• 대한족부족관절학회지
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• 제14권1호
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• pp.41-46
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• 2010

Purpose: Anterior drawer and varus stress test are commonly used for radiologic evaluation of chronic lateral ankle instability. However, there are controversies regarding the method of measurement and the normal value. This study was performed to investigate radiologic normal values in normal Korean adults and to analyze differences by age and gender. Materials and Methods: Sixty Korean adults were recruited and divided in three groups (20 in their twenties, 20 in their thirties, 20 in their forties). There were 10 males and 10 females in each group. The selection criteria were no history of ankle injury and no evidence of instability on physical examination. Radiologic measurement of varus talar tilt and anterior talar translation were performed through anterior and varus stress radiographs using Telos device (150N force). The measurement was repeated twice by three researchers, and intraobserver reproducibility and interobserver reliability were analyzed. The average talar tilt and anterior talar translation were obtained. Results: Talar tilt and anterior talar translation on ankle stress radiographs had good intraobserver reproducibility and interobserver reliability. Talar tilt was average $3.7^{\circ}$ and $5.1^{\circ}$ in male and female of twenties of age, $3.9^{\circ}$ and $4.8^{\circ}$ in their thirties, $3.4^{\circ}$ and $4.5^{\circ}$ in their forties. Anterior talar translation was average 3.5 mm and 4.2 mm in their twenties, 4.1 mm and 3.8 mm in their thirties, 3.6 mm and 4.1 mm in their forties. There was no significant difference in talar tilt and anterior talar translation by age. However, there was significant difference in talar tilt by gender. Conclusion: Normal range of talar tilt angle in Korean adults was below $8.3^{\circ}$, and normal range of anterior talar translation was below 7.6 mm. It seems to be able to serve as a good reference for radiologic evaluation and for treatment of chronic lateral ankle instability.

• 한국전문물리치료학회지
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• 제15권1호
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• pp.38-45
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• 2008

This study investigated gait characteristics, kinematics, and kinetics in the lower extremities between two different shoe conditions (high heeled shoes (7 cm), and high heeled shoes with a total contact insert (TCI)) after lower extremity muscle fatigue. Although TCI shave been applied in high heeled shoes to increase comfort and to decrease foot pressure, no study has attempted to identify the effects of TCI in fatigue conditions. The purpose of this study was to determine the effects of walking in high heeled shoes with TCI after lower extremity muscle fatigue was induced. This study was carried out in a motion analysis laboratory at Hanseo University. A volunteer sample of 14 healthy female subjects participated. All in fatigue conditions, the subjects were divided into two groups. The muscle fatigue was induced by 40 voluntary dorsi- and plantar-flexion exercises and 40 heel-rise exercises of the dominant foot. Surface electromyography was used to confirm the localized muscle fatigue using power spectral analysis of three muscles (tibialis anterior, gastrocnemius medialis and lateralis). The results were as follows: (1) In muscle fatigue conditions, the use of TCI decreased the peak flexion angle of the hip joint significantly in the early stance phase (p<.05) and increased the peak hip flexion moment in the terminal stance phase (p<.05). (2) In muscle fatigue conditions, the application of TCI also increased peak hip power generation in the early stance phase and peak hip power absorption in the terminal stance phase (p<.05). (3) In muscle fatigue conditions, the use of TCI reduced the impact force significantly and increased the secondary peak vertical GRF. These findings suggest that the TCI may provide beneficial effects when muscle fatigue occurs for a high heeled shoe gait. Future research employing the patient population and various types of TCI materials are required to clarify the effects of TCI.

