• Title/Summary/Keyword: Foot-Ankle Joint

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The Effect of Taping Therapy on the Expression of cFos Protein and Pain Suppression in Acute Ankle Sprain in Rats (흰쥐의 급성 발목삠에서 테이핑요법이 cFos 단백의 발현과 통증억제에 미치는 영향)

  • Choi, Suck-Jun;Byun, Sin-Kyu;Lee, Gyoung-Wan;Kim, Jae-Hyo;Yang, Seung-Bum
    • Korean Journal of Acupuncture
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    • v.34 no.1
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    • pp.1-7
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    • 2017
  • Objectives : The purpose of this study was to evaluate effects of taping therapy on recovery of behavioral symptoms and neural excitability of the lumbar spinal cord in rat model for ankle sprain. Methods : Adult Sprague-Dawley rats was used and divided into 3 experimental groups: normal group(n=6), ankle sprain(n=6), and ankle sprain with taping treatment(n=6). In order to induce ankle sprain the right ankle joint was injured with 4~5 repetitive over-flexions and over-extensions manually. The severity of joint pain was evaluated by measuring foot weight bearing force ratio(FWBRF) of the hind limb and the injury-induced edema formation by diameter of the joint following ankle sprain. The changes of neural excitability in the lumbar spinal cord was tested by observation of cFos protein expression, a metabolic marker for neural excitation. Results : Severity of ankle injury induced in this experiment coincided with Grade 1 ankle sprain. Compared with ankle sprain group, ankle sprain+taping showed a significant reductions of joint pain as well as of edema formation at the ankle joint following ankle sprain. There was significant upregulation of cFos-immunoreactive neurons in the lumbar spinal cord 24 hours after ankle sprain. In contrast, taping therapy resulted in significant inhibition of cFos-immunoreactive neurons in the lumbar spinal cord. Conclusions : Collectively, these results suggest that taping therapy may be an alternative therapeutic intervention for symptom recovery of the mild ankle sprain.

Development of Knee Ankle Foot Orthosis for Gait Rehabilitation Training using Plantaflexion and Knee Extension Torque (족저굴곡과 무릎 신전 토크를 이용한 보행 재활 훈련용 장하지 보조기 개발)

  • Kim, Kyung;Kim, Jae-Jun;Heo, Min;Jeong, Gu-Young;Ko, Myoung-Hwan;Kwon, Tae-Kyu
    • Journal of Institute of Control, Robotics and Systems
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    • v.16 no.10
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    • pp.948-956
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    • 2010
  • The purpose of this study was to test the effectiveness of a prototype KAFO (Knee-Ankle-Foot Orthosis) powered by two artificial pneumatic muscles during walking. We had previously built powered AFO (Ankle-Foot Orthosis) and KO (Knee Orthosis) and used it effectively in studies on assistance of plantaflexion and knee extension motion. Extending the previous study to a KAFO presented additional challenges related to the assistance of gait motion for rehabilitation training. Five healthy males were performed gait motion on treadmill wearing KAFO equipped with artificial pneumatic muscles to power ankle plantaflexion and knee extension. Subjects walked on treadmill at 1.5 km/h under four conditions without extensive practice: 1) without wearing KAFO, 2) wearing KAFO with artificial muscles turned off, 3) wearing KAFO powered only in plantaflexion under feedforward control, and 4) wearing KAFO powered both in plantaflexion and knee extension under feedforward control. We collected surface electromyography, foot pressure and kinematics of ankle and knee joint. The experimental result showed that a muscular strength of wearing KAFO powered plnatarfexion and knee extension under feedforward control was measured to be lower due to pneumatic assistance and foot pressure of wearing KAFO powered plnatarfexion and knee extension under feedforward control was measured to be greater due to power assistance. In the result of motion analysis, the ankle angle of powered KAFO in terminal stance phase was found a peak value toward plantaflexion and there were difference of maximum knee flexion range among condition 2, 3 and 4 in mid-swing phase. The current orthosis design provided plantaflexion torque of ankle jonit in terminal stance phase and knee extension torque of knee joint in mid-swing phase.

