• Title/Summary/Keyword: Foot and lower leg

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Temperature Regulation of the Young and the Aged during Hands and Feet Exposure to the Cold (한랭환경에서 손발노출에 의한 청년과 노인의 체온조절반응 비교)

  • ;W.L. Kenney
    • Journal of the Korean Society of Clothing and Textiles
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    • v.22 no.7
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    • pp.963-968
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    • 1998
  • A study was conducted to investigate the effect of cooling hands of feet on human thermoregulation in the cold. Eight young (22$\pm$1 yr) and eight aged (69$\pm$4 yr) men volun-teered as subjects They stayed at 1$0^{\circ}C$ in the supine posture during the experiment which included hands or feet exposure to the air for 20 minutes. Hand Exposure (HE) and Foot Exposure (FE) were conducted in radomized order and the baseline was kept before HE and FE. Core temperatures, limb skin temperatures adn thermal sensations were measured. Obtained data were analyze using t-test and correlation. Rectal and esophageal tem-peratures increased in the young (YG) and in aged (AG). Change rate of esophageal temperature (Tes) was maintained higher during FE than HE while rectal temperature showed no differences between YG and AG, and between HE and FE. Hand and foot skintemperature in YG and AG decreased similarly during HE and Fe. Forearm skin temperature during HE decreased while leg skin temperature during FE showed no change HE and Fe. It was concluded that the lower cooling. Furthermore, the increase of Tes was greater in young men than aged men. It is also suggested that the wearing behavior can be differently modified between young and aged men.

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Monthly Changes of Skin Temperature in Koreans by Sexes and Ages (성별, 연령별로 본 한국인의 월별 피부온)

  • 김명주;최정화
    • Journal of the Korean Society of Clothing and Textiles
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    • v.21 no.2
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    • pp.314-324
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    • 1997
  • The purpose of this study was to evaluate the thermoregulatory response level on the heat and cold tolerance with investigating monthly changes of skin temperature in Koreans and to obtain the basal information for standard amount of clothing weight, indoor climate and working condition. Forty eight subjects in 5 age groups (6~11, 12~19, 20~44, 45~64, 65~76 years old) with both sexs were taken from Seoul and Kyunggi probince. All subjects were measured skin temperature, mean skin temperature, Total clothing weight in neutral condition in each month from June 1994 to May 1995. The results obtained are summarized as follows: 1. Skin temperature of all subjects was low on February, March and April, and was high on June, July and August. Temperatures of the torso (forehead and abdomen) and the lower limbs (leg and foot) were remarkably different. In general, most of skin temperatures except of hand, thigh and foot were higher in males. 2. Mean skin temperature was 0.5'c higher in males than female with ranging 32.5~34.5$^{\circ}C$ in males and 32.1~34.1$^{\circ}C$ in females. Also, mean skin temperature of 6~11 age group were higher than that of 45~ 64 age group in both sexs.

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Asymmetry of The Reaction Forces on Thighs and Feet During Sit-to-Stand Movement in Normal Subjects (정상인의 기립 동작중의 대퇴 및 족부 반력의 비대칭율)

  • Jeong, H.Y.;Kim, J.W.;Kwon, Y.R.;Seo, B.K.;Eom, G.M.;Kim, K.S.;Lee, J.H.
    • Journal of Biomedical Engineering Research
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    • v.34 no.4
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    • pp.197-203
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    • 2013
  • The purpose of this study was to analyze the asymmetry of the reaction forces on lower limbs between dominant and nondominant sides during sit-to-stand movement in normal subjects. Fourteen normal subjects ($22.6{\pm}2.3yrs$, all men) participated in this study. To measure the reaction forces during sit-to-stand movement, two force plates were mounted on the ground and one dual top force plate was mounted on a chair. Five events(movement onset, max thigh reaction force, transition, max hip angle, seat off) were determined from the reaction force and joint angle trajectories. For each of thigh, foot, and total reaction forces, two-way ANOVA was performed with the events and sides as factors. Also investigated was the leg asymmetry expressed as the ratio of the reaction forces of dominant and nondominant sides. The significance of asymmetry was investigated and two-way ANOVA was performed with the events and body parts(foot, thigh and total) as factors. Thigh reaction force and total reaction force showed interaction of events and leg sides(p < 0.01). Post-hoc comparisons showed they were different between sides at the latter stage(transition, max hip angle, and seat off events) (p < 0.01). Asymmetry was also significant at the latter stage(transition, max hip angle, and seat off events) (p < 0.01). Interaction of events and body parts on asymmetry was significant(p < 0.01) and asymmetry was greater in thigh reaction forces than total and foot reaction forces at the events of the latter stage(p < 0.01). The results suggest that asymmetry exist in normal subject and should be fully considered when investigating sit-to-stand strategy of patients.

