DOI QR코드

DOI QR Code

F-scan System을 이용한 4가지 가방휴대방법에 따른 보행 시 족저압의 변화 분석

Analysis of Changes in Plantar Pressure While Walking in 4 Positions to Carry a Bag using the F-scan System

  • 이준철 (경남정보대학교 물리치료학)
  • Lee, Jun-cheol (Dept. of physical Therapy, Kyungnam College of Information & Technology)
  • 투고 : 2018.10.06
  • 심사 : 2018.10.30
  • 발행 : 2018.11.30

초록

본 연구에서는 가방의 휴대 방법이 보행 시 족저압에 어떠한 변화를 일으키는지 알아보기 위하여 정상 성인 남녀 33명을 대상으로 가방을 휴대하지 않고 보행, 가방을 양쪽어깨에 메고 보행, 가방을 하나의 한쪽어깨에 메고 보행, 가방을 한쪽 손으로 들고 보행하기 등 4가지 조건에서 F-scan system을 이용해 족저압을 측정하였다. 실험을 통해 얻어진 족저압의 변화와 좌 우측 발에서의 비대칭성을 분석하였다. 네 가지 가방 휴대방식 간에 부위별 족저압을 비교해 본 결과 좌측 발은 족지와 중족을 제외하고 다섯 가지 조건 간에 유의한 차이를 보였고, 우측 발은 제4,5번 중족골두를 제외하고 모두 유의한 차이가 나타났다(P>.05). 이를 종합해 볼 때 가방을 등 뒤로 양쪽 어깨에 메는 방법을 제외하고는 어떤 방법이 발에 최소한의 부담을 주는 최선의 방법인지는 본 실험의 족저압 변화 양상을 통해서 판단하기에는 다소 부족한 면이 있다고 사료된다. 앞으로의 연구에서는 가방 휴대 방법에 따른 족저압의 변화에 대한 연구 및 비대칭성 부하가 측만증이나 후만증과 같은 비정상적 자세를 치료하는데 효과적으로 사용할 수 있는 방법에 대해서도 연구가 진행되어야 할 것이다.

With the aim of examining changes in plantar pressure while walking depending on the position of carrying a bag, this study measured the plantar pressure of 33 normal male and female adults using the F-scan System in four different positions to carry a bag: walking without carrying a bag; walking with carrying a bag on both shoulders; walking with carrying a bag on one shoulder; and walking with carrying a bag in one hand. Changes in the plantar pressure of the subjects obtained in this study and the asymmetry of the left and right feet were analyzed. The plantar pressure of the different areas of the feet in the four different positions to carry a bag was compared. The left foot, except its toes and metatarsus, showed a statistically significant difference among the five conditions, and the right foot, except its 4th and 5th caput metatarsalis, also showed a statistically significant difference (P>.05). Given the results of this study, this experiment to examine changes in plantar pressure does not seem to be enough to identify which position to carry a bag, except carrying a bag on both shoulders, would have the lowest negative impact on the feet. It will be necessary to conduct a follow-up study on changes in plantar pressure depending on the position of carrying a bag and methods that can effectively treat abnormal positions such as scoliosis and kyphosis using asymmetric loads.

키워드

GJMGCK_2018_v4n4_439_f0001.png 이미지

그림 1. 압력감지 센서를 부축한 스니커즈형 운동화 Figure 1. Sneakers equipped with pressure sensors

GJMGCK_2018_v4n4_439_f0002.png 이미지

그림 2. 가방 휴대하지 않고 보행 Figure 2. Walking without carrying a bag

GJMGCK_2018_v4n4_439_f0003.png 이미지

그림 3. 가방을 두 개의 스트랩을 이용하여 양쪽 어깨에 메고 보행 Figure 3. Walking with carrying a bag on both shoulders

GJMGCK_2018_v4n4_439_f0004.png 이미지

그림 5. 가방을 한쪽 손으로 들고 보행 Figure 5. Walking with carrying a bag in one hand

GJMGCK_2018_v4n4_439_f0005.png 이미지

Figure 6. 족저압의 7가지 측정 부위

GJMGCK_2018_v4n4_439_f0006.png 이미지

Figure 7. 족저압의 측정 면적(5×5 unit)

GJMGCK_2018_v4n4_439_f0007.png 이미지

그림 4. 가방을 하나의 스트랩을 이용하여 한쪽어깨에 메고 보행 Figure 4. Walking with carrying a bag on one shoulder

표 1. 휴대하는 가방 패턴에 따라 발의 7개 영역의 최고 압의 비교 Table 1. Comparison of the maximum pressure in 7 different areas of the feet depending on the position to carry a bag

GJMGCK_2018_v4n4_439_t0001.png 이미지

표 2. 가방을 메지 않고 보행 동안의 왼쪽과 오른쪽발간의 7개 영역의 최고 압의 비교 (Kpa/unit) Table 2. Comparison of the maximum pressure in 7 different areas of the left and right feet while walking without carrying a bag (Kpa/unit)

