The Effect of Incidence of Ankle Sprains on Both Leg Length Inequalities and Range of Motion of Ankle Joint in 20's Female University Students

20대 여대생의 양다리길이차이 및 발목관절가동범위가 발목 염좌 발생률에 미치는 영향

  • Park, Jong-Hang (Dept. of Physical Therapy, Gwangyang Health College) ;
  • Jeong, Yeon-Woo (Dept. of Physical Therapy, Kwangju Women's University) ;
  • Kim, Tae-won (ART CORE Advanced Rehabilitation Training-Core center)
  • 박종항 (광양보건대학교 물리치료과) ;
  • 정연우 (광주여자대학교 물리치료학과) ;
  • 김태원 (아트코어 1:1 맞춤운동센터)
  • Received : 2015.03.19
  • Accepted : 2015.04.18
  • Published : 2015.06.30

Abstract

Background: The purpose of this study was conducted to investigate the effect of incidence of ankle sprains on both leg length inequalities and range of motion of ankle joint in 20's female university students. Methods: 20's female university students were targeting 32 people attending K university in Gwangju. Both leg length inequality was measured using a tape measure, ranges of motion of ankles was measured using a goniometer. Results: The ankle sprain incidence was quite high, with 56.25% (n=18) for the right ankle, 34.38% (n=11) for the left ankle, and 9.38% (n=3) for both. As for the difference between the ankle sprain incidence and both leg length, the average value of the right leg was $83.08{\pm}3.69$, the average value of the left leg was $84.28{\pm}3.27$, making the right leg shorter than the left by 1.2cm with a higher incidence and showing a positive statistical correlation between the two (p<.05). Also showed that there was a negative statistical correlation between ankle sprain incidences and the inversion range of motion spread of the right ankle (p<.05). Conclusion: The incidence of ankle sprains was higher for the larger the difference between both leg length inequality. In addition, the smaller the inversion range of motion spread of the right ankle, the higher the incidence of ankle sprains. Therefore, The evidence suggests that the incidence of ankle sprains can be reduced by recommending stability and efficient exercises that take into consideration the both leg length as well as the ranges of motion of ankle joints.

