• 한국의류학회지
• /
• 제38권3호
• /
• pp.305-320
• /
• 2014

This study identifies the foot shapes of elderly women by classifying foot type according to the 3D shape of the foot and 2D sole type analyzing individual characteristics. The subjects were 295 elderly women over 60 years of age who live in Gwangju. A foot scanner (K&I Technology $Nexcan^{(R)}$) was used to obtain three-dimensional shapes of feet and a flat bad scanner (HP Scanjet G2410) was used to obtain the two-dimensional shapes of soles. The anthropometric measuring items consisted of 59 items estimated on the right foot of each subject. Data were analyzed by various statistical methods such as factor analysis, ANOVA and cluster analysis using the SPSS 19.0 statistical program. To classify the side type of elderly women's feet, three-dimensional measurement data were analyzed for the 27 measurement items using factor analysis and 6 factors were extracted (inside height and side gradient, ankle thickness, toe height and midfoot size, lateral malleolus height, instep, and heel height and gradient). A cluster analysis resulted in three types: 36.5% belonged to Type 1 (high forefoot and high midfoot), 31.1% belonged to Type 2 (high forefoot and low midfoot), and 32.4% belonged to Type 3 (low forefoot and high midfoot). The distribution was relatively even. For the sole, 8 factors were extracted (ball width and medial foot protrusion, lateral foot protrusion, forefoot and hindfoot length ratio, ball gradient, heel size, toe breadth, lateral ball length, and foot length) and a cluster analysis resulted in three Types (Type H, Type D, and Type A). The largest proportion (42.7%) belonged to Type H, which is the same as the elderly men's case.

• 대한족부족관절학회지
• /
• 제8권2호
• /
• pp.208-212
• /
• 2004

There have been many reports about surgical treatments of flexible flatfoot in children and acquired adult flatfoot deformity due to posterior tibial tendon dysfunction common in the 5th and 6th decades. However there has been a controversy for surgical treatment guideline for painful idiopathic flexible flatfoot deformities in young adults. Therefore, we present a 27-year-old female with severe painful idiopathic flexible flatfoot who was treated with medial sliding calcaneal osteotomy and subtalar arthroereisis using $Kalix^{(R)}$ (Newdeal SA, Vienne, France) endoprosthesis and had good clinical outcome with high patient satisfaction at 10 months follow-up postoperatively.

• 한국운동역학회지
• /
• 제17권3호
• /
• pp.189-195
• /
• 2007

The purpose of this study was to analyze the effects of shoes with curved out-sole on the pressure, reaction force(sum of pressure) on foot and relations between the rolling speeds and pronation of foot. The foot pressure, reaction force and pressure center on the foot surface of shoe were measured with NOVEL padar system, and 3 type shoes were used to compare the position and speed of pressure center and the foot reaction force, which were s(target) shoe with soft cushions in middle part of out-sole and curved out-sole, m shoes with two type- soft, hard, hardness out-sole and curved out-sole and n shoes with flat out-sole. The subjects were 13 female university students, had weared the 3 type shoes for 6 weeks on two-weeks shifts for adaptation before experiment and put on 3-type shoes repeatedly and randomly and walked on treadmill with 3.5km/h and 80 steps/min. The data were captured with 30Hz and readjusted with 5kgf threshold reaction force. The results can be summarized as follow. 1. There were no difference in maximum reaction force on initial contact period and total foot impact, but statistical difference in maximum reaction force on takeoff period : s, m, n in ascending order. 2. There were some difference in rolling speeds for support periods. At initial contact, the rolling speed of s shoes was fastest but at periods between first and second maximum reaction force, that of m shoes fastest. 3. There was a negative relation between rolling speeds and the length of lever arm on initial reaction force related to pronation. It seems shoes with various curved shapes and hardness could make effects on the rolling features and the rolling speed also have some relationships with walking efficiency, absortion of impact and pronation.

