• The Journal of Korean Physical Therapy
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• v.21 no.4
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• pp.43-49
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• 2009

Purpose: This study examined the dynamic peak plantar pressure under the foot areas in those with a functional leg length inequality. Methods: The dynamic peak plantar pressure under the foot areas in an experimental group with a functional leg length inequality (n=20) and a control group (n=20) was assessed a using the Mat-Scan system (Tekscan, USA). The peak plantar pressure under the hallux, 1st, 2nd, 3-4th and 5th metatarsal head (MTH), mid foot, and heel was measured while the subject was walking on the Mat-Scan system. Results: The experimental group had significantly higher peak plantar pressure under all foot areas when the dynamic peak plantar pressure in the short leg and long leg sides was compared. The control group had a significantly higher peak plantar pressure under the 1st, 2nd, 3-4th, and 5th MTH when the dynamic peak plantar pressure in the short leg and long leg sides were compared. The experimental group showed a significantly larger difference in the dynamic peak plantar pressure under the hallux, 1st, 2nd, 3-4th and 5th MTH, mid foot and heel than the control group. Conclusion: A functional leg length inequality leads to an increase in the weight distribution and dynamic peak plantar pressure in the side of the short leg.

• The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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• v.19 no.2
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• pp.39-46
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• 2013

Background: The purpose of this study was to realize the relations between gluteus medius, tensor fascia lata of pelvic muscles and functional leg length in women's university students. This study is examined the change of electromyographic activation on gluteus medius and tensor fascia lata according to the leg length discrepancy. Methods: All of the female of freshman and sophomore in 'D'college were gathered and separated fourteen of healthy women in two groups by functional leg length discrepancy. and The subjects divided into two groups that the difference with less than 2cm or more would have structural defects by tapeline. The electromyographic activation on the gluteus medius and tensor fascia lata muscles were recorded by surface electrodes at maximal voluntary isometric contraction (MVIC) during lunge posture. The collected datas were analyzed using Independent t-test with SPSS win19.0. Results: In intergroup comparison of electromyographic activation levels for gluteus medius and tensor fascia lata in short or long leg, the influence of electromyographic activation on tensor fascia lata is shown to be more statically higher than gluteus medius according to functional leg length discrepancy in coeds. Even though both muscles are shown to be statistically higher in comparison of electoromyographic activation levels for tensor fascia lata and gluteus medius between short leg and long leg in Group I, Differences of electoromyographic activation levels for tensor fascia lata is shown to be statistically higher than gluteus medius. Conclusion: Through this study, we realized that tensor fascia lata than the long leg, and also, tensor fascia lata is significantly effective for functional leg length discrepancy than gluteus medius. It leads to pelvic lateral instability. This means that cause tensor fascia lata to have a leg length discrepancy.

• The Journal of Korean Physical Therapy
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• v.34 no.4
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• pp.175-180
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• 2022

Purpose: Leg length discrepancy causes the posture deformation, gait asymmetry, and lower back pain. The purpose of this study is to investigate the correlation among functional leg length discrepancy (FLLD), muscle activity, muscle contraction onset time and vertical ground reaction force (vGRF) during simple lifting task. Methods: Thirty-nine subjects participated in this study. FLLD was measured from the umbilicus to medial malleolus of left and right leg using a tape. The subjects performed to lift a 10 kg box from the floor to chest. The muscle activity and muscle contraction onset time of rectus abdominis, erector spinae and rectus femoris was measured using EMG system and vGRF was measured by two force plate. Pearson correlation was used to fine out the correlation among FDDL, muscle activity, muscle contraction onset time and vGRF during simple lifting task. Results: Correlation between FLLD and difference of muscle activity of short-long side was very high (r>0.9) during simple lifting task. Correlation between FLLD and difference of muscle contraction onset time of short-long side was very high (r>0.9) during simple lifting task. And correlation between FLLD and difference of vGRF of short-long side was high (r>0.7) during simple lifting task. Conclusion: This study suggests that there is high correlation between FLLD and muscle activity, muscle contraction onset time, and ground reaction force during simple lifting task. Therefore, FLLD could negatively affect the postural balance.

