• Journal of Korean Foot and Ankle Society
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• v.25 no.1
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• pp.32-37
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• 2021

Patients with chronic lateral ankle instability often experience a range of associated injuries. The well-known comorbidities include intra-articular pathologies (osteochondral lesion, soft tissue or bony impingement, and loose body), peroneal tendon pathologies, neural injuries, and other extra-articular pathologies. Surgeons should have a high index of suspicion for these associated pathologies before operative intervention, correlate the clinical findings, and plan the treatment. Despite the restoration of ankle stability following ligament repair or reconstruction surgery, a high prevalence (13%~35%) of postoperative residual pain has been reported. This pain can negatively affect the clinical outcomes and patient satisfaction. This study examined the causes of persistent pain after surgical treatments for chronic ankle instability.

• Journal of Korean Orthopaedic Sports Medicine
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• v.4 no.2
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• pp.105-108
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• 2005

• Journal of the Korea Convergence Society
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• v.13 no.5
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• pp.307-312
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• 2022

The purpose of this study was to investigate the effects of wearing functional clothing over calf muscles on the muscle function of the calf and to verify whether functional clothing can increase calf muscle function. The participants of the study were 21 male students from University B who had no lower extremity abnormality. The measurement method was measured at 30°/sec and 120°/sec angle speed before and after wearing functional clothing on the right and left calves using Humac Norm of CSMI, a constant speed muscle function measuring instrument. No significant difference was observed during dorsiflexion when wearing functional clothing, but in plantar flexion, muscle strength and muscle endurance were significantly increased. Therefore, wearing functional clothing over the calves showed a positive effect on improving exercise function, and future research suggests a study comparing the degree of muscle function improvement between those wearing functional clothing and those not wearing it for athletes training ahead of the competition.

• Journal of IKEEE
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• v.23 no.3
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• pp.883-892
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• 2019

This study is the method which is adapted to control ankle joint movement for resolving the problem of gait imbalance in intervals where gait environments are changed and slope walking, as applying terrain-adaptive technique to intelligent above-knee prosthesis. In this development of above-knee prosthesis, to classify the gait modes is essential. For distinguishing the stance phases and the swing phase depending on roads, a machine learning which combines decision tree and random forest from knee angle data and inertial sensor data, is proposed and adapted. By using this method, the ankle movement state of the prosthesis is controlled. This study verifies whether the problem is resolved through butterfly diagram.

• Journal of Korean Orthopaedic Sports Medicine
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• v.10 no.2
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• pp.69-77
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• 2011

Purpose: This study was retrospectively performed to compare the clinical outcomes of modified Brostrom procedures using the single suture anchor and the double suture anchor for chronic lateral ankle instability. Materials and Methods: Thirty-seven patients were followed up for more than 1 year after the modified Brostrom procedures using suture anchor. Single surgeon treated seventeen cases with single suture anchor and 20 cases with double suture anchor. The clinical evaluation was performed according to the Karlsson scale and Sefton grading system. Radiologic measurement of the talar tilt and anterior talar translation was performed through anterior and varus stress radiographs using Telos device. Results: The Karlsson scale had improved significantly from preoperative average of 45.2 points to 89.4 points in single suture anchor group, and from 46.4 points to 90.5 points in double suture anchor group. According to the Sefton grading system, 15 cases (88.2%) in single suture anchor group and 18 cases (90%) in double suture anchor group achieved satisfactory results. The talar tilt angle and anterior talar translation had improved significantly from preoperative average of $13.6^{\circ}$ and 8.6 mm to $5.4^{\circ}$ and 4.1 mm in single suture anchor group, from $14.1^{\circ}$ and 8.4mm to $3.9^{\circ}$ and 4 mm in double suture anchor group. Double suture anchor technique was significantly superior in postoperative talar tilt. Conclusion: Single and double suture anchor techniques produced similar clinical and functional outcomes except for talar tilt, which was significantly superior in double suture anchor group. Both modified Brostrom procedures using the single and double suture anchor appear to be effective treatment methods for chronic lateral ankle instability. Further evaluation of clinical outcomes and biomechanical studies in athletes are needed.

• Korean Journal of Applied Biomechanics
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• v.19 no.3
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• pp.489-497
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• 2009

The purpose of this study was to find differences of jumping performances within individual and to identify the influencing factors in these differences. 20 male subjects performed 6 maximal vertical jumps. The best(GP) & worst(BP) performance of each subject based on their jump height were compared in further analysis. There was a significant difference of approx. 10% in the jump height between GP and BP, which resulted from height of COM and vertical velocity at the instant of take-off. We could observe a significantly higher ankle moment in the GB more than the BP but no significant differences for the knee and hip joint. Also the maximum power of ankle joints in the GP were significantly higher than that in the BP. According to the results, the mechanical output of knee and hip joint are not as influential as that of ankle joint for difference of performance within individual. In conclusion, the results showed that mechanical output of the ankle joint could be more influential factors on the performances within individual although the knee and hip joint play an important role in the vertical jump. We therefore propose that more emphasis should be placed on the potentiation of the ankle joint for the training of the maximum vertical jump.

