer & L. Neumann. (1991). Syndesmotic ankle sprains. The American journal of sports medicine, 19(3):294-298. DOI:10.1177/036354659101900315
  8. D. C. Taylor, J. J. Tenuta, J. M. Uhorchak & R. A. Arciero. (2007). Aggressive surgical treatment and early return to sports in athletes with grade III syndesmosis sprains. The American journal of sports medicine, 35(11), 1833-1838. DOI: 10.1177/0363546507304666
  9. R. W. Wright, R. J. Barile, D. A. Surprenant & M. J. Matava. (2004). Ankle syndesmosis sprains in national hockey league players. The American journal of sports medicine, 32(8), 1941-1945. DOI: 10.1177/0363546504264581
  10. A. D. Sman, C. EHiller, K. Rae, J. Linklater, D. A. Black & K. M. Refshauge. (2014). Prognosis of ankle syndesmosis injury. Medicine & Science in Sports & Exercise, 46(4), 671-677. DOI:10.1249/MSS.0000000000000151
  11. C. W. Nicholson & R. B. Anderson. (2006). Operative treatment of syndesmotic injuries in the competitive athlete. Techniques in Foot & Ankle Surgery, 5(1), 38-44. DOI: 10.1097/00132587-200603000-00009
  12. J. P. Gerber, G. N. Williams, C. R. Scoville, R. A. Arciero & D. C. Taylor. (1998). Persistent disability associated with ankle sprains: a prospective examination of an athletic population. Foot & ankle international, 19(10), 653-660. https://doi.org/10.1177/107110079801901002
  13. S. D. Boden, P.A. Labropoulos, P. McCowin, W. F. Lestini & S. R. Hurwitz. (1989). Mechanical considerations for the syndesmosis screw. A cadaver study. The Journal of Bone and Joint Surgery American, 71(10), 1548-55. https://doi.org/10.2106/00004623-198971100-00014
  14. D. J. Ogilvie-Harris, S. C. Reed & T. P. Hedman. (1994). Disruption of the ankle syndesmosis: biomechanical study of the ligamentous restraints. Arthroscopy: The Journal of Arthroscopic & Related Surgery, 10(5), 558-560. DOI:10.1016/s0749-8063(05)80014-3
  15. M. J. Coughlin, R. A. Mann & C. L. Saltzman. (2007). Surgery of the foot and ankle. 8th ed. Philadelphia Mosby Elsevier.
  16. T. Brosky, J. Nyland, A. Nitz & D. N. Caborn. (1995). The ankle ligaments: consideration of syndesmotic injury and implications for rehabilitation. Journal of Orthopaedic & Sports Physical Therapy, 21(4), 197-205. DOI: 10.2519/jospt.1995.21.4.197
  17. E. D. Nussbaum, T. M. Hosea, S. D. Sieler, B. R. Incremona & D. E. Kessler. (2001). Prospective evaluation of syndesmotic ankle sprains without diastasis. American Journal of Sports Medicine, 29(1), 31-35. DOI: 10.1177/03635465010290011001
  18. T. O. Clanton & P. Paul. (2002). Syndesmosis injuries in athletes. Foot and ankle clinics, 7(3), 529-549. DOI: 10.1016/s1083-7515(02)00045-1
  19. D. C. Reid. (1992). Sports Injury Assessment and Rehabilitation. NY, Churchill Livingstone.
  20. J. Karlsson & G. O. Andreasson. (1992). The effect of external ankle support in chronic lateral ankle joint instability: an electromyographic study. The American journal of sports medicine, 20(3), 257-261. https://doi.org/10.1177/036354659202000304
  21. G. E. Lutz, R. P. Barnes, T. L. Wickiewicz & P. A. F. H. Renstrom. (1993). Prophylactic athletic taping. Sports Injuries: Basic principles of prevention and care. Blackwell Scientific Pub, 388-397.