Stiff-Person Syndrome: Diagnostic Difficulty (근육 강직 증후군: 진단적 어려움)

  • Lee, Jeong-Kil;Kang, Chan;Kim, Sang-Bum;An, Byung-Kuk;Lee, Gi-Soo
    • Journal of Korean Foot and Ankle Society
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    • v.23 no.3
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    • pp.131-134
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    • 2019
  • Stiff-person syndrome is a rare disorder, and the natural history of the syndrome has not been completely ascertained. The symptoms range from mild to severe and can progress over time: the final result can be significant disability. However, this syndrome is often misdiagnosed due to a lack of understanding of the clinical manifestations. We report the case of a patient who presented with slowly progressing gait disturbance and lower extremity pain and was later diagnosed as suffering from stiff-person syndrome. The patient experienced symptomatic improvement after the administration of benzodiazepines. No recurrence of symptoms has been reported. If the characteristic clinical features and electromyography findings of the syndrome are accurately interpreted, diagnosis of patients with abnormal muscle tension can be effectively done.

Reconstruction of the Soft Tissue Defect of the Lower Leg by Distally Based Superficial Sural Artery Fasciocutaneous Island Flap Using Supercharged Vein (원위기저 도서형 천비복동맥 근막피판으로 하지 재건 시 과급정맥문합의 이용)

  • Ha, Young In;Choi, Hwan Jun;Choi, Chang Yong;Kim, Yong Bae
    • Archives of Plastic Surgery
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    • v.35 no.2
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    • pp.208-213
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    • 2008
  • Purpose: Distally based superficial sural artery island flap has some disadvantages such as postoperative flap edema, congestion, and partial necrosis of the flap margin. Venous congestion is an area of considerable concern in distally based superficial sural artery fasciocutaneous flap and is one of the main reasons for failure, particularly when a large flap is needed. However, we could decrease these disadvantages by means of venous superdrainage. Methods: From June of 2006 to June of 2007, a total of two patients with soft tissue defects of lower one third of the leg underwent venous supercharging distally based superficial sural artery island flap transfer. The distal pivot point of this flap was designed at septocutaneous perforator from the peroneal artery of the posterolateral septum, which was 5 cm above the tip of the lateral malleolus. Briefly, this technique is performed by anastomosing the proximal end of the lesser saphenous vein and collateral vein to any vein in the area of the recipient defect site. Results: No venous congestion was noted in any of the two cases. No other recipient or donor-site complications were observed, except for minor wound dehiscence in one case. In 3 to 6 months follow-up, patients had minor complaints about lack of sensation in the lateral dorsal foot. Conclusion: The peroneal artery perforator is predictable and reliable for the design of a distally based superficial sural artery island flap. Elevation of the venous supercharging flap is safe, easy, and less time consuming. In conclusion, the venous supercharging distally based superficial sural artery island flap offers an alterative to free tissue transfer for reconstruction of the lower extremity.

Working Conditions Related to Cumulative Trauma Disorder and Symptoms of Cumulative Trauma Disorder in Furniture Company Employees (가구회사 근무자들의 누적외상성장애 관련 작업조건과 누적외상성장애 증상)

  • Moon Jung Soon;Kwon Eun Ha
    • Journal of Korean Public Health Nursing
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    • v.17 no.2
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    • pp.266-277
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    • 2003
  • In order to investigate the working conditions related to cumulative trauma disorder(CTD) and symptoms of CTD, a survey was conducted covering 305 employees who were working in three furniture manufacturing companies in Kyungin area. Data were collected by using questionnaire of the Personal Ergonomics Profiles. The results were as follows : 1. The mean score of working conditions related to CTD was 0.95. The mean score of working conditions for labor workers were significantly higher than that of clerical workers. Among 4 factors of working conditions, the higher score were shown in the working and environment factors with 1.22 and 1.18, respectively. 2. Symptom prevalence rate of CTD for workers was $81.0\%\;{;}\;82.9\%$ for labor workers and $77.0\%$ for clerical workers. As for symptom of CTD in body part, higher rate were shown in lower back with $50.2\%$, shoulder and neck with $38.4\%\;and\;36.4\%$ respectively. 3. The score of symptom severity of CTD were 3.45. Significant difference was shown in symptom severity of forearm and wrist/hand part between labor and clerical workers. As for symptom severity of CTD in body part the higher score were shown in shoulder, ankle/foot, forearm. lower leg and elbow. and the highest score for labor workers were shoulder and ankle/foot and for clerical workers was lower back. 4. As a whole, symptom of CTD for workers positively correlated to working conditions. 5. Symptom of CTD for workers seemed to be significantly influenced by working factor, sex, working duration and working area factor.

