DOI QR코드

DOI QR Code

Effect of acute ankle mobility exercise program on ankle range of motion and pain in adult women with chronic ankle instability : Pilot study

일회성 발목가동성 운동프로그램이 만성발목불안정성을 가진 성인여성들의 발목가동범위와 통증에 미치는 영향-Pilot study

  • Seung-Eun Kim (Exercise physiology, Korea National Sport University) ;
  • Dong-Joo Hwang (Sport Science Institute, Korea National Sport University) ;
  • Yong-chul Jang (Exercise Biochemistry Laboratory, Korea National Sport University) ;
  • Tae-Kyung Kim (Sport Science Institute, Korea National Sport University) ;
  • Joon-Yong Cho (Exercise Biochemistry Laboratory, Korea National Sport University) ;
  • Jung-Hoon Koo (Exercise Biochemistry Laboratory, Korea National Sport University)
  • 김승은 (한국체육대학교 사회체육대학원) ;
  • 황동주 (한국체육대학교 체육과학연구소) ;
  • 장용철 (한국체육대학교 운동건강관리학과) ;
  • 김태경 (한국체육대학교 체육과학연구소) ;
  • 조준용 (한국체육대학교 운동건강관리학과) ;
  • 구정훈 (한국체육대학교 운동건강관리학과)
  • Received : 2023.11.25
  • Accepted : 2023.12.20
  • Published : 2023.12.30

Abstract

The purpose of this study was to investigate the effects of a acute ankle mobility exercise (AE) program on the range of motion and pain levels associated with chronic ankle instability (CAI). Twenty adult women with an average score of 24 or less on both sides in the ankle instability questionnaire were selected and divided into two groups: the Ankle Mobility Exercise Program group (AE, n=10) and the control group (CON, n=10). The AE treatment involved a one-time, 20-minute exercise session for each ankle, conducted separately on the left and right ankles, to examine the response to a acute exercise. Measures of ankle instability, pain, and ankle range of motion were evaluated before and after the treatment. In the AE group, which underwent the AE program, a significant decrease in pain was observed post-AE compared to pre-AE (p<.01). In addition, an increase in dorsiflexion was observed in the AE group post-AE compared to pre-AE following the AE program(p<.05). These results suggest that a acute AE program can effectively alleviate some aspects of ankle instability by improving ankle pain and range of motion in adult women with chronic ankle instability (CAI).

본 연구는 일회성 발목가동성 운동프로그램이 만성적인 발목불안정성(CAI)에 나타나는 발목가동범위와 통증 수준에 미치는 영향을 확인하는데 목적이 있다. 연구 대상자는 발목불안정성 설문지 검사에서 좌, 우측 평균 점수가 24점 이하인 성인여성 20명을 선정 하였으며 집단은 일회성 발목 가동성 운동프로그램 집단(Ankle mobility exercise program, AE, n=10)과 대조군(CON, n=10)으로 구분하였다. AE 처치는 일회성 운동에 대한 반응을 확인하기 위해 좌·우측 발목을 각각 1회(20분) 실시하였으며 처치 전후 발목불안정성 검사, 통증 및 발목가동범위를 확인하였다. 먼저 AE 프로그램을 실시한 AE 집단의 통증 수준은 사전과 비교하여 사후 유의하게 감소하는 것으로 나타났다(p<.01). 또한 AE 프로그램 처치한 AE 집단에서 배측굴곡이 사전과 비교하여 증가하는 것으로 나타났다(p<.05). 이러한 결과를 종합해 보면 일회성 발목 가동성 운동 프로그램은 CAI에서 나타나는 발목 통증과 발목의 가동범위를 개선시켜 결과적으로 발목 불안정성을 완화시킬 수 있는 효과적인 운동 중재 방법이라고 생각된다.

