Korean Journal of Applied Biomechanics (한국운동역학회지)

Korean Society of Applied Biomechanics (한국운동역학회)
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Plantar Hypoesthesia Alters Gait Kinematics Pattern in Individuals with and without Chronic Ankle Instability

만성 발목 불안정성 환자군과 정상인 군의 발바닥 감각기능 저하에 따른 운동학적 보행 패턴의 변화

  • Kang, Tae Kyu (Graduate School of Physical Education, Yonsei University) ;
  • Lee, Sae Yong (Graduate School of Physical Education, Yonsei University) ;
  • Lee, Inje (Graduate School of Physical Education, Yonsei University) ;
  • Kim, Byong Hun (Graduate School of Physical Education, Yonsei University) ;
  • Jeong, Hee Seong (Graduate School of Physical Education, Yonsei University) ;
  • Kim, Chang Young (Division of Sports, Myong-Ji University)
  • Received : 2020.08.31
  • Accepted : 2021.05.12
  • Published : 2021.06.30
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Abstract

Objective: The purpose of this study was to identify the effect of reduced plantar cutaneous sensation on gait kinematics during walking with and without CAI. Method: A total of 20 subjects involved in this study and ten healthy subjects and 10 CAI subjects participated underwent ice-immersion of the plantar aspect of the feet before walking test in this study. The gait kinematics were measured before and after ice-immersion. Results: We observed a before ice-immersion on plantar cutaneous sensation, CAI subject were found to reduced ankle dorsiflexion, knee external rotation, hip adduction, and internal rotation compared to control subject. After ice-immersion, CAI subjects were found to reduce knee external rotation, hip adduction. However, no significant ankle joint kinematics. Conclusion: While walking, gait pattern differences were perceived between groups with and without plantar cutaneous sensation. The results of the study may explain the abductions in the hip angle movements in CAI patients at initial contact compared to healthy subjects in the control group when plantar cutaneous sensation was reduced. A change in proximal joint kinematics may be a conservative strategy to promote normal gait patterns in CAI patients.

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References

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