• Title/Summary/Keyword: Limbs

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How to Transform a Perforator Propeller Flap into a Keystone Flap in Case of Unsatisfying Perforator Vessel Local Perforator Flap Coverage in Limbs

  • Elena Ciucur;Hadj Boukhenouna;Benjamin Guena;I. Garrido-Stowhas;Christian Herlin;Benoit Chaput
    • Archives of Plastic Surgery
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    • v.50 no.2
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    • pp.194-199
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    • 2023
  • Moderate soft-tissue defects need stable coverage, ideally with tissue of similar characteristics and low donor site morbidity. We propose a simple technique for the coverage of moderate skin defects in the limbs. It allows intraoperative transformation of a propeller perforator flap (PPF) into a keystone design perforator flap (KDPF) in cases of unsatisfying perforator vessel or in cases of unpredictable intraoperative events. Between March 2013 and July 2019, nine patients with moderate soft-tissue defects (mean defect size 4.5 × 7.6 cm) in the limbs (two on the upper limbs and seven on the lower limbs) were covered using this technique. We performed four PPFs and five KDPFs. The mean follow-up was 5 months. There was one complication, partial distal tip necrosis in a PPF located in the leg, which healed by secondary intention within 3 weeks. The donor site was closed directly in all cases. No functional impairments were noted regardless of the perforator flap utilized. This technique enables us to employ flexible surgical strategies and allows us to make adjustments based on the patient's vascular anatomy.

Characteristics of the Lower Limbs Muscular Force on the Angle Variation of Tilting Bed (경사 침대의 각도 변화에 따른 하지 근력 특성)

  • 김경;김성현;정성환;김기범;권대규;홍철운;김남균
    • Proceedings of the Korean Society of Precision Engineering Conference
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    • 2004.10a
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    • pp.944-947
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    • 2004
  • The purpose of this study was to identify the characteristics of muscular power by COP(center of pressure) training according to the angle variation of tilting bed. We changed the angles of tilting bed(up-down direction 0$^{\circ}$, 15$^{\circ}$, 30$^{\circ}$, 45$^{\circ}$ and right-left direction -15$^{\circ}$, 0$^{\circ}$, +15$^{\circ}$) for the correlation between angles and muscular power. And we measured EMG(electormyography) of lower limbs muscle(rectus femoris, biceps femoris, and gastrocnemius, tibialisa anterior) during COP training. COP training was divided by the COP trace training(in all direction) and sine wave trace training(vertical and horizontal direction). As the result, we obtained the improvement effect of COP training and we showed that electromyography(EMG) variations of lower limbs muscle on the angle variations of tilting bed were investigated.

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Clinical Study on 1 Case of Both Lower Limbs Weakness Patient Diagnosed Wei Symptom (위증(痿證)으로 진단한 하지무력(下肢無力) 환자의 치험1례)

  • Jung, Tae San;Kang, Seong Sun;Choi, Chang Won
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.26 no.5
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    • pp.784-787
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    • 2012
  • Wei symptom(痿證) is symptom that reveals muscle relaxation without contraction an muscle relaxation occurs in the lower or upper limbs, in severe case, leads to death. The symptoms of Wei symptom are weakness, atropy of muscle, gait disturbance, etc. We studied to evaluate the oriental medical treatment on a patient with Wei symptom. We applied various methods of oriental medical treatment including herb medicine, acupunture, moxibustion, herb acupunture. The clinical symptoms that were both lower limbs weakness, gait disturbance, etc. were improved after the methods of oriental medical treatment. The results suggest that oriental medicare is an effective treatment for Wei symptom, but more extensive research is needed.

Design of Virtual Reality Contents for Upper-limbs Rehabilitation Using Kinect Sensor

  • Park, Myeong-Chul;Jung, Hyon-Chel;Kang, Hyun-Syug
    • Journal of the Korea Society of Computer and Information
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    • v.20 no.10
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    • pp.85-90
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    • 2015
  • The purpose of this study is to establish the contents of virtual reality for a patient who suffers from various diseases and needs Upper-limbs Rehabilitation. First, the system provides the movement content to remote patient. Then system is tracking information in the joints by using Kinect Sensor. And similarity comparison of a given content to diagnose the movement of the patient. The tracked movement information is stored in the database with similarity and is delivered to the rehabilitation therapist. The result of this study will enhance the effectiveness and concentration of the rehabilitation therapy and be used as basic data evaluating the function of the Upper-limbs Rehabilitation.

