• Title/Summary/Keyword: Foot Angle

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Value of Tibiotalocalcaneal Arthrodesis Using Retrograde Intramedullary Nailing in Severe Hindfoot Deformity and Arthritis (심한 후족부 변형 및 경거종골간 관절염에서 골수강내 금속정을 이용한 경거종골 관절 유합술의 가치)

  • Park, Jae-Gu;Chung, Hyung-Jin;Bae, Su-Young;Lee, Jung-Hwan;Kim, Hwi-Young;Lee, Jun Seok
    • Journal of the Korean Orthopaedic Association
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    • v.54 no.2
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    • pp.133-140
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    • 2019
  • Purpose: This study examined the radiological and clinical outcomes of tibiotalocacalcaneal arthrodesis using retrograde intramedullary nailing in a severe hindfoot deformity and ankle/subtalar arthritis. Materials and Methods: A total of 22 patients (22 cases) with a severe hindfoot deformity and arthritis underwent tibiotalocalcaneal arthrodesis with retrograde intramedullary nails. The average age was 57.4 years (22-82 years) and the mean follow-up was 29.6 months (12-74 months). The radiological outcomes included an assessment of the preoperative and postoperative coronal ankle alignment, hindfoot alignment, sagittal alignment, and postoperative union time. The clinical outcomes were evaluated using the visual analogue scale (VAS), American Orthopaedic Foot and Ankle Society (AOFAS) score, and postoperative complications. The results were analyzed statistically by dividing the patients into two groups based on a 10° angle of deformity. Results: Regarding the preoperative coronal ankle alignment, 14 patients had a mean varus deformity of 17.8°±14.5° and six had a mean valgus deformity of 8.1°±6.6°. Postoperatively, a satisfactory postoperative coronal ankle alignment of less than 5° was obtained in all patients. Regarding the preoperative hindfoot alignment, 12 patients showed a mean varus deformity of 15.2°±10.5° and six had a mean valgus deformity of 8.1°±4.2°. In total, 94.4% (17 patients) had satisfactory postoperative hindfoot alignment of less than 5°. Radiological union was achieved in 90.9% at an average of 19.2 weeks (12-32 weeks) and there were 2 cases of nonunion. The clinical outcomes showed improvement in the mean VAS and AOFAS scores (p<0.001, p<0.001, respectively). Even a preoperative severe deformity more than 10° showed a significant deformity correction of coronal ankle alignment and hindfoot alignment, postoperatively (p<0.001, p<0.001, respectively). No significant differences were found between the patients with a preoperative coronal ankle deformity more than 10° and those less than 10° regarding the mean postoperative coronal ankle alignment (p=0.162). Conclusion: Tibiotalocalcaneal arthrodesis using retrograde intramedullary nailing is an acceptable technique for achieving satisfactory deformity correction, high union rate with minimal complications, and improvement of the clinical outcomes. In addition, tibiotalocalcaneal arthrodesis using retrograde intramedullary nailing is considered an effective treatment option, particularly in severe ankle and hindfoot deformities.

A Case Study on the effects of Elephant Foot Method considering the rate of Changes in Tunnel Cross Section (터널 단면적 변화를 고려한 각부보강 영향성 평가)

  • Lee, Gil-Yong;Oh, Hyeon-Mun;Cho, Kye-Hwan;Oh, Jeong-Ho;Kim, Jong-Ju;Kim, Yong-Seong
    • Journal of the Korean Geosynthetics Society
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    • v.17 no.1
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    • pp.111-118
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    • 2018
  • In case of excavation of the tunnel under weak ground conditions, such as fault zone, leg pile reinforcement with the purpose of suppressing tunnel crown settlement and side wall displacement is commonly applied. There are convergence, crown settlement, leg settlement, and the axial force of leg as a main factor for confirming the safety of support considering the installation angle and length of leg pile reinforcement according to the increase in rate of change of tunnel cross-section. In particular, the influence of right corner settlement, among variables for safety confirmation during excavation, has been analyzed as the dominant factor in the most important priority management showing larger displacement tendency than the increase in rate of the cross-section. And, it was analyzed that the occurrence tendency of axial force on leg pile reinforcement showed the influence of behavior according to the friction support concept mechanism of the pile reinforcement rather than the increase in rate of tunnel cross-section, as it showed a small increase compared to the increase rate of the tunnel cross-section which did not show a great correlation from the viewpoint of the change of the axial force by the length of each leg pile reinforcement with regards to the change in rate of increase in tunnel cross-section. If a certain length of the leg pile reinforcement is selected based on the above grounds, even if the cross-section of the tunnel in poor ground condition is somewhat larger, it has been proved to be a more reasonable method considering the workability and economical efficiency by not extending the length of the leg pile reinforcement by force.

