• The Journal of Korean Physical Therapy
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• 제29권4호
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• pp.153-157
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• 2017

Purpose: The purpose of this study was to investigate the effect of self-postural control on foot pressure in subjects with forward head posture. Methods: Forty-two healthy adults were recruited in this study. Participants were divided into two groups: The forward-head postural (FHP) group (craniovertebral angle<$53^{\circ}$, n=22) and the control group (craniovertebral angle${\geq}53^{\circ}$, n=20). In the FHP group, foot pressure was measured using three different standing postures: Comfortable standing posture (CSP), subjective neutral standing posture (SNSP), and neutral standing posture with visual feedback (NSP-VP). Each position was performed in random order. In the control group, foot pressure was measured only using the comfortable standing posture. Results: With respect to CSP and SNSP, there was a significant difference on heel pressure between the two groups (p<0.05). Regarding NSP-VP, however, there was no significant differences on heel pressure between the two groups (p>0.05). Conclusion: We suggest that cervical posture control using visual feedback has a positive effect on the distribution of foot pressure in subjects with forward head posture.

• The Journal of Korean Physical Therapy
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• 제21권2호
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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.

• 대한물리의학회지
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• 제9권4호
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• pp.407-413
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• 2014

PURPOSE: We investigated the influence of heel insole and visual control on body sway index with high-heeled shoes. METHODS: The subjects of this study were 61 healthy students. None of the participants had any orthopedic or neurologic alterations. C90 area, C90 angle, trace length, sway average velocity were measured using a force plate by BT4. The variables were measured both with insole and without insole when wearing high-heeled shoes under the conditions of eyes open and eyes closed. The collected data were analyzed using the Kolmogorov-Smirnov test and paired t-test. RESULTS: When wearing high-heeled shoes with insole under the conditions of eyes open, trace length, C90 area, velocity were significantly more decreased than without insole (p<.01). When wearing high-heeled shoes with insole under the conditions of eyes closed, only C90 area was significantly more decreased than without insole (p<.05). When wearing high-heeled shoes with insole under the conditions of eyes open, trace length, C90 area, velocity were significantly more decreased than under the conditions of eyes closed (p<.01). CONCLUSION: The present study demonstrates that the use of high-heeled shoes with insole supported from heel to midfoot more increased static balance than without insole under the conditions of eyes open.

• The Journal of Korean Physical Therapy
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• 제25권5호
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• pp.297-302
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• 2013

Purpose: This study was conducted in order to investigate the kinematic gait parameter of lower extremities with different gait conditions (level walking, stair, ramp) in hemiplegic patients. Methods: Ten hemiplegic patients participated in this study and kinematic data were measured using a 3D motion analysis system (LUKOtronic AS202, Lutz-kovacs-Electronics, Innsbruk, Austria). Statistical analysis was performed using one-way repeated measure of ANOVA in order to determine the difference of lower extremity angle at each gait phase with different gait conditions. Results: Affected degree of ankle joint in the heel strike phase showed significant difference between level walking and climbing stairs, and toe off phase showed significant difference between level walking and climbing stairs, ramps, and climbing stairs. Affected degree of knee joint showed no significant difference in all attempts. Affected degree of hip joint in the toe off phase showed significant difference between level walking, ramps and stairs, and climbing ramps. Swing phase showed significant difference between sides for level walking and stairs, climbing ramps. Affected ankle joint of heel strike and toe off, and affected hip joint of toe off and the maximum angle of swing phase in the angle was increased. Unaffected side of the ankle joint, knee joint, and hip joint showed a significant increase in walking phase. Conclusion: These findings indicate that compared with level walking, different results were obtained for joint angle of lower extremity when climbing stairs and ramps. In hemiplegia patient's climbing ramps, stairs, more movement was observed not only for the non-affected side but also the ankle joint of the affected side and hip joint. According to these findings of hemiplegic patients when climbing stairs or ramps, more joint motion was observed not only on the unaffected side but also on the affected side compared with flat walking.

