• Title/Summary/Keyword: FLAT FOOT

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A Critical Review of Foot Orthoses in Normal and Diseased Foot (정상의 발과 병적인 발에서 발보조기 연구의 비판적 고찰)

  • Kim, Seung-Jae;Kim, Jang-Hwan;Tack, Gye-Rae;Bae, Sang-Woo;Park, Yeong-Ki
    • Korean Journal of Applied Biomechanics
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    • v.17 no.3
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    • pp.81-94
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    • 2007
  • The purpose of this study was to critically review biomechanical studies on foot orthoses (FO) in normal and diseased foot and provide beneficial information obtained from researches until now and future researching focus. The search was performed by Medline and Embase database including studies published in English from January 1980 to April 2007. The searching terms were foot orthoses, foot orthotics, insoles and shoe insert. 57 studies including 54 journal articles and 3 abstracts were finally selected under the conditions of having clinical trials, FO, control condition, movement, scientific measuring system. The reviewed studies were divided into 10 categories according to subject characteristics; healthy normal, excessive pronation or flexible flat foot, rheumatoid arthritis, diabetes, medial knee osteoarthritis, forefoot varus, plantar fasciitis, patellofemoral syndrome, cavus foot and finite element model. In summary, first, soft and semirigid FOs with some degree of cushioning showed much higher comfort and efficacy than rigid FO. Second, no big differences between prefabricated and custom FO were shown. Third, the full length's FO was preferable to the half length's FO or simple arch supports. Fourth, the wearing of FO combining medial arch supports and metatarsal dome made positive roles to enhance comfort and functionality and redistribute plantar pressure under the foot. Fifth, for patients with knee-related diseases lateral wedges were preferable. Sixth, measuring systems were properly applied according to the types of foot diseases.

Effect of Pressure Based Customized 3-Dimensional Printing Insole in Pediatric Flexible Flat Foot Patients (소아 편평족 환자에서 Pressure Based Customized 3-Dimensional Printing Insole의 유용성)

  • Lee, Si-Wook;Choi, Jung-Hoon;Kwon, Hyuk-Jun;Song, Kwang-Soon
    • Journal of Korean Foot and Ankle Society
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    • v.24 no.3
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    • pp.113-119
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    • 2020
  • Purpose: A flatfoot that fails to form a longitudinal foot arch is a common lower limb deformity in children. This study evaluated the structural and functional effects of the insole for pediatric flexible flat foot (PFFF). Materials and Methods: Twenty-nine PFFF patients (20 boys and 9 girls, 58 feet) with bilateral symptomatic flatfoot deformities between February 2017 and May 2019 were included in this study. Sixteen patients (32 cases, study group) were treated with a pressured based 3-dimensional printing insole, and 13 patients (26 cases, control group) were followed up regularly without any treatment. Flatfoot was diagnosed by a lateral talo-first metatarsal angle of more than 4° in convex downward and talocalcaneal angles of more than 30° and a calcaneal pitch of less than 20°. The foot pressures, including the midfoot pressure, total foot pressure, and the ratio of the midfoot pressure to the total foot pressure, were evaluated by pedobarography. The clinical scores were assessed using the visual analogue scale (VAS), American Orthopaedic Foot and Ankle Society (AOFAS), and Pediatrics Outcomes Data Collection Instrument (PODCI) scores. Results: The mean age of the study group was 9.16 years, and the mean age of the control group was 7.73 years. The mean follow-up period was 16 months. The change in the lateral talocalcaneal angle was -4.664°±1.239° in the study group and -0.484°±1.513° in the control group. A significant difference in the amount of change of the lateral talocalcaneal angle was observed between the two groups (p=0.034). The midfoot pressures were similar in the two groups. Conclusion: Pressure based customized 3-dimensional printing insole in PFFF may have some effect on the hindfoot bony alignment, but it does not affect the changes in midfoot pressure.

The Effects of Complex Exercise Program with Visual Feedback on Navicular Bone Height, Plantar Pressure and Low Extremity Alignment in Flat-Footed Patients (시각적 피드백을 병행한 복합운동프로그램이 편평발 환자의 발배뼈 높이, 족저압 및 다리 정렬에 미치는 영향)

