• 제목/요약/키워드: Heel-effect

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침도침술을 시행한 아킬레스건염 증례보고 (Case Study of Oriental Medicine Treatment with acupotomy Therapy of the Achilles Tendinitis)

  • 장은하;임나라;나원민;김성철
    • 대한약침학회지
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    • 제11권4호
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    • pp.87-94
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    • 2008
  • Purpose In order to estimate clinical effects of Oriental Medicine Treatment with acupotomy therapy of Achilles Tendinitis Methods From 4th August, 2008 to 14th August, 2008, 1 female patient diagnosed as Chronic Achilles Tendinitis (clinical diagnosed) was treated with general oriental medicine therapy(acupuncture, moxibustion, cupping, physical therapy, herbal medication) and acupotomy. Results The patient's chief complaints- Lt. heel pain and stiffness, dorsi-flexion limitation, nodules in the achilles tendon- were notably improved. Conclusions This study demonstrates that oriental medical treatment with acuputomy therapy has significant effect in improving symptoms of achilles tendinitis. as though we had not wide experience in this treatment, more research is needed.

견갑 및 부견갑 병합 유리피판에 의한 광범위한 사지 연부 조직 결손의 수복 (Free Vascularized Scapular and Parascapular Combined Flap Coverage for Extensive Soft Tissue Injury of the Extremity)

  • 최수중;장기영;이창주
    • Archives of Reconstructive Microsurgery
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    • 제14권2호
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    • pp.144-151
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    • 2005
  • Purpose: Disaster as traffic accident, industrial disaster, high voltage electrical bum and flame burn of extremity have a destructive effect because of the involvement of deep structure. Generally, such injury may result in decreased function or loss of limb. In this study the successful use of the combined scapular/parascapular flap as microsurgical transfer to cover extensive defect of electrical and flame bum is reported. Material and Method: Between January 2000 and June 2001, the combined scapular and parascapular flap was used for the coverage of soft tissue defect for 7 patients were admitted to our department with high voltage electrical bum and flame burn. The recipient site were the wrist joint in 2 cases, the forearm in 1 case, the ankle joint in 1 case, the foot dorsum in 1 case, the heel in 1 case. Result: Flap survival was complete in all patients. The result of flap coverage for these deep wound was successful. Conclusion: The advantages of scapular/parascapular combined flap were coverage of the large defect, easy shaping of the flap to fit the required three dimensional configuration around the joint, non hair bearing skin of uniform thickness, minimal donor site morbidity.

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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
    • 대한물리의학회지
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    • 제12권4호
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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.

Air-gap effect on life boat arrangement for a semi-submersible FPU

  • Kim, Mun-Sung;Park, Hong-Shik;Jung, Kwang-Hyo;Chun, Ho-Hwan
    • International Journal of Naval Architecture and Ocean Engineering
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    • 제8권5호
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    • pp.487-495
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    • 2016
  • In the offshore project such as semi-submersible FPU and FPSO, the free fall type life boat called TEMPSC (Totally Enclosed Motor Propelled Survival Craft) has been installed for the use of an emergency evacuation of POB (People on Board) from the topside platform. For the design of life boat arrangement for semi-submersible FPU in the initial design stage, the drop height and launch angle are required fulfill with the limitation of classification society rule and Company requirement, including type of approval as applicable when intact and damage condition of the platform. In this paper, we have been performed the numerical studies to find proper arrangement for the life boats consider drop height in various environmental conditions such as wave, wind and current. In the calculations, the contributions from static and low frequency (LF) motions are considered from the hydrodynamic and mooring analysis as well as damage angle from the intact and damage stability analysis. Also, Air-gap calculation at the life boat positions has been carried out to check the effect on the life boat arrangement. The air-gap assessment is based on the extreme air-gap method includes the effect of 1st order wave frequency (WF) motions, 2nd order low frequency roll/pitch motion, static trim/heel and set down.

불안정한 면에서의 체간 훈련이 뇌졸중 환자의 비례추진력에 미치는 영향 (Effect of Trunk Control Training on Labile Surface on Relative Impulse in the Persons with Stroke)

  • 장상훈;안지현;김진상
    • The Journal of Korean Physical Therapy
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    • 제24권2호
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    • pp.163-169
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    • 2012
  • Purpose: The present study was designed to investigate the effect of trunk control training on the labile surface on relative impulse and balance in stroke patients. Methods: A total of 21 participants were assigned to an experimental group (n=11) or a control group (n=10). In addition to conventional therapy, the experimental group received trunk control training on the swiss ball; 20 minutes, 4 times a week, for 8 weeks. Balance ability was evaluated by FRT (functional reaching test) and TUG (time up and go). In addition relative impulse in 6 areas of the foot (hallux, 1st metatarsal head, 2~3 metatasal head, 4~5 metatasal head, mid foot and heel) were measured using the F-scan system to evaluate locomotion ability during gait. Results: Significant differences in the relative impulse were observed in the areas of the 2~3 metatasal head during gait after exercise in both the control group and experimental group (p<0.05). Also, a significant increase was seen in the hallux after exercise in the experimental group (p<0.05), but no such significant increase was seen in the control group (p>0.05). Significant differences were observed in FRT and TUG in the experimental group but no such significant increase was observed in the control group (p>0.05). Conclusion: These results suggest that trunk control training on labile surface improves the balance in stroke patients and has a positive effect on locomotion ability.

