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http://dx.doi.org/10.15268/ksim.2022.10.4.057

Effects of Gluteus Medius Strengthening Training Using Sling on Ankle Instability, Muscle Strength, Balance in Adults in Their 20s with Chronic Ankle Instability  

Jeong, Jong-Hyo (Dept. of Physical Therapy, Graduate School of Health and Medicine, Daejeon University)
Kim, Ho (Dept. of Physical Therapy, Graduate School, Daejeon University)
Shin, Won-Seob (Dept. of Physical Therapy, College of Health and Medical Science, Daejeon University)
Publication Information
Journal of The Korean Society of Integrative Medicine / v.10, no.4, 2022 , pp. 57-69 More about this Journal
Abstract
Purpose : The purpose of this study was to investigate the effect of ankle strengthening exercise combined with sling-assisted gluteus medius strengthening on ankle instability score, and static and dynamic balance ability, muscle strength in adults in their 20s with chronic ankle instability. Methods : Twenty-eight adults in their 20s with chronic ankle instability were recruited. After screening test, they were randomized through R studio program as an experimental group (n=14) to apply an ankle strengthening exercise combined with sling-assisted gluteus medius strengthening and a control group (n=14) to apply ankle strengthening exercise. The intervention lasted two times a week for 6 weeks. To compare the intervention effects, the Cumberland ankle instability tool (CAIT) score, static and dynamic balance ability, and muscle strength of lower extremities were measured. Results : The experimental group showed a significant increase in pre and post-intervention Cumberland ankle instability tool (CAIT) score, static and dynamic balance ability, and muscle strengt (p<.05). The control group showed a significant increase in pre and post-intervention CAIT score, dynamic balance ability, and muscle strength (p<.05). The experimental group showed a significant increase in CAIT score, dynamic balance ability, and muscle strength compared to the control group (p<.05), and showed a high effect size. Conclusions : The results of this study confirmed that ankle strengthening exercise combined with sling-assisted gluteus medius strengthening on people with chronic ankle instability the possibility that it could be effective in improving ankle instability and improving dynamic balance ability, and strength by movement. Although additional research is needed to increase the number of participants due to the small sample size, it is hoped that this study will be an optimistic clinical protocol for people with chronic ankle instability.
Keywords
ankle instability; balance; hip; muscle strength; sling exercise;
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