Journal of the Korea Academia-Industrial cooperation Society (한국산학기술학회논문지)

The Korea Academia-Industrial cooperation Society (한국산학기술학회)
권호 표지
DOI QR코드

DOI QR Code

The Effect of Foot Strengthening Exercise to Young of Hallux Valgus with Flexible Flatfoot

발 강화 운동이 유연성 편평발이 동반된 엄지발가락가쪽휨증을 가진 젊은 성인에게 미치는 효과

  • Park, Jin-Hyun (Division of Physical Therapy, Daegu University) ;
  • Kim, Jin-Seop (Division of Physical Therapy, Andong Science University) ;
  • Kim, Kyoung (Division of Physical Therapy, Daegu University)
  • 박진현 (대구대학교 재활과학과) ;
  • 김진섭 (안동과학대학교 물리치료과) ;
  • 김경 (대구대학교 재활과학과)
  • Received : 2012.10.10
  • Accepted : 2012.11.08
  • Published : 2012.11.30
Download PDF
⟨ Previous Next ⟩

Abstract

This study was to evaluate the effects of foot strengthening exercise to improve hallux valgus in young of hallux valgus with flexible flatfoot. Subjects 28 people were randomly divided by the foot strength group(n=14) and control group(n=14). In a period of 8 weeks, they put on I.D.W. Experimental group took foot strengthening exercise for 20 minutes 3 times a week during 8 weeks. Foot structure and max pressure were evaluated by hallux angle, 1~2 metatarsal angle, navicular height, 1st phalange, 2~5phalange, 1st metatarsal, 2nd metatarsal, 3rd metatarsal, 4th metatarsal, 5th metatarsal, mid foot, medial hind foot, lateral hind foot. There were significantly increased by exercise group in outcomes of the structural and plantar foot pressure from hallux angle, 1~2 metatarsal angle, 1st phalange, 1st metatarsal, 2nd metatarsal, 3rd metatarsal, mid foot. The result suggest that foot strengthening exercise is feasible and suitable for individuals with hallux valgus with flexible flatfoot.

본 연구는 발강화 훈련이 유연성 편평발이 동반된 엄지발가락가쪽휨증을 가진 젊은 성인의 엄지발가락가쪽 휨증을 향상하는지에 대하여 평가하였다. 대상자는 총 28명으로 발강화 훈련군(14명)과 대조군(14명)으로 무작위로 나누었다. 8주 훈련 동안 두 군 모두 I.D.W를 착용하였다. 실험군은 발강화 훈련을 8주 동안 주 3회 1회당 20분씩 발강화 훈련을 받았다. 발의 구조와 최대 압력은 엄지발가락 가 쪽 휨 각도, 발허리 뼈의 각도, 발배뼈 높이 변화, 엄지발가락 압력, 2~5번째 발가락 압력, 첫 번째 발 허리뼈 압력, 두 번째 발 허리뼈 압력, 세 번째 발 허리뼈 압력, 네 번째 발허리 뼈 압력, 다섯 번째 발허리 뼈 압력, 중간 발 압력, 안쪽 발뒤꿈치 압력, 바깥쪽 발뒤꿈치 압력에 의하여 평가되었다. 발강화 훈련을 한 군에서 엄지발가락 가 쪽 휨 각도, 1~2 발허리뼈의 각도, 엄지발가락 압력, 첫번째 발 허리뼈 압력, 두 번째 발 허리뼈 압력, 세 번째 발 허리뼈 압력, 중간 발에서 구조와 압력이 유의하게 향상되었다. 본 연구의 결과에서 발 강화 훈련은 유연성 편평발을 동반한 가쪽발가락휨증을 가진 환자에게 유용하고 적절한 훈련으로 제안할 수 있을 것이다.