• 한국운동역학회지
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• 제15권4호
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• pp.153-168
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• 2005

The purposes of this study were to determine the influence of midsole hardness and sole thickness of sports shoes on ball flex angle and position with increment of running velocity. The subjects employed for this study were 10 college students who did not have lower extremity injuries for the last one year and whose running pattern was rearfoot striker of normal foot. The shoes used in this study had 3 different midsole hardness of shore A 40, shore A 50, shore A 60 and 3 different sole thickness of 17cm, 19cm, 21cm. The subjects were asked to run at 3 different speed of 2.0m/sec, 3.5m/sec, 5.0m/sec and their motions were videotaped with 4 S-VHS video cameras and 2 high speed video cameras and simultaneously measured with a force platform. The following results were obtained after analysing and comparing the variables. Minimum angle of each ball flex position were increased with the increment of running velocity and shoe sole thickness(P<0.05), but mid-sole hardness did not affect minimum ball flex angle. The position which minimum angle was shown as smallest was 'D'. Midsole hardness and sole thickness did not affect time to each ball flex minimum angle, total angular displacement of ball flex angle, and total angular displacement of torsion angle(P<0.05). The position which minimum angle was appeared to be earliest was similar at walking velocity, and E and F of midfoot region at running velocity. Total angular displacement of ball flex position tended to increase as shifted to heel. It was found that running velocity had effects on ball flex angle variables, but shoe sole thickness partially affected. It would be considered that running velocity made differences between analysis variables at walking and running when designing shoes. Also, it was regarded that shoes would be developed at separated region, because ball flex angle and position was shown to be different at toe and heel region. It is necessary that midsole hardness and thickness required to functional shoes be analyzed in the further study.

• 복식
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• 제52권2호
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• pp.71-80
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• 2002

The purpose of this study was to examine the correlation between the shape of the foot and foot abrasion. and to provide preliminary data for shoe manufacturing by comparing the length of a woman's feet and the shoe size. The Martin calibrator and measuring tapes were utilized to measure the shapes of 163 female college students' feet. Indirect measurements were also obtained by line drawing of the feet for additional analysis. Brief questionnaires about what type of shoes are worn were given to the subjects of the study. Data analysis was presented by frequency, percentage, and standard deviations. Factor analysis and correlation co-efficiency of data was conducted on the significance level of p〈.05. The results of the study are as follows (1) The average number of days per week in which the subjects wear ladies' shoes per week were 4.5. Little over half of the subjects (53.87% ) answered that they wear heeled shoes for more than 8 hours per day. The most preferred height of a ladies'shoe heel was between 2 cm and 4 cm, as replied by 41.0% of the subjects. (2) The foot area where abrasion occurs most often was around the heel (51.2%) and the middle part of the sole (50.9%) (3) Factors correlated to the heel abrasion included the circumference and the breadth of the foot. The abrasion on the side of the first toe of mid-sized feet was most affected by the angle of the first the and inner foot line. The height of the foot heel was a significant factor for the abrasion near the anklebone. In conclusion, the abrasion resulted from the inappropriate fitting of the shoe and the foot. Also, the circumference and the width factors were more influential rather than the foot length. Therefore, more database on this should be systemized and available to the footwear manufacturers and the customers for more practical use of shoe size and public education.

• 대한의용생체공학회:의공학회지
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• 제35권3호
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• pp.35-41
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• 2014

In this study, joint angles of the lower extremity and inertial sensor data such as accelerations and angular velocities were measured during a ski simulator exercise in order to evaluate the skill of skiers. Twenty experts and twenty unskilled skiers were recruited for the study. All expert skiers held the certificates issued by the Korea Ski Instructors Association. A three-dimensional motion capture system and two inertial sensors were used to acquire joint movements, heel acceleration and heel angular velocity during ski simulator exercises. Pattern variation values were calculated to assess the variations in ski simulator motion of expert and unskilled skiers. Integral ratio of roll angular velocity was calculated to determine the parallel alignment of the two feet. Results showed that ski experts showed greater range of motion of joint angle, peak-to-peak amplitude(PPA) of heel acceleration and PPA of heel angular velocity than unskilled skiers. Ski experts showed smaller pattern variations than unskilled skiers. In addition, the integral ratio of roll angular velocity in ski experts was closer to 1. Inertial sensor data measurements during the ski simulator exercises could be useful to evaluate the skill of the skier.

