가쪽 발목 염좌 병력 여부에 따른 유소년 운동선수의 동적 자세 제어 비교
Comparison of Dynamic Postural Control in Youth Athletes with and without a History of Lateral Ankle Sprain : A Case-control Study
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[목적] 본 연구의 목적은 유소년 운동선수의 발목염좌 경험 여부에 따른 동적 자세 조절 능력 차이를 관찰하는데 있다. [방법] 28명(발목손상 집단 14명, 건강한 집단 14명)의 유소년 운동선수가 본 연구에 참여하였다. 모든 대상자는 주관적 발목 불안정성 평가 설문지를 작성하였고, 동적자세조절 능력 평가인 Star Excursion Balance Test (SEBT)에 참여하여 하지관절각, 압력중심점(center of pressure, COP) 범위 및 속도를 수집하였다. 통계처리는 각 변인의 집단 간차이를 분석하기 위해 정규성 검정에 따라 독립표본 t 검정 또는 Mann-Whitney U 검정을 실시하였다. [결과] 발목손상 집단(LAS)은 스포츠 참여 경력이 건강한 집단(CON)에 비해 오래되었고 주관적 발목 불안정성 평가점수가 낮게 관찰되었다(p <0.05). LAS는 CON에 비해 SEBT의 앞쪽에서 짧은 도달 거리, 적은 엉덩관절 굽힘 및 발등굽힘 각도가 관찰되었다(p <0.05). 또한, LAS는 CON보다 SEBT의 뒤안쪽에서 앞-뒤 및 가-안쪽 COP 속도가 더느렸고, SEBT의 뒤가쪽에서 앞-뒤 COP 속도가 더 느리게 나타났다(p <0.05). 그 외 다른 변인에서는 그룹 간에 차이가 없었다(p >0.05). [결론] 본 연구의 결과를 기반으로 SEBT 앞쪽 수행 시 LAS는 시상면에서 하지 관절의 동적 자세 제어 전략을 변경함으로써 도달 거리를 감소시키는 것으로 확인되었다.
Abstract
PURPOSE The purpose of this study was to compare the dynamic postural control of youth athletes with and without a history of lateral ankle sprains. METHODS Twentyeight youth athletes (14 lateral ankle sprain, 14 healthy control) participated in this study. All participants answered the Foot and Ankle Ability Measure questionnaire and were subject to the Star Excursion Balance Test (SEBT) for dynamic postural control evaluation to collect the joint angles of the lower extremity, a center of pressure (COP) path, and COP velocity. Independent sample t-test or Mann-Whitney U-test were performed to analyze the difference between the groups. RESULTS The lateral ankle sprain group (LAS) was found to have a long experience in participating in sports, and low Foot and Ankle Ability Measure scores were identified when compared to the healthy control (CON; p<0.05). LAS was observed with a short reach distance, less hip flexion, and dorsiflexion angles during the anterior direction of SEBT when compared to CON (p<0.05). Furthermore, LAS showed a slower anteroposterior and mediolateral center of pressure velocities in the posteromedial aspect of SEBT and a slower anteroposterior COP velocity in the posterolateral aspect of SEBT when compared to that of CON (p<0.05). There were no differences between the groups with respect to the other variables (p>0.05). CONCLUSIONS Based on these results, decreased anterior reach distance of SEBT may be affected by changing the dynamic posture control strategy of the lower extremity joint on the sagittal plane in LAS.
참고문헌 (37)
- Baker, J., "What do we know about early sport specialization? Not much!", High Ability Studies, 20(1), pp.77~89 (2009)
- 조지훈, "Effectiveness of Kinesio Taping for Dynamic Postural Stability in Adolescent Athletes with Chronic Ankle Instability: A Pilot Study", 아시아 운동학 학술지, 23(2), pp.28~33 (2021), 대한운동학회
- Cloke, D. J., "Ankle injuries in football academies : A three-centre prospective study", British Journal of Sports Medicine, 45(9), pp.702~708 (2011)
- Dalton, S. E., "Overuse injuries in adolescent athletes", Sports Medicine, 13(1), pp.58~70 (1992)
- Doherty, C., "Dynamic balance deficits 6 months following first-time acute lateral ankle sprain : A laboratory analysis", Journal of Orthopaedic & Sports Physical Therapy, 45(8), pp.626~633 (2015)
- Doherty, C., "Dynamic balance deficits in individuals with chronic ankle instability compared to ankle sprain copers 1 year after a first-time lateral ankle sprain injury", Knee Surgery, Sports Traumatology, Arthroscopy, 24(4), pp.1086~1095 (2016)
- Drewes, L. K., "Dorsiflexion deficit during jogging with chronic ankle instability", Journal of Science and Medicine in Sport, 12(6), pp.685~687 (2009)
- Ericsson, K. A., "The role of deliberate practice in the acquisition of expert performance", Psychological Review, 100(3), pp.363~406 (1993)
- Gribble, P. A., "Effect of lower-extremity muscle fatigue on postural control", Archives of Physical Medicine and Rehabilitation, 85(4), pp.589~592 (2004)
- Gribble, P. A., "Using the Star Excursion Balance Test to assess dynamic postural-control deficits and outcomes in lower extremity injury : A literature and systematic review", Journal of Athletic Training, 47(3), pp.339~357 (2012)
