• Journal of Korean Foot and Ankle Society
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• v.7 no.1
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• pp.30-35
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• 2003

Purpose: The purpose of this study was to evaluate the result of open wedge osteotomy at the anterior calcaneus with iliac bone graft (Evans procedure) for symptomatic flexible flatfeet in children. Materials and Methods: A retrospective study was conducted between October 1995 and September 2002. Six cases in 3 patients who had symptomatic flexible flatfeet was included. Follow-up averaged 39.5 months. We evaluated the patients' satisfaction by Mann and Reynolds scorring and compared the radiographic results between preoperative and final radiography. Results: The satisfaction outcomes at the last follow-up were excellent in five and good in one. The mean lateral talo-first metatarsal angle was improved from $-20^{\circ}$ to $-3^{\circ}$. The mean calcaneal inclination angle was improved from $8.5^{\circ}$ to $20.8^{\circ}$. The talo-navicular coverage angle was improved from $47.5^{\circ}$ to $7.5^{\circ}$. In one case, we found the subluxation of calcaneocuboidal jont in postoperative radiography. Conclusion: Open wedge osteotomy at the anterior calcaneus for symptomatic flexible flatfeet in children was considered as one of the effective treatment methods.

• The Journal of Korean Physical Therapy
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• v.31 no.1
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• pp.13-17
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• 2019

Purpose: This study examined the effects of flexible flatfeet on the accuracy of knee joint motions in closed and open kinetic chain tasks. Methods: Twenty-four healthy participants were recruited for this study. The subjects were divided into two groups using a navicular drop (ND) test: flexible flatfoot group (n=12, male: 6, aged $22.00{\pm}2.22years$) and age-matched control group (n=12, males: 6, aged $22.17{\pm}1.53years$). The accuracy of knee motion was measured quantitatively by tracing through the flexion and extension motion of the knee joints in the closed kinetic chain and the open kinetic chain. Results: There was a significant difference in the accuracy index between the groups in closed kinetic chain task, but there was no significant difference in the open kinetic chain task. In addition, there was a significant difference in the accuracy index between the closed kinetic chain and the open kinetic chain task in the flexible flatfoot group. In addition, a significant negative correlation was observed between the ND and accuracy index in the closed kinematic chain task, but there was no significant relationship between the ND and accuracy index in the open kinematic chain task. Conclusion: Flexible flatfeet can affect the accuracy of the adjacent joints, such as the knee joint in the closed kinematic chain.

• Journal of Korea Entertainment Industry Association
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• v.13 no.5
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• pp.195-201
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• 2019

The purpose of this study was to investigate effective intervention(Intrinsic foot muscle training and navicular mobilization) methods for flexible flat foot. 32 subjects were divided into two groups: intrinsic foot muscle training(IFMT) and navicular mobilization(NM). In both groups significant difference in navicular drop pre and post test(p<.01), significant difference between n the two groups (p<.01, 95% CI: .768-4.607). In both groups significant difference in Foot pressure distribution pre and post test(p<.01), significant difference between the two groups (p<.01, 95% CI: 3.404-14.90). The results of this study showed that the IFMT was more effective than that of the flexible flat foot. It would be possible to provide more effective interventions for patients with flat feet and also to prevent secondary musculoskeletal disorders due to flat feet.