• 대한물리치료과학회지
• /
• 제22권2호
• /
• pp.43-47
• /
• 2015

Background : Many factors affect foot and ankle biomechanics during walking, including gait speed and anthropometric characteristics. This study examined the effect of walking speed on peak plantar pressure during the walking. Method : Thirty two normal healthy subjects (16 men, 16 women) were recruited. Peak plantar pressure was investigated using pressure distribution platforms (Pedoscan system) under the hallux heads of the first, second, and third metatarsal bones, and heel. Result : The results also suggest that slow walking speeds may decrease forefoot peak plantar pressure in patients with peripheral neuropathy who have a high risk of skin breakdown under the forefoot(p<0.05). Conclusion : The results also suggest that slow walking speeds may decrease forefoot peak plantar pressure in patients with restricted low extremity range of motion who have a high risk of skin breakdown under the forefoot.

• 디자인학연구
• /
• 제14권3호
• /
• pp.211-220
• /
• 2001

노인의 일반적 보행특성은 대학생들과는 달리 보행속도가 느려지며 보폭의 길이나 보행주기 또한 감소한다. 그럼에도 불구하고, 노인신발제작을 위한 보행특성분석에 대한 연구는 매우 부족한 실정이다. 이에 본 연구는 압력분포기를 이용하여 노인의 보행시 발바닥에 걸리는 압력을 대학생과 비교하였고, 그 특성을 고찰하였다. 분석결과 노인은 보행시 지면접촉시간이 길고, 보행시 발전체면적에 걸리는 최대 힘은 대학생에 비해 남자노인의 경우 1.12배, 여자노인의 경우 1.20배 정도 많이 걸린다. 노인의 지면 접촉시간은 중족골 아치부분에서 접촉시간이 길다 이러한 분석의 결과를 토대로 노인신발의 디자인시 고려해야할 설계지침을 제시하였다. 본 연구는 인간공학적 노인신발을 디자인 하는데 기초자료로 활용될 수 있다.

• 대한통합의학회지
• /
• 제3권2호
• /
• pp.63-72
• /
• 2015

Purpose: The purpose of this study was to investigate the foot pressure of subjects with hallux valgus following conservative management. Methods: The subjects (20 females) were divided into 2 groups; Hallux valgus group (10) and Control group (10) who could evaluate questionnaire & weight bearing X-ray. All the participants were evaluated distribution of foot pressure by Zebris FDM-S system with conservative management (taping therapy and hallux valgus device) during single-limb stance. Results: The Hallux valgus group (HVG) was significantly different than Control group (CG) in hallux valgus angle(p<0.05). The Hallux valgus group with Foot Device (HVG-FD), Hallux valgus group with Taping (HVG-Tp) and Hallux valgus group with Foot device and Taping (HVG-FD&Tp) was not significantly different than CG in hallux valgus angle (p<0.05). The HVG was not significantly different than CG in forefoot (p1, p2, p3), significantly different than CG in rearfoot (p7) about foot pressure during single-limb stance (p<0.05). The HVG-FO and HVG-FO and TP was significantly different than HVG in forefoot (p1, p2, p3), on significantly different than HVG in rearfoot (p7) about foot pressure during single-limb stance (p<0.05). There was significantly correlation HVG-FO and HVG-FO & TP in forefoot (p1, p2, p3) was negative correlation (p<0.05) and in rearfoot (p7) was positive correlation (p<0.05). Conclusion: This study showed that hallux valgus were effected hallux valgus angle and foot pressure by various treatment methods during single-limb stance. Further study is needed to measure various age and work with hallux valgus for clinical application.

• 한국운동역학회지
• /
• 제21권1호
• /
• pp.67-75
• /
• 2011

The purpose of this study was to find the difference in gait patterns when elderly and young people walk by analyzing COP, Gait Line, Foot pressure pattern, and ensuring the original biomechanics technology of developing high performance footwear for the elderly. The subjects who took part in the test consist of 20 elderly people and 20 young people. The physical features of the elderly people that were recruited for the study are as below: 20 healthy male subjects(elderly people) with an average age of 75.43 yrs(S.D 6.46 yrs), weight of 68.10 kg(S.D 0.94 kg) and a height of 168.65 cm(S.D 1.47 cm). Foot pressure pattern data was collected using a EMED-AT system(Novel Gmbh, Germany) operating at the 50 Hz during walking. The results are as follow : COP route of the elderly leans to lateral compared to the young, and Gait Line from heel to toe is not clear and laterally curved. At the same time, a contact are aonthe midfoot is high compared to the young, and maximum force of the forefoot is low. As a result of analysis, in order to develop high performance footwear for the elderly, it is necessary to develop lasts and soles reflecting the elderly's gait patterns.

