• Physical Therapy Korea
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• v.28 no.3
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• pp.168-176
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• 2021

Background: The foot is a complex body structure that plays an important role in static and dynamic situations. Previous studies have reported that altered foot posture might affect knee joint strength and postural stability, however their relationship still remains unclear. Objects: The purpose of this study was to identify whether pronated foot posture has an influence on knee isokinetic strength and static and dynamic postural stability. Methods: Forty healthy young males aged 18 to 26 years were included. Foot posture was evaluated using the Foot Posture Index-6 (FPI-6), and the subjects were divided into two groups according to their FPI-6 scores: a neutral foot group (n = 20, FPI-6 score 0 to +5) and a pronated foot group (n = 20, FPI-6 score +6 or more). Biodex Systems 3 isokinetic dynamometer was used to evaluate knee isokinetic strength and hamstring to quadriceps ratio at three angular velocities: 60°/sec, 90°/sec, and 180°/sec. The static and dynamic postural stability in a single-leg stance under the eyes-open and eyes-closed conditions were measured with a Biodex Balance System. Results: There were no significant differences between the groups in knee isokinetic strength and static postural stability (p > 0.05), but there was a significant difference in the medial-lateral stability index (MLSI) for dynamic postural stability under the eyes-closed condition (p = 0.022). The FPI-6 scores correlated significantly only with the dynamic overall stability index (OSI) and the MLSI (OSI: R = 0.344, p = 0.030; MLSI: R = 0.409, p = 0.009) under the eyesclosed condition. Conclusion: Participants with pronated foot had poorer medial-lateral dynamic stability under an eyes-closed condition than those without, and FPI-6 scores were moderately positively correlated with dynamic OSI and dynamic MLSI under the eyes-closed condition. These results suggest that pronated foot posture could induce a change in postural stability, but not in knee isokinetic strength.

• The Journal of Korean Physical Therapy
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• v.27 no.1
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• pp.24-29
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• 2015

Purpose: The purpose of this study was to investigate the effect of lower limb training using a sliding rehabilitation machine on the foot motion and stability in stroke patients. Methods: Thirty participants were allocated to two groups: Training group (n=15) and Control group (n=15). Subjects in the control group received physical therapy for 30 minutes, five times per week, and those in the training group received lower limb training using a sliding rehabilitation machine for 30 minutes, five times per week, with physical therapy for 30 minutes, five times per week, during a period of six weeks. Heel rotation, hallux stiffness, foot balance, metatarsal load, toe out angle, and subtalar joint flexibility were measured by RS-scan. Results: Significant improvement of the foot motion (hallux stiffness, meta load) and the foot stability (toe out angle, subtalar joint flexibility) was observed in the training group. Conclusion: This study demonstrated that lower limb training using a sliding rehabilitation machine is an effective intervention to improve the foot motion and stability.

• The Korean journal of sports medicine
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• v.36 no.4
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• pp.207-213
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• 2018

Purpose : The aim of this study was to investigate the effects of foot position on dynamic stability in female with genu varum. M ethods: Eight females with genu varum participated in this study and performed the four squat exercise methods that foot position ($-45^{\circ}$, $0^{\circ}$, $+45^{\circ}$) and $0^{\circ}$ squat with band. Center of pressure (COP; anterior-posterior, medial-lateral, traveled distance, ellipse area) and ground reaction force as dynamic stability were measured using footscan system. Multivariate analysis of variance and one-way repeated analysis of variance measurement with Tukey honestly significant difference were used to identify significant differences of foot angle ($-45^{\circ}$, $0^{\circ}$, $+45^{\circ}$) and $0^{\circ}$ squat with band method. Results: In anterior-posterior COP displacement, $-45^{\circ}$ foot angle and $0^{\circ}$ squat with band were significantly showed lower than $+45^{\circ}$ foot angle squat (p=0.006). Also, in COP traveled distance, $0^{\circ}$ squat was significantly showed lower than $+45^{\circ}$ foot angle (p=0.019). During the descending phase, ground reaction force significantly showed in -45 foot angle was lower than other exercise methods. Conclusion: The $0^{\circ}$ squat with band exercise showed higher dynamic stability and $+45^{\circ}$ foot angle squat exercise showed lower dynamic stability in female with genu varum.

• The Journal of Korean Physical Therapy
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• v.21 no.2
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• pp.97-101
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• 2009

Purpose: This study examined how the direction of carrying a load affects the foot stability and kinesiology while walking. Methods: The heel rotation, Hallux stiffness, foot balance, metatarsal load, toe out angle, subtalar joint flexibility were measured in 40 adults (men and women) who carried a load back and forth, walking on a 2-meter-long board. The measurement was carried out three times and the mean of the measurements was used to compare the difference between the front, back and the condition without a load. Results: While walking, heel rotation and hallux stiffness occurred most when a front load was applied compared to a back load or no load condition (p<0.05). A metatarsal load also appeared to be the highest with the frond load, but there was no significant difference in the balance of the whole foot. Both the toe out angle and subtalar joint flexibility appeared to increase significantly (p<0.05). Conclusion: Applying the front load causes subtalar joint instability and increases the plantar foot pressure imbalance during walking.

