• Title/Summary/Keyword: Foot joint

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Effects of Visual Feedback Treadmill Gait Training Program Combined with Virtual Reality Technology and a Force Plate Measurement System on Gait Ability and Quality of Life in Stroke Patients (가상현실과 힘판을 통한 시각적 되먹임 트레드밀 보행훈련이 뇌졸중 환자의 보행능력과 삶의 질에 미치는 영향)

  • Lee, Dong-Ryul
    • Journal of Korea Entertainment Industry Association
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    • v.14 no.3
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    • pp.363-373
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    • 2020
  • The purpose of this study was to improve the gait ability and quality of life of stroke patients by combining virtual reality technology and a visual feedback gait training program with entertainment elements. Ten stroke patients with circumduction gait were selected. The visual feedback treadmill gait training program using virtual reality technology and a force plate measurement system was conducted 30 minutes a day, 5 days a week, with 25 sessions in 5 weeks. To investigate the effects of this gait training program, evaluations using the joint range-of-motion test, muscle activity tests, Berg balance scale (BBS), gait analysis, and stroke-specific quality-of-life scale (SS-QOL) were performed before and after intervention. Statistically significant differences were found in the joint range of motion and muscle activity of the affected side from the initial swing phase to the mid-swing phase of the gait cycle, dynamic balance, gait function, and quality of life (p <0.05). The results of this study indicate that the gait training program improved the foot drop, muscle activity, dynamic balance, and gait ability of stroke patients with circumduction gait, thereby improving the quality of life of the patients. Therefore, we recommend the application of the visual feedback treadmill gait training program using virtual reality technology and a force plate measurement system to improve gait ability and quality of life of stroke patients with circumduction gait.

Effect of Theratainment Low Extremity Complex Exercise using Unstable Surface on Knee and Plantar Pressure in Patient with Genu Varum (불안정 지지면을 적용한 테라테이먼트 하지복합운동이 안굽이 무릎 하지 변형자의 무릎과 족저압에 미치는 영향)

  • Kim, Gi-Do;Heo, Myoung
    • Journal of Korea Entertainment Industry Association
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    • v.14 no.8
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    • pp.337-344
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    • 2020
  • The purpose of this study was to investigate the effect of theratainment low extremity complex exercise using unstable surface on knee and static plantar pressure in patient with genu varum. 25 adult subjects were recruited and randomized into stable surface exercise group(SEG) and unstable surface exercise group(UEG). Subjects carried out complex exercise(elastic band exercise & squat exercise) for 40 minutes, 4 times per week for 5 weeks. The knee joint distance and Q-angle of all subjects measured, the foot pressure measured distribution on the front and rear of both foots during pre and post. The most outcome at post was significantly improved than the pre outcome in the both group(p<.05). The result of this study show that the low extremity complex exercise using unstable surface may be appropriate for improving structure of knee joint and static plantar pressure in patient with genu varum. This will enable the application of low extremity complex exercise using unstable surface in rehabilitation therapy of genu varum and it will help guide the selection of the therapist as one therapeutic basis.

Single Gyroscope Sensor Module System for Gait Event Detection (보행시점 검출을 위한 단일 각속도 센서모듈 시스템)

  • Kang, Dong-Won;Choi, Jin-Seung;Kim, Han-Su;Oh, Ho-Sang;Seo, Jeong-Woo;Tack, Gye-Rae
    • Korean Journal of Applied Biomechanics
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    • v.21 no.4
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    • pp.495-501
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    • 2011
  • The purpose of this study was to develop the inertial sensor module system to detect gait event using single angular rate sensor(gyroscope), and evaluate the accuracy of this system. This sensor module is attached at the heel and gait events such as heel strike, foot flat, heel off, toe off are detected by using proposed automatic event detection algorithm. The developed algorithm detect characteristics of pitch data of the gyroscope to find gait event. To evaluate the accuracy of system, 3D motion capture system was used and synchronized with sensor module system for comparison of gait event timings. In experiment, 6 subjects performed 5 trials level walking with 3 different conditions such as slow, preferred and fast. Results showed that gait event timings by sensor module system are similar to that by kinematic data, because maximum absolute errors were under 37.4msec regardless of gait velocity. Therefore, this system can be used to detect gait events. Although this system has advantages of small, light weight, long-term monitoring and high accuracy, it is necessary to improve the system to get other gait information such as gait velocity, stride length, step width and joint angles.