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

  • Kim, Jin-Ho;Kim, Hwa-In;Kim, Dong-Wook;Won, Yong-Gwan;Kim, Jung-Ja
    • The Journal of Korean Institute of Communications and Information Sciences
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    • v.36 no.5B
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    • pp.502-510
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    • 2011
  • In this research, a wireless movable systems is introduced that is applicable for real-world clinical examination in order to resolve the inconvenience of wired motion analysis system which uses markers by measuring more accurately the angle of the 3D motion. The system is composed of bluetooth data transmission and 6 DOF inertial measurement system that is composed of 3-axis acceleration and 3-axis gyroscope. The samples were collected from 10 feet of 5 young children who were confirmed as patients having flat feet and achilles tendonitis by podiatric expert in pediatrics, and the validity of the system was evaluated by comparison with the opinion by the expert using the EMG data and the data measured by the developed system. ROM of ankle was measured by the difference between the maximum and the minimum peaks of 3-axis values (pitch, roll and yaw) measured at lateral malleolus bone, and based on this measured value, the eversion rate became relatively higher as flat feet state become worse, which is equivalent to the opinion from the podiatric experts. It was shown that there is a relation between the certain muscle activities and the abnormal motion of foot caused by disease.

A Study On the costume of the Koryo Dynasty (2)-$\cicled3$-See Through by the Human being, on the Buddist Painting of Koryo Dynasty Engraved Painting on the wood.- (고려시대 인물관련 제작물을 통해서 본 복식제도에 관한 연구(2)-고려시대 인물관련 제작 불화(佛畵)중 '경판화'를 통해서 본 복식제도에 관한 연구(2)-$\cicled3$-)

  • 임명미
    • Journal of the Korean Society of Costume
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    • v.26
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    • pp.221-232
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    • 1995
  • It was aimed to study the costume of Koryo dynasty based upon the one hundred and thirty four pictures of the engraved painting on the wood. The costume to study were made about 400 years during the King Mok-jong(1006) to the forth year of the king Wu based upon the Avatamaka Sutra and Pulsul-Yaesu 가) Men's wear 1. Hair style and hair dress ; Man tied up a top knot and they put on the hat such as a Kuan, Kun, and Mo. The young boys binds his hair up one, two, and three knots. 2. Clothes : 1) King wore an uniform of Mien-lu Kuan system. 2) The Crown Prince and high rank officials wore Yuan-yu-Kuan Won-jung-po-ju-Kuan, Sa-bang-Kuan, Yun-wha-Kuan and montain shape Po-ju-Kuan as a court dress. 3) Officials put on the Pok-du as an official dress and Won-jung-ip-mo, Kun and Mo as an everyday dress, the monk put on the diamond shape Do-kuan and Du-kun and the soldier put on the Helmet. Costume system of man was as follows ; They wore exchanged shape collar, big sleeve jacket, long skirt, apron, hanging precious stone big belt as a Mien-pok. 4) The soldiers wore helmet, Keun-Kap, Scarf, Pee-Bak, Hung-Kap, Pok-Kap, Yang-Dang-Kap, We-Yo-Kap, Kum-Kap, and caries arms. Lower-level officials wore Pe-Bal, Kun-Mo, gae, won-leung, very small sleve jacket, a long coat reaching up to the knee length, slacks, belt, loin cloth and apron. 5) Children's bind their hair up angle shape and wore a half long jacket raching up to the hip and slacks. 나) Women's wear; 1. hair style and hair dress; 1) High rank women's hair style was very extravaganceful. They made their hair top knot (one, two, or more knots) and decoraed precious stone, pan shape head dress, wheel shape head dress, and flower shape precious stone decorated head dress. 2. Clothes ; 1) High rank ladi's wore Kun-Kyun attached jacket, and jacket sleeves decorated pleats, and pleats decorated long skirt, apron, back apron, knot belt, scarf, this type is the same with Dang Dynasty, five dynasty of china, Song, Kum, Won, Myung Dynasty, and our costume of Poe-hae, and Shilla Dyansty. 2) Official ladies wore exchange shape collor, big sleeve jacket, long pleats skirt, apron, and back apron, scarf. 3) Women wore top knot hair style and decorated by ribbons. Shoulder scarf attached small sleeve jacket and wore reaching up to the knee length. Side seam is open and under wear was long skirt. 4) High knot hair style and exchanged shape collor jacket, under wear wore long skirt. They wore under skirts and the jackets. 5) High knot hair style, exchange shape collor jacket reaching up to the knee length small sleeve under wear wore long skirt, belt. 6) High knot hair style, big sleeve jacket and long skirt. 7) Foot wear wore boots, mokasin type shoes, sandal.

