Journal of International Academy of Physical Therapy Research (국제물리치료학회지)

International Academy of Physical Therapy Research (국제물리치료연구학회)
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The Effects of Heel Off Stairway Walking Exercise on Ankle Muscle Activity and Static Balance of University Students With Ankle Instability

  • Received : 2018.01.19
  • Accepted : 2018.02.15
  • Published : 2018.03.31
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Abstract

The purpose of this study was to investigate the effect of heel off stairway walking exercise on the increase of muscle activity and balance activity of the ankle joint muscles in university students with functional ankle instability. The conservative treatment for the control group consisted of stairway walking (n=10) and the experimental group consisted of heel off stairway walking (n=11). The therapeutic intervention of the control and experimental groups was performed a total of 12 exercise sessions, 3 times per week for 4 weeks. To compare the two groups, the level of ankle disability was assessed by using the EMG, BT4 and Pedoscan in pre-treatment and post-treatment. Muscle activity increased in both the experimental groups and control groups in each group, however there was no significant difference between the groups. Balance ability did not show any significant difference. This study demonstrates that heel-off stairway walking is effective in significantly increasing muscle activity, however did not significantly improve balance ability.

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References

  1. Bobath B. Adult hemiplegia: Evaluation and treatment. London. Medial Bools Ltd. 1990.
  2. Jang JS, Lee SY, Lee MH, et al. The Correlations between Gait Speed and Muscle Activation or Foot Pressure in Stroke Patients. J Korean Soc Phys Ther. 2009;21(3):47-52.
  3. Barker HB, Beynnon BD, Renstrop PA. Ankle injury risk factors in sports. Sport Med. 1997;23(2):69-74. https://doi.org/10.2165/00007256-199723020-00001
  4. Lentell G, Baas B, Lopez D, et al. The contributions of proprioceptive deficits, muscle function, and anatomic laxity to functional in stability of the ankle. J Orthop Sports Phys Ther. 1995;21(4):206-15. https://doi.org/10.2519/jospt.1995.21.4.206
  5. Docherty CL, Valovich McLeod TC, Shultz SJ. Postural control deficits in participants with functional ankle in stability as measured by the balance error scoring system. Sport Med. 2006;16(3):203-8.
  6. Brown CN, Mynark R. Balance deficits in recreational athletes with chronic ankle in stability. J Athl Train. 2007;42(3):367-73.
  7. Horak FB, Diener HC, Nashner LM. Influence of central set on human postural responses. J Neurophysiol. 1989;62(4):841-53. https://doi.org/10.1152/jn.1989.62.4.841
  8. Chae JB, Kim BJ, Bae SS. A study on the control factors of posture and balance. J Kor Phys Ther, 2001;13(2):421-31.
  9. Kaminski TW, Hartsell HD. Factors Contributing to Chronic Ankle Instability: A Strength Perspective. J Athl Train. 2002;37(4):394-405.
  10. Woflson L, Judge J, Whipple R, et al. Strength is a major factor in balance, gait, and the occurrence of falls. J Gerontol, A, Biol Sci Med Sci. 1995;50:64-7.
  11. Tropp H. Pronator muscle weakness in functional instability of the ankle joint. Int J Sports Med. 1986;7(5):291-4. https://doi.org/10.1055/s-2008-1025777
  12. Ebig M, Lephart SM, Burdett RC, et al. The effect of sudden inversion stress on EMG activity of the peroneal and tibialis anterior muscles in the chronically unstable ankle. J Orthop Sports Phys Ther. 1997;26(2):73-7. https://doi.org/10.2519/jospt.1997.26.2.73
  13. Maclntyre NJ, Rombough R, Brouwer B. Relationships between calf muscle density and muscle strength, mobility and bone status in the stroke survivors with subacute and chronic lower limb hemiparesis. J Musculoskelet Neuronal interact. 2010;10(4):249-55.
  14. Dorsch S, Ada L, Canning CG, et al. The strength of the ankle dorsiflexors has a significant contribution to walking speed in people who can walk independently after stroke: an observational study. Arch Phys Med Rehabil. 2012;93(6):1072-6. https://doi.org/10.1016/j.apmr.2012.01.005
