• Clinical Pain
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• 제18권2호
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• pp.102-106
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• 2019

Tuberculosis in the foot progresses gradually; thus, diagnosis is usually delayed, and early treatment is rarely provided. If osteomyelitis occurs due to delayed diagnosis and treatment, surgical treatment should be considered. We report the case of a 46-year-old man with osteomyelitis of the calcaneus who was diagnosed with multidrug-resistant pulmonary tuberculosis and he was treated with anti-tuberculosis drugs. Bilateral adrenal masses, abscess of both testes and a small wound in the left plantar heel were observed. Both adrenal masses and abscess were regarded as paradoxical reaction of anti-tuberculosis treatment. After 1 month, he developed a pain in the left plantar heel that was compatible with calcaneal osteomyelitis in radiological features. He underwent right orchiectomy for right scrotal abscess aggravation and surgical treatment for left calcaneal osteomyelitis. Mycobacterium tuberculosis was confirmed by polymerase chain reaction. The patient was immobilized by cast for 8 weeks and the heel pain gradually improved.

• 한국운동역학회지
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• 제12권1호
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• pp.31-46
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• 2002

The purpose of this research is to provide scientific training guides and the basis for preventing injuries in performing tango backward walk by comparing the effects the height and shape of a heel will have on leg muscles and determining the difference between skilled and unskilled dancers through EMG analysis according to different types of shoes Total eight female athletes were selected for this research. Four with six years of professional dancing experience and another four with one year of dance sports experience. Utilizing the EMG system, rectus femoris, biceps femoris, anterior tibialis, gastrocnemius were measured under different heights (0cm, 5cm, 7cm, 9cm) and shapes (flat, fine, wide) of a heel. Experiments were conducted calculating EMG peak value and muscle load ration under different types of shoes in order to analyze the EMG of leg muscles and Erector Spinae when performing tango backward walk. The result was as follows: 1. The EMG peak value of leg muscles showed significant difference under different heights of a heel in anterior tibialis(p<.001) and gastrocnemius(p.<01) in case of skilled dancers, and in biceps femoris(p.<01) in case of unskilled dancers. 2. The EMG peak value of leg muscles showed significant difference under different shapes of a heel in anterior tibialis(p<.001) and gastrocnemius(p<.001) in case of skilled dancers, and showed no significant difference in case of unskilled dancers. 3. The muscle load ration of leg muscles showed different degrees of muscle contribution between skilled and unskilled dancers. The muscle load ration was in the order of anterior tibialis, rectus femoris, biceps femoris, and gastrocnemius in case of skilled dancers and anterior tibialis, gastrocnemius, biceps femoris, and rectus femoris in case of unskilled dancers.

• Archives of Reconstructive Microsurgery
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• 제8권1호
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• pp.15-21
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• 1999

Soft tissue defect on heel area of the foot present difficult problems particularly because of anatomic property of plantar surface of the foot. There is a paucity of available local tissue in the foot for coverage. In addition to having little expandable tissue, the foot's plantar surface has a unique structure, making its replacement especially challenging. Plantar skin is attached to the underlying bone by fibrous septa, preventing shear of the soft-tissue surfaces from the underlying skeleton. Plantar surface of foot is in constant contact with the environment. Protective sensibility also would be maintained or restored in the ideal reconstruction. So the ideal flap for reconstruction of the heel should include thin, durable hairless skin with potential for reinnervation. The aim of this article is to present a clinical experience of free lateral arm neurosensory flap for reconstruction of the heel. From March 1995 to December 1997, a total 16 lateral arm free flaps were performed to soft tissue defects on the weight-bearing area of the hindfoot. we used tibial nerve as recepient nerve in 11 and calcaneal branch of tibial nerve in 5 for restoration of sensibility of flap. All cases survived completely. A static two-point discrimination of 14 to 34mm was detected in the flap. Radial nerve palsy which was caused by hematoma in donor site occured in one case, but recorverd in 3 weeks later completely. In conclusion, the lateral arm free flaps are versatile, reliable and sensible cutaneous flap and especially indicated for soft tissue defect on plantar surface of the hindfoot which are not good indications for other better-known flaps.

