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Journal of the Korean Academy of Rehabilitation Medicine 1995;19(3):6.
Three Dimensional Motion Analysis of Medial Longitudinal Arch during Normal Stance Phase
Tai Ryoon Han, M.D., Sun Gun Chung*, M.D. Seong Jae Lee , Shi Uk Lee, M.D.
Department of Rehabilitation Medicine, Seoul National University College of Medicine, Department of Rehabilitation Medicine, DanKook University College of Medicine*
정상 보행의 접지기중 내측 종아치의 움직임에 관한 삼차원적 동작 분석
한태륜, 정선근*, 이성재, 이시욱
서울대학교 의과대학 재활의학교실 및 단국대학교 의과대학 재활의학교실*
Abstract

The flat foot gains significant clinical attention because of its harmful effects not only on the ligamentous structures of foot but on the lower leg musculature, knee and hip joint. And especially the flexible flat foot changes with dynamic body weight appliance. So we studied 40 normal person's three dimensional motion analysis of foot and ankle complex during stance phase of walking to assess the dynamic change of medial longitudinal arch and other structures.

We concluded as below;

1) Medial longitudinal arch was mostly widen when 45% of gait cycle. And mean widening of angle was 4.2degree and standard deviation was 3.3degree.

2) If a navicular angle without weight bearing would be greater than 155.4degree, then that foot could be diagnosed as rigid flat foot.

3) If a navicular angle widening during stance phase would be greater than 10.8 degree, then that foot could be diagnosed as flexible flat foot.

In addition to proposing the diagnostic criteria for rigid and flexible flat foot, we present the relationship among the dynamic angles of MP joint, subtalar joint and arch height which needs further biomechanical research.

Key Words: Medial longitudinal arch, Flat foot, Motion analysis


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