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Comparison of plantar pressure and COP parameters in three types of arch support insole during stair descent in elderly with flatfoot

편평족 노인의 계단 하강 보행 시 아치 지지형 인솔 종류에 따른 족저압력 및 균형성 평가

  • 한기훈 (신라대학교 웰빙체육학부) ;
  • 배강호 (신라대학교 웰빙체육학부) ;
  • 정하곤 (동주대학교) ;
  • 하민성 (츠쿠바대학교 체육과학전공) ;
  • 최도열 (신라대학교 웰빙체육학부) ;
  • 이중숙 (신라대학교 웰빙체육학부) ;
  • 양정옥 (신라대학교 웰빙체육학부)
  • Received : 2018.08.22
  • Accepted : 2018.09.27
  • Published : 2018.09.30

Abstract

The purpose of this study was to compare plantar pressure and COP parameters in three types of arch support insole during stair descent in elderly with flatfoot. A total of 14 women elderly were recruited for this study. Pedar-X was used to obtain plantar pressure(peak pressure, mean pressure, and contact area) and COP(distance, displacement, excursion) parameters. One-way ANOVAs were used to compare peak pressure, mean pressure, and contact area, distance of COP, displacement of COP, and excursion of COP. Among the plantar pressure parameters, significant(p<0.05) differences were observed in M3 for the peak pressure, M2, M3, and M4 for the mean pressure, and M2, M3, and M6 for the contact area. Among the COP parameters, distances of COP both in the mediolateral and anteroposterior axes revealed significant(p<0.05) differences. The larger peak pressure values of type A and B insoles were observed as compared to normal insole. The larger peak pressure and shorter COP distance values of type A and B insoles were observed as compared to normal insole.

본 연구의 목적은 평발을 가진 여성 노인의 계단 하강 보행 시 일반인솔 및 아치 지지형 인솔을 적용에 따른 족저압력 및 압력중심점 변인들의 차이를 조사하는데 목적이 있다. 족저압력 분석장비(Pedar-X, Novel, Germany)를 사용하여 14명의 평발 노인을 대상으로 3종류(일반인솔, A형 인솔, B형 인솔)의 인솔착용 후 최대족저압력, 평균족저압력, 접촉면적, 압력중심점의 이동거리, 변위 및 최대범위의 평균값을 산출하였으며, 일원변량분석(one-way ANOVA)를 이용하여 인솔 종류간 평균을 비교하였다. 족저 압력 변인 중 최대족저압력은 중족부의 M3, 평균족저압력은 M2, M3, M4 영역에서, 접촉면적은 M2, M3, 그리고 M6 영역에서 통계적으로 유의한 차이를 보였으며, 압력중심점 변인 중 전후축과 좌우축에서 압력중심점의 이동거리에서 통계적으로 유의한 차이를 보였다. 족저압력 평가결과 아치 지지 기능을 가진 인솔을 삽입한 A와 B형 인솔에서 족궁지지 영역인 M3의 최대압력은 B형 인솔과 A형 인솔이 일반인솔과 비교했을 때 높게 나타났다. 좌우축, 전후축 압력중심점의 이동거리는 A형과 B형 인솔 모두 일반 인솔에 비해 짧게 나타났다.

