Background: Height is an important factor in determining a person’s appearance, so people often wear height increase elevator shoes insoles (HIESI) or high heels to make themselves look taller. However, high heels often act as a risk factor for musculoskeletal diseases. Objectives: To investigated how muscle tone and muscle stiffness in the lumbar region of young adult men varied according to the height of the HIESI, and analyzed the correlation. Design: Non-randomised trial. Methods: Muscle tone and muscle stiffness in the upper and lower lumbar regions of 20 healthy young adult men in an upright standing position were measured as the subjects wore no insoles and 2 cm, 3 cm, and 4 cm insoles. Results: Muscle tone and muscle stiffness in the lumbar region did not show a significant change according to the increased height of the HIESI. However, a positive correlation was observed when the subjects wore 4 cm HIESI, as there was a significant increase (P<.05) in muscle tone and stiffness in the left side of the upper lumbar region and in the right side of the lower lumbar region. Conclusion: Wearing HIESI for short periods of time in the static standing position did not cause a change in muscle tone and muscle stiffness in the lumbar region. However, wearing 4 cm HIESI demonstrated a correlation of increased muscle tone and stiffness in the upper and lower lumbar regions in an asymmetric manner.

본 연구의 목적은 평발을 가진 여성 노인의 계단 하강 보행 시 일반인솔 및 아치 지지형 인솔을 적용에 따른 족저압력 및 압력중심점 변인들의 차이를 조사하는데 목적이 있다. 족저압력 분석장비(Pedar-X, Novel, Germany)를 사용하여 14명의 평발 노인을 대상으로 3종류(일반인솔, A형 인솔, B형 인솔)의 인솔착용 후 최대족저압력, 평균족저압력, 접촉면적, 압력중심점의 이동거리, 변위 및 최대범위의 평균값을 산출하였으며, 일원변량분석(one-way ANOVA)를 이용하여 인솔 종류간 평균을 비교하였다. 족저압력 변인 중 최대족저압력은 중족부의 M3, 평균족저압력은 M2, M3, M4 영역에서, 접촉면적은 M2, M3, 그리고 M6 영역에서 통계적으로 유의한 차이를 보였으며, 압력중심점 변인 중 전후축과 좌우축에서 압력중심점의 이동거리에서 통계적으로 유의한 차이를 보였다. 족저압력 평가결과 아치 지지 기능을 가진 인솔을 삽입한 A와 B형 인솔에서 족궁지지 영역인 M3의 최대압력은 B형 인솔과 A형 인솔이 일반인솔과 비교했을 때 높게 나타났다. 좌우축, 전후축 압력중심점의 이동거리는 A형과 B형 인솔 모두 일반 인솔에 비해 짧게 나타났다.

본 연구의 목적은 충격흡수 및 통기기능 인솔을 적용한 개발 전투화의 족저압력 및 온도변화를 연구하는데 있다. 남성 피험자 11명(age: 21.8±2.2 yrs, height: 174.3±3.6 cm, weight: 71.6±8.6 kg, foot length: 261.0±1.0 mm)을 대상으로 총 3종류 전투화의 족저압력 및 온도 변화를 비교하였다: 전투화 A(보급형 일반 전투화), 전투화 B(통기구가 적용된 개발 전투화), 전투화 C(전투화 B에 통기기능 및 충 격흡수용 인솔 적용). 족저압력 측정을 위해 Pedar-X를 사용하였고, 전투화의 내부온도는 휴대용 써미스터의 온도센서를 사용하였다. 전투화의 종류별 족저압력 및 온도 변화결과를 비교하기 위해 일원변량분석 (one-way ANOVA)을 실시한 결과, 첫째, 족저압력 변인에서, 기능성 인솔을 적용한 전투화 C가 전투화 A보다 오른발/왼발 후족부의 최대족저압력에서 통계적으로 유의하게 낮았으며, 전투화 C가 전투화 B보다 왼발 후족부의 평균족저압력에서 통계적으로 유의하게 낮은 압력을 나타내었다. 둘째, 내부온도에서 보행 시작 후 40분경과 시점부터 개발 전투화인 B, C가 일반 전투화인 A보다 낮은 내부 온도를 보였다.

