• Title/Summary/Keyword: Foot Posture

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Reliability of the Foot Posture Index (FPI-6) for Assessment of Stroke Patients

  • Lee, Jong Dae;Kim, Young Mi;Kim, Kyung;Koh, Da Hyun;Choi, Myeong Su;Lee, Ho Jung
    • The Journal of Korean Physical Therapy
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    • v.27 no.5
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    • pp.311-314
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    • 2015
  • Purpose: This study attempted to determine intra-rater reliability and inter-rater reliability for measurement of foot form using the FPI-6 (Foot Posture Index) in patients with hemiplegia caused by stroke. Methods: Twenty two stroke patients were recruited into the research and their foot posture was evaluated using the FPI. Two raters assessed 6 items sequentially in accordance with the FPI-6 manual. This procedure involved asking the subject to take several steps in-place, prior to settling into a comfortable stance position with double limb support. Subjects were instructed to stand still with their arms by their sides and look straight ahead. FPI-6 values ranged from -2 to +2 for each of the six criteria and from -12 to +12 for the total score, indicating a position for each foot either along the supinated (negative score) to pronated (more than +6) continuum of foot posture. Results: The results showed that intra-rater reliability and inter-rater reliability for a total FPI-6 score was high: 0.807-0.888. An almost perfect agreement between the two raters was identified in the foot's morphological classification (Somer's D=0.712; p<0.05). Intra-percentage agreement was high (88.6%). Conclusion: The FPI-6 is a quick, simple, and reliable clinical tool with demonstrated good to excellent intra-rater reliability and good inter-rater reliability when used in assessment of the stroke patient's foot.

esearch on Biomechanics of Korean Body Segments (한국인 인체분적의 동특성에 관한 연구)

  • 박수찬;박세진;황민철
    • Proceedings of the ESK Conference
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    • 1996.04a
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    • pp.291-300
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    • 1996
  • This study is to determine the biomechanical characteristics of Korean. Male 58 and Female 54 were participated for the measurement which was performed by immersion method and reaction board method. Body parts were head with neck, trunk, upper arm, forearm, hand, thigh, leg, and foot. Their volumes were measures by immersion method. Their weight were determined by using Dempster(1995), Drills and Contini(1969) density data. Each center of body part weight were determined by specific posture on the reaction board. The postures were asked to the subject forearm- lifted posture, total let- lifted posture, foot-lifted posture. According to each posture, the center of each part were calculated.

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Effects of Cervical Stabilization Exercise with Visual Feedback on Foot Pressure Distribution in Subjects with an Forward Head Posture

  • Goo, Bon-Wook;Lee, Mi-Young
    • The Journal of Korean Physical Therapy
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    • v.34 no.4
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    • pp.155-160
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    • 2022
  • Purpose: This study was to identify the effect of cervical stabilization exercise with visual feedback on the craniovertebral angle and foot pressure in subjects with forward head posture. Methods: Thirty healthy adults were recruited in the study. Participants were randomly assigned to the stabilization exercise with visual feedback (SE-VF) group (n=15) or stabilization exercise (SE) group (n=15). The SE-VF group performed cervical stabilization exercise while sitting on a chair without a backrest and checking their side profile in real time a monitor 3m away. The SE group performed the same cervical stabilization exercise as the SE-VF group accompanied by without visual feedback. Craniovertebral angle (CVA) was measured to quantify forward head posture, and the foot pressure of the subjects were evaluated. Results: The foot pressure showed statistically significant differences pre and post in both midfoot and left metatarsal only in SE-VF group (p<0.05). Conclusion: These findings of this study showed that the cervical stabilization exercise with visual feedback was effective for the foot pressure of subjects. In addition, based on the results of this study, it is suggested that visual feedback will be effective in cervical stabilization exercise.

Clinical Characteristics of Peroneal Nerve Palsy by Posture

  • Yu, Jeong Keun;Yang, Jin Seo;Kang, Suk-Hyung;Cho, Yong-Jun
    • Journal of Korean Neurosurgical Society
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    • v.53 no.5
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    • pp.269-273
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    • 2013
  • Objective : Posture induced common peroneal nerve (CPN) palsy is usually produced during the prolonged squatting or habitual leg crossing while seated, especially in Asian culture and is manifested by the onset of foot drop. Because of its similarity to discogenic foot drop, patients may be diagnosed with a lumbar disc disorder, and in some patients, surgeons may perform unnecessary examinations and even spine surgery. The purpose of our study is to establish the clinical characteristics and diagnostic assessment of posture induced CPN palsy. Methods : From June 2008 to June 2012, a retrospective study was performed on 26 patients diagnosed with peroneal nerve palsy in neurophysiologic study among patients experiencing foot drop after maintaining a certain posture for a long time. Results : The inducing postures were squatting (14 patients), sitting cross-legged (6 patients), lying down (4 patients), walking and driving. The mean prolonged neural injury time was 124.2 minutes. The most common clinical presentation was foot drop and the most affected sensory area was dorsum of the foot with tingling sensation (14 patients), numbness (8 patients), and burning sensation (4 patients). The clinical improvement began after a mean 6 weeks, which is not related to neural injury times. Electrophysiology evaluation was performed after 2 weeks later and showed delayed CPN nerve conduction study (NCS) in 24 patients and deep peroneal nerve in 2 patients. Conclusion : We suggest that an awareness of these clinical characteristics and diagnostic assessment methods may help clinicians make a diagnosis of posture induced CPN palsy and preclude unnecessary studies or inappropriate treatment in foot drop patients.

