체질량지수에 따른 발목관절 근기능 및 동적 고유수용감각 조절 능력에 미치는 영향
Effects of Body Mass Index on Ankle Joint Muscle Function and Dynamic Proprioceptive Control
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[목적] 이 연구는 BMI와 체중의 증가는 발목의 불안정성을 증가시키고 인체 움직임에 악영향을 주게된다. 따라서, 이 연구의 목적은 체질량지수(BMI)에 따라서 발목관절의 근기능, 고유수용감각을 비교분석하여 차이가 있는지를알아보고자 한다. [방법] 28명의 건강한 남녀 대학생을 대상으로 체질량지수(BMI) 기준으로 과체중 집단(≥ BMI 23) 11명, 정상집단(< BMI 23) 17명으로 분류하였다. 대상자는 체질량지수, 발등굽힘, 발바닥굽힘, 발목 안쪽번짐, 및 발목 가쪽번짐의 등속성 근력, 발목관절 운동범위 그리고, 발목관절 고유수용감각을 측정하였다. [결과] 발등굽힘 근력에서 오른쪽 30°/sec(p=.035), 왼쪽 30°/sec(p=.009) 그리고 오른쪽 120°/sec(p=.011), 발바닥굽힘 근력에서 왼쪽 30°/sec(p<.001), 오른쪽 120°/sec(p=.007) 그리고 왼쪽 120°/sec(p=.006), 발목 안쪽번짐에서왼쪽 30°/sec(p=.001), 오른쪽 120°/sec(p=.021) 그리고 왼쪽 120°/sec(p=.007), 안쪽번짐-가쪽번짐 비율에서 왼쪽30°/sec(p=.014), 120°/sec(p=.001), 발목관절 가동범위에서 오른쪽(p=.003)과 왼쪽(p=.003), 전체 고유수용감각에서는 오른발(p<.001), 왼발(p=.022), 그리고 좌우 고유수용감각에서는 왼발(p<.001)에서 정상집단과 과체중집단과의유의한 차이가 나타났다. [결론] 체질량지수에 따른 정상집단보다 과체중집단이 발목관절의 근력, 관절운동범위 및 동적 고유수용감각 조절 능력 기능이 낮게 나타나 차이가 있는 것으로 확인되어, 체질량지수에 따른 발목의 부상 예방 및 발목관절의 원활한 기능을 위한 발목 움직임에 관여하는 앞정강근, 가자미근, 장딴지근등의 관절주변 근육 강화 및 동적 고유수용감각 조절을위한 운동프로그램을 제공되어야 할 것이다.
Abstract
PURPOSE Increased body mass index (BMI) increases ankle instability and adversely affects human movement. This study aims to compare and analyze the muscle function and proprioception of the ankle joint based on Body Mass Index (BMI) to determine potential differences. METHODS Twenty-eight healthy male and female college students were categorized into overweight (≥ BMI 23) and normal (< BMI 23) groups. Measurements included BMI, isokinetic strength of dorsiflexion, plantarflexion, eversion, inversion, ankle joint range of motion, and ankle joint proprioception. RESULTS In dorsiflexion, right 30°/sec (p=.035), left 30°/sec (p=.009) and right 120°/sec (p=.011); in plantarflexion, left 30°/sec (p<.001), right 120°/sec (p=.007) and left 120°/sec (p=.006) in ankle inversion, left 30°/sec (p=.001), right 120°/sec (p=.021) and left 120°/sec (p=.007), left 30°/sec (p=.014), 120°/sec (p=.001) in ankle inversion-eversion ratio, right (p=.003) and left (p=.003) in ankle joint range of motion, right (p<.001) and left (p=.022) in total proprioception, and left (p<.001) in left-right proprioception were significantly different between the normal and overweight groups. CONCLUSIONS It was found that the overweight group had lower muscle strength, joint range of motion, and proprioceptive control function of the ankle joint than the normal group according to BMI. Therefore, exercise programs should be provided to strengthen the periarticular muscles involved in ankle movement, such as the tibialis anterior, soleus, and peroneus longus, and to control dynamic proprioception to prevent ankle injuries and function of the ankle joint according to BMI.
