• 한국운동역학회지
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• 제30권1호
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• pp.27-35
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• 2020

Objective: The purpose of this study was to investigate the influence of clubhead velocity through regression analysis on the magnitude and time difference of the forward-backward, mediolateral, and vertical ground reaction peak forces generated by force plate during golf swing. Method: 16 subjects (age: 20.5±4.2 yrs, height: 176.0±5.4 cm, weight: 77.8±5.9 kg, handy: 2.4±1.7) who is elite golf player in high school and university, participated in this study. The study method adopted three-dimensional analysis with 8 cameras and ground reaction force measurement with two force plate. The analysis variables were clubhead velocity, and ground reaction analysis variables set four events in each graph based on the peak forces commonly generated in Fx, Fy, and Fz graphs of the ground reaction data during the golf swing. Results: As a result of analyzing the influence of ground reaction magnitude difference on clubhead velocity, the influence on clubhead velocity was ym4, zm1, xm4, zm2. The larger ym4, xm4, zm1, the fasterthe clubhead velocity, but the smallerthe zm2, the faster the clubhead velocity. And in time difference, the influence on the clubhead velocity was in the order of xt4, zt1, zt3. The shorter xt4, zt1, zt3 showed faster clubhead velocity. Conclusion: The leftfoot played a leading role in increasing the velocity of the clubhead. Although the result was caused by the interaction of the right foot and the left foot during the swing, the role of the left foot is relatively large.

• 대한족부족관절학회지
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• 제23권3호
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• pp.110-115
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• 2019

Purpose: This study analyzed the clinical and radiological results of Reudi-Allgower type II and III open tibia pilon fracture patients who underwent plate fixation after the recovery of a soft tissue injury after external fixation. Materials and Methods: From 2010 to 2015, this study analyzed 14 patients who were treated for open tibial pilon fractures and could be followed up at least one year. The mean age was 49 years and the average follow-up period was 19 months. An emergency operation was performed for external fixation and open wounds, and secondary surgery was performed for definitive fixation using a plate. The radiological and clinical evaluations were analyzed retrospectively. Complications, such as post-traumatic osteoarthritis and wound infections were also analyzed. Results: The mean duration between two-staged surgery was 21 days and the mean bone union time was 9.2 months. Three cases of delayed union and one case of nonunion were reported. The malunion did not occur in all cases. The average American Orthopaedic Foot and Ankle Society (AOFAS) score was 68 points. A limitation of the ankle motion occurred in all cases. In four cases, wound infections due to initial open wounds occurred; one patient underwent a below the knee amputation due to chronic osteomyelitis. Post-traumatic arthritis occurred in 10 cases. Conclusion: Severe comminuted tibial plateau open fractures of Reudi-Allgower type II and III, which are high-energy injuries that result in extensive soft tissue damage, have a higher incidence of complications, such as ulcer problems and osteomyelitis, than closed tibia plateau fractures. Post-traumatic arthritis is the most common complication of tibia plateau open fractures, and staged surgery is recommended because of the relatively satisfactory clinical results.

• 대한족부족관절학회지
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• 제15권2호
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• pp.51-57
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• 2011

Pilon fractures involving distal tibia remain one of the most difficult therapeutic challenges that confront the orthopedic surgeons because of associated soft tissue injury is common. To introduce and describe the diagnosis, current treatment, results and complications of the pilon fractures. In initial assessment, the correct evaluation of the fracture type through radiographic checkup and examination of the soft tissue envelope is needed to decide appropriate treatment planning of pilon fractures. Even though Ruedi and Allgower reported 74% good and excellent results with primary open reduction and internal fixation, recently the second staged treatment of pilon fractures is preferred to orthopedic traumatologist because of the soft tissue problem is common after primary open reduction and internal fixation. The components of the first stage are focused primarily on stabilization of the soft tissue envelope. If fibula is fractured, fibular open reduction and internal fixation is integral part of initial management for reducing the majority of tibial deformities. Ankle-spanning temporary external fixator is used to restore limb alignment and displaced intraarticular fragments through ligamentotaxis and distraction. And the second stage, definitive open reduction and internal fixation of the tibial component, is undertaken when the soft tissue injury has resolved and no infection sign is seen on pin site of external fixator. The goals of definitive internal fixation should include absolute stability and interfragmentary compression of reduced articular segments, stable fixation of the articular segment to the tibial diaphysis, and restoration of coronal, transverse, and sagittal plane alignments. The location, rigidity, and kinds of the implants are based on each individual fractures. The conventional plate fixation has more advantages in anatomical reduction of intraarticular fractures than locking compression plate. But it has more complications as infection, delayed union and nonunion. The locking compression plate fixation provides greater stability and lesser wound problem than conventional implants. But the locking compression plate remains poorly defined for intraarticular fractures of the distal tibia. Active, active assisted, passive range of motion of the ankle is recommended when postoperative rehabilitation is started. Splinting with the foot in neutral is continued until suture is removed at the 2~3 weeks and weight bearing is delayed for approximately 12 weeks. The recognition of the soft tissue injury has evolved as a critical component of the management of pilon fractures. At this point, the second staged treatment of pilon fractures is good treatment option because of it is designed to promote recovery of the soft tissue envelope in first stage operation and get a good result in definitive reduction and stabilization of the articular surface and axial alignment in second stage operation.

