DOI QR코드

DOI QR Code

정적 서기 동안 한쪽 또는 양쪽 발목관절 고정이 자세균형에 미치는 영향

Effects of Unilateral or Bilateral Ankle Immobilization on Postural Balance During Quiet Standing

  • 한진태 (경성대학교 물리치료학과)
  • Han, Jin Tae (Dept. of Physical Therapy, Kyungsung University)
  • 투고 : 2022.01.21
  • 심사 : 2022.04.20
  • 발행 : 2022.09.30

초록

Background: The purpose of this study was to investigate the effects of ankle joint immobilization on postural balance during quiet standing. Design: Cross-sectional study Methods: Twenty-seven healthy subject participated in this study. The subjects performed to stand quietly for 30s in eyes open on the platform with three different conditions. The sway length, sway area and sway velocity of center of gravity (COG) displacement and limit of stability (LOS) was measured using the balance platform. Repeated measured ANOVA was used to compare the postural balance parameters depending on three different ankle immobilized conditions. Results: Sway length, sway area and sway velocity of the COG displacement with bilateral ankle immobilized condition was significantly increased compared to those of the other two conditions(p<0.05). All directions of LOS with bilateral ankle immobilized condition were significantly decreased compared to those of the other two conditions. Conclusion: These findings suggest that ankle joint immobilization could be one of the factors that interfere the maintaining of the postural balance in quiet standing.

키워드

과제정보

이 논문은 2021학년도 경성대학교 학술연구비지원에 의하여 연구되었음.

참고문헌

  1. 송준영, 박삼호, 이명모. 다이나믹 테이핑과 키네시오 테이핑 적용에 따른 발바닥 굽힘근의 지구력과 피로도에 미치는 효과 비교. 대한물리치료과학회지. 2022;29(1):73-86.
  2. 황수진, 우영근, 전혜선. 바로 선 자세에서 발목과 무릎관절의 고정이 자세안정성에 미치는 영향. 한국전문물리치료학회지. 2008;15(1):30-7.
  3. Amiri P, Kearney RE. Ankle intrinsic stiffness changes with postural sway. J Biomech. 2019;85:50-8. https://doi.org/10.1016/j.jbiomech.2019.01.009
  4. Basnett CR, Hanish MJ, Wheeler TJ, et al. Ankle dorsiflexion range of motion influences dynamic balance in individuals with chronic ankle instability. Int J Sports Phys Ther. 2013;8(2):121-8.
  5. Broglio SP, Monk A, Sopiarz K, et al. The influence of ankle support on postural control. J Sci Med Sport. 2009;12(3):388-92. https://doi.org/10.1016/j.jsams.2007.12.010
  6. Choi SH, Lee JY, Lee BH. The effect of balance training using visual information on the trunk control, balance and gait ability in patients with subacute stroke: Randomized controlled trial. J Kor Phys Ther Sci. 2022;29(2):1-13. https://doi.org/10.12674/ptk.2022.29.1.1
  7. Cordova ML, Ingersoll CD, Palmieri RM. Efficacy of prophylactic ankle support: an experimental perspective. J Athl Training. 2002;37(4):445-57.
  8. Cordova ML, Ingersoll CD, LeBlane MJ. Influence of ankle support on joint range of motion before and after exercise: a meta-analysis. J Orthop Sports Phys Ther. 2000;30(4):170-7. https://doi.org/10.2519/jospt.2000.30.4.170
  9. Edwards WT. Effect of joint stiffness on standing stability. Gait Posture. 2007;25(3):432-9. https://doi.org/10.1016/j.gaitpost.2006.05.009
  10. Halabch F, Hassabi M. Acute ankle sprain in athletes: Clinical aspects and algorithmic approach, World J Orthop. 2020;11(12):534-58. https://doi.org/10.5312/wjo.v11.i12.534
  11. Herzog MM, Kerr ZY, Marshall SW, et al. Epidemiology of ankle sprains and chronic ankle instability. J Athl Train. 2019;54(6):603-10. https://doi.org/10.4085/1062-6050-447-17
  12. Horak FB. Postural orientation and equilibrium: What do we need to know about neural control of balance to prevent fall? Age Ageing. 2006;35(2):7-11. https://doi.org/10.1093/ageing/afl077
  13. Karimi N, Ebrahimi I, Kahrizi S, et al. Reliability of postural balance evaluation using the biodex balance system in subjects with and without low back pain. J Postgrad Med. 2008;22(2):95-101.
  14. Keene DJ, Williamson E, Bruce J, et al. Early ankle movement versus immobilization in the postoperative management of ankle fracture in adult: A systematic review and meta-analysis. J Orthop Sports Phys Ther. 2014;44(9):690-701. https://doi.org/10.2519/jospt.2014.5294
  15. Li F. The effects of Tai Ji Quan training on limits of stability in older adults. Clin Interv Aging. 2014;4(9):1261-8. https://doi.org/10.2147/CIA.S65823
  16. Salsabili H, Bahrpeyma F, Forogh B, et al. Dynamic stability training improves standing balance control in neuropathic patients with type 2 diabetes. J Rehabil Res Dev. 2011;48(7):775-86. https://doi.org/10.1682/JRRD.2010.08.0160
  17. Shumway-Cook A, Woollacott MH. Motor Control: Translating Research into Clinical Practice. 3rd ed, Lippincott Williams & Winkins. Maryland. 2006:157-80.
  18. Stirling AM, McBride JM, Merritt EK, et al. Nervous system excitability and joint stiffness following short-term dynammic ankle immobilization. Gait Posture. 2018;59:46-52. https://doi.org/10.1016/j.gaitpost.2017.09.028
  19. Wikstrom EA, Naik S, Lodha N, et al. Balance capabilities after lateral ankle trauma and intervention: A meta-analysis. Med Sci Sports Exerc. 2009;41(6):1287-95. https://doi.org/10.1249/MSS.0b013e318196cbc6