PNF and Movement

Korea Proprioceptive Neuromuscular Facilitation Association (대한고유수용성신경근촉진법학회)
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Effect of Hallux Point Insole on Foot Contact Area and Pressure

할룩스 포인트 인솔이 발의 접촉면적 및 압력에 미치는 영향

  • Lee, Su-Kyong (Department of Physical Therapy, College of Nersing and Healthcare Sciences, Dong-Eui University) ;
  • Ahn, Su-Hong (Department of Industry-University Cooperation Foundation, Dong-Eui University) ;
  • Kim, Yong-Woon (Delta Korea) ;
  • Yang, Ki-Eun (Wizbrown)
  • Received : 2021.07.18
  • Accepted : 2021.08.04
  • Published : 2021.08.31
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Abstract

Purpose: The purpose of this study was to determine the changes in foot contact area and pressure when walking with a functional insole that emphasizes the Hallux point as compared to a general insole. Methods: In this study, an experiment was conducted to investigate changes in plantar pressure and contact area for a functional insole that emphasized the Hallux point as compared to a general insole. A lower extremity robot was used for walking reproduction. First, the gait sequence according to the two insoles was determined through a randomized controlled trial comparison. According to the sequence procedure, the insole was attached to the shoe and then worn on the right side of the lower extremity robot for gait reproduction at a normal gait speed of 20 steps per minute. After programming the robot to walk, the experiment was carried out. The result value was determined by averaging the pressure and area data of the fore and rear foot measures after walking at 20 steps per minute. Results: The functional insole that emphasized the hallux point significantly increased the forefoot and rearfoot contact area (p < 0.05) and significantly decreased the forefoot and rearfoot contact pressure (p < 0.05) compared to the general insole. Conclusion: A functional insole that emphasizes the hallux point does not collapse the medial longitudinal arch during gait, increasing foot stability and reducing fatigue. Thus, this functional insole needs to be widely used clinically.

