• 한국전문물리치료학회지
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• 제30권4호
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• pp.281-287
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• 2023

Background: The flexible flatfoot is characterized by a flattening of the foot arch due to excessive bodyweight. The use of shoe insoles or taping methods has been identified as effective in realigning the navicular or calcaneus bones and addressing supination in pronated feet. Objects: This study aimed to analyze the difference between the arch taping attachment method, introduced in a previous study, and a novel taping method designed to provide support to the inner aspect of the heel bone in cases of flexible flatfoot. Methods: A navicular drop test was performed to discriminate flexible flatfoot. To analyze the differences in pressure distribution during walking for each taping method, the subjects underwent testing in the barefoot state with no attachments. The procedure included a sequence of arch taping and heel taping. Subsequent analysis of pressure distribution during walking utilized the GaitRite^® system (GAITRite Gold, CIR Systems Inc.). Results: Arch taping and calcaneus taping significantly reduced the integrated pressure over time and peak pressure on the medial side of the midfoot for both feet compared to the barefoot state. Conclusion: The findings of this study suggest that supporting the inside of the heel through calcaneus taping, without direct stimulation to the longitudinal arch and navicular bone, is an effective intervention for flexible flatfoot.

• 한국운동역학회지
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• 제21권4호
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• pp.487-494
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• 2011

The purpose of this study was to evaluate the effects of metatarsal pad (MP) compared with barefoot and MP with using different insoles on gait. 15 healthy females who had no history of injury in the lower extremity with an average age of 22.7 year(SD=1.35), height of 160 cm(SD=3.4), weight of 48.8 kg(SD=5.52) and average foot size of 232.5 mm(SD=6.8) participated in this study as the subjects. The subjects walked on a treadmill under four different experimental conditions: 1) walking with barefoot, 2) walking wearing MP 3) walking wearing a soft insole with MP(SIMP), 4) walking wearing a rigid insole with MP(HIMP). During walking, foot pressure data such as force, contacting area, peak pressure, and mean pressure was collected using Pedar-X System(Novel Gmbh, Germany) and EMG activity of lower limb muscles such as tibialis anterior(TA), lateral gastrocnemius(LG), rectus femoris(RF), and musculus biceps femoris(MBF) was gathered using Delsys EMG Work System(Delsys, USA). Collected data was then analyzed using paired t-test in order to investigate the effects of each of experimental conditions. As a result of the analysis, when MP and HIMP were equipped, overall contacting area was increased while the force, peak pressure and the mean pressure were decreased. Especially, when the SIMP was equipped, every data were significantly decreased. In case of EMG, wearing MP, SIMP and HIMP made three muscles(TA, LG, RF)'s activity decrease. A result of the analysis will be able to apply for manufacturing functional shoes, diabetes shoes, senior shoes and lower extremity orthosis. Significance of the study due to a metatarsal pad and the insole is to analyze the changes in muscle strength.

• 한국운동역학회지
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• 제32권2호
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• pp.37-42
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• 2022

Objective: The aim of this study is to analyze the effect of the strength of the ankle support on the walking characteristics and ankle joints when men with flexible flat feet walk. Method: 13 adult male subjects (age: 23.9 ± 2.4 yrs, height: 173.0 ± 5.0 cm, weight: 76.9 ± 13.2 kg, Navicular Drop Test (NDT): 10.2 ± 0.8 mm) participated in this study. Each participant had to walk with the 3 conditions, barefoot, soft arch support and hard arch support, along a walkway while their kinematics was recorded at 100 Hz. Results: Based on the results of this study, it is considered that men with flexible flat feet should use hard arch support rather than bare feet to induce normal arch shape, relieve foot damage caused by excessive ankle joint abnormalities and improve stability. Conclusion: Our results for men with flat flexibility, there was a significant difference in the value of step length when walking was performed using two arch supports with different strengths. The angle of ankle dorsiflexion was significantly increased, and the ankle eversion angle was significantly decreased.

