• 제목/요약/키워드: Chronic instability

검색결과 206건 처리시간 0.02초

거골하 관절의 만성 불안정성 - 1예 보고 - (Chronic subtalar joint instability - One case report -)

  • 이진우;권오룡;박관규;강응식;한수봉
    • 대한족부족관절학회지
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    • 제6권2호
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    • pp.251-255
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    • 2002
  • Purpose: Chronic subtalar instability is not common and similar to chronic ankle instability and the incidence and cause chronic subtalar instability are not well known. Recently we have experienced chronic subtalar instability without chronic ankle instability which was treated with modified Brostrom procedures. Materials and Methods: The patient is 46 year old man who has suffered from left ankle sprain for 30 years and recently aggravated more than twice a day. On subtalar stress view, 14 degree angulation of subtalar joint was noted and on anterior drawer view, 8 mm anterior displacement of left ankle was seen. Results: In operation, there was no anterior talofibular ligament abnormility but calcaneofibular ligament loosening was found. Ligament reconstruction was performed using modified Brostrom procedure. At 12 months after operation, the patient complains no pain and no limit of motion and no instability. Conclusion: We experienced chronic subtalar instability without ankle instability treated with modified Brostrom procedures. No instability was found after treatment without complication.

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Comparison of Hip Joint Strength between Young Woman Patient with Chronic Low Back Pain with Lumbar Instability and Normal Subjects

  • Cha, Hyun Gyu
    • Physical Therapy Rehabilitation Science
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    • 제11권3호
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    • pp.370-375
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    • 2022
  • Objective: The purpose of this study was to compare the hip joint muscle strength of patients with chronic back pain with lumbar instability and normal subjects. Design: A case control study. Methods: Five types of lumbar instability test were conducted on forty young women with chronic low back pain for more than six months, and those who had 3 or more positive tests were selected as subjects. To select chronic back pain patients with lumbar instability group, aberrant movement patterns during lumbar flexion test (FMT), prone instability test (PIT), posterior-anterior mobility test (PAT), passive lumbar extension test (PLE), and pressure bio-feedback (PBF) were applied. In addition, a digital muscle strength meter was used to measure the hip flexor, extensor, adductor, and abductor muscles of chronic low back pain patients with lumbar instability group (n=20) and normal subject group (n=20). Results: As a result of comparing the hip joint muscle strength between the chronic back pain patient group with lumbar instability and the normal group, there were significant differences in the hip extensor, abductor, and adductor muscles (p<0.05). Conclusions: Patients of chronic back pain with lumbar instability were found to have weak hip joint muscle strength. Therefore, this study suggest that include hip joint strength exercise for functional recovery of chronic back pain patients.

만성 족관절 불안정성의 진단 및 동반 질환 (Diagnosis and Comorbidity of Chronic Ankle Instability)

  • 하동준;김덕희;곽희철
    • 대한족부족관절학회지
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    • 제22권2호
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    • pp.49-54
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    • 2018
  • Ankle sprains are among the most common injuries sustained during athletic activities and daily life. Acute ankle sprain is usually managed conservatively with functional rehabilitation but the failure of conservative treatment leads to the development of chronic ankle instability. The development of repetitive ankle sprains and persistent symptoms after injury has been termed chronic ankle instability. Acute ankle sprains and chronic ankle instability require a careful evaluation to detect other comorbidities, such as subtalar instability, osteochondral defect, peroneal tendinopathy, tarsal coalition, os trigonum, flexor hallucis longus tendinitis, calcaneus anterior process fracture, and neural injuries. For the successful treatment of acute ankle sprains and chronic ankle instability, the treatment of comorbidity lesions should be performed first.

