DOI QR코드

DOI QR Code

발목 근 피로 시 테이핑, 스트레칭 그리고 초음파 중재가 융합적 균형에 미치는 효과

The Effect of Taping, Stretching and Ultrasound Intervention on Convergent Balance with Ankle Muscle Fatigue

  • 유은정 (더바른병원 물리치료) ;
  • 이수영 (백석대학교 보건학부 물리치료학과)
  • Yu, Eun-Jeong (Physical Therapy Room, Thebareun Clinic) ;
  • Lee, Su-Young (Department of Physical Therapy, Division of Health Science, Baekseok University)
  • 투고 : 2018.08.16
  • 심사 : 2018.10.20
  • 발행 : 2018.10.28

초록

본 연구의 목적은 유도된 발목 근피로 시 테이핑, 스트레칭 그리고 초음파가 융합적 균형능력에 미치는 효과를 알아보는 데 있다. 건강한 성인 남녀 39명이 본 연구에 자발적으로 참여하였다. 발목 근피로 유발 이후 대상자들은 테이핑, 정적 스트레칭 또는 초음파 그룹으로 무작위 선정되었다. 그리고 각 그룹에 해당하는 중재방법이 적용되었다. 균형 능력은 Space Balance 3D를 이용하여 발목 근피로 전과 후 그리고 중재 후에 측정되었다. 균형능력은 그룹 간 유의한 차이는 없었지만(p>.05), 그룹 내 모두에서 유의하게 증가하였다(p<.001). 그러므로 발목 근 피로에 테이핑, 정적 스트레칭 그리고 초음파는 융합적 균형능력에 효과적일 것이다. 향후 연구에서는 다양한 측정변수 측정과 치료적 중재를 적용하여 치료적 효과를 증명할 필요가 있다.

The purpose of this study was to investigate the effects of taping, stretching and ultrasound on convergent balance ability with induced ankle muscle fatigue. Thirty-nine healthy adults participated voluntarily in this study. After the induction of their's ankle muscle fatigue, they were randomly assigned as taping, static stretching, or ultrasound group. And the intervention corresponding to each group was applied. Before and after induced ankle fatigue and after intervention, balance ability was measured using Space Balance 3D. Balance ability was no significant difference among groups (p>.05), but significantly increased within all three groups (p<.001). Therefore, the taping, static stretching, and ultrasound on ankle muscle fatigue are effective in convergent balance ability. In future studies, it is necessary to prove the therapeutic effect by applying various measurement variables and therapeutic intervention.

