• 대한물리의학회지
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• 제9권4호
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• pp.407-413
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• 2014

PURPOSE: We investigated the influence of heel insole and visual control on body sway index with high-heeled shoes. METHODS: The subjects of this study were 61 healthy students. None of the participants had any orthopedic or neurologic alterations. C90 area, C90 angle, trace length, sway average velocity were measured using a force plate by BT4. The variables were measured both with insole and without insole when wearing high-heeled shoes under the conditions of eyes open and eyes closed. The collected data were analyzed using the Kolmogorov-Smirnov test and paired t-test. RESULTS: When wearing high-heeled shoes with insole under the conditions of eyes open, trace length, C90 area, velocity were significantly more decreased than without insole (p<.01). When wearing high-heeled shoes with insole under the conditions of eyes closed, only C90 area was significantly more decreased than without insole (p<.05). When wearing high-heeled shoes with insole under the conditions of eyes open, trace length, C90 area, velocity were significantly more decreased than under the conditions of eyes closed (p<.01). CONCLUSION: The present study demonstrates that the use of high-heeled shoes with insole supported from heel to midfoot more increased static balance than without insole under the conditions of eyes open.

• 한국운동역학회지
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• 제15권1호
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• pp.143-153
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• 2005

J.Y. CHOI,S. J. KIM, E. L. LEE. Change of plantar pressure Distribution of Open Stance during Forehand Strke in Tennis. Korean Journal of Sport Biomechanics, Vol. 15, No. 1, PP. 143-153, 2005. Recently among several tennis techniques forehand stroke has been greatly changed in the aspect of spin, grip and stance. The most fundamental factor among the three factors is the stance which consists of open, square and close stance and it is very important to know the patterns of plantar pressure distribution for the better understanding of forehand stroke. Therefore, the purpose of this study was to investigate the change of plantar pressure distribution in open stance during forehand stroke in tennis. Three high school tennis players were recruited for the study and required to perform forehand stroke five consecutive trials in the condition of open stance. The forehand strokes were filmed with two digital video cameras and measured with pedar system for plantar pressure. The plantar regions under the foot were divided into 3 regions, which were forefoot, midfoot, and rear foot. In conclusion, The plantar pressure of open stance during forehand stroke was distributed more largely to the right foot. The plantar pressure of open stance during forehand stroke was distributed more weight loads on forefoot of right than heel of right

• 대한족부족관절학회지
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• 제15권1호
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• pp.18-21
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• 2011

Purpose: To evaluate the clinical and radiological results of internal fixation with tension band wiring for the fracture at the base of fifth metatarsal bone. Materials and Methods: From January 2008 to December 2009, 15 cases with displaced fracture at the base of fifth metatarsal were analyzed and average follow up period was 13.8 months. Lawrence classification was used to classify fracture type. We evaluated clinical results by American Orthopedic Foot Ankle Society (AOFAS) midfoot score and radiological results by union time. Complications was also checked. Results: According to classification, zone I fracture were 11 cases and zone II fracture were 4 cases. Bony union was achieved in all cases after 7 weeks. In the final follow-up, average AOFAS score was 94. There were no complications except hardware irritation. Conclusion: Satisfactory results were obtained after tension band wiring for the fifth Metatarsal base fracture in zone I fracture or comminuted zone II fracture for which it is not easy to be fixed with screw.

• 대한족부족관절학회지
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• 제21권1호
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• pp.7-11
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• 2017

Purpose: We retrospectively analyzed the radiographic and clinical results after the first ray of forefoot osteotomy using low profile wedge plate without additional cancellous bone grafting for pes planus correction. Materials and Methods: Twenty-four patients were enrolled in this study. Medial cuneiform opening wedge osteotomy was performed in 12 patients (Cotton osteotomy, group C) and first metatarsal base osteotomy was performed in 12 patients (group MT). Results: On average, the wedge size was 5.61 mm (5~6 mm). The mean time to radiographic union was 3.18 and 3.27 months in groups C and MT, respectively. Postoperative talonavicular coverage angle, talo-first metatarsal angle (anteroposterior), talo-first metatarsal angle (lateral), talo-calcaneal angle (lateral), medial cuneiform height, and American orthopaedic foot, as well as ankle society midfoot scale were significantly improved in both groups. Nonunion, delayed union or fixation failure was not presented in our series. Conclusion: We have shown that low profile wedge plate was effective in the case of first ray forefoot osteotomy for pes planus correction without any additional cancellous bone grafting.

• 대한물리의학회지
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• 제7권1호
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• pp.21-28
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• 2012

Purpose : The purpose of this study was to examine the gait parameter and plantar foot pressure of adults with Down syndrome(DS) during walking in order to provide data for developing evidence-based deficit or common rehabilitation strategies. Method : 15 participants with DS(12 men, 3 women; age $26.06{\pm}4.47$) and 15 healthy subjects(12 men, 3 women; age $25.33{\pm}3.43$) were matched age. They walked at self selected speeds on a GAITRite system and RS-scan system, and had the following measurements done: cadence, stride length, step width, foot angle, percent stance, percent double support, and plantar foot pressure in 10 areas of the foot. Results : In comparison of gait parameter(cadence, stride length, step width, foot angle, percent stance, and percent double support) between adults with DS and healthy subjects, there was significant differences(p<.05). Regarding plantar foot pressure during gait with or without DS, there were statisically significant differences in the area of Toes 1-5, Metatasal 1-4, Midfoot, and Heel(Medial and lateral)(p<.05). Conclusion : Our data show that DS walk with a less physiolosical gait pattern and plantar foot pressure than healthy subjects. Based on our results, DS patients need targeted rehabilitation and exercise strategies.

