Korean Journal of Applied Biomechanics (한국운동역학회지)

Korean Society of Applied Biomechanics (한국운동역학회)
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Kinetic Analysis of Foot Balance and Gait Patterns in Patients with Adult Spinal Disease

성인 척추질환자의 발균형 및 보행형태에 대한 운동역학적 분석

  • Park, Jae Soung (Department of Physical Education, Graduate School, Kyungsung University) ;
  • Lee, Joong Sook (Department of Kinesiology, Silla University)
  • Received : 2019.02.27
  • Accepted : 2019.03.26
  • Published : 2019.03.31
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Abstract

Objective: The aim of this study was to provide kinematic data on the characteristics of spinal disease patients by comparing and analyzing kinematic variables related to foot balance and gait pattern of spinal disease. Method: The subjects of the study included 40 adult men and 60 adult women who visited the hospital in Busan. Patients who were diagnosed with spinal disease by a physician through X-ray examination were selected as subjects for the diagnosis of vertebral disc herniation, spinal stenosis, spinal disease diagnosed with spinal disease and the general public. Left and right foot pressure and contact area were checked by Gaitview pro meter. X-ray photographs were taken with a Zen-2090 mobile fluoroscopy under physicians' direct participation. One-way ANOVA was performed to compare the differences between the kinematic variables and post-hoc was performed by the Duncan method. Results: The difference in contact area between the left foot and the right foot was $115.30{\pm}14.15cm^2$ in the left side and $124.25{\pm}13.65cm^2$ in the left side in the spinal disease patients. The difference in pressure between the left and right side of the spinal disease patients was wider than that of the general people. Especially, the right side of the spinal disease patients showed a larger area of left foot contact than the general population. Conclusion: Spinal disease patients have wider contact area of the left foot than those of the general population. In the case of right spinal disease, the left foot support area is widened due to pain. In the gait, women showed slightly more posterior body center than men, and the upper body muscle imbalance and immobilization due to the spinal disease caused imbalance of the muscles moving to the lower limb, It was analyzed to inhibit movement.

Keywords

Table 1. Physical characteristics of subjects

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Table 2. Classification of spinal diseases according to gender

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Table 3. Type classification of left and right spinal diseases subjects

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Table 4. Measuring tools

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Table 5. Differences in postural foot pressure according to spinal disease

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Table 6. Differences in postural foot contact area according to spinal disease

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Table 7. Differences in foot pressure during gait according to spinal disease

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Table 8. Difference in foot contact area during gait according to spinal disease

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Table 9. Differences of foot pressure in direct posture due to left & right vertebra disease

