DOI QR코드

DOI QR Code

The Effects of Short Foot Exercise on Muscle Activity and Balance in Young Adults with Chronic Ankle Instability

  • Mingyun Ko (Department of Physical Therapy, Gwangju Health University)
  • 투고 : 2023.12.15
  • 심사 : 2023.12.26
  • 발행 : 2023.12.31

초록

Objective: This study aimed to investigate the effects of short foot exercise (SFE) on muscle activity of the abductor halluces muscle and static balance of young adults with mild chronic ankle instability (CAI) and to provide basic data on CAI treatment and intervention. Design: A randomized controlled trial. Methods: A total of 30 young adults with mild chronic ankle instability participated in the study. The participants were randomized to the SFE group (n=15), and the control group(n=15). The method of short foot exercise draws the head of metatarsal putted to the floor, and toward the heel. and then, by contracting and maintaining the intrinsic muscles of the foot for 5, 10, and 15 seconds. The intervention was applied to the SFE group 5 times a week during the 2 weeks and conducted for 25 minutes a day. In one session, 4 sets were executed according to 3 types of muscle contraction maintenance time. All subjects were measured for muscle activity and static balance at before-after the intervention. Results: In the comparison within the groups, the SFE group was significantly difference in muscle activity of the abductor hallucis muscle and static balance (p<0.05). In the comparison between the groups, the SFE group was significantly difference from the control group in muscle activity and static balance(p <0.05). Conclusions: SFE was an effective method for mild CAI on muscle activity and static balance. It can be used for non-surgical intervention in mild CAI as basic data and intervention programs.

키워드

과제정보

본 연구는 2023년도 광주보건대학교 교내연구비의 지원을 받아 수행된 연구임 (No. 2023008).

