• Journal of Korean Institute of Industrial Engineers
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• v.34 no.1
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• pp.90-97
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• 2008

Wedged insoles are frequently used to reduce the pains caused by the knee arthritis or the foot overuse syndrome. The present study analyzed the effect of wedged rear-foot insoles on the foot pressure in walking. Three medially wedged insoles with three angles (5, 8 and 15") and three laterally wedged insoles with the same angles were made, and a flat insole were prepared. Ten healthy males in twenties walked in a specified line with each insole. Center of pressure (COP), relative vertical force and maximum force on anatomical areas were analyzed from the measured foot pressure data. At heel contact, medially wedged insoles significantly increased the pressure of the medial foot side (COP moved medially by 2-5 mm and maximum pressure of 1st metatarsal head increased by 110-120% relative to the flat insole), In contrast, laterally wedged insoles significantly increased the lateral side pressure (COP moved laterally by 1-5 mm and the ratio of $2^{nd}$ metatarsal head pressure to $1^{st}$ metatarsal head increased by 0.5-2.0 relative to the flat insole). At toe off, both wedged insoles significantly increased the pressure of the medial foot side (COP moved medially by 0.5-10 mm and the ratio of $1^{st}$ metatarsal head pressure to $5^{th}$ metatarsal head increased by 2.0 relative to the flat insole). Especially, the laterally wedged insoles significantly increased the relative vertical force (6-12%) of the rear-foot more than the flat insole.

• Journal of the Ergonomics Society of Korea
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• v.26 no.1
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• pp.19-27
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• 2007

Despite the widespread use of laterally wedged insoles for patients with knee osteoarthritis and medially wedged insoles for controlling rearfoot pronation, an understanding of the effects of wedged insoles was limited and sometimes controversial. The objective of this study was to evaluate the effect of wedged insoles on the kinematics and kinetics of normal gait. Ten male subjects without history of lower limb disorders were recruited. Each subject performed four gait cycles under each of seven conditions; shod with 5$^{\circ}$, 8$^{\circ}$ and 15$^{\circ}$, 8$^{\circ}$ and 15$^{\circ}$ laterally wedged insoles. In order to determine statistical differences among seven conditions, the measured temporal spatial variables, angular displacements, joint moments, and ground reaction forces were compared with a one-way analysis of variance. Some significant changes induced by wedged insoles were apparent in joint moments and ground reaction forces. The medially wedged insole increased the laterally directed ground reaction force and varus moments at the ankle force and varus moments at the ankle and the knee.

• The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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• v.12 no.1
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• pp.44-50
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• 2006

The purpose of this study is to assess the radiographic effects of normal person with contact laterally wedged insoles with strapping of varying elevations. Eight person who were randomized into group according to their birth dates and wedge elevation, participants wore contact laterally wedged insoles with strapping with elevation of 9, 15, 21mm. Standing radiographs were used to analyze the femorotibial angle for each subject, The result of repeated measures ANOVA's reveled that laterally wedged insoles with strapping of varying elevations produced significantly the femorotibial angle. The degree of change in femorotibial angle with the insole with strapping was effected by the tilt of the lateral wedge(P<0.05). We suggest that these results may be beneficial for manufacturing foot orthotic devices, such as wedged insoles, to control medial and later compartment forces in the knee varus-valgus deformity.

• The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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• v.11 no.1
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• pp.65-73
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• 2005

Osteoarthritis has been considered a disease of the elderly because it is uncommon before the age of 40 years and is seen in approximately 80% of United States citizens older than 65 years. general population on kuri city in korea revealed that prevalence of knee osteoarthritis is 10.2%, increasing with age. High level of physical activity in men and age, post-menopause and obesity in women can be risk factor. Osteoarthritis is no evidence that a acquired process initiated much earlier in life through mechanical, metabolic, genetic, or other origins. A high tibial osteotomy alters static lower extremity alignment thereby decreasing medial compartment loading. As well, conservative treatment strategies, such as knee braces and valgus heel wedges, affect lover limb mechanics and attempt to reduce medial compartment loading. It was hypothesized that valgus heel wedges and modified orthoses would shift the center of pressure laterally on the foot during level walking, reducing the moment arm of the adduction moment in the frontal plane, thereby resulting in a decrease in the knee adduction moment. In the 1980s, the effect of wearing a laterally wedged insole on osteoarthritic patients with a varus deformity of the knee was firsted, and since then, kinematic and kinetic analyses concerning this condition have mainly focused on a static standing position. Since the early 1990s, the beneficial effect of wearing a laterally wedged insole to treat osteoarthritis of the knee has also been reported in dynamic conditions, but these studies did not answer the question of the kinematic and kinetic mechanisms that resulted in the reduced symptoms in patents with knee osteoarthritis. therefore, the effect of wearing laterally wedged insole has not been sufficiently studied.

• Journal of the Korean Society of Physical Medicine
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• v.1 no.1
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• pp.37-47
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• 2006

Purpose : The purpose is to assess the effects of muscle activity of normal person with contact laterally wedged insoles with strapping of varying elevations of 9, 15, 21mm. Methods : The subjects were adult males and women who had not experienced any knee injury. They were asked to performed from isometric contraction exerciese in four postures using lateral wedged. The normalized EMG activity levels(%MVC) of the vastus lateralis, vastus medialis, tibialis anterior, soleus for the four postures of the lower extremities were compared using one way repeted measures ANOVA. Results : Comparison of EMG amplitudes across all postures revealed no significant differences among all muscles(P>0.05). Conclusion : Further studies of the effect of wedged insole angle on knee varus torque in patients with medial-lateral knee osteoarthritis are needed.

• Proceedings of the Korean Operations and Management Science Society Conference
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• 2006.05a
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• pp.208-213
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• 2006

경사진 안창은 안창의 경사로 발의 자세를 교정함으로써 하지 통증을 완화시키는 데 사용되는 보조치료기구로 내측 경사진 안창(MWI: medially wedged insole)과 외측 경사진 안창(LWI: laterlly wedged insole)으로 나뉜다. 본 연구는 내/외측 경사진 안창이 족부압력에 미치는 영향을 정량적으로 분석하고자 한다. 분석변수는 압력중심(COP: center of pressure)의 궤적 변화, 발바닥 내 세 개 구획에 상대적으로 작용하는 수직 힘(RVF: relative vertical force) 그리고 여덟 개 해부학적 지점의 압력이다. 경사진 안창의 경사조건은 내/외측 각각 $5^{\circ},\;8^{\circ},\;15^{\circ}$이며, 경사가 없는 안창을 포함해 총 일곱 가지 안창이 실험에 사용되었다. 실험참여자로는 20대 성인 남성 10명이 참여하였다. 실험결과 앞발 누름기에서 MWI와 LWI는 모두 COP를 내측으로 이동시키고 외측 압력을 감소시켰다. 뒤축 접지기에서 MWI는 COP를 내측으로 이동 시키고 내측압력을 증가시키는 반면, LWI는 COP를 외측으로 이동시키고 외측압력을 증가시켰다. 그리고 RVF 분석결과 MWI와 LWI는 모두 앞발 부위 힘의 크기를 감소시켰고, LWI만이 발 뒤축 부위 힘의 크기를 증가시켰다.