• Journal of Korean Medicine Rehabilitation
• /
• v.18 no.2
• /
• pp.111-118
• /
• 2008

Objectives : Plantar fasciitis is most common cause of heel pain which starts from anterior tubercle of calcaneus. It is chronic inflamation of plantar fascia, reduces collagen and water content of heel pad which incur the degenerative changes with elastic fiber weakness. We have evaluated the effect of myofacial releasing therapy and acupuncture therapy by experimenting two patients suffering from plantar fasciitis. Methods : Two patients were diagnosed as plantar fasciitis through their symptoms. We used myofacial releasing therapy and acupuncture therapy to the patients and measured VAS(Visual analogue scale). Results and Conclusions : After treating myofacial releasing therapy and acupuncture therapy in two cases, We figured out that the patients were on the mend. These results suggest that myofacial releasing therapy and acupuncture therapy were effective to heel pain.

• Korean Journal of Applied Biomechanics
• /
• v.23 no.3
• /
• pp.225-233
• /
• 2013

The purpose of this study was to estimate the potential injury via analyzing ground reaction force components that were resulted from a prolonged-run-induced fatigue. For the present study, passive and active components of the vertical ground reaction force were determined from time and frequency domain. Shear components of GRF also were calculated from time and frequency domain. Twenty subjects with rear foot contact aged 20 to 30, no experience in injuries of the extremities, were requested to run on the instrumented tread-mill for 160 minutes at their preference running speed. GRF signals for 10 strides were collected at 5, 35, 65, 95, 125, and 155 minute during running. In conclusions, there were no significant difference in the magnitude of passive force, impact load rate, frequency of the passive and active components in vertical GRF between running times except the magnitude of active force (p<.05). The magnitude of active force was significantly decreased after 125 minute run. The magnitude of maximum peak and maximum frequency of the mediolateral GRF at heel strike and toe-off have not been changed with increasing running time. The time up to the maximum peak of the anteroposterior at heel-strike moment tend to decrease (p<.05), but the maximum peak and frequency of that at heel and toe-off moment didn't depend significantly on running time.

• Journal of the Korean Society of Physical Medicine
• /
• v.4 no.2
• /
• pp.79-86
• /
• 2009

Purpose：The purpose of this study was to investigated the effect of stability on heel-heights of insole in healthy adults. Methods：Subjects of 39 males measured stability index of the Biodex Stability System(BSS) by wearing shoes of 2cm, 5cm insoles including bare feet. The BSS was consisted of a movable balance platform and the platform was interfaced with computer software that enables the device to serve as an assessment of balance performance. Stability index of the BSS included overall stability index(OSI), anteroposterior stability index(APSI), mediolateral stability index(MLSI). In the BSS, subjects were asked to step on to the platform of the BSS and assume a comfortable position while maintaining slight flexion in the knees, looking straight ahead. Subjects were trained for 10min for adaptation to the heel-height of insole and then they maintained double limb stance for 2min. Biodex platform set to convert Lv.8 into Lv.1 gradually. Results：There were statistically significant differences between heel-heights of insole and stability index of OSI, APSI, and MLSI(p<.05). The result of post-hoc test were as follows; 1)OSI had significant differences between bare feet and 2cm, 5cm. 2)APSI had significant differences between bare feet and 2cm, 5cm. 3)MLSI had significant differences between bare feet and 2cm, 5cm(p<.05). Conclusions：We found that the more heels of insole high, the more stability index increases. In particular, balance index of insole above 5cm more increased and we could acknowledge that the insole above 5cm more effected balance of healthy adults.

• Journal of Korean Physical Therapy Science
• /
• v.8 no.2
• /
• pp.1073-1080
• /
• 2001

The purpose of this study was to determine the effect of lift to the shoe of the affected limb on gait patterns in subjects with hemiplegia. The subjects of this study were 18 post-stroke hemiplegics. For the study, insole of the paretic side was lifted 10 mm higher, and duration of dynamic weight bearing was measured. before and after the lift application. For the measurement of carry-over effect of lift, we got data of there three items prior to and 3 weeks after lift application and 3 days after removal of the lift. Dynamic weight bearing was significantly decreased in heel contact and footflat phases only when just after application of the lift, without any change after 3 weeks application. In heel-off phase, dynamic weight bearing did not show any significant difference between before and just after application of lift whereas significantly decreased after 3 weeks application. According to this study, lift applied to the shoe of the paretic limb was not significantly effect in inducing dynamic weight bearing, but changed a dynamic weight bearing.

