• Journal of International Academy of Physical Therapy Research
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• v.10 no.4
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• pp.1934-1939
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• 2019

Background: Flexible flat foot is that the medial longitudinal arch collapses in weight bearing and returns normal arch when weight is removed and the weight bearing shifts toward medial part of the foot, which can cause pathological problems in the alignment of the lower extremities and the entire body. Objective: To compare the foot pressure for adults with flexible flat foot. Design: Quasi-Experimental Study Methods: 24 participants with flexible flat foot were recruited and were randomly divided into Visual feedback Short Foot Exercise (VSFE) group and Short Foot Exercise (SFE) group. To compare changes of foot pressure about pre and post intervention, the contact pressure measurement was conducted. Results: In the VSFE, significant differences were observed for the foot pressure of the 1^st toe, 1^st, 3^rd and 4-5^th metatarsal, midfoot, medial and lateral heel (p<.05). The foot pressure of the 3^rd and 4-5^th metatarsal, midfoot showed significant differences in the SFE (p<.05). The contact pressure of the 1^st toe, 3^rd metatarsal showed significant differences between the groups. Conclusions: Visual feedback short foot exercise can be useful for moving the pressure from medial to lateral part, and can prevent possible pathological problems.

• Journal of Korea Entertainment Industry Association
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• v.13 no.4
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• pp.369-375
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• 2019

This study looked at the effects of teratainment taping and footpad exercise on the improvement of flat foot in a university student. We divided it into flexible flat foot taping group(n=13), flexible flat foot exercise group(n=14), rigid flat foot taping group(n=12), rigid flat foot exercise group(n=13) through a navicular drop test. After one hour's application of teratainment taping and footpad exercise, the height change of navicular, balancing ability and postural stability were evaluated. Change in the height of the navicular was measured before and after intervention, and the balancing ability was measured timed up & go test, and the postural stability ability was evaluated for stability limits in shoulder-width double leg stance, narrow base double leg stance, tandem stance. According to result, there was a statistically significant difference in the left and right foot of the flexible tapping group, right foot of the flexible tapping group, right foot of the rigid tapping group in the change in the height of the navicular in comparison pre- and post- intervention(p<0.5). There were no statistically significant differences in pre- and post- intervention comparisons intragroup and intergroup in balancing ability. There was a statistically significant difference in flexible flat foot exercise group and rigid flat foot taping group in tandem stance in comparison pre- and postintervention in the postural stability(p<0.5). And there was a statistically significant difference in tendem stance of the flexible flat foot exercise group compared to the rigid flat foot exercise group(p<0.5). The results of this study show that teratainment taping and footpad exercise have a significant effect on the improvement of flat foot in adults. Therefore, it is recommended to apply teratainment taping and footpad exercise to improve flat foot.

• Physical Therapy Rehabilitation Science
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• v.11 no.4
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• pp.421-429
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• 2022

Objective: The purpose of this study was to compare and analyze the effects of arch support taping on static balance, static/dynamic foot contact area, and ground reaction force during walking according to the types of elastic tapes with mechanical elasticity differences. Design: Cross-sectional study Methods: Twenty-six participants selected for flexible flat feet through the navicular drop test were randomly assigned to non-taping, Dynamic-taping, and Mechano-taping conditions. Static balance and foot contact area were compared in the standing posture according to arch support taping conditions, and foot contact area and ground reaction force were compared during walking. Results: There was no significant difference in static balance according to the taping condition in the standing position, but the foot contact area in the Mechano-taping condition showed a significant decrease compared to the non-taping condition (p<0.05). The foot contact area during walking significantly decreased in the Dynamic-taping and Mechano-taping conditions (p<0.05), but there was no significant difference between the ground reaction force. Conclusions: Based on the results of this study, it was confirmed that among the types of elastic taping, arch support taping using dynamic taping and Mechano-taping has the effect of supporting the arch with high elastic recovery. Any type of elastic tape can be used for arch alignment in flexible flat foot.