• 한국운동역학회지
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• 제15권4호
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• pp.85-95
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• 2005

The purpose of this study was to investigate the relations between the segments of the body, the three dimensional anatomical angle during One Hand Backhand Stroke and Two Hand Backhand in tennis. For the movement analysis three dimensional cinematographical method(APAS) was used and for the calculation of the kinematic variables a self developed program was used with the LabVIEW 6.1 graphical programming(Johnson, 1999) program. By using Eular's equations the three dimensional anatomical Cardan angles of the joint and racket head direction were defined. 1. In three dimensional maximum linear velocity of racket head the X axis and Y axis(horizontal direction) showed $-11.04{\pm}2.69m/sec$, $-9.31{\pm}0.49m/sec$ before impact, the z axis(vertical direction) maximum linear velocity of racket head did not show at impact but after impact this will resulted influence upon hitting ball. It could be suggest that Y axis velocity of racket head influence on ball direction and z axis velocity influence on ball spin after impact. The stance distance between right foot and left foot was mean $75.4{\pm}5.86cm$ during one hand backhand stroke and $72.6{\pm}4.67cm$ during two hand backhand stroke. 2. The three dimensional anatomical angular displacement of trunk in interna rotation-external rotation showed most important role in backhand stroke. and is follwed by flexion-extension. the three dimensional anatomical angular displacement of trunk did not show significant difference between one hand backhand stroke and two hand backhand stroke but the three dimensional anatomical angular displacement of trunk was bigger than one hand backhand stroke. 3. while backhand stroke, the flexion-extension and adduction-abduction of right shoulder joint showed significant different between one hand backhand stroke and two hand backhand stroke. the three dimensional anatomical angular displacement of right shoulder joint showed more flex and abduct in one hand backhand stroke. 4. The three dimensional anatomical angular displacement of left shoulder showed flexion, adduction, and external rotation at impact. after impact, The angular displacement as adduction-abduction of left shoulder changed motion direction as abduction. angular displacement of left shoulder as flexion-extension showed bigger than the right shoulder.

• Journal of Acupuncture Research
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• 제22권4호
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• pp.1-12
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• 2005

Objectives : The Purpose of this study is to report in patient with common peroneal nerve palsy, who improved by oriental medical treatament. Methods : We Checked the temperature of a leg by Digital Infrared Thermal Imaging(DITI) at intervals of 10 days, angle of active dorsiflexion and range of active motion for estimating the improvement of symptoms. We used the Visual Analogue Scale(VAS) for estimating the degree of pain, too. Results : After 4 weeks treatment, the movement and power of ankle joint improved to nearly normal range. The degree of active dorsiflexion of the ankle increased from $-40^{\circ}\;to\;15^{\circ}$ and range of active motion increased from Gr III to Gr I. The difference of temperature between the both legs decreased remarkably. Conclusion : In this case we experienced improvement of symptoms by conservative oriental medical therapy, e.g acupuncture stimulation, herbal medication, physical therapy. It should be needed further investigation on common peroneal nerve palsy and its symptoms in order to set up a reasonable standard about a surgical operation.

• 대한족부족관절학회지
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• 제2권1호
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• pp.19-29
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• 1998

The characteristics of the patients after the calcaneal fracture that were associated with an unsatisfactory outcome were subtalar incongruity, decreased Bohler angle ratio of the fractured to the normal side, an age of more than fifty years, work involving strenuous labor, and increased time missed from work due to the injury. The purpose of this study was to examine the reliability of measurements of the range of motion of the subtalar joint. To determine reliability, evaluates of the correlatioinship between the degree of the displacement of the subtalar joint and Circle draw test after the calcaneal fracture. Fifty patients who had had fifty five calcaneal fractures were managed with open reduction and internal fixation. The results were reviewed retrospectively, between 4months and three years after the operation, with use of an evaluation system for the subtalar joint and with plain radiographs. At follow up evaluation, the result was assessed on the basis of restoration of anatomy and function of the subtalar joint. We evaluated the subtalar joint with plain films that consist of anteroposterior projection, lateral projection, calcaneal axial view, and Broden's view, and the measurements of the displacement of the subtalar joint surface after the calcaneal fracture. And we evaluated the range of motion of the subtalar joint with Circle draw test for physical evaluation. Circle draw test was evaluated and demonstrated the motion of flexion-supination-adduction and extension-pronation-abduction of the subtalar joint. And there are correlationship between the degree of the displacement and range of motion of the subtalar joint after the calcaneal fracture. The report critically reviews methords used to measure Circle draw test for physical examination of the follow up after the calcaneal fracture.

