• 한국운동역학회지
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• 제24권4호
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• pp.455-461
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• 2014

The purposes of this study were to reveal the kinematic and kinetic difference of hard ground soccer shoe, firm ground soccer shoe and soft ground soccer shoe. Soccer players were shoes of varying stud designs with some preferring the bladed studs while others opting for the conventional studded stud. Statistics were used one way-ANOVA and Tukey's Honestly Significant Difference Method. Seven healthy college soccer players were attended a test. All parameters were recorded using the Zebris system. Spatio-temporal variables were no significant difference. Lateral symmetry was statistically significant differences (p<.05). Vertical GRF parameters were no significant difference. Medial midfoot pressure, lateral midfoot pressure and central forefoot pressure were statistically significant differences (p<.05). This study demonstrates that playing surface significantly affects difference soccer shoes during soccer game. Furthermore, epidemiological investigation is warranted to determine the effects of playing surfaces on sport specific injury mechanisms.

• 한국운동역학회지
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• 제25권4호
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• pp.475-482
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• 2015

Objective : The purpose of this study was to investigate mean plantar foot pressure, maximum plantar pressure and ground reaction force, and center migration path of pressure according to the type of trekking shoes for the development of shoes. Method : Subjects of the study averaged $22.10{\pm}2.05years$ of age. Their average height was $169.27{\pm}7.62cm$ and their average weight was $64.34{\pm}10.22kg$. The method of this study was administered measuring 50 steps, at once, 3 times at a speed of 4 km/h and using the data of 30 steps. Pedar-X system measured the mean foot pressure, maximum foot pressure, mean maximum force, and center migration path of pressure by subjects' position while walking. Statistical analysis was performed by SPSS 23.0 using a paired t-test. Results : Results of the study showed Nestfit trekking shoes lower foot pressure of both feet in mean foot pressure and maximum foot pressure. Nestfit trekking shoes showed high ground reaction force (p<.001) in the midfoot, and low mean ground reaction force in the rearfoot. The center migration path of pressure showed the Nestfit trekking shoes were more stable than flat insole trekking shoes. Conclusion : It can be concluded that wearing Nestfit trekking shoes spreads pressure efficiently and induces walking stability because Nestfit trekking shoes spread the pressure of the forefoot and rearfoot to the midfoot and the center migration path of pressure shows regularly.

• 대한족부족관절학회지
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• 제8권1호
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• pp.31-38
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• 2004

Purpose: The purpose of the study was to identify the subtypes of idiopathic osteoarthritis of the tarsometatarsal joints based on accompanying hindfoot, midfoot, or foot deformities and their corresponding surgical options and also to evaluate the overall clinical results. Materials and Methods: The study included 59 patients (67 feet) with idiopathic tarsometatarsal joint osteoarthritis. Tarsometatarsal fusion was performed for tarsometatarsal joint and accompanied secondary change was divided into subtypes and various bony reconstruction was carried out. The patients were evaluated with the AOFAS midfoot score and FFI. The average patient age was 60.2 years with 40.6 months follow-up. Fifty-four feet (80.6%) had been treated with realignment fusion. Twenty-six feet had first and second tarsometatarsal joint fusion, and 20 feet had first tarsometatarsal fusion only. Six subtypes were identified based on associated foot deformities: 1) in-situ without deformities (18%), 2) pes planovalgus (45%), 3) rockerbottom (15%), 4) cavus foot (1%), 5) hallux valgus (12%), and 6) hallux valgus with pes planovalgus or rockerbottom (9%). Plantar-medial closing-wedge resection was used in 10 feet to correct rockerbottom. For pes planovalgus, a medial sliding calcaneal osteotomy was done. Lateral column lengthening with medial sliding calcaneal osteotomy was done for severe pes planovalgus, and triple arthrodesis was done for rigid pes planovalgus. Hallux valgus was corrected with the Lapidus procedure (85.7%). Results: AOFAS midfoot scores improved from preoperative 34.1 points to postoperative 83.9 points (p<0.05). The Foot Function Index postoperatively also showed significant improvement (p<0.05), with a high satisfaction rate (86.6%). There were 29 complications, most commonly sesamoid pain. Conclusion: Idiopathic tarsometatarsal OA feet can be classified into six categories. Pes planovalgus feet should be treated with medial sliding calcaneal osteotomy, lateral column lengthening, or triple arthrodesis in addition to tarsometatarsal joint realignment fusion. Rockerbottom and hallux valgus deformities should also be addressed.

