DOI QR코드

DOI QR Code

편평족 중학생의 고관절 교정 운동 프로그램과 발교정구 착용 유무가 안정시 종골 기립 각도, 발목의 가동범위, 코어 근력에 미치는 영향

The Effects of Corrective Hip Joint Exercises and Foot Orthotics on RCSP, Ankle's Range of Motion, and Core Muscle Strength for Middle School Students with Pes Planus

  • 김남희 (이화여자대학교 건강과학대학 체육과학과) ;
  • 이경옥 (이화여자대학교 건강과학대학 체육과학과)
  • Kim, Nam-Hee (Division of Human Movement Studies, College of Health Science, Ewha Womans University) ;
  • Yi, Kyung-Ock (Division of Human Movement Studies, College of Health Science, Ewha Womans University)
  • 투고 : 2015.11.07
  • 심사 : 2015.12.24
  • 발행 : 2015.12.31

초록

Objective : The purpose of this study is to evaluate the effects of hip joint exercises and orthotics on RCSP, ankle's range of motion, and core muscle strength of middle school students with pes planus. Method : Out of the original pool of 200 students, 60 students with pes planus (RCSP < -2) were selected for the study. The selected 60 students were then divided into four groups. The first group was a combined orthotics and exercise group (12 students), the second was the orthotics-only group (9 students), the third was the exercise-only group (8 students), and the last was the control group (10 students). Exercise groups worked out twice a week for 60 minutes per session over 8 weeks. The independent variables were corrective hip joint exercises and orthotics. The dependant variables consisted of kinematic and kinetic variables. The kinematic variables were RCSP, and ankle's range of motion (dorsiflexion and plantarflexion). The kinetic variables were muscles forces that consist in core muscle strength, which are hip joint adduction, abduction, and flexion muscles forces. Statistical analysis was performed via SPSS 18.0 with multivariate analysis of covariance (MANCOVA) and a paired t-test was used. Results : The left foot was more responsive to the treatments, both exercise and orthotics, than the right foot. RCSP improved significantly in the left foot for the first and third groups. Only the first group significantly improved hip joint adduction, abduction, and flexion muscles' strengths. As for the ankle's range of motion of the left foot, plantarflexion showed improvement when treated with exercise, orthotics, or both. Conclusion : This study found that exercise is more effective in correcting RCSP and foot orthotics is more effective in reinforcing core muscle strength. Future studies should expand on these results to examine the relationship between the ankle, hip, and pelvis.

