[논문]Comparison of Center of Pressure Displacement during Sit to Stand to Sit and Balance Ability of Subjects with and without Chronic Ankle Instability

Hyun-Sung Kim; Seung-Jun Oh

doi:10.15268/ksim.2023.11.1.013

Comparison of Center of Pressure Displacement during Sit to Stand to Sit and Balance Ability of Subjects with and without Chronic Ankle Instability 원문보기

Journal of the Korean Society of Integrative Medicine = 대한통합의학회지, v.11 no.1, 2023년, pp.13 - 20

Hyun-Sung Kim (Dept. of Physical Therapy, Kyungwoon University) , Seung-Jun Oh (Dept. of Physical Therapy, Kyungwoon University)

Abstract ▼ AI-Helper

Purpose : The purpose of this study is to compare the balance ability between subjects with chronic ankle instability and normal people and the center of pressure displacement during the sit to stand and stand to sit. Methods : The subjects of this study were 63 who met the inclusion criteria and were classified into normal group (n=33) and chronic ankle instability group (n=30). The displacement of the center of pressure during sit to stand and stand to sit was measured. And the limit of stability and Y-balance tests were performed to measure the balance ability. Independent t-test was conducted to compare center of pressure displacement and balance ability between groups, and pearson correlation was conducted to analyze the correlation between the center of pressure displacement and balance ability. Results : In the case of the center of pressure displacement, there was a significant difference between the two groups during sit to stand and stand to sit. In the case of balance, both limit of stability and Y-balance test showed significant differences between the two groups. At the time of sit to stand, the center of pressure displacement showed a significant correlation with balance abilities, and at the time of stand to sit, the center of pressure displacement showed a significant correlation with Y-balance test. Conclusion : Chronic ankle instability shows that there is a lot of sway in the body due to compensation to replace the decrease in ankle joint range of motion when performing sit to stand and stand to sit due to sensory input damage such as decrease in ankle range of motion and decrease in ankle proprioception. Chronic ankle instability is expected to have a negative effect on our daily lives in life. The results of this study will serve as the basis for the dynamic approach to objective evaluation, treatment, and prevention of chronic ankle instability.

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표/그림 (3)

표 Table 1. General characteristic of subjects (n= 63)
표 Table 2. Comparison of the center of pressure displacement and balance in normal and chronic ankle instability group (n= 63)
표 Table 3. Correlation of the center of pressure displacement and balance in normal and chronic ankle instability group (n= 63)

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제안 방법

The purpose of this study is to compare the center of pressure displacement during the SitTS and StandTS and balance ability between subjects with CAI and normal people.
This study was conducted to compare postural control ability and balance ability through sit to stand to sit movements of subjects with CAI and normal people. CAI shows that there is a lot of sway in the body due to compensation to replace the decrease in ankle joint ROM when performing SitTS and StandTS due to sensory input damage such as decrease in ankle ROM and decrease in ankle proprioception.

데이터처리

For normality test, Shapiro-Wilk test was performed and normality was confirmed. Independent t-test was performed to compare the center of pressure displacement and balance ability of the CAI group and the normal group during the SitTS and StandTS. Pearson correlation analysis was conducted to find out the correlation between the center of pressure displacement and the balance ability during the SitTS and StandTS.
Independent t-test was performed to compare the center of pressure displacement and balance ability of the CAI group and the normal group during the SitTS and StandTS. Pearson correlation analysis was conducted to find out the correlation between the center of pressure displacement and the balance ability during the SitTS and StandTS.

