• The Journal of Korean Physical Therapy
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• v.15 no.2
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• pp.196-209
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• 2003

본 연구의 목적은 보통 보행과 장애물 보행 시작시에 accuracy constraints, 즉 발꿈치 닿기(swing limb heel-strike)의 정확도가 힘판(forceplate) 상에서 힘의 조절 (force modulation)과 EMG에 어떠한 영향을 미치는지를 분석하는 것이다. 본 실험의 대상자는 힘판(forceplate)위에서 보통 보행과 장애물 보행을 하되, 대상자 앞에 놓인 표적(target)에 정확히 발꿈치 닫기 (heel-strike)를 하도록 유도되었다. 이 때 힘판 자료와 전경골근(tibialis anterior)및 가자미근 (soleus)의 근전도 (EMG)의 활동을 양쪽 다리에서 측정하였다. 대상자 앞에 놓인 표적 (target)에 정확한 발꿈치 닫기(heel-strike)가 요구되었을 때에는 발끝밀기(swing toe-off) 시간이 증가되었으며 힘판(forceplate)상에서의 peak farce와 slope to peak force 가 감소되는 것으로 나타났다. 전경골근 (tibialis anterior)의 활동역시 큰 차이로 감소하는 것으로 나타났다. 하지만 보통 보행과 장애물 보행시의 근전도 혹은 힘판상의 자료에는 큰 차이점이 없는 것으로 나타났다. 이러한 결과는 기존의 상지(upper extremity)에서 보여준 운동제어 (motor control)의 이론들이 하지(lower extremity)에서도 동일하게 적용될 수 있음을 보여주는 것이다.

• Journal of the Korean Society of Radiology
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• v.15 no.7
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• pp.1007-1013
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• 2021

A Study that Cronbach Alpha values were Significantly higher at 0.813 in the Composite AP axial Radiography Signal to Noise Ratio(SNR) for Evaluating uniform Density and Advanced Images of the Entire Foot without overlap with the legs. The Subjective Evaluation ROC also scored a high score of 18 on Foot Calcaneus bone 10° from the Foot Metatarsal bone, and 18 on the Examination by tilting the Sharpness X-ray Tube 20° from the Foot Calcaneus bone. Results show uniform Density and images at 10° rearward of Foot Metatarsal bone and 20° forward of Foot Calcaneus bone during the Composite AP axial Radiography X-ray Examination of Infants.

• Journal of Yeungnam Medical Science
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• v.14 no.1
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• pp.227-236
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• 1997

발꿈치는 신체의 다른부위에 비하여 엄청난 하중을 지탱하고 있으며, 주행시에는 막대한 전단력을 받으므로 그 재건에 있어서 어려운 점이 있다. 그 동안 발꿈치의 연부조직 결손을 재건하기 위한 많은 방법들이 개발되어 왔지만, 비교적 큰 발꿈치의 연부조직 결손을 재건하는 것은 아직도 쉬운 일이 아니다. 이처럼 큰 결손의 재건에는 주로 유리 피판술을 이용한 재건술을 사용하는데, 그 중에서도 광배근, 복직근, 대퇴박근 등의 근육을 이용하는 방법이 최근에 많이 이용되고 있다. 이와 같은 유리 근 피판에 피부이식을 이용하는 발꿈치 재건술은 표재성 감각기능을 재건하지 못하는 것이 단점으로 지적되고 있으나, 보행 또는 주행시 발꿈치에 가해지는 압력과 전단력을 효과적으로 견디어 낼 뿐아니라, 외관상으로도 정상에 가까운 발꿈치를 재건할 수가 있어서 좋은 방법으로 인정되고 있다. 특히, 대퇴박근은 피판을 비교적 쉽게 채취할 수 있고, 공여부에 기능적인 장애나 심한 변형을 남기지 않아서 좋은 방법이라 생각된다. 다만 크기가 비교적 작아서, 발등이나 족관절 상부에까지 이르는 광범위한 연부조직 결손에서는 사용할 수 없는 점이 아쉽다. 저자는 비교적 가늘고 긴, 대퇴박근의 형태적 특징을 최대한 이용하여, 결손부의 다양한 형태 및 크기에 따라 대퇴박근을 말발굽형, 나선형, S-자형 등으로 적절히 형상화하여 발꿈치 결손을 효과적으로 재건하는 방법을 고안하였다. 또한, 공여부에 긴 선상 반흔이 남는 것을 피하기 위하여 두 개의 작은 절개를 통해서 대퇴박근을 채취하였다. 이 방법을 이용하여 영남대학교 의과대학 성형외과학 교실에서는 1993년 이후부터 7명의 비교적 큰 발꿈치의 연부조직 결손 환자를 대상으로 유리 대퇴박근 피판술을 이용한 재건술로 성공적인 결과를 얻을 수 있었다.

