• 제목/요약/키워드: Foot and ankle

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Sanders 4형 종골 골절에 대한 관혈적 정복술 및 내고정술과 일차성 거골하 관절 유합술의 치료 결과 비교 (Comparative Study of Open Reduction and Internal Fixation and Primary Subtalar Arthrodesis for Sanders Type 4 Intra-Articular Calcaneal Fractures)

  • 우승훈;정형진;배서영;김순규
    • 대한정형외과학회지
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    • 제52권1호
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    • pp.49-58
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    • 2017
  • 목적: Sanders 4형 관절내 종골 골절에 대한 관혈적 정복술 및 내고정술과 일차성 거골하 관절 유합술의 임상적 결과를 분석하고자 하였다. 대상 및 방법: 2003년 3월부터 2013년 11월까지 Sanders 4형 종골 골절로 진단되어 관혈적 정복술 및 내고정술을 시행한 11예와 일차성 거골하 관절 유합술을 시행한 11예를 비교 분석하였다. 평균 추시 기간은 34.6개월(18-72개월)이었다. 술 후 6, 12개월 및 최종 추시 시 American Orthopedic Foot and Ankle Society's ankle-hindfoot scale (AOFAS) 점수 및 visual analogue scale pain (VAS) 통증 점수를 측정하였고 환자 만족도, 직장 복귀 여부 및 술 후 합병증을 조사하였다. 결과: 최종 추시 시 AOFAS 점수 및 VAS 점수는 양 군 간 의미 있는 차이는 보이지 않았으나(p>0.05) 일차성 거골하 관절 유합술을 시행한 군에서 환자의 만족도가 높았다(p=0.008). 관혈적 정복술군에서 증상을 동반한 거골하 관절염으로 이차성 거골하 관절 유합술을 5예(45.5%)에서 시행하였다. 결론: 양 군 간 임상적으로 의미 있는 결과의 차이는 보이지 않았으나 일차성 거골하 관절 유합술이 술 후 만족도가 높아 빠른 일상 복귀를 필요로 하는 환자 혹은 2차 수술이 불가피할 것으로 예상되는 경우 일차성 거골하 관절 유합술을 고려해 볼 수 있을 것으로 생각된다.

여성(女性) 냉증(冷症)의 설문(設問)을 통(通)한 실태분석(實態分析) (Epidemiologic Study of Female's Part-Cold Hypersensitivity Syndrome)

  • 장준복;이경섭;송병기
    • 대한한의학회지
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    • 제16권1호통권29호
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    • pp.21-35
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    • 1995
  • The female's part-cold hypersensitivity syndrome is a disease which the oriental people better than the western people suffer from and if it would be sick for a long time, it could bring into the other diseases. In the Oriental Medicine, the coldness is regarded as one of the most important causes which induce female's diseases. Nowadays the number of the female patients are ascending that serously appeal the coldness-sense and pain-sense at the particular part of the body, for example, hand, foot, abdomen, waist, external genital portion and so on. These are caused by female's own characteristics of the menstration and delivery, and the influence of the circumstances. The Oriental Medicine have better effects by the diagnosis and treatment according per symptom in the contrast with the Western Medicine having difficulties in the point of accurate diagnosis and treatment. This epidemiologic study was undertaken by using specifically designed questionair and physical examination to evaluate the incidence and degree of female's part-cold hypersensitivity syndrome in 362 parous women, Who were randomly selected among the patients visiting the Department of Gynecology, Kyung Hee Medical Center from Feb. to Jul. 1995. The results were as follows: 1. The overall incident of female's part-cold hypersensitivity syndrome was 92.8%. 2. Subdivision of 336 patients was made according to severity Grade I - 31.9%, severity Grade II - 46.9%, severity Grade III - 21.4%. 3. As for the appealed portion of female's part-cold hypersensitivity syndrome, foot and hand, lower abdomen, knee, waist, hip, shoulder, leg, and ankle were in desending order. 4. As for the causes of female's part-cold hypersensitivity syndrome, it was deeply associated with the management of the abortion, delivery and puerperium. 5. The incidence of female's part-cold hypersensitivity syndrome did not show incerased tenency according to the quantity and quality of female's menstration, leukorrhea, and the increase of parity. 6. 165 patients among 336 patients wanted the treatments of the Oriental Medicine.