• Fashion & Textile Research Journal
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• v.3 no.3
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• pp.235-240
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• 2001

This paper was intended to grasp an effect of body shaping by wearing girdle using moire topography. In wearing test, four type girdle were used, panty type, long leg type, high waist type, long leg and high waist type. Subjects were ten female college student (18-24 years old), they were selected on the size of the hip girth, waist girth that are within 25~75% in percent on the National Anthropometric survey of Korea in 1997. Three-dimentional characteristic of body shaping was analyzed by the moire topograph. As a result, body shaping effect was confirmed by moire pattern and horizantal section map. In case of the comparison through the moire topography, all the subjects have an effect on body shaping in part of waist girth, abdomen, and hip. Especially backside silhouettes on hip all the ten female subjects showed hip-up effect. Long leg type girdle was smooth side line in the hip and thigh. Further study required for the effect of wearing the girdle on the body shapeability and comfort.

• Archives of Plastic Surgery
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• v.48 no.6
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• pp.699-702
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• 2021

Extensive bone loss associated with severe vascular injury remains a challenge for lower extremity reconstruction. The fibular free flap has been utilized for many decades to reconstruct long-segment tibial defects. We present an unusual scenario of unilateral weight-bearing, wherein we salvaged the sole lower extremity by transfer of the fractured ipsilateral fibula and a bipedicled skin flap. A 38-year-old man sustained a severe crush injury in the right leg with loss of circulation. His left lower leg had a soft tissue defect measuring 20×15 cm with an exposed comminuted fracture and a 17-cm tibial defect, along with a segmental fracture of the fibula. Subsequently, we reconstructed the tibial defect by transferring a 17-cm-long section of the ipsilateral fibula. We covered the soft tissue defect with a bipedicled skin flap. The patient eventually began to ambulate independently after surgery.

• Journal of Sleep Medicine
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• v.15 no.2
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• pp.68-73
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• 2018

Objectives: Periodic leg movements in sleep (PLMS) are associated with arousals and autonomic activation, which may contribute to higher cardiovascular disease risk in patients with restless legs syndrome (RLS). Non-periodic leg movements in sleep (NPLM) are leg jerks in sleep that does not satisfy standard criteria of PLMS. The aim of this study was to evaluate impact of short-interval leg movements in sleep (SILMS) and isolated leg movements in sleep (ILMS) in comparison to PLMS on heart rate in both patients with RLS and healthy controls. Methods: Seven idiopathic RLS patients and 9 controls were enrolled in this study. Polysomnographic studies were analyzed and leg movements (LM) were automatically detected. NPLM can be classified as SILMS and ILMS. SILMS are LM separated by an inter-movement interval (IMI) shorter than 10 s, and ILMS are LM with IMI longer than 90 s. Frequency and heart rate associated with SILMS, ILMS, and PLMS in RLS patients were compared to those in controls. Heart rate change associated with LM were determined for a fixed time window. Results: Frequencies of SILMS and ILMS of patients with RLS were not significantly different to those of controls. RLS patients presented higher heart rate change associated with SILMS than PLMS before movement onset, while heart rate change associated with SILMS, ILMS, and PLMS were not different in the controls. Conclusions: Although the number of SILMS is not higher than PLMS, SILMS may have closely associated with higher cardiac activation of RLS than PLMS. Therefore, SILMS might be an important treatment target for patients with RLS to reduce long-term cardiovascular risk. Long-term prospective studies are needed to evaluate the relationship between NPLM and cardiovascular disease in patients with RLS.

