The influence of footwear on the windlass mechanism and toe movement
The purpose of this study was to investigate the effects of footwear on the metatarsophalangeal joint (MP joint) and medial arch during gait. Ten healthy subjects participated in the experiment. We measured the angle of the MP joint and medial arch during gait while wearing geta or shoes or barefoot...
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          | Published in | Structure and Function Vol. 5; no. 2; pp. 75 - 80 | 
|---|---|
| Main Authors | , , , , , , | 
| Format | Journal Article | 
| Language | English Japanese  | 
| Published | 
            Co-medical Research Society of Structure and Function
    
        2007
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| Subjects | |
| Online Access | Get full text | 
| ISSN | 1347-7145 1884-6084  | 
| DOI | 10.11172/keitaikinou2002.5.75 | 
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| Abstract | The purpose of this study was to investigate the effects of footwear on the metatarsophalangeal joint (MP joint) and medial arch during gait. Ten healthy subjects participated in the experiment. We measured the angle of the MP joint and medial arch during gait while wearing geta or shoes or barefooted. A three-dimensional motion analysis system was used to evaluate toe and arch movements (120 Hz) . The MP hyper-extension and medial arch angle was correlated, so called windlass mechanism. Shoes limited MP hyper-extension, so the medial arch angle was limited too. But Geta only limited the MP angle. The medial foot arch was maintained by ligaments, bone alignment, intrinsic muscles etc. We concluded that the intrinsic muscles were active during Geta gait. Because the toe flexor muscles fixed the Geta to the foot, the medial arch angle increased. A previous study reported that it is important to exercise the toes to prevent foot disorders. Geta may be useful for foot health. | 
    
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| AbstractList | The purpose of this study was to investigate the effects of footwear on the metatarsophalangeal joint (MP joint) and medial arch during gait. Ten healthy subjects participated in the experiment. We measured the angle of the MP joint and medial arch during gait while wearing geta or shoes or barefooted. A three-dimensional motion analysis system was used to evaluate toe and arch movements (120 Hz) . The MP hyper-extension and medial arch angle was correlated, so called windlass mechanism. Shoes limited MP hyper-extension, so the medial arch angle was limited too. But Geta only limited the MP angle. The medial foot arch was maintained by ligaments, bone alignment, intrinsic muscles etc. We concluded that the intrinsic muscles were active during Geta gait. Because the toe flexor muscles fixed the Geta to the foot, the medial arch angle increased. A previous study reported that it is important to exercise the toes to prevent foot disorders. Geta may be useful for foot health. | 
    
| Author | Shimatani, Koji Otsuka, Akira Oki, Sadaaki Tanaka, Satoshi Kanai, Shusaku Shimizu, Mischele Eisemann Hasegawa, Masaki  | 
    