키워드

참고문헌

  1. Ahn, S. H., Lee, J. P., Yoon, J. H., Kim, S. H. & Oh, J. K. (2009). The effect of elastic-band exercise on strength of lower extremities, balance and gait ability in hemiplegia. Journal of Korean Society of Special Education, 17(3), 51-70.
  2. Andreasen, J., Molgaard C. M., Christensen, M., Kaalund, S., Lundbye-Christensen, S., Simonsen, O., & Voigt, O. (2013). Exercise therapy and custom-made insoles are effective in patients with excessive pronation and chronic foot pain-A randomized controlled trial. The Foot, 23(1), 22-28. https://doi.org/10.1016/j.foot.2012.12.001
  3. Barwick, A., Smith, J. & Chuter, V. (2012). The relationship between foot motion and lumbopelvic-hip function: A review of the literature. The Foot. 2, 224-234.
  4. Bird, A. R., Bendrups, A. P., & Payne, C. B. (2003). The effect of foot wedging on electromyograph activity in the erector spinae and gluteus medius muscles using walking. Gait and Posture, 18(2), 81-91. https://doi.org/10.1016/S0966-6362(02)00199-6
  5. Buldt, A. K., Murley, G. S., Butterworth, P., Levinger, P., Menz, H. B., & Landorf, K. B. (2013). The relationship between foot posture and lower limb kinematics during walking: A systematic review. Gait and Posture. published on 07 February 2013. Corrected Proof.
  6. Choi, J. Y., Jin, Y. W. & Lee, S. Y. (2000). The effect of shoe orthotics hardness on vertical ground reaction force in running. Korean Journal of Physical Education, 39(3), 644-653.
  7. Choi, M. J. (2010). The Effects of Integrated Functional Physical Fitness Exercise with Aero Equipment on Physical Fitness and Intellectual Ability for Children with Intellectual Disability. Unpublished Master's Thesis, Graduate School of Ewha Womans University.
  8. Choi, J. R., Lee, J. W., Lee, K. S., & So, G. Y. (1996). Studies on the piriformis syndrome. Korean Journal of Pain, 9(1), 122-125.
  9. Duval, K., Lam, T., & Sanderson, D. (2010). The mechanical relationship between the rearfoot, pelvis and low-back. Gait and Posture, 32, 637-640. https://doi.org/10.1016/j.gaitpost.2010.09.007
  10. Henderson, J., & Tassone, J. (2011). Low-dye taping as a predictor of orthotics effectiveness. The Foot, 21, 52-54.
  11. Hertel, J., Sloss, B. R., & Earl, J. E. (2005). Effect of foot orthotics on quadriceps and gluteus medius electromyographic activity during selected exercises. Archives of Physical Medicine and Rehabilitation, 86(1), 26-30. https://doi.org/10.1016/j.apmr.2004.03.029
  12. Jo, M. J. (2009). The Effects of Core Stability Exercise on the Cobb's Angle, Posture, Balance and Core Muscle Strength as a Function of COG and Ground Reaction Force. Unpublished Master's Thesis, Graduate School of Ewha Womans University.
  13. Jung, D., Kim M., Koh E., Kwon O., Cynn H., & Lee W. (2011). A comparison in the muscle activity of the abductor hallucis and the medial longitudinal arch angle during toe curl and short foot exercises. Physical Therapy in Sport, 12(1), 30-35. https://doi.org/10.1016/j.ptsp.2010.08.001
  14. Jun, T. W., Shin, H. J., Park, J. Y., Lee S. Y., & Lee, O. (2011). Reliability of iso-kinetic muscle strength testing system. Journal of Korean Coaching Developing, 13(2), 103-112.
  15. Kim, A. Y. (2010). Effect of Muscle Strengthening Exercise with Elastic Band on Physical Fitness and Bone Mineral Density in the Elderly Women. Unpublished Master's Thesis, Graduate School of Korean National Sport University.
  16. Kim, N. H., & Yi, K. O. (2010). The Relationship between Pain, Perceptions of Foot Deviation, Shoe Preference, Living Habits, and Academic Performance, Aaccording to Foot Type. Proceedings of the fall symposium of Korean Sports Biomechanics. Pusan.
  17. Kim, C. K., & Shin, D. M. (1995). Kinematic analysis of book bag weight on gait cycle and posture of youth. Journal of Sport and Leisure Studies, 3, 175-185.
  18. Kim, J. M. (2008). The Effects of BFO on the Transverse Pelvic Rotation during Walking. Unpublished Master's Thesis, Graduate School of Kyonggi University.
  19. Kim, S. J., Kim, J. H., Kack, G. R., Bae, S. W., & Park, Y. K. (2007). A critical review of foot orthoses in normal and diseased foot, Korean Journal of Sports Biomechanics. 17(3), 81-93.
  20. Kim, M. J., & Yi, K. O. (2015). The biomechanical analysis of ballet arabesque by using elastic band. Korean Journal of Sports Biomechanics, 25(3), 265-274. https://doi.org/10.5103/KJSB.2015.25.3.265
  21. Kwon, B. Y. (2008). Effects of Core Stability and Mobility Training with Aero Equipment on Biomechanical Balance, Posture, Strength and Agility for Rhythmic Gymnasts. Unpublished Doctor's Thesis, Graduate School of Ewha Womans University.
  22. Lee, C. H. (2009). Kinetic Differences between Normal-design Running Shoes and Spring-loaded Running Shoes, Korean Journal of Sport Biomechanics, 19(3), 581-592. https://doi.org/10.5103/KJSB.2009.19.3.581
  23. Lee, J. M., Lee, C. H., Kwon, O. Y., & Jun, H. S. (2011). The effect of lumbar stabilization exercise for caregivers with chronic low back pain. Journal of Korean Physical Therapy. 18(2), 9-17.
