• Title/Summary/Keyword: PRONATION

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The Effect of Differential Medial and Lateral Midsole Hardness on Rearfoot Movement (운동화 후족의 내외측 경도차에 따른 후족 제어의 효과)

  • Bu, Jin-Hu;Lee, Dong-Chun
    • Journal of the Ergonomics Society of Korea
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    • v.20 no.1
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    • pp.63-72
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    • 2001
  • Rearfoot control can be defined as the relative ability of a shoe to limit the amount of subtalar joint pronation immediately following footstrike. A normal amount of pronation provides a means of decreasing peak forces experienced by the leg, but excessive pronation of the foot can be arised its injures. The purpose of this study is to compare amount of pronation according to a difference between medial and later hardness of shoe midsole for better design of running shops. The experiment is examined for 7 running shoes. 8 males. to measure the Achilles tendon angle and rearfoot angle using high speed camera. The results is conducted that the changes of Achilles tendon angle significantly differ at each test shoe with increased running speed. And, a difference between medial and lateral hardness of midsole affects rearfoot motion of runner. The displacements of maximal Achilles tendon angle described a amount of pronation motion is decreased when medial hardness of midsole is large more than lateral.

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Effectiveness of Arch Support Taping is Subjects With Excessive Foot Pronation: A Meta-analysis

  • Park, So-yeon
    • Physical Therapy Korea
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    • v.26 no.4
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    • pp.70-76
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    • 2019
  • Background: An excessive pronated foot is defined as a flattening or complete loss of the medial longitudinal arch. Excessive foot pronation is considered to have high risk factors of overuse injuries in the lower limb. Various treatments have been investigated in attempts to control excessive pronation. Objects: This meta-analysis identifies the effects of an anti-pronation taping technique using different materials. Methods: The electronic databases used include MEDLINE, the Physiotherapy Evidence Database (PEDro), Science Direct, the Korean Studies Information Service System (KISS), the Research Information Sharing Service (RISS), the Korea National Library, and the Korean Medical Database (studies published up to July 31, 2019). The database search used the following keywords: "foot drop" OR "foot arch" OR "foot pronation" OR "flat foot (pes planus)" AND "taping" OR "support." Eight eligible studies were analyzed to determine the effectiveness of anti-pronation taping in study and control groups. Results: The overall random effect size (Hedges'g) of the anti-pronation taping technique was 0.147 (95% confidence interval [CI]: -.214 to .509). When the effect (Hedges' g) was compared by the type of tape material, rigid tape (RT; Lowdye taping) was .213 (95% CI: -.278 to .704) and kinesiotape (KT; arch support taping) was -.014 (95% CI: -.270 to .242). Based on this meta-analysis, it was not possible to identify the extent to which anti-pronation taping was effective in preventing navicular drop, improving balance, or changing foot pressure. Only three of the eight eligible studies applied KT on excessive pronated feet, and the outcome measure areas were different to those of the RT studies. The KT studies used EMG data, overall foot posture index (FPI) scores, and rear foot FPI scores. In contrast, the RT studies measured navicular heights, various foot angles, and foot pressure. Conclusion: This review could not find any conclusive evidence about the effectiveness of any taping method for patients with pronated feet. Future studies are needed to develop the anti-pronation taping technique based on the clinical scientific evidence.

Immediate Effects of the Pronation Squat on the Genu Varum and the Muscles Around the Knee (엎침 스쿼트 운동이 안굽이와 무릎 주위 근육에 미치는 즉각적 효과)

  • Kim, Hyeon-Su;Kim, Kyoung-Don
    • Journal of The Korean Society of Integrative Medicine
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    • v.9 no.4
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    • pp.299-309
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    • 2021
  • Purpose : The purpose of this study was to compare the ankle pronation squat with the general squat and investigate the effect on the geun varum and the muscles around the knee. Methods : Subjects were chosen as the target for squat exercise with the distance between the knees more than 5 cm. The selected 30 students were randomly divided into 15 pronation squat group and 15 general squat group, and performed five sets movements 20 times. Global postural system (GPS) and digital goniometer were used to check the distance between the knees and the Q angle, and muscle activity was measured with EMG during squat exercise. Results: The result is as follows. First, as a result of analyzing the change in the distance between the knees, the distance between the knees decreased and the Q angle increased in the pronation squat group after exercise. Second, as a result of analyzing the change in muscle activity of the peroneus longus, the muscle activity increased in the pronation squat group after exercise, and it was more effective than the general squat group. Third, as a result of analyzing the change in the VMO (vastus medialis oblique) and VL (vastus lateralis) muscle activity ratio, the activity ratio of the pronation squat group increased after exercise, and the imbalance in the VMO/VL muscle activity was decreased. Conclusion: The pronation squat exercise applied to the ankle will greatly affect what is made into a balanced leg as decreased of the distance between knees, increased of Q angle, increased of the muscle activity of the peroneus longus and the ratio of VMO/VL.