참고문헌

  1. Lilley T, Herb CC, Hart J, Hertel J. Lower extremity joint coupling variability during gait in young adults with and without chronic ankle instability. Sports Biomech. 2018;17(2):261-272.
  2. Herzog MM, Kerr ZY, Marshall SW, Wikstrom EA. Epidemiology of ankle sprains and chronic ankle instability. J Athl Train. 2019;54(6): 603-610.
  3. Raugust JD. The effect of functional ankle instability on peroneal reflex latency. UAHSJ. 2006;3:16-19.
  4. Lee ES, Cho JC, Lee SW. Short-foot exercise promotes quantitative somatosensory function in ankle instability: a randomized controlled trial. Med SciMonit. 2019;25:618-626.
  5. Hiller CE, Kilbreath SL, Refshauge KM. Chronic ankle instability: evolution of the model. J Athl Train. 2011;46(2):133-141.
  6. Pak JY, Ahn YJ, Song YJ. A study on isokinetic strength and range of motion of low extremity in fin-swimming athletes with chronic ankle instability. Journal of Sport and Leisure Studies. 2012;50(2):835-844.
  7. Gilbreath JP, Gaven SL, Van Lunen BL, Hoch MC. The effects of mobilization with movement on dorsiflexion range of motion, dynamic balance, and self-reported function in individuals with chronic ankle instability. Man Ther. 2014;19(2):152-157.
  8. Hertel J. Functional instability following lateral ankle sprain. Sports Med. 2000;29:361-371.
  9. Hertel J. Functional anatomy, pathomechanics, and pathophysiology of lateral ankle instability. J Athl Train. 2002;37(4):364-375.
  10. Hoch MC, Hertel J, Gribble PA, Heebner NR, Hoch JM, Kosik KB, Fraser JJ, et al. Effects of foot intensive rehabilitation (FIRE) on clinical outcomes for patients with chronic ankle instability: a randomized controlled trial protocol. BMC Sports Sci Med Rehabil. 2023;15(1):1-13.
  11. Ko MG, Yu JH. The Effects of Neuromuscular Training of Ballet Dancers with Chronic Ankle Instability on Ankle Stability and Posture Control Ability. P TRS. 2022;11(4):585-590.
  12. Hiller CE, Refshauge KM, Bundy AC, Herbert RD, Kilbreath SL. The Cumberland ankle instability tool: a report of validity and reliability testing. Arch Phys Med Rehabil. 2006;87(9):1235-1241.
  13. Ross SE, Linens SW, Wright CJ, Arnold BL. Balance assessments for predicting functional ankle instability and stable ankles. Gait Posture. 2011;34(4): 539-542.
  14. Petersen W, Rembitzki IV, Koppenburg AG, EllermannA, Liebau C, Bruggemann GP, et al. Treatment of acute ankle ligament injuries: a systematic review. Arch Orthop Trauma Surg. 2013;133:1129-1141.
  15. Kim JH, Lee DJ, Lee ES. Effects of Intrinsic Foot Muscle Exercise on Dynamic Balance, Strength, and Vibration Threshold Sense in Persons with Ankle Instability. PNF & Mov. 2020;18(2):173-182.
  16. Neumann DA. Kinesiology of the Musculoskeletal System: Foundation for Rehabilitation. 2nd ed. St. Louis: Mosby; 2011.
  17. Headlee DL, Leonard JL, Hart JM, Ingersoll CD, Hertel J. Fatigue of the plantar intrinsic foot muscles increases navicular drop. J ElectromyogrKinesiol. 2008;18(3):420-425.
  18. Kelly LA, Kuitunen S, Racinais S, Cresswell AG. Recruitment of the plantar intrinsic foot muscles with increasing postural demand. ClinBiomech. 2012;27(1): 46-51.
  19. Anderson M, Barnum M. Foundations of athletic training: Prevention, assessment, and management. Philadelphia: Lippincott Williams & Wilkins; 2021.
  20. Rothermel SA, Hale SA, Hertel J, Denegar CR. Effect of active foot positioning on the outcome of a balance training program. PhysTher Sport. 2004;5(2):98-103.
  21. Liebenson C. Self-help advice for the Clinician: sensory-motor training. J BodywMovTher. 2001;1(5)21-27.
  22. Lynn K, Padilla A, Tsang KW. Differences in static- and dynamic-balance task performance after 4weeks of intrinsic-foot-muscle training: the short-foot exercise versus the towel-curl exercise. J Sport Rehabil. 2012;21(4):327-333.
  23. Fraser JJ, Hertel J. Effects of a 4-week intrinsic foot muscle exercise program on motor function: a preliminary randomized control trial. J Sport Rehabil. 2019;28(4):339-349.
  24. Jang MH, Ahn SJ, Lee JW, Rhee MH, Chae D, Kim J, et al. (2018). Validity and reliability of the newly developed surface electromyography device for measuring muscle activity during voluntary isometric contraction. Comput Math Methods Med.2018;29:4068493.
  25. Incel NA, Genc H, Erdem HR, Yorgancioglu ZR. Muscle imbalance in hallux valgus: an electromyographic study. Am J Phys Med Rehabil. 2003;82(5):345-349.
  26. Engkananuwat P, Kanlayanaphotporn R Gluteus medius muscle strengthening exercise effects on medial longitudinal arch height in individuals with flexible flatfoot: a randomized controlled trial. Journal of Exercise Rehabilitation 2023;19(1):57-66.
  27. Gooding TM, Feger MA, Hart JM, HertelJ. Intrinsic foot muscle activation during specific exercises: a T2 time magnetic resonance imaging study. J Athl Train. 2016;51(8)644-650.
  28. Ko MG, Song CH. The Effects of Squat Exercise Using Elastic Bands on Muscle Activity, Arabesque Angle, and Static Balance during Arabesque Posture in a Female Ballet Dancer. PTRS. 2022;11(2):172-180.
  29. Jung DY, Kim MH, Koh EK, Kwon OY, Cynn HS, Lee WH. A comparison in the muscle activity of the abductor hallucis and the medial longitudinal arch angle during toe curl and short foot exercises. PhysTher Sport. 2011;12(1):30-35.
  30. Lim TH. The effects of short foot exercise on ankle strength, static and dynamic balance control on flat foot elderly. Seoul: Korea University; 2017.