The Effect of Proprioceptive Exercise of Ankle Joint on Postural Alignment in Woman Elderly Person

발목관절의 고유수용성 운동이 여성노인의 자세정렬에 미치는 영향

  • Bae, Young-Sook (Department of Physical Therapy, YeoJoo Institute of Technology) ;
  • Um, Ki-Mae (Department of Physical Therapy, YeoJoo Institute of Technology) ;
  • Kim, Nan-Soo (Department of Physical Therapy, Catholic University of Pusan)
  • 배영숙 (여주대학 물리치료과) ;
  • 엄기매 (여주대학 물리치료과) ;
  • 김난수 (부산가톨릭대학교 물리치료학과)
  • Received : 2009.02.24
  • Accepted : 2009.06.10
  • Published : 2009.09.25

Abstract

Purpose: The purpose of this study was to investigate the effects of proprioceptive exercise on the body alignment of elderly women. Method: The experimental group consisted of twenty elderly women who participated in proprioceptive exercise for 8 weeks. The subjects were measured using Global Posture System equipment for assessing their body alignment. Body alignment was measured at the ear, shoulder joint, knee joint and calcaneocuboid joint on the sagittal plane, and the left and right acromion process positions, the ASIS and the medial malleoulus on the coronal plane. The body alignment data was used to assess the changes before and after proprioceptive exercise. The data of the experimental group was compared and analyzed using the Wilcoxon singed-rank test between before and after proprioceptive exercise. The Mann-Whithney test was used to compare the experimental group and the control group. Result: The result of this study was that the body alignment of the experimental group at the ear and knee joint on the sagittal plane was significantly in alignment with the line of gravity (p<0.05) before and after proprioceptive exercise. The body alignment was statistically different (p<0.05) between the experimental group and the control group on the frontal plane and sagittal plane. Conclusion: This study showed that proprioceptive exercise does affect the body alignment in elderly women. This indicates that there is interaction that plays a crucial role for proprioceptive stimuli and the body alignment.

Keywords

References

  1. Fisher BJ. Successful aging, life satisfaction, and generativity later life. International J Aging Hum Dev. 1995;41(3):239-50. https://doi.org/10.2190/HA9X-H48D-9GYB-85XW
  2. Williams GN, Higgins MJ, Lewek MD. Aging skeletal muscle: physiologic changes and the effects of training. Phys Ther. 2002;82(1):62-8.
  3. Studenski S, Duncan PW, Chandler J. Postural responses and effector factors in persons with unexplained falls: results and methodologic issues. J An Geriatr Soc. 1991;39(3):229-34.
  4. Bruce MF. The relation of tactile thresholds to histology in the fingers of elderly people. J Neurol Neurosurg Psychiatry. 1980;43(8):730-4. https://doi.org/10.1136/jnnp.43.8.730
  5. Umphred DA. Neurological rehabilitation. 3rd ed. St Louis, Mosby, 1995.
  6. Kendalㅣ FP, McCreary EK, Provance PG et al. Muscles: Testing and function with posture and pain. 5th ed, Botimore, Lippincott & Wilkins. 2005.
  7. Gauchard GC, Gangolgg P, Jeanel C et al. Physical activity improves gaze and posture control in the elderly. Neurosci Res. 2003;45(4):409-17. https://doi.org/10.1016/S0168-0102(03)00008-7
  8. Wollacott M. Gait and postural control in the aging adult. Amsterdam, Elsevier, 1986.
  9. Kinsner C, Colby LA. Therapeutic exercise: Foundation and techniques. hiladelphia, F.A Davis, 2005.
  10. Lewis C, Bottomley J. Musculosklectal changes with age. Philadelphia, FA Davis, 1990.
  11. Diener HC, Dichgnas J, Guschlbauer B et al. The significance of proprioception on postural stabilization as assessed by ischemia. Brain Res. 1984;296(1):103-9. https://doi.org/10.1016/0006-8993(84)90515-8
  12. Anacker SL, Di Fabio RP. Influence of sensory inputs on standing balance in community-dwelling elders with a recent history of falling. Phys Ther. 1992;72(8):575-84.
  13. Ok JS, Park WY, Kim KH. Effects of proprioceptive neuromuscular exercise on equilibrium sensory function in elderly woman. Journel of Exercise Science. 2006;15(1):87-96
  14. Lewis CB. Aging: The health-care challenge. Philadelphia, FA Davis Company, 2004.
  15. Frontera WR, Hunghes VA, Fielding RA et al. Aging of skeletal muscle: a 12-yr longitudinal study. J Appl Physiol. 2000;88(4):1321-6.
  16. Kent-Braun JA, Ng AV, Young K. Skeletal muscle contractile and noncontractile components in young and older women and men. J Appl Physiol. 2000;88(2):662-8.
  17. Rogers MA, Evans WJ. Changes in skeletal muscle with aging: effects of exercise training. Exerc Sports Sce Rev. 1993;21:65-102.
  18. Min KO. Therapeutic exercise. Kunggi-do, Ha Nul Du Rak Publishing Company, 2005.
  19. Lord SR, Clark RD, Webster IW. Postural stability and associated physiology in a population of aged person. J Gerontol. 1991;46:69-76. https://doi.org/10.1093/geronj/46.3.M69
  20. Shumway-Cook A, Wollacott MH. Motor control: Theory and practical application. 2nd ed. Boltimore, Lippincott Williams & Wilkins, 2001.
  21. Refshauge KM, Fitzpatrick RC. Perception of movement at the human ankle: effects of leg position. J Physiol. 1995;488(1):243-8.
  22. Ferrell WR, Gandevia SC, McCloskey DI. The role of joint receptors in human kinaesthesia when intramuscular receptors cannot contribute. J Physiol. 1987;386:63-71.
  23. Magunsson, Enborn H, Johansson RP et al. Significance of pressor input from human feet on anterior-posterior postural control. Acta Ptolaryngol. 1990;110:182-188. https://doi.org/10.3109/00016489009122535
  24. Watanabe I, Okubo J. The role of the plantar mechanoreceptor in equilibrium control. Ann N Y Acad Sci. 1981;374:855-864. https://doi.org/10.1111/j.1749-6632.1981.tb30926.x
  25. Day BL, Steiger MJ, Thompson PD et al. Effect of vision and stance width on human body motion when standing: Implications for afferent control of lateral sway. J Physiol. 1993;469:479-99.
  26. Kim K, Seo SK, Yoon HJ et al. Correlations between muscle strength of the ankle and balance and walking in the elderly. J Kor Soc Phys Ther. 2008;20(1):33-40.
  27. Horak FB, Nashner LM. Central programming of postural movements: adaptation to altered support surface configurations. J Neurophysiol. 1986;55(6):1369-81.
  28. Taylor JL, McCloskey DI. Detection of slow movements imposed at the elbow during active flexion in man. J Physiol. 1992;457:503-13.
  29. Lee SH. The different between aero-stem exercise and weight training on posture, physical fitness, balance and hormone level in elderly. Ewha University. Sport & leisure sport science graduated school. Dissertation of Master's Degree. 2007.