• Title/Summary/Keyword: Lateral Wedge

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Effects of Combined Wedge on Angle and Moment of Ankle and Knee Joint During Gait in Patients With Genu Varus

  • Yang, Hae Sun;Choi, Houng Sik
    • Journal of International Academy of Physical Therapy Research
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    • v.7 no.2
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    • pp.1025-1030
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    • 2016
  • The purpose of this study was to investigate the effects of combined wedge on the range of motion in ankle and knee joint, ankle eversion moment and knee adduction moment, and center of pressure excursion of foot for genu varus among adult men during gait. This study was carried out with 10 adult men for genu varus in a motion analysis laboratory in J university. The subjects of the experiment were measured above 5cm width between the knees on contact of both medial malleolus of ankle while standing. The width of their knees in neutral position was measured without the inversion or eversion of the subtalar joint by the investigator. The subjects of the experiment were ten who were conducted randomly for standard insole, insole with $10^{\circ}$ lateral on rear foot wedge, insole at $10^{\circ}$lateral on rear foot and $5^{\circ}$ medial on fore foot wedge. Before and after intervention, changes on the range of motion in ankle and knee joint, ankle eversion moment and knee adduction moment, and center of pressure excursion were measured. In order to compare analyses among groups; repeated one-way ANOVA and $Scheff{\acute{e}}$ post hoc test were used. As a result, combined wedge group was significantly decreased compared to control wedge group in terms of knee varus angle in mid-stance(p<.05). Combined wedge group was significantly decreased compared to lateral wedge group in terms of ankle eversion moment in whole stance(p<.05). Combined wedge group was significantly decreased compared to lateral wedge group in terms of knee adduction moment in whole stance(p<.05). Combined wedge group was significantly decreased compared to lateral wedge in terms of center of pressure excursion in whole stance(p<.05). The results of this study suggest that combined wedge for genu varus decreased ankle eversion moment and knee adduction moment upon center of pressure excursion. We hypothesize that combined wedge may also be effective in the protection excessive ankle pronation.

Evaluation of Ultimate Lateral Resistance for Single Pile Using Strain Wedge Model in Sand (모래지반에서 쐐기모델을 이용한 단말뚝의 극한수평저항력 산정)

  • Kim, Ji-Seong;Kang, Gi-Chun
    • Journal of the Korean Geotechnical Society
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    • v.32 no.12
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    • pp.15-22
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    • 2016
  • The magnitude of the lateral resistance that resists the lateral movement of the pile is controlled by the amount of the pile movement and the strength and stiffness of soil. In this paper, we proposed an equation which produces the ultimate lateral resistance of the laterally loaded single pile in sand using the strain wedge model of the soil deformation. The ultimate lateral resistance in strain wedge model is composed of earth pressure of wedge rear, the shear resistance on the side of the wedge, and the frictional resistance between pile and ground. The ultimate lateral resistance determined by the proposed equation was compared with the Ashour, F.D.M., field test in sand. As a result, the error of the proposed equation and Ashour theory, field test, F.D.M were respectively 1.03%, 0.40~3.32%, 6.02%.

The Effect of Rear Foot Wedge Angle on Peak Plantar Pressures on the Forefoot During Walking (Rear Foot Wedge 각도가 보행시 전족저 최대압력에 미치는 영향)

  • Kwon, Oh-Yun;Jung, Do-Young;Park, Kyoung-Hee
    • Physical Therapy Korea
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    • v.9 no.3
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    • pp.11-21
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    • 2002
  • The purpose of this study was to find the effect of rear foot wedge angle on peak plantar pressures on the forefoot during walking. Twenty normal healthy subjects (10 female, 10 male) were recruited. Peak plantar pressure was measured using pressure distribution platforms (MatScan system) in medial forefoot (under the first, second metatarsal head) and lateral forefoot (under the third, fourth, fifth metatarsal head). The subjects walked at the comfortable velocity under seven conditions; bare footed, $5^{\circ}$, $10^{\circ}$ and $15^{\circ}$ wedges under the medial and lateral sides of the hindfoot. The three averaged peak plantar pressures were collected at each condition at stance and toe off phases. The results showed that a significant increase in lateral forefoot plantar peak pressure investigated in the medial wedge and a significant decrease in lateral forefoot plantar peak pressure investigated in lateral wedge at stance phase (p<.05). These results suggest that rear foot wedge may be useful to modify the peak plantar pressure on the forefoot.

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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.

Lateral Resistance Analysis of Single Pile Using Strain Wedge Model in Sand (모래지반에서 쐐기모델을 이용한 단독말뚝의 수평저항력 해석)

  • Bae, Jong-Soon;Kim, Ji-Seong;Kim, Sung-Ho
    • Journal of the Korean Geotechnical Society
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    • v.26 no.11
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    • pp.39-46
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    • 2010
  • The magnitude of the lateral resistance that resists the lateral movement of the pile is controlled by the amount of the pile movement and the strength and stiffness of soil. In this paper, we proposed an equation which produces the lateral resistance of the laterally loaded single pile using the strain wedge model of the soil deformation. The results of this equation is compared with results of model test, field test, p-y curve and other methods. It is found that the result of proposed equation is smaller than the result of model test. The results of loading test considerably coincide with those of proposed equation; however, a few of deviations are generated as the displacement of pile head increases. Moreover, coincidences exist between the results of the proposed equation and those of finite difference method.

Behavior of Back Ground of the Laterally Loaded Pile Group (수평하중이 작용하는 무리말뚝 배면지반의 저항거동 특성)

  • Kim, Ji-Seong;Bae, Jong-Soon
    • Journal of the Korean Geotechnical Society
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    • v.32 no.1
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    • pp.5-18
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    • 2016
  • In this study, we grasped the resistance state of the back ground which had a notable influence on computing the lateral resistance of the laterally loaded pile group in the homogeneous ground by the model test. Resistance state was grasped as the depth of rotation-point, wedge failure angle, and wedge wing angle. The model experiment is performed by varying the width, spacing and number of piles and the relative density of sand in this study. According to the observation of the rear ground surface deformation of the piles in lateral load, rotation point ratio, wedge failure angle, and wedge wing angle of the front row were similar to those of the middle row; however, those of the back row were relatively smaller. The rotation point ratio, wedge failure angle and wedge wing angle of the piles in parallel were the same as those of a single pile. Based on the model test results, equations for estimation of the rotation-point, wedge failure angle, and wedge wing angle are proposed.

Analysis of Laterally Loaded Piles Using Soil Resistance of Wedge Failure Mode (Wedge Failure Mode 형태의 반력을 이용한 수평재하 말뚝의 거동 분석)

  • Kim, Young-Ho;Jeong, Sang-Seom
    • Journal of the Korean Geotechnical Society
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    • v.25 no.6
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    • pp.59-72
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    • 2009
  • The load distribution and deflection of offshore piles are investigated by lateral load-transfer curve method (p-y curve). Special attention is given to the soil-pile interaction and soil resistance of 3D wedge failure mode. A framework for determining a hyperbolic p-y curve is proposed based on theoretical analysis and experimental load test results. The methods for determining appropriate material parameters needed for constructing the proposed p-y curves are presented in this paper. Through comparisons with field case studies, it was found that the proposed method in the present study estimates reasonably the load transfer behavior of pile, and thus, the computed pile responses, such as bending moment and lateral displacement, agree well with the actual measured responses.