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Association between dynamic balance and ankle muscle characteristics

동적 균형과 발목 근육 특성 사이의 관계

  • Jung, Sung-hoon (Department of Physical Therapy, Yonsei University) ;
  • Jeon, In-cheol (Department of Physical Therapy, Hoseo University) ;
  • Ha, Sungmin (Department of Physical Therapy, Sangji University)
  • 정성훈 (연세대학교 물리치료학과) ;
  • 전인철 (호서대학교 물리치료학과) ;
  • 하성민 (상지대학교 물리치료학과)
  • Received : 2019.09.11
  • Accepted : 2019.11.20
  • Published : 2019.11.28

Abstract

The relationship between balance and ankle muscle characteristics (strength and flexibility) may be important to identify those at an increased risk of falling and to develop fall-prevention training programs. The association between ankle muscle characteristics (strength and flexibility) and balance has not previously been studied. The purpose of this study assessed the relationship between ankle muscle characteristics and balance. Sixteen healthy participants volunteered to participate in the study. Dynamic balance measured using Y-balance kit. Ankle muscle characteristics (strength and flexibility) measured using hand-held dynamometer and goniometry. The results indicated a positive correlation between ankle invertor muscle strength and Y-balance test performance. Clinicians should consider ankle muscle strength during therapeutic interventions to improve dynamic balance.

균형과 발목 근육 특성 (근력과 유연성) 사이의 관계는 낙상 위험의 증가에 대한 규명과 낙상방지 훈련프로그램을 발전시키기 위해서 중요할 것이다. 발목 근육 특성(근력과 유연성)과 균형사이의 관계는 이전에 연구되지 않았다. 이 연구의 목적은 발목근육특성과 균형사이의 관계를 평가하는 것이다. 16명의 건강한 참가자들이 본 연구에 자원하였다. 동적 균형은 와이-발란스 (Y-balance) 키트를 이용하여 측정하였다. 발목 근육 특성 (근력과 유연성)은 악력계와 고니어미터를 사용하여 측정하였다. 발목내번근력과 와이-발란스 (Y-balance) 측정 수행능력 사이에 양의 상관관계를 나타냈다. 임상가들은 동적균형의 발전을 위해서 치료적 중재를 하는 동안 발목 근력을 고려해야 한다.

