고유수용성 감각 증진운동이 균형 능력 및 근력의 향상에 미치는 효과 = Effects of the Proprioceptive Exercises on Isokinetic Strength and Postural Control

다국어 초록 (Multilingual Abstract)

Objective: To investigate the effects of lower extremity proprioceptive training on postural control and strength of the knee and ankle muscles.
Method: Twenty-two healthy subjects (age 27±4 yrs) were randomly assigned to a training (TRN, n=11) or a control (CTL, n=11) group. TRN group participated in the dominant leg proprioceptive training that was performed on a balance board and mini-trampoline without strength training for 6 weeks. All subjects were evaluated for leg muscle strength and postural sway using the isokinetic device and force platform before and after the training. Assessed parameters were 1) concentric and eccentric strength of knee flexor/ extensor and concentric strength of ankle plantar flexor/

dorsiflexor and invertor/evertor 2) the standard deviation of the postural sway with eyes open or closed.
Results: Statistically significant improvements in both medial-lateral and anterior-posterior parameters of postural sway with eyes closed were observed after training in TRN group (p＜0.05) compared to CTL group. But no significant changes in any isokinetic strength parameters were observed after training in TRN group.
Conclusion: The proprioceptive exercises that we used could improve one-leg balance without significant strength gain after 6 weeks training. (J Korean Acad Rehab Med 2004; 28: 151-156)

참고문헌 (Reference)

1 "만성 족부 염좌 환자에서 족관절 내반근와 외반근의 등속성 근력 평가." 22 : 1329-1334, 1998

2 "만성 발목염좌 환자에서 자세균형조절기능." 24 : 776-783, 2000

3 "Unilateral training of non-injured individuals and the effect on postural sway. J Sports Rehabil 1993" 87-96,

4 "The relationship between muscle function and ankle stability. J Orthop Sports Phys Ther 1990" 605-611,

5 "The frequency of injury mechanism of injury and epidemiology of ankle sprains." 5 : 241-242, 1997

6 "The etiology and prevention of functional instability of the foot. J Bone Joint Surg 1965" 678-685,

7 "The effects of proprioceptive or strength training on the neuromuscular function of the ACL reconstructed knee: a randomized clinical trial" 13 : 115-123, 2003

8 "The effects of proprioceptive ankle disk training on healthy subjects." 21 : 90-93, 1995

9 "Stabilometery in functional instability of the ankle and its value in predicting injury. Med Sci Sports Exerc 1984" 64-66,

10 "Residual disability following acute ankle sprains. J Bone Joint Surg 1955" 1237-1243,

11 "Prevention of anterior cruciate ligament injuries in soccer: A prospective controlled study of proprioceptive training" 4 : 19-21, 1996

12 "Prevention of ankle sprains. Am J Sports Med 1985" 259-262,

13 "Invertor vs. evertor peak torque and power deficiencies associated with lateral ankle ligament injury." 26 : 78-86, 1997

14 "Factors affecting stabilometery recordings of single limb stance. Am J Sports Med 1984" 185-188

15 "Effects of recurrent lateral ankle sprains on active and passive judgementsof joint position. Phys Ther 1987" 1505-1509,

16 "Effect of coordination training on proprioception of the functionally unstable ankle." 27 : 264-275, 1998

17 "Effect of ankle disk training on postural control in patients with functional instabilities of the ankle joint. Int J Sports Med 1988" 141-144,

18 "Dynamic posturography in the diagnosis and management of dizziness and balance disorders. Neuro Clinics 1990" 331-349,

19 "Concepts in sports medicine" Saunders 957-983, 2000

20 "Ankle disk training influences reaction times of selected muscles in a simulated ankle sprain." 25 : 538-543, 1997