• Title/Summary/Keyword: Mid-foot

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Study of Chicken-Foot-Shaped Needling Method (Gaejokchimbup) from the Mid-Chosen Dynasty Era (조선중기 침자수법 계족침법에 대한 문헌 고찰)

  • Oh, Junho
    • Korean Journal of Acupuncture
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    • v.32 no.1
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    • pp.13-19
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    • 2015
  • Objectives : The present study was conducted to unveil the existence of a medical technique called Chicken-foot-shaped needling method("Gaejokchimbup") from the mid-Chosen Dynasty era and for historical investigation of this technique. Methods : Among historical literatures from China, Korea, and Japan on acupuncture and moxibustion, mentions of "Gaejok"(chicken foot) were searched for and studied. Results : Among the Chinese literatures, some medical scholars made references to "chicken foot" after mentioned in Lingshu Jing. In the Korean literatures, Donguibogam gave it the name Gaejokchimbup and mentioned it. In Japan's Chimgugeukbeecho which contains the acupuncture and moxibustion knowledge of Korean doctors, the procedural method was explained in detail. Conclusions : According to these ancient medical literatures, Gaejok was used largely in two meanings. First meaning was performing acupuncture with 3~4 needles in a chicken foot-like shape on a narrow area, whereas the second meaning was using one acupuncture needle and repeatedly inserting the needle while changing directions according to a path in the shape of a chicken's foot. Based on Rumenshiqin and Chimgugeukbeecho, which contain records of actual clinical experiences, Gaejokchimbup appears to have been used as the second method mention above.

The Relationship between Anthropometric Parameters of the Foot and Kinetic Variables during Running (달리기 시 발의 인체측정학적 변인과 운동역학적 변인의 관계)

  • Lee, Young Seong;Ryu, Jiseon
    • Korean Journal of Applied Biomechanics
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    • v.29 no.3
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    • pp.173-183
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    • 2019
  • Objective: The aim of this study was to investigate the correlation coefficients between anthropometric parameters of the foot and kinetic variables during running. Method: This study was conducted on 21 healthy young adults (age: $24.8{\pm}2.1yes$, height: $177.2{\pm}5.8cm$, body mass: $73.3{\pm}7.3kg$, foot length: $256.5{\pm}12.3mm$) with normal foot type and heel strike running. To measure the anthropometric parameters, radiographs were taken on the frontal and sagittal planes, and determined the length and width of each segment and the navicular height. Barefoot running was performed at a preferred velocity ($3.0{\pm}0.2m/s$) and a fixed velocity (4.0 m/s) on treadmill (Bertec, USA) in order to measure the kinetic variables. The vertical impact peak force, the vertical active peak force, the braking peak force, the propulsion peak force, the vertical force at mid-stance (vertical ground reaction when the foot is fully landed in mid-stance or at the point where the weight was uniformly distributed on the foot) and the impact loading rate were calculated. Pearson's correlation coefficient was used to investigate the relationship between anthropometric variables and kinetical variables. The significance level was set to ${\alpha}=.05$. Results: At the preferred velocity running, the runner with longer forefoot had lower active force (r=-.448, p=.041) than the runner with short forefoot. At the fixed velocity, as the navicular height increases, the vertical force at full landing moment increases (r= .671, p= .001) and as the rearfoot length increases, the impact loading rate decreases (r=- .469, p= .032). Conclusion: There was a statistically significant difference in the length of fore-foot and rearfoot, and navicular height. Therefore it was conclude that anthropometric properties need to be considered in the foot study. It was expected that the relationship between anthropometric parameters and kinetical variables of foot during running can be used as scientific criteria and data in various fields including performance, injury and equipment development.

The Effect of Core Stabilization Exercise on Foot Pressure in Hemiplegic Patients (체간안정화 운동이 편마비 환자의 족저압에 미치는 효과)

  • Lim, Jong-Soo;Song, Ju-Min;Kim, Jin-Sang
    • Journal of the Korean Society of Physical Medicine
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    • v.6 no.2
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    • pp.109-118
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    • 2011
  • Purpose: The purpose of this study was to investigate the effect of core stabilization exercise on foot pressure in the hemiplegic patients. Methods: A total of 28 subjects(n=28) who were diagnosed with hemiplegic caused by a stroke were randomly divided into bridge exercise(BX, n=14) and crunch exercise(CX, n=13) groups and each group executed the exercises 20 minutes a day, 4 times per week over an 8 week period. Foot pressure was measured on the fore, mid, and hind foot for peak pressure, and distance of center of pressure(COP). Results: The peak pressure on the mid foot for BX and CX were significantly different according to the exercise period(p<.05). Peak pressure on the hind foot of BX was significantly different according to exercise period(p<.05), however there was not in CX. The effects of each exercises period were significantly different according to pre-after 8weeks(p<.05). According to exercise period(p<.05), COP distances of BX and CX were significantly different. Conclusion: The results show that both BX and CX verified an improvement in gait ability. Especially, since we confirmed BX was attributed more to gait ability than CX. This is considered to be effective on those hemiplegic patients who need core-stabilization and gait stability.