Keywords

References

  1. A. C. Aberg, B. Sidenvall, M. Hepworth, K. O'Reilly & H. Lithell. (2005). On loss of activity and independence, adaptation improves life satisfaction in old age: a qualitative study of patients' perception. Quality of Life Research, 14(4), 1111-1125. DOI 10.1007/s11136-004-2579-8
  2. L. Hasselgren, L. L. Olsson & L. Nyberg. (2011). Is leg muscle strength correlated with functional balance and mobility among inpatients in geriatric rehabilitation. Archives of gerontology and geriatrics, 52(3), 220-225. DOI: 10.1016/j.archger.2010.11.016
  3. D. A. Kallman, C. C. Plato & J. D. Tobin. (1990). The role of muscle loss in the age-related decline of grip strength: cross-sectional and longitudinal perspectives. Journal of gerontology, 45(3), 82-88. DOI: 10.1093/geronj/45.3.m82
  4. L. Cabell, D. Pienkowski, R. Shapiro & M. Janura. (2013). Effect of age and activity level on lower extremity gait dynamics: an introductory study. The Journal of Strength & Conditioning Research, 27(6), 1503-1510. DOI: 10.1519/JSC.0b013e318269f83d.
  5. R. W. Sattin, D. A. Lambert Huber, C. A. DeVito, J. G. Rodriguez, A. Ros & S. Bacchelli. (1990). The incidence of fall injury events among the elderly in a defined population. American journal of epidemiology, 131(6), 1028-1037. DOI: 10.1093/oxfordjournals.aje.a115594
  6. E. Bergeron, J. Clement, A. Lavoie, S. Ratte, J. M. Bamvita & F. Aumont. (2006). A simple fall in the elderly: not so simple. Journal of Trauma and Acute Care Surgery, 60(2), 268-273. DOI: 10.1097/01.ta.0000197651.00482.c5
  7. D. G. Thelen, A.B. Schultz, N.B. Alexander & J. A. Ashton-Miller. (1996). Effects of age on rapid ankle torque development. The Journals of Gerontology Series A. Biological Sciences and Medical Sciences, 51(5), 226-232. DOI: 10.1093/gerona/51a.5.m226
  8. A. P. Woodhull-McNeal. (1992). Changes in posture and balance with age. Aging (Milano), 4(3), 219-225. DOI: 10.1007/BF03324095
  9. S. R. Lord & J. A. Ward. (1994). Age-associated differences in sensorimotor function and balance in community dwelling women. Age and ageing, 23(6), 452-460. DOI: https://10.1093/ageing/23.6.452
  10. E. Mälklä, O. Impivaara, J. Heliövaara & J. Maatela. (1994). The physical activity of healthy and chronically ill adults in Finland at work, at leisure and during commuting. Scandinavian journal of medicine & science in sports, 4(1), 82-87. DOI: 10.1111/j.1600-0838.1994.tb00409.x
  11. C. R. Basnett, M. J. Hanish, T. J. Wheeler, D. J. Miriovsky, E. L. Danielson, J. B. Barr & TL Grindstaff. (2013). Ankle dorsiflexion range of motion influences dynamic balance in individuals with chronic ankle instability, International journal of sports physical therapy, 8(2), 121-128.
  12. M. Itshak, B. Nissim, K. Jacob & A. Neil. (2009). Association between ankle muscle strength and limit of stability in older adults. Age and ageing, 38(1), 119-123. DOI: 10.1093/ageing/afn249
  13. D. K. Lee, M. H. Kang, T. S. Lee & J. S. Oh. (2015). Relationships among the Y balance test, Berg Balance Scale, and lower limb strength in middle-aged and older females. Brazilian journal of physical therapy, 19(3), 227-234. DOI: 10.1590/bjpt-rbf.2014.0096
  14. K. Kiesel, P. Plisky & M Voight. (2007). Can serious injury in professional football be predicted by a preseason functional movement screen. North American journal of sports physical therapy, 2(3), 147-158.
  15. L. J. DiStefano, M. A. Clark & D. A. Padua. (2009). Evidence supporting balance training in healthy individuals: a systemic review. The Journal of Strength & Conditioning Research, 23(9), 2718-2731. DOI: 10.1519/JSC.0b013e3181c1f7c5
  16. T. L. Hooper, C. R. James, J. M. Brismee, T. J. Rogers, K. K. Gilbert, K. L. Browne & P. S. Sizer. (2016). Dynamic balance as measured by the Y-Balance Test is reduced in individuals with low back pain: A cross-sectional comparative study. Physical Therapy in Sport, 22, 29-34. DOI: 10.1016/j.ptsp.2016.04.006
  17. G. Schwiertz, D. Brueckner, S. Schedler, R. Kiss & T. Muehlbauer. (2019). Performance and reliability of the Lower Quarter Y Balance Test in healthy adolescents from grade 6 to 11. Gait & posture, 67, 142-146. DOI: 10.1016/j.gaitpost.2018.10.011
  18. C. L. Sipe, K. D. Ramey KD, P. P. Plisky & J. D. Taylor. (2019). Y-Balance Test: A Valid and Reliable Assessment in Older Adults. Journal of aging and physical activity, 21, 1-7. DOI: 10.1123/japa.2018-0330
  19. P. J. Plisky, P. P. Gorman, R.J. Butler, K. B. Kiesel, F. B. Underwood & B. Elkins. (2009). The reliability of an instrumented device for measuring components of the star excursion balance test, North American journal of sports physical therapy, 4(2), 92-99.
  20. D. K. Lee, G. M. Kim, S. M. Ha & J. S. Oh. (2014). Correlation of the Y-Balance Test with Lower-limb Strength of Adult Women, Journal of physical therapy science, 26(5), 641-643. DOI: 10.1589/jpts.26.641
  21. M. H. Kang, D. K. Lee, K. H. Park & J. S. Oh. (2015). Association of ankle kinematics and performance on the y-balance test with inclinometer measurements on the weight-bearing-lunge test. Journal of sport rehabilitation, 24(1), 62-67. DOI: 10.1123/jsr.2013-0117
  22. K. Y. Wang, S. H, Hussaini, R. D. Teasdall, C. U. Gwam & A. T. Scott. (2019). Smartphone Applications for Assessing Ankle Range of Motion in Clinical Practice. Foot & Ankle Orthopaedics, 4(3), 1-9 DOI: 10.1177/2473011419874779
  23. M. A. Alawna, B. H. Unver & E. O. Yuksel. (2019). The Reliability of a Smartphone Goniometer Application Compared With a Traditional Goniometer for Measuring Ankle Joint Range of Motion. Journal of the American Podiatric Medical Association, 109(1), 22-29. DOI: 10.7547/16-128
  24. M. Abassi, C. Bleakley & R. Whiteley. (2019). Athletes at late stage rehabilitation have persisting deficits in plantar-and dorsiflexion, and inversion (but not eversion) after ankle sprain. Physical Therapy in Sport, 38, 30-35. DOI: 10.1016/j.ptsp.2019.04.015
  25. M. A. Feger, L. Donovan, C. C.. Herb, G. G. Handsfield, S. S. Blemker,J. M. Hart & J. Hertel. (2019). Effect of Impairment-Based Rehabilitation on Lower Leg Muscle Volumes and Strength in Patients With Chronic Ankle Instability: A Preliminary Study. Journal of sport rehabilitation, 28(5), 450-458. DOI: 10.1123/jsr.2017-0136
  26. R. H. Robinson & P. A. Gribble. (2008). Support for a reduction in the number of trials needed for the star excursion balance test. Archives of physical medicine and rehabilitation, 89(2), 364-370. DOI: 10.1016/j.apmr.2007.08.139
  27. K. Barin & E. E. Dodson. (2011). Dizziness in the elderly. Otolaryngologic Clinics of North America, 44(2), 437-454. DOI: 10.1016/j.otc.2011.01.013
  28. A. A. Vandervoort, B. M. Chesworth, D. A. Cunningham, P. A. Rechnitzer, D. H. Paterson & J. J. Koval. (1992). An outcome measure to quantify passive stiffness of the ankle. Canadian journal of public health, 83(2), 19-23