GJMGCK_2018_v4n4_439_t0002.png 이미지

표 3. 가방을 양쪽 어깨에 메고 보행 동안의 왼쪽과 오른쪽발간의 7개 영역의 최고 압의 비교 Table 3. Comparison of the maximum pressure in 7 different areas of the left and right feet while walking with carrying a bag on both shoulders

GJMGCK_2018_v4n4_439_t0003.png 이미지

표 4. 가방을 한쪽어깨에 메고 보행 동안의 왼쪽과 오른쪽발간의 7개 영역의 최고 압의 비교 (Kpa/unit) Table 4. Comparison of the maximum pressure in 7 different areas of the left and right feet while walking with carrying a bag on one shoulder (Kpa/unit)

GJMGCK_2018_v4n4_439_t0004.png 이미지

표 5. 가방을 한쪽 손으로 들고 보행 동안의 왼쪽과 오른쪽발간 의 7개 영역의 최고 압의 비교 (Kpa/unit) Table 5. Comparison of the maximum pressure in 7 different areas of the left and right feet while walking with carrying a bag in one hand (Kpa/unit)

GJMGCK_2018_v4n4_439_t0005.png 이미지

참고문헌

  1. Moon SU. Whole body kinesiology mechanism, General coordinative manipulation. Daehakseolim Ltd. 2003.
  2. Ahn, JS. The effects of asymmetric load of shoulder bag on trunk and pelvis movement patterns of normal adult during gait. The Graduate School of Health and Environment. Yonsei university, Master's thesis, 2006.
  3. Lee GC, Kim JH, Beak SK, Oh KT, Yoon SH et al. Effects of cross bag and shoulder bag on foot pressure. Journal of Korean Society of Health Sciences. Vol. 8, No. 1. 23-34. 2011.
  4. Kim SK, Lee BH. Biomechanical analysis of gait cycle in the obese children. Korean Journal of Sport Biomechanics, Vol. 14, No. 1, 199-205. 2013.
  5. Kim MH. Changes in neck muscle electromyography and forward head posture during carrying of various schoolbags by children. Yonsei university, Master's thesis. 2006.
  6. Kim, CK, Shin, DM. Kinematic analysis of book bag weight on gait cycle and posture of youth. Journal of Sport and Leisure Studies, Vol.3, 175-185, 1995.
  7. Woo, DP. An Analysis of gait characteristics and physiological loads on carrying tasks. Donga university, Doctor's thesis, 2001.
  8. Knapik J, Harman E, Reynolds K. Load carriage using packs: A review of physiological, biomechanical and medical aspects. Applied Ergonomics. Vol. 27, No. 3, 207-216. 1996. https://doi.org/10.1016/0003-6870(96)00013-0
  9. Weir E. Avoiding the back-to-school backahe. CMAJ, Vol. 167, No. 6, 669.-710. 2002. https://doi.org/10.1097/00130561-199409020-00003
  10. Oh CH, Choi SN. Effects of the length of schoolbag string on gait postrue. Journal of Sport and Leisure Studies. Vol. 30, No. - , 619-629, 2007.
  11. Matsuo T, Hashimoto, M, Koyanagi, M, Hashizume, K. Asymmetric load-carrying in young and elderly women: Relationship with lower limb coordination. Gait & Posture, Vol. 28, No. 3, 517-520, 2008. http://dx.doi.org/10.1016/j.gaitpost2008.02.001
  12. Kim K, Park YH, Bae SS. Intermachine Validity and Reliability of The F - mat and F - scan. Journal of Korean Society of Physical Therapy. Vol. 12, No. 2,. 29-37. 2000.
  13. Yoon MJ. Effects of metatarsal pad is walking, impact on the maximum pressure front of the ankle. Kyeongki university, Master's thesis. 2007.
  14. Han TR, Paik NJ, Im MS. Quatificaton ofthe path of center of pressure(COP) using an F-can in-shoe transducer. Gait & Posture. Vol. 10, 248-254. 1999. https://doi.org/10.1016/0966-6362(96)80601-1
  15. Hessert MJ, Vyas M, Leach J, Hu K, Lipsitz LA, Novak V. Foot pressure distribution during walking in young and old adults. BMC Geriatrics. Vol. 5, No. 8, 1-8, 2005. https://doi.org/10.1186/1471-2318-5-8
  16. Lee CY. Clinical correlation of the motor symptoms with parkinson's disease and foot scan. Korea university, Master's thesis. 2006.
  17. Kim, JH. Effects of virtual reality program on balance, gait and brain activation patterns in stroke patients. Graduate School of Daegu University, Doctor's thesis, 2005.
  18. Yang DC, Janf SH, Choi GS, Kim CS, Park SJ. Comparison of peak plantar pressure between bare foot and in-shoe in diabetic patients. Annals of Rehabilitation Medicine. Vol. 27, No. 4, 600-604. 2003.
