Journal of the Korean Society of Physical Medicine (대한물리의학회지)

The Korean Society of Physical Medicine (대한물리의학회)
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Evaluation of Muscle Activity and Foot Pressure during Gait, and Isokinetic Strength and Balance in Persons with Functional Ankle Instability

기능적 발목관절 불안정성의 등속성 근력과 균형 및 보행 중에 근활성도와 발바닥압의 평가

  • Lee, Sun-Ah (Department of Kinesiologic Medical Science, Graduate, Dankook University) ;
  • Kim, Ah-Ram (Department of Physical Therapy, Namseoul University) ;
  • Yoo, Kyung-Tae (Department of Physical Therapy, Namseoul University) ;
  • Lee, Ho-Seong (Department of Kinesiologic Medical Science, Graduate, Dankook University)
  • 이선아 (단국대학교 대학원 운동의과학과) ;
  • 김아람 (남서울대학교 물리치료학과) ;
  • 유경태 (남서울대학교 물리치료학과) ;
  • 이호성 (단국대학교 대학원 운동의과학과)
  • Received : 2018.05.31
  • Accepted : 2018.06.29
  • Published : 2018.08.31
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Abstract

PURPOSE: The purpose of this study was to investigate and evaluate muscle activity and foot pressure during gait, and isokinetic strength and balance in persons with functional ankle instability (FAI). METHODS: Nine healthy subjects (CON, n=9) without FAI and 11 patients (FAI, n=11) with FAI participated in the study after having been screened with an ankle instability instrument and a balance error scoring system. In addition, FAI was classified as non-involved (FAI-N) or involved (FAI-I), and CON was classified as dominant or non-dominant. All subjects were evaluated for isokinetic strength (plantar flexion, dorsiflexion, inversion and eversion of $30^{\circ}/sec$ and $60^{\circ}/sec$), balance (static and dynamic), muscle activity (tibialis anterior, peroneus longus and gastrocnemius) and foot pressure (static and dynamic) during gait. RESULTS: Results showed that plantar flexion (p<.05), dorsiflexion (p<.05), inversion (p<.01) and eversion (p<.00) of $60^{\circ}/sec$ were significantly decreased in FAI-I compared to those in FAI-N and CON. C 90 of static balance with eyes open (p<.01) and closed (p<.00) were significantly increased in FAI compared to those in CON. Forward position of dynamic balance (p<.01) was significantly decreased in FAI compared to that in CON. Gastrocnemius and peroneus longus of dynamic muscle activity (p<.01), left and right weight distribution of static foot pressure (p<.00) and pressure distribution of dynamic foot pressure (p<.00) were significantly decreased in FAI-I compared to those in FAI-N. CONCLUSION: We demonstrated that ankle strength, balance, muscle activity and foot pressure were significantly correlated with FAI.

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References

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