• 대한물리의학회지
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• 제2권1호
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• pp.49-59
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• 2007

Objective : To purpose of this study was the most of the ladies wear high-heeled shoes at lease 4 to 5 day a week but the effect of it's height on the lumbo-sacral legion angle has not been clearly defined. Method : Subject were 20 young ladies, who had majored in physical therapy of the Dae-gu Health College. Method 1. PACS system X-ray was used to measure the lumbo-sacral legion angle under the condition of bare foot, 3cm, 7cm high-heeled at standing position. 2. Spinal Mouse was used to measure the spinal segment motion angle and length under the condition of bare foot, 3cm, 7cm high-heeled at being Flexion-Extension position Result : The result of this study were as follow I. Significant statistical increase in lumbar lordosis was observed as the heel height was increased from bare foot to 7cm high-heeled(p<.05), but there was no significant difference in the lumbo-sacral angle & sacral angle(p>.05). 2. The Height and the weight of the subjects, their preference on the shoes didn't affect the lumbo-sacral lesion angle(p>.05) 3. The variation of the heel height didn't affect the spinal segment motion angle and length(p>.05). Conclusion : There is strong relationship between the high of heel with increasing the lumbar lordosis(p<.05).

• 한국안전학회지
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• 제23권1호
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• pp.35-45
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• 2008

This study was performed to compare the kinematics among three different safety shoes(type 1: ergonomically designed and high quality shoes, 2: curved and cushioned safety shoes, and 3: regular safety shoes) and to find the effect of insole during walking. Ten healthy subjects were recruited for this study. The range of motion of knee and ankle joint, angle of rear foot and angle of heel contact were measured using a three dimensional motion analysis system. In the second peak, the angle of heel contact showed statistically significant difference between safety shoes and insole, however, there was no statistical significance among three different safety shoes. The angle of ankle increased significantly at initial contact, first peak, the second peak and the toe off phase compared with type 1 and 2 safety shoes, and the angle of ankle showed statistically significant difference between with and without applying the insole. During the first peak, the second peak and the toe off phase, the angle of knee was statistical significance between safety shoes and insole. In heel contact, the angles of Achilles' tendon showed statistically significant difference between safety shoes and insole. The rear foot angles showed statistically significant difference between safety shoes and insole during heel contact and early heel contact. These results suggest that the type 1 safety shoes were superior to others in the statistics, and applying insole could be a possible method to prevent fatigue of lower extremity and musculoskeletal disorders. Further studies are needed to find the effect of ergonomically designed safety shoes and insole on practical value in prevention of musculoskeletal disorder, fatigue and satisfaction of workers.

• 한국항해항만학회지
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• 제42권4호
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• pp.283-290
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• 2018

선박사고는 환경적인 요인으로 인해 경사가 항상 존재한다. 선박의 경사는 선내 재실자의 피난 이동속도뿐만 아니라 선내 화재성장에도 영향을 미치기 때문에 화재해석 시 경사조건을 고려하여 위험분석을 할 필요가 있다. 이에 이 연구에서는 FLUENT를 이용하여 선박의 횡경사와 종경사 변화에 따라 산정된 온도결과 값에 의해 화재에 미치는 영향을 분석하였다. 화원의 위치를 기준으로 횡경사가 $-10^{\circ}$일 때 37초, 종경사는 $-10^{\circ}$일 때 36초 이내에 피난을 해야 하는 반면, 횡경사가 $+10^{\circ}$, 종경사가 $+10^{\circ}$인 경우 피난에 영향을 미치지 않을 것으로 예측되었다. 이와 같은 결과를 바탕으로, 선박화재 시 화재발생위치를 기준으로 횡경사와 종경사를 고려하여 피난유도 및 대책을 마련해야함을 확인하였다.

• 한국운동역학회지
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• 제19권1호
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• pp.87-98
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• 2009

본 연구는 남자고등학생 숙련자와 비 숙련자의 던지기 동작을 역학적으로 비교 분석하기 위해 3차원 영상분석 및 지면반력분석을 수행하였다. 연구 결과 숙련자는 공 던지기 동작의 총 소요 시간이 비숙련자보다 짧게 나타났으며, 숙련자는 (1) 왼발 착지 시 신체중심의 수평속도 (2) 전 구간에서 전완 분절의 수평속도 (3) 착지 시 손 분절의 수평속도가 비숙련자보다 빠르게 나타난 반면, 비숙련자는 (1) 착지이후에 신체중심의 수평속도 (2) 왼발이 지면에 닿는 시점에서 손 분절의 수평속도가 숙련자보다 빠르게 나타났다. 전후경각도에서 숙련자는 전 구간에서 후경자세를 취하는 것으로 나타났으나, 비 숙련자는 릴리즈 전까지는 후경자세를 취하다 릴리즈 순간에서는 전경자세를 취한 형태에서 릴리즈를 하는 것으로 나타났다. 또한 숙련자는 공 던지기 동작에서 (1) 어깨각도 (2) 이지 후 오른발의 착지에서 팔꿈치 각도 (3) 최대수직지면반력 (4) 오른발의 착지 시 최대전후지면반력이 비숙련자보다 크게 나타났다. 이와 같은 결과에서 숙련자는 비숙련자보다 안정된 자세로 신체의 중심을 후방에 위치시키는 후경자세를 유지하고 신체의 중심이동을 부드럽게 전환하는 효과적인 던지기 동작이 이루어짐을 알 수 있다.

