• Journal of Trauma and Injury
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• 제32권3호
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• pp.187-193
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• 2019

Many techniques have been developed for reconstruction of the hand; however, less attention has been paid to foot reconstruction techniques. In particular, reconstruction of the forefoot and big toe has been considered a minor procedure despite the importance of these body parts for standing and walking. Most of the weight load on the foot is concentrated on the forefoot and big toe, whereas the other toes have a minor role in weight bearing. Moreover, the forefoot and big toe are important for maintaining balance and supporting the body when changing directions. Recently, attention has been focused on the aesthetic appearance and functional aspects of the body, which are important considerations in the field of reconstructive surgery. In patients for whom flap reconstruction in the forefoot and big toe is planned, clinicians should pay close attention to flap survival as well as functional and cosmetic outcomes of surgery. In particular, it is important to assess the ability of the flap to withstand functional weight bearing and maintain sufficient durability under shearing force. Recovery of protective sensation in the forefoot area can reduce the risk of flap loss and promote rapid rehabilitation and functional recovery. Here, we report our experience with two cases of successful reconstruction of the forefoot and big toe with a sensate anterolateral thigh flap, with a review of the relevant literature.

• 한국해양공학회지
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• 제35권6호
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• pp.403-413
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• 2021

As the size of ships increases, the size and output power of their thrusters also increase. When a large ship berths or unberths, the jet flow produced from its thruster has an adverse effect on the stability of quay walls. In this study, we conducted a numerical analysis to examine the impact of the thruster jet flow of a 30,000 TEU container ship, which is expected to be built in the near future, on the stability of a quay wall. In the numerical simulation, we used the fluid-structure interaction analysis technique of LS-DYNA, which is calculated by the overlapping capability using an arbitrary Lagrangian Eulerian formulation and Euler-Lagrange coupling algorithm with an explicit finite element method. As the ship approached the quay wall and the vertical position of the thruster approached the mound of the quay wall, the jet flow directly affected the foot-protection blocks and armor stones. The movement and separation of the foot-protection blocks and armor stones were confirmed in the area affected directly by the thruster jet flow of the container ship. Therefore, the thruster jet flows of ultra-large ships must be considered when planning and designing ports. In addition, the stability of existing port structures must be evaluated.

• 한국운동역학회지
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• 제16권1호
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• pp.43-53
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• 2006

Among several movements that occurred upon a slope, golf swing is the most typical one because environmental conditions dynamically vary with many kinds of slopes. Some studies on the golf swing were performed about a weight transfer on flatland, however, there couldn't be seen any study about the weight transfer on slope elsewhere. Therefore, the purpose of this study was to provide quantified data to objectively test the coaching words and keys about the weight transfer at sidehill slope during goal impact EspeciaIly sidehill Slopes with ball above the feet. Four highschool golfer, who have average handy 5, were recruited for this study. Plantar pressure distribution and cinematographic data were collected during golf swing in the conditions of flatland, $5^{\circ}$, $10^{\circ}$ and $15^{\circ}$sidehill slope simultaneously. The two data were used to synchronize the two data later. The plantar regions under the foot were divided into 8 regions according to the directly applied pressure pattern of the subject to insole sensor. The 8 foot regions were hullux, medial forefoot, central forefoot, lateral forefoot, medial midfoot, lateral midfoot, medial heel, and lateral heel. And the plantar pressure data was also divided into four movement address, phases-backswing. downswing, and follow-through phases according to the percentage shown to the visual information of film data. Based on the investigations on public golf books and experiences of golfers, it was hypothesized by the authors in the early of this study that the steeper slopes are, the more weight loads on left foot that positions at the higher place. When observing the results of plantar pressure and vertical force curves according to the sidehill slope conditions, the hypothesis could be accepted.

• 한국운동역학회지
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• 제19권2호
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• pp.217-225
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• 2009

최근 들어 부강을 방지하고 경기력을 향상시킬 수 있는 스포츠화를 개발하기 위해 신체운동학과 생체역학을 반영한 연구가 전세계적으로 활발히 수행되고 있다. 하지만, 이러한 연구의 성골 여부는 스포츠화와 발의 동적 거동, 특히 착지 충격 특성 평가의 신뢰성에 절대적으로 좌우된다. 그 이유로는 코트 스포츠운동에 있어서 착지충격력이 예상치 못한 부상과 경기력의 주요한 요인이기 때문이다. 이 연구는 맨발과 대표적인 코트 스포츠화의 착지충격 특성을 평가하기 위해 유한요소 해석을 적용하였다. 사람의 발과 신발사이의 연계효과를 정확히 반영하기 위해 별도의 실험 데이터에 의존하지 않는 완전한 3차원 발-신발 FEM 모델을 생성하였다. 수치 시뮬레이션을 통해 FEM 모델의 신뢰성을 평가함과 동시에 여러 가지 스포츠화의 GRF, MIF 및 주파수 응답과 같은 착지충격 특성들을 분석하였다.