Comparison of Lower Extremity Kinematics and Kinetics during Downhill and Valley-shape Combined Slope Walking

  • Jeong, Jiyoung;Shin, Choongsoo S.
    • Korean Journal of Applied Biomechanics
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    • v.26 no.2
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    • pp.161-166
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    • 2016
  • Objective: The purpose of this study was to determine the knee and ankle joint kinematics and kinetics by comparing downhill walking with valley-shape combined slope walking. Method: Eighteen healthy men participated in this study. A three-dimensional motion capture system equipped with eight infrared cameras and a synchronized force plate, which was embedded in the sloped walkway, was used. Obtained kinematic and kinetic parameters were compared using paired two-tailed Student's t-tests at a significance level of 0.05. Results: The knee flexion angle after the mid-stance phase, the mean peak knee flexion angle in the early swing phase, and the ankle mean peak dorsiflexion angle were greater during downhill walking compared with valley-shape combined slope walking (p < 0.001). Both the mean peak vertical ground reaction force (GRF) in the early stance phase and late stance phase during downhill walking were smaller than those values during valley-shape combined slope walking. (p = 0.007 and p < 0.001, respectively). The mean peak anterior GRF, appearing right after toe-off during downhill walking, was also smaller than that of valley-shape combined slope walking (p = 0.002). The mean peak knee extension moment and ankle plantar flexion moment in late stance phase during downhill walking were significantly smaller than those of valley-shape combined slope walking (p = 0.002 and p = 0.015, respectively). Conclusion: These results suggest that gait strategy was modified during valley-shape combined slope walking when compared with continuous downhill walking in order to gain the propulsion for lifting the body up the incline for foot clearance.

Analysis of Kinetic Differences According to Ankle Taping Types in Drop Landing (드롭랜딩 시 발목테이핑 유형에 따른 운동역학적 차이 분석)

  • Lee, Kyung-Ill;Hong, Wan-Ki
    • Korean Journal of Applied Biomechanics
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    • v.24 no.1
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    • pp.51-57
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    • 2014
  • The purpose of this study was to compare and analyze kinetic variables of lower limbs according to types of ankle taping in drop landing. For this, targeting seven male basketball players (average age: $20.8{\pm}0.74yrs$, average height: $187.4{\pm}3.92cm$, average weight: $79.8{\pm}7.62kg$) with no instability of ankle joints, the drop landing motion was conducted according to three types of inelastic taping (C-type), elastic taping (K-type), and no treatment (N-taping). Based on the result, the next conclusion was reached. First, the effect of taping for the players with stable ankles was minimal and the high load on ankle joints offset the fixing effect of inelastic taping. Thus the inelastic taping for the players with stable ankles did not have an effect on the control of dorsal flexion during one-foot landing. Second, increasing angular velocity by increasing the movable range of knee joints disperses impact forces, yet inelastic taping restricted the range of knee joint motion and at the same time increased angular velocity, adding to a negative effect on knee joints. Third, inelastic taping induced inefficient motion of Lower limbs and unstable impact force control of ankle joints at the moment of landing and produced maximum vertical ground reaction force, which led to an increase of load. Therefore, inelastic ankle taping of players whose jump actions occur very often should be reconsidered. Also, it is thought that this study has a great meaning in proving the problem of inelastic taping related to knee pain with unknown causes.

