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The Influences of the Intensive Ankle Joint Strategy Training on the Muscular Strength and Balancing Ability in the Elderly Women

발목관절 전략 집중 훈련이 노인여성의 근력과 균형능력에 미치는 영향

  • 조성현 (보람요양병원 물리치료실) ;
  • 김철용 (울산과학대학교 물리치료과)
  • Received : 2012.09.17
  • Accepted : 2012.12.06
  • Published : 2012.12.31

Abstract

The purpose of this study was to compare the effects of the intensive ankle joint strategy training on the muscular strength and balancing ability in the elderly women. The subject of this study were 30 elderly women aged from 65 to 80 and randomly assigned to three groups. For 6 weeks, two experimental groups took the training an hour every 3 days of a week. The results that measured the dynamometer, FRT, and SEBT after implementing general lower limbs exercise and the intensive ankle joint strategy training for 6 weeks showed that the changes in the control and experimental group I were not statistically significant while the changes in the experimental group II were statistically significant (p<.05). For the prevention of the elderlies from fall and the treatment approaches, it is deemed to be necessary additional studies on the diverse variables through the intensive training of the ankle strategy.

본 연구는 노인여성들을 대상으로 발목관절 전략 집중 훈련이 근력과 균형능력에 어떠한 영향을 미치는지를 알아보고자 하였다. 연구대상자는 65-80세 사이의 여성노인 30명으로 선정하였다. 대조군(n=10)은 아무런 처치를 하지 않았고, 실험군 I(n=10)은 일반적 하지의 운동만 실시하였다. 실험군 II(n=10)는 세라밴드를 이용한 근력운동과 air cushion, unstable board을 이용한 평형운동을 포함한 발목관절 전략 집중 훈련을 실시하였다. 두 실험군은 6주간 주 3회 1시간 훈련을 실시하였다. 6주간 일반적 하지 운동과 발목관절 전략 집중 훈련을 각각 실시한 후 dynamometer, FRT, SEBT를 측정한 결과 대조군과 실험군 I의 변화는 통계학적으로 유의하지 않았지만, 실험군 II의 변화는 유의하게 증가하였다(p<.05). 더불어 노인 낙상 예방 및 치료적 접근에 있어서 발목관절 전략 집중 훈련을 통한 다양한 변인의 추가적인 연구가 필요하다고 생각된다.

