• 제목/요약/키워드: Flat Foot

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어린 환자에서 내향성 조갑증에 대한 조갑홈통 부목을 이용한 치료 (Gutter Splint for Ingrown Toe Nail in Young Patients)

  • 신용운;배서영;안상준
    • 대한족부족관절학회지
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    • 제22권3호
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    • pp.111-115
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    • 2018
  • Purpose: Ingrown toenails are a common disease in the adolescent period and the treatments could be more conservative for this early stage of the disease. This study is a case series on the results of a gutter splint for an adolescent ingrown toe nail as a simple, comfortable treatment method. Materials and Methods: From 2011 to 2018, 22 patients (mean age, 12.2 years; range, 8~15 years) with ingrown toenails were treated with a gutter splint. There were 16 boys and 6 girls with 7 patients on both great toes, and additional 4 both corners of a nail, giving a total of 33 splints. Flat, plastic straws and glue or suture were used to protect the nail corners under local anesthesia. The medical records were reviewed retrospectively and phone calls were made to obtain the long-term results. Results: Fifteen splints were fixed with a suture and the other 18 splints were fixed with glue. There were 9 cases of recurrence out of 33 gutter splints, 8 out of 15 sutured splints and 1 out of 18 glued splints (p=0.010). There was no gender (p=0.383) or age (p=0.305) difference in the number of recurrences. Conclusion: For growing people, ingrown nails can be cured easily by conservative treatment for a transiently shortened or broken toenail. The glued gutter splint had a reasonable success rate as a first line treatment.

한국전통마을에 있어서 갈림길의 유형과 형태에 관한 연구 (A Study of Types and Forms of Branch-road in Traditional Korean Villages)

    • 한국조경학회지
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    • 제27권1호
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    • pp.101-109
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    • 1999
  • The purpose of this study is to analyse types and forms of branch-road in traditional korean villages. To do this, this study has selected and measured 87 branch-road cases of five traditional villages. An analysis of the case study has revealed the following results : 1. Branch-roads have four formations : 3 way, 4 way, multi-way and others. 2. Branch-roads comprise 64 percent of 3 way, 18 percent of 4 way, 8 percent of multi-way and 9 percent of others, respectively. 3. Topographic conditions have mostly affected the formation of branch-roads. 3 way of branch - roads are easily found in flat village. 4 way are multi-way of branch-road are found in semi-hilly and hilly village 4. 3 way of branch-roads have three types: T-type, Y-type, and y-type. 5. T-types are easily found in flat village, but Y-type and y-type are found in semi-hilly and hilly village. 6. Each angle of T-type is 171,99,90, respectively. It has turned out 8 degree is slightly deviated form the square. 7. Y-type of branch-road has an asymmetric form, comprising 145, 128, 87 degree of the angle, compared to 150, 150, 60 degree of symmetric one. 8. Average angles of y-type that are mostly found in hilly village are 175, 113, 72. Angle differences from each spot are 62 and 41 degree. It is assumed that 39 degree is a slope of least effort to walk. 9. 4 way of branch-roads have not only "+" type but various types of K, Y and Y, Y and y, T and y and a foot of bird. 10. It is assumed that multi-way of branch-roads, mostly found on the middle and bottom of the hilly slope, has naturally formed to connect up and down, left and right.and right.

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Deep Learning-based Pes Planus Classification Model Using Transfer Learning

  • Kim, Yeonho;Kim, Namgyu
    • 한국컴퓨터정보학회논문지
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    • 제26권4호
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    • pp.21-28
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    • 2021
  • 본 연구는 기존 편평발 측정을 위해 사용되던 다양한 방법의 한계를 보완할 수 있는 새로운 측정 방법으로 전이학습을 적용한 딥러닝 기반 편평발 분류 방법론을 제안한다. 편평발 88장, 정상발 88장으로 이루어진 총 176장의 이미지 데이터를 활용하여, 적은 데이터로도 우수한 예측 모델을 생성할 수 있는 데이터 증폭 기술과 사전학습 모델인 VGG16 구조를 활용하는 전이학습 기술을 적용하여 제안 모델의 학습을 진행하였다. 제안 모델의 우수성을 확인하기 위하여 기본 CNN 기반 모델과 제안 방법론의 예측 정확도를 비교하는 실험을 수행하였다. 기본 CNN 모델의 경우 훈련 정확도는 77.27%, 검증 정확도는 61.36%, 그리고 시험 정확도는 59.09%로 나타났으며, 제안 모델의 경우 훈련 정확도는 94.32%, 검증 정확도는 86.36%, 그리고 시험 정확도는 84.09%로 나타나 기본 CNN 모델에 비해 제안 모델의 정확도가 큰 폭으로 향상된 것을 확인하였다.