• Journal of the Korea Convergence Society
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• v.12 no.12
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• pp.419-425
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• 2021

The objective of this study is to verify the effects of the application of flossband to the ankles of healthy adults on the functional range of ankle and walking ability. Total 20 people participated in the experiment, and through the randomization, one foot was set up as experimental side while the other foot was set up as control side. To analyze the two factors(before/after intervention/experimental side and control side), the two way-repeated ANOVA was conducted. The significance level was set up as 0.05. In the results of this study, compared to the control side, the experimental side showed significant increase in WBLT and heel strike(p=.05). In the test before/after intervention, the experimental side showed significant increase in WBLT, heel strike, and toe off(p=.05). The control side showed significant increase in toe off(p=.05). Thus, the application of floss band on ankle joint performed in this study would be helpful for improving the functional range and walking ability in the sports & rehabilitation field.

• Journal of Yeungnam Medical Science
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• v.21 no.2
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• pp.256-261
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• 2004

Ewing's sarcoma is rarely foundoccurs in the bones of the hands and feet. We report a case of Ewing's sarcoma of the left calcaneus in a 15-year-old girl who complained of left heel pain and swelling. An open biopsy was performed and histological examination showed the proliferation of uniform small round cells. Immunohistochemical staining for CD99 showed diffuse strong positivity in the cytoplasmic membrane of the tumor cells. After preoperative chemotherapy, a below knee amputation was performed.

• Journal of Advanced Technology Convergence
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• v.2 no.1
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• pp.17-21
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• 2023

In this study, using an X-ray device (Drgem TS-CSP) and foot phantom (SFT-1556), the angle of the X-ray tube was changed to 30°, 35°, 40°, 45°, and 50°, and the image was evaluated by quantitative and qualitative evaluation. In the blind test, it was the highest at 4.34 points at 40°, and in the part calculation using the Image J program, the angle was the largest at 1750 at 50°. In addition, in the area evaluation excluding overlapping areas, the X-ray tube showed the largest value at 40° Therefore, it was found that the X-ray tube angle was suitable when the X-ray tube angle was 40° as a projection method for observing the calcaneus.

• Journal of the Korean Society of Radiology
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• v.7 no.2
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• pp.107-112
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• 2013

There is an Ankle Oblique(Broden' low) as an examination for the patient whose ankle was encased in orthopedic plaster. Some types of Ankle Joint coalition - Calcaneonavicular coalition, Talocalcaneal coalition and Naviculocuneiform coalition. This study is focused on the relation between Ankle Joints and the structural change of soft tissues, also finding the most proper angle to obtain good images of Ankle Joint from the patient who wore a plaster on his ankle, when we x-ray with Harris-Beath View($30^{\circ}{\sim}55^{\circ}$) - for observing Subtalar joint, Calcaneus Fracture, Subtentaculum, Tali Fracture and Talocalcaneal coalition. We intend to get the angle which makes us achieve the good image that shows Calcaneus Fracture, Subtentaculum, and Tali Fracture by changing internal angles of the patient's ankle. We evaluated the images obtained from 51 patients with PACS monitor. The result of the evaluation, subtalar joint was not seperated but opened, and Subtentaculum Tali Fracture was seen overlaid. at the angle 30, we could observe Calcaneus Fracture, Subtentaculum Tali Frature and the front part of behind side of subtalar joint well. And Calcaneo Navicularcoalition, Talocal Canealcoalition, Naviculo Cuneiform coalition condition were clearly seen at that angle. At the angle 35, we could achieve the clear images of subtalar comminuted fracture, talus, the behind joint of heel bone and get the high definition image on the degree of talocalcaneal joint separation. In addition to, We could obtain the good wide image of Sinus Tarsi. At the area of 45, We can distinguish the soft tissues from gyps separation. The outer-talus and density of the bone were definitely seen and Calcaneus is more separated than that of at the angle of 35, but this image is distorted. Calcaneus, Subtentaculum Tali show $1.20{\pm}0.414$ at the angle 25, $2.47{\pm}0.516$ at the angle 30, $2.27{\pm}0.458$ at the angle 45. This difference is statistically meaningful. (p<0.05). Including the degree of distortion, The distortion appears less at the area of $30^{\circ}$ but at the area of 40, there is heavy distortion. So, We could get the best image for making a diagnosis. At the $30{\sim}35^{\circ}$ degree for X-raying ankle. and at the $30{\sim}40^{\circ}$ for Calcaneus Fracture, Subtentaculum Tali Fracture.