• 한국콘텐츠학회논문지
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• 제9권12호
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• pp.674-682
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• 2009

본 연구는 편마비 환자에게 수중 걷기 훈련이 미치는 영향에 대해 알아보고자 10주간 수중 걷기 훈련과 지상 걷기 훈련 후 족저압, 거골하관절의 움직임, 보향각, 보행 속도를 측정하였다. 대상자는 20명으로 수중걷기 훈련 그룹(n=10)이 엄지발가락 영역, 뒤꿈치영역, 발허리부분의 족저압이 유의하게 증가하였고, 거골하관절의 움직임과 보향각이 안정화되었으며, 보행 속도 또한 증가함을 보였다. 보행 속도의 증가와 거골하 관절의 움직임 안정화와 보향각의 감소는 수중 걷기가 편마비 환자의 보행 속도 뿐만아니라 보행의 안정화에도 영향을 미친다고 생각되어진다. 또한 엄지발가락 영역과 뒤꿈치 영역의 족저압 증가는 보행시 뒤꿈치 닿기와 발가락 밀기 동작의 회복으로 해석되어진다. 이와 같은 결과로 볼때, 현재 사용되고 있는 치료사에 의한 전문적인 물리치료를 받지 못하는 환자들의 경우 스스로 수중 걷기 훈련만으로도 지상 걷기에 비하여 많은 효과를 볼 수 있을 것으로 기대된다.

• 대한인간공학회지
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• 제18권2호
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• pp.57-69
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• 1999

The primary objective of this research was to suggest the design dimensions of automotive seating package that has an important effect upon seating package design. To conduct the research, a set of manikin dimensions that are representative for Korean was determined by using a statistical scheme. With these dimensions, we generated nine manikins for male and female, respectively. Also, the preferred driving posture was investigated using the experimental setup. To find each joint angle for subjects, a driving monitoring system was developed and a three dimensional motion analysis system was employed. The joint angle for the subject was established and compared with related literature. With the generated manikins and each joint angle, the driving posture was simulated by using SAFEWORK that is a program to generate manikins. The positions and adjustable ranges from the accelerator heel point to the hip point and the steering wheel center point that are important variables in order to design seating package were suggested. Further research is needed to determine the seating package dimensions three dimensionally.

• 한국운동역학회지
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• 제17권2호
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• pp.113-121
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• 2007

The purpose of this study was to determine the effect of three different plates($0^{\circ}$, $10^{\circ$}, $20^{\circ}$)under heels on the lower limb muscles and erector spinae during squat exercise. Ten high school korean traditional wrestling players(age: $18.5{\pm}0.7$, weight: $1972.2{\pm}128.5N$, height: $177.8{\pm}6.0cm$, weight of barbell: $1004.5{\pm}132.4N$) performed squat exercise using three different tilting plates under heels at a cadence of 40beats/sec with 80% one repetition maximum load. Surface electrodes were placed on the participants' left and right erector spinae, and rectus femoris, vastus medialis, vastus lateralis, tibialis anterior, biceps femoris, medial gastrocnemius, and lateral gastrocnemius in the right lower extremity. One S-VHS camcorder(Panasonic AG456, 60fields/s) was placed 10m to the side of the participant. To synchronize the video and EMG data, a synchronization unit was used for this study. Average and Peak IEMG values were determined for each participant. For each variable, a one-way analysis of variance was used to determine whether there were significant differences among three different tilting plates under heels. When a significant difference was found in plates type, post hoc analyses were performed using the Tukey procedure. A confidence level of p<.05 was used to determine statistical significance. As a result of this study, maximum nEMG values of the tibialis anterior in $0^{\circ}$ plates was significantly higher than the corresponding values for the other plates during the knee extension. This increased activation in the tibialis anterior muscle indicates an increase in displacement of center of gravity of body. It is very likely that additional muscle activation are needed to stop the forward and backward movement. The results also showed that muscular activities of quadriceps femoris and erector spinae were decreased with increasing angle of plates. This suggests that increasing angle of plate may help to sustain the balance and posture of squat exercise. It is considered that very few significant differences were found among three different plates($0^{\circ}$, $10^{\circ}$, $20^{\circ}$) since elite players with much experience in squat exercise, were chosen as a participant of this study. In order to obtain meaningful results regarding the tilting angle of heel plates in squat exercise, kinetic and 3D kinematic analysis will be needed in the future study.