• 한국운동역학회지
• /
• 제25권3호
• /
• pp.283-291
• /
• 2015

Objective : The purpose of this study was to determine the differences in the head and tibial acceleration signal magnitudes, and their powers and shock attenuations between flat-footed and normal-footed running. Methods : Ten flat-footed and ten normal-footed subjects ran barefoot on a treadmill with a force plate at 3.22m/s averaged from their preferred running speed using heel-toe running pattern while the head and tibial acceleration in the vertical axis data was collected. The accelerometers were sampled at 2000 Hz and voltage was set at 100 mv, respectively. The peak magnitudes of the head and tibial acceleration signals in time domain were calculated. The power spectral density(PSD) of each signal in the frequency domain was also calculated. In addition to that, shock attenuation was calculated by a transfer function of the head PSD relative to the tibia PSD. A one-way analysis of variance was used to determine the difference in time and frequency domain acceleration variables between the flat-footed and normal-footed groups running. Results : Peaks of the head and tibial acceleration signals were significantly greater during flat-footed group running than normal-footed group running(p<.05). PSDs of the tibial acceleration signal in the lower and higher frequency range were significantly greater during flat-footed running(p<.05), but PSDs of the head acceleration signal were not statistically different between the two groups. Flat-footed group running resulted in significantly greater shock attenuation for the higher frequency ranges compared with normal-footed group running(p<.05). Conclusion : The difference in impact shock magnitude and frequency content between flat-footed and normal-footed group during running suggested that the body had different ability to control impact shock from acceleration. It might be conjectured that flat-footed running was more vulnerable to potential injury than normal-footed running from an impact shock point of view.

• 한국융합학회논문지
• /
• 제10권11호
• /
• pp.199-207
• /
• 2019

본 연구는 바닥에 치료용 깔창이 일체형으로 제작된 실내화를 이용한 유연성 편평족 환아의 착용 처치 전-후 임상 결과 및 영상의학 검사 결과에 대한 융합 연구이다. 유연성 편평족으로 진단받은 학령기 환아 35명에 대하여, 치료용 깔창이 일체형으로 제작된 실내화를 주중 5회 이상, 하루 4시간 이상 착용하게 하였다. 시행 전, 시행 후 제 4주째, 제 8주째, 영상의학 검사 및 FAOS 설문 조사를 시행하였고, 반복측정분산분석을 이용하여 통계 분석하였다. 임상 결과에서 FAOS 증상 항목과 통증 항목에서 통계적으로 유의한 향상이 관찰되었다. 영상의학 검사 결과에서 전후면 거골-제1중족각, 측면 거골-제1중족각, 거골-수평각이 호전되는 경향을 보이고 있었지만, 통계적 유의성은 찾을 수 없었다. 즉, 학령기 유연성 편평족 환아가 실내 생활 중 대부분의 시간 동안 치료용 깔창이 바닥에 일체형으로 제작된 실내화를 사용하는 것은 단기적으로 증상 완화 및 통증 경감에 효과가 있다.

• 한국지능시스템학회논문지
• /
• 제23권3호
• /
• pp.238-243
• /
• 2013

본 논문에서는 이족 보행 로봇을 위한 무릎 및 힙 관절의 일 특성을 분석하고자 한다. 이를 위하여 컴플라이언스 특성의 발을 갖는 이족 로봇 다리 메커니즘을 대상으로 전형적인 보행 패턴을 고려한다. 또한 딱딱한 지면과 접촉하는 로봇 발 공간으로부터 다리 관절 공간으로 전파되는 토오크 특성을 확인하고, 보행에 따라 관절 공간에 누적되는 일 특성을 제시한다. 결과적으로, 이러한 분석이이족 로봇의 보행에서 발과 지면의 물리적인 접촉에 의한 다리 메커니즘의 피로 정도를 파악하는데 있어서 유용하고, 적절한 신발 착용 등에 의한 로봇 발 공간에서의 컴플라이언스특성 개선에 활용될 수 있음을 보인다.

• 대한기계학회논문집A
• /
• 제36권8호
• /
• pp.913-920
• /
• 2012

단층촬영 영상정보를 이용하여 근육, 연부조직 및 골 구조 등을 포함한 발의 상세한 유한요소해석모델을 개발하여 보행과정을 모사하였고, 발과 직접 접촉하는 신발밑창 형상의 고려 여부에 따른 보행 중의 발바닥 압력의 변화를 비선형 접촉해석으로 계산하였다. 해석결과 직립 정지상태나 보행 중에는 공통으로 뒤꿈치가 지면에 닿을 때 압력집중이 가장 높았으며, 편평한 밑창보다 발바닥 곡면과 같은 밑창을 사용한 보행해석에서 뒤꿈치의 압력집중이 덜하고 접촉면이 더 넓었다. 이러한 보행모델 및 해석은 발바닥의 압력집중에 취약한 당뇨병 환자 전용 의료보조신발(압력을 넓게 분포시켜 집중의 강도를 낮출 수 있는) 개발의 수단으로 활용될 수 있음을 보였다.