Characteristics of Foot Pressure Distribution with or without Partial Prosthetic Foot in Transmetartarsal Amputee (경중족 절단 환자의 의족지 착용에 따른 족저압력 분포 특성)

  • Seong, Woo-Sung;Yang, Hee-Seung;Sung, Hong-Kee;Kim, Hak-Jun
    • Journal of Korean Foot and Ankle Society
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    • v.12 no.1
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    • pp.41-46
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    • 2008
  • Purpose: This study was designed to evaluate characteristics of foot pressure distribution with or without partial prosthetic foot in transmetatarsal amputee. Materials and Methods: The subjects were 9 transmetatarsal amputees. Foot pressures were measured at hallux, the $1^{st}-5^{th}$ metatarsal head (MTH), mid-foot, condyle area by F-scan system in amputated or contralateral foot during active walking. Results: In amputated foot, mean peak pressure was greatest in midfoot without prosthetic foot but it was greatest in hindfoot with prosthetic foot. In unaffected foot, although mean peak pressure was higher in hallux, and $1-5^{th}$ MTH compared to amputated foot, it was greatest in hind foot both with and without prosthetic foot. However, in unaffected foot, mean peak pressure significantly decreased in hallux and $5^{th}$ MTH after wearing the prosthetic foot. There was a significant difference in mean peak pressure in hallux and $5^{th}$ MTH between amputated and unaffected foot after wearing prosthetic foot. However, other region had no significant difference with or without prosthetic foot between feet. Conclusions: The use of partial prosthetic foot tends to shift weight bearing from the heel area to forefoot and could significantly reduce hind foot peak pressure and redistributed to peak pressure. The partial prosthetic foot can also offer the peak pressure to reduction both amputated foot and unaffected foot and help to toe off during walking.

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The Stress Distribution Property on the Customized Ankle Foot Orthoses During the Gait Period (보행주기에 따른 맞춤형 단하지보조기의 응력분포 특성)

  • Choi, Young-Chul;Rhee, Kun-Min;Choi, Hwa-Soon
    • Journal of the Korean Society for Precision Engineering
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    • v.25 no.3
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    • pp.165-175
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    • 2008
  • An ankle-foot orthosis(AFO) is a brace for persons with gait disabilities to support or replace the function of ankle joint. Ankle-foot orthoses(AFO's) are usually prescribed to alleviate the drop-foot by constraining the excessive plantar flexion. The shape and the strength of the AFO are often based on 'trial and error' due to a lack of knowledge of the stress distribution in the AFO. In this study, an improved stress-freezing method was proposed to measure the stress distribution characteristics in the AFO. As a result, a photoelastic material with low freezing temperature was developed to measure the stresses under a person's direct contact loading condition. The three-dimensional stress-1rozen photoelastic models of AFO's for five stages of stance phase such as heel contact, foot flat, mid stance, heel off, and toe off were produced. The results of photoelastic analysis revealed that the stresses developed in the AFO were varied considerably from tensile to compressive or vice versa, during walking. At the posterior part of ankle joint in the AFO, the maximum compressive stress of 1.81MPa was observed in the mid stance, and the maximum tensile stress of 0.74MPa was observed during heel contact. The overall stress levels in the AFO's were low in the toe off phase. The results suggested that the posterior part of ankle joint might be the most fragile part in the AFO.

Development of Knee Ankle Foot Orthosis for Gait Rehabilitation Training using Plantaflexion and Knee Extension Torque (족저굴곡과 무릎 신전 토크를 이용한 보행 재활 훈련용 장하지 보조기 개발)

  • Kim, Kyung;Kim, Jae-Jun;Heo, Min;Jeong, Gu-Young;Ko, Myoung-Hwan;Kwon, Tae-Kyu
    • Journal of Institute of Control, Robotics and Systems
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    • v.16 no.10
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    • pp.948-956
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    • 2010
  • The purpose of this study was to test the effectiveness of a prototype KAFO (Knee-Ankle-Foot Orthosis) powered by two artificial pneumatic muscles during walking. We had previously built powered AFO (Ankle-Foot Orthosis) and KO (Knee Orthosis) and used it effectively in studies on assistance of plantaflexion and knee extension motion. Extending the previous study to a KAFO presented additional challenges related to the assistance of gait motion for rehabilitation training. Five healthy males were performed gait motion on treadmill wearing KAFO equipped with artificial pneumatic muscles to power ankle plantaflexion and knee extension. Subjects walked on treadmill at 1.5 km/h under four conditions without extensive practice: 1) without wearing KAFO, 2) wearing KAFO with artificial muscles turned off, 3) wearing KAFO powered only in plantaflexion under feedforward control, and 4) wearing KAFO powered both in plantaflexion and knee extension under feedforward control. We collected surface electromyography, foot pressure and kinematics of ankle and knee joint. The experimental result showed that a muscular strength of wearing KAFO powered plnatarfexion and knee extension under feedforward control was measured to be lower due to pneumatic assistance and foot pressure of wearing KAFO powered plnatarfexion and knee extension under feedforward control was measured to be greater due to power assistance. In the result of motion analysis, the ankle angle of powered KAFO in terminal stance phase was found a peak value toward plantaflexion and there were difference of maximum knee flexion range among condition 2, 3 and 4 in mid-swing phase. The current orthosis design provided plantaflexion torque of ankle jonit in terminal stance phase and knee extension torque of knee joint in mid-swing phase.