• 한국응용과학기술학회지
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• 제38권2호
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• pp.532-542
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• 2021

본 연구의 목적은 골프 스윙 시 3가지 스탠스에서 클럽헤드 스피드와 볼의 정확성을 유지하기 위한 신체 전략을 하지의 운동학적 변인과 지면반력 변인을 통하여 알아보고자 하였다. 연구의 대상은 공식 핸디캡이 2인 남자골프선수 10명으로 하였다. 모든 대상자들은 스탠스 조건(스퀘어, 오픈, 클로즈드)에 따라 어드레스 자세를 유지한 후 스윙을 수행하였다. 3차원 동작분석 시스템과 지면반력기를 이용하여 각 스탠스에 따라 7번 아이언 풀스윙을 수행한 결과를 산출하였다. 연구결과로 신체중심의 변위, 고관절 각변위, 무릎관절 각변위는 차이가 나타나지 않았다. 발목관절 각변위는 어드레스부터 다운스윙까지 왼쪽에서 오픈 스탠스가 저측굴곡이 크게 수행되었고, 오른쪽에서 클로즈드 스탠스에서 저측굴곡이 크게 수행되었다. 지면반력에서 전후, 수직은 차이가 없었지만, 어드레스부터 테이크백까지 왼발은 오른쪽 방향, 오른발은 왼쪽 방향의 힘이 오픈이 클로즈드 스탠스보다 크게 나타났다. 결론적으로 다양한 스탠스에도 불구하고, 임팩트 시 동일한 자세를 유지하는 것이 클럽헤드 스피드와 볼의 방향에 긍정적으로 작용되는 것으로 판단된다.

• 한국운동역학회지
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• 제17권2호
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• pp.227-237
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• 2007

The purpose of this study was to examine the effect of precision that kinematics had when short approach shots were taken. In this study, the subjects chosen were 5 skilled and 5 unskilled subjects, who were allowed to shoot 10 rounds of shots at target distances of 1m, 2m, 4m, and 8m. Three dimensional analysis was used as methods to obtain kinematics of each shots. In order to verify the statistical significance of the kinematic factors followed by the results of different skills and target distances, we used the two-way repeated ANOVA. The study was experimented within the level of p<.05. The results obtained were as follows: 1) the difference of shots of the forward and backward variations were larger than those of the left and right variations, the unskilled subjects' shot distances greatly got larger than that of the skilled subjects as the distance of the target increased, 2) not being affected by the target distance variations, the skilled subjects' rate of down-swing was shorter than the back-swing on short approach shots, 3) the skilled subjects' center of body weight tended to move more naturally towards the target when doing the down-swing to finish than that of the unskilled subjects on short approach shots, 4) the skilled subjects' right hand angle of cocking were narrower and tended to be kept much more consistent than that of the unskilled subjects on short approach shots, 5) the unskilled subjects when doing their back-swings, their right hips swayed towards the back, their trunk-flexion angles were shown to be lower than that of the skilled subjects on short approach shots, 6) the skilled subjects`body weight tended to move more naturally towards the left foot when doing the down-swing to finish than that of the unskilled subjects on short approach shots.

• 한국콘텐츠학회논문지
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• 제9권12호
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• pp.364-375
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• 2009

본 연구는 하지 저항운동 시 고령자 보행의 하지분절과 관절의 운동학적 차이를 분석하여 낙상예방을 위한 기초자료를 제공하는데 있다. 이를 위해 70대 이상 80세 이하의 여성 고령자 7명을 선정하여 3차원 영상분석을 실시하였다. 하지 분절과 관절의 3차원 위치좌표를 얻기 위해 ProReflex MCU(Qualisys, Sweden) 카메라를 사용하여, 100Hz/s로 촬영하였다. 촬영된 영상은 QTM(Qualisys, Sweden) 프로그램을 이용하여 위치좌표에 대한 원자료(raw data)를 얻었으며, Matlab 6.5 프로그램을 이용하여 3차원 각도를 산출한 결과, 다음과 같은 결론을 얻었다. 대퇴와 하퇴분절의 굴곡과 신전은 E5에서 운동 후 굴곡의 움직임이 크게 나타났으며, 발 분절은 E4에서 외번을 보이면서 통계적 차이를 나타냈다. 무릎관절은 운동 후 E4에서 굴곡을 보였고, 발목관절은 E3에서 내번, E4에서 외번의 움직임을 나타내면서 통계적인 차이(p<.05)를 보였다.

