• Title/Summary/Keyword: Plantar

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A Study on the Distribution of Plantar Pressure in Adult Hemiplegia during Gait with the Use of Cane

  • Cha, Yong-Jun;Kim, Kyoung
    • The Journal of Korean Physical Therapy
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    • v.22 no.3
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    • pp.49-53
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    • 2010
  • Purpose: The purpose of this study was to investigate the plantar pressure distribution between the affected and unaffected side in adult hemiplegia during gait with the use of a quad-cane. Methods: Thirty-four stroke patients from 34 to 83 years of age were enrolled in this study, and in random order, all patients were asked to walk at their most comfortable speed three times along a walkway with the use of quad-cane over a period of three days. Plantar pressure distribution was measured with regard to foot contact pattern and center of pressure (CoP) trajectories during the stance phase, progressing from heel-strike to toe-off. The F-scan system was used to compare the foot pressure of the affected and unaffected sides. Results: A significant reduction in the total contact area, the width of fore foot (FF) and hind foot (HF), and anterior/posterior (AP) CoP trajectory of the affected side was found. However, contact pressure of the hind foot on the affected side during walking increased when compared to that on the unaffected side. Conclusion: We demonstrated that plantar pressure distribution on the affected side of adult hemiplegia patients was generally poorer than that on the unaffected side when these patients walked with cane assistance. However, the use of a quad-cane was shown to increase contact pressure of the hind foot on the affected side because weight can be borne on the affected side during heel-strike with use of the cane.

The Change of Lordosis according to Plantar Surface Compliance in Patients with Chronic Low Back Pain (만성요통환자에서 족저 접촉면의 경도에 따른 요추전만도의 변화)

  • Kong Hee-Kyung;Cho Hyun-Rae;Bae Sung-Soo
    • The Journal of Korean Physical Therapy
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    • v.15 no.4
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    • pp.13-23
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    • 2003
  • The purpose of this study was to evaluate the change of lordosis according to plantar surface compliance in patients with chronic low back pain. Thirty patients with chronic low back pain aged between 20 and 40 were assigned to 3 groups: control group, experimental groups (FHRS group, FSRH group). The lordosis was examined before and after adaptation with corresponding foam types. The results were as follows : 1. As the result of comparing lordosis before and after test of the control group which any change did not exist in plantar surface compliance, there was not a significant difference(p>0.05). 2. As the result of comparing lordosis before and after test of the FHRS group which forefoot part of plantar surface is hard and rear foot part is soft, there was the significant increase(p<0.05). 3. As the result of comparing lordosis before and after test of the FSRH group which forefoot part of plantar surface is soft and rear foot part is hard, there was the significant decrease(p<0.05). 4. As the result of comparing lordosis of the FHRS group and FSRH group, there was not a significant difference before test(p>0.05). But, there was a significant difference after test(p<0.05).

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Two Cases of Plantar Fasciitis Treated with Magnetic Acupuncture

  • Yun, Gee Won;Kang, Jae Hui;Oh, Seo Young;Park, Jung Hwan;Lee, Hyun
    • Journal of Acupuncture Research
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    • v.34 no.1
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    • pp.89-96
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    • 2017
  • Objectives : The aim of the study was to ascertain the effectiveness of magnetic acupuncture in patients with plantar fasciitis. Methods : The patients were treated with magnetic acupuncture using a magnetic therapy stimulator (Whata 153), as well as with moxibustion therapy. Acupuncture treatment was conducted on the acupoints of Ashi-as well as on 太谿 (KI3), 崑崙 (BL60), and 委中 (BL40)-for 15 minutes. The intensity of pain was evaluated using the visual analogue scale (VAS), and the tenderness threshold (TT) was measured at each visit using an algometer. Results : After treatment, evaluation using the VAS had improved, as had the TT; furthermore, plantar fasciitis pain was reduced. Conclusion : Magnetic acupuncture relieved pain in plantar fasciitis. In further clinical study, more research on magnetic acupuncture is required.