Effects of Upright Body Exercise on Postural Balance and Foot Plantar Pressure in Elderly Women

  • Kim, Chan-Hee;Lee, Joong-Sook;Yang, Jeong-Ok;Lee, Bom-Jin;Kim, Eui-Suk;Woo, Kyung-Hee;Park, Jin-Suk
    • Korean Journal of Applied Biomechanics
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    • v.27 no.1
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    • pp.59-66
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    • 2017
  • Objective: This study investigated the effect of a 16-week upright body exercise program on body balance and plantar pressure balance in elderly women. Method: The subjects included elderly women in B Metropolitan city who participated in an upright body exercise program twice weekly for 16 weeks. The subjects' physical characteristics (height, weight, body mass index [BMI]), posture balance, and foot plantar pressure were measured before and after the experiment. Results: The upright body exercise program showed positive changes in posture balance and foot plantar pressure balance in seven elderly women. Conclusion: The second version of the upright body exercise program improved and may prevent postural imbalance in elderly women. This program could be utilized to improve posture and foot balance in elderly persons.

Effects of the Balanching Exercise on Posture Alignment and Foot Plantar Pressure Balance in Female Middle School Students (밸런칭운동이 여중생의 자세정렬과 족저압력 균형에 미치는 영향)

  • Jang, Soon-Seob;Lee, Joong-Sook;Yang, Jeong-Ok;Kim, Eui-Suk;Park, Jin-Suk
    • Korean Journal of Applied Biomechanics
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    • v.29 no.4
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    • pp.237-245
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    • 2019
  • Objective: The purpose of this study was to investigate the effect of a 12-week Balanching Exercise on posture alignment, and foot plantar pressure balance in female middle students. Method: The subjects consisted of 26 female middle students, Among of 26 people exercise group is 13 persons (age: 14.69±0.48 yrs, height: 156.62±6.96 cm, weight: 50.72±9.94 kg) and control group is 13 persons (age: 14.85±0.38 yrs, height: 158.93±4.44 cm, weight: 54.25±6.60 kg) and they played Balanching Exercise for 12 weeks for 60 minutes a day, three times a week. Results: In this study, the changes of posture alignment of female middle students were analyzed. The results were as follows: head tilt, the shoulder tilt, the pelvis tilt in experimental group and there was statistically significant. Control group was head tilt, the shoulder tilt, the pelvis tilt but there was not statistically significant difference. The changes of foot pressure balance of female middle students were analyzed. The change of the foot pressure balance difference before and after the experimental group decreased by 29.3% from 6.69±3.86% to 4.73±3.57%, which was statistically significant. Control group was increased by 17.6% from 6.30±4.43% to 7.41±3.69% there was not statistically significant difference. Conclusion: The results of this study suggest that Balanching Exercise has a positive effect on improving the posture alignment and has a positive effect on foot pressure balance Research should be continued.

Effect of Calf Muscle Fatigue on Postural Sway According to Foot Posture (발 자세에 따른 종아리 근육의 피로유발이 자세 흔들림에 미치는 영향)

  • Lee, Myoung-Hee;Chang, Jong-Sung
    • PNF and Movement
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    • v.17 no.3
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    • pp.481-486
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    • 2019
  • Purpose: This study examined the effect of calf muscle fatigue on postural sway according to foot posture (a pes cavus, a normal foot, and a pes planus). Methods: The subjects of this study were 12, 11, and 9 students of U University with a pes cavus, a normal foot, and a pes planus, respectively, according to a Navicular Drop Test. Postural sway was measured with a balance instrument (BioRescue, RM Ingenierie, France) while the subjects stood static on two legs as well as during one-leg standing using the dominant leg in two conditions (with the eyes open and with the eyes closed for 30 seconds). Muscle fatigue was then induced in the calf muscle of the dominant leg, and both muscle fatigue and postural sway were measured using an EMG. To compare the degree of postural sway between the three groups after muscle fatigue was induced, the change values were calculated. The results were analyzed using a Kruskal-Wallis test, and a post-hoc test was conducted using the Bonferroni correction. Results: Significant inter-group differences were detected for postural sway during two-leg standing with the eyes closed and during one-leg standing with the eyes open and with the eyes closed (p<0.05). The post-hoc test showed significant differences between the pes cavus and normal foot groups and between the pes planus and normal foot groups for all three variables (p<0.05). However, no significant difference was detected between the pes cavus and pes planus groups (p>0.05). Conclusion: The results of this study show that the pes cavus and pes planus cause more fatigue and postural sway than a normal foot. Therefore, attention should be paid to changes in balance caused by muscle fatigue.