  15. Gefen A. Biomechanical analysis of fatigue related foot injury mechanisms in athletes and recruits during intensive marching. Medical & Biological Engineering & Computing. 2002;40(3):302-10. https://doi.org/10.1007/BF02344212
  16. Winter DA, Prince F, Frank JS, Powell C, et al. Unified theory regarding A/P and M/L balance in quiet stance. J Neurophysiol. 1996;75:2334-43 https://doi.org/10.1152/jn.1996.75.6.2334
  17. Cho YH, Choi JH. Muscle Activities of the Lower Extremity based on Ankle Plantar-flexion in Elderly Women. J Kor Phys Ther. 2009;21(4):57-63.
  18. Jeon HM, Park SK. The Effect of Stair Ascending Speed on Foot Pressure and Lower Extremity Muscle Activation Patterns. The Korean Journal of Sport. 2013;11(1):239-49.
  19. Seo KC, Jang EJ. The Effect of Gait Ability in the Stroke Patients after Lamp Gait Exercise and Stair Gait Exercise by Proprioceptive Neuromuscular Facilitation Techniques. Journal of Special Education & Rehabilitation Science. 2013;52(3):127-44.
  20. Flynn J. Kinematical variability of normal climbing and descending stairs. University of Nashville, TN. Master's Thesis. 1977.
  21. Mercer VS, Sahrmann SA. Postural Synergies Associated With a Stepping Task. Phys Ther. 1999;79(12):1142-52.
  22. Lee SC, Kim TH, Cynn HS, et al. The Influence of Unstability of Supporting Surface on Trunk and Lower Extremity Muscle Activities During Bridging Exercise Combined With Core-Stabilization Exercise. Phys Ther Korea. 2010;17(1):17-25
  23. Lim SW, Kim SH, Kim YN, et al. The Effect of Balance Training on Balance Ability and Ankle Joint Muscle Activity. Journal of the Korean Academy of Clinical Electrophysiology. 2010;8(2):13-8. https://doi.org/10.5627/KACE.2010.8.2.013
  24. Park CB, Kim YN, Kim YS, et al. Effect of Inflatable Standing Surface With Different Levels of Air Pressure on Leg Muscle Activity. Phys Ther Kor. 2013;20(2):1-10. https://doi.org/10.12674/ptk.2013.20.2.001
  25. Hertel J, Earl JE, Tsang KK, et al. Combining isometric knee extension exercises with hip adduction or abduction does not increase quadriceps EMG activity. Br J Sports Med. 2013;38(2):210-3. https://doi.org/10.1136/bjsm.2002.003277
  26. Nam HJ, Lee JH. The Effects of Modified Straight Leg Raise Exercise on Balance Activity and Electromyography Muscles Activation of lower limbs muscle. The Korea Journal of Sports Science. 2016;25(3):1297-308.
  27. Jun JY, Park MC. The Effect of Stair Exercise with Restriction Blood Flow on Knee Extensor Muscle, J Korean Soc Phys Med. 2015;10(4):9-14. https://doi.org/10.13066/kspm.2015.10.4.9
  28. Kim YH. The Effects of Task Oriented Stair Gait Training on Muscle Activities of the Lower Extremity and Balance in Stroke Patients. Master's Degree. Yongin University. 2017..
  29. Perry, J. Gait Analysis, Normal and pathological function, NewYork: Slack Inc. 1992.
  30. Andriacchi TP, Mikoz RP. Musculoskeletal dynamics, locomotion and clinical applications, In: Basic Orthopaedic Biomechanics. New York. Raven Press. 1991;21-92.
  31. McFadyen BJ, Winter DA. An intergrated biomechanical analysis of normal stair ascent and descent. J Biomech. 1988;21(9),:733-44. https://doi.org/10.1016/0021-9290(88)90282-5
  32. Chu LW, Pei CK, Chiu A, et al. Risk factor for falls in hospitalized older medical patients. The J Gerontol. 1999;54:38-43. https://doi.org/10.1093/gerona/54.1.M38
  33. Choi WJ, Jo EM, Chun JW, et al. The Effects of Ankle Plantar flexion exercise and Stepper on the Balance Ability in Normal peoples. J of Korea Proprioceptive Neuromuscular Facilitation Association. 2009;7(3):7-16.
  34. Shin, Chul - Ho. Effect of Exercises to Develope Muscular Strength Legs of Aged People to Maintaince the Sense of Balance. Journal of the Korea Walking Science Association, 2006;6; 131-8.
  35. Johnston RB, Howard ME, Cawley PW, et al. Effect of lower extremity muscular fatigue on motor control performance. Med Sci Sports Exerc. 1998;30(12):1703-7. https://doi.org/10.1097/00005768-199812000-00008
  36. James A, Stephan J. Effects of isokinetic ankle fatigue on the maintenance of balance and postural limits. Arch Phys Med Rehabil. 2002;83:224-8. https://doi.org/10.1053/apmr.2002.28032