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Effects of Force and Position Aspects of the Ankle Proprioception on the Balance Ability

발목관절에서 힘과 위치 측면의 고유수용성감각 수준이 균형능력에 미치는 영향

  • Ree, Jae Sun (Department of Physical Therapy, Graduate School of Hoseo University) ;
  • Hwang, Seonhong (Department of Physical Therapy, Hoseo University)
  • 이재선 (호서대학교 일반대학원 물리치료학과) ;
  • 황선홍 (호서대학교 생명보건대학 물리치료학과)
  • Received : 2019.12.05
  • Accepted : 2020.04.10
  • Published : 2020.04.30

Abstract

Despite of a lot of studies about proprioception tests, there are little study results to investigate the relationship between the functional movement and proprioception level. In this study, we tried to perform quantitative analysis for the effect of ankle joint proprioception level on the one leg standing postural control ability. Nine healthy people volunteered for this study. Force and position aspects of proprioception were evaluated using the electromyography system (EMG) and mobile clinometer application, respectively. The center of pressure (COP) trajectories, measured by a pressure mat sensor, were used for quantitative analysis of balance for each subject. We computed indices and errors of force and position aspects of proprioception from the EMG and ankle angle. Mean velocity of total and anterior-posterior direction (Vm and Vm_ap), root mean squared distance in anterior-posterior direction (RDap), travel length (L), and area (A) of COP trajectories were also calculated as indices of postural control ability of subjects. Two aspects of proprioception showed the low correlation from each other as previous studies. However, the EMG error of gastrocnemius lateral activation showed a high correlation coefficient with COP variables such as Vm (ρ=0.817, p=0.007), Vm_ap (ρ=0.883, p=0.002), RDap (ρ=0.854, p=0.003), L (ρ=0.817, 0.007) and A (ρ=0.700, p=0.036). Within our knowledge, this is almost the first study that investigated the relationship between proprioception level and functional movement. These study results could support that the ankle joint proprioception facilitation exercise would have positive effects on functional balance rehabilitation interventions.

Keywords

References

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