• The Journal of Korean Physical Therapy
• /
• 제25권6호
• /
• pp.379-385
• /
• 2013

Purpose: The purpose of this study is to compare kinematics on lower limbs between stair walking with high heel and barefoot in healthy adult women. Methods: 18 healthy adult women were recruited in this study. The subjects performed stair ascent and descent with high heels and barefoot. The experiment was conducted in random order and repeated three times for each stair walking with high heels and barefoot. The movements of lower limb joints were measured and analyzed using a three-dimensional analysis system. Results: The ankle, knee, and hip flexion angles on the sagittal plane exhibited statistically significant differences between stair ascent and descent with high heels and barefoot. The pelvic forward tilt angles showed statistically significant differences only during stair ascent. The ankle inversion, hip abduction and pelvic lateral tilt angles on the frontal plane showed statistically significant differences between stair walking with high heels and barefoot. On the transverse plane, the hip rotation angles showed statistically significant differences between the high-heeled and barefoot gait during stair ascent and descent. However, the pelvic rotation angles showed no statistically significant differences. Conclusion: Therefore, wearing high-heeled shoes during stair walking in daily life is considered to influence lower limb kinematics due to the high heel, and thus poses the risks of pain, and low stability and joint damage caused by changes in the movement of lower limb joints.

• 한국의류산업학회지
• /
• 제15권4호
• /
• pp.613-619
• /
• 2013

This study compares the gait characteristics of elderly women during barefoot walking and walking with sneakers. We measured foot angles, max foot pressure, peak plantar pressure of each plantar region, velocity of Center of Pressure(COP), and axis shifting of COP with an RS-scan system. Elderly women's foot angles were narrower when walking with sneakers than when barefoot walking. We found that the subtalar joint angle (representing ankle joint flexibility) affected walking stability. Regarding the peak plantar pressure of each foot region, pressures were high in the medial regions and the pressures greatly varied depending on the region measured during barefoot walking. The COP moved significantly faster when walking with sneakers than barefoot walking and suggests that elderly women walked faster in sneakers. Axis shifting of the COP decreased during walking with sneakers and indicated that gait balance improved when walking with sneakers. The findings of the present study can be utilized as foundational data for elderly women's gait characteristics as well as data for the production of functional footwear. Future research that focuses on various types of shoes, age groups, and gender are recommended for the development of more functional footwear for stable gaits.

• 대한통합의학회지
• /
• 제8권4호
• /
• pp.29-38
• /
• 2020

Purpose : The purpose of this research was to investigate the effects of barefoot walking on the sandy beach on pain intensity, disability, motor function, sleep satisfaction, and quality of life in the elderly with low back pain (LBP). Methods : A single-blinded randomized controlled trial was conducted involving 32 elderly with LBP who underwent sand walking barefoot (intervention, n=16) or with sneakers (control, n = 16). Both walking methods were carried out for 30 minutes per day, three times a week for four weeks. Pain intensity and disability were assessed using the visual analog scale and Oswestry disability index, respectively. Balance and gait were evaluated using the Berg balance scale and timed up and go test, respectively. Sleep satisfaction was quantified with the Verran and Snyder-Halpern sleep scale. Finally, quality of life was assessed through the WHO quality of life scale's abbreviated Korean version. Results : Compared with the control group, the intervention group showed significant differences in pain intensity (p=.005), disability due to LBP (p=.002), static balance ability (p=.003), dynamic balance ability (p=.002), and sleep satisfaction (p=.017). There was no significant difference in the quality of life between the two groups. Conclusion : Barefoot walking on a sandy beach is significantly effective in improving pain, disability due to LBP, balance ability, and sleep satisfaction in the elderly with LBP. Further studies with larger sample sizes and longer intervention periods must to be conducted to generalize using barefoot walking in LBP management.

• 융합정보논문지
• /
• 제8권1호
• /
• pp.9-14
• /
• 2018

본 연구는 맨발 보행과 운동화 착용 보행에서 보행주기의 차이를 비교하여 보행역학에 따른 신발 개발에 기초자료를 제공하고자 한다. 발의 변형과 이상이 없는 정상 성인 여성 30명을 대상으로 보행 주기를 측정하였다. 먼저 운동화를 착용하고 보행하여 주기를 측정한 후, 맨발로 보행하여 주기를 측정하여 데이터를 얻었다. 이후 두 데이터를 대응표본 T-test를 이용하여 비교하였다. 실험 결과 맨발 보행에서 입각기 좌측(p<.001), 우측(p<.005), 체중부하기 좌측(p<.009), 우측(p<.002), 전유각기 좌측(p<.002), 우측(p<.011), 양하지 지지기(p<.004)가 증가하였고, 중간 입각기 좌측(p<.016), 우측(p<.001), 유각기 좌측(p<.001)이 감소하였다. 이는 맨발 보행이 다양한 발의 감각의 입력을 증가시켜 보행안정성이 높은 보행이 가능해 졌다고 보여 지며, 향후 보행 주기에 의거하여 맨발보행과 가까운 신발 개량이 필요하다고 사료된다. 향후 신발의 개량을 위해 신발 종류에 따른 보행주기 연구가 필요할 것이다.

