• Korean Journal of Applied Biomechanics
• /
• v.14 no.2
• /
• pp.105-119
• /
• 2004

To enhance our understanding of the loads on the foot during treadmill running, we have used a pressure-sensitive insole system to determine pressure, rate of loading and impulse distributions on the plantar surface during treadmill running, both in minimally cushioned footwear and in cushioned shoes. This report includes pressure, rate of loading, impulse and contact time data from a study of ten subjects running on a treadmill at 4.0m/s. Among heel-toe runners, the highest peak pressures and highest rates of loading were observed under the centre of the heel and in the medial forefoot. The arch regions were only lightly loaded. Contact time was greater in the forefoot than in the heel. Two-thirds of the impulse recorded during the step was the result of forces applied through the forefoot, mostly in the region of the metatarsal heads. The distribution of loads in the shoe suggests that the load distributing properties of the cushioning system are most important in the centre of the heel, under the metatarsal heads and great toe. Shock attenuation is primarily required under the centre of the heel and to lesser extent under the metatarsal heads. Some energy dissipation may be desirable in the heel region because it causes shock to be absorbed with less force. All the 'propulsive' effort is applied through the forefoot. Therefore, this region should as resilient as possible.

• Journal of The Korean Society of Integrative Medicine
• /
• v.4 no.4
• /
• pp.21-32
• /
• 2016

Purpose: The purpose of this study was to identify whether task-related circuit exercise program combined with sensorimotor training for 4 weeks could improve the balance and gait in stroke patients. Method: Fifteen stroke patients who had agreed with the study were randomly divided into 3 groups categorized as task-related circuit exercise program combined with sensorimotor training group (experimental group 1, n=5), task-related circuit exercise program group (experimental group 2, n=5), and control subjects performed conventional physical therapy (control group, n=5). The balance and gait were assessed by BT-4 force platform system, Berg Balance Scale, 10meter Walk Test and Smart Step at before training and after training. Wilcoxon signed rank test was used to analyze change before and after intervention in intra-group. Kruskal Wallis H test, Mann-Whitney U test and Bonfferoni correction were used to analyze changes of all variables in inter-groups. Result: The experimental group 1 showed significant improvements in postural sway area, BBS scores, walking velocity and plantar pressures of affected foot, whereas the experimental group 2 showed significant improvements in BBS scores, and the control group were no significantly different in all variables following training. The changes of postural sway area and BBS scores in the experimental group 1 were significantly greater than them of the control group. The changes of postural sway area in the experimental group 1 was significantly greater than that of the experimental group 2. Conclusion: The result of this study suggest the task-related circuit exercise program combined with sensorimotor training is an effective intervention to improve balance and gait in stoke patients.