• The Journal of Korean Physical Therapy
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• 제16권2호
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• pp.116-127
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• 2004

The purpose of this study was to determine the effect of shoe lift of the affected limb 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 static weight bearing was measured before and after the lift application. For the measurement of carry-over effect of lift, we got data of those three items prior to and 3 weeks after lift application and 3 days after removal of the lift. Static weight bearing was significantly increased both just after and continuous application of lift for 3 weeks than before. According to this study, lift applied to the shoe of the paretic limb was effective in inducing static weight bearing in the paretic limb. This study suggests that symmetry, induced by shoe lift applied to the paretic limb, could help correct abnormal posture that would be caused in standing and prevent development of abnormal muscle tone in subjects with hemiplegia caused by unilateral stroke.

• 대한물리치료과학회지
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• 제10권2호
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• pp.29-36
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• 2003

The purpose of this study was to investigate the effects of height of shoe lifts on gait and balance in hemiplegic patients. Twenty-two hemiplegic patients who were receiving rehabilitation treatment at Hanyang University Seoul Hospital and National Rehabilitation Center participated in this study from November 8, 2002 through March 20, 2003. Data analysis using repeated measures ANOVA and Bonferroni method, for a post-test. The results of this study were as follows : First, shoe lift on the height of 3mm, 6mm, 9mm, 12mm significantly improved, as compared to un-lift status, in gait velocity, PCI, weight bearing(p<0.05). Second, gait velocity was significantly difference between 3mm and 9mm, and between 3mm and 12mm, and weight bearing on the affected side was significantly difference between 3mm and 12mm, and between 6mm and 12mm(p<0.05). Third, after the shoe lift removed was significantly improved in gait velocity, PCI, weight bearing than before shoe lifts being added(p<0.05). These results suggest that shoe lift on the unaffected side may helpful for improving the gait efficiency and symmetrically of weight bearing. Furthermore, persistence of gait efficiency and symmetrically of weight bearing after removing the shoe lift suggests carryover effect of gait training on shoe lift of unaffected side.

• 대한물리치료과학회지
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• 제8권2호
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• pp.1073-1080
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• 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.

• 한국전문물리치료학회지
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• 제9권2호
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• pp.83-96
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• 2002

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 10mm higher, and duration of static weight bearing, dynamic weight bearing and stance phase were measured from one cycle of the gait, before and after the lift application. For the measurement of carry-over effect of lift, we got data of those three items prior to and 3 weeks after lift application and 3 days after removal of the lift. Static weight bearing was significantly increased both just after and continuous application of lift for 3 weeks than before. 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. Duration of stance phase was not changed among anytime of application. According to this study, lift applied to the shoe of the peretic limb was effective in inducing static weight bearing in the paretic limb, but did not significantly effect dynamic weight bearing on gait patterns. This study suggests that symmetry, induced by shoe lift applied to the paretic limb, could help correct abnormal posture that would be caused in standing and prevent development of abnormal muscle tone in subjects with hemiplegia caused by unilateral stroke.

• Journal of Acupuncture Research
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• 제27권5호
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• pp.135-143
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• 2010

Objectives : The purpose of this study was to investigate the effect of Korean medicine and Shoe Lift for scoliosis with sciatic pain patient. Methods : The patient who has scoliosis and sciatic pain was treated by Korean medicine and Shoe Lift. The patient's symptoms were assessed by Cobb's angle, correctability, verbal numberical rating scale(VNRS) and revised oswestry disability questionnaire(RODQ) every week. Results : After 18weeks treatment, Cobb's angle correctability was 34.357%. Patient's VNRS score and RODQ score were decreased each from 10 to 1 and from 41 to 6. Conclusions : This result suggest that Korean medicine and Shoe Lift were effective treatment on patient for scoliosis with sciatic pain.

• 대한통합의학회지
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• 제7권2호
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• pp.59-67
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• 2019

Purpose : The purpose of this study was to analyze the dynamic range of motion (ROM) of pelvic and translation of center of mass (COM) when wearing different shoe insole lifts according to leg length discrepancy (LLD) during free speed gait. Methods : Thirty-five healthy adults were participated in this study. Kinematic data were collected using a Vicon motion capture system. Reflective and cluster 40 markers attached to participants lower extremities and were asked to walk in a 6 m gait way under three different shoe lift conditions (without any insole, 1 cm insole, and 2 cm insole). The pelvic ROM and COM translation in three planes were sorted using a Nexus software, and a Visual3D motion analysis software was used to coordinate all kinematic data. Results : There were significantly increased maximal pelvic elevation and total pelvic range in coronal plane when wearing a standard shoe with 2 cm insole lift during gait (p<.05). When wearing a standard shoe with 2 cm insole lift, the total range of the pelvic segment were significantly different in all three motion planes (p<.05). Conclusion : Although LLD of less than 2 cm develops abnormal movement pattern of the pelvis and may cause of musculoskeletal diseases such as low back pain, hip and knee joint osteoarthritis, therefore intensive various physical therapy interventions for LLD are needed.

