발목내번에 의한 만성 염좌가 있는 여성의 하지 등속성 근력 비교
Isokinetic Strength of Lower Extremities in Women with Chronic Inversion Ankle Sprain
2
조회
0
다운로드
7
인용
0
참고문헌
키워드
초록
[서론] 이 연구는 만성적 내번 염좌를 가지고 있는 여성의 건측과 환측 하지 등속성 근력 차이를 비교하여 만성적 발목 염좌 환자의 재활프로그램에 기초자료를 제공하는데 목적이 있다. [방법] 최근 6개월 이내 2회 이상 반복적으로 한쪽 발목에 내번 염좌를 치료한 병력이 있는 20대 여성 26명을 대상으로 건측 하지와 환측 하지의 등속성 근력을 측정하여 비교 분석하였다. [결과] 분석결과 발목관절의 외번력 30°/sec 에서 환측의 피크토크, 단위체중당 피크토크 및 전체 일량 그리고 180°/sec에서 환측의 단위체중당 피크토크가 건측에 비해 유의하게 낮은 수준으로 나타났다. 또한, 엉덩관절의 외전력 30°/sec 에서 환측의 피크토크, 단위체중당 피크토크 및 전체 일량 그리고 180°/sec에서 환측의 단위체중당 피크토크가 건측에 비해 유의하게 낮은 수준으로 나타났다. [결론] 만성적 내번 염좌가 발생되는 발목관절 외번력과 엉덩관절 외전력의 근력 약화가 나타났기 때문에, 발목관절 근력 강화와 함께 엉덩관절 근력 강화 운동도 재활 프로그램에 포함되어야 할 것이다.
Abstract
[INTRODUCTION] The purpose of this study was to compare isokinetic strength of ankle and hip joint between involved and non-involved side in women with chronic inversion ankle sprain. [METHOD] A total of 26 subjects with unilateral chronic inversion ankle sprain were recruited. We measured hip abductor muscle weakness with Trendelenburg's test and isokinetic strength of ankle and hip joint. [RESULT] First, there were significant differences between involve and non-involve side in ankle evertor isokinetic strength such as peak torque, peak torque/body weight, total work at 30°/sec and peak torque/body weight at 180°/sec. Second, there were significant differences between involve and non-involve side in hip abductor isokinetic strength such as peak torque, peak torque/body weight, total work at 30°/sec and peak torque/body weight at 180°/sec. [CONCLUSION] It shown that chronic inversion ankle sprain cause ankle evertor and hip abductor weakness therefore, muscle strength training should be included around ankle and hip joint for rehabilitation.
참고문헌 (30)
- 임미영, "만성적 발목 불안정성이 있는 태권도 선수의 고관절과 발목 부위 근력", 운동과학, 19(4), pp.371~380 (2010), 한국운동생리학회
- 최원호, "고관절 외전근의 원심성 운동이 보행 시 균형에 미치는 영향", 대한 정형도수치료학회지, 9(2), pp.59~67 (2003)
- Beckman, S. M., "Ankle Inversion Injury and Hypermobility; Effect on Hip and Ankle Muscle Electromyography onset latency", Archives of Physical Medicine and Rehabilitation, 76, pp.1138~1143 (1995)
- Bullock-saxton, "Repeatability of Muscle Length Measures Around the Hip" (1995), Toronto
- Cutter, N. C., "Handbook of Manual Muscle Testing" (1999), McGraw-Hill
- Denegar, C. R., "Can Chronic Ankle Instability be Prevented? Rethinking Management of Lateral Ankle Sprains", Journal of Athletic Training, 37(4), pp.430~435 (2002)
- Earl, J. E., "Gluteus Medius Activity during 3 Variations of Isometric Single-leg Stance", Journal of Sport Rehabilitation, 14, pp.1~11 (2005)
- Franklin, M. E., "Effect of positive heel inclination on posture", The Journal of Orthopaedic and Sports Physical Therapy, 21(2), pp.94~99 (1995)
- Friel, K., "Ipsilateral Hip Abdutor WeaknessAfter Inversion Ankle Sprain", Journal ofAthletic Training, 41(1), pp.74~78 (2006)
- Garrick, J. G., "The Frequency of Injury, Mechanism of Injury, and Epidemiology of Ankle Sprains", American Journal of Sports Medicine, 5, pp.241~242 (1977)