  22. A. Alonso, L. Khoury & R. Adams. (1998). Clinical tests for ankle syndesmosis injury: reliability and prediction of return to function. Journal of Orthopedic Sports Physical Therapy, 27(4), 276-284. DOI: 10.2519/jospt.1998.27.4.276
  23. G. N. Williams, M. H. Jones & A. Amendola. (2007). Syndesmotic ankle sprains in athletes. The American journal of sports medicine, 35(7), 1197-1207. DOI:10.1177/0363546507302545
  24. S. P. Broglio, A. Monk, K. Sopiarz & E. R. Cooper. (2009). The influence of ankle support on postural control. Journal of Science & Medicine in Sport, 12(3), 388-392. DOI:10.1016/j.jsams.2007.12.010
  25. E. J. Yu & S. Y. Lee. (2018). The Effect of Taping, Stretching and Ultrasound Intervention on Convergent Balance with Ankle Muscle Fatigue. Journal of the Korea Convergence Society, 9(10), 141-147 https://doi.org/10.15207/JKCS.2018.9.10.141
  26. B. R. Wolf & A. Amendola. (2002). Syndesmosis injuries in the athlete: when and how to operate. Current Opinion in Orthopaedics, 13(2):, 151-154. https://doi.org/10.1097/00001433-200204000-00013
  27. M. P. Jensen, C. Chen & A. M. Brugger. (2003). Interpretation of visual analog scale ratings and change scores: a reanalysis of two clinical trials of postoperative pain. The Journal of pain, 4(7), 407-414. DOI: 10.1016/s1526-5900(03)00716-8
  28. C. C. Norkin. (2004). Measurement of joint motion: A guide to goniometry. Physiotherapy Canada, 56, 250. https://doi.org/10.2310/6640.2004.00031
  29. G. Tankevicius, D. Lankaite & A. Krisciunas. (2013). Test-retest reliability of biodex system 4 Pro for isometric ankle-eversion and-inversion measurement. Journal of sport rehabilitation, 22(3), 212-215. DOI: 10.1123/jsr.22.3.212
  30. D. Elton, G. D. Burrows & G. V. Stanley. (1979). Clinical measurement of pain. Medical Journal of Australia, 1(4), 109-111. https://doi.org/10.5694/j.1326-5377.1979.tb112040.x
  31. S. Y. Heo. (1999). Assessment of Pain in Patients with Low Back Pain. The Journal of East-West Medicines, 24(3), 17-29.
  32. R. G. Hazard, L. D. Haugh, S. Reid, J. B. Preble & L. MacDonald. (1996). Early prediction of chronic disability after occupational low back injury. Spine, 21(8), 945-951. https://doi.org/10.1097/00007632-199604150-00008
  33. E. K. Kim. (2004). The Effects of Proprioceptor Training on Functional Ankle Joint Instability in Soccer Players. Korea sport research, 15(5), 1839-1852.
  34. K. B. Lee. (2007). Ankle Syndesmotic Injury. Journal of The Korean Fracture Society, 20(3), 282-290. DOI:10.12671/jkfs.2007.20.3.282
  35. American Academy of Orthopadic Surgeons (1965). Joint Motion : Method of Measuring and Recording. Chicago: AAOS.
  36. J. G. Garrick. (1977). The frequency of injury, mechanism of injury, and epidemiology of ankle sprains. The American journal of sports medicine, 5(6), 241-242. https://doi.org/10.1177/036354657700500606
  37. American College of Sports Medicine. (2013). ACSM's guidelines for exercise testing and prescription. Lippincott Williams & Wilkins.
  38. L. Konradsen, S. Olesen & H. M. Hansen. (1998). Ankle sensorimotor control and eversion strength after acute ankle inversion injuries. The American Journal of Sports Medicine, 26(1), 72-77. DOI:10.1177/03635465980260013001
  39. G. B. Wilkerson, J. J. Pinerola & R. W. Caturano. (1997). Invertor vs. evertor peak torque and power deficiencies associated with lateral ankle ligament injury. Journal of Orthopaedic & Sports Physical Therapy, 26(2), 78-86. DOI:10.2519/jospt.1997.26.2.78
  40. T. W. Kaminski & H. D. Hartsell. (2002). Factors contributing to chronic ankle instability: a strength perspective. Journal of athletic training, 37(4), 394-405.
  41. T. Hettinger & E. A. Muller. (1965). Muskelleistung und Muskeltraining. Arbeits Physiologie, 15, 111-126.