Keywords

References

  1. Statistics Korea. National Sport Participation Survey in Korea, (2021).
  2. Neumann DA. Kinesiology of the musculoskeletal system: foundations for physical rehabilitation. St Louis, USA: Mosby, (2002).
  3. J. Rdzanek, J. Swiatek, M. Wychowanski, "Correlation Between Foot Arch Parameters and Body Balance Performance", Ortop Traumatol Rehabil, Vol.24, No.4 pp. 263-272, (2022).
  4. A. J. Nelson, C. L. Collins, E. E. Yard, S. K. Fields, R. D. Comstock, "Ankle injuries among United States high school sports athletes, 2005-2006", J Athl Train. Vol.42, No.3 pp. 381-387, (2007).
  5. Houglum PA, Bertoti DB. Brunnstrom's clinical kinesiology. 6th ed. Philadelphia (PA), USA: The F.A Davis Co, (2012).
  6. A. J. Nelson, C. L. Collins, E. E. Yard, S. K. Fields, R.D. Comstock, Ankle injuries among United States high school sports athletes, 2005-2006. J Athl Train, Vol.42, No.3 pp. 381-387, (2007).
  7. T. Purevsuren, K. Kim, M. Batbaatar, S. Lee, Y. H. Kim, Influence of ankle joint plantarflexion and dorsiflexion on lateral ankle sprain: A computational study. Proc Inst Mech Eng H, Vol.232, No.5 pp. 458-467, (2018).
  8. C. I. Lin, S. Houtenbos, Y. H. Lu, F. Mayer, P. M. Wippert, The epidemiology of chronic ankle instability with perceived ankle instability- a systematic review. J Foot Ankle Res, Vol.14, No.1 pp. 41, (2021).
  9. M. L. Delco, J. G. Kennedy, L. J. Bonassar, L. A. Fortier, Post-traumatic osteoarthritis of the ankle: A distinct clinical entity requiring new research approaches. J Orthop Res, Vol.35, No.3 pp. 440-453, (2017).
  10. R. Sierra-Guzman, F. Jimenez-Diaz, C. Ramirez, P. Esteban, J. Abian-Vicen, Whole-Body-Vibration Training and Balance in Recreational Athletes With Chronic Ankle Instability. J Athl Train, Vol.53, No.4 pp. 355-363, (2018).
  11. J. Hertel, R. O. Corbett, An Updated Model of Chronic Ankle Instability. J Athl Train, Vol.54, No.6 pp. 572-588, (2019).
  12. X. Li, T. J. Lin, B. D. Busconi, Treatment of chronic lateral ankle instability: a modified Brostrom technique using three suture anchors. J Orthop Surg Res, Vol.4, No.1 (2009).
  13. J. Wang, D. Zhang, T. Zhao, J. Ma, S. Jin, Effectiveness of balance training in patients with chronic ankle instability: protocol for a systematic review and meta-analysis. BMJ Open, Vol.11, No.9 pp. e053755, (2021).
  14. N. M. Youssef, A. M. Abdelmohsen, A. A. Ashour, N. M. Elhafez, & S. M. Elhafez, Effect of different balance training programs on postural control in chronic ankle instability: a randomized controlled trial. Acta Bioeng Biomech, Vol.20, No.2 pp. 159-169, (2018)
  15. C. P. Carpes, F. B. Reinehr, C. B. Mota, "Effects of a program for trunk strength and stability on pain, low back and pelvis kinematics, and body balance: a pilot study", Journal of bodywork and movement therapies, Vol.12, No.1 pp. 22-30, (2008).
  16. J. Ko, A. B. Rosen, C. N. Brown, CROSS-CULTURAL ADAPTATION AND VALIDATION OF THE KOREAN VERSION OF THE CUMBERLAND ANKLE INSTABILITY TOOL. Int J Sports Phys Ther, Vol.10, No.7 pp. 1007-1014, (2015).
  17. M. R. Stiffler, D. R. Bell, J. L. Sanfilippo, S. J. Hetzel, K. A. Pickett, B. C. Heiderscheit, Star Excursion Balance Test Anterior Asymmetry Is Associated With Injury Status in Division I Collegiate Athletes. J Orthop Sports Phys Ther, Vol.47, No.5 pp. 339-346, (2017).
  18. H. M. Jeon, J. H. Kim, J. K. Lee, "Effect of Lumbar Stabilizing Exercise SEBT Training on Isometric Lumbar Strength, Dynamic Balance Ability and Range of Motion in Open Laser Lumbar Microdisectomy Patients", Journal of the Korea Academia-Industrial cooperation Society, Vol.21, No.2 pp. 212-220, (2020).
  19. M. P. Jensen, C. Chen, A. M. Brugger, "Interpretation of visual analog scale ratings and change scores: a reanalysis of two clinical trials of postoperative pain", The Journal of pain, Vol.4, No.7 pp. 407-414, (2003).
  20. S, J. Park, J, H. Hwang, Y, T. Lee S, G. Lim, The Effect of Hospital Based Rehabilitation Exercise and Home Rehabilitation Exercise in Patients with Chronic Ankle Sprain. Korean Society of Sports Medicine, Vol.24, No.2 pp. 194-196, (2006).
  21. M. J. Hwang, The effects of 4 weeks strength and balance exercise on improvement of FAI(functional ankle instability) index and functional performance, Dankook University mater degree, (2009).
  22. D. R. Wagner, K. Tatsugawa, D. Parker, A. T. Young, "Reliability and utility of a visual analog scale for the assessment of acute mountain sickness", High Alt Med Biol, Vol.8, No.1 pp. 27-31, (2007).
  23. S. J. Kim, "Effects of Foot Exercises on Foot Arch Height, Navicular Drop and Ankle Joint Torque", Journal of Sport and Leisure Studies. Vol.92, pp. 361-374, (2023).
  24. L. J. Backman, P. Danielson, "Low range of ankle dorsiflexion predisposes for patellar tendinopathy in junior elite basketball players: a 1-year prospective study", Am J Sports Med, Vol.39, No.12 pp. 2626-2633, (2011).
  25. H. Y. Joo, "Effects of Ankle Strengthening Exercise on Range of Motion, Isokinetic Muscular Function and Balance in Adolescent Female Taekwondo Athlete", Dankook University mater degree, (2020).