• Korean Journal of Applied Biomechanics
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• v.24 no.1
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• pp.19-26
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• 2014

This study investigated foot pressure patterns between experienced skiers and intermediate skiers during alpine skiing. Five experienced skiers and five intermediate skiers participated in this study. Foot pressure measurement system was used to measure vertical ground reaction force (vGRF) and contact area under the six plantar regions. Each participant was asked to perform basic parallel turns and carved turns on a $18^{\circ}$ groomed slope. Each right turn was divided into the initiation phase, the steering phase 1 and 2. For the initiation phase of the basic parallel turns, significantly greater contact area was found on the LRF and RRF of the intermediate skiers (p<.05) and significantly greater vGRF was found on the LRF of the intermediate skiers (p<.05). Also significantly greater vGRF and contact area were found on the LRF and RRF of the intermediate skiers at the steering phase 1 (p<.05) and on the LRF of the intermediate skiers at the steering phase 2 (p<.05). For the carved turns, significantly greater vGRF and contact area were found on the LRF and RRF of the intermediate skiers at all three phase (p<.05). On the other hand, significantly greater vGRF was found on the RFF of the experienced skiers at the steering phase 1 (p<.05). Also significantly greater vGRF and contact area were found on the RMF of the experienced skiers at the steering phase 2 (p<.05). In order to increase performance, we suggest that the intermediate skiers should be unweighted at the initiation phase and shift the body weight to the forefoot of the outer foot at the steering phase 1. Also, the outer ski should be loaded more than the both skis at the steering phase 1 and 2.

• Korean Journal of Applied Biomechanics
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• v.17 no.3
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• pp.173-180
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• 2007

The purpose of study was to compare plantar pressure during walking wearing the curved rear balance and normal shoes. Twelve university students(height: $177.2{\pm}4.6cm$, weight: $68.4{\pm}5.8kg$, age: $26.2{\pm}1.6yrs.$) who have no known musculoskeletal disorders were recruited as the subjects. Plantar foot pressures were evaluated using the Tekscan's pressure measurement systems while subjects walked upright position wearing the curved rear balance and normal shoes in random order at a speed of 1.3 m/s. The contacting dimension, the mean plantar pressure, and the peak plantar pressure were determined for each trial. For each dependent variable, paired t-test was performed to test if significant difference existed between shoe conditions (p<.05). As a result, the curved rear balanced shoes showed as large as 38 up to 50 % of area at the rear side of feet than the normal shoes when measuring the contact area with upright position. In the distribution of average pressure, the curved rear balanced shoes displayed fairly low pressure compared to other normal shoes in general except for one area, which is M2, and especially, the measured pressures at the both rear (M1) and middle (M5) side of feet were low and statically significant. The contact area of the curved rear balanced shoes when walking was significantly larger at the rear (M1) and fore (M6, M7) side of feet. When considering pressure distribution at walking, low pressure was detected at the rear side of feet with the curved rear balanced shoes and at the fore side of feet for other normal shoes. The results showed that the contacting dimension of the curved rear balance shoes that acts between shoes and feet was higher than the corresponding value for the normal shoes in general; therefore it would reduce the pressure to the feet by allowing the each sole of the foot on the ground evenly.

• Archives of Plastic Surgery
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• v.34 no.5
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• pp.543-550
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• 2007

Purpose: Diabetic foot ulcer is a representative disease of chronic would with multiple defects of wound healing factors. Many nutrition factors have been known to be essential for wound healing, but objective data are lacking. The purpose of this study is to determine those factors essential for wound healing, and to find out which of those factors are lacking in diabetic foot ulcer patients through this pilot study. Methods: We studied 100 patients who visited our clinic from March 2005 to February 2006 for treatment of diabetic foot ulcers with a duration of more than 6 weeks. We checked serum levels of protein, albumin, vitamin A, C, E, iron, magnesium, zinc, copper and hemoglobin by drawing 23cc blood after 8 hours of fasting. Protein, albumin, iron, magnesium levels were measured by colorimetry; hemoglobin levels were measured by auto analysis. Vitamin levels were measured by high performance liquid chromatography (HPLC), copper and zinc levels were measured by Inductively coupled plasma (ICP). They were compared with normal values. The patients were divided by transcutaneous oxygen pressure levels, age and sex to study the effects of these parameters. Results: 76% and 61% of patients had within-normal range serum protein and albumin levels, respectively. Among vitamins, only the level of vitamin C was low in 55% of the patients. Levels of vitamin A, E were normal or high in 93% and 100% of patients. As for trace elements, levels of iron and zinc were low in 63% and 60% of patients, but levels of magnesium and copper were usually normal or high. Levels of vitamin C, iron and zinc were lower in the low-transcutaneous oxygen pressure group. There were no definite differences according to age and sex. Conclusion: Serum levels of Hb, vitamin C, iron, zinc were low in most diabetic foot ulcer patients. The deficit was very severe in the low-transcutaneous oxygen pressure group.

