Journal of Korean Physical Therapy Science (대한물리치료과학회지)

Korean Physical Therapy Science (대한물리치료과학회)
권호 표지
DOI QR코드

DOI QR Code

Effects of Y-Balance Exercise on Spatio-temporal Gait Parameters in Subjects with Chronic Ankle Instability

Y-균형 운동이 만성적 발목 불안정성을 가진 사람들의 시거리 보행 변수에 미치는 영향

  • Geun Tae Park (Physio Conditioning Training Center) ;
  • Min Ji Kang (Dept. of Physical Therapy, College of Science, Kyungsung University) ;
  • Jin Tae Han (Dept. of Physical Therapy, College of Science, Kyungsung University)
  • 박근태 (피지오 컨디셔닝 운동센터 ) ;
  • 강민지 (경성대학교 물리치료학과 ) ;
  • 한진태 (경성대학교 물리치료학과)
  • Received : 2023.02.28
  • Accepted : 2023.05.09
  • Published : 2024.03.31
Download PDF
⟨ Previous Next ⟩

Abstract

Background: This study aimed to investigate the effect of Y-balance exercise on spatio-temporal gait parameters in subjects with chronic ankle instability. Design: Randomized Controlled Trial. Method: A study was conducted on 43 people with chronic ankle instability. Subjects performed modified Y-balance exercise 3 times a week for 50 minutes, 4 weeks. Gait parameters were measured using a gait analysis treadmill before exercise, 2 weeks after exercise, and 4 weeks after exercise. A gait analysis treadmill (FDM-T AP1171, Zebris, Germany) was used to measure gait parameters. Mean values were compared using Repeated measured two-way ANOVA. Result:: When comparing the results of three measurements taken before exercise, 2 weeks after exercise, and 4 weeks after exercise, there were significant differences in the qualitative and quantitative aspects of gait in gait variables such as step distance, step time, step ratio, and sway ratio. Conclusions: These results suggest that the Y-balance exercise and various exercises combining balance and proprioception are effective for subjects with chronic ankle instability.

