6주간의 활지지 테이핑(arch support taping) 적용이 과도하게 엎침된 발의 발바닥압력과 발배뼈 높이에 미치는 영향

김태호 ( Tae Ho Kim ),고은경 ( Eun Kyung Koh ),정도영 ( Do Young Jung ) 대한물리의학회 2011 대한물리의학회지 Vol.6 No.4

Purpose:The purpose of this study was to identify the effect of an arch support taping on navicular drop height and plantar pressure in the subjects with excessive pronated foot for 6 weeks. Methods:The fifteen subjects with the pronated foot group and the fifteen subjects with the normal foot group volunteered for this study. Both groups were applied arch support taping at 3 times a week during 6 weeks. Subjects were assessed navicular drop test to evaluate pronation of subtalar joint and plantar pressure on treadmill for pressure measuring system during walking with a bare foot state at pre- taping, after 3 weeks, and after 6 weeks. A two-way repeated analysis of variance design was used to examine the difference of navicular drop height and plantar pressure in the pronation foot group and the normal foot group. Results:The pronated foot group had significantly decreased both the navicular drop height and the plantar pressure under the medial midfoot than the normal foot group after 6 weeks(p<.01). Conclusions:This study proposed that an arch support taping can be support to lift navicular bone as well as to transfer the foot pressure from medial midfoot to lateral midfoot in individuals with excessive pronated foot.

Bilateral foot drop caused by T12 infectious spondylitis after vertebroplasty: a case report

( Dong Hwan Kim ),( Yong Beom Shin ),( Mahnjeong Ha ),( Byung Chul Kim ),( In Ho Han ),( Kyoung Hyup Nam ) 대한외상학회 2022 大韓外傷學會誌 Vol.35 No.1

The most common cause of foot drop is lumbar degenerative disc herniation, particularly at L4/5. We present a rare case of spinal cord injury accompanied by a thoracolumbar lesion that presented with bilateral foot drop. A 69-year-old male patient presented with sudden-onset severe bilateral leg pain and bilateral foot drop. Radiologic findings revealed T12 spondylitis compressing the conus medullaris. He had undergone vertebroplasty for a T12 compression fracture after a fall 6 months before. A physical examination showed bilateral foot drop, paresthesia of both L5 dermatomes, increased deep tendon reflex, and a positive Babinski sign. An acute bilateral L5 root lesion and a conus medullaris lesion were suspected based on electromyography. A surgical procedure was done for decompression and reconstruction. After the operation, bilateral lower extremity muscle strength recovered to a good grade from the trace grade, and the patient could walk without a cane. The current case is a very rare report of bilateral foot drop associated with T12 infectious spondylitis after vertebroplasty. It is essential to keep in mind that lesions of the thoracolumbar junction can cause atypical neurological symptoms. Furthermore, understanding the conus medullaris and nerve root anatomy at the T12-L1 level will be helpful for treating patients with atypical neurological symptoms.

급성 비골신경마비로 진단된 족하수(Foot drop) 환자의 치험 3례

추민규 ( Min Gyu Chu ),김세진 ( Se Jin Kim ),위준 ( Jun We ),최진봉 ( Jin Bong Choi ) 한방재활의학과학회 2007 한방재활의학과학회지 Vol.17 No.3

Objectives:Foot drop is taken by several causes.External or internal pressures on peripheral nerves may result in common peroneal neuropathy(CPN).CPN is a major cause for foot drop.But few cases of foot drop caused by CPN have been reported.Especially case of sensory disoder`s improvement by themographic picture is very few.We report three patients with foot drop.Methods:There are three patients diagnosed by CPN.We diagnosed them with nerve conduction studies(NCS) and electromyography(EMG).We treated them conservative maneuver as to oriental medical method.And we measured range of movement of ankle joint, distance of from a big toe to the ground and thermographic picture of both leg.Results:After being treated by our methods, Patients` VAS(Visual Analogue Scale), ROM(Range of Motion) and thermographic picture of both leg were improved in cases.Conclusions:Foot drop caused by CPN is improved by conservative maneuver as to oriental medical method.