Effect of Ankle Taping Type and Jump Height on Balance during Jump Landing in Chronic Ankle Instability

  • Kim, Mikyoung;Kong, Byungsun;Yoo, Kyungtae
    • 국제물리치료학회지
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    • 제11권2호
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    • pp.2077-2089
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    • 2020
  • Background: Chronic ankle instability is a common injury that decreases balance and negatively affects functional movements, such as jumping and landing. Objectives: To analyze the effect of taping types and jump heights on balance with eyes open and closed during jump landings in chronic ankle instability. Design: Within-subject design. Methods: The study involved 22 patients with chronic ankle instability. They performed both double-leg and single-leg drop jump landings using three conditions (elastic taping, non-elastic taping, and barefoot) on three different jump platforms (30, 38, and 46 cm). Balance was measured using the Romberg's test with eyes open and closed. Results: Interaction effect was not statistically significant. Balance with eyes open and closed was significantly improved in both the elastic taping and non-elastic taping conditions compared to the barefoot condition. There was no significant difference according to the jump height. Conclusion: Individuals with chronic ankle instability demonstrated increased balance ability with eyes open and closed when jump landing. Elastic taping and non-elastic taping on the ankle joint can positively affect balance during landing in individuals with chronic ankle instability.

시각적 피드백을 이용한 닫힌 사슬 운동이 만성 발목 불안정성 성인남성의 하지 근활성도 및 발목 불안정성 지수에 미치는 영향 (Effects of Visual Feedback Closed Kinetic Chain Exercise on the Lower Limb Muscles Activity and ankle Instability in Adult men with Chronic Ankle Instability)

  • 남승민;이도연
    • 대한물리의학회지
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    • 제14권1호
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    • pp.131-138
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    • 2019
  • PURPOSE: This study examined the effects on muscle activation and ankle instability following sudden ankle inversion of the closed kinetic chain exercise using visual feedback to evaluate chronic ankle instability in adult males. METHODS: In this study, 28 subjects with chronic ankle instability were recruited and randomly divided into a closed kinetic chain exercise using a visual feedback group(n=13) and an open kinetic chain exercise group(n=15). Each group underwent 30 minutes of exercise three times a week for 8 weeks. The electromyographic(EMG) values of the rectus femoris, biceps femoris, tibialis anterior, peroneus longus, peroneus brevis, and lateral gastrocnemius muscles were measured to analyze muscle activity. The Cumberland ankle instability tool(CAIT) was used to measure ankle instability. RESULTS: Both groups showed improvements in tibialis anterior, peroneus longus and CAIT score(p<.05). In the experimental group, there were significant improvements in the rectus femoris, biceps femoris, and lateral gastrocnemius muscle activation(p<.05). CONCLUSION: The results suggest that closed kinetic chain exercise using visual feedback can be a useful treatment method for patients with chronic ankle instability.

만성 허리통증 환자의 엉덩허리근 단축과 허리 불안정성 검사 간에 관련성 연구 (A Study on the Relationship Between the Results of Shortening of the Iliopsoas Muscles and the Lumbar Instability Tests in Patients with Chronic Low Back Pain)

  • 유창현;김선엽
    • 대한물리의학회지
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    • 제18권2호
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    • pp.49-59
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    • 2023
  • PURPOSE: This study examined the relationship between lumbar instability and shortening of the iliopsoas muscles in patients with chronic low back pain. METHODS: Forty-nine patients with chronic low back pain participated in this study. The modified Thomas test was used to examine the shortening state of the iliopsoas muscle. The length of the iliopsoas muscle was measured using the hip flexion angle, and those with a flexion angle of 10° or more were classified as positive. Five subtests were used for the lumbar instability test: testing for prone lumbar instability, passive lumbar extension, anterior-posterior mobility, passive straight leg raise, and age. Those who tested positive for at least three of these tests were classified as positive for the lumbar segment instability test. RESULTS: There was a significant association between the results of the lumbar instability test and the shortening of the iliopsoas test (p < .05). After analyzing the association between the iliopsoas length test and the five lumbar instability subtests, the results of the prone lumbar instability test (p < .001) and the anterior-posterior mobility test (p < .05) showed a significant association with the iliopsoas length test. CONCLUSION: The association between lumbar instability and shortening of the iliopsoas muscles was examined in 49 patients with chronic low back pain. Patients with shortened iliopsoas muscles tested positive in the lumbar instability tests more often. Hence, the length test of the iliopsoas muscle can be used to determine lumbar instability in patients with chronic low back pain.