Effects of relaxation approach with self-exercise on head posture, static postural stability, and headache in persons with tension-type headache

  • Park, Sang-Yong;Hwang, Sujin
    • Physical Therapy Rehabilitation Science
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    • v.5 no.4
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    • pp.178-184
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    • 2016
  • Objective: Tension-type headache is caused by hormones, foods, irritants, stress, obesity, fatigue, and neck and head trigger points-prolonged abnormal posture. The purpose of this study was to evaluate the effects of relaxation approach on head posture, static postural stability, and headache in persons with tension-type headache. Design: Randomized controlled trial. Methods: Thirty-five persons with tension-type headache participated in this study. This study was a pretest-posttest with a control group design for a duration of 4 weeks (60 min/3 times/1 wk). The participants were randomly allocated to the relaxation approach group (n=18) and the control group with conventional rehabilitation including thermotherapy and transcutaneous electrical stimulation for the same period (n=17). Outcome measures involved forward head posture (FHP), foot pressure, neck disability index (NDI), and six-item headache impact test (HIT-6). Results: Relaxation approach and control groups improved significantly in the amount of forward head posture, neck disability index, and six-item headache impact test scores after training (p<0.05). The control group was found to be significantly different in the amount of FHP, backward foot pressure, NDI, and HIT-6 after training compared to before training (p<0.05). The relaxation approach group significantly improved in forward head posture, neck disability index, and six-item headache impact test compared with control group after training (p<0.05). Neck disability index and six-item headache impact test significantly improved after training compared with before training in the control group (p<0.05). However, the foot pressure was not significantly different between relaxation approach and control groups. Conclusions: This study suggests that treatment with relaxation approach combined with self-exercise would be effective in reducing the amount of forward head posture, neck disability and headache impacts.

The Correlation Between Forward Head Posture Used McKenzie Exercise and Plantar Pressure (멕켄지 운동 적용에 따른 전방머리자세와 족저압의 상관관계)

  • Han, Ji-Hoon;Kim, Jung-Hyun;Jung, Min-Keun;Ju, Tae-seong;Jeon, Jae-guk
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.22 no.1
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    • pp.65-70
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    • 2016
  • Background: To determine the correlation Between forward head posture and plantar pressor in a McKenzie Exercise. Methods: This study had a cross-sectional design. There are included 20 participants with forward head posture. We measured the craniovertebral angle (CVA), cranial rotation angle (CRA) by image obtained digital camera and the plantar pressure, static balance using Gait Analyzer each before and after McKenzie Exercise. Results: There was negative correlation between CVA and CRA (p<.05). There was negative correlation between CVA and fore foot(p<.05). There was positive correlation between CRA and both fore foot (p<.05). There was negative correlation between CVA and static balance(p<.05). There was positive correlation between CRA and static balance (p<.05). Conclusions: There is a correlation between the change a mount of forward head position and plantar pressure in the McKenzie Exercise.

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The Effect Of Isometric Hip Abduction Bridge Exercise Using Elastic Band on Foot Pressure in Patients with Forward Head Posture (탄력밴드를 이용한 등척성 엉덩관절 벌림 교각운동이 전방머리자세 환자의 족저압에 미치는 영향)

  • Jae-ho, Yu;Sang-bin, Lee
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.28 no.3
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    • pp.41-49
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    • 2022
  • Background: In patients with forward head posture (FHP), the head is positioned forward, causing increased tension in the muscles and structures of the head, neck, and shoulders. This can result in joint dysfunction that may lead to abnormal afferent information. The purpose of this study was to investigate the effect on foot pressure through the isometric hip abduction (IHA) bridge exercise using elastic bands in patients with FHP. Methods: Twenty patients with FHP were randomly assigned to a study group that applied joint mobilization, soft tissue mobilization, a deep neck flexor strengthening exercise, and the IHA bridge exercise using an elastic band. A control group was also constituted, and members were given joint mobilization, soft tissue mobilization therapies, and the deep neck flexor strengthening exercise. Ten patients were assigned to each group. The static foot pressure and dynamic foot pressure of each patient were measured before and after the intervention, and the interventions for each group were applied twice a week for 4 weeks. Results: Both the study group and the control group showed significant differences in static and dynamic foot pressure before and after the interventions (p<.05). There were no significant differences in foot pressure between the study and control groups. Conclusion: : The results of this study revealed that there were no significant differences between the group doing the IHA bridge exercise using the elastic band and the control group. However, the intervention methods applied to both the groups were effective in improving the body center control of FHP patients.