Effect of Rehabilitation with Balance Trainer Machine on Pain and Postural Stability after Ankle Sprain

외측측부인대 손상을 동반한 발목염좌 환자에서 균형 훈련기를 이용한 훈련이 통증 및 균형능력에 미치는 영향

  • Jung, Sang-mo (Dept. of Physical Therapy, Kyoung-in Rehabilitation Center) ;
  • Lee, Jae-nam (Dept. of Physical Therapy, Kyoung-in Rehabilitation Center) ;
  • Jeong, Young-june (Dept. of Physical Therapy, Gumi University Department of Physical Therapy) ;
  • shin, Young-il (Dept. of Physical Therapy, Korea National College of Rehabilitation & Welfare)
  • 정상모 (경인의료재활센터병원) ;
  • 이재남 (경인의료재활센터병원) ;
  • 정영준 (구미대학교 물리치료과) ;
  • 신영일 (한국복지대학교 의료보장구학과)
  • Received : 2016.12.05
  • Accepted : 2016.12.16
  • Published : 2016.12.31

Abstract

Background: Instability due to ankle sprains will be accompanied by a problem of balance and pain change. Balance trainer is used to improve the ankle strength and balance ability. The purpose of this study was to evaluate the change of pain and postural balance ability in ankle joint after balance trainer application in patients with ankle sprain and instability. Methods: Twenty patients in K hospital in Incheon were enrolled. Balance trainer was applied to 10 subjects in the experimental group and 10 subjects in the Balance cushion under the same conditions as the experimental group to compare the pain and balance ability. Results: In the experimental group, there was a significant difference in the change of the pain variation. In the postural balance ability comparison, there was a significant difference in total and post - posterior comparison compared to the control, but there was no significant difference in the postural balance ability comparison. Conclusion: Pain and postural balance ability of patients with instability due to ankle sprain improved the pain and balance ability of the Balance trainer group compared to the Balance cushion training group.

Keywords

References

  1. 구창희, 이인학, 박경리. 아급성기의 발목 외측 염좌에게 수동적 관절가동기법과 마사지가 미치는 영향. 대한물리치료학회지. 2005;17(4):457-467.
  2. Alt W, Lohrer H, Gollhofer A. Functional properties of adhesive ankle taping: Neuromuscular and mechanical effects before and after exercise. Foot Ankle Int, 1999;20:238-245. https://doi.org/10.1177/107110079902000406
  3. Buchner H, Buchner mack. Balance trainer in early stage rehabilitation of the clinic for neurology of the Knappschaftskrankenhaus Recklinghausen. 2004.
  4. Cline ME, Herman JA, Shaw ER, et al. Standardization of the visual analogue scale nursing. Research. 1992;(2):378-380.
  5. Egger G. A report to the national better health program. Sydney : Centre for health promotion and research. Sports injuries in Australia : Causes, costs and prevention. 1990;4:23-27.
  6. Eils E, Rosenbaum D. A multi-station propriocetive exercise program in patients with ankle instability. 2001;(3):120-133.
  7. Ekstrand J, Tropp H. The incidence of ankle sprains in soccer. Foot ankle. 1990;11(1):41-44. https://doi.org/10.1177/107110079001100108
  8. Evans GA, Hardcastle P, Frenyo AD. Ate rupure of the lateral ligaments of the ankle : To suture or not to suture. J Bone Joint Surg Br. 1984;66:209-212. https://doi.org/10.2106/00004623-198466020-00007
  9. Green T, Refshauge K, Crosble J, et al. A randomized controlled trial of a passive accessory joint mobilization on acute ankle inversion sprains. Physical Therapy. 2001;81:984-994.
  10. Horak FB. Proprioceptive capabilities of the ankle in stable and unstable joints. Sports exerc inj. 1996;2:167-171.
  11. Kisner C, Colby LA. Therapeutic exercise. Foundations and techniques. 1996:3rd ed.
  12. Lentell G, Bass B, Lopez D, et al. The conditions of proprioceptive deficits, muscle function and anatomin laxity to functional instability of the ankle. J Orthop Sports Phys Ther. 1995;21:206-215. https://doi.org/10.2519/jospt.1995.21.4.206
  13. Lephart SM, Perrin DH, Fu FH, et al. Functional performance tests for the anterior cruciate ligament insufficient athlete. J Athl Train. 1991;26:44-50.
  14. Matjaci? Z, Johannesen IL, Sinkjaer T. A multi-purpose rehabilitation frame: A novel apparatus for balance training during standing of neurologically impaired individuals. J Rehabil Res Dev. 2000;37(6):681-691.
  15. Mattacola CG, Mccluskey LC. Management of ankle sprains. Americans Family Physiciam, 2001;63(1):93-104.
  16. Mckeon PO, ingersoll CD, Kerrigan DC, et al. Balance training improves function and postural control in chronic ankle instaility. Med sci sports exerc. 2008;40:1810-1819. https://doi.org/10.1249/MSS.0b013e31817e0f92
  17. Messina DF, Farmey WC, DeLee JC. The incidence of injury in Texas high school basketball: A prospective study among male and female athletes. Am J Sports Med. 1999;27:294-299. https://doi.org/10.1177/03635465990270030401
  18. Nashner LM. Sensory, neuromuscular and biomechanical contributions to human balance. Proceedings of the APTA forum, alexandria. ATPA publications. 1990;1-12.
  19. Natasha F, Allison G. Peroneal latency in normal and injuryed ankles at varying angles of perturbation. Clin orthop and res. 2000;3 75:193-201.
  20. Pereira HM, de Campos TF, Santos MB, et al. Influence of knee position on the postural stability index registered by the Biodex Stability System. Gait Posture. 2008;28(4):668-672. https://doi.org/10.1016/j.gaitpost.2008.05.003
  21. Porzych P, Hanger W, Kuczma W, et al. Balance trainer device for dynamic and static training for patients in standing position, chronic ankle instability. Physiotherapy, 2008;16(1):99-103.
  22. Smith RW, Reischl SF. Treatment of ankle sprains in young athletes. Am J Sports Med. 1986;14:465-471. https://doi.org/10.1177/036354658601400606
  23. Verhangen RA, de Keizer G, van Dijk CN. Long-term follow-up of inversion trauma of the ankle. Arch Orthop Trauma Surg, 1995;114:92-96. https://doi.org/10.1007/BF00422833