급성 외측 발목 염좌 환자에서 멀리건 관절 가동술과 근력 및 고유수용성 훈련이 통증과 발목 근력 향상에 미치는 영향
The Effects of Mulligan Mobilization Combined with Strengthening and Proprioceptive Training on Pain and Ankle Muscle Strengthening in Patients with Acute Lateral Ankle Sprain
Background: This study aimed to compare the relative effects of function-focused intervention (mobilization with movement (MWM) combined with resistance strengthening) and sensory-focused intervention (proprioceptive and balance training) on pain, ankle strength, and balance in patients with acute lateral ankle sprains. The goal was to analyze how the composition of early rehabilitation interventions influences recovery patterns. Methods: Forty patients with acute lateral ankle sprains were randomly assigned to an experimental group (n=20) or a control group (n=20). The experimental group received MWM targeting ankle dorsiflexion and plantarflexion, followed by resistance band exercises. The control group performed proprioceptive training, including single-leg stance, Airex pad balance, and BOSU ball exercises. Both groups underwent interventions three times per week for eight weeks. Pain (VAS), isokinetic muscle strength (60°/sec and 180°/sec), and balance ability (biodex balance system) were measured pre- and post-intervention. Results: The experimental group showed significant improvements in pain reduction, ankle dorsiflexion and plantarflexion strength, and balance ability compared to the control group (p<.05). In contrast, the control group exhibited limited improvements in balance and no statistically significant changes in muscle strength. Conclusion: A function-oriented combined intervention incorporating MWM and resistance exercises is more effective than sensory-focused training alone for reducing pain and improving ankle strength and balance in the early stages of rehabilitation for acute lateral ankle sprains. These findings support a more integrated and strategic approach to early rehabilitation to promote faster recovery and prevent recurrent injuries. These results provide important clinical evidence supporting the use of comprehensive rehabilitation strategies in managing acute ankle sprains.
목차
ABSTRACT I. 서론 Ⅱ. 연구 방법 1. 연구 대상자 2. 연구절차 3. 평가방법 4. 중재 방법 4. 자료처리 Ⅲ. 연구 결과 1. 연구 대상자의 일반적인 특성 2. 발목 근력의 변화 비교 3. 균형 능력 변화 비교 Ⅳ. 고찰 Ⅴ. 결론 참고문헌
대한정형도수물리치료학회 [Korean Academy of Orthopedic Manual Therapy]
설립연도
1992
분야
의약학>물리치료학
소개
대한정형물리치료학회는 대한물리치료사학회 정형물리치료 분과학회로서 정형물리치료학 분야의 연구및 학문발전에 목적을 가지고 있습니다.
본 학회에서는 다음과 같은 사업을 주관하고 있습니다.
첫째. 정형물리치료 분야 및 관련분야의 연구가 이루어지고 있으며,
둘째. 정형물리치료 연수위원회 운영 및 교육프로그램을 개발하고,
셋째. 학술대회 및 세미나를 개최하며,
넷째. 학회지 및 관련 도서를 발간 하고 있으며,
다섯째. 국제 및 국내 유관단체와 학술교류를 담당하고 있습니다.
간행물
간행물명
대한정형도수물리치료학회지 [The Journal of Korean Academy of Orthopedic Manual Physical Therapy]