• Physical Therapy Korea
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• v.8 no.2
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• pp.17-27
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• 2001

The purpose of this study was to investigate the effect of donning of a hard insole in patients with hallux valgus. Fourteen subjects were selected from patient with foot pain at Lee Chang-Heon Foot Clinic from August 4, 2000 to September 15, 2000. The hallux valgus angle and the first-second intermetatarsal angle were radiographically measured before and after donning the hard insole. Based on these two kinds of angles, a mild hallux valgus deformity group was characterized by the hallux valgus angle of less than 20 degrees, and a moderate hallux valgus deformity group was characterized by the hallux valgus angle of 20 to 40 degrees. After three weeks with the hard insole donned, the foot angles of the patients with hallux valgus were measured again. The data were analyzed by Wilcoxon signed ranks test, and the following results were obtained: 1) After the trial, both mild hallux valgus deformity group and moderate hallux valgus deformity group demonstrated that the hallux valgus angles were significantly decreased. 2) After the trial, mild hallux valgus deformity group demonstrated that the first-second intermetatarsal angle was significantly decreased. 3) After the trial, moderate hallux valgus deformity group demonstrated that the first-second intermetatarsal angle was not significantly decreased. The above findings revealed that according to donning hard insole, the hallux valgus angles of mild and moderate hallux valgus deformity groups and the first-second intermetatarsal angle of mild hallux valgus deformity group were significantly decreased. The results of this study have some limitation for generalization due to the limited number of subjects. Further studies are needed to evaluate the effect of hard insole on hallux valgus with more precise laboratory equipments and measurements in patients with hallux valgus.

• Journal of The Korean Society of Integrative Medicine
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• v.9 no.4
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• pp.85-89
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• 2021

Background : Klippel-Trenaunay-Weber syndrome (KTS) is a rare congenital medical condition characterized by complex vascular malformation. KTS consists of a classic triad of capillary malformation (hemangioma), venous malformations and bone or soft tissue hypertrophy causing limb asymmetry. The aim of this report is to describe management for gait disturbance and foot pain in a Patient with KTS using custom-made total contact insole. Case presentation : A 32-year-old man with KTS presented with a 3-year history of gait disturbance on hard surface due to right first toe pain and Achilles tendon tightness. The patient had soft tissue hypertrophy, varicose veins and port-wine stains over the right lower limb associated with KTS. True leg length discrepancy was 2 cm. We prescribed custom-made total contact insole to protect his deformed foot and correct leg length discrepancy. The insole of right side included wedge shaped heel lift and the insole of left side included full length lift to add extra support on unaffected side. Also, we provided compression stocking and physiotherapy including manual lymphatic drainage for lymphedema and stretching exercise for tightness in right lower extremity. At 3 years follow-up, postural alignment including pelvic obliquity was improved using a custom-made total contact insole. The degree of scoliosis and foot pain were also reduced. Conclusion : An individualized and multidisciplinary approach is essential regarding the complexity of comorbidities in patients with KTS. For patients with KTS, orthotic management should be considered to prevent and correct deformities related to KTS. Active orthotic management, compression stocking and physiotherapy can enhance the quality of life and function in patients.

• Physical Therapy Korea
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• v.14 no.2
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• pp.85-90
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• 2007

In many manufacturing occupations, industrial workers reported foot or lower leg problems such as discomfort, pain or orthopedic deformities. This study investigated the effects of two different working conditions upon assembly worker's perception of discomfort and foot pain associated with various body parts. Twenty-three male volunteers performed work in the factory. Ergonomic intervention has been to modify the flooring in an attempt to alleviate the problems associated with constrained standing and walking work. The worker's standing conditions consisted of standing on a hard floor while wearing shoe insoles. Questions were asked regarding body discomfort and foot pain. Significant differences in body discomfort and foot pain were found when comparing the overall effects of wearing shoe insoles on a hard floor (p<.05). This investigation indicated that shoe insoles reduced body discomfort and foot pain (p<.05).

• Journal of the Korea Academia-Industrial cooperation Society
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• v.20 no.9
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• pp.20-28
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• 2019

This study comparatively analyzes general walking shoes on the conical top foundation of the ground condition and the pressure distribution during walking with shoes that are currently under development. Two categories of footwear were used: general footwear and a footwear conical top foundation that is currently under development. Experiments were carried out on hard ground and sandy soil in 15 male twenties that satisfy the conditions of normal foot wearing 260 mm. The pressure during walking was measured using Techstorm's Wireless Insole System, and foot pressure was measured in 7 zones of the foot. Studies have shown different maximum forces, average pressures, and pressure distributions depending on the shoe and ground conditions. This study shows that shoes with general low pressure dispersion effects depending on the feet in hard ground and sand ground are different from shoes with the conical top foundation that is currently under development. It is expected that it will be useful for the development of shoes that can be worn in all hard ground and sandy ground by selecting various rubber materials through further research.

• Korean Journal of Applied Biomechanics
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• v.29 no.3
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• pp.167-172
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• 2019

Objective: The aim of this study was to investigate the effect of midsole hardness of running shoe on muscle fatigue and impact force during distance running. Method: Ten healthy college recreational runners who were performing distance running at least three times a week participated in this experiment. They were asked to run for 15 minutes in the treadmill at 10 km/h with running shoes having three different types of midsole hardness (Soft, Medium, Hard). EMG signal and insole pressure were collected during the first and last one minute for each running trials. Data were analyzed using a one-way analysis of variance (ANOVA) with repeated measures. Results: Midsole hardness did not affect the consistency of stride length. For the median frequency of the EMG signal, only VL was affected by midsole hardness; that of medium was greater than other midsoles (p<.05). The loading rate of impact forces increased by midsole hardness (p<.01). Conclusion: Although soft midsole could attenuate impact forces at heel contact, it might have a negative effect on the fatigue of muscle which could decelerate the body after heel contact. Therefore, it is necessary to select the optimum hardness of midsole carefully for both reduction impact forces and muscle fatigue.