Keywords

References

  1. National Statistical Office, "The life of a woman who looks to 2010 statistics", Korea Development Institute, Economic Information Center, 2010.
  2. H. Y. So, S. H. Ahn, R. Y. Song, H. L. Kim, "Relationships among obesity, bone mineral density, and cardiovascular risks in post- menopausal women", Korean J Women Health Nurs, Vol. 16, No. 3, pp. 224-233, 2010, Article(CrossRefLink) https://doi.org/10.4069/kjwhn.2010.16.3.224
  3. J. H. Mun, J. S. Og, U. Y. Park, "The effect of 12 week exercise program on muscle fitness, flexibility and balance in the fall down female elderly", Sports Science, Vol. 13, No. 1, pp. 77- 86, 2004.
  4. O. M. Kim, Y. S. Lee, "The climacteric symptoms and quality of life in climacteric women according to hormone replacement therapy", Korean J Women Health Nurs, Vol. 7, No. 4, pp. 642-656, 2001.
  5. G. C. Gauchard, P. Gangloff, C. Jeandel, P. P. Perrin, "Influence of regular proprioceptive and bioenergetic physical activities on balance control in elderly women", J Gerontol A Biol Sci Med Sci, Vol. 58. No. 9, pp. 846-850, 2003, Article(CrossRefLink) https://doi.org/10.1093/gerona/58.9.M846
  6. H. K. Shin, B. I. Chung, "The effect of functional strengthening exercise on standing balance in a child with cerebral palsy", Journal of the Korean Academy of University Trained Physical Therapists, Vol. 8, No. 3, pp. 97-105, 2001.
  7. J. W. Lee, "Effect of ankle exercise on improvement of balance in elderly with impaired balance", Doctoral Thesis, Yonsei University, 2007.
  8. J. S. Park, O. Y. Kwon, H. S. Choi, T. H. Kim, "Effects of the movement strategies on functional forward reach in standing", Journal of the Korean Academy of University Trained Physical Therapists, Vol. 7, No. 1, pp. 46-54, 2000.
  9. C. F. Runge, C. L. Shupert, F. B. Horak, F. E. Zajac, "Ankle and hip postural strategies defined by joint torques", Gait Posture, Vol. 10, No. 2, pp. 161-170, 1999, Article(CrossRefLink) https://doi.org/10.1016/S0966-6362(99)00032-6
  10. F. B. Horak, C. L. Shupert, A. Mirka, "Components of postural dyscontrol in the elderly: a review", Neurobiol Aging, Vol. 10, No. 6, pp. 727-738, 1989, Article(CrossRefLink) https://doi.org/10.1016/0197-4580(89)90010-9
  11. A. Shumway-Cook, M. H. Wollacott, Motor contol: Theory and practical applications. 1st ed. Baltimore: Williams & Willkins, 1995.
  12. H. J. Lee, C. H. Yi, E. Y. Yoo, "Correlations Among the Berg Balance Scale, Gait Parameters, and Falling in the Elderly", Journal of Korean Academy of University Trained Physical Therapists", Vol. 9, No. 3, pp. 47-65, 2002.
  13. I. H. Lee, S. G. Moon, B. K. Lee, J. W. Lee, I. S. Kim, "The Effects of progressive resistive exercise and aqua exercise program on lower extremity muscle strength and balance in elderly Women", Journal of the Korean Academy of Clinical Electrophysiology, Vol. 2, No. 1, pp. 19-37, 2004.
  14. K. Delbaere, J. Bourgois, N. Van Den Noortgate, G. Vanderstraeten, T. Willems, D. Cambier, "A home-based multidimensional exercise program reduced physical impairment and fear of falling", Acta Clin Belg, Vol. 61, No. 6, pp. 340-350, 2006. https://doi.org/10.1179/acb.2006.054
  15. R. A. Adedoyin, M. O. Olaogum, K. Omotayo, O. A. Olawale, M. O. Egwu, "Effects of wobble board training on weight distribution on the lower extremities of sedentary subjects", Technol Health Care, Vol. 16, No. 4, pp. 247- 253, 2008.
  16. O. Muller, M. Günther, I. Krauss, T. Horstmann, "Physical characterization of the therapeutic device posturomed as a measuring device - presentation of a procedure to characterize balancing ability", Biomed Tech, Vol. 49, No. 3, pp. 56-60, 2004, Article(CrossRefLink) https://doi.org/10.1515/BMT.2004.011
  17. S. W. Han, M. J. Kwon, Y. W. Chae, Y. W. Baek, H. B. Jeong, K. T. Kim, J. R. Yoon, "Electromyographic analysis of ankle muscles according to unstable platforms", Journal of Coaching Development, Vol. 8, No. 2, pp. 231- 239, 2006.
  18. B. L. Riemann, S. M. Lephart, "The sensorimotor system, part II: The role of proprioception in motor control and functional joint stability", J Athl Train, Vol. 37, No. 1, pp. 80-84, 2002.
  19. Y. M. Na, J. H. Moon, Y. J. Seong, H. J. Lee, H. S. Lee, E. S. Eo, "The effects of ankle disk training in functional ankle instability", J Korean Society Sports Med, Vol. 17, No. 2, pp. 406-412, 1999.
  20. H. C. Heitkamp, T. Horstmann, F. Mayer, J. Weller, H. H. Dickhuth, "Gain in strength and muscular balance after balance training", Int J Sports Med, Vol. 22, No. 4, pp. 285-290, 2001, Article(CrossRefLink) https://doi.org/10.1055/s-2001-13819