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Analysis on lower extremity joint moment during a developpe devant (Developpe devant 수행시 하지 관절 모멘트 분석)

  • Park, Ki-Sa;Shin, Sung-Hu;Kwon, Moon-Seok;Kim, Tae-Hwan;Lee, Hung-Na
    • Korean Journal of Applied Biomechanics
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    • v.14 no.1
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    • pp.133-144
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    • 2004
  • The purpose of this study was to analyze the joint moment on lower extremity during a developpe devant. Data were collected by Kwon3D, KwonGRF program. Two professional modem female dancers were participated in this experiment. Subjects performed a developpe devant in meddle heights. On the axes of X, Y, Z, it was shown that the maximum joint moment was occurred in hip joint. The moments are plotted during developpe devant. The ankle muscles generate a plantar flexion moment and the knee muscles generate a flexion moment and The hip muscles generate a extension moment. So these muscles of joint muscles were known to play a key role in keeping the body balance while doing developpe devant. In addition adduction moment occurred at hip, knee, an ankle in the order of amount, we could assume from this data that him out motion started from the hip joint. There was small active turn out possible below the hip joint. A small amount of extra turn out could be obtained when standing because of flexion between the foot and floor, which could be used to give a passive external rotation force to the whole leg and this could produce a rotation between the knee and foot. This passive external rotation could produce very damaging results. Therefore, lower extremity joint muscles such as hip, knee, and ankle muscle should be trained to keep the body balance and prevent injury during developpe devant performance. And for the safe and perfect turn ort performance, hip joint abduction, the most important external rotating muscle for him out is needed to train and full stretching should be done in advance.

A study on subjective health condition by musculoskeletal symptoms among emergency medical technicians (응급구조사의 근골격계 증상에 따른 주관적 건강상태)

  • Lee, Jong-Ryol;Lee, Sang-Hee
    • The Korean Journal of Emergency Medical Services
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    • v.19 no.3
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    • pp.69-85
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    • 2015
  • Purpose: This study aimed to investigate the prevalence of musculoskeletal symptoms (MSSs) and their correlation with subjective health condition (SHC) among emergency medical technicians (EMTs). Methods: A self-reported questionnaire was disseminated to EMTs (N=257) at emergency medical institutions and fire stations. Results: The prevalence of MSSs was very high in the studied EMTs: 88.3% reported having MSSs. The most commonly affected site was the lower back (73.9%) followed by the neck (56.8%) and the shoulder (55.6%). MSSs were more common in women than in men, and its frequency increased with age. MSSs in the neck and shoulder were more increased in EMTs with < 1 year of service. MSSs in the hand / wrist / finger or leg / foot were significantly increased in EMTs of emergency medical institutions than those of fire stations. Job satisfaction was significantly lower in those with MSSs of the lower back. The subjective heath condition was decreased with age, marriage, or smoking. There was significant corelation between MSSs and SHC. Conclusion: This study suggests that MSSs are a reasonably common problem for EMTs, and that solutions need to be imposed such as some actual tasks or items related to work postures, work control, and work organization.

A Study on Moving Function in Relation to the Length and Silhouette of Tight Skirt (타이트 스커트 종류에 따른 동작기능성에 관한 연구)

  • 이혜선;최혜선
    • Journal of the Korean Society of Clothing and Textiles
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    • v.22 no.1
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    • pp.18-28
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    • 1998
  • The objective of the study was to observe the difference of moving function of lower-limb in relation to the length 8t silouutte of tight skirt. Four types of tight skirts (2 lengths$\times$2 silhouettes) were made for the experiment. The surface E.M.S in four different locations of leg muscles (Rectos femoris, Semitendinosus, Tibalis anterior, Gastrocnemius) were recorded. The sensory test to decide how to be fatigued after longtime wearing of skirt were examined two times per a day. The fatigue sensory test was scored a Likert-type scale (1= no fatigue, 5=heavy fatigue). Data were analyzed by the repeated ANOVA ann Duncan's multiple range test with use of SAS Package. The main results of this study were as follows: 1. As a result of analysis of E.M.S., in case of walking on the floor there was significant difference in the moving function according to length of skirt and in case of stepping there was significant differnce in three ways (length silhouette, length, silhouette). 2. From the record of walking the step-length, stride-length, step-width were found affected by garments, but foot-angle was not affected. The moving function of slim type was lower than that of semi type and that of ankle-length skirt was lower than that of knee-length skirt. 3. The results of the sensory test agreed with that of E.M.G and Footprints.

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Management of Complications during Below-the-Knee Endovascular Treatment: A Technical Note

  • JeeYoung Min;Sang Woo Park;Jin Ho Hwang;Yong Wonn Kwon;Dong Hyeok Shin
    • Korean Journal of Radiology
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    • v.21 no.8
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    • pp.935-945
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    • 2020
  • We retrospectively reviewed the cases in which complications occurred during below-the-knee (BTK) endovascular treatments that were performed at our hospital from 2005 to 2014. Several interesting cases have been described herein. All the patients had diabetes and non-healing wounds on their feet and/or rest pain in their foot or leg, and therefore, endovascular treatment was performed for the BTK arteries of the affected lower extremity. The complications that occurred during the procedure were classified into six categories-vascular spasm, flow limiting dissection, perforation, broken guidewire, distal thromboembolism, and unusual puncture site bleeding. Each complication has its own solutions and management. We discuss these different classes of complications and describe how cases of each type were managed.