[논문]동적 균형과 발목 근육 특성 사이의 관계

정성훈; 전인철; 하성민

doi:10.15207/jkcs.2019.10.11.217

동적 균형과 발목 근육 특성 사이의 관계
Association between dynamic balance and ankle muscle characteristics 원문보기

한국융합학회논문지 = Journal of the Korea Convergence Society, v.10 no.11, 2019년, pp.217 - 223

정성훈 (연세대학교 물리치료학과) , 전인철 (호서대학교 물리치료학과) , 하성민 (상지대학교 물리치료학과)

초록
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균형과 발목 근육 특성 (근력과 유연성) 사이의 관계는 낙상 위험의 증가에 대한 규명과 낙상방지 훈련프로그램을 발전시키기 위해서 중요할 것이다. 발목 근육 특성(근력과 유연성)과 균형사이의 관계는 이전에 연구되지 않았다. 이 연구의 목적은 발목근육특성과 균형사이의 관계를 평가하는 것이다. 16명의 건강한 참가자들이 본 연구에 자원하였다. 동적 균형은 와이-발란스 (Y-balance) 키트를 이용하여 측정하였다. 발목 근육 특성 (근력과 유연성)은 악력계와 고니어미터를 사용하여 측정하였다. 발목내번근력과 와이-발란스 (Y-balance) 측정 수행능력 사이에 양의 상관관계를 나타냈다. 임상가들은 동적균형의 발전을 위해서 치료적 중재를 하는 동안 발목 근력을 고려해야 한다.

Abstract ▼ AI-Helper

The relationship between balance and ankle muscle characteristics (strength and flexibility) may be important to identify those at an increased risk of falling and to develop fall-prevention training programs. The association between ankle muscle characteristics (strength and flexibility) and balance has not previously been studied. The purpose of this study assessed the relationship between ankle muscle characteristics and balance. Sixteen healthy participants volunteered to participate in the study. Dynamic balance measured using Y-balance kit. Ankle muscle characteristics (strength and flexibility) measured using hand-held dynamometer and goniometry. The results indicated a positive correlation between ankle invertor muscle strength and Y-balance test performance. Clinicians should consider ankle muscle strength during therapeutic interventions to improve dynamic balance.

주제어

표/그림 (7)

그림 Fig. 1. Y balance kit
그림 Fig. 2. Goniometry and ankle muscle flexibility measurements
그림 Fig. 3. Hand-held dynamometer and ankle muscle strength measurements
그림 Fig. 4. Y balance test
표 Table 1. Pearson correlation coefficient of Y balance test distance (3 directions) and ankle strength
표 Table 2. Pearson correlation coefficient of Y balance test distance (3 directions) and ankle mobility
표 Table 3. Pearson correlation coefficient of Y balance test score and ankle muscle characteristics

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문제 정의

To our knowledge, the association between ankle muscle characteristics (strength and flexibility) and balance has not previously been studied. This study assessed the relationship between ankle muscle characteristics and balance.
This study demonstrated a positive correlation between ankle invertor muscle strength and performance in the YBT. Plantar flexor and invertor muscle strength were positively correlated with performance in the anterior direction; invertor muscle strength was positively correlated with performance in the posterolateral direction.
This study investigated the correlation between dynamic balance and ankle strength and flexibility. The results indicated a positive correlation between ankle invertor muscle strength and YBT performance.

제안 방법

Due to leg length differences between individuals, reach distance in three direction was normalized to the lower-limb length for data analysis by evaluating the maximized reach distance (%MAXD) using the formula (3×direction distance / lower-limb length×3)×100 = %MAXD[26].
Each pipe is marked in 5-mm unit for measurement. The participant pushes a target (reach unit) along the pipe, which normalizes the reach height (i.e., how far off the ground the reach foot is), and, to make the determination of reach distance more precise, the target measure the tape after the test.
5 cm inferior to the lateral malleolus[22-24]. The participant was asked to plantar flexion of the ankle as far as possible; and then the measurement was recorded, the subject activate dorsiflexion of the ankle as far as possible. To measure inversion and eversion, subjects were trained to invert and evert the calcaneus as far as possible.

대상 데이터

Sixteen healthy participants volunteered to participate in the study (12 male, 4 female; mean age: 23.2 ± 17 years, height: 173.1 ± 6.6 cm, weight: 70.4 ± 10.3 kg).

