• Title/Summary/Keyword: Foot measure

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Development of Gait Analysis Algorithm for Hemiplegic Patients based on Accelerometry (가속도계를 이용한 편마비 환자의 보행 분석 알고리즘 개발)

  • 이재영;이경중;김영호;이성호;박시운
    • Journal of the Institute of Electronics Engineers of Korea SC
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    • v.41 no.4
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    • pp.55-62
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    • 2004
  • In this paper, we have developed a portable acceleration measurement system to measure acceleration signals during walking and a gait analysis algorithm which can evaluate gait regularity and symmetry and estimate gait parameters automatically. Portable acceleration measurement system consists of a biaxial accelerometer, amplifiers, lowpass filter with cut-off frequency of 16Hz, one-chip microcontroller, EEPROM and RF(TX/RX) module. The algerian includes FFT analysis, filter processing and detection of main peaks. In order to develop the algorithm, eight hemiplegic patients for training set and the other eight hemiplegic patients for test set are participated in the experiment. Acceleration signals during 10m walking were measured at 60 samples/sec from a biaxial accelerometer mounted between L3 and L4 intervertebral area. The algorithm, detected foot contacts and classified right/left steps, and then calculated gait parameters based on these informations. Compared with video data and analysis by manual, algorithm showed good performance in detection of foot contacts and classification of right/left steps in test set perfectly. In the future, with improving the reliability and ability of the algerian so that calculate more gait Parameters accurately, this system and algerian could be used to evaluate improvement of walking ability in hemiplegic patients in clinical practice.

Characteristics of Achilles Tendon Insertion on Posterior Aspect of the Calcaneus without Pathological Deformity in Adults: A Magnetic Resonance Imaging Study (성인에서의 병적 위치 변형이 없는 아킬레스건 종골 후방 부착부의 특징: 자기공명영상 계측 연구)

  • Gwak, Heuichul;Jung, Daewon;Park, Hyungtaek;Ha, Dongjun;Kwak, Jaeyong;Kim, Uicheol
    • Journal of Korean Foot and Ankle Society
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    • v.20 no.3
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    • pp.112-115
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    • 2016
  • Purpose: We aimed to investigate the safety zone for Achilles tendon insertion in the posterior aspect of the calcaneus via the use of magnetic resonance imaging (MRI) when planning for insertional Achilles tendinopathy. Materials and Methods: This study included 95 patients. The MRI of midsagittal plane of the ankle joint was used to measure the proximal and distal insertion point for the Achilles tendon in the posterior aspect of the calcaneus. Patients were divided into three groups according to the proportion of the distal insertion point out of the entire calcaneal length: the proximal, middle, and distal insertion groups. Results: The mean proximal and distal insertion points for the Achilles tendon were measured as 1.05 cm (0~2.11 cm) and 2.36 cm (1.60~2.93 cm), respectively. When the posterior aspect of the calcaneus was used as the reference plane, none of the patients was in the proximal insertion group, while 75 and 20 patients were in the middle and distal insertion groups, respectively. The insertion portion was longer in the distal insertion group ($1.47{\pm}0.25cm$) than in the middle insertion group ($1.27{\pm}0.35cm$). Statistically significant differences with respect to the length of the insertion portion were observed between the two groups (p=0.008). Conclusion: Removal of more than 1 cm below the superior margin of the posterior calcaneus may be dangerous. An MRI study on the Achilles tendon of patients without hindfoot deformity or tendinopathy revealed various insertional characteristics. Preoperative MRI evaluation is safer than relying solely on the simple radiological assessment when planning for insertional Achilles tendinopathy.

Correlationship Between Degree of Displacement and Range of Motion of the Subtalar joint after Calcaneal fracture (종골 골절 후 거골하 관절면의 전위 정도와 운동 범위의 상관 관계)

  • Park, In-Heon;Lee, Kee-Byung;Song, Kyung-Won;Lee, Jin-Young;Lee, Eung-Joo;Park, Rae-Seong
    • Journal of Korean Foot and Ankle Society
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    • v.2 no.1
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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.