• Journal of Home Health Care Nursing
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• v.13 no.1
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• pp.54-60
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• 2006

This study, a quasi-experimental study using a nonequivalent control group pretest-posttest design. conducted a survey on 30 patients test group and control group of IS patients sampling an adjacent population at random - who are operated on the breast cancer and are in the A University Hospital located in Suwon, to examine into the effects of foot reflex zone massage on their pain and sleep satisfaction through the nursing interventions. It gave them a foot reflex zone massage for the total 30 minutes-basic massage 10 minutes and reflex massage 20 minutes required to alleviate their pain day in day out covering a two-month period from the first of July to the first of September 2004. for the purpose of collecting data. It launched into a two-round foot reflex zone massage at 6 and 24 hours since mastectomy through a direct visit at the hospital room to measure pain intensity, physiological index(pulse and blood pressure) and sleep satisfaction of them. The results are as follows. First, it showed that there is all the difference between pain intensity of test group and that of control group. In result, the first hypothesis, pain of test group. which measure at 6(p=.000) and 24 hours(p=.001) since mastectomies, will be bigger than that of control group, was established. Second, it showed that there is all the difference between physiological index of test group and that of control group. In result. the second hypothesis, pulse(p= .025, p= .002), systolic blood pressure(p= .004, p=.012) and diastolic blood pressure(p=.004. p= .003) of test group, which investigate at 6 and 24 hours since mastectomies, will be bigger than that of control group, was established. Third, it showed that there is a significant difference between sleep satisfaction of test group and that of control group(p=.000). In result, the fourth hypothesis, sleep satisfaction of test group. which examine in the morning after mastectomies, will be bigger than that of control group, was established. In the result. a foot reflex zone massage is seen to be effective in the pain reduction and sleep promotion of patients who are operated on breast cancer, and in providing them with more qualitative care by improving confidence between them and nurses through a physical touch. Also, it can be applied to a clinical examination through an independent nursing intervention.

• Korean Journal of Applied Biomechanics
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• v.16 no.1
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• pp.43-53
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• 2006

Among several movements that occurred upon a slope, golf swing is the most typical one because environmental conditions dynamically vary with many kinds of slopes. Some studies on the golf swing were performed about a weight transfer on flatland, however, there couldn't be seen any study about the weight transfer on slope elsewhere. Therefore, the purpose of this study was to provide quantified data to objectively test the coaching words and keys about the weight transfer at sidehill slope during goal impact EspeciaIly sidehill Slopes with ball above the feet. Four highschool golfer, who have average handy 5, were recruited for this study. Plantar pressure distribution and cinematographic data were collected during golf swing in the conditions of flatland, $5^{\circ}$, $10^{\circ}$ and $15^{\circ}$sidehill slope simultaneously. The two data were used to synchronize the two data later. The plantar regions under the foot were divided into 8 regions according to the directly applied pressure pattern of the subject to insole sensor. The 8 foot regions were hullux, medial forefoot, central forefoot, lateral forefoot, medial midfoot, lateral midfoot, medial heel, and lateral heel. And the plantar pressure data was also divided into four movement address, phases-backswing. downswing, and follow-through phases according to the percentage shown to the visual information of film data. Based on the investigations on public golf books and experiences of golfers, it was hypothesized by the authors in the early of this study that the steeper slopes are, the more weight loads on left foot that positions at the higher place. When observing the results of plantar pressure and vertical force curves according to the sidehill slope conditions, the hypothesis could be accepted.

• Korean Journal of Applied Biomechanics
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• v.20 no.2
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• pp.221-230
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• 2010

The purpose of this study was to analyze biomechanical factors of trail running shoes applied to korean shoe-lasts. 10 healthy male subjects with an average age of 37.2 years(SD=8.28), weight of 69.6 kg(SD=10.56) and a height of 171 cm(SD=4.93) were recruited for this study. Ten males walked on a treadmill wearing four different shoes. Foot pressure data was collected using a Pedar-X mobile system(Novel Gmbh., Germany) operating at the 1000 Hz. Surface EMG signals for tibialis anterior, gastrocnemius, vastus lateralis and biceps femoris were acquired at 1000 Hz using Noraxon TeleMyo DTS system(Noraxon Inc., USA). Foot pressure and leg muscle fatigue were measured and calculated during walking. The results are as follows: After walking 60 minutes, Type A showed a lower MPF. MPF values were significantly different from each muscle(p<.05). Therefore, Type A shoe might decrease muscle fatigue in the legs while walking. In addition, Type It showed that Type A shoe has the highest contact area and the lowest maximum pressure. As a result of the analysis, Trail running shoes will use a new design to reduce muscle fatigue and are expected to increase comfort and fitting.