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| References | 10) Hylton B. Menz et al. (1999) Footwear and postural stability in older people. Jornal of the American podiatric medical association. 89 (7) : 346-355 17) Eric A.F (2000) The windlass mechanism of the foot a mechanical to explain pathology, Journal of the American Podiatric Medical Association 90 (1) : 35-46 9) Hylton B. M, Stephan R.L (2006) Footwear characteristics and risk of indoor and outdoor falls in older people. Gerontology 52: 174-180 20) 船越公威 (1988) 日本人の足骨構造における小進化的変化. 永井昌文教授退官記念論文集 175-185 2) 三浦幸雄 (1983) 扁平足と痛み. 整形外科 MOOK, 30: 60-69 3) 倉秀治 (1994) ハイヒール靴と足の障害. MB Orthop 7 (12) : 13-18 24) 高橋公. 亀山順一. 盛合徳夫. 北純 (2002) ポックリの歩行筋電図. 靴の医学 15: 41-44 25) 野崎健治. 高尾昌人. 蓼沼拓. 大饗和憲. 内尾祐司 (2005) 足ゆび運動療法動作中の筋活動に関する研究. 靴の医学 19 (2) : 1-5 5) 木藤伸宏. 井原秀俊. 三輪恵. 神谷秀樹. 有次智子. 田口直彦. 馬場八千代. 鶴川幹夫 (2000) 高齢者の易転倒性を予測する因子の抽出と. その予防のための訓練法の開発. 健康医科学研究助成論文集 15: 25-36 15) 金井秀作. 大塚彰. 沖貞明. 渡部幸喜. 山本晴康 (2003) 下駄を用いた足部内在筋強化の可能性. 靴の医学17: 5-8 21) 三浦豊彦 (1970) 足と履物. 第4版. 東京. 労働科学研究所出版部 8) 坂本直俊. 石井清一. 倉秀治 (1994) 靴による障害の実態調査-特に外反母趾に関して (第一報) -. 靴の医学7: 88-91 22) Joji Kayano (1986) Dynamic function of medial foot arch, J.Jpn.Orthop.Ass 60: 1147-1156 12) 金井秀作. 大塚彰. 沖貞明. 渡部幸喜 (2004) 下駄の再考-高齢者の足を鍛えるために-. リハビリテーション・エンジニアリング 19: 39-43 18) 津留隆行. 山隈維昭. 鬼木泰博 (1990) 裸足歩行理論によるウォーキングシューズ. 靴の医学 13: 4-9 28) 坂下和. 坂下喜佐久. 原田碩三 (1996) 幼児の足首の可動性と履物. 靴の医学 10: 8-12 19) Kusumoto A, Suzuki T, Kumakura C, Ashizawa K (1996) A comparative study of foot morphology between Fillipmo and Japanese women, with reference to the significance of a deformity like hallux valgus as a normal variation. Analysis of human biology 23 (5) : 373-385 14) 安積和夫. 原田碩三 (1995) 健康生活にきっと役に立つ足と靴の話67. 第1版. 東京. 黎明書房 10-35 1) 大橋正弘 (2003) 歩行に必要な機能と評価. Medical Rehabilitation 27: 1-9 27) 木藤伸宏. 井原秀俊. 三輪恵. 神谷秀樹. 島沢真一. 馬場八千代. 田口直彦 (2001) 高齢者の転倒予防としての足指トレーニングの効果, 理学療法学28 (7) : 313-319 29) 山崎信寿 (編) (2004) 足の事典. 朝倉書店. 東京. pp103-106 23) 金井秀作. 長谷川正哉. 大塚彰. 沖貞明 (2004) 動作筋電図による裸足. 整形靴及び下駄の歩行分析. 靴の医学18 (2) : 42-46 13) 高井明徳. 大城治. 三戸秀樹 (1997) 靴着用が歩行に及ぼす影響について-足底圧測定器による分析-. 靴の医学 11 (2) : 10-14 16) Alexandria KB, Richath W, Mark C, Thomas M (1998) The windlass mechanism during normal walling and passive first metatarsalphalangeal joint extension, Clinical Biomechanics 13 (3) : 190-194 11) 鈴木良平 (2000) 歩行分析と靴. 装具. POアカデミージャーナル 7 (4) : 271-275 4) 島津晃. 浅田莞爾 (1982) 足アーチの障害. 総合リハ10 (9) : 807-813 6) 門野邦彦. 田中康仁. 阪本達哉. 秋山晃一. 米田岳史. 谷口晃. 高倉義典 (2003) 外反母趾患者における歩行時前足部足底圧分布の研究Jornal of Nara Medical Association 54 (5) : 273-281 26) 築山尚司. 長島弘明. 千田益生 (1993) 足縦アーチの日内変動および足指筋力増強訓練が及ぼす効果について. 運動療法研究会講演論文集18: 78-81 7) 石塚忠雄 (1989) 靴による障害: の統計学的考察. 靴の医学 2: 67-69  | 
    