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Effects of Sling Exercise on Spinal Flexibility and Dynamic Balance in Adolescent Scoliosis Patients (청소년기 척추측만증 환자에 대한 슬링운동이 척추유연성과 동적 균형에 미치는 영향)

  • Yoo, Dal-young;Choi, Jong-uk;Park, Seong-doo
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.26 no.1
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    • pp.19-26
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    • 2020
  • Background: The purpose of this study was compare and analyze the flexibility and dynamic balance in adolescents with idiopathic scoliosis and provide scientific basis for effectively treating idiopathic scoliosis. Methods: The subjects of this study were 20 members of adolescences. To measure the flexibility of the spine, a left buckling instrument was used, and it was measured using a modified sit and reach test. They were randomly divided into core exercise with sling program group (n=10) and general exercise program group (n=10), each consisting 50 minutes each for 4 times per week for 8 weeks. Results: The results of the study are as follows. First, Both groups were increased statistically significantly in spinal flexibility but no significant differences have been found between the two groups after 8 weeks of exercise. Second, Both groups were increased statistically significantly in balance ability of dynamic foot pleasure ratio but no significant differences have been found between the two groups after 8 weeks of exercise. Conclusion: In summarizing the results of this study, sling exercise with core exercise was effective in the decrease of flexibility and stability than general scoliosis exercise in adolescents with idiopathic scoliosis. It is also believed to be applicable to spinal diseases caused by muscular weakness since it is effective in strengthening core muscle strength.

An Analysis of Research Related to the Massage as the Nursing Intervention (간호중재로서의 마사지 적용연구 분석)

  • Ji, Eun-Sun;Cho, Kyoul-Ja
    • Korean Parent-Child Health Journal
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    • v.7 no.2
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    • pp.168-181
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    • 2004
  • Purpose: The purpose of this study was to identified patterns of studies and to analyze the nursing research related to the massage intervention in Korea and to improve direction of nursing research in massage intervention in Korea. Methods: The research studies related to the massage were selected from the Korean Nurses Academic Society Journal and dissertation which were conducted experimental research design the last 7 years in Korea. The total numbers of the studies were 58. Result: The study subjects were post operational state in 34.5%, healthy adult in 17.2% studies. The others dealt with infant, cancer, dementia, hypertension, preterm neonates, elderly. Types of massage were whole body in 31.1%, foot in 22.6%, hand in 17.2%, back in 13.8% studies. And Meridian massage in 17.2%. Length of massage was below 5 minutes in 17.2%, 6~10 minutes in 29.4% and 11~20 minutes in 32.8% studies. Frequency of massage was only 1 time in 25.9%, 2~5 times in 31.1% studies. Massage produced psychological and physiological effects. Positive psychologic effects were anxiety relief, pain relief, mood enhancement and fatigue relief. Positive physiologic effects on body systems were blood pressure, heart rate, edema, skin temperature, immune system, blood glucose, excretion, PMS syndrome and growth and development. Conclusion: As a result, effects of massage were almost positive. Therefore massage is useful alternative nursing intervention. But more attention research is needed to identify the objectivity instrument to measure and repeat research.

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Effect of Elastic Band Exercise on the Plantar Pressure and Maximum Muscle Strength in Female University Students Wearing High Heels

  • Jung, Bum-Chul;Yoo, Kyung-Tae;Kim, Young-Hwan
    • Journal of the Korean Society of Physical Medicine
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    • v.12 no.4
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    • pp.83-92
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    • 2017
  • PURPOSE: The purpose of this study was to investigate the effect of the elastic band and stretching exercise program on ankle joint maximal voluntary isometric contraction (MVIC) and plantar pressure in high-heel wearing women in their 20s. METHODS: Twenty women in their twenties were randomly assigned to the experimental group (n=10) and the control group (n=10). The experimental group (n=10) performed the elastic band exercise program, while the control group (n=10) performed the stretching exercise program. Both exercise programs were performed three times a week for a total of four weeks. The BTE Primus RS was used in order to measure the ankle joint MVIC during dorsiflexion, plantar flexion, inversion, and eversion. Maximum pressure ($N/cm^2$), average pressure ($N/cm^2$) were measured using the Pedoscan. SPSS v. 21.0 software was used for all statistical analyses in this study. RESULTS: The measurement of the ankle joint's MVIC revealed that in inversion, a significant change in both feet was seen in both the experimental and control groups. In eversion, there was a significant change in both feet only in the experimental group. In terms of the rest of the results, no significant changes were visible. With regard to the plantar pressure, no significant results were seen for either foot in the comparison between or within the groups. CONCLUSION: Exercise program using elastic band and exercise program using stretching were effective on MVIC of ankle joint muscles, although it had no effect on changes of plantar pressure.