• Journal of Digital Convergence
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• v.10 no.10
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• pp.397-404
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• 2012

The purpose of this study is to investigate the change of hamstring muscle relaxation and craniosacral reciprocal movement by using S. O. T. (sacrooccipital technique) categoryⅠ block-intervention process. 26 subjects with heel tension were randomly divided into two groups (EXP=13 and CON=13). This study carried out the category I block-intervention process on the experimental group and the false block-intervention process on the control group. Then, this study measured the sit-and-reach and sacral reciprocal movement of subjects before and after the intervention. The result values before and after the intervention were analyzed through ANCOVA by using SPSS PC Program (Ver. 20.0). In both investigations, the degree of hamstring muscle relaxation and the change of sacral reciprocal movement, there were statistically significant differences between the experimental group and the control group as [F(1, 23)=7.73, p<0.5] and [F(1, 23)=7.07, p<.05] respectively. According to the results of this study, it is expected that S. O. T category I bllock-intervention technique will have positive effect on both hamstring muscle relaxation and craniosacral reciprocal movement.

• Proceedings of the Korean Society of Computer Information Conference
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• 2021.07a
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• pp.695-696
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• 2021

최근 다양한 연령층과 직업군들 사이에서 기능성 신발에 대한 관심이 증대되고 있다. 그러나 기능성 신발 및 맞춤형 신발은 높은 가격대와 긴 제작 시간이 필요하다. 이러한 문제점은 3D 스캐너 도입으로 해결이 가능하나, 정확한 발 형상 측정이 가능한 3D 스캐너는 고가의 장비이기 때문에 매장별 보급이 어렵다. 본 논문은 기능성 신발의 보급을 위하여 저가형 3D 스캐너에서 정확한 발 고유 변인을 측정할 수 있는 시스템에 대해 서술한다. 이를 위해 이를 위해 저가형 Depth Camera를 이용한 저가형 3D 스캐너의 발 형상 3D 점군 데이터를 2차원으로 변형하고, 발 형태를 감싸는 최소 사각형(Min Area Rect)를 형성하여 발 안쪽점 및 발 가쪽점을 추정한다. 생성된 최소 사각형과 발 안쪽점 및 발 가쪽점 등은 발 고유 변인 측정의 기준이 된다. 실험 결과에서는 측정 기준을 이용하여 발 고유 변인인 발 길이, 발 너비, 발꿈치 너비, 발꿈치에서 발안쪽점 및 발 가쪽점 길이 등 5가지 고유 변인을 측정하는 것을 보여준다.

• Journal of Korean Foot and Ankle Society
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• v.19 no.4
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• pp.188-192
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• 2015

Purpose: The purpose of this study is to provide Korean data on heel pad thickness according to age, gender, underlying disease, occupation, and body mass index (BMI). Materials and Methods: A retrospective study was conducted on 670 patients who underwent foot lateral plain radiography and magnetic resonance imaging (MRI) between January 2010 and July 2014. Through measurements of heel pad thickness, the usefulness and accuracy of foot lateral plain radiography was evaluated, and the mean Korean heel pad thickness in the weight-bearing and non-weight-bearing conditions was also evaluated according to age, gender, underlying disease, occupation, and BMI. Results: The 670 subjects with a mean age of 44 years (range, 12 to 84 years) consisted of 420 males and 250 females. The difference in heel pad thickness between non-weight-bearing foot lateral plain radiography and MRI was 0.69 mm. The heel pad thickness did not show a significant difference with age (p=0.08) and the presence of diabetes (p=0.09). With the increase in the Tegner score, the thickness of the heel pad increased (p=0.035), and subjects with a higher BMI had a thicker heel pad (p=0.03). The compressibility of the heel pad thickness showed no correlation with gender, diabetes, and Tegner score. Compressibility also increased with the increase in age and body weight. Conclusion: The mean Korean heel pad thickness measured through non-weight-bearing foot lateral plain radiography was 18.79 mm. The heel pad thickness increased with increasing BMI; however, age and diabetes did not show significant correlation. The compressibility of heel pad increased with the increase in age.