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한방병원에 내원한 근골격계 질환 환자중 골절 발생 현황 (Characteristics of Patients with Skeletal Fracture Admitted in Oriental Hospital)

  • 김지용;김경호;김정석
    • Journal of Acupuncture Research
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    • 제18권6호
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    • pp.53-58
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    • 2001
  • Objective : The purpose of this study is to investigate the characteristics of patients with fracture admitted in oriental hospital. Methods : From october 1996 to october 2001, we retrospectively evaluated the simple radiographic proven 8441 patients with musculoskeletal pain in oriental hospital. The patients included 3899 men and 4542 women. All fractures were analyzed in terms of location, age and sex. Results : 1. The fracture rate of radiologic study was relatively high in foot, chest, upper extremity and hand. The frequent fractures were in spine (257 cases), foot (119 cases), upper extremity (83 cases). and chest (68 cases). 2. The male patients with fracture were significantly higher than female in 0-40 years group: in 0-20 years group(8.5 % vs 4.0 %, p<0.01), in 21-40 years group (4.1 % vs 2.6, p<0.05), while female patients with fracture were significantly higher than male patients in more than 60 years group( 10.1 % vs 15.4 %, p<0.01). 3. The incidence of fracture showed significant association with increased age except 0-20 years group(p<0.01). Spine and chest cage in mate, and upper extremity, pelvis, spine, ankle and chest cage in female were significantly higher on older age groups. Conclusion : The overall fracture rate of radiologic study was 6.6 % for patients with musculoskeletal problem admitted in oriental hospital. The distribution of fracture showed significant difference in terms of age, sex and site. So we believe the radiologic study is helpful to evaluate fracture in oriental hospital.

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특발성 발목터널 증후군에서 내측 발바닥 신경의 전기 생리학적 검사 (Electrophysiological Study of Medial Plantar Nerve in Idiopathic Tarsal Tunnel Syndrome)

  • 안재영;김병준
    • Annals of Clinical Neurophysiology
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    • 제8권2호
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    • pp.146-151
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    • 2006
  • Background: Tarsal tunnel syndrome (TTS) is an entrapment neuropathy of the tibial nerve within fibrous tunnel on the medial side of the ankle. The most common cause of TTS is idiopathic. This is a retrospective study to define the electrophysiological characteristics of idiopathic TTS. Methods: We reviewed the medical and electrophysiological records of consecutive patients with foot sensory symptoms referred to electromyography laboratory. Inclusion of patients was based on clinical findings suggestive of TTS. Among them, patients with any other possible causes of sensory symptoms on the foot were excluded. Control data were obtained from 19 age-matched people with no sensory symptoms or signs. Routine motor and sensory nerve conduction study (NCS) including medial plantar nerve (MPN) using surface electrodes were performed. Result: Twenty one patients (13 women, 8 men, 9 unilateral, 12 bilateral) were enrolled to have idiopathic TTS (total 31 feet). Tinel's sign was positive in 16 feet (51.6%) of TTS and four feet (10.5%) in control group. The statistically significant electrophysiological parameter was difference of sensory conduction velocity (SCV) between sural nerve and MPN. Amplitude of sensory nerve action potential and SCV of MPN were not different significantly between idiopathic TTS feet and controls. Conclusion: Bilateral development in idiopathic TTS was more common. Tinel's sign and difference of SCV between sural nerve and MPN may be helpful for the diagnosis of idiopathic TTS.

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제5 중족골 제1, 2 구역 골절의 조기 체중부하의 비수술적 치료 결과 (Outcome of Conservative Treatment of the Zone I, II 5th Metatarsal Base Fracture under Early Weight-Bearing)