Domestic and Foreign Research Trend on the Pediatric Chuna Treatment (소아 추나에 대한 국내·외 연구 동향)

  • Lee, Jin Hwa;Han, Jae Kyung;Kim, Yun Hee
    • The Journal of Pediatrics of Korean Medicine
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    • v.29 no.4
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    • pp.67-76
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    • 2015
  • Objectives The purpose of this review is to investigate the domestic and foreign studies of pediatric Chuna treatment and propose the directions of future studies and clinical applications. Methods We searched for the study at RISS, KISS, DBPIA, Pubmed, CNKI by keywords, '추나', 'Osteopathic', 'Chiropractic', 'Manipulation', '推拿', '導引', '按摩', After 2010. Results 1. Selected 3 domestic studies were categorized as 1 survey study and 2 case reports. Selected 41 foreign studies from Pubmed were categorized as 15 systemic reviews, 8 survey studies, 12 case reports and 6 control studies. Selected 82 foreign studies from CNKI were categorized as 10 systemic reviews, 22 case reports and 50 control studies. 2. 2 clinical domestic studies researched on idiopathic Scoliosis. The foreign clinical studies from Pubmed are 18 cases, and those studies were categorized into Premature baby care (3), Infant colic (2), ADHD (2), Congenital talipes equinovarus (1), Somatic dysfuntion (1), Nonsynostotic occipital plagiocephaly (1), Conversion disorder (1), Lower back pain (1), Chronic bilateral dorsal foot pain and stiffness (1), plantar fasciitis (1), Migraine headaches (1), Cyclic vomiting syndrome (1), Acute otitis media (1) and Cerebral palsy (1). The other 72 foreign clinical studies were from CNKI, and they studied 39 different diseases. Systematically, they studied about digestive diseases (25), respiratory diseases (20), fever (6), musculoskeletal diseases (5), nervous system diseases (5), dermatology diseases (2) and other disease states. The Chuna treatment was used in variety of studies. 3. 2 clinical domestic studies adopted techniques of Osteopathy Chuna. The foreign clinical studies from Pubmed adopted techniques of Osteopathic manipulation (10) and Chiropractic manipulation (8). The other foreign clinical studies from CNKI adopted techniques of Acupressure (69), Abdominal manipulation (23), Spinal manipulation (21), Thoracic manipulation (11), Traction manipulation (2), Muscular manipulation (2), Squeezing Sha manipulation (1), Spine correction (1), Joint manipulation (1) and Fascia manipulation (1). Conclusions In addition to musculoskeletal disorders, variety of pediatric diseases could be treated with Chuna treatment instead of acupuncture.

The Effect of the Heel Rest on Braking Reaction Time while Driving Vehicle with Automatic Transmission (오토 차량 운전시 보조 발판이 제동 시간에 미치는 영향)

  • Kim, Jeong-Ryong;Jo, Yeong-Jin;Park, Ji-Su;Seo, Gyeong-Bae
    • Journal of Korean Society of Transportation
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    • v.24 no.1 s.87
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    • pp.53-58
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    • 2006
  • The purpose of this study was to test the safety of the heel rest which was made for reducing the automobile driver's muscle fatigue with automatic transmission. Sixty subjects participated in the test, including ten males and ten females in 30s, 40s, 50s, respectively. Simulator consisted of automobile cockpit, accelerator and brake pedal sensor, heel rest. and driving displays. 30 seconds were given to subjects to be accustomed to the simulator environment. They also had one pre-trial to use the brake pedal according to the experimental scenario. They were told to step on the brake pedal immediately as soon as the red light was on the display The reaction time representing the foot travel time between accelerator and brake pedal was measured with/without the heel rest. In results, there was no significant difference in reaction time between conditions with/without heel rest. The result indicated that the heel rest used in this study would be a safe accessory for drivers who need to reduce the fatigue of the muscle or joint during driving.