Relationship between the radiographic parameters of the forefoot and plantar pressure in patients with hallux valgus (무지 외반증 환자에서 전족부의 방사선상의 지표들과 족저 압력의 관계)

  • Lee, Woo-Chun;Kwon, Kang-Jin;Chung, Ji-Hyun;Ko, Han-Suk
    • Journal of Korean Foot and Ankle Society
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    • v.7 no.1
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    • pp.36-40
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    • 2003
  • Purpose: To investigate the relationship between radiographic parameters of the forefoot and plantar pressure in patients with hallux valgus. Materials and Methods: Plantar pressures of 21 patients with hallux valgus were examined with EMED-ST system. The data were compared with the parameters on the simple weightbearing dorsoplantar radiographs of the feet. The radiographic parameters that were measured were hallux valgus angle, 1-2 intermetatarsal angle, relative lengths of the metatarsals which were measured with the methods described by Maestro et al. and Okuda et al. Results: Statistically significant correlation was found between peak pressures under 2, 3 metatarsal heads and the relative lengths of 2, 3 metatarsals which were measured with the method described by Maestro et al. However they could explain only 13% of the pressures under the 2, 3 metatarsal heads by multivariate analysis. Conclusion: These results suggest that we cannot predict the plantar pressures under the foot with the parameters on the simple weightbearing dorsoplantar radiographs of the feet.

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Effects of Upright Body Exercise on Postural Balance and Foot Plantar Pressure in Elderly Women

  • Kim, Chan-Hee;Lee, Joong-Sook;Yang, Jeong-Ok;Lee, Bom-Jin;Kim, Eui-Suk;Woo, Kyung-Hee;Park, Jin-Suk
    • Korean Journal of Applied Biomechanics
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    • v.27 no.1
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    • pp.59-66
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    • 2017
  • Objective: This study investigated the effect of a 16-week upright body exercise program on body balance and plantar pressure balance in elderly women. Method: The subjects included elderly women in B Metropolitan city who participated in an upright body exercise program twice weekly for 16 weeks. The subjects' physical characteristics (height, weight, body mass index [BMI]), posture balance, and foot plantar pressure were measured before and after the experiment. Results: The upright body exercise program showed positive changes in posture balance and foot plantar pressure balance in seven elderly women. Conclusion: The second version of the upright body exercise program improved and may prevent postural imbalance in elderly women. This program could be utilized to improve posture and foot balance in elderly persons.

A study on the ground reaction forces and plantar pressure variables in different safety shoes and applying insole during walking (안전화 형태와 Insole 착용 유무에 따른 보행동작시 하지부위에 대한 지면반발력과 압력분포 부하)

  • Kim, Jung-Jin;Choi, Sang-Bock;Cha, Sang-Eun
    • Journal of Korean Society of Occupational and Environmental Hygiene
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    • v.17 no.2
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    • pp.131-143
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    • 2007
  • The purpose of this study was to compare the ground reaction forces and plantar pressure variables among three different safety shoes (Type 1: ergonomically designed and high quality shoes, 2: curved and cushioned safety hoes, and 3: regular safety shoes) and to find the effect of insole during walking. Ten healthy subjects were recruited for this study. The ground reaction force was measured using a 3 dimensional motion analysis system. Plantar pressures were measured Pedar Mobile foot pressure scan system. The ground reaction force variables were not significantly different among three different shoe types and insole conditions. After insertion insole, plantar pressure distributions were improved. These results suggest that the type 1 safety shoes was superior than other safety shoes in the statistics, and applying insole could be a possible method to prevent fatigue of lower extremity and musculoskeletal disorders. Further studies are needed to find the effect of ergonomically designed safety shoes design and insole on practical value prevention of musculoskeletal disorder, fatigue and satisfaction of workers.