Correlation Between the Height and the Subjective Discomfort Ratings and Muscle Performance at performing the Lower Arm's Pronation and Supination according to the Changes in Height of Working Table

  • Yoo, Kyung Tae;Choi, Jung Hyun;Kim, Hee Jung;Lee, Bom;Jung, Jea Wook;Choi, Wan Suk;Yun, Young Dae;Kim, Soon Hee
    • Journal of International Academy of Physical Therapy Research
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    • v.3 no.2
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    • pp.469-474
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    • 2012
  • The purpose of this study is to analyze the correlation between the stature and the muscle performance ratings and the subjective discomfort rations at performing lower arm's pronation and supination according to change sin the height of working table for more efficient performance at designing a working table and performing a work. For the purpose, this study conducted an experiment targeting 40 people in their 20s, who were classified into 4 groups each group composing 10 people at intervals of 5cm from the standard stature of 166.5cm. The experiment measured the maximum isometric pronation and the supination muscular power, and at measuring the factors, the heights of working tables were set as 800mm, 850mm, and 900mm. From the measurement results, it was found that the stature and the maximum muscular power was correlated. That is, as the experiment groups's average stature is higher, the maximum muscular power was higher. For the correlation between the motion patterns(pronation and supination) and the maximum muscular power, it was seen that the maximum muscular power was higher at performing the pronation than the supination. In the correlation between motion patterns and the subjective discomfort ratings, it was seen that the subjective discomfort rating was higher at performing the supination than the pronation. For the correlation between height adjustment and the subjective discomfort ratings, as the height of working table was lower, the subject discomfort rating was lower. Therefore there was no difference in the maximum muscular power according to the height changes of working table, but it was found that as the working table was higher, the user felt more comfortable.

Comparative Study of Biomechanical Left and Right Elbow Joint Extension Movements After Wheel Axle Application (윤축을 적용한 좌·우 주관절 신전 동작의 운동역학적 비교 연구)

  • Kim, Sung-Joo
    • Korean Journal of Applied Biomechanics
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    • v.21 no.4
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    • pp.429-436
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    • 2011
  • In this study, we have experimented with 9 players at the national delegate level. Although there were some differences in the average effects of 3 types of one-two straight movements after the application of wheel axle, there were no statistical differences in the case of surface reacting forces, electromyograms, and impact forces. When the right fist was impacted using the one-two straight movements and the wheel axle was applied with 3 segmentations, high impact forces were obtained for the pronation in the following order-72.01 $m/s^2$ (type 2), 70.93 $m/s^2$ (type 3), and 58.19 $m/s^2$ (type 1). Higher values of the surface reacting force were found for type 1 that did not exhibit pronation in the left foot, whereas in the case of the vertical direction of the right foot, type 2 with pronation exhibited higher values and impact forces. In the right electromyogram, high impact forces due to the activation of the muscular electric potential were obtained for lumbar erector (LE) spinae and triceps brachii (TB) with type 1; LE spina, latissimus dosi (LD), and upper trapezius (UT) with type 2; and brachioradialis (BR), UT, and rectus abdominal (RA) with type 3. Due to pronation and complex motions of the 3 pronation segmentations, the efficiency was higher for impacts due to one-two straight movements.

A Study of Foot Shape and Low Back Pain, Hip Abduction Muscle and Ankle Lateral Injury (발의 형태와 요통, 고관절 외전 근육, 발목관절 외측손상에 관한 연구)

  • Hyong, In-Hyouk
    • Journal of the Korean Society of Physical Medicine
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    • v.3 no.2
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    • pp.127-133
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    • 2008
  • Purpose : The purpose of this study was carried out to review the correlation between foot shape(supination foot, pronation foot) and low back pain, hip abduction muscle and ankle lateral sprain. Methods : By using internet, we research the PubMed, Science Direct, KISS, DBpia We selected the article between 1990 and 2007. Key words were supination foot, pronation foot, balance. Results : Normal control balance of human body needs a optimal anatomical alignment and function of musculoskeletal and central nerve system that control continuously to integrate. Especially ankle and foot complex play an important role in postural control because it is located distal part in human body. Supination foot brings to chronic ankle sprain or chronic ankle instability and range of motion limitation due to the weakness of lateral ankle muscle. Pronation foot brings to knee injury because of lower leg internal rotation force. Conclusion : Excessive supination and pronation foot happen to muscle imbalance. Especially weakness of hip abduction or injury of ankle lateral muscle or low back pain are due to abnormal balance and anatomical alignment.

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The Validity Test of Upper·Forearm Coordinate System and the Exploratory Analysis of the Interactive Effect between Flexion/Extension and Pronation/Supination during Elbow Joint Motion (주관절 운동의 상완·전완좌표계 타당도 및 굴곡/신전과 회내/회외의 상호작용)

  • Kim, Jin-Uk
    • Korean Journal of Applied Biomechanics
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    • v.20 no.2
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    • pp.117-127
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    • 2010
  • The axes of upper forearm coordinate system have been considered as principal axis of each segment which was component of elbow joint. The purpose of this study was to verify whether the mean direction(principal axis) of instantaneous axes of rotation for pure flexion/extension motion coincided with the flexion/extension axis of upper forearm coordinate system. The same procedure was done for pronation/supination motion. Furthermore, it was tested indirectly that there was an interaction effect between the two rotational motions. The results showed that most segment coordinate axes statistically were not consistent with the mean directions of flexion/extension and pronation/supination axes of rotation. From the results, it would be concluded that the ISB coordinate systems was proved to be a little valid for human movement analysis. There also was an effect of pronation/supination angles on flexion/extension motion.