The purpose of this study was to identify the influence of wedged insole and foot progression angle (FPG) on lateral thrust of knee in healthy subjects. Fifteen healthy male subjects were recruited from Suncheon First College, in Suncheon. The subjects randomly walked at the comfortable velocity under five conditions: bare footed, medio-lateral wedged insoles, toe-in and toe-out gait. The lateral thrust was measured by a accelerometer with telemeter during walking. Data was collected while each subject walked for about 10 gait cycle on a flat, level walkway at their normal speed. The middle three gait cycle were used for averaged peak value of lateral acceleration. The three averaged peak value of lateral acceleration were collected under each condition at heel strike. The results showed that averaged peak value of lateral acceleration increased significantly in medial wedged insole and toe-in gait and decreased significantly in lateral wedged insole and toe-out gait as compared with bare footed (p<.05). These results suggest that wedged insole as well as walking strategy, such as foot progression angle, may prevent progression of degenerative knee osteoarthritis.

The purpose of this study was to assess the effect of applied insole types to lower extremities muscle fatigue during treadmill exercise. The control group and each different insole type group consisted of ten healthy male subjects. In the control group and each different insole type (soft type; 10 shore, semi-rigid type; 33 shore, rigid type; 50 shore) treadmill exercise was performed in twenty-five minutes. The electromyography (EMG) signals of four muscle (tibialis anterior, gastrocnemius medialis, rectus femoris, biceps femoris) were recording at sampling rate of 1024 Hz during treadmill exercise. The localized muscle fatigue (LMF) can be investigated using power spectral analysis. When did data analysis that excepted initial five minutes. The raw EMG signals was processed using the fast Fourier Transformation (FFT) and the median power frequency value was determined in initial ten second period and in last ten second period. Fatigue index was calculated and collected data were statistically analyzed by SPSS version 10.0 two-way using analysis of variance (ANOVA) with repeated measures () was used to determine the main effect and interaction. Post hoc was performed with least significant difference. A level of significance was .05. Muscles fatigue index were significantly decreased in insole types (p<.05) and not significantly different in muscle (p>.05). Post hoc analysis shows that fatigue index in soft insole type, semi-rigid insole type and rigid insole type were lower than that control group (p=.028, p=.146, p=.095). There were no interaction between insole type and muscles (p>.05). The finding of this study can be used as a fundamental data when insole is applied and insole can be used to decreased of a fatigue during the dynamic exercise.

The purpose of this study was to investigate the effect of donning of a hard insole in patients with hallux valgus. Fourteen subjects were selected from patient with foot pain at Lee Chang-Heon Foot Clinic from August 4, 2000 to September 15, 2000. The hallux valgus angle and the first-second intermetatarsal angle were radiographically measured before and after donning the hard insole. Based on these two kinds of angles, a mild hallux valgus deformity group was characterized by the hallux valgus angle of less than 20 degrees, and a moderate hallux valgus deformity group was characterized by the hallux valgus angle of 20 to 40 degrees. After three weeks with the hard insole donned, the foot angles of the patients with hallux valgus were measured again. The data were analyzed by Wilcoxon signed ranks test, and the following results were obtained: 1) After the trial, both mild hallux valgus deformity group and moderate hallux valgus deformity group demonstrated that the hallux valgus angles were significantly decreased. 2) After the trial, mild hallux valgus deformity group demonstrated that the first-second intermetatarsal angle was significantly decreased. 3) After the trial, moderate hallux valgus deformity group demonstrated that the first-second intermetatarsal angle was not significantly decreased. The above findings revealed that according to donning hard insole, the hallux valgus angles of mild and moderate hallux valgus deformity groups and the first-second intermetatarsal angle of mild hallux valgus deformity group were significantly decreased. The results of this study have some limitation for generalization due to the limited number of subjects. Further studies are needed to evaluate the effect of hard insole on hallux valgus with more precise laboratory equipments and measurements in patients with hallux valgus.

신체의 이동과 정지 시 동적 안정성과 균형성에 영향을 미치는 인솔에 대해 분석하였다. 특히 종족궁의 아치를 인위적으로 서서 체중을 가한 상태와 같은 평상시와 동일한 상태로 지속적으로 지지하였을 경우에 개별적인 균형능력의 변화를 추적하였다. 정상적인 신체 조건과 발모양을 유지하는 20대 남녀 각 10명씩 20명을 대상으로 종족궁 내측아치를 측정하여 아치를 지지하는 인솔을 개별적으로 제작하였으며, Tetrax 균형성 평가 장비를 이용하여 COP의 변위 패턴과 힘점의 이동거리를 착용 전, 후 비교하였다. 아치를 지지하는 인솔을 착용한 실험군이 균형능력 평가에서 약 22% 정도 상승되는 결과를 나타내었다. 본 비교 실험을 통해 종족궁의 내측아치를 지지하는 인솔 착용이 신체의 균형능력을 향상시키는데 도움이 되는 것으로 나타났다.