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Analysis of Environmental Effects for Linear Type Traits and Scoring Traits on Holstein Cows (Holstein 젖소의 선형심사형질과 등급형질에 대한 환경효과 분석)

  • 이득환;김은길
    • Journal of Animal Science and Technology
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    • v.48 no.6
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    • pp.767-776
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    • 2006
  • Corresponding author:Deukhwan Lee, Department of Animal Life Resources, Hankyong National Univ. Seokjeong-dong Anseong-si Gyeonggi-do, Rep. of Korea 456-749Tel: 031-670-5091, Fax: 031-676-5091, E-mail : dhlee@hknu.ac.krGeneral performance with including environmental and management effects on linear type traits in Holstein cows were investigated. 115,646 valid records measured from cows over 1 yrs of age by Korean Animal Improvement Association from 2000 to 2004 were used for this study. Farm, appraisal year-month, appraisal person should affect linear type and scoring traits. Most of type traits and scoring traits would be significantly affected by parity and lactation stage after absorbing farm-appraisal year-month-person effects. Otherwise, some traits such as traits related to udder would be affected by registration criteria. However, interval of appraisal time and milking time would not affect these traits. The scores related to udder, teat placement and foot angle would be positively related to parity. Final score would be optimized at cows of 2nd and 3rd parities. Dairy form, front teat placement, rear udder height, rear udder width and final score would show similar to pattern of lactation curve at lactation stage. Dairy capacity composite index would also show similar to lactation curve. This result would be indicated that more concise standardizing system for linear type scoring rules would be needed. Furthermore, correcting system for parity and lactation stage would be needed because this factor should affect physiological status, specially, udder status.

A Study on Perceptual Skill Training for Improving Performance - Focusing on sports cognitive aspects - (경기력 향상을 위한 지각기술훈련에 대한 고찰 - 스포츠 인지적 측면 중심으로-)

  • Song, Young-Hoon
    • Journal of the Korean Applied Science and Technology
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    • v.35 no.1
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    • pp.299-305
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    • 2018
  • Perception refers to the process of acquiring all the information about the environment through various sensory organs such as the visual, auditory, tactile, and olfactory senses and integrating and interpreting the information transmitted to the brain. The ability to use these perceptions efficiently is called perceptual skill, and perceptual skill is an important factor for improving performance in the field of sports. As a result, many researchers have developed various perceptual training programs to maximize these perceptual skills while they have also progressed on attempting to verify their effects. The perceptual skill training introduced in this study is a training method that focuses on visual perception and is a training method that is applied in the United States and Europe. to improve sports performance. As a result of carrying out the perceptual skills training based on the kicker's important clue (the kicker's hip - the angle of the body and foot before kicking) to the goalkeeper in the situation of a soccer penalty kick improved the ability of predicting the direction of the ball while even in tennis, carrying out the perceptual skills training based on the server's important clue (position, ball, racket) improved the accuracy of the ability to predict in the direction of serve. Recently, there have been numerous research studies that were carried out on such perceptual skills training, but the number of studies conducted are insufficient, especially in Korea where research studies on perceptual training seem to be in a relatively neglected state. In addition, extensive studies need to be carried out to investigate whether the improvement of perceptual skills in the laboratory situation can be transitioned to an actual performance situation. Therefore, in order to elevate sports performance, researchers need to examine the perceptual training program's extent of necessity as well as the research direction regarding its effects.