• 국제물리치료학회지
• /
• 제11권1호
• /
• pp.1992-1998
• /
• 2020

Background: The foot drop stimulator is designed to improve the walking ability of foot drop in patients after stroke, however, studies on clinical effects are still lacking. Objective: To investigate the effect of a foot drop stimulator on the walking and balancing abilities of foot drop patients after a stroke. Design: One-Group (Pretest-Posttest) Design. Methods: All subjects walked in all three conditions: foot drop stimulator (FDS) ankle foot orthosis (AFO) and barefoot. Primary outcome measures were assessed for walking and balance using a 10-m walking test (10MWT) and a timed up and go test (TUG). Secondary outcome measures consisted of a brief user interview, and the patients recorded the advantages and disadvantages of each condition. Results: FDS, AFO, and barefoot conditions showed a statistically significant difference in 10MWT and TUG (P<.001) as a result of comparing three conditions. FDS and AFO were significantly different from the barefoot condition as post-hoc results; however, there was no significant difference between the two conditions (P>.05). Conclusion: In this study, the foot drop stimulator contributed to improving the balance ability, and the walking ability was similar to the effect of the ankle-foot orthosis.

• 한국운동역학회지
• /
• 제15권2호
• /
• pp.69-81
• /
• 2005

In this study using two-dimensional system of the analysis of image, when normal males in their twenties who have normal foot and step with heel first are walking and running, they who are wearing running shoes or barefoot are testing and comparing the exchange factors of heel control. There are following results of this test by verifying them with T-Test. 1) When they are running, there are two big different gap which is $6.05^{\circ}$ between barefoot and wearing the running shoes. The former is $174.79^{\circ}{\pm}6.31$ and the latter is $180.84^{\circ}{\pm}4.69$. But it is not statistically significant. The angle of first step with heel is $100.42^{\circ}{\pm}3.95$ with barefoot and $93.97^{\circ}{\pm}094$ with wearing the running shoes. In this case, it is statistically significant(p<.01) 2) When they are running, the angle of the Achilles' tendon has different gap which is $5.24^{\circ}$ between barefoot and wearing the running shoes. The former is $179.70^{\circ}{\pm}4.23$ and the latter is $184.94^{\circ}{\pm}4.09$. It is not statistically significant. The angle of minimal step with heel is $96.30^{\circ}{\pm}3.07$ with barefoot and $90.84^{\circ}{\pm}0.44$ with wearing the running shoes. In this case, it is statistically significant(p<.01). 3) In the angle of the Achilles' tendon and the angle of first step with heel, when they are walking, the angle of the Achilles' tendon has different gap which is $1.81^{\circ}$ between barefoot and wearing the running shoes. The former is $6.39^{\circ}{\pm}0.83$ and the latter is $8.20^{\circ}{\pm}1.85$. It is not statistically significant. The angle of first step with heel is $2.32^{\circ}{\pm}0.51$ with barefoot and $3.22^{\circ}{\pm}1.44$ with wearing the running shoes. It is not statistically significant. 4) In the angle of the take-off of Achilles' tendon, when they are walking, the angle of the take-off of Achilles' tendon has different gap which is $3.88^{\circ}$ between barefoot and wearing the running shoes. The former is $177.62^{\circ}{\pm}8.78$ and the latter is $173.74^{\circ}{\pm}16.31$. It is statistically significant(p<.05). Therefore, they are running, the angle of the take-off of Achilles' tendon is $178.37^{\circ}{\pm}19.28$ with barefoot and $171.26^{\circ}{\pm}12.18$ with wearing the running shoes. It is statistically significant(p<.05).

