Korean Journal of Applied Biomechanics (한국운동역학회지)

Korean Society of Applied Biomechanics (한국운동역학회)
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Analyses of Plantar Foot Pressure and Static Balance According to the Type of Insole in the Elderly

  • Bae, Kang-Ho (Department of Physical Education, Graduate School of Silla University) ;
  • Shin, Jin-Hyung (Department of Physical Education, Graduate School of Silla University) ;
  • Lee, Joong-Sook (Department of Kinesiology, College of Health and Welfare, Silla University) ;
  • Yang, Jeong-Ok (Department of Kinesiology, College of Health and Welfare, Silla University) ;
  • Lee, Bom-Jin (Department of Kinesiology, College of Health and Welfare, Silla University) ;
  • Park, Seung-Bum (Footwear Biomechanics Team, Footwear Industrial Promotion Center, Busan Economic Promotion Agency)
  • Received : 2015.10.30
  • Accepted : 2016.03.11
  • Published : 2016.03.31
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Abstract

Objective: The purpose of this study was to investigate plantar foot pressure and static balance according to the type of insole in the elderly. Methods: Thirteen elderly (mean age: $67.08{\pm}2.25years$, mean height: $159.63{\pm}9.64cm$, mean body weight: $61.48{\pm}9.06kg$) who had no previous injury experience in the lower limbs and a normal gait pattern participated in this study. Three models of insoles of the normal, 3D, and triangle types were selected for the test. The Pedar-X system and Pedar-X insoles, 3.3 km/h of walking speed, and a compilation of 20 steps walking stages were used to analyze foot-pressure distribution. Static balance test was conducted using Gaitview AFA-50, and balance (opening eyes, closing eyes) was inspected for 20 s. One-way ANOVA was conducted to test the significance of the results with the three insoles. p-value of less than .05 was considered statistically significant. Results: The mean foot pressure under the forefoot regions was the lowest with the 3D insole during treadmill walking (p<.05). The mean value under the midfoot was the highest with the 3D insole (left: p<.05, right: p<.01). The mean value under the rearfoot was the lowest with the 3D insole (p<.001). The maximum foot pressure value under the foot regions was the lowest on both sides of the forefoot with the 3D insole. A statistically significant difference was seen only in the left foot (p<.01). The maximum value under the midfoot was the highest with the 3D insole (p<.001). No statistically significant difference was detected on the values under the rearfoot. In the case of vertical ground reaction force (GRF), statistically significant difference was seen only in the left side rearfoot (p<.01). However, static balance values (ENV, REC, RMS, Total Length, Sway velocity, and Length/ENV) did not show significant differences by the type of insole. Conclusion: These results show that functional insoles can decrease plantar pressure and GRF under the forefoot and rearfoot. Moreover, functional insoles can dislodge the overload of the rearfoot and forefoot to the midfoot. However, functional insoles do not affect the static balance in the elderly.