Evaluation of the Elderly Gait Stability Using the Center of Mass and Center of Pressure Inclination Angles (전, 후방 기울기각을 이용한 노인의 보행안정성 평가)

  • Yoon, Suk-Hoon;Kim, Tae-Sam;Lee, Jae-Hun;Ryu, Ji-Seon;Kwon, Young-Hoo
    • Korean Journal of Applied Biomechanics
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    • v.17 no.4
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    • pp.99-106
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    • 2007
  • The gait instability in the elderly has been associated with age-related deterioration in physical strength and reducing the potential for elderly falls requires regular exercise. In 2005, National Center for Injury Prevention and Control(NCIPC) reported that most elderly falls occur during activities in daily living(ADL). To better reveal biomechanic mechanisms underlying age-related degeneration in gait stability, and to enhance the assessment of falls risk, an accurate quantification of a person's balance maintenance during locomotion is needed. Instantaneous orientation of the line connecting COP and COM can characterize whole body position with respect to the supporting foot during gait and the angle between this line and the vertical line passing through the COP known as a good assessment to detect the elderly gait instability. Therefore the purpose of this study was to investigate a 6-month walking exercise effects in reducing elderly fall risk factors by using COP-COM inclination angles. Twenty-two community-dwelling elderly participated this study. The participants performed a walking exercise(3 times/week, 1 hour/visit) for 6 months. Laboratory kinematics during walking was assessed at months 0, 3 and 6. Significant increased in gait velocity was found among periods(p=.011, $1.25{\pm}.03$, $1.32{\pm}.03$, and $1.39{\pm}.04\;m/s$ in 0-, 3-, and 6-month, respectively). Also, significant differences in anterior and posteriror inclination angles were found among the periods(p<.05; posterior inclination angles: $12.8{\pm}2.2$, $11.0{\pm}2.9$, & $10.9{\pm}1.9$; anterior inclination angles: $13.7{\pm}1.7$, $14.6{\pm}3.2$, & $1.46{\pm}.21$ in 0month, 3month, & 6month, respectively). These findings provide evidence of significant reduced fall risk factors of community-living older adults associated with a systematic walking program.

Effect of Golf Shoe Design on Kinematic Variables During Driver Swing (골프화의 구조적 특성 및 내부형태에 따른 스윙의 운동학적 변인에 미치는 영향)

  • Park, Jong-Jin
    • Korean Journal of Applied Biomechanics
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    • v.19 no.1
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    • pp.167-177
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    • 2009
  • The purpose of this study was to investigate effect of golf shoe design on kinematic variables during golf swing. Five professional male golfers with shoe size 270mm were recruited for the study. Swing motion was collected using 8 high speed camera motion analysis at a sampling of 180Hz. Kinematic variables were calculated by EVaRT 4.2 software. Driver swing was divided into four events; El(adress), E2(top), E3(impact) and E4(finish). Time, peak velocity, velocity of center of mass, velocity of the foot and ankle angle during Phase 1(El-E2), Phase 2(E2-E3), and Phase 3(E3-E4) were analyzed in order to investigate the relationship between golf shoe design and swing performance. The findings indicated that type C golf shoes would be beneficial for stability and control of movement during address and swing performance. Furthermore, faster speed of golf shoes, center of mass, and both feet were observed with Type C golf shoes. It is expected that golfers with Type C golf Shoes provide greater force as they control the center of mass faster and increase rotational force during impact compared to other golf shoes.

