The Journal of Korean Physical Therapy

  • 제22권1호
  • /
  • Pages.47-51
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  • 2010
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  • 1229-0475(pISSN)
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  • 2287-156X(eISSN)
대한물리치료학회 (The Korean Society of Physical Therapy)
권호 표지

Toe Spreader가 경직성 뇌성마비 아동의 동적 족압 특성에 미치는 영향

The Effect of Toe Spreader on Characteristics of Dynamic Foot Pressure in Children With Spastic Cerebral Palsy

  • 신화경 (대구가톨릭대학교 의료과학대학 물리치료학과) ;
  • 태기식 (건양대학교 의공학과)
  • Shin, Hwa-Kyung (Department of Physical Therapy, College of Medical Science, Catholic University of Daegu) ;
  • Tae, Ki-Sik (Department of Biomedical Engineering, Konyang University)
  • 투고 : 2009.09.27
  • 심사 : 2009.11.08
  • 발행 : 2010.02.25
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초록

Purpose: The purpose of this study was to determine whether there are any differences, with and without a toe spreader (TS), in dynamic foot pressure distribution in children with spastic diplegic cerebral palsy. Methods: Dynamic foot pressure recording using the RSscan system were obtained during walking in 12 participants (male=7, female=5) with and without TS. Mean force was measured for four different plantar regions; great toe, forefoot, midfoot, hindfoot. Displacement of center of pressure (COP), velocity of COP displacement and stance time were also measured during gait. Results: TS walking exhibited statistically significant decrease of mean force under great toe and forefoot (p<0.05), compared with a barefoot walking. Also, TS walking exhibited statistically significant increase of antero-posterior displacement of COP (p>0.05). Conclusion: These findings indicate the potential clinical utility of toe spreader to correct dynamic foot pressure during stance phase in children with spastic diplegic cerebral palsy.

키워드

참고문헌

  1. Futagi Y, Otani K, Imai K. Asymmetry in plantar grasp response during infancy. Pediatr Neurol. 1995;12(1):54-7. https://doi.org/10.1016/0887-8994(94)00106-C
  2. Couillandre A, Maton B, Breniere Y. Voluntary toe-walking gait initiation: Electromyographical and biomechanical aspects. Exp Brain Res. 2002;147(3):313-21 https://doi.org/10.1007/s00221-002-1254-y
  3. Effgen SK. Integration of the plantar grasp reflex as an indicator of ambulation potential in developmentally disabled infants. Phys Ther. 1982;62(4):433-5.
  4. Zafeiriou DI. Plantar grasp reflex in high-risk infants during the first year of life. Pediatr Neurol. 2000;22(1):75-6. https://doi.org/10.1016/S0887-8994(99)00110-1
  5. Futagi Y, Suzuki Y, Goto M. Clinical significance of plantar grasp response in infants. Pediatr Neurol. 1999;20(2):111-5. https://doi.org/10.1016/S0887-8994(98)00103-9
  6. Dursun E, Dursun N, Alican D. Ankle-foot orthoses: Effect on gait in children with cerebral palsy. Disabil Rehabil. 2002;24(7):345-7. https://doi.org/10.1080/0963820110090724
  7. Brehm MA, Harlaar J, Schwartz M. Effect of ankle-foot orthoses on walking efficiency and gait in children with cerebral palsy. J Rehabil Med. 2008;40(7):529-34. https://doi.org/10.2340/16501977-0209
  8. Crenshaw S, Herzog R, Castagno P et al. The efficacy of tone-reducing features in orthotics on the gait of children with spastic diplegic cerebral palsy. J Pediatr Orthop. 2000;20(2):210-6.
  9. Hayek S, Hemo Y, Chamis S et al. The effect of community-prescribed ankle-foot orthoses on gait parameters in children with spastic cerebral palsy. J Child Orthop. 2007;1(6):325-32. https://doi.org/10.1007/s11832-007-0055-z
  10. de Saca LR, Catlin PA, Segal RL. Immediate effects of the toe spreader on the tonic toe flexion reflex. Phys Ther. 1994;74(6):561-70.
  11. Chang JS, Lee SY, Lee MH et al. The correlations between gait speed and muscle activation or foot pressure in stroke patients. J Kor Soc Phys Ther. 2009;21(3):47-52.
  12. Iwata M, Kondo I, Sato Y et al. An ankle-foot orthosis with inhibitor bar: Effect on hemiplegic gait. Arch Phys Med Rehabil. 2003;84(6):924-7. https://doi.org/10.1016/S0003-9993(03)00012-1
  13. Bennett D, Walsh M, O'Sullivan R et al. Use of a dynamic foot pressure index to monitor the effects of treatment for equinus gait in children with cerebral palsy. J Pediatr Orthop. 2007;27(3):288-94. https://doi.org/10.1097/BPO.0b013e3180342899
  14. Park ES, Kim HW, Park CI et al. Dynamic foot pressure measurements for assessing foot deformity in persons with spastic cerebral palsy. Arch Phys Med Rehabil. 2006;87(5):703-9. https://doi.org/10.1016/j.apmr.2005.12.038
  15. Koh EK, Jung DY. A review of biomechanical treatments for the diabetic foot. J Kor Soc Phys Ther. 2007;19(5):51-63.
  16. Nyska M, Shabat S, Simkin A et al. Dynamic force distribution during level walking under the feet of patients with chronic ankle instability. Br J Sports Med. 2003;37(6):495-7. https://doi.org/10.1136/bjsm.37.6.495
  17. Park ES, Park CI, Kim JY et al. Foot pressure distribution and path of center of pressure (cop) of foot during ambulation in the children with spastic cerebral palsy. Journal of Korean Academy of Rehabilitation Medicine. 2002;26(2):127-32.
  18. Perry J, Burnfield JM, Gronley JK et al. Toe walking: Muscular demands at the ankle and knee. Arch Phys Med Rehabil. 2003;84(1):7-16. https://doi.org/10.1053/apmr.2003.50057
  19. Saraph V, Zwick EB, Steinwender C et al. Conservative management of dynamic equinus in diplegic children treated by gait improvement surgery. J Pediatr Orthop B. 2001;10(4):287-92.
  20. Park CI, Bae HC, Ko YH et al. The characteristic of foot pressure in children with mild spastic diplegic cerebral palsy related to medial arch formation. Journal of Korean Academy of Rehabilitation Medicine. 2003;27(1):33-7.
  21. Smetana M, Vencalkova S. [use of a silicone metatarsophalangeal joint endoprosthesis in hallux rigidus over a 15-year period]. Acta Chir Orthop Traumatol Cech. 2003;70(3):177-81.
  22. Jagadamma KC, Coutts FJ, Mercer TH et al. Effects of tuning of ankle foot orthoses-footwear combination using wedges on stance phase knee hyperextension in children with cerebral palsy - Preliminary results. Disabil Rehabil Assist Technol. 2009:1-8.