• Physical Therapy Korea
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• v.23 no.4
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• pp.27-37
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• 2016

Background: In previous studies regarding flexible pes planus, Foot orthosis, special shoes have been used as interventions for correcting malalignment and intrinsic muscles strengthening exercise have been regarded as interventions for foot function and supporting medial longitudinal arch during walking. However, some recent studies reported that strengthening extrinsic muscles as well as intrinsic muscles is more effective and active intervention for flexible pes planus. In particular, the tibialis posterior muscle of foot extrinsic muscles plays essential roles in maintaining the medial longitudinal arch during dynamic weight bearing and balance. In addition this muscle acts longer than other supination muscles during the stance phase in the gait cycle. Objects: This study aimed to investigate the effect of foot intrinsic muscle and tibialis posterior muscle strengthening exercise for plantar pressure and dynamic balance in adults with flexible pes planus. Methods: 16 young flexible pes planus adults (7 males, 9 females) were recruited and were randomized into two groups. The experimental group performed foot intrinsic muscle and tibialis posterior muscle strengthening training, the control group performed only foot intrinsic muscle strengthening training. All groups received strengthening training for 30 minutes five times a week for six weeks. Results: The experimental group had significantly lower plantar pressure of medial heel area than the control group in stand (p<.05). The experimental group had significantly higher dynamic balance ability than control group (p<.05). Conclusion: The results of this study provide evidence to suggest that foot intrinsic muscle and tibialis posterior muscle of extrinsic muscle strengthening exercises may improve plantar pressure distribution and dynamic balance ability in adults with flexible pes planus.

• Korean Journal of Applied Biomechanics
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• v.28 no.1
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• pp.45-54
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• 2018

Objective: The purpose of this study was to investigate the effect of foot strengthening exercise program and functional insoles on joint angle and plantar pressure in elderly women. Thirteen elderly women who were enrolled in a university senior citizens academy of a metropolitan city in 2017 were divided into two groups: exercise group with functional insole (n=7) and exercise group without functional insole (n=6). Method: Three-dimensional motion analysis and Pedar-X were performed to compute the joint angle and the foot plantar pressure, respectively. Two-way repeated measure ANOVA was conducted to compare dependent variables within and between groups. The significance level was set at ${\alpha}=.05$. Results: The range of motion (ROM) of the ankle, knee, and hip joints in the exercise group with functional insole increased significantly more than the exercise group without functional insole. In both the experimental group and the comparison group, the maximum foot plantar pressure and the mean foot plantar pressure were decreased, but the comparison group without functional insole showed more decrease. Since the experimental group demonstrated greater pressure than the comparison group in the contact area (forefoot, midfoot), it was distributed over a greater area. Conclusion: The results of this study suggest that participation in foot strengthening exercises and using a functional insole has more positive effects than foot strengthening exercises alone on the joint angle and plantar pressure in elderly women. Increased foot plantar pressure led to an increased contact area (forefoot, midfoot) for distribution of the foot plantar pressure, but the effect of reducing the maximum and average plantar pressures was incomplete. However, wearing functional insoles along with exercise, could help in improving the stability of the joints, by increasing the range of motion, and could help the elderly in movement of the muscles more effectively, leading to an improvement in gait function.

• The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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• v.24 no.1
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• pp.67-75
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• 2018

Background: The purpose of this study was to investigate the effect of pressure distribution on the both foots with gluteus medius muscle intensive strengthening exercise in 4week. Methods: The purpose of this study was to investigate the effect of gluteus medius muscles strengthening exercise on the pressure distribution of the foot in 20 healthy adults. Four gluteus medius muscles strengthening exercise programs were conducted three times a week for four weeks. The pressure distribution changed of the right and left foot parts of the experimental group and the control group were measured and analyzed. Results: There was a significant difference in F1, F2, M1, M2, and H1 among the pressure distribution of the right foot of the experimental group (p<.05). There was a significant difference in F1, M1, M2, H1 and H2 among the pressure distributions of the left foot of the experimental group (p<.05). There was a significant difference in H1 among the pressure distribution of the right foot of the control group (p<.05). There was no significant difference in the pressure distribution of the left foot region of the control group (p>.05). There was a significant difference in H1 among the pressure distribution of the right foot between the group (p<.05). There was a significant difference in M2, H1 among the pressure distribution of the left foot between the group (p<.05). Conclusions: In the healthy adults, it was confirmed that the application of the gluteus medius muscles strengthening exercise had an effect on the weight shift during the walking due to the overall foot balance and the pressure distribution change of the foot part.