Keywords

References

  1. 고주필. Comparison kinematic patterns between the star excursion balance test and Y-Balance test in elite athletes. 한국운동역학회지 2017;27(3):165-169.
  2. 김경훈, 조준행, 이성철. 테이핑이 기능적 발목 불안정성이 있는 선수들의 점프 착지 시 하지에 미치는 영향. 한국운동역학회지 2009;19(2):265-272.
  3. 김선민, 이근수, 장상훈. 치료적 운동을 병행한 발목 관절가동술이 만성 발목 불안정성을 가진 노인의 발목 관절가동범위와 균형에 미치는 영향. 대한물리치료과학회지. 2023;30(2):52-64.
  4. 김영민. 기능적 발목 불안정성에 대한 안정지지면과 불안정지지면에서의 균형훈련의 효과 비교. 대한정형도수물리치료학회 2014;20(2):1-7.
  5. 김윤환, 박수형, 송현승. 중간볼기근 강화운동이 만성 발목염좌 환자의 발목 안정성에 미치는 효과. 대한정형도수치료학회지 2018;24(2): 59-67.
  6. 김인배, 박태성, 강종호. 성인 여성의 맨발 보행과 운동화 착용 보행 시 주기 비교. 융합정보논문지 2018;8(1):9-14. https://doi.org/10.22156/CS4SMB.2018.8.1.009
  7. 김주오, 이병희. 뇌졸중 환자에게 하지 근력강화 프로그램이 균형, 보행과 상지 기능에 미치는 효과. 한국콘텐츠학회논문지 2020;20(6):114-123. https://doi.org/10.5392/JKCA.2020.20.06.114
  8. 문세영, 윤민이, 윤세원. 유산소운동과 하지근 강화 운동이 심박수와 호흡수에 미치는 영향. 대한심장호흡물리치료학회지 2014;2(1):15-20.
  9. 신원정, 오두환, 장석암, 등. 만성 발목 불안정성 요인에 대한 엉덩이 강화 운동의 효과. 한국산학기술학회논문지 2016;17(3):276-282. https://doi.org/10.5762/KAIS.2016.17.3.276
  10. 윤진환, 정일규, 김연희. 트레드밀 운동에 의한 MAPK 관련 전사인자의 활성화가 축삭 재생과 탈신경된 가자미근의 비대에 미치는 효과. 운동과학 2010;19(2):105-114. https://doi.org/10.15857/KSEP.2010.19.2.105
  11. 이대훈, 김초인, 신기하, 등. 키네시오 테이프의 장력 차이가 젊은 대학생들의 발목 근력, 관절가동범위 및 균형에 미치는 영향. 대한물리치료과학회지. 2022;29(2):
  12. 이병훈, 정진규, 김찬규. 편마비 환자의 후방보행훈련이 보행능력과 족저압에 미치는 영향. 한국산학기술학회논문지 2014;15(12):7259-7265. https://doi.org/10.5762/KAIS.2014.15.12.7259
  13. 이은상, 이승원. 만성 발목 불안정성 환자들에 대한 샌들과 균형 융합 운동이 정적균형 및 고유수용성감각에 미치는 효과. 한국융합학회논문지 2018;9(9):143-148. https://doi.org/10.15207/JKCS.2018.9.9.143
  14. 이진환, 이재홍, 권원안. 등. 발목관절의 근력 강화 훈련과 정적 근육 신장 훈련이 뇌졸중 환자의 족저압 및 보행에 미치는 영향. 한국산학기술학회논문지 2012;13(3):1153-1160. https://doi.org/10.5762/KAIS.2012.13.3.1153
  15. 유요한, 한진태. 뇌졸중 환자의 탄력-비탄력 발목 테이핑 적용이 자세균형과 보행능력에 미치는 일시적 효과. 대한물리치료과학회지. 2023;30(1):52-61.
  16. 정민호, 김경현, 김예진. 등. 바로 누운 자세에서 우세측 팔 등척성 수축이 정상 성인의 비우세측 다리 근활성도에 미치는 영향. 한국산학기술학회 학술대회. 2014;2014:664-666.
  17. 정상모, 이재남, 전재형. 등. 급성 발목 염좌에 대한 족관절의 관절가동술이 보행과 고관절 근력에 미치는 영향. 대한정형도수물리치료학회지 2018;24(1):39-46.
  18. 조성현, 최기복. 트레드밀 운동이 뇌졸중 환자의 폐기능과 보행능력에 미치는 효과: 메타분석. 대한통합의학회지 2020;8(2):169-185. https://doi.org/10.15268/KSIM.2020.8.2.169
  19. 최진승, 강동원, 방윤환. 등. 젊은 성인의 평지 및 트레드밀 보행 시 Streide Time의 변화성. 체육과학연구 2011;22(1):1701-1707. https://doi.org/10.24985/KJSS.2011.22.1.1701
  20. 한진태. 정적 서기 동안 한쪽 또는 양쪽 발목관절 고정이 자세균형에 미치는 영향. 대한물리치료과학회지. 2022;29(3):56-62.
  21. 한준호, 이효정. 불안정 지지면과 안정 지지면에서의 발목균형훈련이 비만중년여성의 고유수용성감각, 균형 및 근력에 미친는 영향. 대한통합의학회지 2018;6(3):59-71. https://doi.org/10.15268/KSIM.2018.6.3.059
  22. Beynnon BD, Murphy DF, Alosa DM. Predictive factors for lateral ankle sprains: a literature review. Journal of Athletic Training. 2002;37(4):376-380.
  23. Boruta PM, Bishop JO, Braly WG et al. Acute ankle ligament injuries; a literature review. Foot Ankle. 1990;11:107-113. https://doi.org/10.1177/107110079001100210
  24. Cao S, Wang C, Zhan, G. et al. In vivo kinematics of functional ankle instability patients during the stance phase of walking. Gait & Posture. 2019;73:262-268.
  25. Chinn L, Dicharry J, Hart JM. et al. Gait Kinematics After Taping in Participants With Chronic Ankle Instability. Journal of Athletic Training. 2014;49(3):322-330. https://doi.org/10.4085/1062-6050-49.3.08
