Physical Therapy Korea (한국전문물리치료학회지)

Korean Research Society of Physical Therapy (한국전문물리치료학회)
권호 표지
DOI QR코드

DOI QR Code

Understanding the Correlation Between Dorsiflexion Range of Motion and Dynamic Balance in Elderly and Young Adults

노인과 젊은 성인의 발목발등굽힘 관절가동범위와 동적 균형 상관성 대한 이해

  • Seo, Hae-yong (Dept. of Physical Therapy, College of Medical Science, Jeon-ju University) ;
  • Han, Ji-hye (Dept. of Physical Therapy, College of Medical Science, Jeon-ju University) ;
  • Kim, Min-ju (Dept. of Physical Therapy, College of Medical Science, Jeon-ju University) ;
  • Kim, Ah-yeon (Dept. of Physical Therapy, College of Medical Science, Jeon-ju University) ;
  • Song, Yi-seul (Dept. of Physical Therapy, College of Medical Science, Jeon-ju University) ;
  • Kim, Su-jin (Dept. of Physical Therapy, College of Medical Science, Jeon-ju University)
  • 서해용 (전주대학교 의과학대학 물리치료학과) ;
  • 한지혜 (전주대학교 의과학대학 물리치료학과) ;
  • 김민주 (전주대학교 의과학대학 물리치료학과) ;
  • 김아연 (전주대학교 의과학대학 물리치료학과) ;
  • 송이슬 (전주대학교 의과학대학 물리치료학과) ;
  • 김수진 (전주대학교 의과학대학 물리치료학과)
  • Received : 2018.02.19
  • Accepted : 2018.03.27
  • Published : 2018.05.21
Download PDF
⟨ Previous Next ⟩

Abstract

Background: Deficits of both ankle dorsiflexion range of motion (DFROM) and dynamic balance are shown in persons with chronic ankle instability and the elderly, with the risk of falls. Objects: This study aims to investigate the relationship between DFROM and dynamic balance in elderly subjects and young adults. Methods: Fifty-nine subjects were divided into three groups: ankle stability young group (SY), ankle instability young group (IY) and ankle stability older group (SO). We recruited three old subjects with ankle instability, but excluded them during a pilot testing due to the safety issue. DFROM was measured by weight bearing lunge test (WBLT) and dynamic balance was measured via star excursion balance test (SEBT) in anteromedial, medial, and posteromedial directions. The group differences in WBLT and SEBT and each group's correlation between WBLT and SEBT were detected using the R statistical software package. Results: The dorsiflexion range of motion was significantly different between the SY, IY, and SO groups. The SO group showed the highest DFROM and IY group showed the lowest DFROM (SY: $45.88{\pm}.66^{\circ}$, IY: $39.53{\pm}1.63^{\circ}$, SO: $47.94{\pm}.50^{\circ}$; p<.001). However, the SO group showed the lowest dynamic balance score for all SEBT directions (SY: $87.24{\pm}2.05cm$, IY: $83.20{\pm}1.30cm$, SO: $77.23{\pm}2.07cm$; p<.05) and there was no relationship between the dorsiflexion range of motion and dynamic balance in any group. Conclusion: Our findings suggest that ankle DFROM is not a crucial factor for dynamic stability regardless of aging and ankle instability. Other factors such as muscle strength or movement coordination should be considered for training dynamic balance. Therefore, we need to establish the rehabilitation process by measuring and treating ROM, balance, and muscle strength when treating young adults with and without ankle instability as well as elderly people.