• Journal of Industrial Convergence
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• v.19 no.5
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• pp.103-110
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• 2021

The purpose of this study was to investigate effect of low-dye taping and foot intrinsic muscle strengthening exercise on the muscle activity of the tibialis anterior, calf muscles, and long calf muscles during one-foot standing in subjects with flat feet. The subjects were 16 adults in their 20s with flat feet, and they were divided into low-dye taping (LTG; n=8) and foot intrinsic muscle strengthening exercise (FSG; n=8) groups. Each group underwent the appropriate intervention twice a week for 6 weeks. The muscle activity of the tibialis anterior, long calf muscle, and medial calf muscle was measured. Repeated two-way ANOVA was performed to compare changes in muscle activity before and after the intervention. As a result of muscle activity measurement, LTG significantly decreased between before and after the experiment in all muscles (p<.05). In FSG, only the tibialis anterior significantly decreased between before and after the experiment (p<.05). Therefore, low-dye taping and foot intrinsic muscle strengthening exercises will be helpful for efficient the lower extremity muscle activity of flat foot.

• The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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• v.27 no.3
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• pp.47-55
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• 2021

Background: Plantar fasciitis is one of the most common conditions of the lower limbs. The present study aimed to compare the effect of hip muscle strengthening exercise and stretching of lower extremity in plantar fasciitis, with regard to pain, navicular drop and foot and ankle functional ability. Methods: A total of 42 patients diagnosed with plantar fasciitis were randomly assigned to the experimental group (n=21) that applied the hip muscle strengthening exercise and the control group(n=21) that applied the general lower limb stretching. The intervention period was 6 weeks. Results: The results of the experiment showed that the exercises for strengthening the hip muscle had significant effects on pain, navicular drop and foot and ankle functional ability In addition, lower extremity stretching showed improvement effects in pain, navicular drop and foot and ankle functional ability, however, the difference between the groups except navicular drop did not reach statistical significance Conclusion: Both interventions tested in this study were confirmed to be effective treatment options for patients with plantar fasciitis.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.13 no.11
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• pp.5211-5217
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• 2012

This study was to evaluate the effects of foot strengthening exercise to improve hallux valgus in young of hallux valgus with flexible flatfoot. Subjects 28 people were randomly divided by the foot strength group(n=14) and control group(n=14). In a period of 8 weeks, they put on I.D.W. Experimental group took foot strengthening exercise for 20 minutes 3 times a week during 8 weeks. Foot structure and max pressure were evaluated by hallux angle, 1~2 metatarsal angle, navicular height, 1st phalange, 2~5phalange, 1st metatarsal, 2nd metatarsal, 3rd metatarsal, 4th metatarsal, 5th metatarsal, mid foot, medial hind foot, lateral hind foot. There were significantly increased by exercise group in outcomes of the structural and plantar foot pressure from hallux angle, 1~2 metatarsal angle, 1st phalange, 1st metatarsal, 2nd metatarsal, 3rd metatarsal, mid foot. The result suggest that foot strengthening exercise is feasible and suitable for individuals with hallux valgus with flexible flatfoot.

• Journal of Industrial Convergence
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• v.19 no.6
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• pp.81-91
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• 2021