• Journal of the Korean Society of Radiology
• /
• v.16 no.4
• /
• pp.435-442
• /
• 2022

The heel effect creates a density difference in the X-ray images because the intensity of the anode and cathode side of the X-ray tube is not equal. The purpose of this study is to evaluate the density difference due to the heel effect by rotating the step wedge by 180 degrees and then changing the distance. After fixing the tube voltage and tube current to 72 kVp and 10 mAs, the forward and reverse directions were taken using a step wedge. At this time, the distance (80 cm ~ 130 cm) was taken at 10 cm intervals, and the density value was measured by setting the region of interest for each step of the step wedge through the M6 program. First, the difference in intensity between the anode and the cathode was confirmed through the radiation exposure test. In addition, when the distance (from 80 cm to 130 cm) was changed, the difference in density between the cathode and the anode decreased as the projection distance increased. As a result, images of uniform density can be obtained as the projection distance increases.

• Journal of Biomedical Engineering Research
• /
• v.29 no.4
• /
• pp.316-322
• /
• 2008

The purpose of this study was to investigate muscle activation of lower extremity such as rectus femoris, tibialis anterior and soleus according to 0cm(bare foot), 4cm and 7cm heel height of shoe on the rocking surface in older women. 20 older women who did not have any lower musculoskeletal and neurological disorders in the past were participated in this study. Each subject was standing for 15 seconds on the level 8 of Biodex Stability System (BSS) while wearing 4cm and 7cm heel height shoes including bare foot. Electromyography was used to measure muscle activation of lower extremity, and the muscle activation was expressed as a percentage of maximal voluntary isometric contraction (% MVIC). We measured % MVIC of three muscles during 5 seconds except for the first 5 seconds and last 5 seconds. SPSS 12.0 program was used for this study. Repeated one-way analysis of variance(ANOVA) was performed to compare the significant difference among the muscles of lower extremities according to heel heights of shoe on the rocking plate. % MVIC of each muscle such as rectus femoris, tibialis anterior and soleus regarding heel heights of shoe had statistically significant differences (p<0.05). The results of contrast test were as follows; 1) % MVIC of rectus femoris had significant differences between barefoot and 4cm, and barefoot and 7cm. 2) % MVIC of tibialis anterior had significant differences between barefoot and 4cm, barefoot and 7cm, and 4cm and 7cm. 3) % MVIC of soleus had significant differences between barefoot and 7cm, 4cm and 7cm. The results indicate that all commonly responsive muscle on the conditions of barefoot, 4cm, and 7cm shoe height on the rcoking surface is tibialis anterior muscle. We found out that the more heels of shoe high, the more muscle activation increases. High-heeled shoes above 7cm remarkably increase the muscle activation of lower extremity and may result in muscle fatigue. Thus, these shoes may summate risk factors of falls in older women. We can acknowledge that the heels above 4 cm affect each muscle activation in lower extremity on the rocking surface.

• Journal of Internet Computing and Services
• /
• v.21 no.6
• /
• pp.41-50
• /
• 2020