• 대한물리의학회지
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• 제6권4호
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• pp.489-496
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• 2011

Purpose : The purpose of this study was to identify the effect of an arch support taping on navicular drop height and plantar pressure in the subjects with excessive pronated foot for 6 weeks. Methods : The fifteen subjects with the pronated foot group and the fifteen subjects with the normal foot group volunteered for this study. Both groups were applied arch support taping at 3 times a week during 6 weeks. Subjects were assessed navicular drop test to evaluate pronation of subtalar joint and plantar pressure on treadmill for pressure measuring system during walking with a bare foot state at pre- taping, after 3 weeks, and after 6 weeks. A two-way repeated analysis of variance design was used to examine the difference of navicular drop height and plantar pressure in the pronation foot group and the normal foot group. Results : The pronated foot group had significantly decreased both the navicular drop height and the plantar pressure under the medial midfoot than the normal foot group after 6 weeks(p<.01). Conclusions : This study proposed that an arch support taping can be support to lift navicular bone as well as to transfer the foot pressure from medial midfoot to lateral midfoot in individuals with excessive pronated foot.

• 한국의류학회지
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• 제38권4호
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• pp.427-439
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• 2014

This study identifies the foot side shapes of elderly men by classifying foot types according to 3D foot shapes and analyzing individual characteristics. The subjects were 284 elderly men over 60 years of age who lived in Gwangju and did not have foot related diseases. They were measured with a scanner (Nexcan$^{(R)}$ of K&I Technology) to obtain three dimensional feet shapes. Anthropometric measuring items consisted of 28 items estimated on the right foot of each subject. 3D scan data were analyzed by various statistical methods such as factor analysis, ANOVA and cluster analysis using the statistical program SPSS 19.0. A total of 7 factors were extracted through a factor analysis and these factors represent 77.56% of total variance. The 8 factors were: inside height and side gradient, ankle thickness, size from foot center to ankle, lateral malleolus height, forefoot height, instep and heel height and gradient. A total of 3 clusters (as foot type) were categorized using 7 factor scores by cluster analysis. Type 1 was classified as high forefoot and low midfoot compared to the length. Type 2 was classified as low forefoot and high midfoot, and type 3 was classified as low forefoot and low midfoot.

• PNF and Movement
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• 제15권3호
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• pp.343-351
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• 2017

Purpose: This study aimed to suggest effective lunge exercise methods for various purposes by comparing differences in the muscle activity of thigh and plantar pressure according to changes in base of support during lunge exercises. Methods: The subjects were 20 college students who agreed to participate in the experiment. They performed three types of lunges-a basic lunge (BL), wide lunge (WL), and narrow lunge (NL). In a static position during each lunge, the muscle activity of the thigh and plantar pressure were measured. Each movement was maintained for 7 seconds, and the muscle activity for the 3 seconds in the middle was measured and analyzed. The plantar pressure was divided into six areas for analysis. The subjects randomly performed the lunges to prevent the influence of an experimental sequence. Each movement was performed three times, and the mean value of the three measurements was analyzed. Results: The analysis of muscle activities in the thigh during the three lunge movements showed statistically significantly higher muscle activity of biceps femoris in WL and NL than BL. Moreover, the analysis of plantar force showed statistically significant differences between BL and WL and WL and NL on the medial-forefoot and medial-midfoot, as well as between BL and WL and BL and NL on the lateral-midfoot. The analysis of plantar contact pressure exhibited statistically significant differences between BL and NL and WL and NL on the medial-forefoot, as well as a statistically significant difference between WL and NL on the medial-midfoot and lateral-hindfoot. Conclusion: This study suggests that changing the base of support during lunges can be useful to suit the purposes of various rehabilitation programs.

