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Journal of the Korean Academy of Rehabilitation Medicine 2003;27(1):33-37.
The Characteristics of Foot Pressure in Children with Mild Spastic Diplegic Cerebral Palsy Related to Medial Arch Formation.
Park, Chang Il , Bae, Ha Suk , Ko, Young Hoon , Kim, Yong Wook , Park, Ji Woong , Lee, Jin Woo
Department of Rehabilitation Medicine and Research Institute of Rehabilitation, Yonsei University College of Medicine, Korea.
경도의 경직형 양하지 뇌성마비의 내측 종아치 형성과 관련된 족저압 특성
박창일, 배하석, 고영훈, 김용욱, 박지웅, 이진우
연세대학교 의과대학 재활의학교실 및 재활의학연구소
Abstract
Objective
To find out the characteristics of foot pressure in children with mild spastic diplegic cerebral palsy over 7 years old compared with those of normal children.


Method
Twenty children with mild spastic diplegic cerebral palsy and fourteen normal children over 7 years old participated in this study. The foot was divided into 7 portions and then foot contact area, pressure of each foot portion and pathway of center of pressure (COP) were measured and analyzed by F-scan system (Tekscan Inc., USA)


Results
In children with cerebral palsy, first metatarsal area (MET1) showed the highest relative impulse followed by MET2/3, hindfoot and hallux. Relative impulse of hallux, MET1 and medial midfoot were significantly higher in cerebral palsied than in normal children, while that of hindfoot was significantly lower in cerebral palsied than in normal children. Anteroposterior ratio of COP and gait velocity were significantly lower in cerebral palsied than in normal children.


Conclusion
The characteristics of foot pressure distribution and the pathway of COP in children with mild spastic diplegic cerebral palsy were identified by quantitative analysis by F-scan system. Foot scan could be used for evaluating the foot pathology in children with cerebral palsy during gait. (J Korean Acad Rehab Med 2003; 27: 33-37)

Key Words: F-scan system, Cerebral palsy, Foot pressure, Center of pressure, Medial arch


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