• International Journal of Ocean System Engineering
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• 제1권2호
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• pp.76-88
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• 2011

The present study deals with the hydroelastic vibration analysis of structures in contact with fluid via coupled fluid-structure interaction (FSI) embedded with a finite element method (FEM) such that a structure displacement formulation is coupled with a fluid pressure-displacement formulation. For the preliminary study and validation of FEM based coupled FSI analysis, hydroelastic vibration characteristics of a rectangular plate in contact with fluid are first compared with the elastic vibration in terms of boundary condition and mode frequency. Numerical results from coupled FSI analysis have been shown to be rational and accurate, compared to energy method based theoretical solutions and experimental results. The effect of free surface on the vibration mode is numerically studied by changing the submerged depth of a rectangular plate. As a practical application, the hull structural vibration of 4,000 twenty-foot equivalent units (TEU) container ship is considered. Hydroelastic results of the ship hull structure are compared with those obtained from the elastic condition.

• 한국콘텐츠학회논문지
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• 제10권8호
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• pp.283-291
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• 2010

이 연구의 목적은 인체모형을 이용하여 옮기기 활동을 하는 동안 발의 배치(11자 배치와 $90^{\circ}$배치)와 옮기는 지면의 높이(휠체어 좌석과 같은 높이와 다른 높이)가 허리척추에 미치는 영향을 알아보는 것이었다. 자발적으로 실험참여에 동의한 건강한 남성 15명을 대상으로 4가지 조건에 따라 옮기기 활동을 실시 하였다. 옮기기 활동 동안 허리척추의 작업부담을 알아보기 위해, 위팔두갈래근, 척추세움근, 넙다리근의 근활성도를 표면근전도로 측정하였고, 힘판을 이용하여 수직 지면반발력을 측정하였고, L4/L5에 가해지는 압박력을 3DSSPP를 이용하여 측정하고 분석하였다. 그 결과, 오른쪽 넙다리근의 근활성도를 제외한 나머지 근육의 근활성도는 각 조건 사이 유의한 차이가 없었다. 수직 지면반발력은 각 조건 사이 유의한 차이가 있었다(p<.05). 또한 L4/L5에 가해지는 압박력은 같은 높이인 경우 발의 배치에 따라 유의한 차이가 있었다(p<.05). 따라서 옮기기 시 발을 11자로 배치하는 것보다 발을 90°로 배치하는 것이 체중이 한쪽으로 쏠리는 경향과 L4/L5 압박력을 줄이는데 도움이 되기 때문에 환자 옮기기 시 이를 적용하는 교육이 필요할 것이다.

• 대한인간공학회지
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• 제25권4호
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• pp.115-119
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• 2006

To investigate the effects of independent suspension technology(IST) of hiking boot on the stability and load of foot, eight participants performed medial and lateral drop landing from 33.4cm height and 85cm distance to uneven surface while wearing normal & IST hiking boots. For the stability of foot during the drop landing, the balance angle & suspension angle and rearfoot angle was analyzed using high-speed video analysis. Also kinetic analysis using the force plate and insole pressure measurement was conducted to analyze vertical & breaking ground reaction force and pressure distribution. Not only the balance angle & suspension angle but also rearfoot angle was improved with IST boots for lateral drop landing. These results indicate the IST boots may have the suspension function which keeps the foot to be stable during landing. However the IST boots did not show any effect for medial landing. This might be related to the hardness of medial part of outsole. Therefore the softer outsole of medial part could be recommended. Furthermore the impact force & breaking force and insole pressure were reduced with IST boot. These results means that IST boot has not only cushioning effect but also good grip effect. Therefore the hiking boots applied the independent suspension function may help to reduce fatigue and prevent injury such as ankle sprain in hiking on uneven surface.