• 한국전문물리치료학회지
• /
• 제27권1호
• /
• pp.78-86
• /
• 2020

Background: Flat-footed persons with collapsed medial longitudinal arch lose flexibility after skeletal maturity, resulting in several deformities and soft tissue injuries. Although arch support taping is usually applied in the clinic to support the collapsed arch, research on the use of different types of tape for more efficient arch support in flat-footed persons is lacking. Objects: The purpose of this study was to examine three conditions (barefoot, kinesio tape, and dynamic tape) and compare their effects on static and dynamic balance in persons with asymptomatic flexible flatfoot. Methods: Twenty-two subjects (9 females and 13 males) with asymptomatic flexible flatfoot participated in this study. The subjects performed the Y-balance test to measure the composite reach score. The subjects also performed a 30-second standing test to measure the center of pressure (COP) path length and a walking test to measure anteroposterior and lateral variability using the Zebris FDM system. One-way repeated-measures analysis of variance compared the three conditions applied to the subjects' feet for each balance variable. Results: The composite reach score significantly increased following the application of dynamic tape compared with barefoot and that of kinesio tape compared with barefoot. There was no significant difference in the COP path length during standing among the three conditions. Anteroposterior and lateral variability during walking significantly with dynamic tape application compared with barefoot. Conclusion: The results of this study suggest that, in persons with asymptomatic flexible flatfoot, application of kinesio tape and dynamic tape may be effective in increasing the composite reach score in Y-balance test, whereas application of dynamic tape may be effective in reducing anteroposterior and lateral variability during walking.

• 한국운동역학회지
• /
• 제26권1호
• /
• pp.135-142
• /
• 2016

Objective: The purpose of this study was to investigate the acute effect of walking on high heels on the behavior of fascicle length and activation of the lower limb muscles. Methods: Twelve healthy inexperienced high heel wearers (age: $23.1{\pm}2.0yr$, height: $162.4{\pm}4.9cm$, weight: $54.4{\pm}8.5kg$) participated in this study. They walked in high heels (7 cm) and barefoot on a treadmill at their preferred speed. During the gait analysis, the lower limb joint kinematics were obtained using a motion analysis system. In addition, the changes in fascicle length and the level of activation of the medial gastrocnemius (MG) were simultaneously monitored using a real-time ultrasound imaging technique and surface electromyography, respectively. Results: The results of this study show that the MG fascicle operates at a significantly shorter length in high heel walking ($37.64{\pm}8.59mm$ to $43.99{\pm}8.66mm$) in comparison with barefoot walking ($48.26{\pm}9.02mm$ to $53.99{\pm}8.54mm$) (p < .05). In addition, the MG fascicle underwent lengthening during high heel walking with relatively low muscle activation while it remained isometric during barefoot walking with relatively high muscle activation. Conclusion: Wearing high heels alters the operating range of the MG fascicle length and the pattern of muscle activation, suggesting that prolonged wearing of high heels might induce structural alterations of the MG that, in turn, hinder normal functioning of the MG muscle during walking.

• 국제물리치료학회지
• /
• 제11권1호
• /
• pp.1950-1953
• /
• 2020

Background: Ankle instability usually occurs after stroke, and contributes to unsafe walking and associated risk of falling in the affected patients. Objective: To investigate the effects of kinesiology taping (KT) on gait and balance ability (center of pressure, CoP) in patients with ankle instability after stroke. Design: One group, pre-post design. Methods: A total of 11 patients with ankle instability after stroke were enrolled. In all subjects, the gait and balance ability were assessed under 2 conditions: KT and barefoot. Gait and balance ability was assessed using GAITRite system and FDM-S platform. Results: Comparison between KT and barefoot condition, KT condition was significantly higher in velocity, cadence, step length, and stride length than barefoot condition (P<.05). KT condition was significantly lower in CoP path length and sway speed than barefoot condition (P<.05). Conclusion: KT indicated potential as a helpful method for walking and balancing ability in patients with ankle instability after stroke. Therefore, this study recommends KT as an option applicable to the stroke with ankle instability.

• Physical Therapy Rehabilitation Science
• /
• 제11권4호
• /
• pp.546-552
• /
• 2022

Objective: The purpose of this study was to compare walking speed and balance abilities according to various taping methodsin patients with stroke. Design: Cross-sectional study Methods: Twenty patients with stroke who were hospitalized at a rehabilitation hospital were allotted to the either the talus stabilization, Kinesio or sham taping, or barefoot conditions by drawing lots. Assessment tools used were the Functional Reach Test(FRT), Timed Up and Go test(TUG), One-Legged Stance Test (OLST), and the 10-Meter Walk Test(10MWT).After each test was measured three times, the mean values of each test was used for analysis. Results: Significant results were observed with thetalus stabilization and Kinesio taping groupcompared to the barefoot and sham taping method for theFRT,TUG, the OLST, and the 10MWT(p<0.05). Also, significant differences in the resultswere seen in the OLST, TUG, and the 10MWTwith the talus taping compared to the Kinesio taping method(p<0.05). Conclusions: The use oftalus stabilization taping applied to the ankle of patients with stroke was more effective for balance and walking ability improvement than Kinesio taping through the correction of an abnormal position of the talus.It is considered that these methods of taping can be applied effectively in the clinic.