중간볼기근 강화운동을 포함한 가정운동 재활 프로그램이 발목기능 및 삶의 질 향상에 미치는 영향: 무작위 대조 실험

The Effects of Home-Exercise Rehabilitation Program with Gluteus-Medius Strengthening Exercise on the Ankle Function and Quality of Life: Randomized Controlled Trial

  • 김예지 (대구대학교 재활과학대학 물리치료학과) ;
  • 김도현 (대구대학교 재활과학대학 물리치료학과) ;
  • 채이준 (대구대학교 재활과학대학 물리치료학과) ;
  • 김명권 (대구대학교 일반대학원 물리치료학과 )
  • Ye-ji Kim (Dept. of Physical Therapy, Graduate School, Daegu University) ;
  • Do-hyun Kim (Dept. of Physical Therapy, Graduate School, Daegu University) ;
  • Yi-jun Chae (Dept. of Physical Therapy, Graduate School, Daegu University) ;
  • Myoung-kwon Kim (Dept. of Physical Therapy, College of Rehabilitation Science, Daegu University)
  • 투고 : 2024.03.08
  • 심사 : 2024.04.04
  • 발행 : 2024.04.30

초록

Background: The purpose of this study is to investigate the effect of ankle strengthening and proprioceptor exercise, including gluteus-medius strengthening exercise, on ankle strength, dynamic and static balance, ankle function, and quality of life in 24 adults without ankle instability. Methods: After randomly classifying 12 people per group into the experimental group and the control group, Home-exercise rehabilitation program was conducted for a total of 2 weeks. The control group performed ankle strengthening and proprioceptor exercise 5 times a week for 15 minutes, and the experimental group was performed by adding 15 minutes of gluteus-medius strengthning exercise to the exercise performed by the control group. The SPSS 27.0 program was used for statistical analysis. Results: Both groups showed statistically significant differences in the plantar flexion muscle strength, Y-Balance test, side hop test, quality of life. But, only experimental group showed statistically significant differences dorsi-flexion muscle strength and hip abduction muscle strength. There was no statistical difference in comparison of difference values between groups. Conclusion: These exercises can provide useful home rehabilitation programs for sports populations seeking to prevent injury in sports.