Interpositional Arthroplasty Using Tibialis Anterior Tendon for Talonavicular Arthritis after Ankle Arthrodesis: A Case Report (족관절 유합술 후 발생한 거주상 관절염의 전경골 건 개재 관절성형술: 증례 보고)

  • Cho, Seong-Hee;Seo, Min-Seok;Lee, Eun-Chang;Nam, Dae-Cheol
    • Journal of Korean Foot and Ankle Society
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    • v.25 no.1
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    • pp.50-53
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    • 2021
  • Ankle arthrodesis has been used frequently for end-stage ankle arthritis that does not respond to conservative treatment. On the other hand, there are concerns regarding the degenerative changes to the adjacent joint, such as the subtalar or talonavicular joint, due to the altered biomechanics after the loss of ankle motion. Because the arthrodesis for these midtarsal joints may overload stress on another contiguous joint, a salvage procedure should be considered rather than joint sacrificing. This paper reports a case of talonavicular arthritis after malunited ankle arthrodesis that was treated with interpositional arthroplasty using the tibialis anterior tendon.

Convergence Comparison of the Angle Change of Ankle Joint while Walking according to the Heel height of Insole Shoes in 20s males with Flatfoot (평발을 가진 20대 남성이 인솔구두의 굽 높이에 따른 보행 시 발목관절의 각도변화에 대한 융복합적 비교)

  • Seo, Kyo-Chul;Park, Seung-Hwan;Kim, Hyen-Ae
    • Journal of the Korea Convergence Society
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    • v.12 no.12
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    • pp.117-123
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    • 2021
  • The purpose of this study is to convergence comparison the ankle joint angle change during walking of college students in their 20s with flat foot according to the heel height of insole shoes. Qualisys Track Manager Software ver. 2.8 (Qalisys Track Manager) was used for 15 college students. Functional shoes with insoles were manufactured, and the heel heights of the shoes were set to 3cm and 7cm. The subjects wore shoes with two high heels and gaited by attaching a reflex marker to the side of the ankle joint. The angle change of the ankle joint was measured in the gait stance phase. The angle of the ankle joint significantly decreased both heel strike, foot flat, midstance, and toe off to the heel height increased when the subjects with flat feet wore insole shoes. Therefore, it is thought that flat feet should wear low shoes when wearing insoles to reduce the fatigue of the soles and to walk comfortably.

Walking of a biped robot with compliant ankle joints (순응성 발목 관절을 갖는 두발 로보트의 보행)

  • 이건영
    • 제어로봇시스템학회:학술대회논문집
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    • 1996.10b
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    • pp.1157-1160
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    • 1996
  • Control of a biped robot which has compliant ankle joints is dealt in this paper. Simulated version of a human ankle joint is built using springs and mechanical constraints, which gives a flexibility of joint and compliance against the touching ground. The biped robot with compliant ankle joints proposed here gives a good contact between its sole and the ground and makes foot landing soft. As a result, installing force sensors for measuring the center of gravity of the biped becomes easier. A motor to drive an ankle joint is not needed which makes legs light. However, the control problem becomes more difficult because the torque of the ankle joint to put the biped in a desired walking gait cannot be provided from the compliant ankle joint. To solve this problem, we proposed a dynamic gait modification method by adjusting the position of a hip joint. Simulation results for the mathematical model of the SD-2 biped in the Ohio State University are given to show the validity of the proposed controller.

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The effect of ankle joint mobilization technique on equilibrium ability in the individuals with supinated foot (회외발에 대한 족관절 관절가동술이 균형능력에 미치는 영향)

  • Gong, Won-Tae;Ma, Sang-Yeol;Kim, Tae-Ho
    • Journal of the Korean Data and Information Science Society
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    • v.20 no.3
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    • pp.527-539
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    • 2009
  • The purpose of this study was to evaluate the influence of ankle joint mobilization on equilibrium ability of supinated foot. Both Joint mobilization group(n=20) and control group(n=20) were measured an equilibrium ability by Balance performance monitor at pre-test, post-test in 2 weeks, post-test in 4 weeks and follow-up test in 2 weeks. The sway area, sway path length and sway maximum velocity of the joint mobilization group were significantly reduced among the experimental period (p<.05). The reduction of sway area, sway path length and sway maximum velocity were significantly different between the joint mobilization group and the control group at in 2 weeks, 4 weeks and follow-up test(p<.05). In conclusion, we were found that ankle joint mobilization could reduce sway area, sway path length and sway max velocity and improve a balance for the individuals with supinated foot.

