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The Correlation Between Changes of Ankle Joint Position Sense and Sway Area Through Unstable Surface Training

불안정지지면 훈련을 통한 발목관절위치감각 변화와 동요면적 변화간의 상관관계

  • 하나라 (을지대학교 물리치료학과) ;
  • 김명철 (을지대학교 물리치료학과) ;
  • 한슬기 (을지대학교 물리치료학과)
  • Received : 2013.07.03
  • Accepted : 2013.09.23
  • Published : 2013.09.30

Abstract

This research was conducted to see the correlation between changes of ankle Joint Position Sense and Sway Area through Unstable Surface training. For the study, 48 healthy males and females were randomly divided into an unstable surface group(n=24) and a stable surface group(n=24). Then, they were asked to carry out the same exercise program three times a week for six weeks. The unstable surface group and stable surface group performed the exercise program on the balance exercise pad and on the hard ground, respectively. As a result, the unstable surface group displayed significantly reduced error of ankle joint position sense and sway area(p<.05). Moreover, a significant correlation between variances of ankle joint position sense and sway area was only found in the unstable surface group. In conclusion, this study demonstrated that there was a significant correlation between changes of ankle joint position sense and sway area through proprioceptive sense training on the unstable surface.

본 연구는 불안정지지면 훈련을 통한 발목관절위치감각의 변화와 동요면적 변화간의 상관관계를 알아보고자 실시하였다. 건강한 성인 남녀 48명을 대상으로 무작위로 불안정지지면군(n=24)과 안정지지면군(n=24)으로 나누어 동일한 운동 프로그램을 적용하여 주 3회씩 6주 동안 실시하였다. 불안정지지면군은 균형운동 패드에서, 안정지지면군은 단단한 지면에서 운동을 실시하였다. 운동 전 후에 발목관절위치감각의 변화와 동요면적의 변화를 알아보았다. 그 결과, 불안정지지면군에서 발목관절위치감각 오차와 동요면적은 유의하게 감소하였다(p<.05). 그리고 불안정지지면군에서만 발목관절위치감각 오차의 변화량과 동요면적 변화량간의 유의한 상관관계를 보였다. 따라서 본 연구는 불안정지지면에서의 고유수용성감각 운동을 통해 발목관절위치감각 변화와 동요면적 변화간의 유의한 상관관계가 있음을 알 수 있었다.