• 대한족부족관절학회지
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• 제11권1호
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• pp.86-90
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• 2007

Purpose: We evaluated the results of operative treatment with F or H plates and screws using extensile lateral approach in intraarticular calcaneal fractures. Materials and Methods: From August 2003 to July 2006, twenty intraarticular calcaneal fractures which were operated with open reduction and internal fixation with F or H plates and screws were evaluated retrospectively. According to the Essex-Lopresti classification, 3 cases were tongue type and 16 were joint depression type. With the Sanders classification, 2 cases were IIA type, 7 were IIB, 5 were IIIAB, 2 were IIIAC and 3 were IV. We have analysed the $B{\ddot{o}}hler$ angle, Gissane angle, and calcaneal width in radiologic evaluation, and evaluated clinical result according to the Creighton-Nebraska Health Foundation Score. Results: Radiologic changes showed as follows: $B{\ddot{o}}hler$ angle improved from $5.8^{\circ}$ to $25.9^{\circ}$, Gissane angle from $119.0^{\circ}$ to $113.3^{\circ}$, and calcaneal width from 50.4 mm to 37.8 mm. In the clinical results, excellent cases were noted in 8 cases, good in 8 cases, fair in 2 cases, poor in 1 case. Conclusion: Operative treatment with F or H plates and screws using extensile lateral approach in intraarticular calcaneal fractures was thought to be a useful operative method allowing anatomical reduction.

• 한국전문물리치료학회지
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• 제25권2호
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• pp.1-12
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• 2018

Background: It is very difficult for hemiplegic patients to effectively perform the sit-to-stand (STS) movements independently because of several factors. Moreover, the analysis of STS motion in hemiplegic patients has been thus far confined to only muscle strength evaluation with little information available on structural and environmental factors of varying chair height and foot conditions. Objects: This study aimed to analyze the change in biomechanical factors (ground reaction force, center of mass displacement, and the angle and moment of joints) of the joints in the lower extremities with varying chair height and foot conditions in hemiplegic patients while they performed the STS movements. Methods: Nine hemiplegic patients voluntarily participated in this study. Their STS movements was analyzed in a total of nine sessions (one set of three consecutive sessions) with varying chair height and foot conditions. The biomechanical factors of the joints in the lower extremities were measured during the movements. Ground reaction force was measured using a force plate; and the other abovementioned parameters were measured using an infra-red camera. Two-way repeated analysis of variance was performed to determine the changes in biomechanical factors in the lower extremities with varying chair height and foot conditions. Results: No interaction was found between chair height and foot conditions (p>.05). All measured variables with varying chair height showed a significant difference (p<.05). Maximum joint flexion angle, maximum joint moment, and the displacement of the center of mass in foot conditions showed a significant difference (p<.05); however the maximum ground reaction force did not show a significant difference (p>.05). Conclusion: The findings suggest that hemiplegic patients can more stably and efficiently perform the STS movement with increased chair height and while they are bare-foot.

• 센서학회지
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• 제16권3호
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• pp.211-219
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• 2007

This paper describes the development of 6-axis force/moment sensor for a humanoid robot. In order to walk on uneven terrain safely, the robot's foot should perceive the applied forces Fx, Fy, Fz and moments Mx, My, Mz to itself, and be controlled by the foot using the forces and moments. Also, in order to grasp unknown object safely, the robot's hand should perceive the weight of the object using the mounted 6-axis force/moment sensor to its wrist, and be controlled by the hand using the forces and moments. Therefore, 6-axis force/moment sensor should be necessary for a humanoid robot's hand and foot. In this paper, 6-axis force/moment sensor for a humanoid robot was developed using many PPBs (parallel plate-beams). The structure of the sensor was newly modeled, and the sensing element of the sensor was designed using theoretical analysis. Then, 6-axis force/moment sensor was fabricated by attaching strain-gages on the sensing elements, and the characteristic test of the developed sensor was carried out. The rated outputs from theoretical analysis agree well with the results from the experiments.

• 대한족부족관절학회지
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• 제22권4호
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• pp.173-176
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• 2018

Pigmented villonodular synovitis (PVNS) is a proliferative disease that affects the synovial joint, tendon and bursa. PVNS can form a nodular structure in any joint, but it most commonly affects the knee joint and is rare in the foot and ankle joint. PVNS is divided into two types. Localized-type PVNS exhibits focal involvement with a nodular mass, while diffuse-type PVNS involves the entire synovium. Synovitis of the affected joint can also destroy cartilage and bone. Diffuse type accounts for 75% of PVNS and has a reported recurrence rate of 12.2% to 46%; aggressive synovectomy is recommended as the most effective treatment. In localized-type PVNS, only arthroscopic partial synovectomy is effective with a lower recurrence rate. We report a patient with severe ankle joint arthritis induced by diffusetype PVNS. The patient was treated by lateral malleolar ostectomy and ankle arthrodesis with a plate and screws via a lateral approach.