  • 곽희철;박대현;김정한;이창락;권용욱;김동석
    • 대한정형외과학회지
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    • 제56권2호
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    • pp.150-156
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    • 2021
  • 목적: 제5 중족골 기저부 골절의 위치와 전위, 관절 침범, 분쇄 등의 특징이 조기 체중부하 치료의 결과에 어떤 영향을 미치는지 알아보고자 하였다. 대상 및 방법: 2013년 1월부터 2017년 7월까지 인제대학교 부산백병원에 내원하여 제5 중족골 기저부 제1, 2 구역 골절로 진단 받은 총 34명의 34예를 대상으로 하였다. 평균 추시 기간은 13개월(6-15개월)이었다. 동 기간 동안 수술적 치료를 시행한 경우는 없었고 1명의 경우 추시 기간 중 이전 골절 부위와 다른 부위의 재골절로 제외되었으며 총 33예 모두 보존적 치료를 시행하였다. 족부의 전후면, 측면 및 경사 방사선 촬영 및 컴퓨터 단층 촬영을 시행하여 골절의 위치와 전위, 관절 침범, 분쇄의 정도를 평가하였다. 33명의 모든 환자에게 있어서 수상 직후부터 단하지 석고고정 혹은 탈착 가능한 부츠형 보조기를 선택하여 착용 후 통증이 허용되는 범위 내에서 부분적인 체중부하를 허용한 뒤 통증이 소실되면 일반 신발 또는 수술 후 신발을 착용 후 전 체중부하를 시행하게 하였다. 임상적 결과로 최종 추시 시에 American Orthopedic Foot and Ankle Society (AOFAS) score를 평가하였다. 외래 추시 시 족부의 단순 방사선 촬영을 하여 방사선적 골유합 시기와 업무로의 복귀 시기를 확인하였다. 결과: 총 33명의 환자가 본 연구에 참여하였고(남자 9명, 여자 24명), 환자들의 평균 나이는 48.7세(16-80세)였다. 제1 구역이 24명, 제2 구역이 9명이었고 전체 33명의 환자 중 22명에서 2 mm 이상의 골절 전위가 관찰되었고 관절 침범은 9명, 분쇄 골절은 5명에서 관찰되었다. 제1 구역에서 제2 구역에 비하여 통계적 의미 있는 업무로의 복귀를 보였고 최종 추시 시 AOFAS score는 우수한 결과를 보였고 통계적 차이는 없었다. 골절의 전위 정도, 관절 침범 여부, 분쇄 정도를 분류, 비교하였을 때 방사선적 유합 시기, 업무 복귀 시기에 있어 통계적 차이는 없었으며 모든 경우에 있어 최종 추시 시 만족할 만한 결과를 보였다. 결론: 제5 중족골 기저부 골절에서 골절의 위치, 전위, 관절 침범, 분쇄 여부에 관계없이 조기 체중부하를 허용하여도 만족할 만한 임상적 결과를 얻을 수 있다. 제5 중족골 기저부 골절에서 조기 체중부하하 보존적 치료는 우수한 임상 결과를 얻을 수 있는 좋은 치료 방법이라 생각된다.

발목관절 테이핑이 고령자의 균형능력에 미치는 영향 (The Effect of Ankle Joint Taping on Balance in the Elderly)

  • 이경순;이영빈;최익준;송하영;박주은;구현주;김부성;김영옥;하수종;김양지;권남정;이세인
    • 대한물리치료과학회지
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    • 제19권3호
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    • pp.49-56
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    • 2012
  • Background : The purpose of this study is to understand the effects of ankle joint taping on balancing abilities of the elderly and to provide preliminary data on preventing falls among the elderly. Methods : In this study, 20 students(8 male, 12 female) in their 20s from D University as well as 14 elderly(4 male, 10 female) in their 70s from S community center have participated. The participants were well informed about the experiment and voluntarily participated. We measured the difference in balancing ability before and after taping between the two groups using methods such as standing on single-leg stance, TUG, and plantar pressure. Kinesio taping, a stop-watch, and the EMED-system were used as equipment along with the SPSS 12.0 program, with a significance level of 0.05, to test the difference before and after taping between the two groups. Result : First, the 70s group showed a significant increase in the dorsal flexion angle after taping. Second, the 70s group showed a significant increase in duration time of standing on one foot after taping. Third, the 70s group's TUG time was significantly shorter. Fourth, the maximum peak value for static and dynamic plantar pressure showed a significant decrease after taping; and dynamic plantar pressure area value decreased as well within significant range. Conclusion : The study has shown that taping is effective on static dynamic balancing ability of the elderly.

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현대패션에 나타난 레깅스 디자인의 조형적 특성 연구 (A Study on Formative Characteristics of the Leggings Design in Contemporary Fashion)

  • 황유정;최정화
    • 한국의류산업학회지
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    • 제16권1호
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    • pp.1-12
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    • 2014
  • Leggings are recognized as unique fashion items that meet the needs of customers to express individuality due to their protective and thermal functions. They are highly practical fashion items that show a casual, street and sportive style with a noted influence on outdoor leisure fields. This study analyzes the sociocultural background for the spread of leggings as well as their design characteristics, coordination characteristics and authentic characteristics. The formative characteristics of modern legging designs are as follows. First, the shapes of modern leggings are ankle-length, calflength, above-knee, knee-length, stirrup and top of the foot-length. Leggings are transformed in many ways: length-expansion, side-slit, unbalanced length, variations of straps, cut-out, trimmings, pattern transformation and complex form. Second, modern leggings contain achromatic colors in modern and sensual image, vivid colors in sportive image and metallic colors futuristic and technical image. Third, leggings patterns value originality, uniqueness and rarity as shown by printed geometric patterns, hand crafted geometric and natural patterns, and abstract patterns expressed through various materials and themes. Fourth, modern leggings' textures are categorized into erotic, simply-functional, seasonless, glossy, and metallic. Functional and fashionable leggings reflect the psychological needs of modern society. This study suggests a direction for the development of legging designs and provides a theoretical database for higher value-added leggings business.