Keywords

References

  1. Romero-Franco, N., Martinez-Lopez E., Lomas- Vega R. et al. "Short-term effects of proprioceptive training with unstable platform on athletes", Stabilometry, J Strength Cond Res, 2012.
  2. Prata, M. G., Scheicher, M. E. "Correlation between balance and the level of functional independence among elderly people", Sao Paulo Med J, Vol. 130, No. 2, pp. 97-101, 2012. https://doi.org/10.1590/S1516-31802012000200005
  3. Shumsway-cook A. Woollacott MH. "Motor control: tanslating research into clinical practice", 3rd ed, Philadelphia, Williams& Wilkins, Vol. 3, No. 83, 2007.
  4. Y. M. Kim, "The Relationship between Strength Balance and Joint Position Sense Related to Ankle Joint in Healthy Women", Catholic University of Daegu, Academic thesis, 2011.
  5. K. H. Cho, S. K. Bok, Y. J. Kim et al. "Effect of lower limb strength on falls and balance of the elderly", Ann Rehabil Med, Vol. 36, No. 3, pp. 386-393, 2012. https://doi.org/10.5535/arm.2012.36.3.386
  6. Bernell, K. L., Hinman, R. S., Metcalk, B. R. "Relationship og knee joint proprioception to pain and disability in individuals with knee osteoarthritis", Journal of orthopedic research, 21, pp. 792-797, 2003. https://doi.org/10.1016/S0736-0266(03)00054-8
  7. J. W. Park, "Effects of shoulder range of motion and pain on Joint position sense", Journal of Korea sports research, Vol. 18, No. 6, pp. 443-50, 2007.
  8. Callaghan MJ., selfe J., McHenry A. et al. "Effects of patellar taping on knee joint proprioception in patients with patellofemoral pain syndrome", Manual Therapy. Vol. 13, No. 3, pp. 192-199. 2008. https://doi.org/10.1016/j.math.2006.11.004
  9. Y. J. Jeong, "The Effects of Altered Surface conditions on Balance Ability for the Patients with Hemiplegia", The journal of Korean Society of Physical Therapy, Vol. 29, No. 75, pp. 67-74, 2008.
  10. Gruber M, Gruber SB, Taube W et al. "Differential effects of ballistic versus sensorimotor training on rate of force development and neural activation in humans", J Strength Cond Res, Vol. 21, No. 1, pp. 274-282, 2007. https://doi.org/10.1519/00124278-200702000-00049
  11. Dean CM, Richards CL, Malouin F., "Taskrelated circuit training improves performance of locomotor tasks in chronic stroke", Arch Phys Med Rehabil, 81, pp. 409-147, 2000. https://doi.org/10.1053/mr.2000.3839
  12. J. Y. Lee, H. L. Roh. "Comparison of balance ability between stable and unstable surfaces for chronic stroke patients", Journal of the Korea Academia-Industrial cooperation Society, Vol. 12, No. 8, pp. 3587-3593, 2011. https://doi.org/10.5762/KAIS.2011.12.8.3587
  13. M. C. Kim, W. C. Lee, S. K. Han, "Effective of change obesity index by specific posture exercise using the vibrator", The Journal of the Korea Institute of Electronic Communication Sciences, Vol. 8, No. 5, pp. 757-762, 2013. https://doi.org/10.13067/JKIECS.2013.8.5.757
  14. Denegar C, Miller SJ. "Can chronic ankle instability be prevented?", Rethinking Management of Lateral Ankle Sprains, Athl Train, Vol. 12, No. 4, pp. 430-435, 2002.
  15. Irion JM. "Use of the hym ball in rehabilitation of spinal dysfunction", J Am Orthopedic Phys Ther Clin, Vol. 1, No. 2, pp. 375-398, 1992.
  16. Bruhn S., Kullmann N., Gollhofer A. "The effects of a sensorimotor training and a strength training on a postural stabilization, maximum isometric contraction and jump performance", Int J Sports Med, Vol. 25, No. 1, pp. 56-60, 2004. https://doi.org/10.1055/s-2003-45228
  17. Hoffman M. Gregory PV. "The effects of proprioceptive ankle disk training on healthy subjects. J Sports Phys Ther, 21, pp. 90-93, 1995. https://doi.org/10.2519/jospt.1995.21.2.90
  18. Cox ED., Lephart SM., Irrgnag JJ."Unilateral training of non injured individuals and the effect on postural sway, J Sports Rehabil, Vol. 2, pp. 87-96, 1993. https://doi.org/10.1123/jsr.2.2.87
  19. J. H. Lee, "Comparison of Balance Ability between Stable and Unstable Surfaces for Chronic Stroke Patients", Journal of academia- industrial technology , Vol. 12, No. 8, pp. 3587-3593, 2011
  20. J. H. Kim, S. M. Jeong, H. S. Park, "The effect of 3 balance training programs on improving capabilities of balancing among some female students", The Journal of the Korea Institute of Electronic Communication Sciences, Vol. 8, No. 4, pp. 619-629, 2013. https://doi.org/10.13067/JKIECS.2013.8.4.619
  21. K. S. Jeong, "The effects of weight shifting training on an unstable surface on onset latency of trunk muscles, balance performance, and proprioception for patients with chronic stroke", Graduate School of Sahmyook University, 2009.
  22. D. G. Kwon, Y.G. Park, D. W. Kim et al. "Analysis on the Training Effect of Postural Control for the Elderly Adults Using an Unstable platform", The Korea Society Mechanical Engineers, 5, pp. 96-97, 2008.
  23. G. B. Yim, "The Effect of Balance and Pain in the Osteoarthritis Patients after Bio-feedback and Strengthening Exercises", Graduate School of Daegu University, 2008.
  24. Sekendiz B., Cug M., Korkusuz F. "Effects of swiss ball core strength training on strength, endurance, flexibility, and balance in sedentary women, J strength cond Res, Vol. 24, No. 11, pp. 3032-40, 2010. https://doi.org/10.1519/JSC.0b013e3181d82e70
  25. B. H. Lee, J. Y. Yoo, J. K. Jeong, "Changes in muscle activity and thickness of resistance exercise added aerobic exercise and pure resistance exercise", The Journal of the Korea Institute of Electronic Communication Sciences, Vol. 8, No. 5, pp. 763-769, 2013. https://doi.org/10.13067/JKIECS.2013.8.5.763