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References

  1. Bird, M. L., Hill, K., Ball, M. & Williams, A. D. (2009). Effects of resistance and flexibility exercise interventions on balance and related measures in older adults. Journal of Aging and Physical Activity, 17(4), 444-454. https://doi.org/10.1123/japa.17.4.444
  2. Cohen, H., Blatchly, C. A. & Gombash, L. L. (1993). A study of the clinical test of sensory interaction and balance. Physical Therapy, 73(6), 346-351. https://doi.org/10.1093/ptj/73.6.346
  3. Cromwell, R. L. & Newton, R. A. (2002). Forrest G. Influence of vision on head stabilization strategies in old. The Journals of Gerontology, 57(7), 442-448. https://doi.org/10.1093/gerona/57.7.M442
  4. Donovan, J. L., Mary, K. H., Paul, K. C., Kirk, E. S. & Michael, J. M. (2007). Effect of footwear and orthotic devices on stress or eduction and soft tissue strain of the neuropathic foot. Clinical Biomechanics, 22, 352-359. https://doi.org/10.1016/j.clinbiomech.2006.10.010
  5. Gross, M. L. & Napoli, R. C. (1993). Treatment of lower extremity injuries with orthotics shoe insert. Sports Medicine, 15, 69-70.
  6. Hong, D. S. (2003). A Study on Effect of Therapeutic Exercise through Lifting a paralyzed side Shoe upon Balancing Ability of Hemiplegic Patients. Unpublished master's thesis, Graduate School of Korea University.
  7. Hootman, J. M., Dick, R. & Agel, J. (2007). Epidemiology of collegiate injuries for 15 sports: summary and recommendations for injury prevention initiatives. Journal of Athletic Training, 42(2), 311-319.
  8. Hunter, S., Dolan, M. G. & Davis, M. (1995). Foot Orthotics in Therapy and Sport. Champaign, Human Kinetics.
  9. Hyung, I. H. (2008). The effect of Balance and Muscle Activities on the Stability of Foot. Unpublished doctoral dissertation, Graduate School of Daegu University.
  10. Jette, A. M. & Branch, L. G. (1981). The framingham disability study: II. Physical disability among the aging. American Journal of Public Health, 71(11), 1211-1216. https://doi.org/10.2105/AJPH.71.11.1211
  11. Jin, S. H. (2007). The Effects of Custom Orthotics on Foot Biomechanics, Posture, Pressure, Balance, and Pain. Unpublished master's thesis, Graduate School of Ewha Womans University.
  12. Joo, C. I. (2004). Study on the Measurements of Plantar Foot Pressure Distribution for understanding Characteristics of Insole Materials: Focused on the Insole Materials in Footwear. Unpublished master's thesis, Graduate School of Korea University of Technology and Education.
  13. Kang, H. J. (2008). The Effect of a Customized Insole for High Arched Patients with Hind foot Supination. Unpublished master's thesis, Graduate School of Yonsei University.
  14. Kerrigan, D. C., Todd, M. K., Della Croce, U., Lipsitz, L. A. & Collins, J. J. (1998). Biomechanical gait alterations independent of speed in the healthy elderly: Evidence for specific limiting impairments. Archives of Physical Medicine and Rehabilitation, 79(3), 317-322. https://doi.org/10.1016/S0003-9993(98)90013-2
  15. Kim, C. S. (2008). A Study On the EVA Material Hardness Effect to the Balance and Cushion in Case of Standing and Walking. Unpublished master's thesis, Graduate School of Dongseo University.
  16. Kim, K. H. (2011). Biomechanical Analysis of Arch Supprot Devices on Normal and Low Arch. Unpublished master's thesis, Graduate School of Kyungsung University.
  17. Kogler, G. F., Solomnidis, S. E. & Paul, J. P. (1995). Invitro method for quantifying the effectiveness of the longitudinal arch support mechanism of the orthoses. Clinical Biomechanics, 10(5), 245-252. https://doi.org/10.1016/0268-0033(95)99802-9
  18. Lee, H. J., Song, C. H., Lee, K. J., Lee, Y. W., Lee, G. C., Shin, W. S. & Lee, S. W. (2010). The effects of complex exercise training for lower legs muscle strength, muscle endurance, balance ability and gait ability in the elderly. Journal of Sport and Leisure Studies, 41(2), 935-947.
  19. Lee, H. K., Lee, J. C. & Song, G. H. (2014). The effects of rhythmic sensorimotor training in unstable surface on balance ability of elderly women. Journal of the Korean Academy of Family Medicine, 9(2), 181-191.
  20. Lee, H. T. (2010). The Effect of the Wedge Insole Angle of Supinated Group on Foot Contact Time, Foot Contact Area and Foot Pressure While Walking. Unpublished master's thesis, Graduate School of Pukyong National University.
  21. Lee, J. H., Lee, Y. S., Lee, J. O. & Park, S. H. (2007). Biomechanical gait analysis and simulation on the normal, cavus and flat foot with orthotics. Journal of Mechanical Science and Technology, 31(11), 1115-1123.
