Plantar Pressure Distribution Characteristics of Hallux Valgus

엄지 발가락외반증환자의 발바닥 압력분포 특성

  • Published : 1997.12.01

Abstract

We undertook this study to determine the plantar pressure distribution characteristics of hallux valgus, major increasing foot disease. Twenty three valgus Patients were evaluated with clinical examinations, radiologic studies and dynamic plantar pressure distribution measurements. The present study also suggested a masking method for detailed analyses on plantar pressure distribution measurements. With higher grade of hallux valgus, pressure, contact area, and impulse on metartasus are significantly increased Pressure concentration is very important in foot diseases and an approximate plantar pressure distribution should be considered on any shoe design.

증가하고 있는 주요 족부질환인 엄지발가락외반증의 특성을 이해하기 위하여 본 연구를 수행하였다.23명의 엄지발가락외반증 환자들에 관한 방사선학적 연구와 함께 자유보행시의 족저압력분포를 측정하였다. 또한 본 연구에서는 족저압력 분포를 상세히 분석하기 위한 해부학적으로 적절한 구역설정을 제시하였다. 족저압력분포를 측정한 결과, 엄지발가락외반증이 심한 환자일수록 중족골 부위의 압력, 접촉면 적과 시간, 충격량 등이 현저하게 증가함을 알 수 있었다. 엄지발가락외반증은 신발의 선정이 잘못됨에 의하는 경우가 적지 않았다. 족저압력집중은 족부질환에 있어서 매우 중요하므로, 신발의 설계에 있어서 적절한 족저압력분포를 고려하여야 한다.

Keywords

References

  1. J. Sammaroco(1st ed.) Osteoarthritis and static deformity of the forefoot. In Foot and ankle manual C. C. Frey;G. J. Sammarco(ed.)
  2. St. Louis, Mosby Year Book Disorders of the hallux, In Campbell's operative orthopaedics E. G. Groiso;A. H. Crenshow(8th ed.)
  3. 대한재활의학회지 v.19 no.1 족문 검사에 의한 발바닥 내측 종아치의 평가에 관한 연구 김태경;박시복;이강목
  4. 대한재활의학회지 v.18 no.3 류카티스 관절염 환자의 무지외반증에 관한 연구 김태경;김민호;권순호;박시복;이강목
  5. Foot Ankle v.7 no.5 Pressure distribution under symptom-free feet during barefoot standing P. R. Cabanagh;M. M. Rodgers;A. Liboshi
  6. J. Bone Joint Surg. v.74A Juvenile hallux valgus J. A. Groiso
  7. Foot Ankle v.11 no.5 Pressure distribution paterns under the feet of children in comparison with adults E. M. Hennig;A. Staats;D. Rosenbaum
  8. Foot Ankle v.15 no.1 plantar pressure distribution patterns of young school children in comparison to adults E. M. Hennig;A. Staats;D. Rosenbaum
  9. Clin. Orthop Rel. Res. v.311 Gait asymmetry following successful surgical treatment of ankle fractures in young adults H. P. Becker;D. Rossenbaum;T. Kriee;H. Gerngros;L. Claes
  10. Foot Ankle v.15 no.4 Gait analysis and dynamic foot pressure in the assessment of treated clubfoot T. Widhe;L. Berggren
  11. Foot Ankle v.15 no.4 Forefoot arthroplasty and changes in plantar foot pressure A. Phillipson;S. Dhar;K. Linge;C. McCabe;L. Klenerman
  12. J. Prosth. Ortho. v.4 no.2 Effect of tone-inhibiting dynamic ankle-foot orthosis of the foot-inhibiting dynamic ankle-foot orthosis on the foot-loading pattern of a hemiplegic adult: a preliminary study K. Mueller;M. Cornwell;T. McPoil;D. Mueller;J. Barnwell
  13. J. Am. Podiat. Med. Asso. v.81 no.6 Dynamic pressure analysis of the diabetic Charcot foot L. Wolfe;R. M. Stesss;P. M. Graf
  14. J. Am. Podiat. Med. Asso. v.81 no.12 Rigid versus soft foot orthoses:a single subject design T. C. McPoil;M. W. Cornwell
  15. Emed-SF4 manual Novel GmbH
  16. The Foot v.2 In-shoe plantar pressure measurment:a review P. R. Cavanagh;F. G. Hewitt;J. E. Perry
  17. Clin. Biomech. v.6 no.1 Reliability of pressure measurement : the Emed SF system J. Hughes;L. Pratt;K. Linge;P. Clark;L. Klenerman
  18. The Lower Extremity v.2 no.2 A comparison of two in-shoe plantar pressure measurement systems T. G. McPoil;M. W. Cornwell;W. Yamada
  19. Foot Ankle v.13 no.5 A method for measuring foot pressures using a high resolutions, computerized insole sensor : The effect of heel wedges on plantar pressure distribution and center of force N. E. Rose;L. A. Feiwell;A. cracchiolo