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Journal of the Korean Academy of Rehabilitation Medicine 2002;26(2):127-132.
Foot Pressure Distribution and Path of Center of Pressure (COP) of Foot during Ambulation in the Children with Spastic Cerebral Palsy.
Park, Eun Sook , Park, Chang Il , Kim, Jong Youn , Park, Ji Woong , Kim, Eun Joo
Department of Rehabilitation Medicine and Research Institute of Rehabilitation, Yonsei University College of Medicine, Korea. bono0324@hanmail.net
경직형 뇌성마비 환아의 보행 시 족저압 분포 및 족저압 중심의 이동경로
박은숙, 박창일, 김종연, 박지웅, 김은주
연세대학교 의과대학 재활의학교실 및 재활의학 연구소
Abstract

Objective
To find out the characteristics of the foot pressure distribution and the path of center of pressure (COP) in the children with cerebral palsy, compared with normal control children.


Method
Twenty-four children with spastic cerebral palsy (CP) and 38 normal children were participated in this study. The parameters of foot contact, plantar pressure and COP were measured using F-scan system (Teksan Inc.) with pressure sensitive insoles inserted in the shoes.


Results
The total contact area, mid foot contact width and also the pressure of hallux and medial side of mid foot were significantly higher in the children with CP than in normal

controls. While the pressure of hind foot was significantly lower in the children with CP compared with normal controls. Anteroposterior distance and velocity of COP were significantly lowered in the cerebral palsied children. The paths of COP of both groups were directed inwardly without any significant differences between both groups.


Conclusion
We can identify the characteristics of the foot pressure distribution and the path of COP in the children with spastic CP using F-scan system. These quantitative data of foot scan may be useful for evaluating the foot pathology during the gait in the children with CP. (J Korean Acad Rehab Med 2002; 26: 127-132)

Key Words: Cerebral palsy, F-scan system, Foot pressure, Relative impulse, Center of pressure


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