신발의 소재별 특성이 기능성 선호도와 착용시 불편 정도에 미치는 영향 (A Study on the Preferences to the Functionality and the Level of the Discomfort to the Various Materials of the Footwear when Wearing)

  • 최인려
    • 한국의상디자인학회지
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    • 제17권2호
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    • pp.239-249
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    • 2015
  • This study was focused on how the various materials of footwear affect the preferences of functionality and the level of discomfort when wearing. Datas were collected using questionnaire, age of 20's to 50's of female and male. Results were analysed using SPSS WIN 2.0 through t-test and ANOVA test. Results are as follows: In the preferences of materials of footwear, datas showed the shoes are of genuine leather, the sneakers are of textiles, the sandals are of man-made leather and the boots are of genuine leather. The important factor to the preferences of the materials were the leathers in the durability, the man-made leathers in easy-care and maintenance, the rubber and the complex materials in comforts. The level of the discomforts of the footwear were highly ranked in genuine leather, the man-made leather and the complex material with man-made leather and textiles followed. Man-made leather and the textiles represented the discomfort in the ankle. Mostly discomforts of the footwear showed in the sole and the top side of the foot in all kinds of footwear. The preferences in functionality were collected by the female, also female preferred the comfort the first, male preferred the durability. And the texture and the durability were highly preferred in aged female and male.

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Effect of an Unstable Surface Exercise Program using Kettlebells on the Ankle's Muscle Activity and Balance in Middle and High School Baseball Players

  • Dae Han Kang;Jae Woon Kim
    • Physical Therapy Rehabilitation Science
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    • 제11권4호
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    • pp.579-584
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    • 2022
  • Objective: To identify the effect of unstable surface kettlebell exercises on muscle activity and balance in middle and high school baseball players. Design: Randomized controlled trial. Methods: The participants were 29 middle and high school baseball players (Unstable surface kettlebell exercises group, USKE: 15; Stable surface kettlebell exercise group, SSKE: 14). The players in the USKE group performed kettlebell exercises for 60 mins on a stable surface thrice a week for 6 weeks, and the return rack was solidified on a stable surface in the same way as the experimental group. Before and after the experiment, the participant's muscle activity of the tibialis anterior and soleus was measured. In addition, the participant's balance was evaluated by measuring the distance moved from the foot's center of pressure (COP). The paired t-test was used to compare groups before and after the experiment. The independent t-test was conducted to assess differences in the degree of change between the two groups before and after the experiment. Results: Compared to the SSKE group, the USKE group showed significant differences in the muscle activity of the tibialis anterior and soleus and the balance with the eyes open and closed. Conclusions: The players in the USKE group showed a significant difference in muscle activity and balance than in those in the SSKE group. Thus, effectively including an unstable surface in the kettlebell exercise program will help improve physical function in athletes and people with musculoskeletal disorders.

Effects of 6 weeks of Weight Training and Complex Training on Y-balance Test in High School Soccer Players

  • Dong Geun LEE;Jae Woong KIM;Young Jae MOON;Hwang Woon MOON
    • Journal of Sport and Applied Science
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    • 제8권2호
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    • pp.13-18
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    • 2024
  • Purpose: The purpose of this study is to determine the effects of a 6-week weight training and complex training program on the Y-balance test (YBT) in high school soccer players. Research design, data, and methodology: This study included 26 high school soccer players from City S. Subjects were divided into a weight training group (WTG: n=13) and a complex training group (CTG: n=13) based on their willingness to participate without medical problems. The YBT measured anterior (AT), posteromedial (PM), posterolateral (PL), and composite scores (CS), and was measured twice: before the start and after the end of training. The data were analyzed using the SPSS 25.0 statistical program to compare pre- and post-training using paired-t tests, between training groups using independent-t tests, and left-right comparisons using independent-t tests. Results: Training resulted in a significant pre- to post-training change in PL in the left foot WTG group (p<.05), with no significant change in the other measures. There were no significant differences between training groups and between left and right sides. Conclusion: To improve YBT in high school soccer players, a program to improve ankle and hip mobility and strength should be added along with improving large muscle strength through weights and comflex training.