The Effects of Insole Supporting Medial Longitudinal Arch while Walking in Spastic Cerebral Palsy with Pes Planus (안쪽 세로 발바닥 활을 지지한 인솔의 착용이 평발을 가진 경직성 뇌성마비 아동의 보행에 미치는 영향)

김성경; Young Uk Ryu (류영욱); Kim, Hyeong-Dong (김형동)

The Effects of Insole Supporting Medial Longitudinal Arch while Walking in Spastic Cerebral Palsy with Pes Planus

Journal of the Korean Society of Physical Medicine
Abbr : J Korean Soc Phys Med
2012, 7(4), pp.471-480
Publisher : The Korean Society of Physical Medicine
Research Area : Medicine and Pharmacy > Physical Therapy > Other physical therapy

김성경 ¹, Young Uk Ryu ¹, Kim, Hyeong-Dong ²

¹대구가톨릭대학교
²고려대학교

Candidate

ABSTRACT

PURPOSE: The object of the present study is to investigate the effects of the insole supporting medial longitudinal arch while walking in spastic cerebral palsy with pes planus. METHODS: Ten spastic bilateral cerebral palsy children with pes planus participated in this study. The insole were custom-made for the individual child. Muscle activity was measured by surface EMGs attached on tibialis anterior (TA),gastrocnemius (GA), vastus medialis oblique (VMO), biceps femoris long head (BF). temporal-spatial parameters such as velocity, step length, stride length, stance time, toe angle were collected while the subjects walked on the GAITRite system. RESULTS: The results of the present study were summarized as follows: 1. Muscle activities in mean EMGs while walking: Left VMO, Right TA, Left BF and GA revealed significant reductions after applying insole. 2. Muscle activities in peak EMGs while walking: Left TA and BF demonstrated reductions significantly after applying insole. 3. There were improvements in temporal-spatial gait parameters with insole: velocity, both step length, Right stride length and Right toe angle were increased(p<.05). CONCLUSION: Therefore the current study demonstrated that insole supporting the medial longitudinal arch would be effective on gait of the spastic cerebral palsy with pes planus.

KEYWORDS

Insole, Pes planus, Spastic cerebral palsy

Citation status

* References for papers published after 2023 are currently being built.

[journal] Abel MF / 1998 / Gait assessment of fixed ankle-foot orthoses in children with spastic diplegia / Arch Phys Med Rehabil 79(2) : 126~133

[journal] Ahroni JH / 1998 / Reliability of F-scan in-shoe measurements of plantar pressure / Foot Ankle Int 19(10) : 668~673

[journal] Barnes R / 1994 / The role of footwear in minimizing lower limb injury / J Sports Sci 12(4) : 341~353

[journal] Berker AN / 2008 / Cerebral palsy: Orthopedic aspects and rehabilitation / Pediatr Clin North Am 55(5) : 1209~1225

[journal] Carley P / 1999 / Features-Healing the Pain-Low-cost, size-specific polyurethane shoe inserts help in managing perceived back and knee pain / Occup Health Saf 68(8) : 92~119

[journal] Carlson W / 1995 / Biomechanics of orthotic management of gait in spastic diplegia / Gait Posture 3(2) : 102~102

[journal] Coughlin MJ / 1995 / Mann Award. Juvenile hallux valgus: etiology and treatment / Foot Ankle Int 16(11) : 682~697

[journal] Crenshaw S / 2000 / The efficacy of tone-reducing features in orthotics on the gait of children with spastic diplegic cerebral palsy / J Pediatr Orthop 20(2) : 210~216

[journal] Dananberg HJ / 1999 / Chronic low-back pain and its response to custom-made foot orthoses / J Am Podiatr Med Assoc 89(3) : 109~117

[journal] DeJaeger D / 2001 / The energy cost of walking in children / Pflugers Arch 441(4) : 538~543

[journal] Dixon SJ / 2007 / Influence of a commercially available orthotic device on rearfoot eversion and vertical ground reaction force when running in military footwear / Mil Med 172(4) : 446~450

[journal] Flett PJ / 2003 / Rehabilitation of spasticity and related problems in childhood cerebral palsy / J Paediatr Child Health 39(1) : 6~14

[journal] Fosang AL / 2003 / Measures of muscle and joint performance in the lower limb of children with cerebral palsy / Dev Med Child Neurol 45(10) : 664~670

[journal] Hawke F / 2008 / Custom-made foot orthoses for the treatment of foot pain / Cochrane Database Syst Rev 16(3) : CD006801~

[journal] Hennig EM / 1991 / Pressure distribution patterns under the feet of children in comparison with adults / Foot Ankle 11(5) : 306~311

[book] Hunter S / 1995 / Foot orthotics in therapy and sport / Human Kinetics Publishers

