Journal of Korean Physical Therapy Science (대한물리치료과학회지)

Korean Physical Therapy Science (대한물리치료과학회)
권호 표지

Effects of walking speed on peak plantar pressure in healthy subjects

정상인에서 보행 속도가 발바닥의 최대압력분포에 미치는 영향

  • Ha, Mi-Sook (Dept. of Physical Therapy, Choonhae College of Health Sciences) ;
  • Nam, Kun-Woo (Dept. of Physical Therapy, Choonhae College of Health Sciences)
  • Received : 2015.10.08
  • Accepted : 2015.10.23
  • Published : 2015.10.31
Download PDF
⟨ Previous Next ⟩

Abstract

Background : Many factors affect foot and ankle biomechanics during walking, including gait speed and anthropometric characteristics. This study examined the effect of walking speed on peak plantar pressure during the walking. Method : Thirty two normal healthy subjects (16 men, 16 women) were recruited. Peak plantar pressure was investigated using pressure distribution platforms (Pedoscan system) under the hallux heads of the first, second, and third metatarsal bones, and heel. Result : The results also suggest that slow walking speeds may decrease forefoot peak plantar pressure in patients with peripheral neuropathy who have a high risk of skin breakdown under the forefoot(p<0.05). Conclusion : The results also suggest that slow walking speeds may decrease forefoot peak plantar pressure in patients with restricted low extremity range of motion who have a high risk of skin breakdown under the forefoot.

Keywords

References

  1. 김로빈, 진영완, 문곤성. 보행속도에 따른 보폭변화가 하지관절 모멘트에 미치는 영향. 한국운동역학회지. 2005;15(2):93-102.
  2. 김미정. 동작분석기를 통한 High-Heel Gait에 관한 연구. 대한재활의학회지. 1996.
  3. 노정석, 김택훈. Parotec System을이용한 족저압 측정의 신뢰도. 한국전문물리치료학회지. 2001.
  4. 류남욱. 정상인에서 보행속도가 발바닥의 최대압력변화와 지면 접촉 시간, 보행각도에 미치는 영향(석사학위논문). 가톨릭대학교 대학원. 2008.
  5. 박경희, 권오윤, 김영호. 정상인에서 보행 속도가 발관절의 관절각과 발바닥 최대 압력 분포에 미치는 영향. 한국전문물리치료학회지. 2003;10(1).
  6. 이경섭, 조효구. 평형성운동이 정신지체 아동의 보행시 족저압에 미치는 영향. 특수체육연구. 2011;8.
  7. 성일훈. 족부의 생체역학(The Biomechanic of the Foot). 한양대학교의과대학. 2000.
  8. 여민우, 이상도, 이동춘. 안전화 착화 시 보행속도에 따른 족저압 분포에 관한 연구. 대한설비관리학회지. 2006;11(1):51-63.
  9. 유원규. 내림 경사대에서 한 다리 스쿼트 운동 시 경사면과 자세변화에 따른 무릎주변근의 근활성도(석사학위논문). 연세대학교 대학원. 2005.
  10. 정철수, 신인식, 서정석, 은선덕. 연령과 속도에 따른 보행형태와 역학적 효율성 분석. 한국운동역학회. 2001;10(2):205-219.
  11. Cornwall MW, McPoil TG. Effect of ankle dorsiflexion range of motion on rearfoot motion during walking. J Am Podiatr Med Assoc, 1999;89(6): 272-277. https://doi.org/10.7547/87507315-89-6-272
  12. Dingwell JB, Cusumano JP, Sternad D., et al. Slower speeds in patients with diabetic neuropathy lead to improved local dynamic stability of continuous overground walking. J Biomech, 2000;33(10):1269-1277. https://doi.org/10.1016/S0021-9290(00)00092-0
  13. Hanlon M, Anderson R. Predicition methods to account for the effect of gait speed on lower limb angular kinematics. Gait & Posture. 2006;24:280-287. https://doi.org/10.1016/j.gaitpost.2005.10.007
  14. Jefferson R. Performance of Three Walking Orthoses for the Paralyzed: A Case Study Using Gait Analysis Whittle. ISPO. 2003.
  15. Nawoczenski DA, Owen MG, Ecker ML., et al. Objective evaluation of peroneal response to sudden inversion stress. J. Orthop. Sports Phys. Ther. 1985;7:107-109. https://doi.org/10.2519/jospt.1985.7.3.107
  16. Rodgers MM. Dynamic foot biomechanics. J Orthop Sports Phys Ther. 1995;21(6) : 306-316. https://doi.org/10.2519/jospt.1995.21.6.306
  17. Rosenbaum D, Hautmann S, Gold I., et al. Effect of walking speed on plantar pressure patterns and hindfoot angular motion. Gait & Posture. 1994;2:191-197. https://doi.org/10.1016/0966-6362(94)90007-8
  18. Smith LK, Weiss EL. Brunnstrom's Clinical Kinesiology. F.A. Davis. 1996;410-435.
  19. Yang JF, Winter DA. Surface EMG profiles during different walking cadences in human. Electroencephalongr Clin Neurophysiol. 1985;60(6):485-491. https://doi.org/10.1016/0013-4694(85)91108-3
  20. Vaughan CL, Subramanian N, Busse ME. Selective dorsal rhiztomy as treatment option for children with spastic cerebral palsy. Gait & Posture. 1998;8(1): 43-59. https://doi.org/10.1016/S0966-6362(98)00018-6
  21. Winter DA. Energy generation and absorption atthe ankle and knee during fast, natural and slow cadences. Clinical Orthopaedics and Related Research. 1983;175:147-154.