Journal of the Korean Society of Physical Medicine (대한물리의학회지)

The Korean Society of Physical Medicine (대한물리의학회)
권호 표지
DOI QR코드

DOI QR Code

The Comparison of Balance using Cumberland Ankle Instability Tool to Stable and Instability Ankle

Cumberland 발목 불안정성 도구에 의한 안정성과 불안정성 발목의 균형 비교

  • Kim, Ki-Jong (Department of Physical Therapy, Graduate School of Dongshin University) ;
  • Jega, Hyuk (Department of Physical Therapy, Dongin Geriastric Hospital) ;
  • Jun, Hyun-Ju (Department of Physical Therapy, Udal Sanatorium) ;
  • Choi, Bum-Jin (Center of Joint Disease, Donga Hospital) ;
  • Choi, Hyun-Jin (Department of Physical Therapy, Suncheon Pyungwha Hospital) ;
  • Yu, Seong-Hun (Department of Physical Therapy, Gwangju Trauma Center) ;
  • Kim, Young-Eok (Department of Physical Therapy, College of Health and Welfare, Dongshin University)
  • 김기종 (동신대학교 대학원 물리치료학과) ;
  • 제갈혁 (동인요양병원 물리치료실) ;
  • 전현주 (유달요양원 물리치료실) ;
  • 최범진 (동아병원 관절센터) ;
  • 최현진 (순천평화병원 물리치료실) ;
  • 유성훈 (광주트라우마센터 물리치료실) ;
  • 김용억 (동신대학교 물리치료과)
  • Received : 2013.04.17
  • Accepted : 2013.06.25
  • Published : 2013.08.31
Download PDF
⟨ Previous Next ⟩

Abstract

PURPOSE: The purpose of this study was to investigate the comparison of balance on Stable Ankle(SA), Instability Ankle(IA) using Cumberland Ankle Instability Tool(CAIT). METHODS: Total 54(SA: 27, IA: 27) subjects were volunteered to participate in the study. SA can be defined CAIT score ${\geq}28$, with no history of injury to ankle. IA can be defined persisting symptoms of giving way and ${\leq}24$ on the CAIT after ankle sprain. the balance measured using Biodex Balance System$^{(R)}$(BBS). BBS instability protocols used static, dynamic balance level less stable(2), moderate stable(4) and level more stable(8). RESULTS: There were significant differences at overall, Anterior-Posterior(AP), Medial-Lateral(ML) of static balance, dynamic balance level 2, 4. The dynamic balance level 8 found significant difference at ML, but not found significant differences at overall, AP. CONCLUSION: We suggest that CAIT is acquired more exact information for IA intervention, as balance measured.