• 한국융합학회논문지
• /
• 제9권11호
• /
• pp.385-391
• /
• 2018

본 논문의 평발인 대상자가 하이힐을 신고 계단을 내려갈 때 하지의 근활성도 변화를 알아보고자 한다. 이 연구의 대상자는 30명의 여학생으로 구성되어 있다. NDT를 이용하여 평발군과 정상군을 구분하였으며 표전근전도를 사용해 측정하였다. MG와 LG근활성도와 안, 가쪽 근공동활성도는 평발군에서 낮게 나타났고 근활성도 비율은 평발군이 안쪽에서 더 높게 나타났다. 그러므로 하이힐을 신은 평발군은 정상군보다 무릎관절 정렬에 더 많은 손상을 가질 가능성이 더 높으므로 계단을 내려갈 때 더 많은 주의가 필요할 것이다.

• Journal of Korean Neurosurgical Society
• /
• 제44권4호
• /
• pp.240-244
• /
• 2008

Objective : Sotos Syndrome is characterized by macrocephaly, overgrowth, and developmental delay, and more than 300 patients have been reported worldwide to date. The authors reviewed the clinical characteristics of 8 patients with Sotos Syndrome in Korea for a new understanding and treatment strategies. Methods : The medical records of a total of eight Korean children with Sotos Syndrome were reviewed. All patients underwent developmental checkup, lumbar punctures for measurement of intracranial pressure (ICP), brain and spine magnetic resonance imaging and computerized tomography. Results : All 8 patients showed macrocephaly and the characteristic craniofacial features of Sotos Syndrome. Other clinical characteristics shown were overgrowth (7/8), developmental delay (7/8), congenital heart defect (3/8), flat foot (8/8), scoliosis (4/8), spina bifida (8/8), hydrocephalus (4/8), cavum vergae (3/8), and increased subdural fluid collection (5/8). Mean ICP measured via lumbar puncture was $27.35{\pm}6.25\;cm$ $H_2O$ (range 20 to 36 cm $H_2O$). Two patients received ventriculo-peritoneal shunt, and 1 patient underwent subduro-peritoneal shunt with improvement. Spinal orthosis was applied to 4/5 patients with scoliosis and 4/8 children with flat foot were provided with foot orthosis. Conclusion : In this first Korean study of 8 Sotos Syndrome patients we demonstrated the presence of spina bifida and increased ICP, which had not been previously described. The authors therefore suggest that all patients with Sotos Syndrome should undergo examination for the presence of spina bifida, and that shunt procedures would improve development and alleviate clinical symptoms.

• 대한족부족관절학회지
• /
• 제12권2호
• /
• pp.117-121
• /
• 2008

Purpose: To determine the clinical and radiographic results of arthroereisis using the $Kalix^{(R)}$ implant (Newdeal, Lyon, France) for the treatment of flexible flatfoot deformity. Materials and Methods: From February 2005 to February 2007, we performed the subtalar arthroereisis on 8 patients (9 feet) of symptomatic flexible flat feet after more than 6 months of conservative treatment. Average age was 14.5 years ($11{\sim}29$ years) old. We checked the functional status with AOFAS functional score pre-operatively and at final follow-up. Radiologically, we took weight bearing anterior to posterior and lateral view of the feet, and measured the talo-first metatarsal angle, calcaneal pitch angle in pre-operatively and at final follow-up. Results: Mean follow up period was 34.4 months. Average AOFAS score improved from preoperatively 65.6 to postoperatively 94.8. Average lateral talo-first metatarsal angle reduced from $12.8^{\circ}$ preoperatively to $1.6^{\circ}$ at final follow-up. Average anterior to posterior talo-first metatarsal angle was reduced from $15.1^{\circ}$ preoperatively to $8.3^{\circ}$ at final follow-up. Average calcaneal pitch angle was increased from $9.5^{\circ}$ preoperatively to $12.0^{\circ}$ at final follow-up. Conclusions: Subtalar arthroereisis with Kalix$K^{(R)}$ implant can be considered to be one of treatment options symptomatic flatfoot deformity patients.