• The Journal of Korean Physical Therapy
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• v.34 no.5
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• pp.218-223
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• 2022

Purpose: This study sought to identify the effects of an insole applied for the flexible flat-foot condition on dynamic balance and ankle muscle activities during the Y-balance test (YBT). Methods: Thirteen flexible flat-footed adults and an equal number of normal-footed adults were enrolled. The dynamic balance of the subjects was measured using the YBT, which is a reach test. While they were reaching forward with their foot, the percentage maximum voluntary isometric contraction (MVIC) of the tibialis anterior, peroneus longus and medial and lateral gastrocnemius were measured and analyzed. The flat-footed group then applied the ready-made insoles and underwent the YBT again. A comparison of the distance and muscle activity was conducted using YBT, not only between the flat-footed and control group, but also between the flat-footed group before and after the application of the insole. Results: Between the groups, the anterior reach distance in the flat-footed group was significantly lower, but there were no significant differences observed in the posteromedial and posterolateral directions. With the insole, the reach distance of the flat-footed group was significantly increased in the anterior and posterolateral direction compared to the control group. With the insole, the lateral gastrocnemius activity significantly decreased compared to trials without the insole in the flat-footed group, but there were no significant differences in the other muscles. Conclusion: The insole for flat-footed subjects can maintain the medial arch of the foot, and it may help enhance functional and mechanical dynamic balance in people with flat feet.

• Journal of Korea Entertainment Industry Association
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• v.13 no.5
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• pp.195-201
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• 2019

The purpose of this study was to investigate effective intervention(Intrinsic foot muscle training and navicular mobilization) methods for flexible flat foot. 32 subjects were divided into two groups: intrinsic foot muscle training(IFMT) and navicular mobilization(NM). In both groups significant difference in navicular drop pre and post test(p<.01), significant difference between n the two groups (p<.01, 95% CI: .768-4.607). In both groups significant difference in Foot pressure distribution pre and post test(p<.01), significant difference between the two groups (p<.01, 95% CI: 3.404-14.90). The results of this study showed that the IFMT was more effective than that of the flexible flat foot. It would be possible to provide more effective interventions for patients with flat feet and also to prevent secondary musculoskeletal disorders due to flat feet.

• Journal of Korean Foot and Ankle Society
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• v.11 no.2
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• pp.244-247
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• 2007

Cause of flexible flat foot is predominantly idiopathic but pediatric flexible flatfoot is typically congenital. Neuromuscular disorders, tarsal coalition and prehallux are possible causes and there has been a controversy for diagnosis and surgical treatment guideline. Therefore we present 11-year old male with prehallux and flexible flat foot who was treated with Kidner procedure and subtalar arthroereisis using Kalix endoprothesis and reported good clinical outcome at 2-years follow up postoperatively.

• 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.

• Journal of Korean Foot and Ankle Society
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• v.8 no.1
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• pp.7-10
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• 2004

Purpose: To estimate the prevalence of flat foot in the 1st grade primary school children in the Kang-Dong Gu, Seoul, Korea. Materials and Methods: We examined 1336 8 year old the first grade children (2672 feet) in primary school at 5 primary school for prevalence of flat foot and the associating factors in Kang-Dong Gu in April 2003. The group was examined with 2 mm-pannel in physical examination at erect position to put diagnosis of flat foot which showed no plantar arch. The height, weight, foot length and foot width were estimated in all children. We used obesity grading system of Korean Pediatric Association for overweight evaluation. Results: We enrolled 728 boys and 608 girls, and prevalences of each gender were 20.8% and 14.9%. The children who had flat foot were 243 and the prevalence of flat foot was 18.2%. The foot length ranges between 152 mm and 300 mm (mean value 183.6 mm, SD 10.6), and the foot width were between 50 mm and 107 mm (mean value 2.16 mm, SD 4.8). Of the 1336 children group, 1215 children (90.0%) were in range of normal weight, 72 children (5.4%) were in grade-1 overweight, 38 (2.8%) were in grade-2 overweigh and, 11 (0.8%) were in grade-3 overweight. The prevalence of flat foot of each overweight group were 16.3%, 34.7%, 39.5% and 45.5%. Overweight in children effected increased prevalence of flat foot. But there were no significant relationship with flat foot in other factors. Conclusion: Over all prevalence of flat foot of 8 year old children was 18.2% and most of patients were flexible flat foot. The prevalence of flat foot was influenced by overweight remarkably.

• 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.

• Journal of Korean Foot and Ankle Society
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• v.8 no.2
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• pp.208-212
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• 2004

There have been many reports about surgical treatments of flexible flatfoot in children and acquired adult flatfoot deformity due to posterior tibial tendon dysfunction common in the 5th and 6th decades. However there has been a controversy for surgical treatment guideline for painful idiopathic flexible flatfoot deformities in young adults. Therefore, we present a 27-year-old female with severe painful idiopathic flexible flatfoot who was treated with medial sliding calcaneal osteotomy and subtalar arthroereisis using $Kalix^{(R)}$ (Newdeal SA, Vienne, France) endoprosthesis and had good clinical outcome with high patient satisfaction at 10 months follow-up postoperatively.