A Patient with Lower Limbs' Delayed Motor Development was Demonstrated Hang-ji : A Case Report (행지(行遲)로 진단된 하지부 운동발달지연 환아의 치험 1례 보고)

  • Lee, Yu-Gyoung;Chae, Jung-Won
    • The Journal of Pediatrics of Korean Medicine
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    • v.21 no.3
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    • pp.215-221
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    • 2007
  • Objectives This is the clinical report about 1 case of patient with delayed motor development in lower limbs. Methods The herb medication, acupuncture therapies were applied for treating delayed motor development from June 9 to November 20, 2007. Results After 5 months treatment, the patient's delayed motor development were improved by oriental medical therapy. Conclusions We report the good results of oriental medical therapy on a pediatric patient with delayed lower limbs motor development. For more accurate studies, further studies would be needed with more cases.

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Comparison the Muscle Activation in the Trunk and Lower Limbs of Subjects Wearing High-Heeled or Flat Shoes While Crossing Over Obstacles of Different Heights

  • Park, Jin-Seong;Han, Jin-Tae
    • Journal of the Korean Society of Physical Medicine
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    • v.12 no.3
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    • pp.85-91
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    • 2017
  • PURPOSE: The purpose of this study was to compare muscle activation of the trunk and lower limbs of subjects wearing high-heeled or flat shoes while crossing over obstacles of different heights. METHODS: Twenty subjects participated in this study. While wearing high-heeled shoes (7 cm) or flat shoes (0 cm), the subjects were asked to cross over obstacles of different heights (10%, 20%, and 30% of their lower-limb length). Muscle activation of the trunk and lower limbs with the supported side while crossing over obstacles of different heights was measured using the electromyogram (Noraxon, DTS, Germany). Two-way repeated ANOVA was used to compare the muscle activation between high-heel shoes and flat shoes while crossing over obstacles of different heights. All statistical analyses were performed using SPSS ver. 21, and p-values less than .05 were used to identify significant differences. RESULTS: As an obstacle's height increased, muscle activation of the trunk and lower limbs with the supported side was increased while wearing either type of shoe, and it was generally higher while wearing high-heeled shoes. However, tibialis anterior muscle activity while wearing high-heeled shoes was lower than while wearing flat shoes. CONCLUSION: This study showed that muscle activation of the trunk and lower limbs was higher when subjects wore high-heeled shoes than when they wore flat shoes while crossing over obstacles of different heights. Therefore, high-heeled shoes can easily cause high muscle fatigue of the trunk and lower limbs, and the TA muscle may weaken in persons who wear high-heeled shoes.

Clinical Study about Meridian Tendino-musculature Acupuncture on Nerve Compression Syndrome of Upper Limbs (경근자법(經筋刺法)을 이용한 상지부(上肢部) 신경포착증후군에 대한 임상적 고찰)

  • Yun, Kyung-Jin;Choi, You-Jin;Lee, Cham-Geol;Lee, Eun-Yong;Roh, Jeong-Du
    • Journal of Acupuncture Research
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    • v.29 no.1
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    • pp.151-158
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    • 2012
  • Objectives : To broaden understanding about meridian tendino-musculature acupuncture on nerve compression syndrome of upper limbs and to evaluate the effect of meridian tendino-musculature acupuncture on nerve compression syndrome of upper limbs. Methods and Results : From June 1st to Oct. 31th, the patients were outpatients for treatment of nerve compression syndrome of upper limbs in department of acupuncture and moxibustion, traditional Korean medical hospital, Semyung University and treated with meridian tendino-musculature acupuncture. To evaluate the effect of meridian tendino-musculature acupuncture, thickness of muscle by medical skinfold caliper, coding result(arbitary values used to evaluate results) and VAS(Chief complain) were used. As a result, muscle atropy and symptoms are improved remarkably. Conslusions: Meridian tendino-musculature acupuncture was found to be helpful to patients who wish to recover from their muscle atropy and symptoms of upper limbs. In order to make this meridian tendino-musculature acupuncture more available, we should pay more attention to improving treatment appliance and acupuncture technique.