• 한국운동역학회지
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• 제23권1호
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• pp.85-90
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• 2013

Efficient gait is compensate for a lack of exercise, but the wrong walking can cause disease that joints, muscles, brain and body structure(Scott & Winter, 1990). Also many researchers has been studied gait of positive mechanism using analytical methods kinetic, kinematic. This study is to identify nature of knee adduction moment, depending on different foot progression angle and the movement of rotation of pelvis and body. Health study subject conducted intended walking with three different angles. The subjects of this study classified three types of walking; walk erect, pigeon-toed walk and an out-toed gait. Ten university students of K without previous operation and disease record selected for this study. For accuracy of this study, three types of walking carried out five times with 3D image analysis and using analysis of ground reaction force to analyze nature of knee adduction moment and the movement of rotation of pelvis and body. Firstly, the HC(heel contact) section value of intended walk erect, pigeon-toed walk and an out-toed gait was not shown statistically significant difference but TO(toe off) section value was shown that the pigeon-toed walk statistically significant. The value of pigeon-toed walk was smallest knee adduction moment(p< 0.005). Secondly, X axis was the change of rotation movement body and pelvis when walk erect, pigeon-toed walk and an out-toed gait. Shown statistically Y axis was not shown statistically significant but Z axis statistically significant(p<0.05). These result show the significant differences on TO section when walking moment reaches HC, it decides the walking types and rotates the foot.

• 로봇학회논문지
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• 제17권3호
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• pp.296-302
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• 2022

This paper proposes a center of plantar foot pressure (CoP) trajectory estimation method based on Gaussian process regression, with the aim to show robust results regardless of the regions and numbers of FSRs of the insole sensor. This method can bring an interpolation between the measurement points inside the wearable insole sensor, and two experiments are conducted for performance evaluation. For this purpose, the input data used in the experiment are generated in three types (13 FSRs, 8 FSRs, 5 FSRs) according to the regions and numbers of FSRs. First, the estimation results of the CoP trajectory are compared using Gaussian process regression and weighted mean. As a result of each method, the estimation results of the two methods were similar in the case of 13 FSRs data. On the other hand, in the case of the 8 and 5 FSRs data, the weighted mean varies depending on the regions and numbers of FSRs, but the estimation results of Gaussian process regression showed similar results in spite of reducing the regions and numbers. Second, the estimation results of the CoP trajectory based on Gaussian process regression during several gait cycles are analyzed. In five gait cycles, the previous cycle and the current estimation results are compared, and it was confirmed that similar trajectories appeared in all. In this way, the method of estimating the CoP trajectory based on Gaussian process regression showed robust results, and stability was confirmed by yielding similar results in several gait cycles.

• 한국전문물리치료학회지
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• 제30권2호
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• pp.110-119
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• 2023

Background: Osteoarthritis is a common condition with an increasing prevalence and is a common cause of disability. Osteoarthritic pain decreases the quality of life, and simple gait training is used to alleviate it. Knee osteoarthritis limits joint motion in the sagittal and lateral directions. Although many recent studies have activated orthotic research to increase knee joint stabilization, no study has used patellar tendon straps to treat knee osteoarthritis. Objects: This study aimed to determine the effects of patellar tendon straps on kinematic, mechanical, and electromyographic activation in patients with knee osteoarthritis. Methods: Patients with knee osteoarthritis were selected. After creating the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), leg length difference, Q-angle, and thumb side flexion angle of the foot were measured. Kinematic, kinetic, and muscle activation data during walking before and after wearing the orthosis were viewed. Results: After wearing the patellar tendon straps, hip adduction from the terminal stance phase, knee flexion from the terminal swing phase, and ankle plantar flexion angle increased during the pre-swing and initial swing phases. The cadence of spatiotemporal parameters and velocity increased, and step time, stride time, and foot force duration decreased. Conclusion: Based on the results of this study, the increase in plantar flexion after strap wearing is inferred by an increase due to neurological mechanisms, and adduction at the hip joint is inferred by an increase in adduction due to increased velocity. The increase in cadence and velocity and the decrease in gait speed and foot pressure duration may be due to joint stabilization. It can be inferred that joint stabilization is increased by wearing knee straps. Thus, wearing a patellar tendon strap during gait in patients with knee osteoarthritis influences kinematic changes in the sagittal plane of the joint.