참고문헌 (35)
- Aiyer, A. A., "Management of isolated lateral malleolus fractures", Journal of the American Academy of Orthopaedic Surgeons, 27(2), pp.50~59 (2019)
- Akbari, M., "Balance problems after unilateral lateral ankle sprains", Journal of Rehabilitation Research and Development, 43(7), pp.819~824 (2006)
- Bennell, K. L., "The differential effects of external ankle support on postural control", Journal of Orthopaedic & Sports Physical Therapy, 20(6), pp.287~295 (1994)
- Bernier, J. N., "Effect of coordination training on proprioception of the functionally unstable ankle", Journal of Orthopaedic & Sports Physical Therapy, 27(4), pp.264~275 (1998)
- Brown, L. E., "Isokinetics in human performance" (2000), Human Kinetics
- Capodaglio, P., "Effect of obesity on knee and ankle biomechanics during walking", Sensors, 21(21), pp.7114~ (2021)
- 이정필, "12주간의 근력 및 스트레칭 병합운동이 노인여성들의 평형능력에 미치는 영향", 한국여성체육학회지, 20(1), pp.53~64 (2006), 한국여성체육학회
- 최승명, "등속성 운동검사를 이용한 정상 한국인 성인에서의 발목관절 근력 측정", 대한족부족관절학회지, 19(4), pp.142~150 (2015), 대한족부족관절학회[DOI]
- 천성용, "대학축구선수들의 발목 등속성 근력 및 근기능에 관한 연구", 한국스포츠학회, 10(1), pp.175~184 (2012), 한국스포츠학회
- Cohen, H., "A study of the clinical test of sensory interaction and balance", Physical Therapy, 73(6), pp.346~351 (1993)
- Curwin, S., "Tendinitis: It’s etiology and treatment" (1984), Collamore Press
- 엄주리, "유연성 평발에 적용한 로우다이 테이핑에 의한 균형 수행력의 변화", 대한물리의학회지, 9(4), pp.355~361 (2014), 대한물리의학회
- Forsyth, L., "A pilot randomised control trial of the efficacy of stability-based training with visualisation for people with chronic ankle instability", Medical &Biological Engineering & Computing, 60(4), pp.1199~1209 (2022)
- Gao, F., "Effects of repeated ankle stretching on calf muscle-tendon and ankle biomechanical properties in stroke survivors", Clinical Biomechanics, 26(5), pp.516~522 (2011)
- Hendren, N. S., "Association of body mass index and age with morbidity and mortality in patients hospitalized with COVID-19 : Results from the American Heart Association COVID-19 cardiovascular disease registry", Circulation, 143(2), pp.135~144 (2021)
- Hershkovich, O., "A large-scale study on epidemiology and risk factors for chronic ankle instability in young adults", The Journal of Foot and Ankle Surgery, 54(2), pp.183~187 (2015)
- 정현철, "테이핑요법이 발목부위 손상 대상자의 관절운동범위, 통증 및 불편감에 미치는 효과", 근관절건강학회지, 17(2), pp.124~131 (2010), 대한근관절건강학회
- Jeong, Y., "Pre-obesity and obesity impacts on passive joint range of motion", Ergonomics, 61(9), pp.1223~1231 (2018)
- Jiang, C., "Effects of balance training on dynamic postural stability in patients with chronic ankle instability : Systematic review and meta-analysis of randomized controlled trials", The Journal of Sports Medicine and Physical Fitness, 62(12), pp.1707~1715 (2022)
- Kahan, J., "Open pronation abduction ankle fractures associated with increased complications and patient BMI", Injury, 51(4), pp.1109~1113 (2020)
- Kim, S. -G., "Effect of ankle range of motion(ROM)and lower-extremity muscle strength on static balance control ability in young adults : A regression analysis", Medical Science Monitor, 24, pp.3168~3175 (2018)
- Laird, C. E., Jr., "Toward understanding the terminology of exercise mechanics", Physical Therapy, 59(3), pp.287~292 (1979)
- Lakie, M., "Manually controlled human balancing using visual, vestibular and proprioceptive senses involves a common, low frequency neural process", The Journal of Physiology, 577(1), pp.403~416 (2006)
- Lambert, L. -A., "Ankle stability in ankle fracture", Journal of Clinical Orthopaedics and Trauma, 11(3), pp.375~379 (2020)
- Leanderson, J., "Early influence of an ankle sprain on objective measures of ankle joint function: A prospective randomised study of ankle brace treatment", Knee Surgery, Sports Traumatology, Arthroscopy, 7(1), pp.51~58 (1999)
- Lentell, G. L., "The relationship between muscle function and ankle stability", Journal of Orthopaedic & Sports Physical Therapy, 11(12), pp.605~611 (1990)
- McKnight, C. M., "The role of ankle strength in functional ankle instability", Journal of Sport Rehabilitation, 6(1), pp.21~29 (1997)
- Rahnama, N., "Musculoskeletal assessment in soccer : A review", Journal of Movement Sciences & Sports, 1, pp.13~24 (2008)
- Rasmussen, O., "Stability of the ankle joint: Analysis of the function and traumatology of the ankle ligaments", Acta Orthopaedica, 56(sup211), pp.1~75 (1985)
- Reider, B., "Proprioception of the knee before and after anterior cruciate ligament reconstruction", Arthroscopy, 19(1), pp.2~12 (2003)
- Rein, S., "The influence of playing level on functional ankle stability in soccer players", Archives of Orthopaedic and Trauma Surgery, 131(8), pp.1043~1052 (2011)
- Trajković, N., "Relationship between ankle strength and range of motion and postural stability during single-leg quiet stance in trained athletes", Scientific Reports, 11(1), pp.11749~ (2021)
- Tye, L. S., "Physical activity, sedentary behaviour and sleep, and their association with BMI in a sample of adolescent females in New Zealand", International Journal of Environmental Research and Public Health, 17(17), pp.6346~ (2020)
- Wilkerson, G. B., "Invertor vs. evertor peak torque and power deficiencies associated with lateral ankle ligament injury", Journal of Orthopaedic & Sports Physical Therapy, 26(2), pp.78~86 (1997)
- Zabarsky, G., "Impact of severe obesity on cardiovascular risk factors in youth", The Journal of Pediatrics, 192, pp.105~114 (2018)