• 한국전문물리치료학회지
• /
• 제10권1호
• /
• pp.77-95
• /
• 2003

Many factors affect foot and ankle biomechanics during walking, including gait speed and anthropometric characteristics. However, speed has not been taken into account in foot kinematics and kinetics during walking. This study examined the effect of walking speed on foot joint motion and peak plantar pressure during the walking phase. Eighty healthy subjects (40 men, 40 women) were recruited. Maximal dorsiflexion and excursion were measured at the first metatarsophalangeal joints during walking phase at three different cadences (80, 100, and 120 step/min) using a three dimensional motion analysis system (CMS70P). At the same time, peak plantar pressure was investigated using pressure distribution platforms (MatScan system) under the hallux heads of the first, second, and third metatarsal bones and heel. Maximal dorsiflexion and excursion and excursion at the ankle joint decreased significantly with increasing walking speed. Peak plantar pressure increased significantly under the heads of the first of the first, second, and third metatarsal bones, and heel with increasing walking speed: three was no change under the hallux. There were no significant changes in maximal dorsiflexion or excursion at the first metatarsophalangeal joint. The results show that walking speed should be considered when comparing gait parameters. The results also suggest that slow walking speeds may decrease forefoot peak plantar pressure in patients with peripheral neuropathy who have a high risk of skin breakdown under the forefoot.

• 생명과학회지
• /
• 제19권9호
• /
• pp.1299-1303
• /
• 2009

뇌졸중 환 6명을 대상으로 발병후 3개월 지난 시기에 1차 실험을 실시하였고, 6개월 지난 시기에 2차 실험을 하여 뇌졸중환자들을 대상으로 운동학적변인, 각운동학적변인 그리고 지면반력과 발바닥의 압력분포를 알아보았다. 운동학적변인의 결과 통계적으로 유의한 차이는 나타나지 않았으나 6개월간 꾸준히 재활운동에 참가한 환자는 3개월 때 보다 훨씬 보폭(step length)이 크게 나타났으며(11.18 cm, 12.25 cm, p=0.58), 보폭의 빈도(step time) 또한 빠르게 나타났다(1.20 sec, 1.18 sec, p=0.53). 환측의 발만 지지면에 닿아 있는 시간(single support time)의 연구에서는 재활운동에 꾸준히 참가한 환자가 발을 지면으로부터 빨리 떼는 것으로 나타났다(34.97%, 29.02%, p=0.74). 환측다리 움직임의 빠르기를 나타내는 변인(cadence)에서는 1분당 움직임의 회수가 6개월 운동에 참가한 사람의 보폭회수가 3개월 운동에 참가한 사람의 보폭회수 보다 훨씬 빠르게 나타났다(21.04 step/min, 28.89 step/min, 0.27). 각 운동학변인에서는 통계적으로 모든 변인에서 유의한 차이는 나타나지 않았으나 평균의 비교에서 꾸준하게 6개월 동안 재활운동에 참가한 환자는 발목관절, 무릎관절 그리고 엉덩관절 모두의 가동범위가 크게 나타났다. 걷기동작에서 상해의 원인이되는 최초 접촉 순간의 충격력(impact force)의 비교에서는 6개월간 꾸준히 재활운동에 참가한 환자는 충격력이 작게 나타났다(1.20 N/kg, 1.13 N/kg, p=0.45). 전방으로의 추진력(anterior propulsion force)과 후방으로의 감속력(posterior braking force)은 통계적으로 유의한 차이(p=0.28, p=0.39)를 나타내지 않았으나 재활운동에 꾸준히 참가한 환자들은 전후방의 힘(0.10 N/kg, 0.15 N/kg; -0.12 N/kg, -0.18 N/kg)이 좋아지는 것을 볼 수 있었다. 걷기 동작 시 환측발의 최대 압력분포값은 통계적으로 유의한 차이(p=0.24)는 없었으나 6개월 재활훈련참가자(15.51 N/$cm^2$)가 3개월 재활훈련참가자(13.99 N/$cm^2$) 보다 지면을 더욱 가볍게 밟고 지나가는 것으로 나타났다. 위의 연구결과들을 바탕으로 볼 때 뇌졸중 환자들은 꾸준하게 재활운동에 참가하여야 하며 주위 사람들의 관심이 항상 필요하다고 사료된다.