Keywords

References

  1. J. J. Kim, Everything you need to run. Knowledge Smith Publishers, (2003).
  2. G. H. Jang, J. Y. Huh, Shoes Design, Johyungsa Publishers, (1992).
  3. S. B. Choi, "Influences of Shoe Shape and Gait Characteristics on Feet Discomforts according to Women's Foot Type", Unpublished Doctor's thesis, graduate school of konkuk University, (2001).
  4. S. R. Kang, J. W. Nah, C. U. Hong, T. K. Kwon, "The Development of Smart Insole for Improvement of Human Body Imbalance during Walking", Journal of the Korean Society for Precision Engineering, Vol.35 No.1, pp. 53-59, (2018). https://doi.org/10.7736/KSPE.2018.35.1.53
  5. S. Y. Oh, D. A. Suh, "Producing the insoles for flat feet of senior men using 3D systems based on 3D scanning, 3D modeling, and 3D printing". Journal of The Costume Culture Association, Vol.25, No.3, pp. 270-284, (2017). https://doi.org/10.29049/rjcc.2017.25.3.270
  6. T. F. Jiang. "High-frequency stabilization and high-order harmonic generation of an excited Morse oscillator under intense fields", Journal of Physical Review A, Vol.48, No.5, pp. 3995-3998, (1993). https://doi.org/10.1103/PhysRevA.48.3995
  7. J. Y. Bae, S. I. Cho, "Effects of community-based comprehensive fall prevention program on muscle strength, postural balance and fall efficacy in elderly people", Journal of Korean Academy of Nursing, Vol.44, No.6, pp. 696-707. (2014).
  8. K. H. Kim, "Biomechanical analysis of arch support devices on normal and low arch", Unpublished master's thesis, graduate school of Kyungsung University, (2011).
  9. M. C. Chiu. Wang. M. J. "Professional foot wear evaluation for clinical nurses". Applied Ergonomics, Vol.38, pp. 133-141, (2007). https://doi.org/10.1016/j.apergo.2006.03.012
  10. G. F. Kogler, S. E. Solomonidis, J. P. Paul, "Invitro method for quantifying the effectiveness of the longitudinal arch support mechanism of a foot orthosis", Clinical Biomechanics, Vol.10, No.5, pp. 245-252, (1995) https://doi.org/10.1016/0268-0033(95)99802-9
  11. J. H. Lee, Y. S. Lee, J. O. Lee, S. H. Park, Biomechanical Gait Analysis and Simulation on the Normal, Cavus and Flat Foot with Orthotics. Transactions of the Korean Society of Mechanical Engineers -A, Vol.31, No.11, 1115-1123, (2007). https://doi.org/10.3795/KSME-A.2007.31.11.1115
  12. S. Au, M. Berniker, H. Herr, "Powered ankle-foot prosthesis to assist level-ground and stair-descent gaits," Neural Netw, Vol.214, pp. 654-66, (2008)
  13. M. Robin, A. Nathan, A. James, C. Bavornrit, "Difference in plantar loading between flat and normal feet during different athletic tasks". Gait& Posture, Vol.29, No.4, pp. 582-586, (2009). https://doi.org/10.1016/j.gaitpost.2008.12.010
  14. Kanatli, U., Yetkin, H., & Yalcin, N. The relationship between accessory navicular and medial longitudinal arch: evaluation with plantar pressure distribution measurement system. Foot and Ankle, Vol.24, No.6, pp. 486-489.(2003). https://doi.org/10.1177/107110070302400606
  15. J. Burns, A. Keenan, A. Redmond, "Foot type and overuse injury in triathletes", Journal of the American Podiatric Medical Association, Vol.95, No.3, pp. 235-241, (2005). https://doi.org/10.7547/0950235
  16. J. L. Donovan, K. H. Mary, K. C. Paul, E. S. Kirk, J. M. Michael, "Effect of foot wear and orthotic devices on stress reduction and soft tissue strain of the neuropathic foot". Clinical Biomechanics, Vol.22, pp. 352-359, (2007). https://doi.org/10.1016/j.clinbiomech.2006.10.010
  17. C. M. Lee, Y. J. Oh, "The Development of the Insole for Gait Load Decreasing by Biomechanics Analysis", Journal of the Ergonomics Society of Korea, Vol.24, No.4 pp. 23-30, (2005). https://doi.org/10.5143/JESK.2005.24.4.023
  18. K. H. Bae, " analyses of plantar foot pressure and static balance according to the type of insole in the elderly", Unpublished master's thesis, graduate school of Silla University, (2016).
  19. K. T. Lee, Foot and ankle surgery, Koonja Publishers, (2004).
  20. R. M. Palmieri, C. D. Ingersoll, M. B. Stone, B. A. Krause, "Center-of-Pressure Parameters Used in the Assessment of Postural Control," Journal of Sport Rehabilitation, Vol.11, pp. 51-66, (2012).

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