  24. Lee, H. J., Na, Y. M., & Lim, K. B. (2004). Biomechanical Characteristics of Lower Extremities and Pelvis in Korean Soccer Players Who Complain of Chronic Low Back Pain. The Korean Journal of Sports Medicine, 22(1), 59-66.
  25. Lee, M. H. (2010). The Effects of Integrate Functional Physical Fitness Exercise with Aero Equipment on Posture, Physical Fitness, Core Muscle and Core Balance for Volleyball Player. Unpublished Master's Thesis, Graduate School of Ewha Womans University.
  26. Lee, S. W., Park, D. S., & Kim, S. R. (2007). The effect of resting calcaneal stance position on activation of ankle muscles. Journal of Korea Sports Research, 18(6), 1001-1008.
  27. Menz, H. B., Dufour, A. B., Riskowski, J. L., Hillstrom, H. J., & Hannan, M. T. (2013). Foot posture, foot function and low back pain: The framingham foot study. Rheumatology, 52(12), 2257-2282.
  28. Mundermann, A., Nigg, B. M., Humble, R. N., & Stefanyshyn, D. J. (2004). Consistent immediate effects of foot orthoses on comfort and lower extremity kinematics, kinetics, and muscle activity. Journal of Applied Biomechanics, 20, 71-84. https://doi.org/10.1123/jab.20.1.71
  29. Murley, G., Landorf, K., Menz, H., & Bird, A. (2009). Effect of foot posture, foot orthoses and footwear on lower limb muscle activity during walking and running: A systematic review. Gait and Posture, 29, 172-187. https://doi.org/10.1016/j.gaitpost.2008.08.015
  30. Nawoczenski, D. A., & Ludewig, P. M. (1999). Electromyographic effects of foot orthotics on selected lower extremity muscles during running. Arch Physical Medicine & Rehabilitation, 80(5), 540-544. https://doi.org/10.1016/S0003-9993(99)90196-X
  31. Park, H. L. (2011). Integrated functional physical fitness exercise. Unpublished Doctor's Dissertation, Ewha Womans University.
  32. Park, K. Y., & Park, S. H. (2010). Study on change of the flatfoot's ankle in sagittal plane before and after wearing FFO. Journal of Biomedical Engineering Research, 31(1), 67-73
  33. Razeghi, M., & Batt, M. (2000). Biomechanical Analysis of the Effect of Orthotic Shoe Inserts. Sports Medicine, 29(6), 425-438. https://doi.org/10.2165/00007256-200029060-00005
  34. Root, M. L, Orien, W. P., Weed, G. H., & Hughes, R. J. (1971). Biomechanical Examination of the Foot. Los Angeles, CA: Clinical Biomechanics Corp.
  35. Root, M. L, Orien, W. P., & Weed, G. H. (1977). Normal and Abnormal Function of the Foot. Los Angeles, CA: Clinical Biomechanics Corp.
  36. Schamberger, W., Samorodin, F. T., & Webster, T. (2002). The Malalignment Syndrome. Edinburgh: Churchill Livingstone. ISBN 0443064717.
  37. Song, C. H., Lee, E. J., & Shin, W. S. (2010). The effect of combined with locomotor and functional strengthening training on balance and gait in patients with chronic stroke. Institute of special education & rehabilitation science; Daegu University. 49(3), 151-170.
  38. Song, J. H. (2008). The kinematic comparative study about Effects of Foot Orthotics, Korean Journal of Sport Science, 19(3), 11-21. https://doi.org/10.24985/kjss.2008.19.3.11
  39. Song, J. H., Lee, S. H., Back, J. H., & Park, J. H. (2008). The influence kinetic variables of the foot orthotics wearing. Korean Journal of Sport Science, 19(4), 55-63. https://doi.org/10.24985/kjss.2008.19.4.55
  40. Song, J., Hillstorm, H. J., Secord, D., & Levitt, J. (1996). Foot type biomechanics. comparison of planus and rectus foot types. Journal of American Pediatric Medicine Association, 86(1), 16-23. https://doi.org/10.7547/87507315-86-1-16
  41. Springett, K., Otter, S., & Barry, A. (2007). A clinical longitudinal evaluation of pre-fabricated, semi-rigid foot orthoses prescribed to improve foot function. The Foot, 17, 184-189. https://doi.org/10.1016/j.foot.2007.04.005
  42. Suk, S. H. (2009), The Effect of Foot Orthotics on Muscular Function of Knee and Lumbar during Exercise Training in Male Adolescence. Unpublished Master's Thesis, Graduate School of Kook Min University.
  43. Valmassy, R. L. (1996). Clinical Biomechanics of Lower Extremities, Biomechanical Principles of Running Injuries, 1st Edition. St. Louis: Mosby Year Book.
  44. Yi, K. O. (2006). Fall Proof Exercise Program for the Elderly. Proceeding of the fall Symposium of Korean Physical Education for Girls and Women, Yeonsei University.
  45. Yi, K. O. (2007). Correcting potential postural and gait problems in athletes. Universiade Bangkok 2007 FISU Conference. Thailand.
  46. Yi, K. O., Kim, N. H., & Kim, Y. R. (2012). The differences in foot type according to major in left and right foot for female college students. Korean Journal of Sports Biomechanics, 22(2), 229-236. https://doi.org/10.5103/KJSB.2012.22.2.229
  47. Yi, K. O., Choi, K. J., & Kim, S. Y. (2014). The relationship between standing posture biomechanics and physical fitness in the elderly. Korean Journal of Sports Biomechanics, 24(3), 259-267. https://doi.org/10.5103/KJSB.2014.24.3.259
  48. Yun, J. M. (2007). The Study of the Q-Angle Changes with BFO(Biomechanial Foot Orthoses) in Overpronators. Unpublished Master's Thesis, Graduate School of Kyonggi University.