• 한국정밀공학회:학술대회논문집
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• 한국정밀공학회 2008년도 춘계학술대회 논문집
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• pp.245-246
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• 2008

• 대한물리치료과학회지
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• 제2권3호
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• pp.599-608
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• 1995

If a controlled sensory stimulation is given to the specific receptors, a reflex movement and motor engrams is achieved by the principle of neurophysiology. Based on this theoretical background, we choose 80 healthy person(male 40,female 40) and compare chronaxie of before stimulation with after stimulation. Also we measured chronaxie with same method. Stimulation was applied to the muscle belly by tapping. The results are summarized as follows; 1. The mean value of rheobase measured from the proximal part of upper extremity is 3. 56mA for male, 4.04mA for female. 2. The mean value of rheobase measured from the lower extremity is 4.19mA for male, 4. 37mA for female, which is higher than that of upper extremity for both male and female. 3. The mean value of chronaxie from the proximal part of upper extremity is 0.91msec for male, 0.87 msec for female, which means male is higher than female, and the average is 0.82msec. 4. The mean value of chronaxie from the proximal part of lower extremity is 1.04msec for male, 1.14msec for female, which means female is higher than male. 5. The decrease of rheobase after stimulation is prominent at the triceps brachii for male, biceps brachii for female. 6. The decrease of rheobase after stimulation is prominent at the tibialis anterior for both male and female. 7. The decrease of chronaxie after stimulation is prominent for both male and female at the triceps brachii from upper extremity and at the tibialis anterior from lower extremity for both male and female.

• 대한한방내과학회지
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• 제38권5호
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• pp.641-649
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• 2017

Objective: Our aim was to report a case of hematoma in the lower extremity induced by anti-platelet agents (Astrix, Plavix). Methods: The patient was prescribed anti-platelet agents and a hematoma occurred three times in the lower extremity. Before admission, the hematoma had occurred in the lateral compartment area of left lower extremity ($2{\times}2cm$). We detected a spontaneous hematoma in the lateral compartment area of right lower extremity ($8{\times}4cm$) and we stopped the Astrix medication. We also used herbal medicine (大黃左經湯加味方 (Daehwangjwagyeong-tang-gami)), external therapy of 大黃梔子 (Dae-hwang-Chi-ja) powder, and wet cupping therapy. We then detected a spontaneous hematoma in the posterior compartment area of the left lower extremity ($5{\times}5cm$) and we stopped the Plavix medication. We also used herbal medicine and external therapy. Results: After cessation of the anti-platelet agents (Astrix, Plavix), no recurrence of hematoma was observed in lower extremity and there was no recurrence of cerebral infarction. Conclusions: When anti-platelet agents are administered, attention should be paid to the patient's age and adverse events of the drugs. Bleeding symptoms and adverse effects should be continuously monitored.

• 대한의용생체공학회:의공학회지
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• 제29권5호
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• pp.348-354
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• 2008

Segmenting vessels in lower extremity CT images is very difficult because of gray level variation, connection to bones, and their small sizes. Instead of segmenting vessels, we propose an approach that segments bones and subtracts them from the original CT images. The subtracted images can contain not only connected vessel structures but also isolated vessels, which are very difficult to detect using conventional vessel segmentation methods. The proposed method initially grows a 3-dimensional (3D) volume with a seeded region growing (SRG) using an adaptive threshold and then detects junctions and forked branches. The forked branches are classified into either bone branches or vessel branches based on appearance, shape, size change, and moving velocity of the branch. The final volume is re-grown by collecting connected bone branches. The algorithm has produced promising results for segmenting bone structures in several tens of vessel-enhanced CT image data sets of lower extremities.

• 대한인간공학회:학술대회논문집
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• 대한인간공학회 1994년도 춘계학술대회논문집
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• pp.124-135
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• 1994

A biomechanical model of lower extremity in seated postures was developed to assess muscular activities of lower extremity involved in a variety of foot pedal operations. It is found that nonlinear optimization method which has been used for modeling the articulated body segments does not predict the forces generated from biarticular muscles reasonably, so the revised nonlinear optimization scheme was employed to consider the synergistic effects of biarticular muscles in the model, assuming that the muscle forces are distributed proportionally based on their physiological cross sectional area and moment arm. The model incorporated four rigid body segments with the nine muscles to represent lower extreimity. For the model valida- tion, three male subjects performed the experiments in which EMG activities of the nine lower extremity muscles were measured. Predicted muscle forces were compared with the corresponding EMG amplitudes and it showed no statistical difference. The developed model can be used to design and to assess the pedals and foot-related equipments design.