성능/효과

This study was conducted to compare postural control ability and balance ability through sit to stand to sit movements of subjects with CAI and normal people. CAI shows that there is a lot of sway in the body due to compensation to replace the decrease in ankle joint ROM when performing SitTS and StandTS due to sensory input damage such as decrease in ankle ROM and decrease in ankle proprioception. From this, CAI is expected to have a negative effect on our daily lives by influencing essential movements in life.
First, the displacement of the center of pressure during SitTS and StandTS was measured through BioRescue (RM Ingénierie, Marseille, France)
This study has several limitations. First, there is a limit to the generalization of research results because the number of subjects is somewhat insufficient and the age is limited to those in their 20s. Second, there was no movement analysis of the knee joint and hip joint.
For normality test, Shapiro-Wilk test was performed and normality was confirmed. Independent t-test was performed to compare the center of pressure displacement and balance ability of the CAI group and the normal group during the SitTS and StandTS.
For speed of the COP displacement during SitTS, the length of the COP displacement during SitTS (r=.877, p<.01), the speed of the COP displacement during StandTS (r=.667, p<.01), the length of the COP displacement during StandTS (r=.679, p<.05), LOS (r=-.253, p<.05), Y-balance test (r=-.620, p<.01)
For the length of the COP displacement at the time of SitTS, the speed of the COP displacement at the time of StandTS (r=.669, p<.01), the length of the COP displacement during StandTS (r=.684, p<.01), LOS (r=-.158, p<.05), Y-balance test (r=-.605, p<.01)
CAI shows that there is a lot of sway in the body due to compensation to replace the decrease in ankle joint ROM when performing SitTS and StandTS due to sensory input damage such as decrease in ankle ROM and decrease in ankle proprioception. From this, CAI is expected to have a negative effect on our daily lives by influencing essential movements in life. The results of this study will serve as the basis for the dynamic approach to objective evaluation, treatment, and prevention of CAI, and in particular, the measurement of center of pressure displacement at the time of SitTS and StandTS will contribute to increasing the understanding of the biomechanical mechanism and kinematic analysis of CAI movements, and consequently, will have a positive effect on the improvement of CAI.
Although many studies have been conducted on motion analysis based on balance and foot pressure for CAI, studies analyzing posture control ability during SitTS and StandTS are insufficient. In addition to the existing evaluation, the measurement of postural control ability during SitTS and StandTS will contribute to increasing the understanding of the biomechanical mechanism and kinematic analysis of CAI through a comprehensive evaluation of CAI, and consequently have a positive effect on the evaluation of CAI and the development of suitable exercises.
In the case of balance, both LOS and Y-balance test showed significant differences between the two groups (p<.05) (Table 2).
This study was conducted as a subject who met the inclusion criteria among those who expressed their intention to voluntarily participate by sufficiently listening and agreeing to the purpose and method of research. In the case of the CAI group, those who have suffered at least one ankle sprain injury in the past, experienced at least two ankle hypermobility symptoms within the last three months, and scored less than 24 points during CAIT. In the case of the normal group, those who have never experienced ankle pain in the past and do not have chronic ankle instability.
In the case of the COP displacement, there was a significant difference between the two groups of speed and length during SitTS and StandTS (p<.05).
In the case of the speed of the COP displacement during StandTS, the length of the COP displacement during StandTS (r=.782, p<.01), LOS (r=-.131, p>.05), Y-balance test (r=-.574, p<.01)
Next, the limits of stability (LOS) and Y-balance tests were performed, measured three times each, and the average of the results was derived.
First, there is a limit to the generalization of research results because the number of subjects is somewhat insufficient and the age is limited to those in their 20s. Second, there was no movement analysis of the knee joint and hip joint. Therefore, in future studies, it is necessary to recruit more subjects with ankle instability, consider various age groups, and conduct extensive research through various approaches to motion analysis.
From this, CAI is expected to have a negative effect on our daily lives by influencing essential movements in life. The results of this study will serve as the basis for the dynamic approach to objective evaluation, treatment, and prevention of CAI, and in particular, the measurement of center of pressure displacement at the time of SitTS and StandTS will contribute to increasing the understanding of the biomechanical mechanism and kinematic analysis of CAI movements, and consequently, will have a positive effect on the improvement of CAI.
There was no statistically significant difference in the general characteristics of gender, age, and leg length of 63 subjects in the study, and there was a statistically significant difference in CAIT (Table 1).

참고문헌 (23)

Basnett CR, Hanish MJ, Wheeler TJ, et al(2013). Ankle？dorsiflexion range of motion influences dynamic balance？in individuals with chronic ankle instability. Int J Sports？Phys Ther, 8(2), 121-128.

상세보기
Boey D, Lee MJ(2020). The relationship between Y-balance？test scores and knee moments during single-leg？jump-landing in netball. Int J Sports Phys Ther, 15(5), 722-731. https://doi.org/10.26603/ijspt20200722.

상세보기
Cha YS, Park KN(2017). Comparison of the effects of？dynamic postural stability training versus soft ankle？bracing on multiple hop performance in participants？with functional ankle instability. Phys Ther Korea,？24(1), 1-8. https://doi.org/10.12674/ptk.2017.24.1.001.

원문보기 상세보기
De La Motte S, Arnold BL, Ross SE(2015). Trunk-rotation？differences at maximal reach of the star excursion？balance test in participants with chronic ankle？instability. J Athl Train, 50(4), 358-365. https://doi.org/10.4085/1062-6050-49.3.74.

상세보기
Doherty C, Delahunt E, Caulfield B, et al(2014). The？incidence and prevalence of ankle sprain injury: a？systematic review and meta-analysis of prospective？epidemiological studies. Sports Med, 44(1), 123-140.？https://doi.org/10.1007/s40279-013-0102-5.

상세보기
Ejupi A, Brodie M, Gschwind YJ, et al(2016). Kinect-based？five-times-sit-to-stand test for clinical and in-home？assessment of fall risk in older people. Gerontology,？62(1), 118-124. https://doi.org/10.1159/000381804.