• 한국항해항만학회지
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• 제27권5호
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• pp.465-471
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• 2003

내항 탱커가 비교적 정온한 해역에서 타선을 피하기 위해 대각도 조타론 행한 결과, 선회 중에 전복하는 사고가 발생하였다. 저자들은 전 논문에서 비중량이 큰 액체화물의 자유표면영향에 의한 중심상승과 전진 항해 중에 발생하는 선체 침하와 이로 인하여 생기는 선체 트림의 변화 때문에 발생하는 복원력 감소를 고려하여 사고선박의 복원력 곡선을 계산하였다. 본 논문에서는 먼저 전복사고를 당한 선박의 모형선을 제작하여 자항 선회실험을 실시하고 전복선박의 정상 선회시의 선회반경, 편류각 및 선속을 계측한다. 그리고 자항 선회실험을 통하여 얻은 선회반경, 선속 및 횡 편류각을 기초로 하여 각 경사각에 따른 측 압력과 경사 모멘트에 관한 실험을 실시하고, 갑판상 해수 침입이 측 압력과 경사 모멘트에 미치는 영향에 대해서 파악한다. 마지막으로 선회시 해수 침입으로 인해 발생하는 외측 경사 모멘트와 측압 중심의 변화론 조사함으로써 전복사고가 발생한 저건현 내항 탱커의 복원성에 대하여 검토를 하였다.

• 한국운동역학회지
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• 제24권2호
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• pp.111-119
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• 2014

The purpose of this study was to investigate the effects of localized muscle fatigue and whole body fatigue on postural control during single-leg stance after impairment induced by heel raise and the Harvard step test. Thirty-eight university students (19 men: age, $20.1{\pm}0.2$ yrs; height, $175.0{\pm}5.23cm$; weight, $66.8{\pm}5.6kg$; body mass index, $21.8{\pm}1.7kg/m^2$, 19 women: age, $20.6{\pm}1.1yrs$ ; height, $163.6{\pm}6.7cm$; weight, $58.8{\pm}4.6kg$; body mass index, $22.0{\pm}2.2kg/m^2$) were participated in this study. Subjects performed a series of single-leg postural tasks prior to, following, and 24 hours after completing: heel raise or the Harvard step test. This study showed that the root mean squared distance and velocity in the anteroposterior and mediolateral planes of the center of pressure decreased significantly due to heel raise exercise-induced fatigue. Furthermore, the root mean squared distance in the anteroposterior and mediolateral planes, and the 95% confidence ellipse area of the center of pressure also decreased significantly 24 hours after completing the Harvard step test. In conclusion, this study showed that both heel raise exercise- and Harvard step exercise-induced fatigue affects postural control during single-leg stance in AP and ML planes. Furthermore, this study suggests that changes in the postural control strategy may have occurred after the fatigue protocols during single-leg stance. Also vision can attenuate the postural deficits associated with the fatigues. In order to clarify these results, further studies using other equipment and variables are necessary.

• Clinics in Shoulder and Elbow
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• 제22권3호
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• pp.139-145
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• 2019

Background: The present study was undertaken to evaluate the relationship between location of the rotator cuff tear and shape of the subacromial spur. Methods: Totally, 80 consecutive patients who underwent arthroscopic repair for partial thickness rotator cuff tear were enrolled for the study. Bigliani's type of the acromion, type of subacromial spur, and location of partial thickness tear of the rotator cuff were evaluated using plain X-ray and magnetic resonance imaging. We then compared the groups of no spur with spur, and heel with traction spur. Results: Of the 80 cases, 25 cases comprised the no spur group, and 55 cases comprised the spur group. There was a significant difference in type of tear (p=0.0004) between these two groups. Bursal side tears were significantly greater (odds ratio=6.000, p=0.0007) in the spur group. Subjects belonging to the spur group were further divided into heel (38 cases) and traction spur (17 cases). Comparing these two groups revealed significant differences only in the type of tear (p=0.0001). Furthermore, the heel spur had significantly greater bursal side tear (odds ratio=29.521, p=0.0005) as compared to traction spur. Conclusions: The heel spur is more associated to bursal side tear than the traction spur, whereas the traction spur associates greater to the articular side tear.