• 한국철도학회:학술대회논문집
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• 한국철도학회 2001년도 춘계학술대회 논문집
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• pp.123-128
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• 2001

Numerical simulation is conducted to clarify the heat transfer and fluid flow characteristics of brake shoe for freight car. High order up-wind scheme for governing equations, k-epsilon turbulent model and SIMPLEC algorithm based on finite volume method are used to solve the physical shoe model. The governing equations are solved by TDMA(Tri-Diagonal Matrix Algorithm) with line-by-line method and block correction. From the results of simulation, the characteristics of cooling pattern is strongly affected by the velocity of train and the material of shoe. The face lift of shoe affects on the temperature distribution of rear surface of shoe as well as the front surface of that. Due to the grooves in shoe, it will be expected to cool the frictional heat and result in the reduction of maintenance efforts.

• 대한물리의학회지
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• 제14권1호
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• pp.53-61
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• 2019

PURPOSE: This study examined the dynamic range of motion (ROM) of the hip, knee, and ankle joint when wearing different shoe sole lifts, as well as the limb asymmetry of the range according to the leg length discrepancy (LLD) during normal speed walking. METHODS: The participants were 40 healthy adults. A motion analysis system was used to collect kinematic ROM data. The participants had 40 markers attached to their lower extremities and were asked to walk on a 6 m walkway, under three different shoe lift conditions (without an insole, 1 cm insole, and 2 cm insole). Visual3D professional software was used to coordinate kinematic ROM data. RESULTS: Most of the ROM variables of the short limbs were similar under each insole lift condition (p>.05). In contrast, when wearing a shoe with a 2 cm insole lift, the long limbs showed significant increases in flexion and extension of the knee joint as well as; plantarflexion, dorsiflexion, pronation, eversion, and inversion of the ankle joint (p<.05). Of the shoes with the insole lifts, significant differences in all ROM variables were observed between the left and right knees, except for the knee internal rotation (p<.05). CONCLUSION: As the insole lift was increased, more ROM differences were observed between the left and right limbs, and the asymmetry of the bilateral lower limbs increased. Therefore, appropriate interventions for LLD are needed because an artificial mild LLD of less than 2.0 cm could lead to a range of musculoskeletal problems of the lower extremities, such as knee and ankle osteoarthritis.

• 한국운동역학회지
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• 제18권4호
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• pp.135-142
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• 2008

본 연구는 9명의 피험자가 2주간 하루 6시간동안 후족부 경사각을 이용한 신발인 S사(社) 신발을 착용하여 보행하였으며 신발을 처음 신었을 때와 2주간 하루 6시간 이상 착용한 후의 데이터를 통해 기존의 운동화와 S사(社) 신발간의 비교를 수행하였다. 1. 기립자세에서의 S사(社) 신발의 착용 시 근전도의 활동인 증가하고 압력분포 중심 움직임은 약 60% 정도 증가하였다. 2. 피험자의 보행 시 S사(社) 신발을 착용하였을 때 신발의 힐 부부분의 $20^{\circ}$ 경사각으로 인해 heel strike 시 발목이 약 $14^{\circ}$ 정도 발등 쪽으로 굽혀짐을 확인하였으며 무릎에서는 이를 보완하기 위해 $2^{\circ}$ 정도 굴곡 됨을 보였다. 3. 이로 인해 최대 지면반력이 보다 빠르게 나타났으나 크기는 변하지 않았다. 4. S사(社) 신발의 착용하고 보행 시 지지기에서 발목과 무릎의 부하는 21-61%의 감소하는 결과를 나타내었다. 결과적으로 S사(社) 신발 착용시 목과 무릎각의 굴곡 각을 증가시켜 보행 시 몸이 곧게 서도록 하였다. 또한 보행 시 부하를 감소시킬 수 있음을 나타냈으나 2주간의 신발 착용으로 인한 신체의 변화는 나타나지 않음을 보였다.