[논문]만성 발목 불안정성(CAI) 환자와 건강 대조군 간 종합적 발목관절복합체의 생체역학적 특성

Kim, Byong Hun; Jeong, Hee Seong; Lee, Inje; Jeon, Hyung Gyu; Lee, Sae Yong

doi:10.5103/kjsb.2021.31.3.168

만성 발목 불안정성(CAI) 환자와 건강 대조군 간 종합적 발목관절복합체의 생체역학적 특성
Biomechanical Characteristics of Comprehensive Ankle Joint Complex between Chronic Ankle Instability (CAI) and Healthy Control 원문보기

한국운동역학회지 = Korean journal of sport biomechanics, v.31 no.3, 2021년, pp.168 - 175

Kim, Byong Hun (Department of Physical Education, Yonsei University) , Jeong, Hee Seong (Department of Sports and Health Management, Mokwon University) , Lee, Inje (Department of Physical Education, Yonsei University) , Jeon, Hyung Gyu (Department of Physical Education, Yonsei University) , Lee, Sae Yong (Department of Physical Education, Yonsei University)

Abstract ▼ AI-Helper

Objective: To investigate the static and dynamic analysis of ankle joint complex between subjects with chronic ankle instability (CAI) and healthy controls. Method: A total of 38 subjects and CAI group (N=19) and healthy control (N=19) participated in this first study. Variables that were measured in this study were as follows: 1) Subtalar joint axis inclination and deviation 2) Rearfoot angle 3) Navicular drop test 4) Heel alignment view in alignment analysis. Intra Correlation Coefficient (ICC) is used for reliability. A secondary 17 subjects are recruited including 9 of CAI and healthy for gait analysis between group. Lower extremity sagittal, frontal, and transverse kinematics were measured. All data were analyzed to ensemble curve analysis. Results: 1) There were statistically significant differences in standing rearfoot, navicular drop, heel alignment view, subtalar joint (STJ) inclination and deviation. 2) Only in sagittal, meaningful difference is showed during walking in gait analysis. Conclusion: Morphological problem can affect ankle sprain in aspect of structure with no relation to compensation of neuromuscular.

주제어

표/그림 (12)

표 Table 1. Demographic characteristics of the subjects (Study. 1)
표 Table 2. Demographic characteristics of the subjects (Study. 2)
그림 Figure 1. The process of locating the subtalar joint (STJ) axis of rotation inclination angle using the STJL (A) Anterior view, (B) Posterior view, (C) Anterior view, (D) Posterior view, (E) Lateral view, (F) STJ inclination, (G) STJ deviation
표 Table 3. Instruments and analysis program
그림 Figure 2. Rearfoot angle (A) Non-weight bearing (B) Weight bearing
그림 Figure 3. Navicular drop test
그림 Figure 4. Heel alignment view
그림 Figure 5. Lower-body plug-in-gait marker set. RASI: right anterior superior iliac spin, LASI: left anterior superior iliac spine, RTHI: right thigh, LTHI: left thigh, RKNEE: right knee, LKNE: left knee, RTIB: right tibia, LTIB: left tibia, RANK: right ankle, LANK: left ankle, RTOE: right toe, LTOE: left toe, LPSI: left posterior superior iliac spine, RPSI: right posterior superior iliac spine, LHEE: left heel, RHEE: right heel
그림 Figure 7. Ankle kinematics while (A) walking and (B) running
그림 Figure 6. Results of effect size (p<.05)
표 Table 4. Intraclass correlation coefficient (ICC) and Standard Error of Measurement (SEM) of STJ (sagittal, transverse), Rearfoot (Non-weight bearing, Wight bearing), Navicular drop
표 Table 5. Effect size

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