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KMID : 1140920170410060979
Annals of Rehabilitation Medicine
2017 Volume.41 No. 6 p.979 ~ p.989
Biomechanical Parameters in Plantar Fasciitis Measured by Gait Analysis SystemWith Pressure Sensor
Yoo Seung-Don

Kim Hee-Sang
Lee Jong-Ha
Yun Dong-Hwan
Kim Dong-Hwan
Chon Jin-Mann
Lee Seung-Ah
Han Yoo-Jin
Soh Yun-Soo
Kim Yong
Han Seon-Young
Lee Woo-Jin
Han Young-Rok
Abstract
Objective: To investigate the differences in biomechanical parameters measured by gait analysis systems between healthy subjects and subjects with plantar fasciitis (PF), and to compare biomechanical parameters between ¡®normal, barefooted¡¯ gait and arch building gait in the participants.

Methods: The researchers evaluated 15 subjects (30 feet) with bilateral foot pain and 15 subjects (15 feet) with unilateral foot pain who had a clinical diagnosis of PF. Additionally, 17 subjects (34 feet) who had no heel pain were recruited. Subjects were excluded if they had a traumatic event, prior surgery or fractures of the lower limbs, a leg length discrepancy of 1 cm or greater, a body mass index greater than 35 kg/m2, or had musculoskeletal disorders. The participants were asked to walk with an arch building gait on a treadmill at 2.3 km/hr for 5 minutes. Various gait parameters were measured.

Results: With the arch building gait, the PF group proved that gait line length and single support line were significantly decreased, and lateral symmetry of the PF group was increased compared to that of the control group. The subjects with bilateral PF displayed significantly increased maximum pressure over the heel and the forefoot during arch building gait. In addition, the subjects with unilateral PF showed significantly increased maximum pressure over the forefoot with arch building gait.

Conclusion: The researchers show that various biomechanical differences exist between healthy subjects and those with PF. Employing an arch building gait in patients with PF could be helpful in changing gait patterns to normal biomechanics.
KEYWORD
Plantar fasciitis, Gait, Heel, Forefoot, Pressure
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