심상 기법을 이용한 단축발 운동이 만성 발목 불안정성에 미치는 효과 (Effect of Short Foot Exercise Using an Imagery Technique on Chronic Ankle Instability)

  • 이동진;지성하
    • 대한통합의학회지
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    • 제5권2호
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    • pp.1-10
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    • 2017
  • Purpose : This study was aimed at investgating the effect of short foot exercise(SFE) using an imagery technique on chronic ankle instability(CAI). Methods : Twenty subjects with chronic ankle instability were selected by using the Cumberland ankle instability tool. They were randomly assigned to one of two groups(10 in each group) : namely the short foot exercise group and imagery technique group. The short foot exercise group performed short foot exercise for 6 weeks(3 times a week, 15 min per session). The imagery technique group performed short foot exercise(3 times a week, 15 min per session) and the imagery technique(3 times a week, 5 min per session) for 6 weeks. We measured chronic ankle instability, balance and threshold of vibration sensation before and after exercise by using the Cumberland ankle instability tool, Biodex Balance System and VSA-II, respectively. Results : We found statistically significant differences in cumberland ankle instability tool, balance and threshold of vibration sensation between the groups(p<.05). Conclusion : We confirmed the effect of short foot exercise using an imagery technique. Thus, we thought these results could be used as basic data and reference for musculoskeletal therapy or intervention using an imagery technique.

만성 족관절 외측 불안정 (Chronic Lateral Ankle Instability)

  • 배서영
    • 대한족부족관절학회지
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    • 제24권1호
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    • pp.1-8
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    • 2020
  • Acute ankle sprain is the most common injury in the lower extremities, and approximately 10% to 40% of acute lateral ankle ligament injury causes chronic pain or instability. For chronic symptoms lasting after an acute sprain, the possibility of joint damage, such as bony structures, ligaments, cartilage, and nerves around the ankle joint, should be considered. Patients with chronic lateral ankle instability usually complain of repeated sprains or giving way sensations. There has been steady progress in the treatment options until recently, however new treatments are still being attempted. This paper describes the causes, diagnosis, and recent trends in the conservative and operative treatment of chronic lateral ankle instability.

만성 족관절 외측 불안정성에서 변형 Brostrom 술식과 동시에 시행한 관절경적 치료의 유용성 (Effectiveness of arthroscopic procedure combined with Brostrom one)

  • 유연식;이상수;정언호
    • 대한족부족관절학회지
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    • 제7권2호
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    • pp.201-207
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    • 2003
  • Purpose: We reviewed the value of treatment for chronic lateral instability of theankle with arthroscopic procedure combined with Brostrom one. Material and Method: From May 2000 to June 2002, 18 patient with chronic lateral instability of the ankle with Modified Brostrom procedure and arthroscopic one. Mean follow-up period was 18 months. Result: Chronic lateral instability of the ankle almost had intraarticular pathology, such as osteophye, osteochondral lesion, So we could resolve intraarticular pathology by arthroscopic procedure during Brostrom one for lateral collateral ligament reconstruction. Conclusion: Modified Brostrom procedure and arthroscopic one are an excellent treating method for chronic lateral instability of the ankle which has intraarticular pathology.

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족관절 불안정성의 인대 봉합술: Broström 술식의 효과 및 술기 (Ligament Repair in Chronic Lateral Ankle Instability: Efficacy and Technique of Broström Procedures)

  • 정비오;황역구
    • 대한족부족관절학회지
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    • 제22권3호
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    • pp.83-90
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    • 2018
  • Chronic lateral ankle instability occurs in 10% to 20% of individuals after acute ankle sprain. The management of chronic lateral ankle instability is traditionally conservative treatment in the acute phase. On the other hand, surgical intervention is considered if conservative treatment fails and the symptoms are ongoing. This review focuses on the surgical approaches to treatment of chronic lateral ankle instability, including $Brostr{\ddot{o}}m$ surgical techniques, with a review of the traditional procedure and newer techniques.