데이터처리

Pearson’s correlation coefficient was used to quantify the linear relationship between ankle muscle characteristics and balance (YBT distance and score).

후속연구

Future studies should determine whether these findings can be generalized to subjects beyond this age range. Additionally, further research is required in subjects who have poor ankle muscle strength and flexibility.

참고문헌 (28)

A. C. Aberg, B. Sidenvall, M. Hepworth, K. O'Reilly & H. Lithell. (2005). On loss of activity and independence, adaptation improves life satisfaction in old age: a qualitative study of patients' perception. Quality of Life Research, 14(4), 1111-1125. DOI 10.1007/s11136-004-2579-8

상세보기
L. Hasselgren, L. L. Olsson & L. Nyberg. (2011). Is leg muscle strength correlated with functional balance and mobility among inpatients in geriatric rehabilitation. Archives of gerontology and geriatrics, 52(3), 220-225. DOI: 10.1016/j.archger.2010.11.016

상세보기
D. A. Kallman, C. C. Plato & J. D. Tobin. (1990). The role of muscle loss in the age-related decline of grip strength: cross-sectional and longitudinal perspectives. Journal of gerontology, 45(3), 82-88. DOI: 10.1093/geronj/45.3.m82

상세보기
L. Cabell, D. Pienkowski, R. Shapiro & M. Janura. (2013). Effect of age and activity level on lower extremity gait dynamics: an introductory study. The Journal of Strength & Conditioning Research, 27(6), 1503-1510. DOI: 10.1519/JSC.0b013e318269f83d.

상세보기
R. W. Sattin, D. A. Lambert Huber, C. A. DeVito, J. G. Rodriguez, A. Ros & S. Bacchelli. (1990). The incidence of fall injury events among the elderly in a defined population. American journal of epidemiology, 131(6), 1028-1037. DOI: 10.1093/oxfordjournals.aje.a115594

상세보기
E. Bergeron, J. Clement, A. Lavoie, S. Ratte, J. M. Bamvita & F. Aumont. (2006). A simple fall in the elderly: not so simple. Journal of Trauma and Acute Care Surgery, 60(2), 268-273. DOI: 10.1097/01.ta.0000197651.00482.c5

상세보기
D. G. Thelen, A.B. Schultz, N.B. Alexander & J. A. Ashton-Miller. (1996). Effects of age on rapid ankle torque development. The Journals of Gerontology Series A. Biological Sciences and Medical Sciences, 51(5), 226-232. DOI: 10.1093/gerona/51a.5.m226
A. P. Woodhull-McNeal. (1992). Changes in posture and balance with age. Aging (Milano), 4(3), 219-225. DOI: 10.1007/BF03324095
S. R. Lord & J. A. Ward. (1994). Age-associated differences in sensorimotor function and balance in community dwelling women. Age and ageing, 23(6), 452-460. DOI: https://10.1093/ageing/23.6.452

상세보기
E. Malkla, O. Impivaara, J. Heliovaara & J. Maatela. (1994). The physical activity of healthy and chronically ill adults in Finland at work, at leisure and during commuting. Scandinavian journal of medicine & science in sports, 4(1), 82-87. DOI: 10.1111/j.1600-0838.1994.tb00409.x

상세보기
C. R. Basnett, M. J. Hanish, T. J. Wheeler, D. J. Miriovsky, E. L. Danielson, J. B. Barr & TL Grindstaff. (2013). Ankle dorsiflexion range of motion influences dynamic balance in individuals with chronic ankle instability, International journal of sports physical therapy, 8(2), 121-128.

상세보기
M. Itshak, B. Nissim, K. Jacob & A. Neil. (2009). Association between ankle muscle strength and limit of stability in older adults. Age and ageing, 38(1), 119-123. DOI: 10.1093/ageing/afn249

상세보기
D. K. Lee, M. H. Kang, T. S. Lee & J. S. Oh. (2015). Relationships among the Y balance test, Berg Balance Scale, and lower limb strength in middle-aged and older females. Brazilian journal of physical therapy, 19(3), 227-234. DOI: 10.1590/bjpt-rbf.2014.0096

상세보기
K. Kiesel, P. Plisky & M Voight. (2007). Can serious injury in professional football be predicted by a preseason functional movement screen. North American journal of sports physical therapy, 2(3), 147-158.