  • Hoe-Song Yang;Chan-Joo Jeong;Young-Dae Yoo;Hyo-Jeong Kang;Min-Kyu Kim
    • Journal of The Korean Society of Integrative Medicine
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    • v.11 no.4
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    • pp.269-279
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    • 2023
  • Purpose : The most effective intervention for flat foot is strengthening exercises for the intrinsic and extrinsic of the foot. Additionally, visual feedback is necessary for movement accuracy. However, the effectiveness of the intervention when combined with visual feedback was not revealed. To confirm this, the research was to investigate the effect of visual feedback and a complex exercise program on navicular bone height, plantar pressure, and lower extremity alignment. Methods : The twenty eight adult men and women with flat foot were randomly assigned to group 1 (n=14) and group2 (n=14), group1 performed complex exercises with visual feedback, and group 2 performed only complex exercises. Both groups performed a 40 minute compound exercise program three times a week. Navicular drop test, plantar pressure test, and lower extremity alignment test were performed equally in both group. Results : As a result of comparing the change in navicular height within the group according to the intervention, both groups showed a significant difference before and after the exercise (p>.05). There was not significant difference comparing the difference between the groups in the navicular height (p>.05). Comparing the change in plantar pressure within groups, there was not significant difference in the change in plantar pressure in both groups (p>.05). Coparing the difference before and after exercise between groups, there was not significant plantar pressure (p>.05). Comparing the change in leg alignment within the group, there was a significant difference in the change in ankle before and after exercise in group 1 (p<.05), but there was not significant difference in group 2. There was not significant difference in pelvic tilt and knee tilt before and after exercise in both groups (p>.05). Comparing the before and after exercise difference between groups, there were not significant in all variables of leg alignment (p>.05). Conclusion : The results of this study showed that complex exercise applied to patients with flat foot were effective in increasing the height of the navicular bone and ankle angle, but there was no effect due to visual feedback.

Design of a Flexible Robot Foot with Toes and Heel Joints (발가락과 뒤꿈치 조인트를 갖는 유연한 로봇 발 설계)

  • Park, Jin-Hee;Kim, Hyun-Sul;Kwon, Sang-Joo
    • Journal of the Korean Society for Precision Engineering
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    • v.28 no.4
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    • pp.446-454
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    • 2011
  • In terms of the anatomy and mechanics of the human foot, a flexible robot foot with toes and heel joints is designed for a bipedal walking robot. We suggest three design considerations in determining foot design parameters which are critical for walking stability. Those include the position of the frontal toe, the stiffness of toes and heels, and the position of the ankle joint. Compared with the conventional foot with flat sale, the proposed foot is advantageous for human-like walking due to the inherent structural flexibility and the reasonable parameter values. Simulation results are provided to determine the design parameters and also show that the proposed foot enables smaller energy consumption.

A Study on Foot Shape by 3D Data of Female High School Students (3차원 데이터에 의한 여고생의 발 형태에 관한 연구)

  • Lee, Jeong-Eun;Do, Wol-Hee
    • Journal of the Korean Society of Clothing and Textiles
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    • v.38 no.4
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    • pp.572-583
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    • 2014
  • This study analyzes the foot shape of female high school students using 3D foot scan data based on a comparison with adult women (20s'-30s'). Data were collected from the foot anthropometry of 199 female high school students in Gwangju and Jeollanam-do. The right foot was measured indirectly by 3D laser scanner. There are 16 items in the foot anthropometric measurements. The $6^{th}$ Size Korea (measured by 3D scan data) is used for women's foot data. The results of the 3D measurements data investigation show that the foot length and foot width became longer and wider as the age increased. It is classified by three types after analyzing foot shape. Type 1 (28.1%) represented the shortest foot length, the narrowest foot width as well as the thick foot and long ankle shape. Type 2 (4.3%) represented the wide foot width such as the wide lateral ball width and semi-thickness shape. Type 3 (67.7%) referred to the widest foot width, flat foot and short ankle shape.

The Comparison of Foot Shape Classification Methods (발 형태 분류 방법 비교 연구)

  • Choi, Sun-Hui;Chun, Jong-Suk
    • The Research Journal of the Costume Culture
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    • v.15 no.2 s.67
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    • pp.252-264
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    • 2007
  • The purpose of this study was to compare two analytical methods classifying foot shape. The methods compared were cluster analysis method and foot index analysis method. This study defined the women's foot shape by these methods. 39 foot measurements which were automatically collected using the three dimensional foot scanner were analyzed. 203 Korean women in age 20s were participated in the anthropometric survey. Their foot shapes were classified into 5 foot types by cluster analysis: short & slim shape, flat shape, short & slender shape with slightly distorted toe, long and big shape, and short & wide shape. The foot measurements were also analyzed by the ratio of foot width and length. Five foot types that were classified by cluster analysis and three foot types that were classified by the foot index were compared. The comparison shows that cluster analysis precisely defined foot shapes. It was suggested that made-to-measure shoes making industry may adopt the foot shape analysis method utilizing cluster analysis.

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Design and performance test of a foot for a jointed leg type quadrupedal walking robot (관절형 4족 보행로봇용 발의 설계 및 성능시험)

  • Hong, Ye-Seon;Yi, Su-Yeong;Ryu, Si-Bok;Lee, Jong-Won
    • Transactions of the Korean Society of Mechanical Engineers A
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    • v.21 no.8
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    • pp.1250-1258
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    • 1997
  • This paper reports on the development of a new foot for a quadrupedal jointed-leg type walking robot. The foot has 2 toes, one at the front and the other at the rear side, for stable landing on uneven ground by point contact. The toes can move up and down independantly, guided by double-wishbone shaped parallel links which enable the lower leg to rotate with respect to a remote center on the ground surface. The motion of each toe is damped by a hydropneumatic shock absorber integrated in the foot in order to absorb the dynamic landing shock. Furthermore, the new foot can reduce the maximum hip joint drive torque by shortening the moment arm length between the hip joint and the landing force vector on the ground. Intensive experiments were carried out in this study by using a one-leg walking model to investigate the soft landing performance of the foot which could be hardly offered by conventional robot feet such as a flat plate with a gimbal type ankle joint. And it was confirmed that the hip joint torque of the leg walking on the flat surface could be reduced remarkably by using the new foot.

