대한물리의학회지 (Journal of the Korean Society of Physical Medicine)

  • 제15권3호
  • /
  • Pages.89-98
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  • 2020
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  • 1975-311X(pISSN)
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  • 2287-7215(eISSN)
대한물리의학회 (The Korean Society of Physical Medicine)
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편측 정적스트레칭이 보행 비대칭자의 하지 유연성과 대칭성 및 시간적 보행 변인에 미치는 영향

Effects of Unilateral Static Stretching on Flexibility and Symmetry of Lower Leg, and Temporal Gait Variables in Gait Asymmetry People

  • 권영애 (단국대학교 대학원 운동의과학과) ;
  • 유경태 (남서울대학교 물리치료학과) ;
  • 이호성 (단국대학교 대학원 운동의과학과)
  • Kwon, Young-Ae (Department of Kinesiologic Medical Science, Graduate, Dankook University) ;
  • Yoo, Kyung-Tae (Department of Physical Therapy, Namseoul University) ;
  • Lee, Ho-Seong (Department of Kinesiologic Medical Science, Graduate, Dankook University)
  • 투고 : 2020.05.26
  • 심사 : 2020.07.02
  • 발행 : 2020.08.31
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초록

PURPOSE: This study investigated the effects of unilateral static stretching on the flexibility and symmetry of the lower leg, and temporal gait variables in gait asymmetry people. METHODS: Twenty gait asymmetry people were divided into a unilateral static stretching group (USG, n = 10) and control group (CON, n = 10). The USG performed unilateral static stretching for 60 minutes, three times a week, and eight weeks. The flexibility of the lower leg (SR), and symmetry (BR), and temporal gait variables (Step length; SL, gait speed; GS) were measured before, after four and eight weeks of unilateral static stretching. Moreover, SI (symmetry index; SI) was calculated from the measured SL value. Statistical analyses were conducted using one-way ANOVA and two-way ANOVA with repeated measures, a paired t-test, and multiple comparisons according to Scheffe. RESULTS: SR and BR in the dominant and non-dominant side, and GS were increased significantly at USG after eight-weeks compared to before unilateral static stretching (p < .05). The difference in BR in the dominant and non-dominant side, and step length (SI) decreased significantly at USG after eight-weeks compared to before unilateral static stretching (p < .05). CONCLUSION: Unilateral static stretching improves the flexibility and symmetry of the lower leg, and temporal gait variables in gait asymmetry people.