석조유구(石造遺構)를 통한 한국(韓國) 고대건축(古代建築)에 관한 연구(硏究) -삼국시대와 통일신라시대를 중심으로- (A Study on the Ancient Architecture in view of the Stone Remains (focused on the 3 Kingdom Period and Unificated Shilla Period))

  • 천득염;박지민
    • 건축역사연구
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    • 제8권3호
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    • pp.23-38
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    • 1999
  • The purpose of this study is to analogize the appearance of Korean Ancient Architecture in view of the Stone Remains from 3 Kingdom Period to Unificated Shilla Period. But in these period, there is no building remains but some stupas and fine arts. Especially, there are many architectural appearance and revealing signature in these Historical Stone remains. Architectural elements which are analogized by stone remains what has value as historical materials by preservation of original form from 3 Kingdom Preiod to Unificated Shilla Period are as follows : 1) Platform, the representative characteristic of Korean traditional architecture, was frame structure and accumulate structure. And circular or square footing stood a same shape column on it is put on the platform. 2) In the case of column, there used entasis column and inclined column and circular chamfer technique was applied on the top side of it. Upper side of column, capital and head pentrating tie that small bearing block was put on the center of it was joined. And longitu야nal rest(長舌) supported a cross beam. Capital and small bearing block had no bottom heel, and heel side was curved and straight. Centered bracket structure was often used, and multi bracket structure is not used yet. Inward incline technique was used. 3) Inward opening pair door which had lintel, threshold, doorjamb was usually used, Fixing stone was used for structural safety, and circular handle and lock was used for decoration. Handrail was used on the edge of wooden floor for decorative effect and safety. 4) Square rafter and circular rafter were used in the same period and so did flying rafter. Double eaves and single eave were used in the same period but, single eave was usually used. In this period, square rafter was usually used. This would be studied more by comparing with Japanese wooden architecture. 5) Hipped roof was used and half-hipped roof was not used yet. In front of th hip, there are small sculpture called Jap-Sang(雜像), and windbell was hang on the end of the hip rafter. Concave roof tile, convex roof tile, round eaver tile, decorative tile at end of roof ridge were used. Lotus style was well used on the face of roof tile for decoration. From the results of this study, wooden architecture of Unificated Shilla period was simple compare to Koryo dynasty and Chosun dynasty but, it had some brilliant character. It was hard work that analogized the form of non-existent wood architecture of Ancient Korean period by restricted stone remains. But, in addition to the results of this study and research of old documentations, more study should be go on.

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롤러 신발과 조깅 슈즈 신발 착용 후 보행 시 지면반력의 형태 비교 분석 (The Effects of Wearing Roller Shoes on Ground Reaction Force Characteristics During Walking)

  • 채원식
    • 한국운동역학회지
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    • 제16권1호
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    • pp.101-108
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    • 2006
  • The purpose of this study was to compare GRF characteristics during walking wearing jogging and roller shoes. Twelve male middle school students (age: $15.0{\pm}0.0\;yrs$, height: $173.6{\pm}5.0\;cm$, weight: $587.6{\pm}89.3\;N$) who have no known musculoskeletal disorders were recruited as the subjects. Kinematic data from six S-VHS camcorders(Panasonic AG456, 60 fields/s) and GRF data from two force platform; (AMII OR6-5) were collected while subjects walked wearing roller and jogging shoes in random order at a speed of 1.1 m/s. An event sync unit with a bright LED light was used to synchronize the video and GRF recordings. GRF data were filtered using a 20 Hz low pass Butterworth. digital filter and further normalized to the subject's body weight. For each trial being analyzed, five critical instants and four phases were identified from the recording. Temporal parameters, GRFs, displacement of center of pressure (DCP), and loading and decay rates 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). Vertical GRFs at heel contact increased and braking forces at the end of initial double limb stance reduced significantly when going from jogging shoe to roller shoe condition. Robbins and Waked (1997) reported that balance and vertical GRF are closely related It seems that the ankle and knee joints are locked in an awkward fashion at the heel contact to compensate for the imbalance. The DCP in the antero-posterior direction for the roller shoe condition was significantly less than the corresponding value for the jogging shoe condition. Because the subjects tried to keep their upper body weight in front of the hip to prevent falling backward, the DCP for the roller shoe condition was restricted The results indicate that walking with roller shoes had little effect on temporal parameters, and loading and decay rates. It seems that there are differences in GRF characteristics between roller shoe and jogging shoe conditions. The differences in GRF pattern may be caused primarily by the altered position of ankle, knee, and center of mass throughout the walking cycle. Future studies should examine muscle activation patterns and joint kinematics during walking with roller shoes.

