노인과 젊은 성인의 발목발등굽힘 관절가동범위와 동적 균형 상관성 대한 이해

• 영문명: Understanding the Correlation Between Dorsiflexion Range of Motion and Dynamic Balance in Elderly and Young Adults
• 발행기관: 한국전문물리치료학회
• 저자명: 서해용(Hae-yong Seo) 한지혜(Ji-hye Han) 김민주(Min-ju Kim) 김아연(Ah-yeon Kim) 송이슬(Yi-seul Song) 김수진(Su-jin Kim)
• 간행물 정보: 『한국전문물리치료학회지』한국전문물리치료학회지 제25권 제2호, 22~29쪽, 전체 8쪽
• 주제분류: 의약학 > 의학일반
• 파일형태: PDF
• 발행일자: 2018.04.30

영문 초록

Background: Deficits of both ankle dorsiflexion range of motion (DFROM) and dynamic balance are shown in persons with chronic ankle instability and the elderly, with the risk of falls. Objects: This study aims to investigate the relationship between DFROM and dynamic balance in elderly subjects and young adults. Methods: Fifty-nine subjects were divided into three groups: ankle stability young group (SY), ankle instability young group (IY) and ankle stability older group (SO). We recruited three old subjects with ankle instability, but excluded them during a pilot testing due to the safety issue. DFROM was measured by weight bearing lunge test (WBLT) and dynamic balance was measured via star excursion balance test (SEBT) in anteromedial, medial, and posteromedial directions. The group differences in WBLT and SEBT and each group’s correlation between WBLT and SEBT were detected using the R statistical software package. Results: The dorsiflexion range of motion was significantly different between the SY, IY, and SO groups. The SO group showed the highest DFROM and IY group showed the lowest DFROM (SY: 45.88±.66 ˚ , IY: 39.53±1.63 ˚ , SO: 47.94±.50 ˚ ; p<.001). However, the SO group showed the lowest dynamic balance score for all SEBT directions (SY: 87.24±2.05 ㎝, IY: 83.20±1.30 ㎝, SO: 77.23±2.07 ㎝; p<.05) and there was no relationship between the dorsiflexion range of motion and dynamic balance in any group. Conclusion: Our findings suggest that ankle DFROM is not a crucial factor for dynamic stability regardless of aging and ankle instability. Other factors such as muscle strength or movement coordination should be considered for training dynamic balance. Therefore, we need to establish the rehabilitation process by measuring and treating ROM, balance, and muscle strength when treating young adults with and without ankle instability as well as elderly people.

목차

Ⅰ. 서론

Ⅱ. 연구방법

Ⅲ. 결과

Ⅳ. 고찰

Ⅴ. 결론

키워드

Ankle instability Dynamic balance Elderly Young.