발 보조기 사용과 요부 안정화 운동이 편평족을 가진 척추 부정렬 환자의 관절(요천부와 골반부) 각도에 미치는 영향

다국어 초록 (Multilingual Abstract)

The present study purposed to examine how foot orthoses and lumbar stabilization exercise biomechanically effect foot malalignment, pelvic displacement and lumbar displacement observed in spine malalignment patients with flexible flatfoot. The subjects of this study were 20 male and female spine malalignment patients with flexible flatfoot, and their malalignment before and after examined using weight bearing X-ray. The non exercise group (n=10) wore foot orthoses for 8 weeks, and the exercise group (n=10) wore foot orthoses for 8 weeks and had lumbar stabilization exercise. After wearing foot orthoses, the hallux valgus, the talo-first metatarsal bone angle, the sacral angle and lumbar lordotic angle showed a significant difference between the non exercise group and the exercise group. But the 1st~2nd metatarsal bones, the obliquinty angle of the of femur and the lumbosacral disc angle did not show any significant difference between the non exercise group and the exercise group. In conclusion, foot orthoses and lumbar stabilization exercise have significant effects on the foot malalignment and spine malalignment patients. In addition, the change of angles was larger in the exercise group than in the non exercise group, and foot malalignment and spine malalignment appeared to affect each other.

참고문헌 (Reference)

1 권혁철, "체위에 따른 균형 안정성 한계의 비교" 6 : 35-46, 1999

2 공희경, "정적 자세에서 하지정렬 측정방법에 관한 고찰" 대한물리치료학회 15 (15): 1-8, 2003

3 오승길, "요통환자의 엉치엉덩관절 기능부전에 대한 도수교정 후에 하지의 생체 역학적인 변화" 경희대학교 체육대학원 2001

4 이상용, "발의 회내 ● 회외 변화에 따른 슬개대퇴골각과 종경골각 측정" 대한물리치료학회 14 (14): 342-366, 2002

5 이주희, "발 보조기 착용한 요통환자의 기립시 양하지 체중 부하율에 관한 연구" 삼육대학교 대학원 2003

6 김현정, "무지외반증 수술 후 슬와부 좌골신경 차단술의 통증 조절 효과" 대한재활의학회 27 (27): 18-105, 2003

7 임성태, "무지 외반증 환자의 hard insole 착용에 의한 중족지절관절 각도의 변화" 한서대학교 대학원 2001

8 Panjabi,M.M, "The stabilizing system of the spine. Part Ⅱ. Neutral zone and instability hypothesis" 5 : 390-397, 1992

9 Mark P, "The measurement of clinical pain intensity" 27 : 117-126, 1986

10 Jay, R. M., "The management of hyperpronation in children" 34 : 124-131, 1995

11 Alaxander, I. J., "The assessment of dynamic foot-to-ground contact forces and plantar pressure distribution: a review of the evolution of current techniques and clinical applications" 11 : 152-167, 1990

12 Jackson, D, L., "Tarsal tunnel syndrome in runners" 13 : 146-149, 1992

13 Pangabi, M. M., "Spinal stability and intersegmental muscle forces. A biomechanical model" 14 : 194-199, 1989

14 Henneford D.R, "Soft orthoses for atheletes" 76 : 566-, 1986

15 Gill, K., "Repeatability of four clinical methods for assessment of lumbar spinal motion" 13 : 50-53, 1998

16 Waikakul, S., "Relationship between foot length and the inter anterior superior iliac distance" 29 : 763-767, 1998

17 Hoppenfeld, S., "Plantar weight-bearing pattern in idiopathic scoliosis" 6 : 757-760, 1991

18 Franco,A.H, "Pes cavus and pes planus" 67 : 688-694, 1987

19 Long, D., "Persistent back pain sciatica in the United States: patient characteristics" 9 : 40-58, 1996

20 Knoller, S. M., "Paralysis of the foot as the first symptom of a herniated thoracic disc" 60 (60): 191-195, 1999

21 Magee,D.J, "Orthopedic Physical Assessment (3rd ed)" WB Saunders CO 1997

22 Schon, I. C., "Neuropathies of the foot and ankle in athletes" 9 : 489-509, 1995

23 De Palma, "Neurogenic deformities of the lumbosacral spine: Their clinical and therapeutic characteristics" 38 : 297-310, 1990

24 Cholewicke, J., "Mechanical stability of the in vivo lumbar spine: Implications for injury and chronic low back pain" 11 : 1-15, 1996

25 Kessler, R. M., "Management of common musculoskeletal disorders. Physical therapy Primuihee Physicmethods" Harper and Row 448-503, 1983

26 Blunt, S. B., "Foot dystonia and lumbar canal stenosis" 11 : 723-725, 1996

27 Calliet,R, "Foot and Ankle Pain. 2nd ed" F. A. Davis 83-92, 1992

28 Pedowitz, W. J, "Flatfoot in the adult" 3 : 293-302, 1995

29 Song, J. K., "Factors determining the exercise capacity in mitral stenosis" 78 : 1060-1062, 1996

30 McCune, M., "Exercise for low back pain. Therapeutic exercise (5th ed)" Wiliams & Wilkines 2999-3021, 1990

31 Ball, K. A., "Evolution of foot orthotics-part Ⅰ: coherent theory or coherent practice?" 25 : 116-124, 2002

32 Niedziolski, K., "Evaluation of the effect of therapeutic exercise and supination shoe insert on static flatfoot in children" 58 : 46-51, 1993

33 Eng, J. J., "Evaluation of soft foot orthotics in the treatment of patellofemoral pain syndrome" 73 : 62-70, 1993

34 Staheli,L.T, "Evaluation of Planovalgus foot deformities with special reference to the natural history" 77 : 2-6, 1987

35 Otman, S., "Energy cost of walking with flat feet" 12 (12): 73-76, 1988

36 Johanson, M. A., "Effects of three different posting methods on controlling abnormal subtalar pronation" 74 : 149-157, 1994

37 Hertel, J., "Effect of foot orthotics on quadriceps" 86 (86): 26-30, 2005

38 Ferber, S. G., "Does sympathetic activity contribute growth of preterm infants?" 82 : 205-210, 2005

39 Wenger, D. R., "Corrective shoes and inserts as treatment for flexible flatfoot in infants and children" 71 : 800-810, 1989

40 Mayer, T. G., "Comparison of CT scan muscle measurements and isokinetic trunk strength in postoperative patients" 1433-1436, 1989

41 Horak,F.B, "Clinical measurement of postural control in adults" 67 : 1881-1885, 1987

42 Van Berum, D. H., "Biomechanics and Pathophysiology of flatfoot" 8 : 419-430, 2003

43 Laasonen,E.M, "Atrophy of sacrospinalis muscle group in patients with chronic diffusely radiating low back pain" 26 : 9-13, 1984

44 Kilmartin, T. E., "A controlled prospective trial of a foot orthosis juvenile hallux valgus" 76 (76): 210-214, 1994