Grice-Green 변형 술기를 이용한 편평 외반족 변형의 치료 결과 (The Results of Treatment of Planovalgus Deformity by Modified Grice-Green Procedure)

  • 왕준호;이석현;이영구
    • 대한족부족관절학회지
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    • 제8권1호
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    • pp.39-45
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    • 2004
  • Purpose: The author modified the technique of Grice-Green, for managing flexible flat foot, with severe hindfoot valgus and possible dorsiflexion more than $15^{\circ}$. The purpose of this study was to evaluate the efficacy and results of this modified technique. Material and Methods: Total of 6 patients, 11 cases of pes planovalgus were operatively managed with Modified Grice-Green procedure from Nov. 1996 to April 2002. Total 11 cases in 6 patients were managed; 9 cases in 5 males, 2 cases in one female. The average age of the patients were 7.3 years (5.1-13.3 years). Average follow up period was 3.9 years (1.2-6.7 years). Patients were evaluated preoperatively and at last follow up radiologically and clinically. Radiologic evaluation were done by measuring the talocalcaneal and talo-$1^{st}$ metatarsal angles with the anteroposterior view; and by measuring the talo-$1^{st}$ metatarsal angles with the lateral view. The clinical outcome were rated by subjective and objective improvement level. Results: On follow up, 9 cases were complete satisfied, 2 cases were satisfied with minor reservation and no case had major reservations or dissatisfaction. Objective results were rated as excellent in 9 cases, good in 2 cases. Average preoperative talo-calcaneal and talo-$1^{st}$ metatarsal angles on anteroposterior radiograms were $34.4^{\circ}$ ($16-40^{\circ}$) and $32^{\circ}$ ($8-48^{\circ}$) respectively; which postoperatively on last follow up were $20^{\circ}$ ($3-37^{\circ}$) and $15.6^{\circ}$ ($3-34^{\circ}$) respectively. Average Preoperative talo-$1^{st}$ metatarsal angle on lateral radiogram was $18.4^{\circ}$ ($6-30^{\circ}$); which postoperatively on last follow up was $6.7^{\circ}$ ($-6-17^{\circ}$). Conclusion: Modified Grice-Green operative procedure is effective and satisfactory procedure for planovalgus deformity in children. but for more accurate results, more patients and further follow up period are needed.

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Control Strategy for Modifiable Bipedal Walking on Unknown Uneven Terrain

  • Lee, Woong-Ki;Chwa, Dongkyoung;Hong, Young-Dae
    • Journal of Electrical Engineering and Technology
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    • 제11권6호
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    • pp.1787-1792
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    • 2016
  • Previous walking pattern generation methods could generate walking patterns that allow only straight walking on flat and uneven terrain. They were unable to generate modifiable walking patterns whereby the sagittal and lateral step lengths and walking direction can be changed at every footstep. This paper proposes a novel walking pattern generation method to realize modifiable walking of humanoid robots on unknown uneven terrain. The proposed method employs a walking pattern generator based on the 3-D linear inverted pendulum model (LIPM), which enables a humanoid robot to vary its walking patterns at every footstep. A control strategy for walking on unknown uneven terrain is proposed. Virtual spring-damper (VSD) models are used to compensate for the disturbances that occur between the robot and the terrain when the robot walks on uneven terrain with unknown height. In addition, methods for generating the foot and vertical center of mass (COM) of the 3-D LIPM trajectories are developed to realize stable walking on unknown uneven terrain. The proposed method is implemented on a small-sized humanoid robot platform, DARwIn-OP and its effectiveness is demonstrated experimentally.

보행형 이동 로봇의 동적 걸음 계획 (Dynamic Walking Planning for a Legged Moving Machine)

  • 유승환;김정훈;김영배
    • 한국정밀공학회:학술대회논문집
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    • 한국정밀공학회 2005년도 춘계학술대회 논문집
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    • pp.1780-1783
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    • 2005
  • In this paper ZMP was considered in order to get a walking stability, so the gait in the stable domain was realized through putting the stability margin in the sole domain of a foot. It is assumed that the robot's legs have 12 joints to operate a open-loop drive and there was no external disturbance under walking phases, additionally, the robot is walking on the flat plane. It was observed that the robot's walking trajectory, locus of COM and ZMP after imposing the motion to each joint. For realizing the simulation considering ZMP and movement of mass center, it was checked if it is stable for the constraint robot model to walk in stability and the feasibility was estimated about its dynamic gait. Eventually it was shown that a constraint gait algorithm is able to realize. To verify the proper walking process, ZMP(Zero Moment Point) theory is applied and the simulation has been done by ADAMS.

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New Fluid Flow System for Simulation of Mechanical Loading to Bone Cells During Human Gait Cycle

  • Ahn, Jae-Mok
    • 대한의용생체공학회:의공학회지
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    • 제28권3호
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    • pp.377-386
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    • 2007
  • Mechanical loading to bone cells using simple sine wave or constant wave fluid flow has been widely used for in vitro experiments. Human gait is characterized by a complex loading to bones of lower extremities which results from a series of events consisting of heel strike, foot flat and push-off during the stance phase of the gait cycle. Telemetric force analyses have shown that human femora are subject to multiphasic loading. Therefore, it would be ideal if the physiologic loading conditions during human walking can be used for in vitro mechanotransduction studies. Here, for a mechanotransduction study, we develop it fluid flow system (FFS) in order to simulate human physiologic mechanicalloading on bone cells. The development methods of the FFS including the COR (Center for Orthopedic Research), monitor program are presented. The FFS could generate various multiphasic loading conditions of human gaits with output flow. Wall shear distribution was very uniform, with 81 % of the effective loading area of the culture on a glass slide. Our results demonstrated that the FFS, provide a new translational approach for unveiling molecular mechanotransduction pathways in bone cells.

