치료적 운동을 병행한 발목 관절가동술이 만성 발목 불안정성을 가진 노인의 발목 관절가동범위와 균형에 미치는 영향 = The effect of ankle mobilization combined with therapeutic exercise on ankle joint range of motion and balance in the elderly with chronic ankle instability

다국어 초록 (Multilingual Abstract)

Background: This study analyzed the effects of balance and ankle joint range of motion in elderly people suffering from chronic ankle instability; when therapeutic exercise was applied alongside ankle joint mobilization, as a method to reduce the risk of falls and improve the ability to balance.
Design: A Single Subject experience design.
Method: This study was conducted on 10 elderly people aged 65 years or older with chronic ankle instability. Therapeutic exercise and four types of ankle joint mobilization were used during the study. The therapeutic exercise was applied for 10 minutes, and after a 5-minute rest period, four joint mobilization techniques were applied for 5 minutes each time, for a total of 20 minutes. The procedures were performed by a skilled person with more than 10 years of physical therapy clinical experience and conducted three days a week for a four-week period. An evaluation was conducted before and after the experiment, for four weeks. The evaluation items were the joint range of motion and static and dynamic balance.
Result:: The study results show that, as a result of applying therapeutic exercise and ankle joint mobilization for four weeks, static and dynamic balance improved significantly after the intervention compared to before the intervention (p<.05), and instep and plantar flexion joint angles in the range of motion of the ankle joint were also significantly improved (p<.05).
Conclusions: Ankle joint mobilization combined with therapeutic exercise for the elderly with chronic ankle instability can be proposed as an effective treatment intervention method to improve joint range of motion and balance, and the study suggests that it can be more actively used in clinical practice.