The Influence of Wedged Insole and Foot Progression Angle on Lateral Thrust of Knee During Walking

보행 시 Wedged 인솔과 보행진행 각이 슬관절 외측 밀림(Lateral Thrust)에 미치는 영향

  • Jung, Do-Young (Dept. of Prosthetics and Orthotics, Suncheon First College) ;
  • Kim, Moon-Hwan (Dept. of Rehabilitation Therapy, Wonju Christian Hospital, Wonju College of Medicine, Yonsei University) ;
  • Kwon, Oh-Yun (Dept. of Physical Therapy, College of Health Science, Yonsei University, Dept. of Ergotherapy, The Graduate School of Health and Environment, Yonsei University, Institute of Health Science, Yonsei University)
  • 정도영 (순천제일대학교 의료보장구과) ;
  • 김문환 (연세대학교 원주의과대학 원주기독병원 재활의학과 물리치료실) ;
  • 권오윤 (연세대학교 보건과학대학 물리치료학과, 보건환경대학원 인간공학치료학과, 보건과학연구소)
  • Published : 2004.05.21

Abstract

The purpose of this study was to identify the influence of wedged insole and foot progression angle (FPG) on lateral thrust of knee in healthy subjects. Fifteen healthy male subjects were recruited from Suncheon First College, in Suncheon. The subjects randomly walked at the comfortable velocity under five conditions: bare footed, medio-lateral $10^{\circ}$ wedged insoles, toe-in and toe-out gait. The lateral thrust was measured by a accelerometer with telemeter during walking. Data was collected while each subject walked for about 10 gait cycle on a flat, level walkway at their normal speed. The middle three gait cycle were used for averaged peak value of lateral acceleration. The three averaged peak value of lateral acceleration were collected under each condition at heel strike. The results showed that averaged peak value of lateral acceleration increased significantly in medial wedged insole and toe-in gait and decreased significantly in lateral wedged insole and toe-out gait as compared with bare footed (p<.05). These results suggest that wedged insole as well as walking strategy, such as foot progression angle, may prevent progression of degenerative knee osteoarthritis.

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