보행에서 외측 경사진 굽은 밑창이 발목 운동에 미치는 영향 분석 (The Effect of a Wedged Rocker Sole on Ankle Joints during Gait)

  • 권성혁;김충식;김희진;유태범;정민근
    • 대한인간공학회지
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    • 제27권3호
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    • pp.93-101
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    • 2008
  • Wedged soles and rocker soles are widespread shoe designs used to prevent the disorders and reduce the pain of the lower extremity caused by arthritis or diabetic feet. In this study, the effect of a shoe with a laterally wedged sole and a rocker sole simultaneously was analyzed on the kinematics and kinetics of the ankle joint during normal walking. Eight male participants without a history of lower extremity disorders were recruited. Each participant performed twenty walking cycles for each of three walking conditions: bare foot, wearing normal shoes and wearing shoes with laterally wedged rocker soles. The differences between the three walking conditions were statistically investigated including spatio-temporal variables, angular displacements, joint moments and ground reaction forces. The results showed that the laterally wedged rocker sole decreased the sagittal variation of angular displacements as well as the frontal/sagittal average moment on the ankle joints compared to the flat sole. In addition, the rate of angular displacements and loading decreased during the heel contact phase.

유선형 신발이 정적 자세변화 및 하퇴근전도에 미치는 효과 (The Effects of Shoes with Curved Out-Sole on the Variations of Static Posture and EMG of Calf)

  • 신학수;은선덕;유연주
    • 한국운동역학회지
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    • 제18권1호
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    • pp.245-253
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    • 2008
  • 본 연구의 목적은 유선형 신발바닥면을 가진 신발의 착용이 자세의 변화 및 조절전략에 미치는 영향을 살펴보는 것이다. 먼저 30명의 여대생을 대상으로 신발의 족저면과 접지면의 상대각도가 조절된 상태에서 'New York State Posture Test'로 평가하여 최적의 각도의 신발(s)을 제작한 후 여대생 10명씩 3개 집단에 대해 각각 제작된 신발(s)과 유선형 신발(m), 일반신발(n)의 8주착용 전 후의 전경골근, 비복근의 근활성도를 평가하였다. 1. 'New York State Posture Test'에서의 자세평가점수는 신발의 각도변화에 따라 $-2^{\circ}$, $-7^{\circ}$에서 쌍봉형을 이루었으며 통계적으로 유의하였다. 또한 $-7^{\circ}$에서 가장 좋은 평가점수가 나왔으므로 이 각도로 신발을 제작하였다. 2. 유선형의 아웃솔을 가진 s, m 신발의 활성패턴을 보면 맨발에서 s신발 착용자의 경우 비복근, m신발 착용자는 전경골근의 활성도가 증가하였으며, 신발을 착용한 상태에서는 s신발에서만 비복근의 활성도가 높게 나타났다.

족부 진단용 3차원 움직임 측정을 위한 무선 이동형 시스템 개발 (Development of Wireless Ambulatory System Measuring 3-D Motion as Podiatric Diagnosis)

  • 김진호;김화인;김동욱;원용관;김정자
    • 한국통신학회논문지
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    • 제36권5B호
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    • pp.502-510
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    • 2011
  • 본 연구에서는 보행 시 발의 3차원 움직임에 대한 보다 정확한 동작 각도를 측정하고, 기존의 마커 방식에 의한 유선 동작 분석 시스템의 불편함을 해결하기 위해서 양상에 실제 사용 가능한 족부 진단용 우선 이동형 시스템을 개발하였다. 시스템의 주요 모듈은 3축 가속도계와 3축 자이로계로 이루어진 관성 측정 장치와 블루투스 전송 모듈로 구성되었다. 피험자는 전주 소아과 족부 임상 전문의에게 평발과 아킬레스건염을 진단 받은 소아과 환자 5명의 10족 에 대한 측정을 하였으며, 족부 전문의의 이학적 소견과 대비하여 개발 시스템에서 측정한 값과 근전도 데이터를 바탕으로 그 타당성을 평가하였다. 발목의 ROM은 외측 복사뼈에서 측정된 최대 피크와 최소 피크의 차이로 측정하였고, 이 값에 근거하여 평발이 심할수록 외번의 비율이 상대적으로 높아짐을 보였다. 근전도 측정 결과 내번근으로 작용하는 전경골근의 보상 작용으로 인해 전경골근의 근 활성도가 높게 측정되었고, 아킬레스건염에 의해 족배굴곡이 제한됨으로 인해 족저굴곡근으로 작용하는 비복근의 근 활성도가 높아짐을 보임으로서 족부 질환에 따르는 발의 비정상적인 움직임과 특정 근육의 활성 사이에 상관성이 있음을 확인 하였다.