Bizarre Parosteal Osteochondromatous Proliferation in the Proximal Phalanx of the Third Toe: A Case Report (제3족지 근위지골에 발생한 기괴성 방골성 골연골성 증식증: 1예 보고)

  • Noh, Haeng-Kee;Jeon, Ho-Seung;Jeon, Seung-Joo;Moon, Chan-Sam;Kang, Seo-Goo;Song, Gyung-Sub
    • The Journal of the Korean bone and joint tumor society
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    • v.17 no.2
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    • pp.91-94
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    • 2011
  • Bizarre parosteal osteochondromatous proliferation (BPOP) otherwise known as Nora's lesion, is a benign surface tumor of the small tubular bone of the hands and feet with high probability of local recurrence. The report of BPOP in the foot is very rare in our country. We report a case of BPOP of proximal phalanx of right $3^{rd}$ toe in 44-year-old female, successfully managed by en-bloc marginal excision with a review of the literatures.

Geological Discussion of Monolithic Rock Slide on the Slope of Mt. Seunghag, Dangridong, Busan (부산직할시 승학산 단일암괴 사태사고의 환경지질학적 고찰)

  • 김항묵
    • Journal of the Korean Professional Engineers Association
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    • v.17 no.3
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    • pp.6-21
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    • 1984
  • A rock slide in amount of 100 tons in weight happened at 7: 10 a.m., 4th October 1982, on the southwestern ridge of Mt. Seunghag, Busan City. The original rock mass of the rock slide is located 850m west from the Dangri Crushed Stone Quarry. The geology of the area consists of agglomerate, andesite, andesitic tuff, and shale hornfels of the Cretaceous Yucheon Group. The rock blocks were first shifted along the steep joint plane on an andesite outcrop at the site and then to the eastern foot of the mountain slope where some private houses are placed. The mountain slope is covered with thick superficial soil. A slided monolithic-block with 83 tons in weight from the rock slide met with an accident of striking against a house with a tremendous force, to which much damage was done as much as its half was destroyed. The rock-slided block pierced the board-floored room only posited at the center and by the bedroom of the house making a pass like a bullet hole, and hence cut a big pine tree with 24 centimeters in diameter at a distance of 26 meters down the house. However nobody was killed or injured in the stricken house, though seven family members were stayed therein at the very time of accident. They really met a rare opportunity in an unhappy disaster. Measurements of the rock slide were made in the course of the field survey. The monolithic mass was transported by way of saltation, rolling, and sliding to a distance of 300 meters down along the slope dipping 30$^{\circ}$ east. It took about 16 seconds front tile outcrop to the terminal. The acceleration value of the monolithic rock slide is 2.35m/sec$^2$.

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A Study on Gait Imbalance Evaluation System based on Two-axis Angle using Encoder (인코더를 이용한 2축 각도 기반 보행 불균형 평가 시스템 연구)

  • Shim, Hyeon-min;Kim, Yoohyun;Cho, Woo-Hyeong;Kwon, Jangwoo;Lee, Sangmin
    • Journal of Institute of Control, Robotics and Systems
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    • v.21 no.5
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    • pp.401-406
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    • 2015
  • In this study, the gait imbalance evaluation algorithm based on two axes angle using encoder is proposed. This experiment was carried out to experiment with a healthy adult male to 10 people. The device is attached to the hip and knee joint in order to measure the angle during the gait. Normal and imbalance gait angle data were measured using an encoder attached to the hip and knee joints. Also, in order to verify the reliability of estimation of asymmetrical gait using hip and knee angle, it was compared with the result of asymmetrical gait estimation using foot pressure. SI (Symmetry Index) was used as an index for determining the gait imbalance. As a result, normal gait and 1.5cm imbalance gait were evaluation as normal gait through SI using an encoder. And imbalance gait of 3cm, 4cm, and 6cm were judge by imbalance gait. Whereas all gait experiments except normal gait were evaluation as imbalance gait through SI using the pressure. It was possible to determine both the normal gait and imbalance gait through measurement for the angle and the pressure.