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Ankle Arthrodesis (족관절 유합술)

  • Chun, Dong-Il;Won, Sung Hun
    • Journal of Korean Foot and Ankle Society
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    • v.22 no.1
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    • pp.1-7
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    • 2018
  • Ankle arthrodesis is a common and standard treatment for patients with end-stage ankle arthritis. The surgical goals of ankle arthrodesis are to obtain bony union between the tibia and talus with adequate alignment, and provide a pain-free plantigrade foot for weightbearing activities. To achieve successful fusion, the surgeon should closely examine the patient's factors before surgery, particularly the following: adjacent arthritis and deformity, infection, avascular necrosis of talus, Charcot arthropathy, and rheumatoid arthritis. Recently, ankle arthroplasty has been reported to provide satisfactory clinical results. On the other hand, long-term follow-up results are still lacking, and considering the various complications of arthroplasty, ankle arthrodesis is still the primary surgical treatment for advanced arthritis of the ankle joint.

What Happens without Treating Chronic Lateral Ankle Instability (외측 발목 불안정성을 치료하지 않으면 어떻게 되는가)

  • Woo, Seung Hun;Chung, Hyung-Jin
    • Journal of Korean Foot and Ankle Society
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    • v.25 no.1
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    • pp.6-9
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    • 2021
  • The term chronic lateral ankle instability (CLAI) embraces a spectrum of conditions that involve functional and mechanical instability, both in athletes and lower-demand patients. The hallmarks of CLAI are recurrent sprains, persistent pain, and repeated episodes of the ankle giving way. CLAI is the main complication of acute ankle sprains, which can cause discomfort in daily and sports activity. Approximately 10% to 30% of patients with acute ligament ruptures will develop chronic instability over the course of a year from the index injury. An accurate diagnostic approach and successful treatment plan should be established based on a comprehensive understanding of the concept of functional and mechanical instability. Unfortunately, the optimal modality for the management of CLAI is unclear. Even after conservative treatment or surgical intervention, it could result in degenerative changes to the ankle joint in the long term. Thus far, the incidence of ligamentous posttraumatic ankle osteoarthritis was reported to be 13% to 78%. The mean latency time between injury and osteoarthritis was at least 10 to 34.3 years. CLAI is an important pathological condition that can cause discomfort or dysfunction in daily activity in the short term, resulting in joint destruction in the long term. Therefore, it is important to understand the various complications that can occur when CLAI is not treated properly.

Non-osseous Coalition of the Third Metatarsal-Lateral Cuneiform Joint: A Case Report (제 3중족-외측 설상 관절에서 발생한 비골성 족근골 결합: 증례 보고)

  • Seo, Jae-Seong;Min, Hak-Jin;Kim, Ki Chun;Roh, Young Ju;Shin, Seong Kee
    • Journal of Korean Foot and Ankle Society
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    • v.22 no.4
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    • pp.177-180
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    • 2018
  • This paper reports a rare case of the symptomatic third metatarsal (MT3) - lateral cuneiform (LC) in a 55-year-old male who presented with complaints of severe intermittent pain in his right foot. Plain radiographs and computed tomography scans revealed sclerosis and irregularity at this joint. The intraoperative findings demonstrated a fibrocartilaginous coalition. The pain had improved one year after removing the MT3-LC joint by en bloc and arthrodesis.

Osteoid Osteoma of the Navicular in the Foot - case report - (족근 주상골에 발생한 유골골종 - 증례 보고 -)

  • Young, Ki-Won;Lee, Kyung-Tai;Lee, Se-Young;Kim, Wan-Seop;Choi, Sung-I
    • Journal of Korean Foot and Ankle Society
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    • v.6 no.2
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    • pp.211-216
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    • 2002
  • Delay in diagnosis is possible in bone tumor located in the foot because it is rare. We experienced one case of osteoid osteoma located at the navicular bone of the foot which was slowly progressive and complicated with calcaneocuboidal joint, talonavicular joint arthritis. Osteoid osteoma of the navicular bone in the foot is rare. It bring about unwanted delay in diagnosis, complication. It is necessary to diagnose and treat in early situation to prevent complication and unnecessary operation.

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