• Title/Summary/Keyword: Lateral Instability

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The Effect of Motor Imagery on Onset Time of Leg Muscle and Ankle Injury Score of Patients with Functional Ankle Instability (상상운동이 기능적 발목관절 불안정성 환자의 하퇴 근육 근수축 개시시간 및 발목손상 척도에 미치는 영향)

  • Lim, Hyoung-Won
    • The Journal of Korean Physical Therapy
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    • v.24 no.1
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    • pp.7-14
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    • 2012
  • Purpose: The purpose of this study was to investigate the effect of motor imagery on the onset time of the leg muscle and ankle injury score of patients with functional ankle instability. Methods: The study included 16 patients with ankle instability after their ankle sprains. Motor imagery was performed 3 times a week for 4 weeks. The onset time of leg muscles was measured by using the surface EMG in one leg standing position on tibialis anterior, peroneous longus and medial, lateral gastrocnemius. The pre- and post-intervention was measured by using the ankle injury score. Data was analyzed by a paired t-test. Results: The onset time was reduced but there was no significant difference (p>0.05). The order of muscle recruitment was changed. Anke injury score increased significantly after motor imagery (p<0.05). Conclusion: The results suggest that motor imagery was effective by showing delayed onset time of peroneal muscle in patients with functional ankle instability. In future studies, various conditions and disorders should all be considered for the effective analysis of motor imagery.

The Effects of Alphabet Exercise with SSP Electrotherapy on Lateral Ankle Sprain (족관절 염좌에 SSP 전자침 요법을 병행한 동기침법의 효과)

  • Kim Gi-Yeol;Woo Kyung-Ha
    • The Journal of Korean Physical Therapy
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    • v.16 no.2
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    • pp.33-43
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    • 2004
  • The multiple acupuncture techniques have been used to relieve the pain of lateral ankle sprain. Recently, early functional rehabilitation is emphasized in rehabilitative concepts using active ROM, facilitated proprioception, alphabet exercise and so forth. Similarly, in oriental rehabilition medicine, traditional movement technique called 'Dong-Ki' has been used to relieve pain of ankle sprain. So we used 'Dong-Ki' technique with SSP(silver spike point) electrotherapy transformed from alphabet exercise and evaluated the effects in method of randomized controlled trials. 27 outpatients with lateral ankle sprains were randomized into two groups : 15 samples and 12 controls. Sample group was treated with 'Dong-Ki' technique(writing his name with foot) with SSP electrotherapy to relieve pain during additionally. 'Dong-Ki'. Outcomes were measured by 10cm VAS and ankle circumference(cm). In terms of VAS, Sample group had inclination of pain relieving but not significantly meaningful. In terms of ankle circumference measurement, Sample group showed significantly improved.

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Evidence-based Treatment of Acute Lateral Ankle Sprain (근거에 기반한 급성 발목관절 외측 염좌의 치료)

  • Cho, Byung-Ki
    • Journal of Korean Foot and Ankle Society
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    • v.22 no.4
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    • pp.135-144
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    • 2018
  • Acute lateral ankle sprain, which is the most common musculoskeletal injury, can be treated effectively with appropriate evidence-based initial care using PRICE (protection, rest, ice, compression, and elevation) and functional rehabilitation. Many systemic reviews reporting a high-level of evidence supporting the clinical usefulness and necessity of primary surgical repair for acute lateral ankle sprain have been insufficient. Regardless of the severity of ligament complex injuries, the surgical treatment for acute lateral ankle sprain without concomitant pathologies is not recommended and should be considered only in young professional athletes with complete ligament rupture (grade III) and severe instability.

Secondary Septic Arthritis Due to Lateral Malleolar Bursitis -A Case Report- (외과 점액낭염에서 발생한 2차적 화농성 관절염 -증례보고 1예-)

  • Ji, Jong-Hoon;Kim, Weon-Yoo;Lee, Yean-Soo;Park, Sang-Eun;Ra, Ki-Hang;Kwon, Oh-Soo
    • Journal of Korean Foot and Ankle Society
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    • v.10 no.2
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    • pp.274-278
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    • 2006
  • Lateral malleolar bursitis rarely progresses to septic arthritis. In our case, the 27 year old man visited due to progressive left ankle pain, despite the antibiotics treatment of lateral malleolar bursitis. 8 years ago, modified Brostrom procedure was performed owing to chronic ankle instability. Previous surgery altered anatomical structure of lateral ankle bursa, so it may cause the infection to spread to the ankle joint. We reported rare case of secondary septic arthritis caused by lateral malleolar bursitis.

