Korean Journal of Applied Biomechanics (한국운동역학회지)

Korean Society of Applied Biomechanics (한국운동역학회)
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Differences in Spatiotemporal Gait Parameters and Lower Extremity Function and Pain in Accordance with Foot Morphological Characteristics

발의 형태학적 특성에 따른 시공간 보행 변인과 하지의 기능 및 통증 차이

  • Jeon, Hyung Gyu (Department of Physical Education, Yonsei University) ;
  • Lee, Inje (Department of Physical Education, Yonsei University) ;
  • Lee, Sae Yong (Department of Physical Education, Yonsei University) ;
  • Ha, Sunghe (International Olympic Committee Research Centre KOREA, Yonsei University)
  • Received : 2021.01.29
  • Accepted : 2021.03.29
  • Published : 2021.06.30
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Abstract

Objective: The aim of this study was to investigate the differences in spatiotemporal gait performance, function, and pain of lower-extremity according to foot morphological characteristics. Method: This case-control study recruited 42 adults and they were classified into 3 groups according to foot morphology using navicular-drop test: pronated (≥ 10 mm), normal (5~9 mm), and supinated (≤ 4 mm) feet. Spatiotemporal gait analysis and questionnaires including Foot and Ankle Ability Measure activities of daily living / Sports, Western Ontario and McMasters Universities Osteoarthritis Index, Lower Extremity Functional Scale, International Physical Activity Questionnaire, and Tegner activity score were conducted. One-way analysis of variance was used for statistical analysis. Results: The pronated feet group showed longer loading response and double limb support in both feet and increased pre-swing phase in non-dominant feet. The supinated feet group demonstrated a longer swing phase in non-dominant feet and single limb support in dominant feet. However, there was no significant group difference in function and pain of knee joint and lower-extremity between groups. Conclusion: Our results indicated that abnormal spatiotemporal gait performance according to foot morphology. Although there was no difference in lower extremity dysfunction and pain according to the difference in foot morphology, they have the possibility of symptom occurs as a result of continuous participation in activities of daily living and sports. Therefore, individuals with pronated or supinated foot should be supplemented by utilizing an orthosis or training to restore normal gait performance.

Keywords

Acknowledgement

The authors would like to thank Institute of Convergence Science (ICONS) and the International Olympic Committee Research Centre KOREA for Prevention of Injury and Protection Athlete Health supported by the International Olympic Committee (IOC).

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