The Study on critical Value of Kinematical Evaluation Variables of Lower Extremity Pronation in Biomechanical Evaluation of Running Shoes (운동화의 생체역학적 평가시 하지 회내운동의 운동학적 평가변인에 대한 상해 기준치 연구)

  • Kwak, Chang-Soo;Jeon, Min-Ju;Kwon, Oh-Bok
    • Korean Journal of Applied Biomechanics
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    • v.16 no.4
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    • pp.175-187
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    • 2006
  • The purpose of this study was to find the relationship between Achilles tendon angle, angular velocity from 2D cinematography utilized to easily analyze the functions of shoes, ankle joint moment, knee joint moment, and hip joint moment from 3D cinematography utilized to predict the injury. Also, this study was to provide the optimal standard to analyze the injury related to the shoes. Subjects in this study were 30 university male students and 18 conditions (2 types of running speed, 3 of midsole hardness, 3 of midsole height) were measured using cinematography and force platform. The results were as following. 1) Hip joint abduction moment was effected by many variables such as running speed, midsole height, maximum achilles tendon angle, ground reaction force. 2) Knee joint rotational moment in running was approximately 1/10 - 1/4 times of the injury critical value and eversion moment was approximately 1/4 - 1/2 times of the injury critical value. 3) Ankle joint pronation moment in running was 1/3 - 1/2 times of the injury critical value. 4) Knee joint rotational moment was found to be irrelevant with maximum achilles tendon angle or angular velocity. 5) Pronation from running was thought to be relevant to rather eversion moment activity than rotational moment activity of knee joint. 6) Plantar flexion abductor of ankle showed significant relationship with the ground reaction force variable. 7) When the loading rate for ground reaction force in passive region increased, extensor tended to be exposed to the injury. Main variables in biomechanical analysis of shoes were impact absorption and pronation. Among these variables, pronation factor was reported to be relevant with knee injury from long duration exercise. Achilles tendon angle factor was utilized frequently to evaluate this. However, as the results of this study showed, the relationship between these variables and injury relating variable of knee moment was so important. Studies without consideration on this finding should be reconsidered and reconfirmed.

Correlations between pronation angle and EMG fatigue indices of biceps femoris muscles during treadmill walking of pronated foot subjects (회내족 환자의 드레트밀 보행시 회내각과 넓다리두갈래근의 근전도 피로지수 사이의 상관관계)

  • Jongchil Won;Kiyoung Lee
    • The Journal of Korea Institute of Information, Electronics, and Communication Technology
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    • v.17 no.2
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    • pp.108-112
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    • 2024
  • The pronation foot can increase muscle activity, and may result in muscle fatigue and overuse syndromes. This paper aims to examine the relationships between muscle fatigue indices and pronation angles (PRA) larger than 20° for pronated foot subjects. Twelve subjects in the 15-61 age range were participated, and EMG of their biceps femoris were measured during treadmill walking at 4.5 km/h for 30 seconds. Slopes of the median frequency and the magnitude in the low frequency band were estimated respectively as muscle fatigue indices (MFIs). We hypothesized that the relationships between MFIs and PRA for the subjects in this paper be similar to those for normal ones. The test results demonstrated that we could obtain the significant correlation coefficients between MFIs and PRA (r>0.60; p<0.05).

The Effects of on CTA and Q-Angle with the Different Position of the Foot in the Standing Status (기립자세에서 발의 변화가 슬개대퇴골각과 종경골각에 미치는 영향)

  • Bae Sung-Soo;Lee Sang-Yong
    • The Journal of Korean Physical Therapy
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    • v.14 no.3
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    • pp.203-225
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    • 2002
  • An excessive Q-angle has been implicated in the development of knee injuries by altering the lower-extremity locomotion kinematics. The purpose of this study was performed to examine the correlation between the Q-angle and the CTA during pronation and supination of the foot in the standing status. The participants of this examination were 60 adult(30 men and 30 women) who had no orthopaedic and neurological impairment, aged between 20 and 40years. The foot tilt(FT1)is made of acrylic plate and the slope of the surface is altered as $0^{\circ}$ pronation$(10^{\circ},\;20^{\circ},\;30^{\circ})$ and supination $(10^{\circ},\;20^{\circ},\;30^{\circ})$. The results were as follows : 1. The result about the Q-angle and the CTA by comparing pronation and supination of the foot There was statistical significance difference in the left /right Q-angle and the left/right CTA with pronation and supination of the foot(P<0.05). 2. The result about correlation in the left /right lower-extremity There were positive correlation between the right Q-angle and the right CTA and negative correlation except the supination$(30^{\circ})$ between the left Q-angle and the left CTA.

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