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The Effect of Strengthening the Gluteus medius and Muscles Around the Ankle on Dynamic Balance and Muscle Activity during Functional Movements in Chronic Ankle Instability

  • Journal of the Korean Society of Physical Medicine
  • Abbr : J Korean Soc Phys Med
  • 2025, 20(3), pp.71~89
  • Publisher : The Korean Society of Physical Medicine
  • Research Area : Medicine and Pharmacy > Physical Therapy > Other physical therapy
  • Received : February 21, 2025
  • Accepted : June 20, 2025
  • Published : August 31, 2025

안수홍 1 LEE SU KYOUNG ORD ID 2

1인모션재활트레이닝센터
2동의대학교

Accredited

ABSTRACT

PURPOSE: This study examined how a single session of exercise activating the gluteus medius (GE-group) and the muscles around the ankle (AE-group) affects muscle activity and dynamic balance in patients with chronic ankle instability. METHODS: A total of 45 patients were randomly assigned to the GE-group (n = 15), AE-group (n = 15), or a control group (C-group, n = 15). The GE-group performed exercises to activate the gluteus medius, and the AE-group performed exercises for the tibialis anterior, peroneus longus, and lateral gastrocnemius. Each exercise program lasted 40 minutes, while the C-group did not exercise. Dynamic balance was measured using the star excursion balance test (SEBT) in the anterior, posterolateral, and posteromedial directions. RESULTS: The distance of leg reach, surface area ellipse, and muscle activity of the targeted muscles were evaluated before and after the interventions. Both the GE-group and the AE-group showed significantly increased reach distance and decreased surface area ellipse (p < .05). In the GE-group, the gluteus medius activity significantly increased in all directions (p < .05), while in the AE-group, the tibialis anterior, lateral gastrocnemius, and peroneus longus activity significantly increased according to the direction (p < .05). The C-group showed no significant changes (p > .05). Between-group comparisons revealed that the AE-group demonstrated the greatest improvement in the anterior direction, while the GE-group showed greater gains in CONCLUSION: These findings suggest that both gluteus medius and ankle-focused exercises benefit balance in chronic ankle instability, and that clinicians may tailor interventions by targeting the specific area of weakness.

Citation status

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