키워드

참고문헌

  1. S. B. O'Sullivan, T. J. Schmitz, & G. D. Fulk. (2013). Physical Rehabilitation. Philadelphia : F.A. Davis
  2. F. E. Huxham, P. A. Goldie, & A. E. Patla. (2001). Theoretical Considerations in Balance Assessment. Australian Journal of Physiotherapy, 47, 89-100. https://doi.org/10.1016/S0004-9514(14)60300-7
  3. H. R. Suh, J. H. Hwang, & S. Y. Lee. (2017). The Effect of Visual Information on Gait Parameters with Induced Ankle Muscle Fatigue. Phys Ther Rehabil Sci, 6(3), 140-145. https://doi.org/10.14474/ptrs.2017.6.3.140
  4. S. Boyas, M. Hajj, & M. Bilodeau. (2013). Influence of Ankle Plantarflexor Fatigue on Postural Sway, Lower Limb Articular Angles, and Postural Strategies During Unipedal Quiet Standing. Gait Posture, 37(4), 547-51. https://doi.org/10.1016/j.gaitpost.2012.09.014
  5. K. H. Cho & S. S. Kim. (2010). The Change of Sports Massage Treatment time on the Blood Lactate and Ammonia Concentration in Recovery Period After Maximal Exercise. The Journal of Korean Alliance of Martial Arts, 12(1), 225-234.
  6. C. Baldari et al. (2007). Relationship Between Optimal Lactate Removal Power Output and Olympic Triathlon Performance. J Strength Cond Res, 21(4), 1160-5. https://doi.org/10.1519/00124278-200711000-00030
  7. J. Abian-Vicen, L. M. Alegre, J. M. Fernandez- Rodriguez & X. Aguado. (2009). Prophylactic Ankle Taping: Elastic versus inelastic taping. Foot & Ankle International, 30(3), 218-225. https://doi.org/10.3113/FAI.2009.0218
  8. E. Kemler, L. van de Port, F. Backx & C. N. van Dijk. (2011). A Systematic Review on the Treatment of Acute Ankle Sprain. Sports Med, 41(3), 185-197. https://doi.org/10.2165/11584370-000000000-00000
  9. S. Witjes, F. Gresnigt, M. P. van den Bekerom, J. G. Olsman & N. C. van Dijk. (2012). The Ankle Trial (Ankle Treatment After Injuries of the Ankle Ligaments): What is the benefit of external support devices in the functional treatment of acute ankle sprain? A randomized controlled trial. BMC Musculoskelet Disord, 16(13), 21.
  10. S. P. Sady, M. V. Wortman & D. Blanke. (1982). Flexibility Training: Ballistic, static or proprioceptive neuromuscular facilitation? Arch Phys Med Rehabil, 63(6), 261-263.
  11. D. W. Son & J. H. Shim. (2015). Comparison of the Effects of Static and Dynamic Stretching Exercises on Muscle-tendon Tissue Properties in Gastrocnemius. Korean Journal of Neuromuscular Rehabilitation, 5(1), 32-37.
  12. B. R. Kim, D. H. Yi & J. E. Yim. (2018). Effect of Stabilizing Reversal Technique of Proprioceptive Neuromuscular Facilitation and Taping Convergence on Wrist Pain and Grip Strength. Journal of The Korea Convergence Society, 9(7), 117-124.
  13. E. A. Narducci. (2017). The Effects of Static versus Dynamic Stretching on Fall Risk, Balance and Muscle Function in Older Adults: Is stretching a beneficial intervention? Doctoral dissertation, Kent State University, Ohio.
  14. R. J. Park et al. (2003). Electrotherapy. Hyunmoon : Seoul.
  15. J. H. Lee. (2008). Electrotherapy. Daihakseorim : Seoul.
  16. H. S. Jung, J. H. Ham, S. B. Choi & J. O. Choi. (2011). Effects of Chiropractic, US, and Taping Method on Active Cervical Rotation ROM of SCM Muscle. The Journal of Korea Society for Wellness 6(3), 253-264.
  17. S. H. Cho & S. Y. Lee. (2016). A Effect of the Squat Convergence Exercise Among Knee Joint Angle on Quadriceps Strength in the Patients with Patellofemoral Pain Syndrome. Journal of the Korea Convergence Society, 7(2), 43-52. https://doi.org/10.15207/JKCS.2016.7.2.043
  18. M. Heuser & D. Pincivero. (2010). The Effects of Stretching on Knee Flexor Fatigue and Perceived Exertion. J Sports Sci, 28(2), 219-26. https://doi.org/10.1080/02640410903460718
  19. M. J. Chen, X. Fan & S. T. Moe. (2002). Criterion-Related Validity of the Borg Ratings of Perceived Exertion Scale in Healthy Individuals: A meta-analysis. J Sports Sci, 20(11), 873-99. https://doi.org/10.1080/026404102320761787
  20. Y. K. Kim & J. S. Park. (2014). Effects on Distal Anchor of Ankle Taping for Basketball Athletes on Performance Test. The Journal of Kinesiology, 16(2), 79-86.
  21. J. H. Lee, J. H. Lee, W. A. Kwon & J. S. Kim. (2012). The Effect of Ankle Joint Muscle Strengthening Training and Static Muscle Stretching Training on Stroke Patients' Plantar Pressure and Gait. Journal of the Korea Academia-Industrial Cooperation Society, 13(3), 1153-1160. https://doi.org/10.5762/KAIS.2012.13.3.1153
  22. D. J. Magee. (2008). Orthopedic Physical Assessment St. Louis : Elsevier.
  23. P. A. Gribble & J. Hertel. (2004). Effect of Lower- Extremity Muscle Fatigue on Postural Control. Arch Phys Med Rehabil, 85(4), 589-592. https://doi.org/10.1016/j.apmr.2003.06.031
  24. T. J. Hubbard & J. Hertel. (2006). Mechanical Contributions to Chronic Lateral Ankle Instability. Sports Medicine, 36(3), 263-277. https://doi.org/10.2165/00007256-200636030-00006
  25. D. H. Richie. (2001). Functional Instability of the Ankle and the Role of Neuromuscular Control: A comprehensive review. The Journal of Foot and Ankle Surgery, 40(4), 240-251. https://doi.org/10.1016/S1067-2516(01)80025-9
  26. C. H. Youm & T. H. Kim. (2012). Effects of Induced Fatigue of Ankle Joint Muscle on the Capability and Recovery of Postural Control During Single-Leg Stance. Korean Journal of Sport Biomechanics, 22(2), 219-228. https://doi.org/10.5103/KJSB.2012.22.2.219
  27. L. Surve, M. P. Schwellnus, T. Noakes & C. Lombard. (1994). A Fivefold Reduction in the Incidence of Recurrent Ankle Sprains in Soccer Players Using the Sport-Stirrup Orthosis. The American Journal of Sports Medicine, 22(5), 601-606. https://doi.org/10.1177/036354659402200506
  28. K. Jackson, J. E. Simon & C. L. Docherty. (2016). Extended Use of Kinesiology Tape and Balance in Participants with Chronic Ankle Instability. J Athl Train, 51(1), 16-21. https://doi.org/10.4085/1062-6050-51.2.03
  29. N. Zulfikri & M. Justine (2017). Effects of Kinesio Taping on Dynamic Balance Following Fatigue: A randomized controlled trial. Phys Ther Res, 20(1), 16-22. https://doi.org/10.1298/ptr.E9887
  30. K. T. Yoo. (2013). The Effects of Stretching the Application Time of Ice Affected Maximum Voluntary Isometric Contraction, Balance Ability and Flexibility, Followed by Artificially Inducing Muscle Fatigue. Journal of the Korea Entertainment, Industry Association, 7(3), 167-172.
  31. W. Wang. (2013). The effects of static stretching versus dynamic stretching on lower extremity joint range of motion, static balance, and dynamic balance. University of Wisconsin Milwaukee, Master Dissertations, 2013.
  32. S. B. Thacker, J. Gilchrist, D. F. Stroup & C. D. Kimsey Jr. (2004). The Impact of Stretching on Sports Injury Risk: A systematic review of the literature. Med Sci Sports Exerc, 36(3), 371-378. https://doi.org/10.1249/01.MSS.0000117134.83018.F7
  33. N. Cetin, A. Aytar, A. Atalay & M. N. Akman. (2008). Comparing Hot Pack, Short-wave Diathermy, Ultrasound, and TENS on Isokinetic Strength, Pain, and Functional Status of Women with Osteoarthritic Knees: A single-blind, randomized, controlled trial. Am J Phys Med Rehabil, 87(6), 443-451. https://doi.org/10.1097/PHM.0b013e318174e467