상세보기
L. J. DiStefano, M. A. Clark & D. A. Padua. (2009). Evidence supporting balance training in healthy individuals: a systemic review. The Journal of Strength & Conditioning Research, 23(9), 2718-2731. DOI: 10.1519/JSC.0b013e3181c1f7c5

상세보기
T. L. Hooper, C. R. James, J. M. Brismee, T. J. Rogers, K. K. Gilbert, K. L. Browne & P. S. Sizer. (2016). Dynamic balance as measured by the Y-Balance Test is reduced in individuals with low back pain: A cross-sectional comparative study. Physical Therapy in Sport, 22, 29-34. DOI: 10.1016/j.ptsp.2016.04.006

상세보기
G. Schwiertz, D. Brueckner, S. Schedler, R. Kiss & T. Muehlbauer. (2019). Performance and reliability of the Lower Quarter Y Balance Test in healthy adolescents from grade 6 to 11. Gait & posture, 67, 142-146. DOI: 10.1016/j.gaitpost.2018.10.011

상세보기
C. L. Sipe, K. D. Ramey KD, P. P. Plisky & J. D. Taylor. (2019). Y-Balance Test: A Valid and Reliable Assessment in Older Adults. Journal of aging and physical activity, 21, 1-7. DOI: 10.1123/japa.2018-0330
P. J. Plisky, P. P. Gorman, R.J. Butler, K. B. Kiesel, F. B. Underwood & B. Elkins. (2009). The reliability of an instrumented device for measuring components of the star excursion balance test, North American journal of sports physical therapy, 4(2), 92-99.
D. K. Lee, G. M. Kim, S. M. Ha & J. S. Oh. (2014). Correlation of the Y-Balance Test with Lower-limb Strength of Adult Women, Journal of physical therapy science, 26(5), 641-643. DOI: 10.1589/jpts.26.641

상세보기
M. H. Kang, D. K. Lee, K. H. Park & J. S. Oh. (2015). Association of ankle kinematics and performance on the y-balance test with inclinometer measurements on the weight-bearing-lunge test. Journal of sport rehabilitation, 24(1), 62-67. DOI: 10.1123/jsr.2013-0117

상세보기
K. Y. Wang, S. H, Hussaini, R. D. Teasdall, C. U. Gwam & A. T. Scott. (2019). Smartphone Applications for Assessing Ankle Range of Motion in Clinical Practice. Foot & Ankle Orthopaedics, 4(3), 1-9 DOI: 10.1177/2473011419874779
M. A. Alawna, B. H. Unver & E. O. Yuksel. (2019). The Reliability of a Smartphone Goniometer Application Compared With a Traditional Goniometer for Measuring Ankle Joint Range of Motion. Journal of the American Podiatric Medical Association, 109(1), 22-29. DOI: 10.7547/16-128

상세보기
M. Abassi, C. Bleakley & R. Whiteley. (2019). Athletes at late stage rehabilitation have persisting deficits in plantar-and dorsiflexion, and inversion (but not eversion) after ankle sprain. Physical Therapy in Sport, 38, 30-35. DOI: 10.1016/j.ptsp.2019.04.015

상세보기
M. A. Feger, L. Donovan, C. C.. Herb, G. G. Handsfield, S. S. Blemker,J. M. Hart & J. Hertel. (2019). Effect of Impairment-Based Rehabilitation on Lower Leg Muscle Volumes and Strength in Patients With Chronic Ankle Instability: A Preliminary Study. Journal of sport rehabilitation, 28(5), 450-458. DOI: 10.1123/jsr.2017-0136

상세보기
R. H. Robinson & P. A. Gribble. (2008). Support for a reduction in the number of trials needed for the star excursion balance test. Archives of physical medicine and rehabilitation, 89(2), 364-370. DOI: 10.1016/j.apmr.2007.08.139

상세보기
K. Barin & E. E. Dodson. (2011). Dizziness in the elderly. Otolaryngologic Clinics of North America, 44(2), 437-454. DOI: 10.1016/j.otc.2011.01.013

상세보기
A. A. Vandervoort, B. M. Chesworth, D. A. Cunningham, P. A. Rechnitzer, D. H. Paterson & J. J. Koval. (1992). An outcome measure to quantify passive stiffness of the ankle. Canadian journal of public health, 83(2), 19-23

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