Earticle

초록

영어

Background: Chronic ankle instability can result in balance and gait impairments because of weakness in the ankle muscles and reduced proprioceptive function. Barefoot walking is distinct from walking in shoes with regard to kinematics, kinetics, and muscle activity. Moreover, outdoor walking exhibits significant differences from indoor walking across eight environmental factors, including variations in surrounding conditions, ground characteristics, external physical loads, and attentional demands. Community‑based barefoot walking leverages natural terrain and minimal equipment to provide an accessible, low‑cost intervention that may more effectively stimulate ankle sensorimotor pathways. This study examined the effects of barefoot walking exercises on proprioception, muscle activity, and balance in adults with chronic ankle instability. Methods: Thirty participants with chronic ankle instability were recruited and randomly assigned to one of two groups: an experimental group (barefoot walking exercise) and a control group (shoe walking exercise). The participants in both groups engaged in their respective exercises for six weeks, with sessions conducted five times per week for 40 minutes each. The assessments were performed before and after the intervention. Results: After the intervention, significant improvements in proprioception were observed in the experimental group for dorsiflexion and plantar flexion (p<.05). Regarding muscle activity, the experimental group showed significant changes in the tibialis anterior and peroneal muscles (p<.05), while no significant differences were observed in the gastrocnemius muscle (p>.05). The balance variables showed significant improvements in all measured directions (p<.05). Conclusion: Community‑based barefoot walking exercise is effective in enhancing proprioception, selectively augmenting ankle muscle activation, and improving dynamic balance in adults with chronic ankle instability. This simple, low‑resource intervention may be readily incorporated into rehabilitation programs to optimize functional outcomes.

목차

ABSTRACT
I. 서론
Ⅱ. 연구 방법
1. 연구대상자 및 절차
2. 연구방법
3. 측정도구 및 측정방법
4. 분석 방법
Ⅲ. 연구 결과
1. 연구대상자의 일반적인 특성
2. 고유수용성 감각 변수의 변화
3. 근 활성도의 변화
4. 균형능력의 변화
Ⅳ. 고찰
Ⅴ. 결론
Acknowledgement
참고문헌

키워드

저자

• 김민규 [ Min-kyu Kim | 청암대학교 물리치료과 교수 ]
• 정승은 [ Seung-eun Jeong | 명지춘혜병원 물리치료실 ] 교신저자
• 정찬주 [ Chan-joo Jeong | 청암대학교 물리치료과 교수 ]

참고문헌

발행기관

간행물

표지보기 관심저널 등록

• 간행물명

  대한정형도수물리치료학회지 [The Journal of Korean Academy of Orthopedic Manual Physical Therapy]

• 간기

  연3회

• pISSN

  1226-3680

• eISSN

  2508-7282

• 수록기간

  1995~2026

• 등재여부

  KCI 등재

• 십진분류

  KDC 512 DDC 615