  26. Conceicao JS, Schaefer de Araujo FG, Santos GM. et al. Changes in Postural Control After a Ball-Kicking Balance Exercise in Individuals With Chronic Ankle Instability. Journal of Athletic Training. 2016;51(6):480-490. https://doi.org/10.4085/1062-6050-51.8.02
  27. Cruz-Diaz D, Lomas-Vega R, Osuna-Perez M. et al. Effects of 6 Weeks of Balance Training on Chronic Ankle Instability in Athletes: A Randomized Controlled Trial. International Journal of Sports Medicine. 2015;36(9):754-760.
  28. Drewes LK, Mckeon PO, Casey KD. et al. Dorsi flexion deficit during jogging with chronic ankle instability. Sports Medicine. 2009;6(12):685-687.
  29. Gerber JP, Williams GN, Scoville CR. et al. Persistent disability associated with ankle sprains: A prospective examination of an athletic population. Foot & Ankle International. 1998;19(10):653-660. https://doi.org/10.1177/107110079801901002
  30. Golano P, Vega J, de Leeuw PA. et al. Anatomy of the ankle ligaments: a pictorial essay. Knee Surgery, Sports Traumatology, Arthroscopy. 2010;18(5):557-569. https://doi.org/10.1007/s00167-010-1100-x
  31. Geerse DJ, Coolen BH, Roerdink M. Kinematic Validation of a Multi-Kinect v2 Instrumented 10-Meter Walkway for Quantitative Gait Assessments. PLOS ONE, 2015;10(10).
  32. Han J, Anson J, Waddington G. et al. The role of ankle proprioception for balance control in relation to sports performance and injury. BioMed Research International. 2015;2015:1-8.
  33. Hertel J. Functional instability following lateral ankle sprain. Sports Medicine. 2000;29(5):361-371. https://doi.org/10.2165/00007256-200029050-00005
  34. Hertel J. Functional anatomy, pathomechanics, and pathophysiology of lateral ankle instability. Journal of Athletic Training. 2002;37(4):364-375.
  35. Hertel J, Braham RA, Hale SA. et al. Simplifying the star excursion balance test: Analyses of subjects with and without chronic ankle instability. Journal of Orthopaedic & Sports Physical Therapy. 2006;36(3):131-137. https://doi.org/10.2519/jospt.2006.36.3.131
  36. Hiller CE, Refshauge KM, Bundy AC. et al. The Cumberland ankle instability tool: a report of validity and reliability testing. Archives of Physical Medicine and Rehabilitation. 2006;87(9):1235-1241. https://doi.org/10.1016/j.apmr.2006.05.022
  37. Hubbard TJ, Hertel J. Mechanical contributions to chronic lateral ankle instability. Sports Medicine. 2006;36(3):263-277. https://doi.org/10.2165/00007256-200636030-00006
  38. Ken VA, Athol T, Angus B. Reliability and validity of the Zebris FDM-THQ instrumented treadmill during running trials. Sports Biomech. 2019;18(5):501-514. https://doi.org/10.1080/14763141.2018.1452966
  39. Kibushi B, Moritani T, ouzaki M. Local dynamic stability in temporal pattern of intersegmental coordination during various stride time and stride length combinations. Experimental Brain Research. 2018;237(1):257-271. https://doi.org/10.1007/s00221-018-5422-0
  40. Kim K, Cha YJ, Fell DW. The effect of contralateral training: Influence of unilateral isokinetic exercise on one-legged standing balance of the contralateral lower extremity in adults. Gait & Posture. 2011;34(1):103-106. https://doi.org/10.1016/j.gaitpost.2011.03.022
  41. Kinzey SJ, Armstrong CW. The reliability of the star excursion test in assessing dynamic balance. Journal of Orthopaedic & Sports Physical Therapy. 1998;27(5):356-360. https://doi.org/10.2519/jospt.1998.27.5.356