Keywords

References

  1. An SY, Kim SB, Lee KK. A comparative study of characters of muscle activity in lower limb and gait pattern on type of heel rockers. Korean Journal of Sports Biomechanics. 2007;17(1):111-119. https://doi.org/10.5103/KJSB.2007.17.1.111
  2. Barton CJ, Bonanno D, Menz HB. Development and evaluation of a tool for the assessment of footwear characteristics. Journal of foot and ankle research. 2009;23(2):1142-1146.
  3. Bus SA, van Deursen RW, Armstrong DG, et al. Footwear and offloading interventions to prevent and heal foot ulcers and reduce plantar pressure in patients with diabetes: a systematic review. Diabetes Metabolism Research and Reviews. 2016;32(1):99-118. https://doi.org/10.1002/dmrr.2702
  4. Chan ZYS, Zhang JH, Au IPH, et al. Gait retraining for the reduction of injury occurrence in novice distance runners: 1-year follow-up of a randomized controlled trial. American Journal of Sports Medicine. 2018;46(2):388-395. https://doi.org/10.1177/0363546517736277
  5. Cho JH, Kim RB. Effect of the MBT shoes on lower extremity joints dynamics during walking. Journal of Sports and Leisure Studies. 2012;48(2):825-834. https://doi.org/10.51979/KSSLS.2012.05.48.825
  6. Choi JK. Evaluation for biomechanical effects of custom-made insole on the gait of pes cavus patients. Chonbuk National University. Dissertation of Master's Degree. 2012.
  7. Chung KA, Lee ES, Lee SW. The effect of intrinsic foot muscle training on medial longitudinal arch and ankle stability in patients with chronic ankle sprain accompanied by foot pronation. Physical Therapy Rehabilitation Science. 2016;5(2):78-83. https://doi.org/10.14474/ptrs.2016.5.2.78
  8. Cote KP, Brunet ME, Gansneder BM, et al. Effects of pronated and supinated foot postures on static and dynamic postural stability. Journal of Athletic Training. 2005;40(1):41-46.
  9. Fiolkowski P, Brunt D, Bishop M, et al. Intrinsic pedal musculature support of the medial longitudinal arch: an electromyography study. The Journal of Foot and Ankle Surgery. 2003;42(6):327-333. https://doi.org/10.1053/j.jfas.2003.10.003
  10. Franco AH. Pes cavus and pes planus: analyses and treatment. Physical therapy. 1987;67(5):688-694. https://doi.org/10.1093/ptj/67.5.688
  11. Gardner LI, Dziados JE, Jones BH, et al. Prevention of lower extremity stress fractures: a controlled trial of a shock absorbent insole. American Journal of Public Health. 1988;78(12):1563-1567. https://doi.org/10.2105/AJPH.78.12.1563
  12. Han JT, Bae SS. Gait analysis methods and walking pattern of hemiplegic patients after stroke. PNF and Movement. 2007;5(1):37-47.
  13. Headlee DL, Leonard JL, Hart JM, et al. Fatigue of the plantar intrinsic foot muscles increases navicular drop. Journal of Electromyography and Kinesiology. 2008;18(3):420-425. https://doi.org/10.1016/j.jelekin.2006.11.004
  14. Hertel J. Functional anatomy, pathomechanics, and pathophysiology of lateral ankle instability. Journal of athletic training. 2002;37(4):364-375.
  15. Jung DY, Koh EK, Kwon OY. Effect of foot orthoses and short-foot exercise on the cross-sectional area of the abductor hallucis muscle in subjects with pes planus: a randomized controlled trial. Journal of Back and Musculoskeletal Rehabilitation. 2011;24(4):225-231. https://doi.org/10.3233/BMR-2011-0299
  16. Kamiya T, Uchiyama E, Watanabe K, et al. Dynamic effect of the tibialis posterior muscle on the arch of the foot during cyclic axial loading. Clinical Biomechanics. 2012;27(9):962-966. https://doi.org/10.1016/j.clinbiomech.2012.06.006
  17. KIFLT. Footwear-the test equipment and method for measuring plantar pressure. Busan. Korea Institute of Footwear & Leather Technology. 2016.
  18. Kim BG. Analysis of the plantar pressure on the flat and slope walking by insole type. Silla University. Dissertation of Master's Degree. 2018.
  19. Kim EJ, Jeon SB, Jeong KY. Influences of short-term high-heeled walking on the activities of ankle-stabilizing muscles in healthy young females. The Journal of Korean Academy of Orthopedic Manual Therapy. 2015;21(2):39-46.
  20. Kim JH, Park YS, Song JC et al. Prosthetics & Orthotics. Seoul. Topmediopia. 2004.
  21. Kim MH. Effects of toe-spread-out exercise in subjects with hallux valgus. Yonsei University. Dissertation of Doctorate Degree. 2015.
  22. Kim SJ. Correlation between navicular drop and first metatarsophalangeal Joint dorsiflexion. Kyonggi University. Dissertation of Master's Degree. 2007.
  23. Kim TW. Effect of walking speed on angles of lower extremity and ground reaction force in the obese. Korean Journal of Sport Biomechanics. 2006;16(4):83-94. https://doi.org/10.5103/KJSB.2006.16.4.083
  24. Kim WG. The effects of fast treadmill training on spinal alignment, muscles thickness and balance. Nambu University. Dissertation of Master's Degree. 2017.
  25. Lee E, Cho J, Lee S. Short-foot exercise promotes quantitative somatosensory function in ankle instability: a randomized controlled trial. Medical Science Monitor. 2019;25(2):618-626. https://doi.org/10.12659/MSM.912785
  26. Lee HT. The effect of the wedge Insole angle of supinated group on foot contact time, foot contact area and foot pressure while walking. Pukyong National University. Dissertation of Master's Degree. 2010.