Keywords

References

  1. Alonso AC, Brech GC, Bourquin AM et al. The influence of lower-limb dominance on postural balance. Sao Paulo Med J. 2011;129(6):410-3.
  2. Anandacoomarasamy A, Barnsley L. Long term outcomes of inversion ankle injuries. Br J Sports Med. 2005;39(3):e14. https://doi.org/10.1136/bjsm.2004.011676
  3. Arnold BL, De la Motte SJ, Linens SW et al. Functional ankle instability is associated with balance impairments: a meta-analysis. Med Sci Sports Exerc. 2009;41(5):1048-62. https://doi.org/10.1249/MSS.0b013e318192d044
  4. Arnold BL, Docherty CL. Bracing and rehabilitation: what''s new. Clin Sports Med. 2004;23(1):83-95. https://doi.org/10.1016/S0278-5919(03)00086-3
  5. Becker HP, Rosenbaum D. Chronic recurrent ligament instability on the lateral ankle. Orthopade. 1999;28(6):483-92.
  6. Beynnon BD, Renstrom PA, Alosa DM et al. Ankle ligament injury risk factors: a prospective study of college athletes. J Orthop Res. 2001;19(2):213-20. https://doi.org/10.1016/S0736-0266(00)90004-4
  7. Bressel E, Yonker JC, Kras J et al. Comparison of static and dynamic balance in female collegiate soccer, basketball, and gymnastics athletes. J Athl Train. 2007;42(1):42-6.
  8. Cha SH, Kim JS. The effects of balance exercises on functional ankle instability with ankle sprained patients. Kinesiology. 2009;11(2):73-83.
  9. Chun SY. The effects of proprioceptive exercise program on motor function of lower limb in male soccer players with functional ankle instability. Graduate School of Korea National Sport University. Doctor's thesis. 2009.
  10. Chun SY, Choi OJ. The Ankle joint position sense, strength and Functional Ability of the Soccer Player with Functional Ankle Instability. The Korea Journal of Sports Science. 2009;18(3):1119-30.
  11. Cornwall MW, Murrell P. Postural sway following inversion sprain of the ankle. J Am Podiatr Med Assoc. 1991;81(5):243-7. https://doi.org/10.7547/87507315-81-5-243
  12. de Vries JS, Kingma I, Blankevoort L et al. Difference in balance measures between patients with chronic ankle instability and patients after an acute ankle inversion trauma. Knee Surg Sports Traumatol Arthrosc. 2010;18(5):601-6. https://doi.org/10.1007/s00167-010-1097-1
  13. Donahue M, Simon J, Docherty CL. Critical review of self-reported functional ankle instability measures. Foot Ankle Int. 2011;32(12):1140-6. https://doi.org/10.3113/FAI.2011.1140
  14. Freeman M. Instability of the foot after injuries to the lateral ligaments of the ankle. J Bone Joint Surg [Br]. 1965;47(4):669-77.
  15. Gribble PA, Hertel J. Considerations for normalizing measures of the star excursion balance test. Meas Phys Educ Exerc Sci. 2003;7(2):89-100. https://doi.org/10.1207/S15327841MPEE0702_3
  16. Gribble PA, Tucker WS, White PA. Time-of-day influences on static and dynamic postural control. J Athl Train. 2007;42(1):35-41.
  17. Hale SA, Hertel J, Olmsted-Kramer LC. The effect of a 4-week comprehensive rehabilitation program on postural control and lower extremity function in individuals with chronic ankle instability. J Orthop Sports Phys Ther. 2007;37(6):303-11. https://doi.org/10.2519/jospt.2007.2322
  18. Hertel J. Functional anatomy, pathomechanics, and pathophysiology of lateral ankle instability. J Athl Train. 2002;37(4):364-75.
  19. Hiller CE, Refshauge KM, Bundy AC et al. The Cumberland ankle instability tool: a report of validity and reliability testing. Arch Phys Med Rehabil. 2006;87(9):1235-41. https://doi.org/10.1016/j.apmr.2006.05.022
  20. Hubbard TJ, Kaminski TW. Kinesthesia is not affected by functional ankle instability status. J Athl Train. 2002;37(4):481-6.
  21. Hubbard TJ, Kramer LC, Denegar CR et al. Contributing factors to chronic ankle instability. Foot and Ankle International. 2007;28(3);343-54. https://doi.org/10.3113/FAI.2007.0343
  22. Hyeon GS. The effects of isokinetic exercise programs on the muscular function recovery of athletes with chronic ankle sprain. Journal of Sports and Leisure Studies. 2003;19(2):1503-13.
  23. Kim KJ. The effect of strength and proprioception combined training on functional ankle instability. Graduate School of Dongshin University. Master's thesis. 2012.