키워드

참고문헌

  1. Abe Y, Sugaya T, Sakamoto M. The postural control characteristics of individuals with and without a history of ankle sprain during single-leg standing: relationship between center of pressure and acceleration of the head and foot parameters. J Phys Ther Sci, 2014;26(6):885-888. https://doi.org/10.1589/jpts.26.885.
  2. Almeida GL, Carvalho RL, Talis VL. Postural strategy to keep balance on the seesaw. Gait Posture. 2006;23(1):17-21, https://doi.org/10.1016/j.gaitpost.2004.11.020
  3. Barker HB, Beynnon BD, Renstrom PA. Ankle injury risk factors in sports. Sports Med, 1997;23:69-74. https://doi.org/10.1016/j.gaitpost.2004.11.020.
  4. Buker N, Savkin R, Ok N. Comparison of supervised exercise and home exercise after ankle fracture. J Foot Ankle Surg, 2019;58(5):822-827. https://doi.org/10.1053/j.jfas.2018.11.021.
  5. Caffrey E, Docherty CL, Schrader J, et al. The ability of 4 single-limb hopping tests to detect functional performance deficits in individuals with functional ankle instability. J Orthop Sports Phys Ther, 2009;39(11): 799-806. https://www.jospt.org/doi/10.2519/jospt.2009.3042.
  6. Carroll M, Joyce W, Brenton-Rule A, et al. Assessment of foot and ankle muscle strength using hand held dynamometry in patients with established rheumatoid arthritis. J Foot Ankle Res, 2013;6(1):1-4. https://doi.org/10.1186/1757-1146-6-10.
  7. Cha SH, Kim JS. The effects of balance exercises on functional ankle stability with ankle sprained patients. AJ Kinesiol. 2009;11(2):73-83. https://doi:10.2519/jospt. 2009.3042.
  8. Chae JS, Choe YW, Kim MK. The effects of proprioceptive exercise combined with cognitive task on the balance and ankle function of chronic ankle instability adults. J Korean Soc Phys Med, 2020;15(1):65-76. https://doi.org/10.13066/kspm.2020.15.1.65.
  9. Cho GT, Lee WJ, Gwon, YB. The effect of manual resistive exercise therapy on chronic low back pain patients. Joulinal of Sport Science, 2016;2(1):39-49.
  10. Dejong AF, Mangum LC, Hertel J. Gluteus medius activity during gait is altered in individuals with chronic ankle instability: an ultrasound imaging study. Gait Posture, 2019;71:7-13. https://doi.org/10.1016/j.gaitpost.2019.04.007.
  11. De-La-Torre-Domingo C, Alguacil-Diego IM, Molina-Rueda F, et al. Effect of kinesiology tape on measurements of balance in subjects with chronic ankle instability: a randomized controlled trial. Arch Phys Med Rehabil, 2015;96(12):2169-2175. https://doi.org/10.1016/j.apmr.2015.06.022.
  12. Earl JE, Hertel J. Lower-extremity muscle activation during the star excursion balance tests. J Sport Rehabil, 2001;10(2):93-104. https://doi.org/10.1123/jsr.10.2.93.
  13. Egol KA, Koval KJ, Kummer F, et al. Stress fractures of the femoral neck. Clin Orthop Relat Res. 1998;34(8):72-78. https://doi.org/10.1097/00003086-199803000-00013
  14. Filipa A, Byrnes R, Paterno MV, et al. Neuromuscular training improves performance on the star excursion balance test in young female athletes. J Orthop Sports Phys Ther. 2010;40(9):551-558. https://www.jospt.org/doi/10.2519/jospt.2010.3325.
  15. Fong DTP, Chan YY, Mok KM, et al. Understanding acute ankle ligamentous sprain injury in sports. BMC Sports Sci Med Rehabil, 2009;1:1-14. https://doi.org/10.1186/1758-2555-1-14.
  16. Gilbreath JP, Gaven SL, Van Lunen BL, et al. The effects of mobilization with movement on dorsiflexion range of motion, dynamic balance, and self-reported function in individuals with chronic ankle instability. Man Ther, 2014;19(2):152-157. https://doi.org/10.1016/j.math.2013.10.001.
  17. Gribble PA, Bleakley CM, Caulfield BM, et al. Evidence review for the 2016 International Ankle Consortium consensus statement on the prevalence, impact and long-term consequences of lateral ankle sprains. Br J Sports Med, 2016;50(24):1496-1505. https://doi.org/10.1136/bjsports-2016-096189
  18. Gribble PA, Delahunt E, Bleakley C, et al. Selection criteria for patients with chronic ankle instability in controlled research: a position statement of the International Ankle Consortium. J Orthop Sports Phys Ther, 2013;43(8):585-591. https://www.jospt.org/doi/10.2519/jospt.2013.0303.
  19. Hall EA, Chomistek AK, Kingma JJ, et al. Balance-and strength-training protocols to improve chronic ankle instability deficits, part I: assessing clinical outcome measures. Journal of athletic training, 2018;53(6):568-577. https://doi.org/10.4085/1062-6050-385-16.
  20. Hiller CE, Refshauge KM, Bundy AC, et al. The cumberland ankle instability tool: a report of validity and reliability testing. Arch Phys Med Rehabil. 2006;87(9):1235-1241. https://doi.org/10.1016/j.apmr.2006.05.022
  21. Hupperets MD, Verhagen EA, Van Mechelen W. Effect of unsupervised home based proprioceptive training on recurrences of ankle sprain: randomised controlled trial. Bmj, 2009;339. https://doi.org/10.1136/bmj.b2684.