• 대한중풍순환신경학회지
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• 제9권1호
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• pp.46-53
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• 2008

Cerebrovascular disease causes various symptoms like hemiparalysis, facial palsy, dysphagia, dysphasia etc. Although patients take lots of time to treatment, there are many cases symptoms could not be cured completely and patients could get sequelae. Jihwangeumja(dihuangyinzi) is used the cerebrovascular disease with dysphasia and motor impairment of the lower extremities due to weakness of kidney. The purpose of this study was to investigate the effect of Jihwangeumja on lower extremity weakness caught by cerebrovascular disease. In this study, we administered Jihwangeumja to two stroke patients with lower extremity weakness and analyzed the clinical progresses. As a result of the treatment, patients showed improved symptoms.

• 대한기계학회논문집
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• 제18권8호
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• pp.2101-2112
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• 1994

A two-dimensional biomechanical model was developed in order to calculated the lower extremity kinematics and kinetics during level walking. This model consists of three segments : the thigh, calf, and foot. Each segment was assumed to be a rigid body ; its motion to be planar in the sagittal plane. Five young males were involved in the gait experiment and their anthropometric data were measured for the calculation of segmental masses and moments of inertial. Six markers were used to obtain the kinematic data of the right lower extremity for at least three trials of walking at 1.0m/s, and simultaneously a Kistler force plate was used to obtain the foot-floor reaction data. Based on the experimental data acquired for the stance phase of the right foot, calculated vertical joint forces reached up to 0.91, 1.05, and 1.11 BW(body weight) at the hip, the knee, the ankle joints, respectively. The flexion-extension moments reached up to 69.7, 52.3, and 98.8 Nm in magnitude at the corresponding three joints. It was found that the calculated joint loadings of a subject were statistically the same for all his three trials, but not the same for all five subjects involved in the gait study.

• 대한산업공학회지
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• 제24권2호
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• pp.261-278
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• 1998

The paper represented the lower extremity muscle model as four rigid-body segments: trunk, shank, and foot. We transformed their tibial data into our shank data by rotating their tibial X and Y axes by 5.483 degrees, so the revised coordinate data used to translating the origin of their tibial reference frame to our shank reference frame. According to weight of subject, physiological cross-setional area(PCSA) of each lower extremity muscle was calculated by scaling those data by Brand. The objectives of this paper are to investigate the variations of the recruitment patterns of the lower extremity muscles, and to analyze the changes of the role assigned to each muscle during the seated foot operation. For exertion levels, the transition point of type F motor unit of each muscle is inferred by analyzing the electromyogram at the seated postures. Also, for predetermined seated foot operations exertion levels, the recruitment pattern and the changes of the role assigned are identified in the continuous exertion, by analyzing the electromyogram changes due to the accumulated muscle fatigue. This study can be used to design and to assess the pedals and foot-related equipments design.

• 한국운동역학회지
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• 제16권4호
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• pp.83-94
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• 2006

The purpose of this study is to elucidate how walking speed influences on change of angles of lower extremity and ground reaction force in normal and obese people. One group with normal body weight who were experimented at a standard speed of 1.5m/s and the other obese group were experimented at two different walking speeds (standard speed of 1.5m/s and self-selected speed of 1.3m/s). We calculated angles of lower extremity and ground reaction force during stance phase through video recording and platform force measuring. When the obese group walked at the standard speed, dorsi-flexion angle of ankle got bigger and plantar-flexion angle of ankle got smaller, which were not statistically significant. There was no significant difference of knee joint angles between normal and obese group at the same speed walking but significant post hoc only for the first flexion of knee joint in obese group. $F_z1$ was bigger than $F_z3$ in vertical axis for ground reaction force in both groups at the standard speed walking and the same force value at self-selected speed in obese group. $F_y3$ was always bigger than $F_y1$ in anterior-posterior axis in both groups.

• 임상간호연구
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• 제21권3호
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• pp.309-318
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• 2015

Purpose: The purpose of this study was to examine the effects of foot mats on reducing levels of fatigue, discomfort, lower extremity edema and skin temperature in scrub nurses during surgery. Methods: This study employed one group repeated measures design in which 16 scrub nurses (ages 22-38) stood on steel footstools (SF) during scrub as the conventional test and stood on SF with foot mats as the experimental test. Levels of fatigue, discomfort, lower extremity edema and skin temperature were measured before the first surgical hand scrub and right after the first surgery of the day for 3 consecutive days in both tests. Results: The changes in levels of fatigue and discomfort were significantly different between tests (p<.001~.033). Edema, determined by the differences in circumferences of the ankles and calves before and after the surgery was also significantly different between groups (p=.001~.011). However, the change in skin temperature on the foot tops of both feet was not different between tests (p=.351~.467). Conclusion: The results of this study show that using foot mats on top of the steel footstool is effective in reducing the levels of fatigue, discomfort and lower extremity edema in scrub nurses during surgery.