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      슬링을 이용한 중간볼기근 강화훈련이 만성 발목 불안정성을 가진 20대 성인의 발목 불안정성, 균형, 근력에 미치는 영향 = Effects of Gluteus Medius Strengthening Training Using Sling on Ankle Instability, Muscle Strength, Balance in Adults in Their 20s with Chronic Ankle Instability

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      https://www.riss.kr/link?id=A108360604

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      Purpose : The purpose of this study was to investigate the effect of ankle strengthening exercise combined with sling-assisted gluteus medius strengthening on ankle instability score, and static and dynamic balance ability, muscle strength in adults i...

      Purpose : The purpose of this study was to investigate the effect of ankle strengthening exercise combined with sling-assisted gluteus medius strengthening on ankle instability score, and static and dynamic balance ability, muscle strength in adults in their 20s with chronic ankle instability.
      Methods : Twenty-eight adults in their 20s with chronic ankle instability were recruited. After screening test, they were randomized through R studio program as an experimental group (n=14) to apply an ankle strengthening exercise combined with sling-assisted gluteus medius strengthening and a control group (n=14) to apply ankle strengthening exercise. The intervention lasted two times a week for 6 weeks. To compare the intervention effects, the Cumberland ankle instability tool (CAIT) score, static and dynamic balance ability, and muscle strength of lower extremities were measured.
      Results : The experimental group showed a significant increase in pre and post-intervention Cumberland ankle instability tool (CAIT) score, static and dynamic balance ability, and muscle strengt (p<.05). The control group showed a significant increase in pre and post-intervention CAIT score, dynamic balance ability, and muscle strength (p<.05). The experimental group showed a significant increase in CAIT score, dynamic balance ability, and muscle strength compared to the control group (p<.05), and showed a high effect size.
      Conclusions : The results of this study confirmed that ankle strengthening exercise combined with sling-assisted gluteus medius strengthening on people with chronic ankle instability the possibility that it could be effective in improving ankle instability and improving dynamic balance ability, and strength by movement. Although additional research is needed to increase the number of participants due to the small sample size, it is hoped that this study will be an optimistic clinical protocol for people with chronic ankle instability.

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      참고문헌 (Reference) 논문관계도

      1 박기현 ; 김원복, "편마비 환자의 발목관절 전략 운동이 균형 조절 능력에 미치는 영향" 대한물리의학회 9 (9): 75-82, 2014

      2 권애정 ; 김선엽, "진동을 동반한 옆교각 운동이 요통 성인의 통증, 기능장애, 근력, 균형에 미치는 영향" 대한물리의학회 11 (11): 127-137, 2016

      3 오주환 ; 우현지 ; 김경 ; 권대규, "전신진동 자극이 가미된 슬링 운동이 척수손상 장애인의 상지 관절 토크에 미치는 영향" 한국재활복지공학회 13 (13): 312-319, 2019

      4 전 진, "엉덩이 강화 운동이 만성 발목 불안정성을 가진 엘리트 선수들의 고관절 외전근 등속성 근력 및 족압 분포에 미치는 영향" 단국대학교 스포츠과학대학원 2014

      5 주정열 ; 서병도 ; 박규현, "슬링운동이 중간볼기근안정화에 미치는 효과" 한국엔터테인먼트산업학회 8 (8): 149-154, 2014

      6 오재섭 ; 박준상 ; 김선엽 ; 권오윤, "슬링(sling)과 고정된 지지면에서의 팔굽혀펴기동작 시 근 활성도 비교" 한국전문물리치료학회 10 (10): 29-40, 2003

      7 박대성 ; 이동엽 ; 최성진 ; 신원섭, "뇌졸중 환자들의 균형평가를 위한 Balancia 프로그램의 신뢰도와 타당도" 한국산학기술학회 14 (14): 2767-2772, 2013

      8 Holmes JD, "Validity of the nintendo wii® balance board for the assessment of standing balance in parkinson’s disease" 27 (27): 361-366, 2013

      9 Kim SY, "Theoretical basis and application of the neurac technique which uses the sling exercise therapy" 12 (12): 52-65, 2006

      10 Abe Y, "The postural control characteristics of individuals with and without a history of ankle sprain during single-leg standing : relationship between center of pressure and acceleration of the head and foot parameters" 26 (26): 885-888, 2014

      1 박기현 ; 김원복, "편마비 환자의 발목관절 전략 운동이 균형 조절 능력에 미치는 영향" 대한물리의학회 9 (9): 75-82, 2014

      2 권애정 ; 김선엽, "진동을 동반한 옆교각 운동이 요통 성인의 통증, 기능장애, 근력, 균형에 미치는 영향" 대한물리의학회 11 (11): 127-137, 2016

      3 오주환 ; 우현지 ; 김경 ; 권대규, "전신진동 자극이 가미된 슬링 운동이 척수손상 장애인의 상지 관절 토크에 미치는 영향" 한국재활복지공학회 13 (13): 312-319, 2019

      4 전 진, "엉덩이 강화 운동이 만성 발목 불안정성을 가진 엘리트 선수들의 고관절 외전근 등속성 근력 및 족압 분포에 미치는 영향" 단국대학교 스포츠과학대학원 2014

      5 주정열 ; 서병도 ; 박규현, "슬링운동이 중간볼기근안정화에 미치는 효과" 한국엔터테인먼트산업학회 8 (8): 149-154, 2014

      6 오재섭 ; 박준상 ; 김선엽 ; 권오윤, "슬링(sling)과 고정된 지지면에서의 팔굽혀펴기동작 시 근 활성도 비교" 한국전문물리치료학회 10 (10): 29-40, 2003

