자가 발목 관절가동술이 만성 발목 불안정성 환자의 통증, 관절가동범위, 정적균형 및 기능적 움직임에 미치는 영향
Effects of Self-Movement with Mobilization on Pain, Range of Motion, Static Balance and Functional Performance in Patients with Chronic Ankle Instability
The study aimed to determine the effect of weight-bearing self-mobilization with movement (S-MWM) on pain, range of motion (ROM), static balance, and functional performance in patients with chronic ankle instability (CAI). Following baseline measurements, 38 subjects with CAI were randomized into two groups: the experimental group (n=19), which received S-MWM, and the control group (n=19), which performed weight-bearing exercise (WBE). The S-MWM group performed lunge exercises combined with self-mobilization using a non-elastic strap, while the WBE group performed only lunge exercises. Each session consisted of 15 sets of 20 seconds per set, with a 10-second rest between sets. The visual analogue scale (VAS) for pain, ROM (using a digital inclinometer), static balance (force plate), and functional performance (Y-balance test) tests of both groups were recorded at both pre- and post-intervention. Paired t-tests were used to determine significant changes within groups, and independent t-tests were used to analyze differences between the groups. After the intervention, both groups experienced significant improvements in pain, ROM, static balance, and functional performance (p<.05). The experimental group that received S-MWM showed greater improvements in all outcome measures compared to the WBE group (p<.001). These results suggest that weight-bearing S-MWM is effective in reducing pain and enhancing ankle mobility, static balance, and functional performance in patients with CAI.
목차
Abstract Ⅰ. 서론 Ⅱ. 연구방법 1. 연구 대상 2. 중재 방법 3. 측정 도구 및 평가 방법 4. 통계 처리 Ⅲ. 결과 1. 연구대상자의 일반적인 특성 2. 발목 통증의 변화 비교 3. 관절가동범위 비교 4. 정적균형 비교 5. 기능적 움직임 비교 Ⅳ. 고찰 Ⅴ. 결론 인용문헌