• Title/Summary/Keyword: INSOLE

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Effects of Artificial Leg Length Discrepancies on the Dynamic Joint Angles of the Hip, Knee, and Ankle During Gait

  • Kim, Yong-Wook;Jo, Seung-Yeon;Byeon, Yeoung-In;Kwon, Ji-Ho;Im, Seok-Hee;Cheon, Su-Hyeon;Kim, Eun-Joo
    • Journal of the Korean Society of Physical Medicine
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    • v.14 no.1
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    • pp.53-61
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    • 2019
  • PURPOSE: This study examined the dynamic range of motion (ROM) of the hip, knee, and ankle joint when wearing different shoe sole lifts, as well as the limb asymmetry of the range according to the leg length discrepancy (LLD) during normal speed walking. METHODS: The participants were 40 healthy adults. A motion analysis system was used to collect kinematic ROM data. The participants had 40 markers attached to their lower extremities and were asked to walk on a 6 m walkway, under three different shoe lift conditions (without an insole, 1 cm insole, and 2 cm insole). Visual3D professional software was used to coordinate kinematic ROM data. RESULTS: Most of the ROM variables of the short limbs were similar under each insole lift condition (p>.05). In contrast, when wearing a shoe with a 2 cm insole lift, the long limbs showed significant increases in flexion and extension of the knee joint as well as; plantarflexion, dorsiflexion, pronation, eversion, and inversion of the ankle joint (p<.05). Of the shoes with the insole lifts, significant differences in all ROM variables were observed between the left and right knees, except for the knee internal rotation (p<.05). CONCLUSION: As the insole lift was increased, more ROM differences were observed between the left and right limbs, and the asymmetry of the bilateral lower limbs increased. Therefore, appropriate interventions for LLD are needed because an artificial mild LLD of less than 2.0 cm could lead to a range of musculoskeletal problems of the lower extremities, such as knee and ankle osteoarthritis.

The Effect of Insole to Flexible Flat Foot on Dynamic Balance and Ankle Muscle Activity during the Y-Balance Test

  • Lee, Sue Min;Son, Sung Min;Hwang, Yoon Tae;Park, Seol
    • 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.

Effects of Shoe Insole Height on Static and Dynamic Balance among Healthy Young Men (중창의 높이가 건강한 젊은 남성들의 정적 및 동적 균형에 미치는 영향)

  • Song, Geunchan;Park, Minji;Jo, Suyeon;Kim, Mirae;Jo, Eunjin;Kang, Soonhee
    • Journal of The Korean Society of Integrative Medicine
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    • v.3 no.3
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    • pp.49-57
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    • 2015
  • Purpose : The purpose of this study was to identify whether static and dynamic balance in young men were influenced by the different height of insoles in their shoes. Methods : Eighteen healthy young men (mean $20.61{\pm}1.38years$) were recruited for this study. The subjects' static and dynamic balance were assessed while wearing three different height' insoles (0cm, 2cm, 3cm) in their tennis shoes. Anterioposterior (AP) and mediolateral (ML) sway velocity was measured for 20 seconds using a force plate (Good balance system, Finland) under four conditions including normal standing with eyes open and with eyes closed, and tandem standing with eyes open and with eyes closed. The Functional Reach Test (FRT) and Timed Up & Go (TUG) were also performed for each subject under each condition. Results : 1) ML and AP sway velocities in young men were significantly different according to the height of the insole in normal standing with eyes open and eyes closed. 2) ML and AP sway velocities in young men were not different according to the height of the insole in tandem standing with eyes open. 3) ML sway velocities in young men were significantly different according to the height of the insole in tandem standing with eyes closed, whereas AP sway velocities did not differ by height of the insole in tandem standing with eyes closed. 4) FRT scores in young men were significantly different according to the height of the insole. 5) TUG scores in young men were not significantly different according to the height of the insole. Conclusions : This study's results indicate that the static and dynamic balance in young men can be influenced by shoe insole height.

Evaluation of Insole-equipped Ankle Foot Or thosis for Effect on Gait based on Biomechanical Analysis (인솔 장착형 단하지 보조기의 생체 역학적 분석을 통한 보행 영향성 평가)

