• Korean Journal of Applied Biomechanics
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• v.22 no.2
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• pp.229-236
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• 2012

The purpose of this study is to analyze the differences in foot type of female college students according to academic major in both feet. The subjects for this study were 216 female students who took liberal arts classes in Seoul. Dependent variables were students' field of study -specifically whether or not they majored in physical education. Analysis of students' foot type and Malalignment Syndrome were measured using Resting Calcaneous Stance Position (RCSP). There were five categories for RCSP angle: Severe Pes Planus (< $-5^{\circ}$), Pes Planus ($-3^{\circ}{\sim}-4^{\circ}$), Pes Rectus (${\pm}2^{\circ}$), Pes Cavus ($+3^{\circ}{\sim}+4^{\circ}$), Severe Pes Cavus (> $+5^{\circ}$). ${\chi}^2$ analysis was used for statistical analysis. RCSP for all subjects (432 feet) occurred at the following frequency: Pes Planus(43.9%), Pes Rectus(43.8%), and Pes Cavus(12.3%). These levels were different for physical education majors, with Pes Planus at 42.6%, Pes Rectus at 49.4%, and Pes Cavusat 8.0%. Non-physical education majors exhibited Pes Planus at 45.0%, Pes Rectus at 39.9%, and Pes Cavus at 15.1%. 15.3% (33 subjects) of all students had Malalignment Syndrome. In conclusion, 56.2% of female college students had a foot deformity. There was nearly four times more Pes Planus than Pes Cavus. According to these results, exercise can be prescribed to alleviate foot deformities, especially supination. Severe pronation and supination problems appeared less amongst students not majoring in physical education. Thus, although exercise might be one cause of foot deformity, it can also help resolve problems with over-supination. Further study will be needed to understand and resolve the specific mechanism of over-supination.

• Korean Journal of Applied Biomechanics
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• v.30 no.4
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• pp.321-335
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• 2020

Objective: The purpose of this study was to investigate the effect of neck traction and foot type on plantar pressure distribution during walking. Method: Total of 24 data were collected from women working with a computer for more than 6 hours every day. Three groups by foot type were divided: Pes Planus, normal foot, and Pes Cavus. Depending on the foot type and cervical traction, plantar pressure variables were measured; CA, MF, PP, and CT. Each variable was divided into 12 masks. MANOVA was performed for the difference of plantar pressure variables by foot type, and a paired t-test was performed for the cervical traction within groups. Results: The total CA decreased in the Pes Planus (p<.001) and Pes Cavus (p<.05) groups. MF increased in the big toe (p<.01) and 2nd toe (p<.05) of the normal foot, and MF-3rd metatarsal decreased (p<.01). The MF-2nd toe (p<.01) and 3rd toe (p<.05) of Pes Cavus decreased. The PP decreased in 2nd toe (p<.05), 3rd toe (p<.01), and 4th toe (p<.05) of the Pes Cavus. In normal foot, the PP-3rd metatarsal (p<.05) and PP-4th metatarsal (p<.01) reduced. In Pes Planus, PP decreased in the hindfoot (p<.05). In Pes Cavus group wearing a neck-tractor, the CT-hindfoot increased (p<.05). Conclusion: There was a significant change in the plantar pressure change by foot type after neck traction. When walking with a neck-tractor, the heel impact was alleviated in the Pes Planus, and the Pes Cavus showed the smooth and effective propulsion in the push-off. Overall, weight acceptance was effectively performed when walking with neck-traction. It was also found that the neck-tractor corrects the alignment of the neck, thereby creating a more stable gait pattern.

• Journal of Korean Physical Therapy Science
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• v.12 no.3
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• pp.35-45
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• 2005

The purpose of this study was to measure the static foot pressure distribution of children between forefoot and rearfoot, and the percentage of static pressure were measured from 1256 normal children in a primary school by the TPScan(Triple Pod Scan) systemCommercial system). The measurement were performed while standing with their comfortable state using the TPScan system. The static pressure distribution between forefoot and rearfoot was analyzed by paired t-test. The results were as follows: 1. The Pes cavus and Pes planus of students was 4.936%. 2. The Pes cavus were 42 children(3.343%) and Pes planus was 20 children(1.592%). 3. The Pes planus were seen in 42 of 1256 children with Grade I in 11 feet (26.2%), Grade II in 24(57.1%), Grade III in 6(57.1%), Grade IV in zero. 4. Pes planus and Pes cavus were significantly difference in foot pressure between forefoot and rearfoot(P<0.05). The future study needs detailed research and comparison with various variance between theses before and after correction.

