• 디지털융복합연구
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• 제17권1호
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• pp.423-432
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• 2019

본 연구의 목적은 요추 척추관협착증 환자에게 쿠션 인솔을 착용하게 하여서 요추의 유연성과 운동능력에 미치는 영향에 대하여 연구하는 것이다. 요추 척추관협착증이 있는 26명의 환자를 실험군 13명과 대조군 13명으로 무작위로 배치하였다. 참가자들은 6 주간 하루 2 시간 동안 쿠션인솔을 착용하게 하였다. 실험군은 8mm, 대조군은 4mm 쿠션인솔을 맹검법으로 착용하도록 하였다. 실험군의 굴곡능력 검사에서 $3.38{\pm}3.12$의 유의미한 증가(p<0.05)를 보였으나 다른 검사에서는 통계적으로 유의미하지 않았다(p>0.05). 결론적으로 쿠션인솔은 요추 척추관협착증 치료를 위한 중재의 방법으로 적합하지 않았다. 차후에 인솔의 높이나 재질을 다르게 하여 더 연구할 필요성이 있다.

• 한국운동역학회지
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• 제28권3호
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• pp.165-173
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• 2018

Objective: The purpose of this study is to provide biomechanical basis data for the analysis of the maximum vertical ground reaction force, the maximum plantar pressure, the average plantar pressure, and the contact area according to the type of the insole through the insole insertion type foot pressure gauge. Method: In the treadmill, the slope was set at 10%, the first type A was worn at a walking speed of 3.5 km / h, and then walking was carried out using B, C, and D types. Data from 20 boots with consistent walking were extracted and plantar pressure data were collected and analyzed. Results: Functional insole was more effective than conventional insole for maximum vertical ground reaction force, maximum plantar pressure, average plantar pressure, and contact area at 10% of treadmill ramps. Conclusion: In this study, D-type insole supports the cushion in the middle part and supports the heel cup with hardness in the hind part, so that it is the most effective insole by lowering the plantar pressure and dispersing it more widely.

• Journal of Yeungnam Medical Science
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• 제36권2호
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• pp.92-98
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• 2019

Forefoot disorders are often seen in clinical practice. Forefoot deformity and pain can deteriorate gait function and decrease quality of life. This review presents common forefoot disorders and conservative treatment using an insole or orthosis. Metatarsalgia is a painful foot condition affecting the metatarsal (MT) region of the foot. A MT pad, MT bar, or forefoot cushion can be used to alleviate MT pain. Hallux valgus is a deformity characterized by medial deviation of the first MT and lateral deviation of the hallux. A toe spreader, valgus splint, and bunion shield are commonly applied to patients with hallux valgus. Hallux limitus and hallux rigidus refer to painful limitations of dorsiflexion of the first metatarsophalangeal joint. A kinetic wedge foot orthosis or rocker sole can help relieve symptoms from hallux limitus or rigidus. Hammer, claw, and mallet toes are sagittal plane deformities of the lesser toes. Toe sleeve or padding can be applied over high-pressure areas in the proximal or distal interphalangeal joints or under the MT heads. An MT off-loading insole can also be used to alleviate symptoms following lesser toe deformities. Morton's neuroma is a benign neuroma of an intermetatarsal plantar nerve that leads to a painful condition affecting the MT area. The MT bar, the plantar pad, or a more cushioned insole would be useful. In addition, patients with any of the above various forefoot disorders should avoid tight-fitting or high-heeled shoes. Applying an insole or orthosis and wearing proper shoes can be beneficial for managing forefoot disorders.