보행 시 발 유형에 따른 발 운동학적 특성과 하지 근활성도 비교 = Comparison of Foot Kinematics and Lower Limb Muscle Activity Based on Foot Type During Gait

다국어 초록 (Multilingual Abstract)

PURPOSE Previous research has rarely examined foot segment motion and muscle activity simultaneously in relation to foot type. Therefore, this study aimed to investigate how foot type influences segmental foot kinematics and lower limb biomechanics during walking. METHODS Fifty-eight healthy adults were sorted into normal group (NG), pes planus group (PPG), or pes cavus group (PCG) using the Foot Posture Index, navicular drop, normalized navicular height, and normalized instep height. Furthermore, three-dimensional foot kinematics and lower limb muscle activity were recorded during 12-meter, self-paced walking using an optical motion capture system and surface electromyography. Kinematic analysis during the stance phase included measurement of joint angles and ranges of motion (ROM) for the following segments: foot relative to the shank, forefoot relative to the midfoot, lateral forefoot relative to the midfoot, medial forefoot relative to the midfoot, and hallux relative to the medial forefoot. Moreover, muscle activity analysis included the tibialis anterior, peroneus longus, and medial and lateral heads of the gastrocnemius.
RESULTS Compared with the NG and PPG, the PCG exhibited greater ROMs in the frontal plane for the forefoot relative to the midfoot and medial forefoot relative to the midfoot. Additionally, the PPG exhibited a greater ROM in the frontal plane for the hallux relative to the medial forefoot compared with the NG. The intersegmental angles according to foot type demonstrated distinct kinematic differences between the PPG and NG in the transverse plane, specifically in the forefoot relative to the midfoot and medial forefoot relative to the midfoot relationships. However, no significant differences were observed in lower limb muscle activity during the stance phase. CONCLUSIONS This study provides insights into kinematic changes according to foot type during walking. Moreover, the findings of this study may deepen our understanding of the intrinsic risk factors for lower extremity injuries and tissue stress associated with variations in foot type.