  24. Kim MC. Isokinetic Muscular Strength of the Lower Limbs and Balance in Soccer Players with Functional Ankle Instability. Sports Medicine Graduate School of Sports Science. Dankook University. Master's thesis. 2008.
  25. Kim YS, Park SV, K HJ et al. The effect of the disk training and the combined training on functional stability of ankles. Exercise Science. 2004;13(1):113-24.
  26. Leanderson J, Wykman A, Eriksson E. Ankle sprain and postural sway in basketball players. Knee Surg Sports Traumatol Arthrosc. 1993;1(3-4):203-5. https://doi.org/10.1007/BF01560207
  27. Lee BH, Kim CK, Lee HS et al. The effects of kinesio taping applied to regions on balance index. Journal of Coaching Development. 2010;12(4):99-104.
  28. Lee KT, Song BY, Young KW et al. Analysis of the injuries in professional soccer player. The Korean Journal of Sports Medicine. 2000;18(2):176-80.
  29. Richie DH Jr. Functional instability of the ankle and the role of neuromuscular control: a comprehensive review. J Foot Ankle Surg. 2001;40(4):240-51. https://doi.org/10.1016/S1067-2516(01)80025-9
  30. Rozzi S. L, Lephart SM, Sterner R et al. Balance training for persons with functionally unstable ankles. J Orthop Sports Phys Ther. 1999;29(8);478-86. https://doi.org/10.2519/jospt.1999.29.8.478
  31. Mattacola CG, Dwyer MK. Rehabilitation of the ankle after acute sprain or chronic instability. J Athl Train. 2002;37(4):413-29.
  32. Mc Guine TA, Greene JJ, Best T et al. Balance as a predictor of ankle injuries in high school basketball players. Clin J Sport Med. 2000;10(4):239-44. https://doi.org/10.1097/00042752-200010000-00003
  33. Mc Guine TA, Keene JS. The effect of a balance training program on the risk of ankle sprains in high school athletes. Am J Sports Med. 2006;34(7):1103-11. https://doi.org/10.1177/0363546505284191
  34. Mohammadirad S, Salavati M, Takamjani IE et al. Intra and intersession reliability of a postural control protocol in athletes with and without anterior cruciate ligament reconstruction: a dual-task paradigm. Int J Sports Phys Ther. 2012;7(6):627-36.
  35. Negahban H, Etemadi M, Naghibi S et al. The effects of muscle fatigue on dynamic standing balance in people with and without patellofemoral pain syndrome. Gait Posture. 2013;37(3):336-9. https://doi.org/10.1016/j.gaitpost.2012.07.025
  36. Park WH, Kim DK, Yoo JC et al. Correlation between dynamic postural stability and muscle strength, anterior instability, and knee scale in anterior cruciate ligament defi cient knees. Arch Orthop Trauma Surg. 2010;130(8):1013-18. https://doi.org/10.1007/s00402-010-1080-9
  37. Sawkins K, Refshauge K, Kilbreath S et al. The placebo effect of ankle taping in ankle instability. Med Sci Sports Exerc. 2007;39(5):781-7. https://doi.org/10.1249/MSS.0b013e3180337371
  38. Subasi SS, Gelecek N, Aksakoglu G. Effects of different warm-up periods on knee proprioception and balance in healthy young individuals. J Sport Rehab. 2008;17(2):186-205.
  39. Tropp H, Ekstrand J, Gillquist J. Factors affecting stabilometry recordings of single limb stance. Am J Sports Med. 1984;12(3):185-8. https://doi.org/10.1177/036354658401200302
  40. Yeung MS, Chan KM, So CH et al. An epidemiological survey on ankle sprain. Br J Sports Med. 1994;28(2):112-6. https://doi.org/10.1136/bjsm.28.2.112

Cited by

  1. Impact of Combined Muscle Strength and Proprioceptive Exercises on Functional Ankle Instability vol.4, pp.2, 2013, https://doi.org/10.5854/JIAPTR.2013.10.25.600
  2. Effects of Virtual Reality Programs on Proprioception and Instability of Functional Ankle Instability vol.6, pp.2, 2015, https://doi.org/10.5854/JIAPTR.2015.10.30.891
  3. The Effect of Elastic Therapeutic Taping on Lower Limb Kinematics during a Cross Cutting Movement from Landing in Subjects with Chronic Ankle Instability vol.12, pp.4, 2017, https://doi.org/10.13066/kspm.2017.12.4.1
  4. 치료적 운동이 앞 발목 충돌 증후군 환자의 통증, 관절가동범위, 근력 및 균형능력에 미치는 영향: 증례보고 vol.11, pp.4, 2013, https://doi.org/10.13066/kspm.2016.11.4.93
  5. 테이핑과 극초단파를 적용 후 가상현실 운동 프로그램이 기능적 발목 불안정성 균형에 미치는 효과 vol.5, pp.3, 2013, https://doi.org/10.15268/ksim.2017.5.3.063