상세보기
Gilbreath JP, Gaven SL, Van Lunen BL(2014). The effects？of mobilization with movement on dorsiflexion range of？motion, dynamic balance, and self-reported function in？individuals with chronic ankle instability. Man Ther,？19(2), 152-157. https://doi.org/10.1016/j.math.2013.10.001.

상세보기
Ha SY, Han JH, Sung YH(2018). Effects of ankle？strengthening exercise program on an unstable？supporting surface on proprioception and balance in？adults with functional ankle instability. J Exerc？Rehabil, 14(2), 301-305. https://doi.org/10.12965/jer.1836082.041.

상세보기
Hiller CE, Nightingale EJ, Lin CWC, et al(2011).？Characteristics of people with recurrent ankle sprains: a？systematic review with meta-analysis. Br J Sports Med,？45(8), 660-672. http://doi.org/10.1136/bjsm.2010.077404.

상세보기
Jaber H, Lohman E, Daher N, et al(2018). Neuromuscular？control of ankle and hip during performance of the star？excursion balance test in subjects with and without？chronic ankle instability. PloS One, 13(8), Printed？Online. https://doi.org/10.1371/journal.pone.0201479.

상세보기
Kim KJ, Jega H, Jun HJ, et al(2013). The comparison of？balance using Cumberland ankle instability tool to stable？and instability ankle. J Korean Soc Phys Med, 8(3),？361-368. https://doi.org/10.13066/kspm.2013.8.3.361.

원문보기 상세보기
Kim DW, Sung KS(2018). Chronic lateral ankle instability.？J Korean Foot Ankle Soc, 22(2), 55-61. https://doi.org/10.14193/jkfas.2018.22.2.55.

원문보기 상세보기
Kim JH, Choi BR(2018). Intra-and inter-rater reliability of？BioRescue. J Korea Contents Assoc, 18(11), 348-352.？https://doi.org/10.5392/JKCA.2018.18.11.348.

원문보기 상세보기
Ko J, Wikstrom E, Li Y, et al(2019). Performance？differences between the modified star excursion balance？test and the Y-balance test in individuals with chronic？ankle instability. J Sport Rehabil, 29(6), 748-753.？https://doi.org/10.1123/jsr.2018-0078.

상세보기
Lee GS, Lee SH, Park SH, et al(2020). Effect of？postoperative intensive rehabilitation on ankle function？recovery in patients with chronic ankle instability.？Korean J Sports Med, 38(1), 20-27. https://doi.org/10.5763/kjsm.2020.38.1.20.

상세보기
Lee SA, Kim AR, Yoo KT, et al(2018). Evaluation of？muscle activity and foot pressure during gait, and？isokinetic strength and balance in persons with？functional ankle instability. J Korean Soc Phys Med,？13(3), 27-37. https://doi.org/10.13066/kspm.2018.13.3.27.

원문보기 상세보기
McKeon PO, Hertel J, Bramble D, et al(2015). The foot？core system: a new paradigm for understanding intrinsic？foot muscle function. Br J Sports Med, 49(5), 290-290.？http://doi.org/10.1136/bjsports-2013-092690.

상세보기
Millor N, Lecumberri P, Gomez M, et al(2014). Kinematic？parameters to evaluate functional performance of？sit-to-stand and stand-to-sit transitions using motion？sensor devices: a systematic review. IEEE Trans Neural？Syst Rehabil Eng, 22(5), 926-936. http://doi.org/10.1109/TNSRE.2014.2331895.

상세보기
Park ES, Seo SG, Lee HS(2020). Correlation between？chronic ankle instability and Ccenter of pressure using pedobrarograph. J Korean Foot Ankle Soc, 24(1), 14-18.？https://doi.org/10.14193/jkfas.2020.24.1.14.

원문보기 상세보기
Radovanovic D, Peikert K, Lindstrom M, et al(2015).？Sympathetic innervation of human muscle spindles. J？Anat, 226(6), 542-548. https://doi.org/10.1111/joa.12309.

상세보기
Tasseel-Ponche S, Yelnik AP, Bonan IV(2015). Motor？strategies of postural control after hemispheric stroke.？Neurophysiol Clin, 45(4-5), 327-333. https://doi.org/10.1016/j.neucli.2015.09.003.

상세보기
Xue X, Ma T, Li Q, et al(2021). Chronic ankle instability？is associated with proprioception deficits: a systematic？review and meta-analysis. J Sport Health Sci, 10(2),？182-191. https://doi.org/10.1016/j.jshs.2020.09.014.

상세보기
Youssef NM, Abdelmohsen AM, Ashour AA, et al(2018).？Effect of different balance training programs on postural？control in chronic ankle instability: a randomized？controlled trial. Acta Bioeng Biomech, 20(2), 159-169.？https://doi.org/10.5277/ABB-01101-2018-02.

상세보기

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