롤러 신발과 조깅 신발 착용 후 보행 시 하지 분절의 운동학적 특성 비교 분석 (The Comparative Analysis of Wearing Roller Shoes and Jogging Shoes on Kinematic Characteristics in the Lower Extremity during Walking)

  • 장재익;채원식;강년주;윤창진
    • 한국운동역학회지
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    • 제19권2호
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    • pp.399-406
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    • 2009
  • 본 연구의 목적은 롤러 신발과 조깅 신발 착용 후 보행 시 운동학적 변인에 대하여 비교 분석 하는데 있다. 이를 위해 하지 근골격계에 이상이 없는 중학생 8명을 피험자로 선정하여 3차원 동작 분석을 실시하였다. 분석 결과, 활보장, 인체무게 중심변위 및 선속도, 관절각 및 각속도에서 집단 간 통계적으로 유의한 차이를 보였다. 특히 롤러 집단의 경우 지지 시 발목 관절각이 증가하고 무릎각의 각속도가 감소하는 결과를 나타내었다. 이는 롤러 신발의 경우 장착된 휠에 의해 지지 시 적절한 배측굴곡이 이루지지 못하고, 불안정성을 극복하기 위해 무릎의 과도한 굴곡이 나타난 것으로 사료되어 진다. 이러한 운동학적 변인의 차이는 롤러 신발 보행 시 정상 패턴과는 다른 불안정한 보행 동작을 유발시키고 이러한 동작이 지속적으로 이루어진다면 하지 근골격계에 변화를 유발시켜 부상 유발의 가능성이 있을 것으로 생각된다. 따라서 본 연구 결과를 토대로 향후 보다 안정성 높은 롤러 신발을 개발할 수 있을 것으로 기대된다.

다감각 운동이 여성노인의 발 바닥 압력감각, 균형에 미치는 영향 (The Effect of Multisensory Exercise on Foot Pressure Sensitivity, Balance for the Elderly)

  • 강지은;이경옥;이태용
    • 한국운동역학회지
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    • 제25권1호
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    • pp.95-101
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    • 2015
  • Objective : The purpose of this study was to analyze the effects of multisensory exercise on foot pressure sensitivity and balance for the elderly. Method : The subjects were 17 elderly women (11 for the experimental group and 6 for the control group) with a mean age of 83. The subjects all lived in senior residence centers in Seoul. Multisensory exercise was done twice a week for 40 minutes during a 12 week period. Exercise programs were changed every 3 weeks according to the principal of gradual progress of the exercise. In order to train the vision system subjects were asked to open and close their eyes during exercise. When it came to training the vestibular system, subjects stood and walked on high elastic mats with their bare feet. For the somatasensory system subjects always stood and walked with their bare feet. The sub-Metatarsal Pad Elasticity Acquisition Instrument (MPEAI) was used to measure foot pressure sensitivity. MFT Balance test (V1.7) was used to measure anterior / posterior and medial / lateral directional balance. For the statistical analysis the IBM SPSS 21.0 was used to perform Repeatde measured ANOVA and Wilcoxon ranked test. Results : For the multisensory exercise group Hallux (after 6 weeks, 12 weeks), heel (after 6 weeks) and 2nd Metartarsal $40^{\circ}$ (after 6 weeks) pressure sensitivity increased statistically, but the control group didn't change. Also, balance didn't change for the experimental and control group statistically. Conclusion : Exercise with bare feet on a high elastic mat had a partially positive effect on foot sensitivity.

The Effect of Insole Height on Lumbosacral Angle and Body Function in Male University Students

  • Lee, Young Sin;Yu, Seong Hun;Kim, Seong Su
    • 대한인간공학회지
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    • 제34권4호
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    • pp.303-312
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    • 2015
  • Objective: The aim of this study is to investigate the effect of insole height change in the lumbosacral angle and physical functions in healthy males. Background: In order to release male's dissatisfaction with his height and to increase satisfaction with his body, using insole is generalized. There have been researches on female's body change in accordance with function of insole and heel height, whereas there are few researches on males. Method: Participants were divided into three groups. A control group had 10 participants who wore 0cm insole. Experimental group I had 10 participants who wore 2cm insole. Experimental group II had 10 participants who wore 4cm insole. All participants wore insoles during their daily lives for a trial period of 8 weeks. The results were evaluated before and after comparison, and we measured lumbosacral angle, balance (dynamic balance, agility, quickness) and lumbar pain (LBP). Results: This study showed that insole height affected lumbosacral angle and dynamic balance and pain. In particular, there were significant differences in the 4cm group among the three groups (p<.05). The 2cm group did show a significant difference in lumbosacral angle and pain (p<.05). Furthermore, no significant difference was observed within the control group. Conclusion: The 4cm insole height suggests that the increase of lumbosacral angle contributes to some changes in LBP, balance, pain and physical functions, probably leading to negative effects on variety of activities of daily life. Application: The results of wearing insoles with proper height will help to prevent musculoskeletal disorders.