  27. Lee JI. The effect of wedge insole of pronated group on maximum force, foot contact area and foot pressure. Pukyong National University. Dissertation of Master's Degree. 2009.
  28. Lee KY. The effect of shoe type on plantar pressure distributions. Journal of Korean Physical Education Association for Girls and Woman. 2010;24(4):1-12.
  29. Lee YS, Shin HS. Kinetic analysis of the foot and ankle during walking. PNF and Movement. 2006;4(1); 45-50.
  30. Lim TH. The effects of short foot exercise on ankle strength, static and dynamic balance control in flat foot elderly. Korea University. Dissertation of Master's Degree. 2017.
  31. Lynn SK, Padilla RA, Tsang KK. Differences in static-and dynamic-balance task performance after 4 weeks of intrinsic-foot-muscle training: the short-foot exercise versus the towel-curl exercise. Journal of sport rehabilitation. 2012;21(4):327-333. https://doi.org/10.1123/jsr.21.4.327
  32. Marshall RN, Hreljac A, Hume PA. Evaluation of lower extremity overuse injury potential in runners. Medicine and Science in Sports and Exercise. 2000;32(9):1635-1641.
  33. McKeon PO, Hertel J, Bramble D, et al. The foot core system: a new paradigm for understanding intrinsic foot muscle function. British Journal of Sports Medicine. 2015;49(5):290-298. https://doi.org/10.1136/bjsports-2013-092690
  34. McKeon PO, Hertel J, Bramble D, et al. The foot core system: a new paradigm for understanding intrinsic foot muscle function. British Journal of Sports Medicine. 2014;49(5):290-298. https://doi.org/10.1136/bjsports-2013-092690
  35. Moon DC, Kim K, Lee SK. Immediate effect of short-foot exercise on dynamic balance of subjects with excessively pronated feet. Journal of Physical Therapy Science. 2014;26(1):117-119. https://doi.org/10.1589/jpts.26.117
  36. Neumann DA. Kinesiology of the musculoskeletal system foundations for rehabilitation, 2nd ed. St. Louis. Elsevier Mosby. 2010.
  37. Page P, Frank C, Lardner R. Assessment and treatment of muscle imbalance: the Janda approach. Journal of Orthopaedic & Sports Physical Therapy. 2010;41(10):78-86.
  38. Paillard T. Effect of general and local fatigue on postural control: a review. Neuroscience & Biobehavioral Reviews. 2012;36(1):162-176. https://doi.org/10.1016/j.neubiorev.2011.05.009
  39. Park JH, Jang HS, Jung JW, et al. The study of correlation between foot-pressure distribution and scoliosis. Journal of Sensor Science and Technology. 2008;7(3):210-216.
  40. Park SB, Lee KD, Kim DW, et al. Comparative analysis of foot pressure distribution by functional insole to be transformed and restored during walking. Korean Journal of Sport Biomechanics. 2011;21(2):231-241. https://doi.org/10.5103/KJSB.2011.21.2.231
  41. Perry J. Gait analysis. Normal and pathological function. New Jersey. SLAK. 1992.
  42. Petersen E, Zech A, Hamacher D. Walking barefoot vs. with minimalist footwear - influence on gait in younger and older adults. BMC Geriatrics. 2020;20(1):88. https://doi.org/10.1186/s12877-020-1486-3
  43. Pijnappels M, Bobbert MF, van Dieen JH. Push-off reactions in recovery after tripping discriminate young subjects, older non-fallers and older fallers. Gait & posture. 2005;21(4):388-394. https://doi.org/10.1016/j.gaitpost.2004.04.009
  44. Pijnappels M, Reeves ND, van Dieen JH. Identification of elderly fallers by muscle strength measures. European journal of applied physiology. 2008;102(5):585-592. https://doi.org/10.1007/s00421-007-0613-6
  45. Sauer LD, Beazell J, Hertel J. Considering the intrinsic foot musculature in evaluation and rehabilitation for lower extremity injuries. Athletic Training and Sports Health Care. 2011;3(1):43-47. https://doi.org/10.3928/19425864-20100730-02
  46. Schwartz MH, Rozumalski A, Trost JP. The effect of walking speed on the gait of typically developing children. Journal of biomechanics. 2008;41(8):1639-1650. https://doi.org/10.1016/j.jbiomech.2008.03.015
  47. Scott SH, Winter DA. Internal forces of chronic running injury sites. Medicine and Science in Sports and Exercise. 1990;22(3):357-369.
  48. Shin JH. Effects of foot strength exercise and functional insole on range of motion, muscle activity and foot plantar pressure in the elderly women. Silla University. Dissertation of Doctorate Degree. 2018.
  49. Shin JY. The effect of different contact of functional insole in static balance. Daegu Catholic University. Dissertation of Master's Degree. 2015.
  50. Shin MY, Choi MR, Lee KK. Effect of customized shoe insole and 4-week lower extremity exercise program on gait mechanics. Journal of the World Society of Taekwondo Culture. 2017;8(3):47-61. https://doi.org/10.18789/jwstc.2017.16.47
  51. Shumway-Cook A, Horak FB. Assessing the influence of sensory interaction on balance. Suggestion from the field. Physical therapy. 1986;66(10):1548-1550. https://doi.org/10.1093/ptj/66.10.1548
  52. Song CH. Effects of foot orthotic on postural sway. The journal of Korean society of physical therapy. 2004;16(2):229-236.
  53. Whittle M. Gait analysis: an introduction. Boston. Butterworth-Heinemann. 2002.
  54. Woo JH. Analysis of plantar foot pressure according to 2D & 3D insole types during treadmill gait. Silla University. Dissertation of Master's Degree. 2015.
  55. Yoon HK. Changes in dynamic pedobarography and 3-dimensional gait analysis after subtalar arthrodesis in pes planovalgus. Yonsei University. Dissertation of Doctorate Degree. 2006.