Keywords

References

  1. Basnett CR, Hanish MJ, Wheeler TJ, et al. Ankle dorsiflexion range of motion influences dynamic balance in individuals with chronic ankle instability. Int J Sports Phys Ther. 2013;8(2):121-128.
  2. Bogle Thorbahn LD, Newton RA. Use of the Berg balance test to predict falls in elderly persons. Phys Ther. 1996;76(6):576-583. https://doi.org/10.1093/ptj/76.6.576
  3. Bouillon LE, Baker JL. Dynamic balance differences as measured by the star excursion balance test between adult-aged and middle-aged woman. Sports Health. 2011;3(5):466-469. https://doi.org/10.1177/1941738111414127
  4. Charlton PC, Mentiplay BF, Pua YH, et al. Reliability and concurrent validity of a smartphone, bubble inclinometer and motion analysis system for measurement of hip joint range of motion. J Sci Med Sport 2015;18(3):262-267. https://doi.org/10.1016/j.jsams.2014.04.008
  5. Donahue M, Simon J, Docherty CL. Reliability and validity of a new questionnaire created to establish the presence of functional ankle instability: The ldFAI. Athl Train Sports Health Care. 2013;5(1):38-43. https://doi.org/10.3928/19425864-20121212-02
  6. Gribble PA, Delahunt E, Bleakley CM, et al. Selection criteria for patients with chronic ankle instability in controlled research: A position statement of the International Ankle Consortium. J Athl Train. 2014;49(1):121-127. https://doi.org/10.4085/1062-6050-49.1.14
  7. Gribble PA, Kelly SE, Refshauge KM, et al. Interrater reliability of the star excursion balance test. J Athl Train. 2013;48(5):621-626. https://doi.org/10.4085/1062-6050-48.3.03
  8. Gurav RS, Ganu SS, Panhale VP. Reliability of the identification of functional ankle instability (IdFAI) scale across different age groups in adults. N Am J Med Sci. 2014;6(10):516-518. https://doi.org/10.4103/1947-2714.143283
  9. Hertel J, Braham RA, Hale SA, et al. Simplifying the star excursion balance test: Analyses of subjects with and without chronic ankle instability. J Orthop Sports Phys Ther. 2006;36(3):131-137. https://doi.org/10.2519/jospt.2006.36.3.131
  10. Hoch MC, Farwell KE, Gaven SL, et al. Weight bearing dorsiflexion range of motion and landing biomechanics individuals with chronic ankle instability. J Athl Train. 2015;50(8):833-839. https://doi.org/10.4085/1062-6050-50.5.07
  11. Hoch MC, McKeon PO. Normative range of weightbearing lunge test performance asymmetry in healthy adults. Man Ther. 2011;16(5):516-519. https://doi.org/10.1016/j.math.2011.02.012
  12. Hoch MC, Station GS, Mckeon PO, et al. Dorsiflexion range of motion significantly influences dynamic balance. J Sci Med Sport. 2011;14(1):90-92. https://doi.org/10.1016/j.jsams.2010.08.001
  13. Hoch MC, Station GS, Medina Mckeon JM, et al. Dorsiflexion and dynamic postural control deficits are present in those with chronic ankle instability. J Sci Med Sport. 2012;15(6):574-579. https://doi.org/110.1016/j.jsams.2012.02.009
  14. Holland GJ, Tanaka K, Shigematsu R, et al. Flexibility and physical functions of older adults: A review. J Aging Phys Act. 2002;10(2):169-206. https://doi.org/10.1123/japa.10.2.169
  15. Ko YM, Jung MS, Park JW. The relationship between strength balance and joint position sense related to ankle joint healthy women. J Kor Soc Phys Ther. 2011;23(2):23-29.
  16. Konor MM, Morton S, Eckerson JM, et al. Reliability of three measures of ankle dorsiflexion range of motion. Int J Sports Phys Ther. 2012;7(3):279-287.
  17. Lee DK, Kang MH, Lee TS, et al. Relationships among the Y balance test, Berg balance scale, and lower limb strength in middle-aged and older females. Braz J Phys Ther. 2015;19(3):227-234. https://doi.org/10.1590/bjpt-rbf.2014.0096
  18. Menz HB, Morris ME, Lord SR. Foot and ankle risk factors for falls in older people: A prospective study. J Gerontol A Biol Sci Med Sci. 2006;61(8):866-870. https://doi.org/10.1093/gerona/61.8.866
  19. Menz HB, Morris ME, Lord SR, et al. Foot and ankle characteristics associated with impaired balance and functional ability in older people. J Gerontol A Biol Sci Med Sci. 2005;60(12):1546-1552. https://doi.org/10.1093/gerona/60.12.1546
  20. Michael C, Bethany D, Udani S, et al. The relationship between range of movement, flexibility, and balance in the elderly. Top Geriatr Rehabil. 2010;26(2):148-155. https://doi.org/10.1097/TGR.0b013e3181e854bc
  21. Nitz JC, Low-Choy N. The relationships between ankle dorsiflexion range, falls and activity level in women aged 40 to 80 years. NZ J Physiother. 2004;32(3):121-125.
  22. Norris E, Hubbuch E, Ford A, et al. The relationship of weight-bearing and non-weight bearing ankle dorsiflexion to balance and gait performance in young and older adults. Phys Ther Rehabil. 2016;3(6):1-8. https://doi.org/10.7243/2055-2386-3-1
  23. Olmsted LC, Carcia CR, Hertel J, et al. 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.
  24. Spink MJ, Fotoohabadi MR, Wee E, et al. Foot and ankle strength, range of motion, posture, and deformity are associated with balance and functional ability in older adults. Arch Phys Med Rehabil. 2011;92(1):68-75. https://doi.org/10.1016/j.apmr.2010.09.024
  25. Won JI, Effects of using a mobile phone on postural control. Phys Ther Kor. 2012;19(3):61-71. https://doi.org/10.12674/ptk.2012.19.3.061