Analysis for Linear Type Classification Scheme on Holstein Cows in Korea (국내 홀스타인종 젖소의 선형형질의 점수제 분석)

  • Choi, Te-Jeong;Cho, Kwang-Hyun;Lee, Ki-Hwan;Sang, Byeong-Chan
    • Journal of Animal Science and Technology
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    • v.51 no.2
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    • pp.97-104
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    • 2009
  • Complement of test standard, evaluation methods and models are needed to improve national competitiveness and to exchange superior genetic resources through the comparison of genetic evaluation score among nations in dairy cattle. Therefore, this study was conducted for the application of international standard to Korea considering domestic circumstance by changing linear-classification test score system of 50 classes which is currently used in Korea to system of 9 classes which is used in advanced nations of dairy. 15,230 of holstein cow linear type records with first parity records for the fifteen linear type and one total score from 2001 to 2006 and pedigree data which were collected by the Korean Animal Improvement Association were used in this study. Population classified by 9 levels was more normal distributed than 50 levels. Correlation coefficients between 50 and 9 score system showed over 0.98 by each classification scheme. Therefore, the 50 point system can be substituted with 9 point system due to their highly positive correlation. However, scores in all traits were still very contingent on classifier under the 9 point system (p<0.001), and F values between foot angle and front teat attachment showed high fluctuation depending on classifier. It means that subjective opinions of classifier would influence on linear type score as ever even if class scheme transformed to system of 9 class. Therefore, the relevance of transformation to the 9 point system should be assessed after analyses about various environmental factors.

The New Finding on BOLD Response of Motor Acupoint KI6(照海) by fMRI (fMRI를 이용하여 수지굴신운동(手指屈伸運動)과 조해(照海)(KI6) 자침(刺鍼)에 의(依)한 대뇌운동피질(大腦運動皮質)의 활성변화(活性變化)에 관(關)한 비교(比較) 연구(硏究))

  • Kwon, Cheol-hyeon;Lee, Jun-beom;Hwang, Min-seob;Yoon, Jong-hwa
    • Journal of Acupuncture Research
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    • v.21 no.6
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    • pp.177-186
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    • 2004
  • Introduction : Recent studies Suggested that there is a strong correlation between acupuncture stimulation and its related cortical activation. Anther study showed that either positive or negative BOLD effects could be observed depending on anatomical structure in acupuncture stimulation. In ttis study, we investigated a new acupoint $KI_6$ (照海), which was known as motor-related acupoint and obtained an evidence that the stimulation of $KI_6$ resulted in either negative or positive BOLD response to stimulation. Methods & Results : 1. Subjects and paradigms : Two separate stimulation paradigms were performed on five healthy (aged 22-23 yrs) in this study. First, the paradigm of acupuncture stimulation was that the acupuncture needle was inserted in acupoints $KI_6$, which is located in lateral side of the foot and then continuously twisted(補瀉를 除外한 捻轉法) for 70 seconds for 10 cycles of activation. During rest period (70 seconds), the needle was completed removed from acupoint. Total 60 cycles were performed and 10 images were obtained per cycle. Second, nonacupoint was randomly selected and the same paradigm was performed as acupoint stimulation. The stimulation protocol comprised 10 cycles of alternating. activation and rest (10 images per cycle). Total 60 cycles were performed and each cycle take about 1.5 sec for motor task. Subjects take an at least 15 minutes break before starting anther paradigm. 2. fMRI mapping : Multi-slice functional images were obtained on a 1.5T Magnetom Vision MRI scanner (Simens Medical, Erlangen, Germany) equipped with high performance whole-body gradients. The BOLD T2 * - weighted images were acquired with acho planar imaging sequence (TR = 1.2 sec, TE = 60 msec, and flip angle = $90_{\circ}$). The other sequence parameter are : FOV = 210 mm, matrix=$64{\times}128$ or $64{\times}64$, slice number=10 and slice thickness = 5 or 8 mm. the anatomic images were obtained with Spin-echo T1-weighted images. The resulting images were then anaiyzed with STIMULATE (CMRR, U. of Minnesota) to generate functional maps using a student T-test (p < 0.005) and cluster analysis. Both positive and negative response were evaluated. Conclusions : We have observed the activation of the motor cortex by stimulating motor-related acupoint ($KI_6$). Among five subjects, negative BOLD response was shown in four and positive response in one. All subjects showed positive response to conventional finger flexion-extension task. To understand the detailed mechanisms of correlation between acupuncture stimulation and BOLD fMRI changes and two typs of response, further study strongly required.

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