• Journal of Korean Foot and Ankle Society
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• v.6 no.1
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• pp.21-27
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• 2002

Pressure sores are an ulceration and necrosis of the skin and underlying tissue usually occur after prolonged or repeated pressure by interruption of blood flow from the small. vessels to the skin and deep tissue. The management of pressure sores is mostly difficult and requires prolonged hospitalization or repeated surgical interventions with a high recurrence rate. In this article we reviewed 14 cases of National Pressure Ulcer Advisory Pannel staging III, IV over the lateral malleolar area of the ankle in 2 years period from January 1999 to October 2001. The pressure over lateral malleolar area was mainly due to unique Korean sitting position with cross legs at flexed hips and knees or supine position of patient with external rotation of low extremity. Male to female ratio was 11: 3 and ages were between 36 and 83 (mean age: 67.1 years). Associated diseases were DM(7 cases), Hemiparesis caused by CVA(2 cases), Liver cirrhosis(2 cases), disarticulation of opposite hip due to squamous cell ca.(1 case), Intertrochanteric Fx.(1 case). Wound cultures reported Staphylococus, Pseudomonas and others. Abnormally elevated ESR and CRP were seen in 6 cases. Operative treatments were irrigation and debridement, direct closure with gravity drainage and skin grafting. The most important aspect of pressure sore treatment is pressure relief of the lateral malleolar area. Pressure-relieving Cast or Brace was helpful for local management and preventing recurrence.

• Journal of East-West Nursing Research
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• v.16 no.2
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• pp.190-198
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• 2010

Purpose: The purpose of this study was to evaluate the effects of a combination program of meridian massage and foot reflexology on stress and natural killer (NK) cell activity in adults. Methods: This study is a quasi-experimental research usingone-group-pretest-posttest design. The subjects of the study were 42 adults in T city. Stress level was assessed with systolic blood pressure, diastolic blood pressure, pulse rate, and serum cortisol level. The data were analyzed by SPSS/WIN 17.0 program with descriptive statistics and Wilcoxon signed-rank test. The period of this study was from January 4 to July 11 of 2008. The program was performed three days per week, two hours per session. Results: The degrees of perceived stress were significantly different while objective stress levels were partially different between pre-and post-program. The NK cell activity did not show a significant difference between before and after the program. Conclusion: This study suggests that combination of meridian massage and foot reflexology may be an optional nursing intervention to reduce subjective and objective stress in adults.

• The Transactions of The Korean Institute of Electrical Engineers
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• v.63 no.4
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• pp.541-545
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• 2014

In this paper, the angle of the thighs that appear during walking condition to balance estimation to the left and right leg was occurred during normal walking. Get over to the limitations of gait analysis using image processing or foot pressure that was used a lot in the previous, the angle of the thigh were used for estimation of asymmetric gait. We implemented heathy five adult male to test targeting and gait and obtained cycle data from 10 times. For this research, Thigh-Angle measurement device were developed, and attached to in a position of $20^{\circ}$ for flexion and $15^{\circ}$ for extension to measure the angle of the thigh. Also, in order to verify the reliability of estimation of asymmetric gait using thigh-angle, it was compared with the result of asymmetric gait estimation using foot pressure. The results of this paper, using the thigh angle is the average of 16.84% higher than using pressure to accuracy of determine the gait imbalance.

• Journal of Korean Biological Nursing Science
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• v.18 no.1
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• pp.51-59
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• 2016

Purpose: This study was to examine the effects of a footbath program on heart rate variability, blood pressure, body temperature and fatigue of stroke patients with stroke-induced hemiparesis. Methods: A non-equivalent control group pretest-posttest design was used. Participants were 40 stroke patients, twenty for the footbath program and twenty for the control group, who were hospitalized in a long-term rehabilitation hospital in G city of Korea, from February to April 2014. The twenty participants in the experimental group received the intervention of footbaths and an educational program focused on the prevention of stroke complications; Collected data were analyzed by the IBM SPSS WIN 20.0 program using a t-test, ${\chi}^2$ test, Mann-Whitney U test and repeated measures ANOVA. Results: Significant differences were found in heart rate variability, systolic blood pressure, hand and foot temperatures and fatigue between the two groups. But no significant differences were found in diastolic blood pressure, core temperatures, forehead temperatures, and hand temperatures between the two groups. Conclusion: The footbath program was an effective intervention for skin temperature change and fatigue reduction for stroke patients. Therefore, it is recommended that the footbath program can be utilized as an effective nursing intervention for stroke patients in long-term rehabilitation care hospitals.