Changes in Balancing Ability of Athletes With Chronic Ankle Instability After Foot Orthotics Application and Rehabilitation Exercises
2
조회
0
다운로드
3
인용
0
참고문헌
키워드
초록
Objective To compare the effect of foot orthotics and rehabilitation exercises by assessing balancing ability and joint proprioception in athletes who have chronic ankle instability. Methods Forty-one athletes who visited hospitals due to chronic ankle instability were randomly assigned to two groups. One group had ankle rehabilitation exercises while the other group had the same rehabilitation exercises as well as foot orthotics. Joint position sense of the ankle joint was examined by using an isokinetic exercise machine. Balancing abilities categorized into static, dynamic and functional balance abilities were evaluated by using computerized posturography. We tested the subjects before and after the four-week rehabilitation program. Results After the four-week treatment, for joint reposition sense evaluation, external 75% angle evaluation was done, revealing that the group with the application of foot orthotics improved by -1.07±1.64 on average, showing no significant difference between the two groups (p>0.05). Static, dynamic and functional balancing abilities using balance masters were evaluated, revealing that the two groups improved in some items, but showing no significant difference between them (p>0.05).Conclusion This study found that athletes with chronic ankle instability who had foot orthotics applied for four weeks improved their proprioceptive and balancing abilities, but did not show additional treatment effects compared with rehabilitation exercise treatment.
Abstract
Objective To compare the effect of foot orthotics and rehabilitation exercises by assessing balancing ability and joint proprioception in athletes who have chronic ankle instability. Methods Forty-one athletes who visited hospitals due to chronic ankle instability were randomly assigned to two groups. One group had ankle rehabilitation exercises while the other group had the same rehabilitation exercises as well as foot orthotics. Joint position sense of the ankle joint was examined by using an isokinetic exercise machine. Balancing abilities categorized into static, dynamic and functional balance abilities were evaluated by using computerized posturography. We tested the subjects before and after the four-week rehabilitation program. Results After the four-week treatment, for joint reposition sense evaluation, external 75% angle evaluation was done, revealing that the group with the application of foot orthotics improved by -1.07±1.64 on average, showing no significant difference between the two groups (p>0.05). Static, dynamic and functional balancing abilities using balance masters were evaluated, revealing that the two groups improved in some items, but showing no significant difference between them (p>0.05).Conclusion This study found that athletes with chronic ankle instability who had foot orthotics applied for four weeks improved their proprioceptive and balancing abilities, but did not show additional treatment effects compared with rehabilitation exercise treatment.
참고문헌 (25)
- Balduini FC., "Management and rehabilitation of ligamentous injuries to the ankle", Sports Med, 4, pp.364~380 (1987)
- Colville MR., "Surgical treatment of the unstable ankle", J Am Acad Orthop Surg, 6, pp.368~377 (1998)
- Colville MR., "Reconstruction of the lateral ankle ligaments", Instr Course Lect, 44, pp.341~348 (1995)
- Hertel JN., "Effect of lateral ankle joint anesthesia on center of balance, postural sway, and joint position sense", J Sport Rehabil, 5, pp.111~119 (1996)
- Berlet G., "Chronic lateral ankle instability", Foot Ankle Clin, 4, pp.713~728 (1999)
- Hertel J., "Talocrural and subtalar joint instability after lateral ankle sprain", Med Sci Sports Exerc, 31, pp.1501~1508 (1999)
- Freeman MA., "Instability of the foot after injuries to the lateral ligament of the ankle", J Bone Joint Surg Br, 47, pp.669~677 (1965)
- Wikstrom EA., "Bilateral balance impairments after lateral ankle trauma : a systematic review and meta-analysis", Gait Posture, 31, pp.407~414 (2010)
- Sesma AR., "Effect of foot orthotics on single-and double-limb dynamic balance tasks in patients with chronic ankle instability", Foot Ankle Spec, 1, pp.330~337 (2008)
- Garn SN., "Kinesthetic awareness in subjects with multiple ankle sprains", Phys Ther, 68, pp.1667~1671 (1988)
- Jerosch J., "Proprioceptive capabilities of the ankle in stable and unstable joints", Sports Exerc Inj, 2, pp.167~171 (1996)
- Boyle J., "Joint position sense in the recurrently sprained ankle", Aust J Physiother, 44, pp.159~163 (1998)
- Gross MT., "Effects of recurrent lateral ankle sprains on active and passive judgements of joint position", Phys Ther, 67, pp.1505~1509 (1987)
- Feuerbach JW., "Effect of an ankle orthosis and ankle ligament anesthesia on ankle joint proprioception", Am J Sports Med, 22, pp.223~229 (1994)
- Refshauge KM., "The effect of recurrent ankle inversion sprain and taping on proprioception at the ankle", Med Sci Sports Exerc, 32, pp.10~15 (2000)
- McKeon PO., "Balance training improves function and postural control in those with chronic ankle instability", Med Sci Sports Exerc, 40, pp.1810~1819 (2008)
- O’Driscoll J., "Effect of a 6-week dynamic neuromuscular training programme on ankle joint function : a case report", Sports Med Arthrosc Rehabil Ther Technol, 3, pp.13~ (2011)
- Chan KW., "Acute and chronic lateral ankle instability in the athlete", Bull NYU Hosp Jt Dis, 69, pp.17~26 (2011)
- Richie DH Jr., "Effects of foot orthoses on patients with chronic ankle instability", J Am Podiatr Med Assoc, 97, pp.19~30 (2007)
- Nester CJ., "Effect of foot orthoses on the kinematics and kinetics of normal walking gait", Gait Posture, 17, pp.180~187 (2003)
- 이홍재, "만성 요통을 호소하는 축구 선수들의 골반 및 하지의 생체역학적 특징", 대한스포츠의학회지, 22(1), pp.59~66 (2004), 대한스포츠의학회
- Lim EC., "Side-to-side difference in joint position sense and kinesthesia in unilateral functional ankle instability", Foot Ankle Int, 30, pp.1011~1017 (2009)
- Guskiewicz KM., "Effect of orthotics on postural sway following inversion ankle sprain", J Orthop Sports Phys Ther, 23, pp.326~331 (1996)
- Stude DE., "Effects of nine holes of simulated golf and orthotic intervention on balance and proprioception in experienced golfers", J Manipulative Physiol Ther, 20, pp.590~601 (1997)
- Cobb SC., "The effect of 6 weeks of custom-molded foot orthosis intervention on postural stability in participants with >or=7 degrees of forefoot varus", Clin J Sport Med, 16, pp.316~322 (2006)