• 한국의류학회지
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• 제22권1호
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• pp.41-48
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• 1998

An investigation made of the easing contraction ratio according to sewing conditions (eased seam angle; 0$^{\circ}$ 20$^{\circ}$ 30$^{\circ}$ 45$^{\circ}$ 60$^{\circ}$ 70$^{\circ}$ 90$^{\circ}$, stitch density; 38 stitches/3 cm(N1.0), 26 stitches/ 3 cm(N1.5), 19 stitches/3 cm(N2.0), 14 stitches/3 cm(N2.5), 12 stitches/3 cm(N3.0), thread; sp 60' s/2) by lockstitch industrial sewing machine with shirring foot. The results abstained were as follows: 1. The lower the stitch density , the higher the easing contraction ratio. 2. The easing contraction ratio at 0$^{\circ}$ and 90$^{\circ}$ were lower than bias angles (20$^{\circ}$, 30$^{\circ}$, 45$^{\circ}$, 60$^{\circ}$, 70$^{\circ}$). 3. As the results of visual test, the maximum easing conditions were Fl -0$^{\circ}$.20$^{\circ}$.30$^{\circ}$.45$^{\circ}$-12 stitches/3 cm(N3.0), 60$^{\circ}$. 70$^{\circ}$. 90$^{\circ}$-14 stitches/3 cm(N2.5), F2 -0$^{\circ}$. 20$^{\circ}$.30$^{\circ}$.60$^{\circ}$.70$^{\circ}$.90$^{\circ}$-19 stitches/ 3 cm(N2.0), 45$^{\circ}$ -14 stitches/3 cm(N2.5), and F3 -0$^{\circ}$.20$^{\circ}$.30$^{\circ}$.45$^{\circ}$.60$^{\circ}$.70$^{\circ}$.90$^{\circ}$-19 stitches/3 cm (N2.0). 4. Approximately easing contraction ratio was obtained as 2.0% (N1.0)~ 10.2% (N3.0) in F1, 6.7% (N1.0)~ 15.7% (N2.0) in F2, and 5.2% (N1.0)~ 12.1% (N2.0) in F3, according to different angles on the sleeve cap curve line. 5. As a resets of SPSS PC) statistics analysis, it confirmed the relations which were observed between easing contration ratio and stitch density, and easing contraction ratio was correlated with bending properties.

• Archives of Plastic Surgery
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• 제42권2호
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• pp.207-213
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• 2015

Background Pincer nail deformity is a transverse overcurvature of the nail. This study aimed to define the anatomical characteristics of pincer nail deformity and to evaluate the surgical outcomes. Methods A retrospective review was conducted on 20 cases of pincer nail deformity of the great toe. Thirty subjects without pincer nail deformity or history of trauma of the feet were selected as the control group. Width and height indices were calculated, and interphalangeal angles and base widths of the distal phalanx were measured with radiography. We chose the surgical treatment methods considering perfusion-related factors such as age, diabetes mellitus, kidney disease, and peripheral vascular disease. The zigzag nail bed flap method (n=9) and the inverted T incision method (n=11) were used to repair deformities. The outcomes were evaluated 6 months after surgery. Results The interphalangeal angle was significantly greater in the preoperative patient group ($14.0^{\circ}{\pm}3.6^{\circ}$) than in the control group ($7.9^{\circ}{\pm}3.0^{\circ}$) (P<0.05). The postoperative width and height indices were very close to the measurements in the control group, and most patients were satisfied with the outcomes. Conclusions We believe that the width and height indices are useful for evaluating the deformity and outcomes of surgical treatments. We used two different surgical methods for the two patient groups with respect to the perfusion-related factors and found that the outcomes were all satisfactory. Consequently, we recommend taking into consideration the circulatory condition of the foot when deciding upon the surgical method for pincer nail deformity.