The Comparison of Plantar Pressure on Double Limb Support and Single Limb Support according to Soft Surface (연성면에 따른 양발지지와 한발지지 시 족저압 비교)

  • Lee, Jeon-Hyeong;Chung, Hyeung-Jae;Kim, Shin-Gyun
    • PNF and Movement
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    • v.11 no.2
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    • pp.95-102
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    • 2013
  • Purpose : The purpose of this study was to investigate a plantar pressure distribution and the trajectory of the center of pressure on double limb support and single limb support according to level surface, air cushion, and aero step. Methods : 21 healthy adults participated in this study. The plantar pressure were assessed at three different surface conditions(on the level surface, air cushion, and aero step) on double limb support and single limb support. Testing orders were selected randomly. Results : Plantar pressure distribution show a significant difference contact area 1 and contact area 3 on double limb support and single limb support. The trajectory of the center of pressure show an significant difference anteroposterior(AP), mediolateral(ML), and total displacement on double limb support and single limb support. Conclusion : Through the use of soft surface as air cushion and aero step will be using the ankle strategy. This will be to strengthen the muscles around the ankle. Consequently, should help to improve stability and coordination.

Comparison of the Changes in the Activation of the Quadriceps Muscle based on the Plantar Flexion Degree of the Ankle Joint in Healthy Young Females during the Stand-to-Sit movement

  • Sung-Min Son
    • The Journal of Korean Physical Therapy
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    • v.35 no.2
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    • pp.53-57
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    • 2023
  • Purpose: The purpose of this study was to compare the changes in the muscle activation of the quadriceps muscle (rectus femoris, vastus lateralis, vastus medialis) during the stand-to-sit (StandTS) movement according to the plantar flexion angle of the ankle joint. Methods: A total of 22 healthy young females participated in this study. During the StandTS under the three conditions (plantarflexion angle 0°, 20°, and 45° of the ankle), electromyography (EMG) data (% maximum voluntary iso¬metric contraction) of the rectus femoris, vastus lateralis, and vastus medialis were recorded using a wireless surface EMG system. Results: There was a significant difference in the muscle activation of rectus femoris, vastus lateralis, and vastus medialis according to the plantar flexion angle (0°, 20°, and 45°) of the ankle. The muscle activation of the quadriceps was the highest at a 45° angle of plantarflexion and the lowest at 0°. One-way repeated ANOVA was used to analyze the muscle activation data of the lower extremity muscles according to the angle of the ankle joint. Conclusion: Based on the results of our study, it was confirmed that the muscle activity of the quadriceps can be increased even in the StandTS movement, which involves the eccentric contraction of the quadriceps muscle. This suggests that maintaining a plantar flexion posture for a long time, say by wearing high-heeled shoes, can quickly cause muscle fatigue in the lower-limb muscles, which can cause a decrease in balance ability leading to falls.

Clinical Case Study on Plantar Fasciitis after Extracorporeal Shock Wave Treatment (체외충격파 시술 후 내원한 족저근막염 환자 치험 1례)

  • Chu, Min-Gyu;Choi, Jin-Bong;Kim, Whan-Young;Jeong, Il-Moon
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.23 no.1
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    • pp.232-236
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    • 2009
  • Plantar fasciitis is most common cause of heel pain which starts anterior tubercle of calcaneus. It is chronic inflamation of plantar fascia, reduces collagen and water content of heel pain which incur the degenerative changes with elastic fiber weakness. We treated one patient after extracorporeal shock wave treatment. We diagnosed him with X-ray and treated her conservative maneuver as to oriental medical method. We measured Vas(Visual analogue scale) and thermographic picture of both leg. Visual analogue scale is from 10 to 4 and thermographic picture of both leg were improved in cases.

Intractable Plantar Keratoses due to Interphalangeal Sesamoid Bone of the Hallux (A Case Report) (족무지 지관절 종자골에 의한 난치성 족저 각화증 (증례보고))

  • Chae, Soo Uk;Kim, Gang Deuk;Kim, Jong Yun;Cha, Myoung Soo
    • Journal of Korean Foot and Ankle Society
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    • v.17 no.3
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    • pp.239-242
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    • 2013
  • A sesamoid bone can occasionally be found under the interphalangeal joint of the hallux. These had anatomical variants and usually remain asymptomatic, it is uncommon for symptomatic cases of painful plantar keratoses or irreducible dislocation of interphalangeal joint of the hallux with incarcerated sesamoid. While the latter has a few cases, the former has not reported in Korea. We experienced a rare case of intractable plantar keratoses due to interphalangeal sesamoid bone of the hallux which may reqire excision.