- Hertel, J., "Functional Instability following Lateral Ankle Sprain", Sports Medicine, 29(5), pp.361~371 (2000)
- Hertel, J., "Functional Anatomy, Pathomechanics, and Pathophysiology of Lateral Ankle Instability", Journal of Athletic Training, 37(4), pp.364~375 (2002)
- Hubbard, T. J., "Contributing Factors to Chronic Ankle Instability", Foot and Ankle International, 28(3), pp.343~354 (2007)
- Kaminski, T. W., "Eversion Strength Analysis ofUninjured and Functionally Unstable Ankles", Journal of Athletic Training, 34(3), pp.239~245 (1999)
- Kaminski, T. W., "Factors Contributing to Chronic Ankle Instability; a Strength Perspective", Journal of Athletic Training, 37(4), pp.394~405 (2002)
- Karlsson, J., "Lateral Instability of the Ankle Joint", Clinical Orthopedics and Related Research, 276, pp.253~261 (1992)
- Lentell, L., "The Contributions of Proprioceptive Defictis, Muscle Funtional Instability of the Ankle", The Journal of Orthopaedic and Sports Physical Therapy, 21, pp.206~215 (1995)
- Neumann, D. A., "Kinesiology of the Musculoskeletal System ; Foundations for Physical Rehabilitation" (2002), Mosby
- Nicholas, J. A., "Study of Thigh Muscle Weakness in Different Pathological States of the Lower Extremity", American Journal of Sports Medicine, 4, pp.241~248 (1976)
- MacKinnon, C. D., "Control of Whole Body Balance in the Frontal Plane during Human Waking", Journal of Biomechanics, 26, pp.633~644 (1993)
- McHugh, M. P., "Risk Factors for Noncontact Ankle Sprains in High School Athletes: the Role of Hip Strength and Balance Ability", American Journal of Sports Medicine, 34(3), pp.464~470 (2006)
- McKay, G. D., "Ankle Injuries in Basketball: Injury Rate and Risk Factors", British Journal of Sports Medicine, 35, pp.103~108 (2001)
- O’'Donoghue, D., "Treatment of Injuries to Athletes" (1976), WB Saunders Co
- Osborne, M. D., "The Effects of Ankle Disk Training on Muscle Reaction Time in Subjects with a History of Ankle Sprain", American Journal of Sports Medicine, 29(5), pp.627~632 (2001)
- Peter, W., "Chronic Lateral Ankle Instability", Foot and Ankle Clinics, 12(3), pp.182~191 (1991)
- Van Cingel, R. E, "Repeated Ankle Sprains and Delayed Neuromuscular Response : Acceleration Time Parameters", The Journal of Orthopedic and Sports Physical Therapy, 36(2), pp.72~79 (2006)
- Verhagen, R. A. W., "Long-term Follow-up of InversionTrauma of the Ankle", Archives of Orthopedicand Traumatic Surgery, 114, pp.92~96 (1995)
- Wilkerson, G. B., "Invertor vs Evertor Peak Torque and Power Deficiencies Associated with Lateral Ankle Ligament Injury", The Journal of Orthopaedic and Sports Physical Therapy, 26(2), pp.78~86 (1997)
- Willems, T., "Proprioception and Muscle Strength in Subjects with a History of Ankle Sprains and Chronic Instability", Journal of Athletic Training, 37(4), pp.487~493 (2002)
- Wolfe, M. W., "Management ofAnkle Sprain", American Family Physician, 63(1), pp.93~104 (2001)