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Journal of the Korean Academy of Rehabilitation Medicine 1999;23(1):17-23.
The Effects of Shoes Modification on Energy Consumption in Hemiplegic Gait.
Seo, Jeong Hwan , Ko, Myoung Hwan , Kim, Yun Hee
1Department of Rehabilitation Medicine, Chonbuk National University Medical School.
2Institute of Medical Science, Chonbuk National University Medical School.
편마비 환자의 보행시 신발 교정에 따른 에너지 소모의 감소
서정환, 고명환, 김연희
전북대학교 의과대학 재활의학교실 및 의과학 연구소

To evaluate the effect of a contralateral shoe-lift and ipsilateral leather outsole on the energy consumption in hemiplegic gait.

Ten hemiplegic patients who could walk independently were enrolled. Using portable ergospirometer (K4b2, Cosmed, Italy), quantitative evaluation of oxygen consumption under varying shoes conditions was done: 1) regular shoes 2) a half-inch shoe-lift on the sound side 3) a half-inch shoe-lift on the sound side and leather outsole on the plegic side. The evaluation distance was 20 meter on comfortable walking speed.

The oxygen consumption was significantly decreased after the application of shoe-lift compared with regular shoes (p<0.01), and the oxygen consumption was least with the application of shoe-lift and leather outsole (p<0.05). This effect was prominent in subject with poor muscle power in hemiplegic lower extremity. The walking speed was also increased with shoe-lift and leather outsole (p<0.05).

The results of this study demonstrate that proper shoes modification can reduce the energy consumption in hemiplegic gait and can lead to more efficient functional ambulation.

Key Words: Hemiplegic gait, Energy consumption, Shoes modification


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