발등굽힘근 촉진 다이나믹 테이핑이 발 처짐이 있는 뇌졸중 환자의 정적, 동적 균형과 보행 속도에 미치는 즉각적 효과

임진구(Jin-gu Im),김선엽(Suhn-yeop Kim) 한국전문물리치료학회 2022 한국전문물리치료학회지 Vol.29 No.1

Background: Foot drop is a common symptom in stroke patients. Tape applications are widely used to manage foot drop symptoms. Previous studies have evaluated the effects of static and dynamic balance and gait on foot drop using kinesiology tape; however, only few studies have used dynamic tape application in stroke patients with foot drop. Objects: The purpose of this study was to investigate the immediate effects of dynamic tap-ing, which facilitates the dorsiflexor muscle, on static and dynamic balance and gait speed in stroke patients with foot drop. Methods: The study included 34 voluntary patients (17 men, 17 women) with stroke. The patients were randomly assigned to the experimental group (n = 17), wherein dynamic taping was used to facilitate the dorsiflexor muscle, or the control group (n = 17), wherein kinesiol-ogy taping was used. Before the taping application, velocity average, path-length average, Berg balance scale, and timed up and go test (TUG) were recorded to measure static and dynamic balance, whereas the 10-meter walk test (10MWT) was used to measure gait speed. After the taping application, these parameters were re-evaluated in both groups. Repeated measure analysis of variance was used. Statistical significance levels were set to α = 0.05. Results: Except for the 10MWT scores in the control group, significant differences were noted in all the parameters measured for static and dynamic balance and gait speed between the pre and post-test (p < 0.05). However, the parameters showed significant interaction ef-fects between group and time in the TUG and 10MWT (p < 0.01). Conclusion: These results indicate that compared with kinesiology taping, dynamic taping used in chronic stroke patients with foot drop had a more significant effect on dynamic bal-ance and gait speed.

Effects of an Elastic AFO on the Walking Patterns of Foot-drop Patients with Stroke

( Young-in Hwang ) 대한물리의학회 2020 대한물리의학회지 Vol.15 No.1

PURPOSE: Many patients with stroke have difficulties in walking with foot-drop. Various types of ankle-foot orthoses (AFOs) have been developed, but their weight needs to be reduced with the assistance of the ankle dorsiflexor. Therefore, an elastic AFO (E-AFO) was devised that not only improves the stability and flexibility of the ankle but also assists with ankle dorsiflexion while walking. This study examined the effects of an E-AFO, on the walking patterns of foot-drop patients with stroke. METHODS: Fourteen patients walked with and without an E-AFO, and the gait parameters were assessed using the GAITRite system. The spatiotemporal data on the gait patterns of stroke patients with foot-drop were compared using paired t-tests; the level of statistical significance was set to α<.05. RESULTS: No significant differences were observed in the velocity (p=.066) and affecte+d step length (p=.980), but the affected and less-affected stance (p=.022, p=.002) and swing time (p=.012, p=.005) were significantly different. The E-AFO produced a significant difference in the less-affected step length (p=.032). CONCLUSION: The E-AFO has a significant effect on the walking patterns of individuals with foot-drop and stroke. The E-AFO could be a useful assistive device for gait training in stroke patients.

Ankle Foot Orthosis for Patients with Drop Foot Using Shape-Memory-Alloy Actuators

Bohyun Lee,Jisu Park,Shinsuk Park,Choong Hyun Kim 한국정밀공학회 2023 International Journal of Precision Engineering and Vol.24 No.11

Gait disorders can lower the quality of life of patients. Drop foot, a causative factor of deviated gait patterns, renders patients unable to lift their forefoot towards the body. Hence, a light and compact ankle–foot orthosis (AFO), which is the most common treatment for drop foot, must be designed, especially for patients with impaired lower limb muscles as oxygen consumption increases by 30% per 1.96 N load on their foot. Furthermore, the limited range of ankle angles in the first 10% of the gait cycle (GC) is a major drawback for patients with drop foot compared to healthy individuals. This limited range of ankle angles can be improved by gaining support from an AFO composed of shape memory alloy (SMA) actuators (SMA-AFO). Therefore, in this study, an SMA was used to fabricate a soft actuator to reduce the weight of the AFO. An adaptive frequency oscillator (AO) was implemented in real time for continuous gait phase detection. Walk tests were performed on a treadmill with the SMA-AFO attached to the participants (N = 3). The experimental results showed that the participants could lift their forefoot in the dorsiflexion direction with an ankle angle of 8.75° in the first 10% of the GC. Furthermore, the current required to operate the SMA actuator can be supplied to only 45.3% of the GC, reducing the power consumption. Therefore, the proposed SMA-AFO can be used in patients with drop foot.