Analysis of Middle Aged and Elderly Women's Foot Shapes for Shoe Design

  • Lim, Ho-Sun
    • Fashion & Textile Research Journal
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    • v.17 no.5
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    • pp.815-827
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    • 2015
  • This study analyzes the characteristics by age and type for middle aged and elderly women foot shapes aged 40-69 years. ANOVA, factor, and cluster analyzed middle aged and elderly women's foot shapes. The results of the study are as follows. First, higher age groups tended to have smaller foot lengths, ball/instep circumferences, circumferences, and ball heights with larger heel height values and higher degrees of gathering of toe 1 and toe 5 toward the feet reference axis. Second, foot lengths were 220 mm-240 mm and the ball circumference's size symbol in high frequency sections were distributed from E to EEEE in the 40s and 60s groups and from D to EEEE in the 50s group. Third, eight factors were extracted through the factor analyses of middle aged and elderly women's foot measurement items. Fourth, a cluster analyses classified the subjects into four types. Type 1 is a normal foot type with medium foot length and small ball circumference and type 2 is a long and flat foot type with a type with large foot length and ball circumference values as well as small ball height values. Type 3 is a thick foot type with a medium foot length, large ball circumference, large ball height and type 4 is a toe deformation foot type with medium foot length, small ball circumference, and a high degree of toe gathering toward the center.

Effects of induced stereoacuity reduction on obstacle crossing (입체시력 감소가 장애물 보행에 미치는 영향)

  • Woo, Byung-Hoon;Sul, Jeong-Dug
    • 한국체육학회지인문사회과학편
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    • v.54 no.5
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    • pp.829-840
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    • 2015
  • The purpose of this study was to investigated into the kinematics and ground reaction force for gait on induced stereoacuity in normal subjects with normal sight. Eighteen subjects who passed the stereoacuity testing were participated in the experiment(age: 22.1±2.7 years, height: 176.8±4.4 cm, weight: 67.6±5.8 kg). The study method adopted 3D analysis with six cameras and ground reaction force with two force-plates. The results were as follows; In gait velocity, obstacle crossing gait was slower than flat gait. In angular displacement of hip joint, mostly obstacle crossing gait was more flexed than flat gait. In angular displacement of knee joint, obstacle crossing gait was more flexed than flat gait, and stereoacuity reduction gait in TO and FC2 were more flexed than normal vision gait. In angular displacement of ankle joint, obstacle crossing gait in FC2 was more flexed than flat gait. In trunk tilt, obstacle crossing gait in MSt, TO and MSw were more extended than flat gait. In GRF, there was no significant in Fx, obstacle crossing gait in right and left foot were bigger propulsion force than flat gait, obstacle crossing gait in right and left foot were bigger braking force than normal vision gait in Fy, and obstacle crossing gait in right and left foot were bigger than flat gait in peak F1 and peak F2 of Fz, and stereoacuity reduction gait in right foot was lower than normal vision gait in valley force of Fz.

Survey of Shoes Wearing Reality and Old Males Foot Types

  • Shim, Boo-Ja;Yoo, Hyun
    • Journal of Fashion Business
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    • v.11 no.3
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    • pp.1-14
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    • 2007
  • This research to reveal the foot types of old males consisted of two parts. First, a questionnaire was given for 180 old men in their 60s and above who live in Busan. Second, based on this survey on the reality of shoes wearing, direct and indirect measurement were held for 200 old gentlemen. The findings are as follows: 1. Survey Results of Shoes Wearing Reality In the investigation into the reality of shoes possession and wearing, most of old males favored active casual shoes with comfortable materials (40.8%). Hardened skin (23.6%) was the greatest in foot deformation and side effects resulting from shoes wearing, while the big toe (20.1%) was most uncomfortable. The greatest requirement for comfortable shoes was shoes making feet comfortable with a good sense of wear (41.0%), followed by shoes with the soft sole to absorb shock (31.7%), shoes with diverse sizes according to shoes width (13.7%), and shoes made of soft materials in consideration of various foot shapes. 2. Results of Foot Measurement Experiments Busan's males in their 60s and above were 166.31cm (Height), 63.51kg (weight), 23.94cm (foot length), 9.75cm (foot width), and 24.26cm (instep girth). The big toe angle of old males was $11.22^{\circ}$ and the little toe angle $14.70^{\circ}$. Four foot types were classified: 1 (long big foot), 2 (small inside-developed foot), 3 (toe-tip-gathered foot), and 4 (thin flat foot).