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만성 발목 불안정성을 가진 무용수와 비무용수, 건강한 무용수의 동적 자세 조절 및 발목 관절 이완성

Dynamic Postural Control and Ankle Joint Laxity among Dancers and Non-dancers with Chronic Ankle Instability, and Healthy Dancers

  • Eun Ji Hong (Department of Kinesiology, Graduate School of Yonsei University) ;
  • Jiho Kang (School of Health and Kinesiology, University of Nebraska at Omaha) ;
  • Hyung Gyu Jeon (Department of Kinesiology, Graduate School of Yonsei University) ;
  • Kyeongtak Song (Department of Physical Education, Yonsei University) ;
  • Sae Yong Lee (Department of Physical Education, Yonsei University)
  • 투고 : 2024.05.08
  • 심사 : 2024.06.24
  • 발행 : 2024.06.30

초록

Objective: The purpose of this study was to investigate whether dancers with chronic ankle instability (CAI) exhibit different characteristics in dynamic postural control ability and ankle joint laxity compared to dancers without CAI and non-dancers with CAI. Method: Twelve dancers with CAI, 14 dancers without CAI, and 12 non-dancers with CAI participated in the study. Dynamic balance was evaluated using the Star Excursion Balance Test (SEBT) and the single-leg hop balance. The laxity of the ankle joint was evaluated through the anterior drawer test and the talar tilt test. SEBT measured maximum reach distances in anterior, posteromedial, and posterolateral directions. Single-leg hop assessed center of pressure (COP) and time-to-boundary (TTB) outcomes. One-way ANOVA and Chi-square tests were performed to compare the outcome variables among the three groups. Results: Dancers with CAI demonstrated greater reach distance in the posterolateral direction compared to non-dancers with CAI during SEBT (p=.014). Secondly, dancers without CAI showed greater reach distance in the posterolateral (p<.001) and posteromedial (p=.001) directions during SEBT compared to non-dancers with CAI. Additionally, dancers without CAI exhibited better postural control with higher TTB AP mean of minima (p=.003) and TTB AP standard deviation of minima (p=.012) during single-leg hop compared to nondancers with CAI. Thirdly, dancers with CAI showed a lower positive rate during the anterior drawer test compared to non-dancers with CAI (p=.019). Conclusion: Dancers with CAI demonstrated better ankle function and reduced mechanical instability compared to non-dancers with CAI. Therefore, to elucidate the underlying mechanisms of lateral ankle sprain and CAI development exacerbation in dancers, additional factors that can affect ankle sprain, such as visual dependence during postural control and evaluation in dance movements, should be explored.

키워드

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