This study was conducted to investigate the effect of ankle muscle strengthening exercise using BOSU ball and taping on static and dynamic plantar pressure in patients with hallux valgus. Subjects were 26 men and women in their twenties with hallux valgus, and they were randomly assigned to a taping group (TG; n=13) and an ankle strengthening group (ASG; n=13). Each group received the appropriate intervention over a total of 4 weeks, and static and dynamic plantar pressure were measured before and after the intervention. Independent T-test was performed to examine the difference in the amount of change between groups, and paired-sample T-test was performed to determine whether the difference between the pre-post values within the group was significant. The statistical significance level was set as α=.05. As for the ratio of the total body weight of the foot (Foot), the amount of change in the ASG of the left foot was significantly decreased compared to the TG within the group (p<.05). Significantly increased (p<.05). As for the degree of pronation of the foot (MP/change ratio), the amount of change in the TG of the right foot was significantly decreased compared to the ASG (p<.05), and in the force of the foot, the TG of the left foot was the amount of change within the group compared to the ASG. was significantly increased (p<.05), and in the group-to-group change, the amount of change in TG was significantly different than that of ASG (p<.05). Therefore, it can be considered that ankle strengthening exercise using bosu ball and taping are insufficient to give effective change to patients with hallux valgus.

• Structural Engineering and Mechanics
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• v.72 no.5
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• pp.569-583
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• 2019

Tubular steel sections are widespread all over the world because of their strength and aesthetic appearance. Tubular steel members may exhibit local buckling such as elephant foot or overall buckling under extreme compression load. Recently, external bonding of fiber reinforced polymers (FRP) sheets for strengthening these members has been explored through experimental research. This paper presents three-dimensional nonlinear finite element analysis (FEA) to investigate the structural behavior of strengthening tubular steel members with FRP against local and overall buckling phenomena. Out-of-roundness and out-of-straightness imperfections were introduced to the numerical models to simulate the elephant foot and overall buckling, respectively. The nonlinear analysis preferences such as the integration scheme of the shell elements, the algorithm for solution of nonlinear equations, the loading procedure, the bisection limits for the load increments, and the convergence criteria were set, appropriately enough, to successfully track the sophisticated buckling deformations. The agreement between the results of both the presented FEA and the experimental research was evident. The FEA results demonstrated the power of the presented rigorous FEA in monitoring the plastic strain distribution and the buckling phenomena (initiation and propagation). Consequently, the buckling process was interpreted for each mode (elephant foot and overall) into three sequential stages. Furthermore, the influence of FRP layers on the nonlinear analysis preferences and the results was presented.

• Physical Therapy Korea
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• v.8 no.2
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• pp.1-16
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• 2001

This study was designed to identify the effects of foot position on electromyographic (EMG) activity of the quadriceps femoris during maximum voluntary contraction (MVC) in standing. Twenty young adults who had not experienced any knee injuries were recruited. Their Q-angles were within a normal range. They were asked to stand in five different foot positions ($40^{\circ}$ externally rotated, $30^{\circ}$ internally rotated, neutral, $20^{\circ}$ plantarflexed, and $10^{\circ}$ dorsiflexed foot position). The EMG activities of the vastus lateralis (VL), rectus femoris (RF), and vastus medialis oblique (VMO) were recorded in standing by surface electrodes and normalized by MVC EMG values derived from manual muscle test. The normalized EMG activity levels (%MVC EMG) of muscles in the five foot positions were compared using repeated measures ANOVA. The EMG activity levels of the VL, RF, and VMO were the highest when foot was externally rotated. The EMG activity levels of the VL and RF were significantly different among the foot positions (p<.05). However, EMG activity levels of the VL, RF, VMO, and VMO/VL ratio did not show significant differences in each foot position (p> .05). The results suggest that the quadriceps femoris may be effectively activated by performing MVC at an externally rotated foot position. Therefore, the externally rotated foot position can be considered as an effective foot position for quadriceps femoris strengthening exercise. Further studies are needed to identify whether there are differences in the effects of foot position on muscle strength after MVC exercise of quadriceps femoris in standing.

• Journal of Korean Medicine for Obesity Research
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• v.7 no.2
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• pp.77-84
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• 2007

Obejectives : Slow-motion strengthening trainings build up muscles better than any other type of training, these exercises focus on balancing and strengthening the muscles in the anatomical center of the body - the core - which includes the back, hip and abdominal muscles. Methods : We had a concept of 'core', and compared core muscles with 12 meridian tendino-musculature based on Thomas Myers' myofascial meridian. Results : It has been suggested that the core muscles correspond to meridians of foot- three Yin and foot- three Yang. The study of core muscles strengthening exercise and movement therapy is requred.