- Ha, S. M., "Reliability & validity of CAI assessment questionary: Korea version", Master, pp.2015
- 하성희, "국내 생활체육인과 전문체육인의 중증 발목 염좌 관리 실태조사", 한국스포츠학회, 19(3), pp.685~693 (2021), 한국스포츠학회[DOI]
- Hale, S. A., "The effect of a 4-week comprehensive rehabilitation program on postural control and lower extremity function in individuals with chronic ankle instability", Journal of Orthopaedic & Sports Physical Therapy, 37(6), pp.303~311 (2007)
- Hoch, M. C., "Dorsiflexion and dynamic postural control deficits are present in those with chronic ankle instability", Journal of Science and Medicine in Sport, 15(6), pp.574~579 (2012)
- Hubbard-Turner, T., "Lack of medical treatment from a medical professional after an ankle sprain", Journal of Athletic Training, 54(6), pp.671~675 (2019)
- Jaber, H., "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), pp.e0201479~ (2018)
- 조원희, "플라이오메트릭과 코어강화 운동의 결합된 훈련이 남자 청소년 축구선수의 균형, 민첩성에 미치는 영향", 대한물리의학회지, 13(2), pp.157~165 (2018), 대한물리의학회[DOI]
- John, C., "Influence of biological maturity on static and dynamic postural control among male youth soccer players", Gait & posture, 68, pp.18~22 (2019)
- Konradsen, L., "Seven years follow-up after ankle inversion trauma", Scandinavian Journal of Medicine & Science in Sports, 12(3), pp.129~135 (2002)
- "2019 Sports safety accident survey" (2020)[URL]
- Lambers, K., "Incidence of patients with lower extremity injuries presenting to US emergency departments by anatomic region, disease category, and age", Clinical Orthopaedics and Related Research, 470(1), pp.284~290 (2012)
- 이인제, "은퇴선수의 건강관련 삶의 질에 관한 연구", 한국체육학회지, 59(4), pp.381~390 (2020), 한국체육학회[DOI]
- 이인제, "외측 발목 염좌 병력이 있는 청소년 축구선수의 신체 능력 및 특성의 변화", 한국스포츠학회, 19(2), pp.795~804 (2021), 한국스포츠학회
- Mandarakas, M., "Systematic review of chronic ankle instability in children", Journal of Foot and Ankle Research, 7(1), pp.1~10 (2014)
- Marchi, A. G., "Permanent sequelae in sports injuries : A population based study", Archives of Disease in Childhood, 81(4), pp.324~328 (1999)
- McKeon, P. O., "Balance training improves function and postural control in those with chronic ankle instability", Medicine & Science in Sports & Exercise, 40(10), pp.1810~1819 (2008)
- Monaghan, K., "Ankle function during gait in patients with chronic ankle instability compared to controls", Clinical Biomechanics, 21(2), pp.168~174 (2006)
- Nagamoto, H., "History of ankle sprain affect the star excursion balance test among youth football players", Foot and Ankle Surgery, 27(7), pp.784~788 (2021)
- Peterson, L., "Incidence of football injuries and complaints in different age groups and skill-level groups", The American Journal of Sports Medicine, 28(5), pp.51~57 (2000)
- Plisky, P. J., "Star Excursion Balance Test as a predictor of lower extremity injury in high school basketball players", Journal of Orthopaedic & Sports Physical Therapy, 36(12), pp.911~919 (2006)
- Quatman-Yates, C. C., "A systematic review of sensorimotor function during adolescence: A developmental stage of increased motor awkwardness?", British Journal of Sports Medicine, 46(9), pp.649~655 (2012)
- Robinson, R., "Kinematic predictors of performance on the Star Excursion Balance Test", Journal of Sport Rehabilitation, 17(4), pp.347~357 (2008)
- Roos, K. G., "The epidemiology of lateral ligament complex ankle sprains in National Collegiate Athletic Association sports", The American Journal of Sports Medicine, 45(1), pp.201~209 (2017)
- Song, K., "Dynamic reach deficits in those with chronic ankle instability : A systematic review and meta-analysis", Physical Therapy in Sport, 53, pp.40~50 (2022)
- Tanen, L., "Prevalence of chronic ankle instability in high school and division I athletes", Foot & Ankle Specialist, 7(1), pp.37~44 (2014)
- Van Der Sluis, A., "Sport injuries aligned to peak height velocity in talented pubertal soccer players", International Journal of Sports Medicine, 35(4), pp.351~355 (2014)
- Weir, M. A., "A twelve month study of sports injuries in one Irish school", Irish Journal of Medical Science, 165, pp.165~169 (1996)