Keywords

References

  1. 김승재. 일반인과 선수의 발 아취 정적 특성과 동적 특성. 한국체육학회지, 2110;40(3):975-985.
  2. 민은지. 재활 운동프로그램 유형이 태권도 선수의 발목 염좌 회복에 미치는 영향. 경원대학교 교육대학원 석사학위논문. 2009.
  3. 박상연. 원판 운동과 복합 트레이닝이 발목의 기능적안 정성에 미치는 영향. 서울대학교 대학원 석사학위논문. 2004.
  4. 오재근, 이명종, 김성수. 스포츠 활동 시 발생한 족관절 염좌의 진단 및 치료. 대한한의학회지. 1992;13(2):26-42.
  5. 이경태, 방유선. 무용의학. 서울. 군자출판사. 2009.
  6. 최무진. 12주간 탄성밴드운동과 체중부하운동 프로그램이 축구동호인의 기능적 발목 불안정성에 미치는 효과. 인하대학교 교육대학원 석사학위논문. 2015.
  7. Arnason A, Sigurdsson SB, Gudmundsson A, et al. Risk factors for injuries in football. Am J Sports Med. 2004;32(1):5-16. https://doi.org/10.1177/0363546503258912
  8. Ashford RL, Shippen J. Leg length measurement: clinical versus mathematical modelling. The Foot. 2003;13(3):174-178. https://doi.org/10.1016/S0958-2592(03)00039-7
  9. Broglio SP, Monk A, Sopiarz K, et al. The influence of ankle support on postural control. J Sci Med Sportt. 2009;12(3):388-392. https://doi.org/10.1016/j.jsams.2007.12.010
  10. Eechaute C, Vaes P, Van Aerschot L, et al. The clinimetric qualities of patient-assessed instruments for measuring chronic ankle instability: a systematic review. BMC Musculoskelet disord. 2007;8:6. https://doi.org/10.1186/1471-2474-8-6
  11. Eils E, Rosenbaum D. A multi-station proprioceptive exercise program in patients with ankle instability. Med Sci Sports Exer. 2001;33(12):1991-1999. https://doi.org/10.1097/00005768-200112000-00003
  12. Ekstrand J, Tropp H. The incidence of ankle sprains in soccer. Foot Ankle Int. 1990;11(1):41-44. https://doi.org/10.1177/107110079001100108
  13. Eric A, Mark D, Terese L, James H. Dynamic postural stability deficits in subjects with self-reported ankle instability. Med Sci Sports & Exer. 2007;39(3):397-402. https://doi.org/10.1249/mss.0b013e31802d3460
  14. Fong DTP, Hong Y, Chan LK, et al. A systematic review on ankle injury and ankle sprain in sports. Sports Med. 2007;37(1):73-94. https://doi.org/10.2165/00007256-200737010-00006
  15. Gibbons P, Dumper C, Gosling C. Inter-examiner and intra-examiner agreement for assessing simulated leg length inequality using palpation and observation during a standing assessment. J Osteopath Med. 2002;5(2):53-58. https://doi.org/10.1016/S1443-8461(02)80002-8
  16. Gurney B. Leg length discrepancy. Gait posture. 2002;15:195-206. https://doi.org/10.1016/S0966-6362(01)00148-5
  17. Harkins KM, Mattacola CG, Uhl TL, et al. Effects of 2 ankle fatigue models on the duration of postural stability dysfunction. J Athl Train. 2005;40(3):191-194.
  18. Hertel J. Functional instability following lateral ankle sprain. Sports Med. 2000;29(5):361-371. https://doi.org/10.2165/00007256-200029050-00005
  19. Hiller CE, Refshauge KM, Beard DJ. Sensorimotor control is impaired in dancers with functional ankle instability. Am J Sports Med. 2004;32(1):216-223. https://doi.org/10.1177/0363546503258887
  20. Kaminski TW, Hartsell HD. Factors contributing to chronic ankle instability: A strength perspective. J Athl Train. 2002;37(4):394-405.
  21. Mahar RK, Kirby RL, MacLeod DA. Simulated leg-length discrepancy: its effect on mean center-of-pressure position and postural sway. Arch Phys Med Rehabil. 1985;66(12):822-8224.
  22. MaKay GD, Goldie PA, Payne WR, et al. Ankle Injuries in Basketball: Injury Rate and Ri나 Factors. British J of Sports Med. 2001;35:103-108. https://doi.org/10.1136/bjsm.35.2.103
  23. Mattsson E, Brostrom LA. The increase in energy cost of walking with an immobilized knee or an unstable ankle. Scand J Rehabil Med. 1989;22(1):51-53.
  24. Menz HB, Morris ME, Lord SR. Foot and ankle characteristics associated with impaired balance and functional ability in older people. J Gerontol A Med Sci. 2005;60(12):1546-1552. https://doi.org/10.1093/gerona/60.12.1546
  25. Neumann DA. Kinesiology of the Musculoskeletal System: Foundations for Rehabilitation. Mosby. 2009.
  26. Norkin CC, White DJ. Measurement of Joint Motion: A Guide to Goniometry. FA Davis Company. 2009.
  27. Osborne MD, Chou LS, Laskowski ER, et al. The effect of ankle disk training on muscle reaction time in subjects with a history of ankle sprain. Am J Sports Med. 2001;29(5):627-632. https://doi.org/10.1177/03635465010290051601
  28. Peters JW, Trevino SG, Renstrom PA. Chronic lateral ankle instability. Foot Ankle Int. 1991;12(3): 182-191. https://doi.org/10.1177/107110079101200310
  29. Puffer JC. The sprained ankle. Clin Cornerstone. 2001;3(5):38-49. https://doi.org/10.1016/S1098-3597(01)90068-7
  30. Takao M, Oae K, Uchio Y, et al. Anatomical reconstruction of the lateral ligaments of the ankle with a gracilis autograft a new technique using an interference fit anchoring system. Am J Sports Med. 2005;33(6):814-823. https://doi.org/10.1177/0363546504272688
  31. Willems TM, Witvrouw E, Delbaere K, et al. Intrinsic risk factors for inversion ankle sprains in male subjects a prospective study. Am J Sports Med. 2005;33(3):415-423. https://doi.org/10.1177/0363546504268137
  32. Wolfe MA, Uhl TL, Mattacola CG, et al. Management of ankle sprians. Am Family Phy. 2001;63(1): 93-104.