  42. Koldenhoven RM, Hart J, Saliba S. et al. Gait kinematics & kinetics at three walking speeds in individuals with chronic ankle instability and ankle sprain copers. Gait & Posture. 2019;74:169-175. https://doi.org/10.1016/j.gaitpost.2019.09.010
  43. Lee E, Cho J, Lee S. Short-Foot Exercise Promotes Quantitative Somatosensory Function in Ankle Instability: A Randomized Controlled Trial. Medical Science Monitor. 2019;25:618-626. https://doi.org/10.12659/MSM.912785
  44. Lim YP, Lin YC, Pandy MG. Effects of step length and step frequency on lower-limb muscle function in human gait. Journal of Biomechanics. 2017;57:1-7. https://doi.org/10.1016/j.jbiomech.2017.03.004
  45. Meyer C, Killeen T, Easthope CS. et al. Familiarization with treadmill walking: How much is enough? Scientific Reports. 2019;9(1).
  46. Neumann DA. Kinesiology of the Musculoskeletal System. Mosby. 2010.
  47. Overmoyer GV, Reiser RF. Relationships between lower-extremity flexibility, asymmetries, and the Y balance test. Journal of Strength and Conditioning Research. 2015;29(5):1240-1247. https://doi.org/10.1519/JSC.0000000000000693
  48. Perry, J. Gait analysis : Normal and pathological function. Slack. 2010.
  49. Plisky PJ, Gorman PP, Butler RJ. et al. The reliability of an instrumented device for measuring components of the star excursion balance test. North American Journal of Sports Physical Therapy. 2009;4(2):92-99.
  50. Sawkins K, Refshauge K, Kilbreath S. et al. The Placebo Effect of Ankle Taping in Ankle Instability. Medicine & Science in Sports & Exercise. 2007;39(5):781-790. https://doi.org/10.1249/MSS.0b013e3180337371
  51. Schulz BW, Ashton-Miller JA, Alexander NB. Maximum Step Length: Relationships to age and knee and hip extensor capacities. Clinical Biomechanics. 2007;22(6):689-696. https://doi.org/10.1016/j.clinbiomech.2007.02.008
  52. Shaun R, Lauren P, Keun-ok A. et al. Comparison between the Modified Star Excursion Balance Test and the Traditional Star Excursion Balance Test in Recreational Athletes. The Asian Journal of Kinesiology. 2018;20(3):19-23. https://doi.org/10.15758/ajk.2018.20.3.19
  53. Stiffler MR, Bell DR, Sanfilippo JL. et al. Star excursion balance test anterior asymmetry associated with injury status in division I collegiate athletes. Journal of Orthopaedic & Sports Physical Therapy. 2017;47(5):339-346. https://doi.org/10.2519/jospt.2017.6974
  54. Van Hooren B, Peake JM. Do We Need a Cool-Down After Exercise? A Narrative Review of the Psychophysiological Effects and the Effects on Performance, Injuries and the Long-Term Adaptive Response. Sports Medicine. 2018;48(7):1575-1595. https://doi.org/10.1007/s40279-018-0916-2
  55. Van Mechelen W, Hlobil H, Kemper HC. G. et al. Prevention of running injuries by warm-up, cool-down, and stretching exercises. The American Journal of Sports Medicine. 1993;21(5):711-719. https://doi.org/10.1177/036354659302100513
  56. Verhagen EA, Mechelen W, de Vente W. The Effect of preventive Measures on the Incidence of Ankle Sprains. Clinical Journal of Sport Medicine. 2000;10(4):291-296.
  57. Wortmann MA, Docherty CL. Effect of balance training on postural stability in subjects with chronic ankle instability. Journal of Sport Rehabilitation. 2013;22(2):143-149. https://doi.org/10.1123/jsr.22.2.143