Correlation between Moire Topography and Muscle Development Ratio of Both Lower Limbs (모아레 체형측정과 양하지 근육 발달비율의 상관관계에 관한 조사)

  • Chang, So-Young;Cha, Jung-Ho;Jung, Ki-Hoon;Lee, Tae-Ho;Hwang, Hee-Sang;Lee, Eun-Yong
    • The Journal of Churna Manual Medicine for Spine and Nerves
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    • v.2 no.1
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    • pp.69-75
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    • 2007
  • Objectives : This study was performed to find the correlation between moire topography and muscle development ratio of both lower limbs. Methods : 88-general persons who examed general health checkup were enrolled this study. Who coincided the exclusion criteria were left out. The authors practiced Moire Topography by using IBS-2000 and measured difference of contour line and interval between vertical base line of neck and pelvis. We made use of X-SCAN to analyse body component and calculate muscle development ratio of both lower limbs. Results : In this study, we found out that the more interval between vertical base line of neck and pelvis grown large, the more muscle development ratio of both lower limbs got small. So, there was correlation between imbalance of the dorsum muscle and muscle development ratio of both lower limbs.(p>0.05). But others did not have. Conclusion : According to this results, we found out there was correlation between imbalance of lumbar and gluteal region and muscle development ratio of both lower limbs. Apply to clinic, we are able to improve the efficacy of diagnosis and medical treatment.

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Model-based Body Motion Tracking of a Walking Human (모델 기반의 보행자 신체 추적 기법)

  • Lee, Woo-Ram;Ko, Han-Seok
    • Journal of the Institute of Electronics Engineers of Korea SP
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    • v.44 no.6
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    • pp.75-83
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    • 2007
  • A model based approach of tracking the limbs of a walking human subject is proposed in this paper. The tracking process begins by building a data base composed of conditional probabilities of motions between the limbs of a walking subject. With a suitable amount of video footage from various human subjects included in the database, a probabilistic model characterizing the relationships between motions of limbs is developed. The motion tracking of a test subject begins with identifying and tracking limbs from the surveillance video image using the edge and silhouette detection methods. When occlusion occurs in any of the limbs being tracked, the approach uses the probabilistic motion model in conjunction with the minimum cost based edge and silhouette tracking model to determine the motion of the limb occluded in the image. The method has shown promising results of tracking occluded limbs in the validation tests.

Skeletal Differences in Lower Body and Limbs in Relation to Ecological Traits in Anurans in South Korea

  • Park, Jun-Kyu;Kang, Tae Gyu;Lee, Ji-Eun;Kim, Ji-Eun;Kim, Younghyun;Do, Yuno
    • Proceedings of the National Institute of Ecology of the Republic of Korea
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    • v.3 no.1
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    • pp.32-40
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    • 2022
  • The trade-off between morphology and physical function may vary according to ecological traits. Taking a quantitative approach, we attempted to analyze the differences in the skeletal shape of the lower body and limbs in relation to the ecological traits of four anuran species (Dryophytes japonicus, Glandirana rugosa, Pelophylax nigromaculatus, and Lithobates catesbeianus) occurring in South Korea. Body size, locomotor mode, microhabitat, trophic positions, and predator defense mechanisms were selected for the ecological traits of the anurans. The pelvis, ilium, and urostyle, which are associated with locomotor performance, were selected for the skeletal shape of the lower body. The ratio of limbs, which is related to locomotor mode and microhabitat, was confirmed by analyzing the skeletons of the forelimbs (radio-ulnar and humerus) and hindlimbs (femur and tibiofibular). Both landmark-based geometric morphometrics and traditional methods were used for skeletal shape comparison. The skeletal shape of the lower body was completely different among the four species, whereas the ratio of the limbs was only different in D. japonicus. The skeletal shape of the lower body may be related to body mass and predator defense mechanisms, whereas the ratio of the limbs was related to the locomotor mode and microhabitat. Quantifying these morphological differences among various species can help elucidate the mechanisms of behavioral and morphological changes in response to ecological effects.