COMPARISON FOR THE USED OF RIGID MEDIAL ARCH SUPPORT AND FLEXIBLE MEDIAL ARCH SUPPORT ON FLAT FEET PATIENTS’ WALKING SPEED

Dwi Setyawan; Annisa Eka  Septiani; Ketut Intan Yunika Sari

doi:10.36082/jpost.v2i1.957

Authors

Dwi Setyawan
Annisa Eka Septiani Ortotik Prostetik, Poltekkes Surakarta, Colomadu, Surakarta
Ketut Intan Yunika Sari Ortotik Prostetik, Poltekkes Surakarta, Colomadu, Surakarta, 57173

DOI:

https://doi.org/10.36082/jpost.v2i1.957

Keywords:

Rigid Medial Arch Support, Flexible Medial Arch Support, Walking Speed, Flat Foot, 10 Meter Walk Test, MDC 10 MWT

Abstract

Background: Flat foot patients requires more muscle activity when walking due to lack of medial longitudinal arch arches and results in increased pressure on the second area of metatarsal during the stance phase, causing the gait cycle in flat foot patients to be longer than for children who have normal foot. The speed of walking of flat foot patients can be faster using flexible medial arch support compared to when using rigid medial arch support. Purpose: to determine difference in walking speed using rigid medial arch support and flexible medial arch support in patients with flat foot. Methods: 30 subjects according to inclusion and exclusion criteria. Subject divided into two groups and given treatment using rigid medial arch support and flexible medial arch support the calculating walking speed using 10 Meter Walk Test. Quasi Experiment with Post Test Only Design. Material used (1) rigid medial arch support, (2) flexible medial arch support, (3) midline, (4) stopwatch, (5) HVS paper, (6) liquid color, (7) cone, (8) stationary, (9) measuring form. Results: The average walking speed using rigid medial arch support at the fast walking speed is 1.6800 m/s and the comfortable walking speed is 1.2627 m/s. The average walking speed using flexible medial arch support at the fast walking speed is 1.8140 m/s and the comfortable walking speed is 1.6467 m/s. The results of Shapiro Wilk data (N=15: 15) showed normally distributed data. Therefore, using the parametric test (Independent Sample T-test) obtained p < 0.05. Conclusion: Based on statistical tests, it was found that there was a significant difference in walking speed using rigid medial arch support and flexible medial arch support in patients with flat foot. Based on field data, it was found that comfortable walking speed of rigid medial arch support was faster than the flexible medial arch support by 30.4%.

Downloads

Download data is not yet available.

References

Aenumulapalli, A., Kulkarni, M. M., & Gandotra, A. R. (2017). Prevalence of flexible flat foot in adults: a cross-sectional study. Journal of clinical and diagnostic research: JCDR, 11(6), AC17.

Akbari, M., Mohammadi, M., & Saeedi, H. (2012). Effects of rigid and soft foot orthoses on dynamic balance in females with flatfoot. Medical Journal of the Islamic Republic of Iran, 21(2), 91-97.

.

Anggriani, A. F., Ardesa, Y. H., & Utomo, P. C. (2020). Perbedaan Kecepatan Berjalan Penggunaan Rigid Medial Arch Support dengan Flexible Medial Arch Support pada Penderita Flat Foot. Jurnal Keterapian Fisik, 5(1), 28-32.

Dewi, K. G. P., Dewi, A. A. N. T. N., Antari, N. K. A. J., & Indrayani, A. W. Perbedaan Gait Parameter Terhadap Tipe Arkus Pedis (Normal Foot, Flat Foot dan Cavus Foot) Pada Anak Sekolah Dasar Usia 10-12 Tahun Di Denpasar Barat.

Halabchi, F., Mazaheri, R., Mirshahi, M., & Abbasian, L. (2013). Pediatric flexible flatfoot; clinical aspects and algorithmic approach. Iranian journal of pediatrics, 23(3), 247.

Huang, Y. P., Kim, K., Song, C. Y., Chen, Y. H., & Peng, H. T. (2017). How arch support insoles help persons with flatfoot on uphill and downhill walking. Journal of healthcare engineering, 2017.

Karpman, C., LeBrasseur, N. K., DePew, Z. S., Novotny, P. J., & Benzo, R. P. (2014). Measuring gait speed in the out-patient clinic: methodology and feasibility. Respiratory care, 59(4), 531-537.

Kim, J. Y., Lee, S., Lee, H. B., Kang, B. G., Im, S. B., & Nam, Y. (2021). Gait analysis in patients with neurological disorders using ankle-worn accelerometers. The Journal of Supercomputing, 1-17.

Lee, C. R., Kim, M. K., & Cho, M. S. (2012). The relationship between balance and foot pressure in fatigue of the plantar intrinsic foot muscles of adults with flexible flatfoot. Journal of Physical Therapy Science, 24(8), 699-701.

Pourghasem, M., Kamali, N., Farsi, M., & Soltanpour, N. (2016). Prevalence of flatfoot among school students and its relationship with BMI. Acta orthopaedica et traumatologica turcica, 50(5), 554-557.

Pratama, A. D. (2018). Penatalaksanaan Fisioterapi Pada Kasus Post Amputasi Transtibial Sinistra Akibat Chronic Limb Ischemia di RSPAD Gatot Soebroto. Jurnal Vokasi Indonesia, 6(2).

Sadeghi, H., Tabatabai, F., & Mousavi, K. (2012). Gender differences in spatio- temporal parameters of gait initiation. Iran J Health Phys Act, 3, 55-60.

Setyaningrahayu, F., Rahmanto, S., & Multazam, A. (2020). Hubungan Kejadian Flat Foot Terhadap Keseimbangan Dinamis Pada Pelajar di SMAN 3 Malang. Physiotherapy Health Science (PhysioHS), 2(2), 83-89.

Sorongan, C. H. (2014). Hubungan Panjang Tungkai dengan Kecepatan Berjalan pada Siswa Sekolah Menengah Atas Negeri 6 Manado. eBiomedik, 2(1).

Su, S., Mo, Z., Guo, J., & Fan, Y. (2017). The effect of arch height and material hardness of personalized insole on correction and tissues of flatfoot. Journal of healthcare engineering, 2017.

Wahmkow, G., Cassel, M., Mayer, F., & Baur, H. (2017). Effects of different medial arch support heights on rearfoot kinematics. PloS one, 12(3), e0172334.