• PNF and Movement
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• v.17 no.3
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• pp.481-486
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• 2019

Purpose: This study examined the effect of calf muscle fatigue on postural sway according to foot posture (a pes cavus, a normal foot, and a pes planus). Methods: The subjects of this study were 12, 11, and 9 students of U University with a pes cavus, a normal foot, and a pes planus, respectively, according to a Navicular Drop Test. Postural sway was measured with a balance instrument (BioRescue, RM Ingenierie, France) while the subjects stood static on two legs as well as during one-leg standing using the dominant leg in two conditions (with the eyes open and with the eyes closed for 30 seconds). Muscle fatigue was then induced in the calf muscle of the dominant leg, and both muscle fatigue and postural sway were measured using an EMG. To compare the degree of postural sway between the three groups after muscle fatigue was induced, the change values were calculated. The results were analyzed using a Kruskal-Wallis test, and a post-hoc test was conducted using the Bonferroni correction. Results: Significant inter-group differences were detected for postural sway during two-leg standing with the eyes closed and during one-leg standing with the eyes open and with the eyes closed (p<0.05). The post-hoc test showed significant differences between the pes cavus and normal foot groups and between the pes planus and normal foot groups for all three variables (p<0.05). However, no significant difference was detected between the pes cavus and pes planus groups (p>0.05). Conclusion: The results of this study show that the pes cavus and pes planus cause more fatigue and postural sway than a normal foot. Therefore, attention should be paid to changes in balance caused by muscle fatigue.

• Journal of Korean Foot and Ankle Society
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• v.20 no.2
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• pp.55-61
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• 2016

The cavus foot is a deformity characterized by an elevated medial longitudinal arch and a hindfoot varus with plantarflexed 1st ray. The etiology of cavus foot is usually related to neuromuscular disease or idiopathic cause. Thorough clinical and radiographic evaluation is required for differentiating etiology of the cavus. Most cases of cavus foot are stable and slowly progressive deformities which can initially be managed with conservative treatment including orthoses and physical therapies. Determining whether the deformity is flexible or rigid, the apex of the deformity and any muscle imbalances in foot and ankle is important for achievement of an adequately balanced plantigrade foot. Treatment should include systematic preoperative planning for selection of appropriate procedures for maintaining a functional and flexible foot with combinations of soft-tissue release, osteotomy, tendon transfer, and arthrodesis.

• Journal of Electrodiagnosis and Neuromuscular Diseases
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• v.20 no.2
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• pp.119-123
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• 2018

A 14-year-old student presented with a 2-year history of progressive left foot deformity. High elevated medial arch, hindfoot varus deformity and second to fourth claw toes were idenfied in the left foot without a familial history. Neurologic examinations showed left distal lower extremity weakness and bilateral increased deep tendon reflexes. MRI of whole spine demonstrated thickened filum terminale and spinal defect covered with pulled skin which findings consistent with tethered cord syndrome (TCS). He was referred to neurosurgery department and had a detethering operation of the spinal cord. Two years later, he underwent foot surgery because his foot deformity progressed despite the detethering operation. It is very rare for TCS to present with pes cavus as the only symptom, also in Korea. We suggest that TCS should be considered as one of the differential diagnoses associated with unilateral pes cavus in adolescence so as not to miss the proper period of surgery.

• Journal of Korean Foot and Ankle Society
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• v.8 no.1
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• pp.31-38
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• 2004