• 제어로봇시스템학회:학술대회논문집
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• 2002.10a
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• pp.105.2-105
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• 2002

$\textbullet$ Statically stable walk with COG(center of gravity) $\textbullet$ Dynamically stable walk with ZMP(zero moment point) $\textbullet$ Dynamically adaptational stable walk with FRI(foot ratation indicator) $\textbullet$ Simplified inverted pendulum model approach $\textbullet$ Analysis posture of biped's foot as passive joint $\textbullet$ Stability compensation method of FRI against falling down $\textbullet$ Simulation of ZMP and FRI to real biped robot IWR-III

• 제어로봇시스템학회:학술대회논문집
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• 2001.10a
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• pp.162.2-162
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• 2001

This paper presents the stability analysis of a biped robot IWR-III. We use a foot-rotation indicator(FRI) concept to reveal the degree of stability. The foot rotation can be a barometer of postural instability, which should be carefully treated in implementing a dynamically stable walk and avoided altogether in performing a statically stable walk. The conventionally mentioned zero moment point(ZMP) criterion may not be sufficient to express the stability of a biped robot. ZMP equation needs an assumption that the supporting foot is fixed firmly to the ground during the walking. Therefore, applying the FRI concept is more desirable when a biped robot is falling down ...

• Korean Journal of Applied Biomechanics
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• v.30 no.1
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• pp.7-16
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• 2020

Objective: It is to find factors related to stability through analysis of plantar pressure factors according to the level of instability when performing Snatch. Method: Foot pressure analysis was performed while 10 weightlifters performed 80% of the highest level of Snatch, and motion was classified and analyzed in 3 grades according to the level of instability. Results: First, in Bad Motion, the movement distance of the pressure center in the direction of ML and AP was larger significantly in Phase 2. Second, in Phase 2, the number of zero-crossing in the AP direction was larger statistically significantly in Good Motion. Third, in the bad motion in Phase 3, the number of zero-crossing in the ML direction showed a significantly larger value. Fourth, in Phase 4, it was found that the more stable the lock out motion, the greater the activity of foot controlling in the left and right directions. Fifth, Phase 3, the greater the Maximum/Mean foot pressure value, the more stable the pulling action. Sixth, in Phase 2, the foot pressure was concentrated with a wide distribution in the midfoot and rearfoot. Seventh, the triggering number of the forefoot region was small in the last pull phase. Eighth, the number of triggers in the toe area was significantly higher during Good Motion in Phase 4. Conclusion: Summarizing the factors of instability in Snatch, there was no significant difference in Phase 1 for each condition. In order to enhance the stability in Phase 2, the sensory control ability in the AP direction is required, and focusing the foot pressing motion with a wide distribution in the middle and rear parts increases the instability. In Phase 3, it was found that the more unstable, the more sensory control activity was performed in the ML direction, the stronger the forefoot pressing action should be performed for a stable Snatch. In Phase 4, It is important that the feet sensory control activity in ML directions and the control ability of the toes in order to have stable Lock out motion.

• Journal of Korean Foot and Ankle Society
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• v.24 no.4
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• pp.165-167
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• 2020

Failure to achieve stable fixation during surgery for a Lisfranc joint injury leads to subtle instability that causes dysfunction and posttraumatic osteoarthritis. Therefore, it is important to check for appropriate fixation during surgery. This paper reports a test that evaluates the joint instability dynamically during the open reduction of the Lisfranc joint and checks the stability after fixation. a Freer elevator was inserted into the interosseous area between the medial cuneiform and second metatarsal base, and a twisting force was applied to evaluate the dynamic instability of the Lisfranc joint. After fixation of the Lisfranc joint, the stability of the fixation could be tested by trying this maneuver with the Freer elevator. Overall, the Freer test can be considered a valuable test in open surgery for a Lisfranc joint injury.

• Journal of Korea Entertainment Industry Association
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• v.13 no.4
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• pp.369-375
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• 2019

This study looked at the effects of teratainment taping and footpad exercise on the improvement of flat foot in a university student. We divided it into flexible flat foot taping group(n=13), flexible flat foot exercise group(n=14), rigid flat foot taping group(n=12), rigid flat foot exercise group(n=13) through a navicular drop test. After one hour's application of teratainment taping and footpad exercise, the height change of navicular, balancing ability and postural stability were evaluated. Change in the height of the navicular was measured before and after intervention, and the balancing ability was measured timed up & go test, and the postural stability ability was evaluated for stability limits in shoulder-width double leg stance, narrow base double leg stance, tandem stance. According to result, there was a statistically significant difference in the left and right foot of the flexible tapping group, right foot of the flexible tapping group, right foot of the rigid tapping group in the change in the height of the navicular in comparison pre- and post- intervention(p<0.5). There were no statistically significant differences in pre- and post- intervention comparisons intragroup and intergroup in balancing ability. There was a statistically significant difference in flexible flat foot exercise group and rigid flat foot taping group in tandem stance in comparison pre- and postintervention in the postural stability(p<0.5). And there was a statistically significant difference in tendem stance of the flexible flat foot exercise group compared to the rigid flat foot exercise group(p<0.5). The results of this study show that teratainment taping and footpad exercise have a significant effect on the improvement of flat foot in adults. Therefore, it is recommended to apply teratainment taping and footpad exercise to improve flat foot.

• Journal of the Korean Society for Precision Engineering
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• v.28 no.4
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• pp.446-454
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• 2011

In terms of the anatomy and mechanics of the human foot, a flexible robot foot with toes and heel joints is designed for a bipedal walking robot. We suggest three design considerations in determining foot design parameters which are critical for walking stability. Those include the position of the frontal toe, the stiffness of toes and heels, and the position of the ankle joint. Compared with the conventional foot with flat sale, the proposed foot is advantageous for human-like walking due to the inherent structural flexibility and the reasonable parameter values. Simulation results are provided to determine the design parameters and also show that the proposed foot enables smaller energy consumption.