  19. Park US, Park CI, Kim JU, Park KW, Kim UJ. Foot pressure distribution and path of center of pressure(COP) of foot during ambulation in the children with spastic cerebral palsy. Annals of Rehabilitation Medicine. Vol. 26, No. 2, 127-132. 2002.
  20. Park, CI, Bae HS, Ko YH, Kim YH, Park JW, Lee JW. The characteristics of foot pressure in children with mild spastic diplegic cerebral palsy related to medial arch formation. Annals of Rehabilitation Medicine. Vol. 27, No. 1, 33-37. 2003.
  21. Mueller MJ, Strube MJ. General izability of in-sole peak pressure measures using the F-scan system. Clinical Biomechanics. Vol. 11, No. 3, 159-164. 1996. https://doi.org/10.1016/0268-0033(95)00047-x
  22. Randolph A, Nelson M, Akkapeddi S, Levin A. Reliability of measurements of pressures applied on the foot during walking by a computerized insole sensor system. Arch Phys Med Rehabil. Vol. 81, 573-578. 2000. https://doi.org/10.1016/s0003-9993(00)90037-6
  23. Lee, TJ. The comparative analysis of the foot pressure by various carrying a pack methods during walking. Kyungsung university, Mater's thesis. 2010.
  24. Moon HW, Park SI, Na UW, Lee IY, Lim SY, Kim JH. Foot pressure measurement using F-scan system in normal Korean adults F-scan system. Annals of Rehabilitation Medicine. Vol. 19, No. 2, 289-295. 1995.
  25. Kim TH, Kim BG. The change of plantar pressure and range of motion of ankle joint according to treadmill gradients. Journal of Korean Academy of Orthopaedic Manual Therapy. Vol. 14 No. 1. 39-47. 2008.
  26. Kobayashi N, Warabi T, Kato M, Kiriyama K, Yoshida T, Chiba S. Posterior-anterior body weight shift during stance perios studied by measuring sole-floor reaction forces during healthy and hemiplegic human walking. Neuroscience Letter. Vol. 399, 141-146. 2006. https://doi.org/10.1016/j.neulet.2006.01.042
  27. Resch S, Apelqvist J, Stenstrӧm A, Astrom I. Dynamic plantar pressur measurement in 49 patient with diabeticneuropathy-103-with or without foot ulcers. Foot & Ankle Surgery. Vol. 3, 165-174. 1997. https://doi.org/10.1016/s1268-7731(97)80015-x
  28. Park SJ. The analysis the changes of foot pressure by various carrying a pack methods during walking. Daegu university, Mater's thesis. 2009.
  29. Macias BR, Murthy G, Chambers H, Hargens AR. Asymmetric loads and pain associated with backpack carrying by children. J Pediatr Othop, Vol. 28, No.5, pp. 512-517, 2008. DOI: http://dx.doi.org/10.1097/BPO.0b013e31817d8143 crossref(new window)
  30. Holewijn M. Physiological strain due to load carrying. European Journal of Applied Physiology, Vol. 61, pp.237-245, 1990. DOI: http://dx.doi.org/10.1007/BF00357606 crossref(new window)
  31. Defrin B, Benyanmin SB, Dov Aldubi R. Conservative correction of leg-length discrepancies of 10mm or less for the relief of chronic low back pain. Arch Phys Med Rehabil. Vol. 86, No. 11, 2075-2080. 2005. https://doi.org/10.1016/j.apmr.2005.06.012
  32. Cottalorda J, Rahmani A, Diop M, Gautheron V, Ebermeyer E. Influence of school bag carrying on gait kinetics. J Pediatr Orthop B. Vol. 12, No. 6, 357-364. 2003. https://doi.org/10.1097/01202412-200311000-00001
  33. Crowe A, Samson MM. 3-Danalysis ofgait: The effects upon symmetry of carrying a load in one hand. Human Movement Science. Vol. 16, 357-365. 1997. https://doi.org/10.1016/s0167-9457(96)00061-9
  34. Negrini, A, Negrini, S. Postural effects of symmetrical and asymmetrical loads on the spines of school children. Scoliosis. Vol. 2, No. 8, 1-7, 2007. https://doi.org/10.1186/1748-7161-2-8
  35. Neumann, DA. Kinesiology of musculoskeletal system; Foundations for rehabilitation, 2nd ed. St. Louis, Mosby/Elsevier. 2010
  36. Chansirinukor W, Wilson D, Grimmer K, Dansie B. Effects of backpacks on students: measurement of cervical and shoulder posture. The Australian Journal of Physiotherapy. Vol. 47, No. 2, 110-116. 2002. https://doi.org/10.1016/s1443-8461(01)80019-8