Purpose: The purpose of the study was to identify the subtypes of idiopathic osteoarthritis of the tarsometatarsal joints based on accompanying hindfoot, midfoot, or foot deformities and their corresponding surgical options and also to evaluate the overall clinical results. Materials and Methods: The study included 59 patients (67 feet) with idiopathic tarsometatarsal joint osteoarthritis. Tarsometatarsal fusion was performed for tarsometatarsal joint and accompanied secondary change was divided into subtypes and various bony reconstruction was carried out. The patients were evaluated with the AOFAS midfoot score and FFI. The average patient age was 60.2 years with 40.6 months follow-up. Fifty-four feet (80.6%) had been treated with realignment fusion. Twenty-six feet had first and second tarsometatarsal joint fusion, and 20 feet had first tarsometatarsal fusion only. Six subtypes were identified based on associated foot deformities: 1) in-situ without deformities (18%), 2) pes planovalgus (45%), 3) rockerbottom (15%), 4) cavus foot (1%), 5) hallux valgus (12%), and 6) hallux valgus with pes planovalgus or rockerbottom (9%). Plantar-medial closing-wedge resection was used in 10 feet to correct rockerbottom. For pes planovalgus, a medial sliding calcaneal osteotomy was done. Lateral column lengthening with medial sliding calcaneal osteotomy was done for severe pes planovalgus, and triple arthrodesis was done for rigid pes planovalgus. Hallux valgus was corrected with the Lapidus procedure (85.7%). Results: AOFAS midfoot scores improved from preoperative 34.1 points to postoperative 83.9 points (p<0.05). The Foot Function Index postoperatively also showed significant improvement (p<0.05), with a high satisfaction rate (86.6%). There were 29 complications, most commonly sesamoid pain. Conclusion: Idiopathic tarsometatarsal OA feet can be classified into six categories. Pes planovalgus feet should be treated with medial sliding calcaneal osteotomy, lateral column lengthening, or triple arthrodesis in addition to tarsometatarsal joint realignment fusion. Rockerbottom and hallux valgus deformities should also be addressed.

• The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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• v.10 no.1
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• pp.117-128
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• 2004

I have processed all the data by using SPSS PC+. And my research process was investigated for 34 students on the Forward Bending Test, Foot Printer Test, Feedoscope Test, X-ray Test and so on. The object of this thesis is to study the correlation between spine deformity and foot abnormality in a theoretical and empirical method. The main results of this study were as follows: 1. There was statistical significance on the correlation between foot length and spine length. 2. Spinal curve is the smallest on the pes plannus group and the biggest on the pes cavus group without statistical significance. 3. Left lumbar curve is the smallest, and right thoracic spine curve is the biggest on the left foot pattern group with statistical significance. 4. On the foot weight bearing groups, there was statistical significance both of between left and right foot groups. 5. There was no statistical significance on the t-test analysis between left and right foot area according to spinal curve typology. But there was tendency that thoracic spine curve is bigger in the same side of the foot area and lumbar spine curve is bigger in the opposite side of foot area.

• Physical Therapy Korea
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• v.27 no.3
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• pp.199-205
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• 2020

Background: The classification of foot type can be commonly determined by the height of the media longitudinal arch. The normalized arch height (NAH) is defined as the ratio of navicular or instep heights to the foot length or instep length. Objects: This study investigated the relationships among foot characteristics, such as foot length (FL), instep length (IL), navicular height (NH), and instep height (IH), in Korean young adults. Also, the distribution of foot type based on calculated NAH was assessed. Methods: Three-dimensional foot scanning data of young adults aged 20 to 39 years (total: 1,978; 974 male, 1,004 female) were obtained from the Korea Technology Standards Institute, and used for analyses. NAH was calculated as the following: NH/FL, IH/FL, IH/IL, NH/IL. Spearman's rank order correlation was used to identify correlations among variables. The Mann-Whitney U-test and chi-square test were used to compare the sex differences in foot characteristics and distribution of foot type. Results: FL and IL showed a very high correlation (r = 0.94). The correlations between FL or IL and IH (r = 0.50-0.57) were greater than those between FL or IL and NH (r = 0.23-0.72). Males had significantly larger values than females (p < 0.001), and the frequency of pes planus was significantly higher in females than in males (χ² = 50.09, p < 0.001). Based on the IH/IL index, the neutral foot, pes planus and pes cavus distributed by 16%, 78%, and 6% respectively. Conclusion: Our results on foot arch distribution could be used as basic data in clinical or footwear fields, and our data on differences in arch structure according to sex may facilitate understanding of why injury to the lower limbs differs between males and females.

• The Journal of Korean Physical Therapy
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• v.13 no.2
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• pp.265-272
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• 2001

The object of this thesis is to study the correlation between scoliosis and foot in a theoretical and empirical method. My research process was investigated for 34 students on the forward bending test, foot printer test, feedoscope test, X-ray test and so on. The main results of this study were as follows: 1. There was statistical significance on the correlation between foot length and spine length. 2. Scoliosis angle is the smallest on the pes plannus group and the biggest on the pes cavus group without statistical significance. 3. Left lumbar curve is the smallest, and right thoracic spine curve is the biggest on the left foot pattern group with statistical significance. 4. On the foot weightbearing groups, there was statistical significance both of between left and right foot groups. 5. There was no statistical significance on the t-test analysis between left foot area and right foot area according to scoliosis typology.