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Aerostatic instability mode analysis of three-tower suspension bridges via strain energy and dynamic characteristics

  • Zhang, Wen-ming;Qian, Kai-rui;Wang, Li;Ge, Yao-jun
    • Wind and Structures
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    • v.29 no.3
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    • pp.163-175
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    • 2019
  • Multispan suspension bridges make a good alternative to single-span ones if the crossed strait or river width exceeds 2-3 km. However, multispan three-tower suspension bridges are found to be very sensitive to the wind load due to the lack of effective longitudinal constraint at their central tower. Moreover, at certain critical wind speed values, the aerostatic instability with sharply deteriorating dynamic characteristics may occur with catastrophic consequences. An attempt of an in-depth study on the aerostatic stability mode and damage mechanism of three-tower suspension bridges is made in this paper based on the assessment of strain energy and dynamic characteristics of three particular three-tower suspension bridges in China under different wind speeds and their further integration into the aerostatic stability analysis. The results obtained on the three bridges under study strongly suggest that their aerostatic instability mode is controlled by the coupled action of the anti-symmetric torsion and vertical bending of the two main-spans' deck, together with the longitudinal bending of the towers, which can be regarded as the first-order torsion vibration mode coupled with the first-order vertical bending vibration mode. The growth rates of the torsional and vertical bending strain energy of the deck after the aerostatic instability are higher than those of the lateral bending. The bending and torsion frequencies decrease rapidly when the wind speed approaches the critical value, while the frequencies of the anti-symmetric vibration modes drop more sharply than those of the symmetric ones. The obtained dependences between the critical wind speed, strain energy, and dynamic characteristics of the bridge components under the aerostatic instability modes are considered instrumental in strength and integrity calculation of three-tower suspension bridges.

The Effects of Dual Task Performance on Balance and Muscle Activity in Adults with Ankle Instability with Smartphones (스마트폰을 이용한 이중과제 수행이 발목 불안정성을 가진 성인의 균형과 근 활성도에 미치는 영향)

  • Min-Kyu Kim;Hoe-Song Yang;Young-Dae Yoo;Hyo-Jeong Kang;Chan-Joo Jeong
    • Journal of The Korean Society of Integrative Medicine
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    • v.11 no.1
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    • pp.21-29
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    • 2023
  • Purpose : Using a smartphone while walking districts attention and increases the risk of losing balance or falling. Ankle instability is caused by decreased muscle strength and decreased neuromuscular ability leading to postural control problems. Dual tasks increases the risk of falls by reducing postural control in adults with ankle instability. This study aimed to investigate the effect of performing a dual task on balance and muscle activity in adults with ankle instability using a smartphone. Methods : Forty-nine individuals with ankle instability participated in this study. A game of finding the wrong picture was performed using a smartphone in the dual task, and only looking at the blank screen of a smartphone was evaluated in the single task. The participants randomly performed single and dual task to evalutate balance and muscle atcitivy. Balance was evaluated using the Biodex balance system (BBS), and muscle activity was evaluated using surface EMG. Muscle activity of the gastrocnemius and tibialis anterior was measured at the same time as balance. Results : The results of this study showed that overall, anteior/posterior, and medial/lateral balance indices all showed significant differences when performing the dual task compared with those during the single task (p<.05). The muscle activity results showed a significant difference compared with that of the gastronemius muscle on the nondominant side during the dual task (p>.05). Conclusion : The results of this study showed that maintaining balance is more difficult when performing the dual task than during the single task, and only the muscle activity of the nondominant gastrocnemius muscle decreased. The dual task causes a decrease in concentration for postural control, which negatively affects postural stability. Individuals with ankle ankle instability should refrain from performing dual tasks, such as using smartphones, to prevent ankle damage.

Spiral Taping Improves Performance on Star Excursion Balance Test in Individuals with Unilateral Chronic Ankle Instability

  • Bae, Young-Sook
    • The Journal of Korean Physical Therapy
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    • v.28 no.6
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    • pp.376-380
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    • 2016
  • Purpose: This study was to investigate the short-term effects of spiral taping (ST) on performance on the star excursion balance test (SEBT) in individuals with unilateral chronic ankle instability (CAI). Methods: This study was single-group pre - post measures experimental design. The subjects with CAI were 39 (range, 20-31 years; male 16, females 23) were enrolled in the study. The discomfort had in unilateral ankle and Cumberland ankle instability score was 19.56 (${\pm}3.29$). Spiral tape (a width of 3 mm) was applied $3{\times}4$ cross shape on medial malleolus, lateral malleolus and dorsal of talocural joint of unstable ankle. SEBT was measured baseline and 30 min later in stable ankle and unstable ankle. Results: SEBT showed significantly improved after applying the ST (p<0.05, ES=0.74) on unstable ankle. In comparison the difference of stable and unstable ankle, between the pretest and posttest were significant differences (p<0.01, ES=1.88). Conclusion: These results indicated that ST improves performance on the SEBT. Therefore, it suggests that ST may be a suitable intervention to dynamic balance in patients with CAI.