평발 대상자가 하이힐을 신고 계단을 내려갈 때 하지의 근활성도 변화

The lower-extremity muscle co-activation of flat-footed subjects wearing high-heels while descending stairs.

Abstract

본 논문의 평발인 대상자가 하이힐을 신고 계단을 내려갈 때 하지의 근활성도 변화를 알아보고자 한다. 이 연구의 대상자는 30명의 여학생으로 구성되어 있다. NDT를 이용하여 평발군과 정상군을 구분하였으며 표전근전도를 사용해 측정하였다. MG와 LG근활성도와 안, 가쪽 근공동활성도는 평발군에서 낮게 나타났고 근활성도 비율은 평발군이 안쪽에서 더 높게 나타났다. 그러므로 하이힐을 신은 평발군은 정상군보다 무릎관절 정렬에 더 많은 손상을 가질 가능성이 더 높으므로 계단을 내려갈 때 더 많은 주의가 필요할 것이다.

The purpose of this study was to examine the lower-extremity muscle activation of flat-footed and normal-footed subjects descending stairs while wearing high-heels, thereby identifying any imbalance between the medial and lateral muscles.Thirty female students volunteered to participate in this study. The navicular drop test (NDT) was applied to the selection criteria for the flat-footed group and the normal-footed group. Surface electromyographic data was collected from the medial and lateral quadriceps, hamstrings, and gastrocnemius. Activation of MG and LG was significantly lower in the flat-footed group than in the normal-footed group. Both groups showed significant increases in MQMH and MHMG, but the co-activation in the medial and lateral muscles was lower in the flat-footed group. The co-activation ratios showed a significantly greater MQMH/LQLH in the flat-footed group. Flat-footed subjects who wear high-heels are more likely to experience impaired knee joint alignment than normal-footed subjects. Therefore, flat-footed subjects should use caution when descending stairs while wearing high-heels.

Fig. 1. measured during the stair descent

Fig. 2. Comparison of the muscle co-activation ratios during stair descent between the two groups

Table 1. General characteristics of the subjects (Mean±SD)

Table 2. Comparison of the muscle activation during stair descent between the two groups

Table 3. Comparison of the muscle co-activation during stair descent between the two groups