Journal of the Korean Society of Physical Medicine (대한물리의학회지)

The Korean Society of Physical Medicine (대한물리의학회)
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The Effects of Insole Supporting Medial Longitudinal Arch while Walking in Spastic Cerebral Palsy with Pes Planus

안쪽 세로 발바닥 활을 지지한 인솔의 착용이 평발을 가진 경직성 뇌성마비 아동의 보행에 미치는 영향

  • Kim, Sung Gyung (Department of Physical Therapy, General Graduate School, Catholic University of Daegu) ;
  • Ryu, Young Uk (Department of Physical Therapy, Catholic University of Daegu) ;
  • Kim, Hyeong Dong (Department of Physical Therapy, Korea University)
  • 김성경 (대구가톨릭대학교 일반대학원 물리치료학전공) ;
  • 류영욱 (대구가톨릭대학교 물리치료학과) ;
  • 김형동 (고려대학교 물리치료학과)
  • Received : 2012.08.27
  • Accepted : 2012.10.15
  • Published : 2012.11.30
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Abstract

PURPOSE: The object of the present study is to investigate the effects of the insole supporting medial longitudinal arch while walking in spastic cerebral palsy with pes planus. METHODS: Ten spastic bilateral cerebral palsy children with pes planus participated in this study. The insole were custom-made for the individual child. Muscle activity was measured by surface EMGs attached on tibialis anterior (TA), gastrocnemius (GA), vastus medialis oblique (VMO), biceps femoris long head (BF). temporal-spatial parameters such as velocity, step length, stride length, stance time, toe angle were collected while the subjects walked on the GAITRite system. RESULTS: The results of the present study were summarized as follows: 1. Muscle activities in mean EMGs while walking: Left VMO, Right TA, Left BF and GA revealed significant reductions after applying insole. 2. Muscle activities in peak EMGs while walking: Left TA and BF demonstrated reductions significantly after applying insole. 3. There were improvements in temporal-spatial gait parameters with insole: velocity, both step length, Right stride length and Right toe angle were increased(p<.05). CONCLUSION: Therefore the current study demonstrated that insole supporting the medial longitudinal arch would be effective on gait of the spastic cerebral palsy with pes planus.

Keywords

References

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