[journal] 김중진 / 2008 / A Study on the Kinematic Variables in Different Safety Shoes andApplying Insole During Walking / 한국안전학회지 / 한국안전학회 23(1) : 35~45

[journal] Lampe R / 2004 / Influence of orthopaedic-technical aid on the kinematics and kinetics of the knee joint of patients with neuroorthopaedic diseases / Brain Dev 26(4) : 219~226

[journal] Landorf KB / 2000 / Efficacy of foot orthoses. What does the literature tell us? / J Am Podiatr Med Assoc 90(3) : 149~158

[journal] Lockard MA / 1988 / Foot orthoses / Phys Ther 68(12) : 1866~1873

[journal] Merletti R / 1996 / Myoelectric and mechanical manifestations of muscle fatigue in voluntary contractions / J Orthop Sports Phys Ther 24(6) : 342~

[journal] Morris C / 2002 / A review of the efficacy of lower-limb orthoses used for cerebral palsy / Dev Med Child Neurol 44(3) : 205~211

[journal] Mueller MJ / 1993 / Navicular drop as a composite measure of excessive pronation / J Am Podiatr Med Assoc 83(4) : 198~202

[journal] Murley GS / 2009 / Foot posture influences the electromyographic activity of selected lower limb muscles during gait / J Foot Ankle Res 2(35) : 1~9

[journal] Nakajima K / 2009 / Addition of an arch support improves the biomechanical effect of a laterally wedged insole / Gait Posture 29(2) : 208~213

[journal] Orlando AR / 2004 / Relationship of demographic variables on perception of fatigue and discomfort following prolonged standing under various flooring conditions / J Occup Rehabil 14(1) : 63~76

[journal] 박창일 / 2003 / he Characteristics of Foot Pressure in Children with Mild Spastic Diplegic Cerebral Palsy Related to Medial Arch Formation / Annals of Rehabilitation Medicine / 대한재활의학회 27(1) : 33~37

[journal] 박승범 / 2010 / Biomechanical Analysis of Trail Running Shoes Applied to Korean Shoe-Lasts / 한국운동역학회지 / 한국운동역학회 20(2) : 221~230

[journal] Patterson SL / 2008 / Effect of treadmill exercise training on spatial and temporal gait parameters in subjects with chronic stroke: a preliminary report / J Rehabil Res Dev 45(2) : 221~228

[journal] Powell M / 2005 / Efficacy of custom foot orthotics in improving pain and functional status in children with juvenile idiopathic arthritis: a randomized trial / J Rheumatol 32(5) : 943~950

[journal] Radtka SA / 1997 / A comparison of gait with solid, dynamic, and no ankle-foot orthoses in children with spastic cerebral palsy / Phys Ther 77(4) : 395~409

[journal] Razeghi M / 2000 / Biomechanical analysis of the effect of orthotic shoe inserts: a review of the literature / Sports Med 29(6) : 425~438

[journal] Rosenbaum PL / 2002 / Prognosis for gross motor function in cerebral palsy / JAMA 288(11) : 1357~1363

[journal] Sanders MJ / 2005 / The ergonomics of caring for children: an exploratory study / Am J Occup Ther 59(3) : 285~295

[journal] Schwartz MH / 2008 / The effect of walking speed on the gait of typically developing children / J Biomech 41(8) : 1639~1650

[journal] Staheli LT / 1999 / Planovalgus foot deformity. Current status / J Am Podiatr Med Assoc 89(2) : 94~99

[book] Stewart LA / 2007 / Effects of orthotic wear on the kinetic, kinematic and electromyographic characteristics of walking and running / ProQuest

[book] Teodorescu EHNL / 2001 / Sensory feedback for lower limb prostheses, In Intelligent Systems and Technologies in Rehabilitation Engineering / CRC Press LLC

[journal] Van Gheluwe B / 2005 / Effects of simulated genu valgum and genu varum on ground reaction forces and subtalar joint function during gait / J Am Podiatr Med Assoc 95(6) : 531~541

[journal] Wang RY / 2007 / Gait and balance performance improvements attributable to ankle-foot orthosis in subjects with hemiparesis / Am J Phys Med Rehabil 86(7) : 556~562

[book] Wee FIM / 1998 / Clinical Guide: Version 5.0 / Uniform Data System for Medical Rehabilitation

[journal] White H / 2002 / Clinically prescribed orthoses demonstrate an increase in velocity of gait in children with cerebral palsy: a retrospective study / Dev Med Child Neurol 44(4) : 227~232

[book] Wu KK / 1990 / Foot orthoses: principles and clinical applications / Williams & Wilkins

[book] Zambarbieri D / 2001 / Sensory feedback for lower limb prostheses / CRC Press Inc : 129~151

KJCKorea
Journal Central

Journal of the Korean Society of Physical Medicine 2023 KCI Impact Factor : 0.45