Comparison and Analysis for Evaluation of Ride and SEAT Index through Theoretical Seat-Human Body Model and Vehicle Test (시트-인체 해석 모델링과 차량 주행 시험을 통한 차량 승차감 평가와 시트 지수의 비교 및 분석)

  • Son, In-Suk;Kim, Jung-Hoon;Kang, Yeon-June
    • Transactions of the Korean Society of Automotive Engineers
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    • v.17 no.4
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    • pp.1-9
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    • 2009
  • A simplified model of seat-human body is presented to analyze vibrations of human body on a seat of vehicle. The theoretical model having seven degrees-of-freedom is composed of the inter-connected masses, springs and dampers. Until now, evaluation of ride comfort has been usually performed only through vehicle tests. This study aims to complement shortcomings of conventional vehicle tests in evaluation of ride comfort by using the theoretical model. The acceleration values of the human body are obtained from frequency response functions of the theoretical model. Thereafter, Ride and SEAT indexes are acquired by considering response characteristics of the human body for the 12 axes that are presented in BS 6841. A vehicle test is carried out to measure the acceleration values for the three parts of the human body such as upper body, hip and foot. Ride and SEAT indexes of the vehicle test are also obtained by considering the response characteristics of the human body, of which results are compared with the values from the theoretical model. It is found that the theoretical results are in good agreement with the experimental results.

The Effect of Ankle Joint Muscle Strengthening Training and Static Muscle Stretching Training on Stroke Patients' Plantar Pressure and Gait (발목관절의 근력 강화 훈련과 정적 근육 신장 훈련이 뇌졸중 환자의 족저압 및 보행에 미치는 영향)

  • Lee, Jin-Hwan;Lee, Jae-Hong;Kwon, Won-An;Kim, Jin-Sang
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.13 no.3
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    • pp.1153-1160
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    • 2012
  • This study was intended to implement ankle joint dorsi flexion training against ankle muscule strength weakening that erodes stroke patients' gait performance to examine the effect of the training on stroke patients' plantar pressure and gait ability. In this study, 36 stroke patients diagnosed with stroke due to cerebral infarction or cerebral hemorrhage were divided to measure 10MWS which are stroke patients' gait variables maximum plantar pressure by area of the sole by collecting data using an F-scan system during gait. Given these results of the study, compared to other training groups, the ankle muscule strength reinforcing training group showed statistically significant increases of maximum plantar pressure in the great toe, the toe and the first metatasal areas too and thus it can be said that this training increases forward thrust during stroke patients' foot end taking off and positively affects stroke patients' ability to perform gait.

A study on the effects of weight-transfer training upon the gait patterns of hemiplegic patients through visual and auditory feedback (시각 및 청각 되먹임을 통한 하지 체중이동훈련이 편마비환자 보행특성에 미치는 효과에 관한 연구)

  • Kim, Jong-Man;Yi, Chung-Hwi;Current, Marion E.
    • Physical Therapy Korea
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    • v.2 no.2
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    • pp.9-23
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    • 1995
  • The objective of this study was to identify the effects of weight-transfer training on the weight bearing distribution and gait patterns of hemiplegic patients through visual and auditory feedback using a limb load monitor. The subjects of this study were 18 hemiplegic patients who had been hospitalized or were visited out-patient department of the Rehabilitation Hospital, College of Medicine, Yonsei University, from January 5, 1995 through March 15, 1995. Pre-and post-training changes in gait patterns were measured using ink foot prints as well as by recording weight bearing distribution using a limb load monitor. The data were analyzed by the repeated measure one-way ANOVA and paired t-test. The finding were as follows: 1. Prior to the training, 18 subjects bore more weight on the sound leg(61.6 %) than on the affected leg(38.4 %). 2. Posterior to the training, the average percentage of weight bearing on the affected leg increased significantly from 38.4 % prior to training; to 46.0 % immediately after training; 45.7 % after a 30 second delay; and 45.3 % after a 60 second 3. The difference in gait patterns between pre- and post- training was statistically significant, with an increase in gait velocity to 3.65 cm/sec post-training; an increase in stride length to 5.37 cm on the affected side; 4.77 cm on the sound side; and a narrowing of the base of support to 1.19 cm. In conclusion, hemiplegic weight-transfer training using visual and auditory feedback with a limb load monitor was found to be enhancing symmetrical standing posture, and simultaneously improve gait patterns.

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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.