  • Jung, Ji-Yong;Kim, Jin-Ho;Kim, Kyung;Trieu, Pham Hai;Won, Yong-Gwan;Kwon, Dae-Kyu;Kim, Jung-Ja
    • Korean Journal of Applied Biomechanics
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    • v.20 no.4
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    • pp.469-477
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    • 2010
  • The purpose of this study was to evaluate the effects of insole-equipped ankle-foot-orthoses (AFO) on gait. 10 healthy males who had no history of injury in the lower extremity participated in this study as the subjects. The foot of each subject was first scanned, and the insole fit to the plantar was made using BDI-PCO(Pedcad Gmbh, Germany). The subject then was made to walk on a treadmill under four experimental conditions: 1) normal walking, 2) walking wearing AFO, 3) walking wearing AFO equipped with the insole, 4) walking wearing pneumatic-ankle-foot-orthosis (pAFO) equipped with the insole. During walking, foot pressure data such as maximum force, contacting area, peak pressure, and mean pressure was collected using Pedar-X system (Novel Gmbh, Germany) and EMG activity of lower limb muscles such as gastrocnemius medial head, gastrocnemius lateral head, and soleus was recorded using MP150 EMG module (BIOPAC System Inc., USA). Collected data was then analyzed using paired t-test in order to investigate the effects of the insole. As a result of the analysis, when insole was equipped, overall contacting area was increased while both the highest peak pressure and the mean pressure were significantly decreased, and EMG activity of the lower limb muscles was decreased. On the contrary, the cases of wearing AFO showed the decreased contacting area and the increased pressures. Therefore, the AFO equipped with a proper insole fit well to the foot can help comfortable walking by spreading the pressure over the entire plantar.

The Biomechanical Comparison of Running Shoes According to the Difference of Insole (인솔 차이에 따른 런닝화의 운동역학적 비교)

  • Jin, Young-Wan;Shin, Sung-Hwon
    • Korean Journal of Applied Biomechanics
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    • v.17 no.2
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    • pp.51-59
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    • 2007
  • These studies show that I applied to functional insole (a specific A company) for minimizing shocks and sprain people's ankle arising from running. How to an effect on human body which studied a kinematics and kinetics from 10 college students during experiments. This study imposes several conditions by barefoot, normal running shoes and put functional insole shoes ran under average $2.0{\pm}0.24\;m$/sec by motion analysis and ground reaction force that used to specific A company. First of all, motion analysis was caused by achilles tendon angle, angle of the lower leg, angle of the knee, initial sole angle and barefoot angle. The result of comparative analysis can be summarized as below. Motion analysis showed that statically approximates other results from achilles tendon angle (p<.01), initial ankle angle(p<.05), initial sole angle(p<.001) and barefoot angle(p<.001). Ground reaction force also showed that statically approximates other results from impact peak timing (p<.001), Maximum loading rate(p<.001), Maximum loading rate timing (p<.001) and impulse of first 20 percent (p<.001). Above experiment values known that there was statically difference between Motion analysis and Ground reaction force under absorbing of the functional insole shoes which was not have an effect on our body for kinetics and kinematics.

Development of Insole Sensor System and Gait Phase Detection Algorithm for Lower Extremity Exoskeleton (하지 외골격 로봇을 위한 인솔 센서시스템 및 보행 판단 알고리즘 개발)

  • Lim, Dong Hwan;Kim, Wan Soo;Ali, Mian Ashfaq;Han, Chang Soo
    • Journal of the Korean Society for Precision Engineering
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    • v.32 no.12
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    • pp.1065-1072
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    • 2015
  • This paper is about the development of an insole sensor system that can determine the model of an exoskeleton robot for lower limb that is a multi-degree of freedom system. First, the study analyzed the kinematic model of an exoskeleton robot for the lower limb that changes according to the gait phase detection of a human. Based on the ground reaction force (GRF), which is generated when walking, to proceed with insole sensor development, the sensing type, location, and the number of sensors were selected. The center of pressure (COP) of the human foot was understood first, prior to the development of algorithm. Using the COP, an algorithm was developed that is capable of detecting the gait phase with small number of sensors. An experiment at 3 km/h speed was conducted on the developed sensor system to evaluate the developed insole sensor system and the gait phase detection algorithm.

The Development of the Insole for Gait Load Decreasing by Biomechanics Analysis (생체역학적 분석을 통한 보행 부하 감소용 인솔 개발)

  • Lee, Chang-Min;Oh, Yeon-Ju
    • Journal of the Ergonomics Society of Korea
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    • v.24 no.4
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    • pp.23-30
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    • 2005
  • The mailman's shoes should be designed in due consideration of occupational features they spend most of times to walk. For that reason, the shoes required functions to reduce the foot fatigue and to protect body by dispersing the body weight to the whole foot. In this research, for the functional improvement of the insole, insoles are investigated and analyzed by biomechanics experimentation. Under the base of these experimental results, we develop insoles that can reduce the body load and muscular-skeletal disorder. The pressures are concentrated on the metatarsus and heel by the result of analyzing pressure distributions of the using shoes. Accordingly, we offer the prototype functional insole that is ranked from high pressure to low pressure on the base of a shock absorb function. This prototype functional insole is examined for statistical significance by pressure distribution areas. The experimental results show that pressure areas are dispersed to whole foot, for this reason, pressures of the metatarsus and heel are reduced. Results of this research can not only improve the function of insoles which is suitable for occupational features, but also be a base on constructing data bases for biomechanics gait insoles.