Effect of Electric Stimulation Training on Walking Ability of Patients with Foot Drop after Stroke

Jongbae Choi,Sungryoung Ma,Jongeun Yang 국제물리치료연구학회 2019 Journal of International Academy of Physical Ther Vol.10 No.4

Background: Foot drop is a common symptom after stroke and causes walking disorders. Therefore, its proper treatment is important for improving the walking ability of patients with foot drop. Objective: This study aimed to investigate the effects of electrostimulation during walking on the walking ability of patients with foot drop after stroke. Design: Quasi-experial study. Methods: The study enrolled 18 patients with foot drop after stroke. All subjects were assigned to the experimental or control group. The experimental group underwent electric stimulation during walking, while the control group used ankle foot orthoses. Both groups received treatment 20 minutes a day 5 times a week for 4 weeks. Outcome measures were assessed for walking and balance ability using the 10-m walking test (10MWT), 6-min walking test (6MWT), and Timed Up and Go test (TUG) Results: After the intervention, both groups showed significant improvements in 6MWT and TUG results. However, the experimental group showed significantly better improvement on all tests than the control group. Conclusion: The foot drop stimulator effectively improved the walking and balance ability of patients with foot drop after stroke.

Comparison of Flatfoot on the Activities of Medial and Lateral Plantar Flexor Muscle During Heel Rising

Hui-won Jung,Won-gyu Yoo 한국전문물리치료학회 2021 한국전문물리치료학회지 Vol.28 No.2

Background: Flat feet can be identified by assessing the collapse of the medial longitudinal arch (MLA) and these conditions can trigger epidemiological changes in the feet. Many of previous studies compared the muscle activity of lower body in terms of intervention and dynamics to treat the structural defect of flat feet. However, few studies have investigated or analyzed the muscle activity of gastrocnemius muscle in the subjects with flat feet.Objects: This study investigated the differences in changes of medial and lateral plantar flex-ors in subjects with flat feet during bipedal heel-rise (BHR) task and analyzed the differences in muscle activity between two groups by measuring the electromyography (EMG) of abductor hallucis (AH), tibialis anterior (TA), medial gastrocnemius (MG), lateral gastrocnemius (LG).Methods: A total of Twenty one adult females participated in this experiment. Subjects were assigned to groups according to the navicular drop test. The task was applied to the leg, where the heel lifting action prevailed. The muscle activity of the medial and lateral feet plan-tar flexors was evaluated, and the % maximum voluntary isometric contractions (%MVIC) of these were compared.Results: For the difference between groups the muscle activity (%MVIC) of LG muscle was statistically significantly low in flat feet group compared to healthy feet group (flat feet: 64.57, healthy feet: 90.17; p < 0.05).Conclusion: The results of this study will contribute to identifying the muscle activities of medial and lateral feet plantar flexors among subjects with flat feet, which can cause abnor-mal epidemiological changes in the feet.

전침을 이용한 족하수(Foot drop)환자 치험2례

황정수,이종영,원승환,김두용,김성혜,박희수 대한침구의학회 2005 대한침구의학회지 Vol.22 No.5

The Foot drop is led by the conditional palsy of dorsal flexor according to some causes. In this case, it is caused by peroneal nerve palsy. It brings the difficulty in waking and standing up. We observed 2 cases of patient with Foot drop. Two patients were treated by the same method and treatment was performed by means of electroacupuncture(2-4Hz frequency, intensity was adjusted so that localized muscle contraction could be seen). As the result, symptoms are improved. 본 증례는 원인을 알 수 없는 비골신경마비로 인해 발생한 하수족(Foot drop)환자를 전침치료로 호전시킨 치험례로 전침이 마비성 질환에 유효하며 향후 다양한 마비성 질환에 응용할 수 있도록 많은 임상연구가 필요하다고 사료된다.

Influence of Longitudinal Arch of Foot on the Strength and Muscle Activity of the Abductor Hallucis in Subjects with and without Navicular Drop Sign

( In-cheol Jeon ) 대한물리치료학회 2019 대한물리치료학회지 Vol.31 No.4

Purpose: This study examined the influence of longitudinal arch on the strength and muscle activity of the abductor hallucis in the standing position in subjects with and without navicular drop signs. Methods: A sample of 34 subjects with and without navicular drop signs between 22 and 28 years of age were enrolled in this study. The strength and muscle activity of the abductor hallucis was measured using a tensiometer. The Smart KEMA System and electromyography device was used on the subjects with and without navicular drop signs. Two groups were classified using the navicular drop test to identify the longitudinal arch of the foot. The strength of the abductor hallucis was evaluated in standing, both with and without an external arch support condition. The two-way mixed ANOVA was used. The level of statistical significance was set to α=0.05. Results: The strength and muscle activity of the abductor hallucis in standing was significantly higher with external arch support than that without the external arch support in the group with navicular drop signs. There was no significant difference in the abductor hallucis strength and muscle activity with and without external arch support in the subjects without navicular drop signs. Conclusion: The strength and muscle activity of the abductor hallucis in standing can be influenced by the external arch support in the group with navicular drop signs. The strength measurement of the abductor hallucis in standing should be separately performed in conditions with and without longitudinal arch of foot.