The consequences of wearing high heels can be different according to the heel height, gait speed, shoe design, heel base area, and shoe size. This study aimed to focus on the knee extension and flexion range of motion (ROM) during gait, which were challenged by wearing five different shoe heel types and two different self-selected gait speeds (comfortable and fast) as experimental conditions. Measurement standards of knee extension and flexion ROM were individually calibrated at the time of heel strike, mid-stance, toe-off, and stance phase based on the 2-minute video recordings of each gait condition. Seven healthy young women (20.7 ± 0.8 years) participated and they were asked to walk on a treadmill wearing the five given shoes at a self-selected comfortable speed (average of 2.4 ± 0.3 km/h) and a fast speed (average of 5.1 ± 0.2 km/h) in a random order. All of the shoes were in size 23.5 cm. Three of the given shoes were 9.0 cm in height, the other two were flat shoes and sneakers. A motion capture software (Kinovea 0.8.27) was used to measure the kinematic data; changes in the knee angles during each gait. During fast speed gait, the knee extension angles at heel strike and mid-stance were significantly decreased in all of the 3 high heels (p<0.05). The results revealed that fast gait speed causes knee flexion angle to significantly increase at toe-off in all five types of shoes. However, there was a significant difference in both the knee flexion and extension angles when the gait in stiletto heels and flat shoes were compared in fast gait condition (p<0.05). This showed that walking fast in high heels leads to abnormal knee ROM and thus can cause damages to the knee joints. The findings in this preliminary study can be a basis for future studies on the kinematic changes in the lower extremity during gait and for the analysis of causes and preventive methods for musculoskeletal injuries related to wearing high heels.

• Korean Journal of Applied Biomechanics
• /
• v.16 no.1
• /
• pp.19-30
• /
• 2006

The purpose of this study was to examine the effect of foot orthotics on the overall comfort and muscle activity during running. The subjects were 10 members from the joggers' club which consisted of 2 women and 8 men. These individuals ran on the treadmill by 4.0m/s speed with and without the custom foot orthotics. The data concerning the overall comfort was collected by a questionairre that examined the overall comfort, heel cushioning, forefoot cushioning, medio-lateral control, arch height, heel cup fit, shoe heel width, forefoot width, and shoe length The MegaWin ver. 2.1(Mega Electronics lid, Ma. Finland) was used to gain electromyography signals of the muscle activity; Tibialis anterior, medial gastronemius, lateral gastronemius, vastus lateralis, vastus medialis, biceps femoris, and rectus femoris were measured. The results of the study were as follows. 1. During running the overall comfort was higher for the foot arthotic condition than the nonorthotic condition. Among the inquiries the overall comfort showed the biggest difference comparing the two conditions. and the shoe heel width showed the highest score for contort. 2 The muscle activity of the biceps femoris, and vastus lateralis in the stance period decreased. due to the foot orthotics. The muscle activity of the vastus medialis in the swing period also decreased and the muscle activity tibialis anterior in the stance and swing stance decreased as well During running, orthotics showed positive result in foot comfort. The foot comfort related to decreased stress, muscle activity, and foot arch strain. Overall comfort and the adequate decrease of muscle activity were associated with injury prevention and the best method to prevent injury semms to be the maintenance of foot comfort.

• Journal of Korean Physical Therapy Science
• /
• v.29 no.1
• /
• pp.73-86
• /
• 2022

Background: The purpose of this study is to investigate the effect of plantar flexor on muscle fatigue and endurance when two different sport tapes are applied. Design: Cross-sectional design. Methods: Fifty-one healthy adults were randomly assigned to dynamic taping group (n=17), kinesio taping group (n=17), and control group (n=17). The dynamic taping group used the dynamic tape. The kinesio tape group used the kinesio tape, and the control group doesn't used tape. Every group performed heel rise test and sEMG for every during pre-test and post-test. To evaluate plantar flexor endurance, the number of times was measured during the heel rise test. Results: The number of heel rises increased significantly in the post-test in dynamic taping group compared to the pre-test, and In comparison between groups, the number of heel rises significantly increased in dynamic taping group compared to kinesio taping group and control group. PEF value was significantly increased in the post-test compared to the pre-test in dynamic taping group, and there was a significant difference between the three groups according to the taping application. Conclusion: The results of this study confirmed that dynamic taping was effective in musclular fatigue and endurance on plantar flexor in healthy adults. Based on these results, it is suggested that the application of dynamic tape can be suggested as one of the intervention methods for muscle endurance and muscle fatigue.

• The Journal of Korean Physical Therapy
• /
• v.29 no.4
• /
• pp.153-157
• /
• 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.