• 한국운동역학회지
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• 제24권1호
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• pp.19-26
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• 2014

This study investigated foot pressure patterns between experienced skiers and intermediate skiers during alpine skiing. Five experienced skiers and five intermediate skiers participated in this study. Foot pressure measurement system was used to measure vertical ground reaction force (vGRF) and contact area under the six plantar regions. Each participant was asked to perform basic parallel turns and carved turns on a $18^{\circ}$ groomed slope. Each right turn was divided into the initiation phase, the steering phase 1 and 2. For the initiation phase of the basic parallel turns, significantly greater contact area was found on the LRF and RRF of the intermediate skiers (p<.05) and significantly greater vGRF was found on the LRF of the intermediate skiers (p<.05). Also significantly greater vGRF and contact area were found on the LRF and RRF of the intermediate skiers at the steering phase 1 (p<.05) and on the LRF of the intermediate skiers at the steering phase 2 (p<.05). For the carved turns, significantly greater vGRF and contact area were found on the LRF and RRF of the intermediate skiers at all three phase (p<.05). On the other hand, significantly greater vGRF was found on the RFF of the experienced skiers at the steering phase 1 (p<.05). Also significantly greater vGRF and contact area were found on the RMF of the experienced skiers at the steering phase 2 (p<.05). In order to increase performance, we suggest that the intermediate skiers should be unweighted at the initiation phase and shift the body weight to the forefoot of the outer foot at the steering phase 1. Also, the outer ski should be loaded more than the both skis at the steering phase 1 and 2.

• 한국운동역학회지
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• 제25권4호
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• pp.489-498
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• 2015

Objective : The purpose of this study was to analyze the effects of the windlass mechanism in trail-walking shoe prototypes that can effectively support arches. A study of these effects should help with the development of a first-rate trail-walking shoe development guide for the distribution of quality information to consumers. Methods : The subjects were ten adult males who volunteered to participate in the study. Shoes from three companies, which will be referred to as Company S (Type A), Company M (Type B), and Company P (Type C), were selected for the experiment. The subjects wore these shoes and walked at a speed of 4.2 km/h, and as they tested each shoe, the contact area, maximum pressure average, and surface force were all measured. Results : Shoe Type A showed a contact area of $148.78{\pm}4.31cm^2$, Type B showed an area of $145.74{\pm}4.1cm^2$, and Type C showed an area of $143.37{\pm}4.57cm^2$ (p<.01). Shoe Type A demonstrated a maximum average pressure of $80.80{\pm}9.92kPa$, Type B an average of $85.72{\pm}11.01kPa$, and Type C an average of $89.12{\pm}10.88bkPa$ (p<.05). Shoe Type A showed a ground reaction force of $1.13{\pm}0.06%BW$, Type B a force of $1.16{\pm}0.04%BW$, and Type C a force of $1.16{\pm}0.03%BW$ (p<.05). Conclusion : The Type A trail-walking shoe, which was designed with a wide arch from the center of the forefoot to the front of the rearfoot showed excellent performance, however, more development and analysis of the windlass mechanism for a variety of arch structures is still necessary.

• Korean Journal of Acupuncture
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• 제22권1호
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• pp.95-108
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• 2005

Objective : In the present study, the effect of electroacupuncture (EA) applied to several acupoints and non-acupoint in CFA-induced knee arthritis was examined. Methods : A common source of persistent pain in humans is arthritis. Arthritis was induced by injection of CFA $125\;{\mu}l$ into knee joint cavity under enflurane anesthesia. The rat subsequently showed swelling of the ankle and a reduced stepping force of the affected limb for the next several days. The reduced stepping force of the limb was presumably due to a painful knee. EA was applied to either of $LR_2,\;LI_4$, or non-acupoint on the contralateral forelimb for 30 min under gaseous anesthesia. After the termination of EA, behavioral tests measuring stepping force were periodically conducted during the next 4 h. Results : EA applied to $LR_2$ point produced a significant improvement of stepping force of the affected foot lasting for at least 2 h. However, neigher $LI_4$ point nor non-point produced any significant increase of weight bearing force. The improvement of stepping pressure was interpreted as an analgesic effect. The analgesic effect was specific to the acupuncture point since the analgesic effect on CFA-induced knee arthritic pain model could not be mimicked by EA applied to a point, $LI_4$ or non-acupoint. In addition, both NO production and iNOS protein expression increased by arthritis were suppressed by EA applied to $LR_2$ point. Conclusion : These data suggest that EA produces a potent analgesic effect in the rat model of CFA-induced knee arthritis. This analgesic effect is produced by applying EA to an acupoint at opposite side from the painful area in a stimulus point-specific way.