• 한국운동역학회지
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• 제27권4호
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• pp.257-262
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• 2017

Objective: This study aimed to investigate the differences in skiing time and vertical ground reaction force (vGRF) between the basic parallel turn and short turn. Method: Eleven alpine ski instructors (age: $28.73{\pm}4.29yrs$, height: $172.36{\pm}6.30cm$, body mass: $71.45{\pm}9.16kg$, career: $11.09{\pm}2.70yrs$) participated in this study. Each skier was asked to perform a basic parallel turn and short turn on a $16^{\circ}$ groomed slope. A foot pressure measurement system was used to measure the skiing time and vGRF under the three plantar regions (forefoot, midfoot, rearfoot). Results: Skiing time decreased significantly in all three phases during the short turn (p<.05). In the initiation phase, the vGRF showed a greater decrease on the midfoot and rearfoot during the short turn (p<.05). In the steering phase 1, the vGRF showed a greater increase on the forefoot and decreased on the midfoot during the short turn (p<.05). In the steering phase 2, the vGRF showed a greater increase on the forefoot and rearfoot during the short turn (p<.05). Conclusion: Our findings proved that the skiing time and vGRF changed during the short turn. Consequently, we suggest that recreational skiers should decrease the skiing time of the steering phase compared to that of the initiation phase and increase the vGRF on the forefoot and rearfoot in the steering phase.

• 대한족부족관절학회지
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• 제20권2호
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• pp.73-77
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• 2016

Purpose: The purpose of this study was to evaluate the clinical outcome of a modified Kidner procedure using a suture bridge technique in symptomatic type II accessory navicular. Materials and Methods: Between January 2013 and December 2014, a total of 35 cases with symptomatic type II accessory navicular were treated with a modified Kidner procedure using the suture bridge technique. The patients were evaluated preoperatively, 3 months after surgery, and at the latest follow-up (at least six months postoperatively) clinically via the American Orthopaedic Foot and Ankle Society (AOFAS) midfoot score, visual analogue scale (VAS), and the self-subjective satisfaction score. Results: The mean AOFAS midfoot score demonstrated significant improvement from a mean of 45.3 preoperatively to a mean of 89.2 at 3 months after surgery. At the latest follow-up, the mean AOFAS midfoot score was 92.6 (p<0.001). The mean VAS also improved significantly, decreasing from 6.7 out of 10 preoperatively to 1.8 at 3 months after surgery. At the latest follow-up, the VAS was 1.2 (p<0.001). The mean time of a single-limb heel raise was 4.6 months postoperatively and the self-subjective satisfaction score was 1.4 out of 4 at the latest follow-up. Conclusion: The short-term surgical results of the modified Kidner procedure with a suture bridge technique for symptomatic type II accessory navicular were good to excellent in terms of pain, functional and clinical assessments. In conclusion, the modified Kidner procedure with the suture bridge technique is a reasonable treatment option for symptomatic type II accessory navicular.

• 대한물리의학회지
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• 제5권4호
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• pp.543-549
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• 2010

Purpose : The study was designed to investigate the changes of plantar foot pressure by different loads during walking in flatfoot. Methods : Fifteen subjects with flatfoot were recruited along with their written informed consent. They were asked to walk on plate at a self-selected and comfortable speed with loads of 0, 5, 10, and 15kg. Three walking trials were obtained and then averaged for data analysis. Foot pressure were measured from RS-Scan system (RS-Scan system, RS scan Ltd., German) and contact area, maximum force were analyzed. Results : There were significant increases on midfoot and decreases on forefoot in contact area. And there were significant increases in maximum force of foot pressure of 2nd metatarsal bone and midfoot. Conclusion : These findings revealed that flatfoot increases risk factors of metatarsal bone with different loads. Therefore, patients of flatfoot must be careful during walking with loads or activities of daily living.

• 대한물리의학회지
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• 제13권1호
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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.