      7 박대성 ; 이동엽 ; 최성진 ; 신원섭, "뇌졸중 환자들의 균형평가를 위한 Balancia 프로그램의 신뢰도와 타당도" 한국산학기술학회 14 (14): 2767-2772, 2013

      8 Holmes JD, "Validity of the nintendo wii® balance board for the assessment of standing balance in parkinson’s disease" 27 (27): 361-366, 2013

      9 Kim SY, "Theoretical basis and application of the neurac technique which uses the sling exercise therapy" 12 (12): 52-65, 2006

      10 Abe Y, "The postural control characteristics of individuals with and without a history of ankle sprain during single-leg standing : relationship between center of pressure and acceleration of the head and foot parameters" 26 (26): 885-888, 2014

      11 Lee SU, "The effects of modified hip abductor strengthening exercise on back pain level and hip joint function for chronic low back pain patients with gluteus medius weakness" Graduate school of Daejeon University 2015

      12 Kim YH, "The effects of gluteus medius strength training on ankle stability in patient with chronic ankle sprains" 24 (24): 59-67, 2018

      13 Dannelly BD, "The effectiveness of traditional and sling exercise strength training in women" 25 (25): 464-471, 2011

      14 Hale SA, "The effect of a 4-week comprehensive rehabilitation program on postural control and lower extremity function in individuals with chronic ankle instability" 37 (37): 303-311, 2007

      15 Dong M, "State of the art in parallel ankle rehabilitation robot : a systematic review" 18 (18): 1-15, 2021

      16 Doherty C, "Recovery from a first-time lateral ankle sprain and the predictors of chronic ankle instability a prospective cohort analysis" 44 (44): 995-1003, 2016

      17 Thomas JL, "Radiographic analysis of the canale view for displaced talar neck fractures" 51 (51): 187-190, 2012

      18 Maeo S, "Muscular activities during sling-and ground-based push-up exercise" 7 (7): 1-7, 2014

      19 Kim, "Lumbar stabilization exercises using the sling system" 7 (7): 23-39, 2001

      20 Choi WJ, "Inter-rater reliability on the functional reach test" 381-382, 2019

      21 DeJong AF, "Gluteus medius dysfunction in females with chronic ankle instability is consistent at different walking speeds" 73 : 140-148, 2020

      22 Hertel J, "Functional anatomy, pathomechanics, and pathophysiology of lateral ankle instability" 37 (37): 364-375, 2002

      23 Cain MS, "Four-week ankle-rehabilitation programs in adolescent athletes with chronic ankle instability" 55 (55): 801-810, 2020

      24 Krause DA, "Electromyography of the hip and thigh muscles during two variations of the lunge exercise : a cross-sectional study" 13 (13): 137-142, 2018

      25 Kim H, "Effects of vibrotactile biofeedback providing real-time pressure information on static balance ability and weight distribution symmetry index in patients with chronic stroke" 12 (12): 2022

      26 Li X, "Effects of different sling settings on electromyographic activities of selected trunk muscles : a preliminary research" 2020 : 2020

      27 Jae-Ik Lee, "Effects of Hip Joint Strengthening Exercises and Lumbopelvic Stabilization Exercises on Balance and Instability of Adults with Functional Ankle Instability" Horizon Research Publishing Co., Ltd. 9 (9): 757-764, 2021

      28 홍성범, "Effects of Closed-Sling Exercise on Muscle Activity and Balance; Football Club Player with Chronic Ankle Instability" 국제물리치료연구학회 9 (9): 1608-1613, 2018

      29 송인영 ; 서연순 ; 강양훈, "Effects of 10-Week Body Stability Exercise Program on Functional Movement and Body Balance of Middle School Volleyball Players" 대한물리치료학회 32 (32): 203-209, 2020

      30 Woo HJ, "Effect of whole body vibration conditions on lower limb muscles during sling exercise" 12 (12): 2022

      31 Chen L, "Effect of sling exercise training on balance in patients with stroke : a meta-analysis" 11 (11): 2016

      32 Hertel J, "Deficits in time-to-boundary measures of postural control with chronic ankle instability" 25 (25): 33-39, 2007

      33 Ko J, "Cross-cultural adaptation and validation of the Korean version of the Cumberland Ankle Instability Tool" 10 (10): 1007-1014, 2015

      34 Jeon DC, "Comparison of gluteus medius activity according to the posture of hip abduction exercise" Graduate school of Daegu Catholic University 2014

      35 Leavey VJ, "Comparative effects of 6-week balance, gluteus medius strength, and combined programs on dynamic postural control" 19 (19): 268-287, 2010

      36 Carroll M, "Assessment of foot and ankle muscle strength using hand held dynamometry in patients with established rheumatoid arthritis" 6 (6): 2013

      37 Smith BI, "Ankle strength and force sense after a progressive, 6-week strength-training program in people with functional ankle instability" 47 (47): 282-288, 2012

      38 Hertel J, "An updated model of chronic ankle instability" 54 (54): 572-588, 2019

      39 Park SJ, "An Influence that hip abduction in sidelying using sling has on gluteus medius activation" Graduate school of Daegu Catholic University 2016

      40 Wright CJ, "A randomized controlled trial comparing rehabilitation efficacy in chronic ankle instability" 26 (26): 238-249, 2017

      41 Webster KA, "A comparison of electromyography of gluteus medius and maximus in subjects with and without chronic ankle instability during two functional exercises" 14 (14): 17-22, 2013

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