• 융합정보논문지
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• 제8권6호
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• pp.59-66
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• 2018

보행 시 지면에 대한 수직력에 대한 전단력의 비율, 즉 보행자가 사용한 마찰계수(UCOF)는 미끄러짐 발생 가능성 있는 시점을 식별하는데 사용된다. 신발보행은 신발창 두께와 경도, 뒤꿈치 모양, 밑창 문양 등의 신발 디자인이 사용마찰계수를 변화시킬 것이다. 본 연구에서는 보행 시 신발 착용 유무에 따른 사용마찰계수(UCOF) 차이를 분석하기 위해 성인남녀 21명(여자 10명, 남자 11명, 나이: $25.2{\pm}2.3yrs$, 키: $165.6{\pm}7.2cm$, 몸무게: $62.2{\pm}7.8kg$)을 대상으로 보행속도, 지면반력, 사용마찰계수(UCOF) 최대 시점, CoP-CoM-수직선 각도의 차이를 알아보고, 사용마찰계수(UCOF)와의 상관관계를 분석하였다. 그 결과, 첫째, 보행 시 신발 착용으로 인해 체중수용기(제동기)의 더 이른 시점에 사용마찰계수가 최대치에 도달하고, 또 그 크기도 증가한다. 둘째, CoP-CoM의 Tangent 값과 사용마찰계수(UCOF1)와의 상관관계는 오른발 제동 초기시점(UCOF1_h)보다 추진 후기에 발생하는 왼발(다음발) 착지시점(UCOF2_h)에서 더 높은 상관관계를 보여, 제동기 보다는 추진기(다음 발 제동기)와의 연관성을 시사한다.

• 대한물리치료과학회지
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• 제15권2호
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• pp.87-95
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• 2008

Background: Hemiplegic patients usually have difficulty maintaining balance. Balance training is a major component of there habilitation program for patients with neurological impairment. The purpose of this study was to investigate the effects of PLS(Posterior Leaf Spring), FES(Functional Electrical stimulation), treadmill training, and neurodevelopmental treatment on the improvement of balance in patients with hemiplegia. Methods: We looked into published studies from Dankook University’s electronic library databases of RISS4U, KMbase, NCBI, and MEDLIS concerning the effectiveness of any form of intervention leading to improvement of balance. All types of studies relevant to the topic that were published in English during the time period of 1986 to 2005 were included. Results: 1. There were significant differences in standing balance, dynamic activity balance, and gait speed between barefoot subjects and subjects who wore SPAFO and HPAFO(p<.05). 2. The changes in ROM and FRT related to sex, age, height, and weight part of the diagnosis, as well as experience relapse, was of meaningless value. Changes in ROM related to the duration of pain and experiences of falling down were also meaningless. However, FRT showed significant static differences(p<.05). 3. The body-weight-support treadmill training scoring of standing balance, step length, and a timed 10m walking test showed definite improvement. 4. The proprioceptive control approach improved dynamic balance in patients with hemiplegia. Conclusion: Consequently, further study is needed to verify methods when physical therapists are researching balance ability in hemiplegic patient.

• 한국운동역학회지
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• 제18권2호
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• pp.1-9
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• 2008

본 연구는 장애물을 넘는 동안 장애물의 높이 변화가 보행 시 족저압에 미치는 영향을 알아보기 위해 실시하였으며 이를 위해 족저 최고 족저압과 최대 힘, 압력 중심의 이동 경로를 중심으로 자료를 수집하여 분석하였다. 근골격계에 문제가 없는 열여섯 명의 건강한 젊은 성인이 이 연구에 참여하여 맨발로 각각 평지, 10cm, 20cm 그리고 30cm의 장애물을 넘는 동안 입각기 발의 족저 최고 족저압과 최대 힘, 압력중심 이동경로를 측정하였다. 측정은 Tekscan사의 Footmat system을 이용하였으며, 대상자의 발을 일곱 개의 영역(두 개의 발가락 영역, 세 개의 전족부 영역, 한 개의 중족부와 후족부 영역)으로 나누어 수집한 자료를 일원배치분산분석을 이용하여 분석하였다. 본 연구를 통해 높이가 다른 여러 가지 장애물을 넘을 때, 입각기 동안 족저의 영역별 최고 족저압과 최대 힘은 발가락부위에서 유의하게 증가하는 것을 알 수 있었고 후족부위에서는 감소하였다. 그리고 장애물의 높이가 높아질수록 압력중심 이동경로가 짧아지면서 전족부에서 외전하는 경향을 볼 수 있었다. 따라서 본 연구에서는 장애물 보행 시 장애물의 높이가 발의 구조와 기능에 영향을 미친다는 것을 확인할 수 있었다.