The Effect of Foot Strengthening Exercise to Young of Hallux Valgus with Flexible Flatfoot (발 강화 운동이 유연성 편평발이 동반된 엄지발가락가쪽휨증을 가진 젊은 성인에게 미치는 효과)

  • Park, Jin-Hyun;Kim, Jin-Seop;Kim, Kyoung
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.13 no.11
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    • pp.5211-5217
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    • 2012
  • This study was to evaluate the effects of foot strengthening exercise to improve hallux valgus in young of hallux valgus with flexible flatfoot. Subjects 28 people were randomly divided by the foot strength group(n=14) and control group(n=14). In a period of 8 weeks, they put on I.D.W. Experimental group took foot strengthening exercise for 20 minutes 3 times a week during 8 weeks. Foot structure and max pressure were evaluated by hallux angle, 1~2 metatarsal angle, navicular height, 1st phalange, 2~5phalange, 1st metatarsal, 2nd metatarsal, 3rd metatarsal, 4th metatarsal, 5th metatarsal, mid foot, medial hind foot, lateral hind foot. There were significantly increased by exercise group in outcomes of the structural and plantar foot pressure from hallux angle, 1~2 metatarsal angle, 1st phalange, 1st metatarsal, 2nd metatarsal, 3rd metatarsal, mid foot. The result suggest that foot strengthening exercise is feasible and suitable for individuals with hallux valgus with flexible flatfoot.

Mycobacterium abscessus Osteomyelitis in the Mid Foot (중족부에 발생한 Mycobacterium abscessus 골수염)

  • Chun, Kyung-Ah;Kwak, Yee-Gyung;Suh, Jin-Soo
    • Journal of Korean Foot and Ankle Society
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    • v.15 no.1
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    • pp.39-43
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    • 2011
  • Non-tuberculous mycobacterium has a wide-spread occurrence in nature, and skin, soft tissue, bone, lung and disseminated infection can be involved. Non-tuberculous mycobacterium infection occurs both in immunocompetent patients without underlying diseases and in immunocompromised hosts. Non-tuberculous mycobactrial osteomyelitis is a rare cause of granulomatous osteomyelitis, and has been previously reported in the sternum, spine, humerus, femur, tibia or metatarsal. Mycobacterium abscessus osteomyelitis is a very rare infection in the foot and only 1 case has been reported. Authors report a case of Mycobacterium abscessus osteomyelitis involving the tarsal and metatarsal bones in a non-immunocompromized middle aged women.

The Influence of Various Carrying a Pack Methods during Walking on Parameters of Foot Contact (가방 휴대 방법이 보행 시 발바닥 접촉 양상에 미치는 영향)

  • Park, Soo-Jin;Kwon, Yoo-Jung;Kim, Min-Hee;Kim, Jin-Sang
    • Journal of Korean Physical Therapy Science
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    • v.18 no.2
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    • pp.29-40
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    • 2011
  • Purpose: The purpose of this study was to analyze the changes of parameters of foot contact by various carrying a pack methods during walking. Method: The subjects were consisted of normal forty four persons (males 30, females 14, mean age 23). The carrying a pack methods were classified into five conditions: carrying no bag(Con 1), carrying a backpack(Con 2), carrying a shoulder bag(Con 3), carrying a cross bag(Con 4), carrying a one-hand bag(Con 5). All subjects were participated in these five condition and measured foot pressure by F-scan system during walking. Then foot contact time, foot contact area, foot contact length and width were measured and analyzed. The repeated one-way analysis of variance (ANOVA) was used to get difference between conditions and independent t-test was used to get difference between left and right foot within condition. Result: In the comparison of parameters of foot, contact time, contact area and mid foot width were significantly different between conditions(p<.05), and in both foot contact time at condition 5 showed the most significant reduction(p<.05). In the comparison of parameters of foot between left and right foot within condition, every conditions were not significantly different(p>.05). Conclusion: In this study various carrying methods changed the parameters of foot contact and showed significant difference in some articles between carrying methods. However, asymmetric load of pack by carrying methods didn't affected symmetry of parameters of foot contact between left and right foot.

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