• Journal of the Korea Society of Computer and Information
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• v.24 no.3
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• pp.135-141
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• 2019

The purpose of this study was to analyze the direct measurement data of 20-25 years male university students of 7th Size Korea data and to characterize and to type the body shape of lower body. It was to provide basic data for male university students' pants pattern production. The lower body part consisted of the 'horizontal factor' of the lower body composed of circumference, thickness, width, and 'vertical factor' of the lower body composed of the length and height. This was consistent with the analysis of the body shape factor of the lower half of male adolescents. The lower body shape was classified into four types. Type 1 was thick and relatively long in the lower body and was named 'thick long leg'. Type 2 was named 'short bird legs' because the lower body was thin and relatively short. Type 3 was relatively thin and long, so the lower body was named 'long crane leg'. In Type 4, the lower body was relatively thick and short, which means 'short pillar leg'. In the case of 20-25 year-old male university students, they have different body shapes depending on the girth and length of the lower half of their body as they have reached adulthood. Therefore, it would be necessary to provide a sales system that allows the repair of the length of the pants to be facilitated, and the length of the pants to be repaired when the pants are selected according to the circumference. Future studies will need to classify the body shape according to angle and flatness.

• Archives of Plastic Surgery
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• v.39 no.2
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• pp.94-105
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• 2012

Simple or complex defects in the lower leg, and especially in its distal third, continue to be a challenging task for reconstructive surgeons. A variety of flaps were used in the attempt to achieve excellence in form and function. After a long evolution of the reconstructive methods, including random pattern flaps, axial pattern flaps, musculocutaneous flaps and fasciocutaneous flaps, the reappraisal of the works of Manchot and Salmon by Taylor and Palmer opened the era of perforator flaps. This era began in 1989, when Koshima and Soeda, and separately Kroll and Rosenfield described the first applications of such flaps. Perforator flaps, whether free or pedicled, gained a high popularity due to their main advantages: decreasing donor-site morbidity and improving aesthetic outcome. The use as local perforator flaps in lower leg was possible due to a better understanding of the cutaneous circulation, leg vascular anatomy, angiosome and perforasome concepts, as well as innovations in flaps design. This review will describe the evolution, anatomy, flap design, and technique of the main distally pedicled propeller perforator flaps used in the reconstruction of defects in the distal third of the lower leg and foot.

• The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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• v.19 no.1
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• pp.55-61
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• 2013

Background: The purpose of this study was to investigate the immediate effects of mulligan's straight leg raise with traction technique on angle of passive straight leg raise and length of hamstring muscle in patients with low back and radiate pain. Methods: Thirty one subjects participated in this study. The subjects were assigned to either the low back pain group (n=17) or the radiate pain group (n=14). Subjects in both groups received 3 times mulligan's straight leg raise with traction. All subjects were examined for the range of motion of lower extremity. The range of motion of lower extremity was composed of angle on straight leg raise and 90-90 straight leg raise. The range of motion of lower extremity was measured using a goniometer. Results: After 3 times of mulligan's straight leg raise with traction, significant improvements on the angle of straight leg raise and 90-90 straight leg raise were observed in the both groups (p<.05). However, there are no significant difference was observed between groups. Conclusion: These results suggest that mulligan's straight leg raise with traction provides an immediately effective in range of motion of lower extremity in patients with low back pain as well as radiate pain. Although more research is required on the effects of long-term mulligan's straight leg raise with traction on range of motion of lower extremity, our results can be useful to establish the standard parameters for range of motion of lower extremity in the clinical setting.

• Journal of Korean Medicine Rehabilitation
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• v.21 no.3
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• pp.13-20
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• 2011

Objectives : We studied the clinical utility of meridian electromyography for the assessment of erector spinae muscle in functional leg length inequality. Methods : We compared electrical activity between A group with a functional leg length inequality(n=17) and B group(n=23) in dynamic flexion-reextension state during five minutes. We anayzed amplitudes and areas of electrical activity and asymmetry index(AI). Results : 1. The short leg sides were significantly higher electrical activity than the long leg sides in the experimental group and control group(p<0.05). 2. The AI of A group significantly higher than B group(p<0.05). Conclusions : According to above results, there are correlations between erector spinae muscle and functional leg length inequality.