| References_xml | – reference: 10) Hylton B. Menz et al. (1999) Footwear and postural stability in older people. Jornal of the American podiatric medical association. 89 (7) : 346-355 – reference: 21) 三浦豊彦 (1970) 足と履物. 第4版. 東京. 労働科学研究所出版部 – reference: 15) 金井秀作. 大塚彰. 沖貞明. 渡部幸喜. 山本晴康 (2003) 下駄を用いた足部内在筋強化の可能性. 靴の医学17: 5-8 – reference: 22) Joji Kayano (1986) Dynamic function of medial foot arch, J.Jpn.Orthop.Ass 60: 1147-1156 – reference: 26) 築山尚司. 長島弘明. 千田益生 (1993) 足縦アーチの日内変動および足指筋力増強訓練が及ぼす効果について. 運動療法研究会講演論文集18: 78-81 – reference: 16) Alexandria KB, Richath W, Mark C, Thomas M (1998) The windlass mechanism during normal walling and passive first metatarsalphalangeal joint extension, Clinical Biomechanics 13 (3) : 190-194 – reference: 24) 高橋公. 亀山順一. 盛合徳夫. 北純 (2002) ポックリの歩行筋電図. 靴の医学 15: 41-44 – reference: 20) 船越公威 (1988) 日本人の足骨構造における小進化的変化. 永井昌文教授退官記念論文集 175-185 – reference: 18) 津留隆行. 山隈維昭. 鬼木泰博 (1990) 裸足歩行理論によるウォーキングシューズ. 靴の医学 13: 4-9 – reference: 3) 倉秀治 (1994) ハイヒール靴と足の障害. MB Orthop 7 (12) : 13-18 – reference: 1) 大橋正弘 (2003) 歩行に必要な機能と評価. Medical Rehabilitation 27: 1-9 – reference: 27) 木藤伸宏. 井原秀俊. 三輪恵. 神谷秀樹. 島沢真一. 馬場八千代. 田口直彦 (2001) 高齢者の転倒予防としての足指トレーニングの効果, 理学療法学28 (7) : 313-319 – reference: 29) 山崎信寿 (編) (2004) 足の事典. 朝倉書店. 東京. pp103-106 – reference: 28) 坂下和. 坂下喜佐久. 原田碩三 (1996) 幼児の足首の可動性と履物. 靴の医学 10: 8-12 – reference: 19) Kusumoto A, Suzuki T, Kumakura C, Ashizawa K (1996) A comparative study of foot morphology between Fillipmo and Japanese women, with reference to the significance of a deformity like hallux valgus as a normal variation. Analysis of human biology 23 (5) : 373-385 – reference: 4) 島津晃. 浅田莞爾 (1982) 足アーチの障害. 総合リハ10 (9) : 807-813 – reference: 6) 門野邦彦. 田中康仁. 阪本達哉. 秋山晃一. 米田岳史. 谷口晃. 高倉義典 (2003) 外反母趾患者における歩行時前足部足底圧分布の研究Jornal of Nara Medical Association 54 (5) : 273-281 – reference: 9) Hylton B. M, Stephan R.L (2006) Footwear characteristics and risk of indoor and outdoor falls in older people. Gerontology 52: 174-180 – reference: 7) 石塚忠雄 (1989) 靴による障害: の統計学的考察. 靴の医学 2: 67-69 – reference: 11) 鈴木良平 (2000) 歩行分析と靴. 装具. POアカデミージャーナル 7 (4) : 271-275 – reference: 2) 三浦幸雄 (1983) 扁平足と痛み. 整形外科 MOOK, 30: 60-69 – reference: 5) 木藤伸宏. 井原秀俊. 三輪恵. 神谷秀樹. 有次智子. 田口直彦. 馬場八千代. 鶴川幹夫 (2000) 高齢者の易転倒性を予測する因子の抽出と. その予防のための訓練法の開発. 健康医科学研究助成論文集 15: 25-36 – reference: 12) 金井秀作. 大塚彰. 沖貞明. 渡部幸喜 (2004) 下駄の再考-高齢者の足を鍛えるために-. リハビリテーション・エンジニアリング 19: 39-43 – reference: 14) 安積和夫. 原田碩三 (1995) 健康生活にきっと役に立つ足と靴の話67. 第1版. 東京. 黎明書房 10-35 – reference: 8) 坂本直俊. 石井清一. 倉秀治 (1994) 靴による障害の実態調査-特に外反母趾に関して (第一報) -. 靴の医学7: 88-91 – reference: 17) Eric A.F (2000) The windlass mechanism of the foot a mechanical to explain pathology, Journal of the American Podiatric Medical Association 90 (1) : 35-46 – reference: 23) 金井秀作. 長谷川正哉. 大塚彰. 沖貞明 (2004) 動作筋電図による裸足. 整形靴及び下駄の歩行分析. 靴の医学18 (2) : 42-46 – reference: 13) 高井明徳. 大城治. 三戸秀樹 (1997) 靴着用が歩行に及ぼす影響について-足底圧測定器による分析-. 靴の医学 11 (2) : 10-14 – reference: 25) 野崎健治. 高尾昌人. 蓼沼拓. 大饗和憲. 内尾祐司 (2005) 足ゆび運動療法動作中の筋活動に関する研究. 靴の医学 19 (2) : 1-5  | 
    
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| Title | The influence of footwear on the windlass mechanism and toe movement | 
    
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