OOOSBL_2019_v29n1_23_t0009.png 이미지

References

  1. An, J. H. (2008). Gait Characteristics of Healthy Women by 3-D Computerized Motion Analysis. Unpublished Master's Thesis. University of Chonnam.
  2. Cho, S. K. (2008). Gait pattern classification of hemiplegic patients focused on knee kinematic analysis. Un-published Master's Thesis. University of Yonsei.
  3. Cho, Y. K. (2006). A comparison of gait pattern between diet shoes and running shoes. Unpublished Master's Thesis. University of Yonsei.
  4. Choi, H. (2001). Diagnosis and treatment of pain of vertebral origin. Seoul: Koonja.l therapy, 5(1), 59-74.
  5. Cummings, G. S. & Crowell, R. D. (1988). Source of error in clinical assessment of innominate rotation. Physical Therapy, 68(1), 77-85. https://doi.org/10.1093/ptj/68.1.77
  6. Ferber, R., Davis, I. M. & Willams, III. D. S. (2005). Effect of foot orthotics on rearfoot and tibia joint coupling patterns and variability. Journal of Biomechanics, 38(3), 477-483. https://doi.org/10.1016/j.jbiomech.2004.04.019
  7. Freeman, M. A. & Wyke, B. (1966). Articular contributions to limb muscle reflexes. The effects of partial neurectomy of the knee-joint on postural reflexes. British Journal of Surgery, 53(1), 61-69. https://doi.org/10.1002/bjs.1800530116
  8. Ghoi, Y. E. (2008). The EMG analysis on leg muscle's activity in accordance with change of gait velocity and direction. Un-published Master's Thesis. University of Konkuk.
  9. Jahss & Melvin, H. (1991). Disorders of the foot & ankle: Medical and surgical management. Philadelphia: Saunders.
  10. Jeon, C. U. (2007). Biomechanical Study of Lumbar Spine with Interspinous Device using Three-dimensional Nonlinear Finite Element Method. Un-published Master's Thesis. University of Hanyang.
  11. Jeong, J. H. (2005). Analysis of spinal artificial disc using 3-dimensional nonlinear finite element method. Unpublished Master's Thesis. University of Seoul National.
  12. Jeong, M. R. (1995). Kinetic Analysis of Walking: Focusing on the Wearing of Barefoot sneakers and shoes. Un-published Master's Thesis. University of Busan Women.
  13. Jeong, S. H. (2005). The effect of rehabilitative exercises on lumbar strength and pain scale scores in hernia-operated patients. Un-published Master's Thesis. University of Dankook.
  14. Jin, C. G. (2008). Study on healthcare for prevention from a habit forming illness. Unpublished Master's Thesis. University of Kyung Hee.
  15. Kang, M. S (2013). Change in gait pattern and the Erector Spinae activity according to a change in shoe outsoles. Unpublished Master's Thesis. University of Seoul National.
  16. Kim, J. T. & Park, S. H. (2005). The displacement of center of pressure during adult female gait based on the body mass. Gyeongnam Physical Education Research, 10(1).
  17. Kim, K. Y. (2007). Kinematic Analtsis of School Bag Strings on Gait. Un-published Master's Thesis. Chungnam National University.
  18. Kim, S. Y. & Baeg, I. H. (2003). Effects of Transversus Abdominal Muscle Stabilization Exercise to Spinal Segment Motion on Trunk Flexion-Extension. Korean Research Society of Physical Therapy, 10(1), 63-76.
  19. Kim, S. R. (2014). Differences in Male and Female Spinopelvic Alignments in Middle School and High Schools Students of Gyeongnam Areas in Korea: a Three Dimensional Analysis Using Rasterstereography. Korean Society of Industrial Technology, 15(2), 962-969.
  20. Kim, S. W. (2008). Clinical Investigation of The Disc Patient which Utilize Chiropractic (Vertebral Disc in Center). Un-published Master's Thesis. University of Sangmyung.
  21. Kim, W. S. (2008). Comparision of Adult Hemiplegia Gait Parameters. Un-published Doctor's Dissertation. University of Korea National Sport.
  22. Kim, Y. J., Ji, J. G., Kim, J. T., Hong, J. H., Lee, J. S., Lee, H. S. & Park, S. B. (2004). A comparison study for mask plantar pressure measures to the difference of shoes in 20 female. Korean Journal of Sport Biomechanics, 14(3), 83-98. https://doi.org/10.5103/KJSB.2004.14.3.083
  23. Koo, B. O. (1995). The characteritics of the postural balance and adaptation according to bilateral leg discrerancy in normal subjects. Unpublished Master's Thesis. University of Taegu.
  24. Koo, M. K. (2013). Effects that chiropractic manipulation on posture by measuring foot pressure. Unpublished Master's Thesis. University of Hanseo.
  25. Korea Centers for Disease Control and Prevention (2017). Korea health Information Portal. http://health.cdc.go.kr/health/Main.do
  26. Kwon, Y. G. & Byeon. S. N. (1999). Introduction to new biomechanics. Seoul: Cheong Moon Gak.
  27. Lee, G. C., Kim, C. H., Kwak, S. Y., Kim, S. B., Lee, G. A., Jung, S. H., Hea, E. J., Han, J. H. & Bae, W. S. (2011). About Sex and Weight by Foot Pressure Distribution of Normal Twenties Men and Women Research. Journal of Korean Society of Sports Physical Therapy, 7(1), 43-52.
  28. Lee, T. S. (2000). The Encyclopedia of physical athletics. Seoul: Minjung Seguang.
  29. Lim, E. J. (2014). The effect of lower limb strengthing exercise and gait training on body balance, Foot pressure and Cobb's angle in high school female scoliosis patients with pelvic malignment syndrom. Unpublished Master's Thesis. University of Korea National Sport.
  30. Mientjes, M. I. V. & Frank, J. S. (1999). Balance in chronic low back pain patients compared to healthy people under various conditions in upright standing. Clinical Biomechanics, 14(10), 710-716. https://doi.org/10.1016/S0268-0033(99)00025-X
  31. National Health Insurance Service (2016). Composition and status by type of occurrence not delivered from general hospital level or higher.
  32. Park, H. J. (2008). The gait patterns of the children with down syndrome compared to the children without disabilities. Un-published Master's Thesis. University of Yongin.
  33. Park, S. E. (2010). Comparison of Effect of Underwater and Land Treadmill Exercise on The Stroke Patent's Gait and Physical Function. Un-published Master's Thesis. University of Yongin.
  34. Park, Y. H. (2009). The Effects of Ankle Proprioceptive Control Program on the Balance and Walking in the Persons with Stroke. Unpublished Master's Thesis. University of Samyook.
  35. Perry, J. (1992). Gait analysis: normal and pathological function. Thorofare, New Jersey: Slack.
  36. Polonyova, A. & Hlavacka, F. (2001). Human postural responses to different frequency vibrations of lower leg muscles. Physiological Research, 50(4), 405-410.
  37. Shin, J. H. (2002). The Effect of Exercise on the LBP & Scoliosis Treatment after the TuiNa care. Unpublished Master's Thesis. University of Kyunghee.
  38. Winter, D. A. (1990). Biomechanics and Motor Control of Human Movement. New York: Wiley.
  39. Yang, I. C. (2008). Study of Kinematic Behavior of Dynamic Stabilization System through Human Body Model with Lumbar Fusion. Unpublished Master's Thesis. University of Konkuk.
  40. Yoo, C. H. (2009). Biomechanical analysis of comfort shoes based on gait characteristic in relation to age. Unpublished Master's Thesis. University of Inje.
  41. Yoon, H. L. & Bae, S. C. (1999). A Study on the Characteristics of Lower Extremity Weight Bearing in Patients with Low Back Pain. Journal of Korean Academy of Orthopaedic Manual Therapy, 5(1), 59-74.