  21. Patterson RM, Stegink Jansen CW, Hogan HA, Nassif MD. "Material properties of Thera-Band Tubing", Phys Ther, Vol. 81, No. 8, pp. 1437- 1445, 2001. https://doi.org/10.1093/ptj/81.8.1437
  22. R. S. P. Mazzeo, W. J. Cavan, M. Evans, "Position stand on exercise and physical activity for older adults", Med Sci Sport Exer, Vol. 30, No. 6, pp. 992-1008, 2008, Article(CrossRefLink)
  23. H. G. Kim, "The effect of knee muscle power strengthening using thera band on the balance control ability in the elderly", Master Thesis, Dangook University, 2003.
  24. S. J. Lee, "The effect of 8 week lower exercise program on proprioception and balance of female elderly", Master Thesis, Kookmin university, 2008.
  25. S. B. Brotzman, R. C. Manske, "Clinical orthopaedic rehabilitation(3rd Ed.)". Philadelphia: Mosby, 322-333, 2011.
  26. P. W. Duncan, D. K. Weiner, J. Chandler, S, Studenski, "Functional reach; a new clinical measure of balance", J Gerontol, Vol. 45, No. 6, pp. 192-197, 1990, Article(CrossRefLink) https://doi.org/10.1093/geronj/45.6.M192
  27. P. A. Gribble, J. Hertel, C. R. Denegar, W. E. Buckley, "The effects of fatigue and chronic ankle instability on dynamic postural control", J Athl Train, Vol. 39, No. 4, pp. 321-329, 2004.
  28. Y. S. Kim, S. Y. Park, H. J. Kang, M. H. Seok, J. W. Oh, "The effect of the disk training and the combined training on functional stability of ankles", Sports Science, Vol. 13, No. 1, pp. 113-124, 2004.
  29. S. J. Hwang, S. Y. Lee, "Effects of balance control and functional activities during gym ball exercises in elderly people", Journal of the Korean Academy of University Trained Physical Therapists, Vol. 11, No. 3, pp. 25-32, 2004.
  30. T. W. Kaminski, D. H. Perrin, B. M. Gansneder, "Eversion strength analysis of uninjuried and functionally unstable ankles", J Athl Train, Vol. 34, No. 3, pp. 239-245, 1999.
  31. A. Lamontagne, F. Malouin, C. L. Richards, F. Dumas, "Mechanisms of disturbed motor control in ankle weakness during gait after stroke", Gait Posture, Vol. 15, No. 3, pp. 244-255, 2002, Article(CrossRefLink) https://doi.org/10.1016/S0966-6362(01)00190-4
  32. D. C. Mackey, S. N. Robinovitch, "Postural steadiness during quiet stance dose not associate with ability to recover balance in older women", Clin Biomech, Vol. 20, No. 8, pp. 776- 783, 2005, Article(CrossRefLink) https://doi.org/10.1016/j.clinbiomech.2005.05.002
  33. J. O. Judge, C. Lindsey, M. Underwood, D. Winsemius, "Balance improvement in older women: effects of exercise training", Phys Ther, Vol. 73, No. 4, pp. 254-262, 1993. https://doi.org/10.1093/ptj/73.4.254
  34. K. M. Lee, S. H. Han, J. W. Kang, "The effects of measuring posture in evaluation of hip girdle strength", Korean Society of Sports Medicine, Vol. 18, No. 2, pp. 290-295, 2000.
  35. P. Sheth, B. Yu, E. R. Laskowski, K. N. An, "Ankle disk training influences reaction times of selected muscles in a stimulated ankle sprain", Am J Sports Mede, Vol. 25, No. 4, pp. 538-543, 1997, Article(CrossRefLink) https://doi.org/10.1177/036354659702500418
  36. T. L. Shurtleff, J. W. Standeven, J. R. Engsberg, "Changes in dynamic trunk/head stability and functional reach after hippotherapy", Arch Phys Med Rehabil, Vol. 90, No. 7, pp. 1185-1195, 2009, Article(CrossRefLink) https://doi.org/10.1016/j.apmr.2009.01.026
  37. A. J. Campbell, M. C. Robertson, M. M. Gardner, R. N. Norton, D. M. Buchner. "Psychotropic medication withdrawal and a home-based exercise program to prevent falls: A randomized, controlled trial", J Am Geriatr Soc, Vol. 47, No. 7, pp. 850-853, 1999. https://doi.org/10.1111/j.1532-5415.1999.tb03843.x
  38. K. Hauer, B. Rost, K. Rutchle, H. Opitz, N. Specht, P. Bartsch, P. Oster, G. Schlicrf. "Exercise training for rehabilitation and secondary prevention of falls in geriatric patients with a history of injurious falls", J Am Geriatr Soc, Vol. 49, No. 1, pp. 10-20, 2001, Article(CrossRefLink) https://doi.org/10.1046/j.1532-5415.2001.49004.x
  39. D. A. Winter, A. E. Patla, F. Prince, M. Ishac, K. Gielo-Perczak, "Stiffness control of balance in quiet standing", J Neurophysiol, Vol. 80, No. 3, pp. 1211-1221, 1998. https://doi.org/10.1152/jn.1998.80.3.1211
  40. L. C. Olmsted, C. R. Carcia, J. Hertel, S. J. Shultz, "Efficacy of the star excursion balance Efficacy of the Star Excursion Balance Tests in Detecting Reach Deficits in Subjects With Chronic Ankle Instability", J Athl Train. 2002, 37(4): 501-506