  22. Lee, J. I. (2011). The Effect of Wedge insole of Pronated Group on Maximum Force. Unpublished master's thesis, Graduate School of Pukyong National University.
  23. Lockhart, T. E., Smith, J. L. & Woldstad, J. C. (2005). Effects of aging on the biomechanics of slips and falls. Human Factors, 47(4), 708-729. https://doi.org/10.1518/001872005775571014
  24. Milgrom, C., Giladi, M., Kashtan, H., Simkin, A., Chisin, R., Margulies, J., Steinberg, R., Aharonson, Z. & Stein, M. (1985). A Prospective study of the effect of a shockabsorbing orthotic device on the incidence of stress fractures in military recruits. Foot & Ankle, 6, 101-14. https://doi.org/10.1177/107110078500600209
  25. Min-Chi, C. & Mao-Jiun, J. W. (2007). Professional footwear evaluation for clinical nurses. Applied Ergonomics, 38, 133-141. https://doi.org/10.1016/j.apergo.2006.03.012
  26. Nigg, B. M. (2001). The role of impact forces and foot pronation: A new paradigm. Clinical Journal of Sport Medicine. 11, 2-9. https://doi.org/10.1097/00042752-200101000-00002
  27. Olsen, O. E., Myblebust, G., Engebresten, L. & Bahr, R. (2004). Injury mechanism for anterior cruciate ligament injuries in team handball. American Journal of Sports Medicine, 32(4), 1002-1012. https://doi.org/10.1177/0363546503261724
  28. Park, J. S., Choi, E. Y. & Hwang, T. Y. (2002). The effects of strengthening leg Muscular strength on the elderly's walking and balance ability. The Journal of Korean Society of Physical Therapy, 14(2), 71-79.
  29. Park, S. B., Lee, K. D., Kim, D. W., Ryu, J. H. & Kim, K. H. (2011). Comparative analysis of foot pressure distribution by functional Insole to be transformed and restored during walking. Korean Journal of Sport Biomechanics, 21(2), 231-241. https://doi.org/10.5103/KJSB.2011.21.2.231
  30. Province, M. A., Hadley, E. C., Hornbrook, M. C., Lipsitz, L. A., Miller, P., Mulrow, C. D., Ory, M. G., Sattin, R. W., Tinetti, M. E. & Wolf, S. L. (1995). The effects of exercise on falls in elderly patients. The Journal of the American Medical Association, 273(17), 1341-1347. https://doi.org/10.1001/jama.1995.03520410035023
  31. Shumway-cook, A.,& Woollacott, M. H. (1995). Motor Control; Theory and Practical Applications. Baltimore, Williams & Wilkin.
  32. Song, J. H. (2008). The Kinematic comparative study about effects of foot orthotics. Korean Journal of Sport Science, 19(3), 11-21. https://doi.org/10.24985/kjss.2008.19.3.11
  33. Song, J. H., Lee, S. H., Baek, J. H. & Park, J. H. (2008). The influence kinetic variables of the foot orthotics wearing. Korean Journal of Sport Science, 19(4), 55-63. https://doi.org/10.24985/kjss.2008.19.4.55
  34. Spirduso, W. W., Francis, K., Eakin, T. & Stanford, C. (2005). Quantification of manual force control and tremor. Journal of Motor Behavior, 37(3), 197-210. https://doi.org/10.3200/JMBR.37.3.197-210
  35. Statistics Korea (2015). 2015 Elderly Demographics. from http://kostat.go.kr.
  36. Studenski, S., Perera, S., Patel, K., Rosano, C., Faulkner, K., Inzitari, M. (2011). Gait speed and survival in older adults. JAMA, 305(1), 50-58. https://doi.org/10.1001/jama.2010.1923
  37. Wade, M. G. & Jones, G. (1997). The role of vision and spatial orientation in the maintenance of posture. Physical Therapy, 77(6), 619-628. https://doi.org/10.1093/ptj/77.6.619
  38. Winter, D. A. (1995). Human balance and posture control during standing and walking. Gait Posture. 3(4), 193-214. https://doi.org/10.1016/0966-6362(96)82849-9
  39. Woo, J. H., Lee, J. S., Yang, J. O., Lee, B. J., Han, D. W., Bae, K. H., Park, S. M. & Bae, J. W. (2015). Analysis of plantar foot pressure according to 2D & 3D insole types during treadmill gait. Korean Journal of Sport Biomechanics, 25(1), 113-122. https://doi.org/10.5103/KJSB.2015.25.1.113
  40. Wosk, J. & Voloshin, A. (1982). An in vivo study of low back pain and shock absorption in the human locomotor system. Journal of Biomechanics, 15, 21-27. https://doi.org/10.1016/0021-9290(82)90031-8
  41. Yang, S. M. (2013). The Effects of the Balance among the increasing Hight Shoes, Socks and Insoles in Men. Unpublished master's thesis, Graduate School of Catholic University of Daegu.
  42. Yoon, J. K., Park, J. M. & Kim, J. M. (2002). The effect of shoe lift of the paretic limb on gait patterns in hemiplegics. The Journal of Korean Society of Physical Therapy, 9(2), 83-96.

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