• Korean Journal of Applied Biomechanics
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• v.18 no.1
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• pp.21-30
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• 2008

The purpose of this study was to investigate the variability to compare local dynamic stability via a linear and nonlinear analysis during walking. Twenty four elderly males, 12 healthy elderly and 12 patients with osteoarthritise walked on a treadmill for 100 consecutive strides. Lyapunov exponent and correlation dimension and coefficient variation were calculated for the kinematic parameters to determine the dynamic stability during walking. The linear measures indicated that the healthy elderly demonstrated significantly higher variability in the ankle joint displacement. The nonlinear analysis revealed that COD for the knee joint angle were higher in patient with osteoarthritise. There were no coincidence in results between linear and nonlinear techniques over two groups. In light of nonlinear analysis, it was concluded that patients with osteoathritise showed higher local instability during walking.

• Journal of the Korean Society for Nondestructive Testing
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• v.25 no.4
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• pp.247-253
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• 2005

This study investigated the effects on foot and ankle roll-over characteristics according to different heel heights during walking. Fifteen female volunteers who have neither musculoskeletal nor foot problems were participated in gait analyses, wearing four different pairs of shoes in different heel heights. To obtain roll-over shape of foot/ankle complex, we used trajectories of knee and ankle joints as well as the renter of pressure between initial contact and opposite initial contact. Results revealed that the entire roll-over shape moved distally as the heel height increased but roll-over characteristics showed uniformly with different heel heights. In addition, we found that nondisablea persons automatically adapted to their foot/ankle complex to varying heel heights within 6cm, by moving the origin of roll-over shape distally to maintain roll-over characteristics. However, since the balance of the gait only by the ankle joint could not be achieved beyond the heel height of 6cm, compensations at the knee and the hip joints occurred simultaneously. Roll-over characteristics in human walking would provide simpler and wider understanding of human walking, and furthermore could be applied to the wide understanding of prosthetics and orthotics of the lower extremity as well as orthopaedic shoes.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.13 no.9
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• pp.3991-3998
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• 2012

The aim of this study was to effect of muscle activity on muscle architectural of medial gastrocnemius in chronic stroke patient based on ankle joint degree. The subjects of this study were 10 chronic stroke patients modified Ashworth scale(MAS) 2. Ultrasonographic and dynamometer was measured during resting and maximum voluntary isometric contraction(MVIC) on muscle thickness, pennation angle, fascicle length, MVIC. Result from analysis showed that muscle thickness was thinner in the paretic side than in the non-paretic side(p<.001) and the more plantarflexion increased, the thinner muscle thickness became. And at the time of resting rather than of MVIC significant(p<.001). Result from analysis showed that penneation angle was smaller in the paretic side than in the non-paretic side(p<.001) and the more plantarflexion increased, the larger pennation became. And at the time of resting rather than of MVIC significant(p<.001). Result from analysis showed that fascicle was shorter in the paretic side than in the non-paretic side(p<.001) and the more plantarflexion increased, the shorter fascicle length became. And at the time of resting rather than of MVIC significant(p<.001). The results of this study showed that effect of muscle activity on muscle architectural of medial gastrocnemius in chronic stroke patient based on ankle joint degree. Therefore, Ultrasonographic evaluation of chronic stroke patients according ankle joint degree and muscle activity in the clinical diagnosis and therapy is considered a very useful data.

• 건강소식
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• v.32 no.2 s.351
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• pp.16-17
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• 2008

겨울 스포츠를 즐기는 마니아가 부쩍 늘어나는 추세다. 이에 따라 겨울 스포츠를 즐기다 부상을 당해 병원을 찾는 환자도 증가하고 있다. 특히 여성의 경우 충분한 스트레칭이나 사전지식 없이 산행이나 스키를 즐기다 무리한 근육 사용으로 관절을 상하는 경우가 종종 있다. 겨울철 등산을 할 경우 산을 올라 갈 때는 평지를 걸을 때 보다 자기체중의 3~4배에 달하는 무게가 발목 및 무릎에 가해지며, 내려올 때는 체중의 7~8배의 무게가 전해지니 산행 전 다리 부위의 관절과 근육을 충분히 풀어주는 것이 필요하다.