  22. Hwang J, Park S, Yoo KT. Effects of Ankle Sensorimotor Training Program Combined with Hip Strengthening Exercise on Muscle Strength, Static Balance, and Dynamic Balance in Individual with Functional Ankle Instability. J Korean Soc Phys Med, 2022;17(2):83-93. https://doi.org/10.13066/kspm.2022.17.2.83.
  23. Jeon J. Effects of Hip Strengthening Exercise on Hip Joint Abductor Muscle Isokinetic Muscular Strength and Foot Pressure Distribution in Elite Players with Chronic Ankle Instability. Dankook University. Master thesis. 2013.
  24. Jeong JH. Effects of gluteus medius strengthening training using sling on ankle instability, muscle strength, balance in adults in their 20s with chronic ankle instability. Daejeon University. Master Thesis. 2022.
  25. Jeong YD, Lee HO, Song MY. The effect of home exercise program on pelvic alignment and lumbar scoliosis of chronic low back pain. J Korean Soc Phys Med, 2009;4(3):133-140.
  26. Ji YH, Lee JK, Lee JK, et al. Effect of Uneven Surface Gait Training on Ankle Muscle Activation and Balance in Stroke Patients. J Kor Phys Ther, 2022;34(4):161-167. https://doi.org/10.18857/jkpt.2022.34.4.161.
  27. Jo DY, Kim TG. Effects of hip joint training program on postural control and ankle joint function in subjects with chronic ankle instability. The Korea Journal of Sports Science, 2022;31(5):1109-1123. https://doi.org/10.35159/kjss.2022.10.31.5.1109.
  28. Kim OJ. The effects of integrated movement program on the health and quality of life for the elderly in rural areas. Korean Journal of Sports Science, 2020;29(1):279-288. https://doi.org/10.35159/kjss.2020.02.29.1.279
  29. Korea National Statistical Office a social survey, 2021.
  30. Kwak KI, Choi BJ, Yoon YJ. Effects of home exercise program and manual therapy on shoulder function and quality of life in patients with adhesive capsulitis. Korea Soc Phys Ther. 2016;28(5):286-291. https://doi.org/10.18857/jkpt.2016.28.5.286.
  31. Lee JY, Roh HL. Comparison of balance ability between stable and unstable surfaces for chronic stroke patients. JKAIS, 2011;12(8):3587-3593. https://doi.org/10.5762/KAIS.2011.12.8.3587.
  32. Lim ND, Kim TG, Rui M. Effects of gluteus medius strengthening programs on dynamic leg alignment during single leg squat and muscle activity during gait. Sport Science, 2022;40(1):189-196. http://doi.org/10.46394/ISS.40.1.19.
  33. Long L, Jackson K, Laubach LL. A home-based exercise program for the foot and ankle to improve balance, muscle performance and flexibility in community dwelling older adults: A pilot study. Int J Phys Med Rehabil, 2013;1(3). https://doi.org/10.4172/2329-9096.1000120.
  34. Lu J, Wu Z, Adams R, et al. Sex differences in the relationship of hip strength and functional performance to chronic ankle instability scores. J Orthop Surg Res, 2022;17(1):1-7. https://doi.org/10.1186/s13018-022-03061-0.
  35. Min SK, Kim KI, Lee CI, et al. Development of the Korean versions of WHO Quality of life scale and WHOQOL-BREF. Qual Life Res. 2002;11:593-600. https://doi.org/10.1023/A:1016351406336.
  36. Munro AG, Herrington LC. Between-session reliability of the star excursion balance test. Phys Ther Sport. 2010;11(4):128-132. https://doi.org/10.1016/j.ptsp.2010.07.002.
  37. Neumann DA. Kinesiology of the musculoskeletal system: foundations for rehabilitation. 3rd edition. Elsevier Korea LLC. Seoul. Korea. 2018;1-831.
  38. Oh BH, Kim SY. The effect of home exercise programs for rotator cuff strengthening on pain, range of motion, disability level, and quality of life in patients with adhesive capsulitis. PTK, 2020;27(1):19-29. https://doi.org/10.12674/ptk.2020.27.1.19.
  39. Plaza-Manzano G, Vergara-Vila M, Val-Otero S, et al. Manual therapy in joint and nerve structures combined with exercises in the treatment of recurrent ankle sprains: A randomized, controlled trial. Man Ther, 2016;26;141-149. https://doi.org/10.1016/j.math.2016.08.006.
  40. Plisky PJ, Gorman PP, Butler RJ, et al. The reliability of an instrumented device for measuring components of the star excursion balance test. N Am J Sports Phys Ther, 2009;4(2);92.
  41. Shim JK. Effect of sensorimoter training focused on hip abductor muscle in subject with functional ankle instability. Deajeon University. Doctoral Dissertation. 2016.
  42. Webster KA, Gribble PA. A comparison of electromyography of gluteus medius and maximus in subjects with and without chronic ankle instability during two functional exercises. Phys Ther Sport, 2013;14(1):17-22. https://doi.org/10.1016/j.ptsp.2012.02.002.
  43. Wilson B. R, Robertson KE, Burnham JM, et al. The relationship between hip strength and the Y balance test. J Sport Rehabil, 2018;27(5):445-450. https://doi.org/10.1123/jsr.2016-0187.
  44. Yim ES, No KH. The effects of related factors on health-related quality of life for the frail elderly. Research in Community and Public Health Nursing, 2010;21(1):12-20. https://doi.org/10.12799/jkachn.2010.21.1.12.