경중족 절단 환자의 의족지 착용에 따른 족저압력 분포 특성
Characteristics of Foot Pressure Distribution with or without Partial Prosthetic Foot in Transmetartarsal Amputee
0
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Purpose: This study was designed to evaluate characteristics of foot pressure distribution with or without partial prosthetic foot in transmetatarsal amputee. Materials and Methods: The subjects were 9 transmetatarsal amputees. Foot pressures were measured at hallux, the 1st-5th metatarsal head (MTH), mid-foot, condyle area by F-scan system in amputated or contralateral foot during active walking. Results: In amputated foot, mean peak pressure was greatest in midfoot without prosthetic foot but it was greatest in hindfoot with prosthetic foot. In unaffected foot, although mean peak pressure was higher in hallux, and 1-5th MTH compared to amputated foot, it was greatest in hind foot both with and without prosthetic foot. However, in unaffected foot, mean peak pressure significantly decreased in hallux and 5th MTH after wearing the prosthetic foot. There was a significant difference in mean peak pressure in hallux and 5th MTH between amputated and unaffected foot after wearing prosthetic foot. However, other region had no significant difference with or without prosthetic foot between feet. Conclusions: The use of partial prosthetic foot tends to shift weight bearing from the heel area to forefoot and could significantly reduce hind foot peak pressure and redistributed to peak pressure. The partial prosthetic foot can also offer the peak pressure to reduction both amputated foot and unaffected foot and help to toe off during walking.
Abstract
Purpose: This study was designed to evaluate characteristics of foot pressure distribution with or without partial prosthetic foot in transmetatarsal amputee. Materials and Methods: The subjects were 9 transmetatarsal amputees. Foot pressures were measured at hallux, the 1st-5th metatarsal head (MTH), mid-foot, condyle area by F-scan system in amputated or contralateral foot during active walking. Results: In amputated foot, mean peak pressure was greatest in midfoot without prosthetic foot but it was greatest in hindfoot with prosthetic foot. In unaffected foot, although mean peak pressure was higher in hallux, and 1-5th MTH compared to amputated foot, it was greatest in hind foot both with and without prosthetic foot. However, in unaffected foot, mean peak pressure significantly decreased in hallux and 5th MTH after wearing the prosthetic foot. There was a significant difference in mean peak pressure in hallux and 5th MTH between amputated and unaffected foot after wearing prosthetic foot. However, other region had no significant difference with or without prosthetic foot between feet. Conclusions: The use of partial prosthetic foot tends to shift weight bearing from the heel area to forefoot and could significantly reduce hind foot peak pressure and redistributed to peak pressure. The partial prosthetic foot can also offer the peak pressure to reduction both amputated foot and unaffected foot and help to toe off during walking.
참고문헌 (15)
- Rozema A., "In-shoe plantar pressures during activities of daily living: Implications for therapeutic foot wear design", Foot Ankle Int, 17, pp.352~359 (1996)
- Cavanagh P., "In-shoe plantar pressure measurement", A review. the foot, 2, pp.185~194 (1992)
- Perry J., "Gait analysis. Normal and pathological function", pp.70~ (1992), New Jersey, SLACK Inc.
- Isakov F., "Trans-tibial amputee gait: time-distance parameters and EMG activity", Prosthet Orthot Int, 24, pp.216~220 (2000)
- Hong DJ., "Analysis of the stance phase in a hemiplegic patient by the measurement of plantar pressure", J Korean Acad Rehab Med, 22, pp.1123~1128 (1998)
- Lord M., "Pressure redistribution by molded inserts in diabetic footwear: a pilot study", J Rehabil Res Dev, 31, pp.214~221 (1994)
- Yang DC., "Comparison of dynamic peak plantar pressure and hindfoot contact time in diabetic patients and healthy adults", J Korean Acad Rehab Med, 27, pp.600~604 (2003)
- 정승현, "당뇨병 환자에서의 족저압 측정의 의미", Annals of Rehabilitation Medicine, 25(1), pp.149~156 (2001), 대한재활의학회
- Moon HW., "Foot pressure measurement using F-scan system in normal korea adults", J Korean Acad Rehab Med, 19, pp.289~295 (1995)
- Kim JH., "A study of characteristics of foot pressure distribution in trans-tibial amputee subjects", KAUTPT, 8, pp.1~10 (2001)
- Chung JH., "Development of a pressure distribution measurement system", J Biomed Eng Res, 21, pp.213~218 (2000)
- Collins WJ., "Measurement of pedal pressures", Ann Rheum Dis, 31, pp.215~217 (1972)
- Grundy M., "An investigation of the centers pressure under the foot while walking", J Bone Joint Surg, 57(A), pp.98~103 (1975)
- Grieve DW., "Pressure under normal feet in standing and walking as measured by foil pedobaography", Ann Rheum Dis, 43, pp.816~818 (1984)
- Sanders JE., "Prosthet Orthot Int", Prosthet Orthot Int, 23, pp.21~29 (1999)