Keywords

References

  1. R. Donatelli. "The biomechanics of the foot and ankle", Philadelphia, F.A. Davice company, 1996.
  2. I. A. Kapandji. "The physiology of the joint, Volume Two Lower Limbs", Churchill Living stone, 1985
  3. R. E. Carlson, et al., "The biomechanical relationship between the tendoachilles, plantar fascia and metatarsophalangeal joint dorsiflexion angle", Foot Ankle Int, 21, 1, pp. 18-25, 2000. https://doi.org/10.1177/107110070002100104
  4. G. A. Arangio, E. P. Salathe. "A biomechanical analysis of posterior tibial tendon dysfunction, medial displacement calcaneal osteotomy and flexor digitorum longus transfer in adult acquired flat foot", Clin Biomech (Bristol, Avon), 24, 4, pp. 385-390, 2009. https://doi.org/10.1016/j.clinbiomech.2009.01.009
  5. D. L. Headlee et al., "Fatigue of the plantar intrinsic foot muscles increases navicular drop", J Electromyogr Kinesiol, 18, 3, pp. 420-425, 2008. https://doi.org/10.1016/j.jelekin.2006.11.004
  6. I. J. Alexander, "The assessment of dynamic foot-to-ground contact forces and plantar pressure distribution: a review of the evolution of current techniques and clinical applications", Foot Ankle, 11, 3, pp. 152-167, 1990. https://doi.org/10.1177/107110079001100306
  7. T. Komeda et al., "Evaluation of the longitudinal arch of the foot with hallux valgus using a newly developed two-dimensional coordinate system", J Orthop Sci, 6, 2, pp. 110-118, 2001. https://doi.org/10.1007/s007760100056
  8. W. R. Ledoux et al., "Biomechanical differences among pes cavus, neutrally aligned, and pes planus feet in subjects with diabetes", Foot Ankle Int, 24, 11, pp. 845-850, 2003. https://doi.org/10.1177/107110070302401107
  9. K. T. Lee et al. "Proximal Metatarsal Chevron Osteotomy for Moderate to Severe Hallux Valgus: A Mean Eight Year Follow up", J of Korean Society of Foot Surg, 11, 2, pp. 154-159, 2009.
  10. M. E. Easley, H. J. Trnka. "Current concepts review: hallux valgus part 1: pathomechanics, clinical assessment, and nonoperative management", Foot Ankle Int, 28, , pp 64-659, 2007. https://doi.org/10.3113/FAI.2007.0012
  11. M. J. Coughlin, E. Freund, "The reliability of angular measurements in hallux valgus deformities", Foot Ankle Int, 22, 5, pp. 369-379, 2001. https://doi.org/10.1177/107110070102200503
  12. C. L. Saltzman et al. "Reliability of standard foot radiographic measurements, Foot Ankle Int, 15, 12, pp. 661-665, 1994. https://doi.org/10.1177/107110079401501206
  13. I. S. Choi et al. "Correlationof correction angle with pain at first metatarsophalangeal joint in the treatment of hallux valgus", J of Korean Orthop Assoc, 37, 6, pp. 772-776, 2002.
  14. J. A. Groiso. "Juvenile hallux valus.", J Bone Joint Surg, 74A, 9, pp. 1367-1374, 1992.
  15. M. Y. Jeon. "Effects of taping therapy on the deformed angle of the foot and pain in hallux valgus patients", J Korean Acad Nurs, 34, 5, pp. 685-692, 2004. https://doi.org/10.4040/jkan.2004.34.5.685
  16. C. C. Frey. "Osteoarthritis and static deformity of the forefoot. In G. J. Sammarco (Ed.), Foot an ankle manual (pp. 136-144)", Philadelphia, PA: Lea & Febiger, 1991.
  17. G. H. Thompson. "Bunion and deformities of the toes in children and adolescents", J Bone Joint Surg, 77-A, 12, pp. 1924-1936, 1995.
  18. S. T. Lim et al. " The effect of hard insole on metatarsophalangeal joint in patients with hallux valgus", KAUTPT, 8, 2, pp. 17-27, 2001.
  19. D. Y. Jung, E. K. Koh. "Comparison of abductor hallucis muscle activity during toe Curl exercises according to the position of the iInterphalangeal Joint", PTK, 16, 2, pp. 9-15, 2009.
  20. F. P. Kendall et al. "Lower extremity strength tests. In Muscles. 4th ed. Baltimore, Williams and Wilkins, pp. 201-202, 1993.
  21. E. K. Koh. "Effects of foot orthosis and strengthening exercises on the talo-first metatarsal angle and muscle strength in subjects with Pes Planus", dissertation, Yonsei University, Wonju, 2011.