Investigation of relationship between shoe usage and foot deformities,balance, and functional performance

Yıl 2014, Cilt: 1 Sayı: 1 - Cilt: 1 Sayı: 1, 35 - 42, 23.07.2016

Zehra Güçhan Evrim Işıl Özaydınlı Senem Demirel Volkan Yüzlü Nilgün Bek

Öz

Purpose: To specify the relationships between shoe usage and the development of foot deformities, balance, and functional activity performance. Methods: Seventy healthy subjects whose mean age was 22.2±1.7 years were participated in the study. The Foot Wear Assessment Score was used to assess the sufficiency of shoes. Total Foot Deformity Score, Flamingo Balance Test, Star Excursion Balance Test, vertical jump test, 10 meter walk test and heel rise test were conducted to specify foot deformities, static balance, dynamic balance, jumping height, gait speed and the activity of the plantar flexor muscles, respectively. All functional tests were performed with and without shoes to clarify the effect of shoes on function. Results: An association was determined between foot deformities and the two parameters of The Foot Wear Assessment Score, sole material and heel height. When the subjects were compared in the performance tests while barefoot and wearing shoes, a significant difference was found for dynamic balance, jumping height, gait speed, and the activity of the plantar flexors (p<0.05). However, static balance was not affected by the usage of shoes (p>0.05). Conclusion: This result implies that it is important to choose the appropriate shoes because while the performance of some functional activities is enhanced by wearing shoes others cause limitation

Anahtar Kelimeler

Shoe, Foot deformities, Balance

Ayakkabı kullanımı ile ayak deformiteleri, denge ve fonksiyonel performans arasındaki ilişkinin incelenmesi

Öz

Amaç: Ayakkabı kullanım alışkanlığı ile ayakta deformite gelişimi ve ayakkabı kullanımı ile denge ve fonksiyonel aktivite performansı arasındaki ilişkileri belirlemekti. Yöntem: Çalışmamıza yaş ortalaması 22.2±1.7 yıl olan 70 sağlıklı birey dahil edildi. Ayakkabı uygunluğunu değerlendirmek için Ayakkabı Uygunluğu Değerlendirme Formu (AUDF) kullanıldı. Ayak deformitelerini, statik dengeyi, dinamik dengeyi, sıçrama mesafesini, yürüme hızını ve plantar fleksörlerin aktivitesini belirlemek için sırasıyla Toplam Ayak Deformite Skorlaması, Flamingo Denge Testi, Star Excursion Balance Test, dikey sıçrama testi, 10 metre yürüme testi ve topuk yükseltme testi yapıldı. Tüm fonksiyonel testler ayakkabılı ve ayakkabısız olarak uygulandı ve ayakkabının fonksiyona olan etkisi araştırıldı. Bulgular: AUDF parametlerinden ayakkabı taban materyali ve topuk yüksekliği ile ayaktaki deformiteler arasında ilişki olduğu saptandı. Bireylerin performans testlerinde ayakkabılı ve ayakkabısız olarak karşılaştırılması sonucunda dinamik denge, sıçrama yüksekliği, yürüme hızı ve plantar fleksörlerin aktivitesi farklı bulunurken (p0.05). Tartışma: Ayakkabı alışkanlığı ile deformite gelişimi ve fonksiyonel performans arasında tespit edilen farklı düzeydeki ilişkiler, bireylerin kendilerine uygun ayakkabılar seçmesinin önemine ve bazı fonksiyonel performans aktivitelerinde ayakkabı giyilmesi olumlu etki yaratırken bazı aktivitelerde de kısıtlılık yarattığına dikkat çekilmiştir

Anahtar Kelimeler

Ayakkabı, Ayak deformiteleri, Denge

Kaynakça

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