• 대한족부족관절학회지
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• 제9권1호
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• pp.121-124
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• 2005

The midtarsal joint which consists of the talonavicular and calcaneocuboid joints lies transversely across the medial and lateral arches of the foot. Complete dislocation of this joint unassociated with fracture is extremely rare. A 36 year-old male who was injured by motor vehicle accident came to help for his left midfoot pain and deformity. We misdiagnosed as subtalar dislocation. Closed reduction was performed. We reviewed initial and post-reduction X-rays, and then we diagnosed as Chopart's dislocation. CT scan was taken; it showed fracture of the anterior process of the calcaneous.

• 대한족부족관절학회지
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• 제3권1호
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• pp.5-11
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• 1999

We present our experience with the use of nerve block anesthesia in 212 of 484(43.8% ) surgical procedures of the foot and ankle between 1995 and 1997. Nerve block anesthesia was used for surgical procedures of the forefoot, midfoot, hindfoot, and ankle in the setting of elective surgery and trauma. From the viewpoint of the surgeon, nerve block anesthesia was completely successful in 99.5% of the procedures performed. We confirmed that 80% of patients were satisfied with the use of nerve block anesthesia for their operative procedure. There were only one(0.5%) miner complication being toxic neuritis of posterior tibial nerve. With increasing experience, the expanded indications and uses of nerve block anesthesia for foot and ankle surgery are proving to be simple, safe, reliable, and well tolerated by the patient.

• 대한족부족관절학회지
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• 제12권2호
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• pp.189-196
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• 2008

Purpose: Nonunions and delayed unions are possible complications of fractures of fifth metatarsal base. We tried to report the results of the surgical treatment, which is not prevalent yet. Materials and Methods: Retrospective study of thirty nine patients undergoing operation at our institution between 2003 and 2008 was conducted. Six patients were excluded with loss of follow up before bony union, multiple trauma, pediatric fractures, stress fracture, open fracture. There were 18 males and 15 females with 45.1 years old mean age. The average follow-up period was 18.3 months. We used a midfoot scoring system of AOFAS for clinical assessment and radiologic findings to evaluate bony union, alignment. Results: According to Lawrence's classification, Zone 1 fractures were thirteen and Zone 2 were twenty. Average AOFAS score was 93.61. Conclusion: Early operative treatment with cannulated screw fixation in fractures of the fifth metatarsal base is thought to be an useful and easy treatment option with faster rates of union.

• Archives of Reconstructive Microsurgery
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• 제9권1호
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• pp.75-79
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• 2000

The foot plays a vital role in standing and gait. This function results from harmonious interaction of bones, joints, and soft tissue. An imbalance or a defect in such structures can lead to impaired function of the foot. The mid foot, composed of cunieforms, navicular and cuboid bone, plays a vital role in maintaining longitudinal and transverse arches and injury or defects to this region can cause instability of the foot. This paper reports a case of complex foot injury; soft tissue defect of dorsum of foot, and medial and intermediate cuneiform bone defect, reconstructed in a single stage using vascularized osteocutaneous fibular free flap. Segmented to fit the defects of medial and intermediate cuneiform bones and a skin paddle providing adequate coverage, restored the stability to the arches and function of the midfoot. The fibula osteocutaneous free flap has appealing characteristics for reconstruction of the foot and the complex mid foot injuries can be considered to the long list of indications.

• 한국운동역학회지
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• 제21권1호
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• pp.9-16
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• 2011

The purpose of this study is to analyze the effects of both various shoe types and bare feet on ground reaction force while walking. Ten first-year female university students were selected. A force platform(Kistler, Germany) was used to measure ground reaction force. Six types of shoe were tested: flip flops, canvas shoes, running shoes, elevated forefoot walking shoes, elevated midfoot walking shoes, and five-toed shoes. The control group was barefooted. Only vertical passive/active ground reaction force variables were analyzed. The statistical analysis was carried out using the SAS 9.1.2 package, specifically ANOVA, and Tukey for the post hoc. The five-toed shoe had the highest maximum passive force value; while the running shoe had the lowest. The first active loading rate for running shoes was the highest; meanwhile, bare feet, the five-toed shoe, and the elevated fore foot walking shoe was the lowest. Although barefoot movement or movement in five toed shoes increases impact, it also allows for full movement of the foot. This in turn allows the foot arch to work properly, fully flexing along three arches(transverse, lateral, medial), facilitating braking force and initiating forward movement as the tendons, ligaments, and muscles of the arch flex back into shape. In contrast movement in padded shoes have a tendency to pound their feet into the ground. This pounding action can result in greater foot instability, which would account for the higher loading rates for the first active peak for padded shoes.