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참고문헌

  1. Perry J. Gait Analysis; Normal and pathological function. J Pediatr Orthop. 1992;12(6):815-21. https://doi.org/10.1097/01241398-199211000-00023
  2. Kobayashi T, Orendurff MS, Arabian AK, et al. Effect of prosthetic alignment changes on socket reaction moment impulse during walking in transtibial amputees. J Biomech. 2014;47(6):1315-23. https://doi.org/10.1016/j.jbiomech.2014.02.012
  3. Heydar S, Aissaoui R, Dansereau J, et al. Biomechanical analysis of legrest support of occupied wheelchairs: Comparison between a conventional and a compensatory legrest. IEEE Trans Rehabil Eng. 2000;8(1):140-8. https://doi.org/10.1109/86.830958
  4. Nigg BM, De Boer RW, Fisher V. A kinematic comparison of overground and treadmill running. Med Sci Sports Exerc. 1995;27(1):98-105.
  5. McCarthy MM, Strickland SM. Patellofemoral pain: an update on diagnostic and treatment options. Current Review Musculoskeletal Medicine. 2013;6(2):188-94. https://doi.org/10.1007/s12178-013-9159-x
  6. Slavka V, Patrik K, Zdenek S, et al. Gait symmetry measures: A review of current and prospective methods. Biomed Signal Process Control. 2018;42:89-100. https://doi.org/10.1016/j.bspc.2018.01.013
  7. Portegijs E, Silila S, Pajala S. Asymmetrical lower extremity power deficit as a risk factor for injurious falls in healthy older women. J Am Soc Geriatr Dent. 2006;54:551-3. https://doi.org/10.1111/j.1532-5415.2006.00643_6.x
  8. Aquino CF, Fonseca ST, Goncalves GG. Stretching Anatomy. Seoul. Human Kinetics Inc. Illinois, through Danny Hong Agency. 2009.
  9. Halbertsma JP, Goeken, LN. Stretching exercise: Effect on passive extensibility and stiffness in short hamstrings on healthy subjucts. Arch Phys Med Rehabil. 1994;75:975-81.
  10. Bandy WD, Irion JM, Briggler M. The effect of static stretch and dynamic range of motion training on the flexibility of the hamstring muscles. J Orthop Sports Phys Ther. 1998;27(4):295-300. https://doi.org/10.2519/jospt.1998.27.4.295
  11. Lee SE. Effects of Increasing Ankle Range of Motion Program on Ambulation and Balance for the Elderly With Balance Disorder. Physical Therapy Korea. 2005;12(2):28-36.
  12. Jaclyn RW, Keith J, Jason R, et al. Effect of a Supervised Hip Flexor Stretching Program on Gait in Elderly Individuals. PM R. 2011;3(4):324-9. https://doi.org/10.1016/j.pmrj.2010.11.012
  13. Kim SK. A Developmental Study of an Alignment Program for the Asymmetrically Developed Squash Players. Korean Journal of Sport Biomechanics. 2015;25(4):423-9. https://doi.org/10.5103/KJSB.2015.25.4.423
  14. Bley AS, Lima BN, Lucareli PRG, et al. The Acute Effects of Unilateral Ankle Plantar Flexors Static-Stretching on Postural Sway and Gastrocnemius Muscle Activity During Single-Leg Balance Tasks. J Orthop Sports Phys Ther. 2014;13(3):564-70.
  15. Robinson RO, Herzog W, Nigg BM. Use of force platform variables to quantify the effects df chiropractic manipulation on gait symmetry. J Manipulative Physiol Thera. 1987;10:172-6.
  16. Krebs, D. E., Harris, B. A., Scarborough, D. M. Quadriceps muscle strength and dynamic stability in elderly persons. Gait & Posture. 1999;10(1):10-20. https://doi.org/10.1016/S0966-6362(99)00018-1
  17. Arnold GN, Jouko, K. Stretching Anatomy, Human Kinetics Inc. 2009.
  18. Katharine FW, Evelyn KD. The Sit and Reach-A Test of Back and Leg lexibility. American association for health, physical education and recreation. 2013;26:115-8.
  19. Patterson KK, Parafianowicz I, Danells CJ, et al. Gait asymmetry in community-ambulating stroke survivors. Arch phys med rehabil. 2008;89(2):304-10. https://doi.org/10.1016/j.apmr.2007.08.142
  20. Baltaci G, Un N, Tunay V, et al. Comparison of three different sit and reach tests for measurement of hamstring flexibility in female university students. Br J Sports Med. 2003;37:59-61. https://doi.org/10.1136/bjsm.37.1.59
  21. Chaouachi A, Padulo J, Kasmi S, et al. Unilateral static and dynamic hamstrings stretching increases contralateral hip flexion range of motion. Clin Physiol Funct Imaging. 2017;37:23-9. https://doi.org/10.1111/cpf.12263
  22. Kelly S, Beardsley C. Specific and cross-over effects of foam rolling on ankle dorsiflexion range of motion. Int J Sports Phys Ther. 2016;11(4):544-51.
  23. Heyward VH. Advanced Fitness Assessment Exercise Prescription. Third Edition. Human Kinetics. 1997;118.
  24. Park ST. Effect of Unilateral and Bilateral Resistance Training on Muscle Force, Power and Asymmetry of Lower Extremity in Elderly Women. J Korea Soc Living Environ. Sys. 2014;21(5):672-80. https://doi.org/10.21086/ksles.2014.10.21.5.672
  25. Lee KS. Analysis of Temporal and Spatial Gait Parameters of Male and Female in 20s and 60s. J Korean Phys Edu Assoc for Woman. 2007;21(4):55-66.
  26. Elble RJ, Thomas SS, Higgins C, et al. Stride-dependent changes in gait of older people. J Neurol. 1991;238(1):1-5. https://doi.org/10.1007/BF00319700
  27. Warburton DER, Gledhill N, Quinney A. Musculoskeletal Fitness and Health. Can J Appl Physiol. 2001;26(2):217-37. https://doi.org/10.1139/h01-013
  28. Stauffer RN, Chao EY, Brewster RC. Force and motion analysis of the normal, diseased, and prosthetic ankle joint. Clin Orthop Relat Res. 1977;127:189-96.
  29. Abdel-Aziem AA, Mohammad WS. Plantar-flexor Static Stretch Training Effect on Eccentric and Concentric Peak Torque - A comparative Study of Trained versus Untrained Subjects. J Hum Kinet. 2012;34:49-58. https://doi.org/10.2478/v10078-012-0063-z
  30. Cory LC. The Effects of Hip and Ankle Stretching on Gait Function of Older People. Arch Phys Med Rehabil. 2008;89(8):1421-8. https://doi.org/10.1016/j.apmr.2007.12.043
  31. Mills EM. The effect of low-intensity aerobic exercise on muscle strength, flexiblity and balance among sedentary elderly persons. Nursing Research. 1994;43(4):207-11. https://doi.org/10.1097/00006199-199407000-00004