Biomechanical Effect on Knee Adduction Moment by Lateral Wedge Insole in Transfemoral Amputee (외측웨지인솔이 대퇴절단자의 무릎내전모멘트에 미치는 영향)

  • Chang, Yun-Hee;Lee, Wan-Hee
    • Journal of the Korean Society for Precision Engineering
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    • v.29 no.2
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    • pp.239-244
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    • 2012
  • The prevalence of knee osteoarthritis was higher people with lower limb amputation. This was identified that transfemoral amputees have a greater external knee adduction moment than ablebodied subjects by biomechanical studies. Therefore, they need rehabilitative intervention for prevention and reduction of knee osteoarthritis. The purpose of this study was to determine the effect of lateral wedge insole used in the treatment of knee osteoarthritis. This study was participated in fourteen unilateral transfemoral amputees and we were analyzed the difference gait variables between without lateral wedge insole and with $5^{\circ}$ and $10^{\circ}$ lateral wedge insole during gait. Our results showed that step length ratio was more symmetrical and, hip adduction and ankle inversion angle were more close to normal value, and knee adduction moment was decreased as the wedge angle increases. We proposed that these data would be utilized conservative treatment of knee osteoarthritis in lower limb amputees.

The Effect of Protective Socks Combined with Functional Insole on Plantar Foot Pressure in Healthy Adults: A Pilot Study (정상인 대상으로 기능성 인솔과 결합한 보호형 양말이 발바닥 압력에 미치는 영향: 예비 실험 연구)

  • Jung, Do-Young
    • Journal of the Korean Society of Physical Medicine
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    • v.13 no.1
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    • pp.147-154
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    • 2018
  • PURPOSE: This study examined the ability of experimental socks combined with a functional insole to reduce plantar foot pressure in healthy subjects. METHODS: The study enrolled 15 subjects. An in-shoe measurement device was used to measure the peak plantar pressure while walking. The peak forefoot, midfoot, and hindfoot plantar pressure data were collected under two conditions: the subjects were wearing their own socks and while they were wearing the experimental socks. The paired t-test was used to determine the differences in peak plantar pressure between the two conditions at all three positions. RESULTS: Wearing the experimental socks resulted in a significantly higher peak plantar pressure in the medial forefoot and midfoot areas than wearing one's own socks (p<.05), and also in significantly lower peak plantar pressure in the medial and lateral hindfoot (p<.05). However, there were no significant differences of peak plantar pressure between experimental and own socks in middle and lateral forefoot (p>.05). CONCLUSION: The experimental socks combined with a functional insole decreased plantar pressure in the hindfoot and supported the medial longitudinal arch. However, it is necessary to change the design and material of the forefoot area in the functional insole to prevent foot ulcer at that location in people with diabetes mellitus.

Forefoot disorders and conservative treatment

  • Park, Chul Hyun;Chang, Min Cheol
    • Journal of Yeungnam Medical Science
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    • v.36 no.2
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    • pp.92-98
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    • 2019
  • Forefoot disorders are often seen in clinical practice. Forefoot deformity and pain can deteriorate gait function and decrease quality of life. This review presents common forefoot disorders and conservative treatment using an insole or orthosis. Metatarsalgia is a painful foot condition affecting the metatarsal (MT) region of the foot. A MT pad, MT bar, or forefoot cushion can be used to alleviate MT pain. Hallux valgus is a deformity characterized by medial deviation of the first MT and lateral deviation of the hallux. A toe spreader, valgus splint, and bunion shield are commonly applied to patients with hallux valgus. Hallux limitus and hallux rigidus refer to painful limitations of dorsiflexion of the first metatarsophalangeal joint. A kinetic wedge foot orthosis or rocker sole can help relieve symptoms from hallux limitus or rigidus. Hammer, claw, and mallet toes are sagittal plane deformities of the lesser toes. Toe sleeve or padding can be applied over high-pressure areas in the proximal or distal interphalangeal joints or under the MT heads. An MT off-loading insole can also be used to alleviate symptoms following lesser toe deformities. Morton's neuroma is a benign neuroma of an intermetatarsal plantar nerve that leads to a painful condition affecting the MT area. The MT bar, the plantar pad, or a more cushioned insole would be useful. In addition, patients with any of the above various forefoot disorders should avoid tight-fitting or high-heeled shoes. Applying an insole or orthosis and wearing proper shoes can be beneficial for managing forefoot disorders.