• Title/Summary/Keyword: Mid-foot

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The Effects of Age and Walkway Type on Lower Extremities Kinematics in Elderly Women (보행로 형태가 여성노인들의 하지관절에 미치는 영향)

  • Woo, Byung-Hoon;Park, Yang-Sun
    • Korean Journal of Applied Biomechanics
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    • v.25 no.3
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    • pp.249-256
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    • 2015
  • Objective : The purposes of this study was to perform a kinematical analysis on age and walkway types in elderly women subjects. Method : Forty subjects participated in the experiment (A1 group - age: $67.30{\pm}1.49yrs$, height: $153.81{\pm}4.47cm$, weight: $61.80{\pm}5.24kg$, A2 group - age: $71.70{\pm}1.10yrs$, height: $152.01{\pm}2.84cm$, weight: $59.69{\pm}7.34kg$, A3 group - age: $76.80{\pm}0.98yrs$, height: $150.16{\pm}6.08cm$, weight: $57.27{\pm}6.42kg$, A4 group - age: $81.80{\pm}0.60yrs$, height: $152.18{\pm}4.77cm$, weight: $55.80{\pm}7.78kg$). The study method adopted was the 3D analysis with six cameras. Ground type were classifed as gait pattern on flat, ascent and descent ramp. For the statistical analysis, the SPSS 21.0 was used to perform Repeated measured Two-way ANOVA. Results : In velocity of CM, there was faster movement on flat ground. When it came to the velocity of right toe, there was no significance in early mid-swing of right foot, but A4 was the slowest in late mid-swing of right foot on flat ground. In joint angle in left foot strike, the left hip joint and knee joint were more flexed in descent ramp, In addition left and right ankle joints were more plantarflexed in descent ramp, and left ankle joint was more plantarflexed in the over 75 yrs age groups. Conclusion : The higher age group were more flexed in lower body joints during descent ramp.

Mid to Long Term Follow-up Results of Reconstruction in Rheumatoid Arthritic Forefoot Deformities (류마토이드 관절염 전족부 변형의 재건술 후 중장기 추시 결과)

  • Lee, Kyung-Tai;Choi, Jae-Hyuck;Young, Ki-Won;Kim, Jin-Su;Lee, Young-Koo;Jung, Chung-Min
    • Journal of Korean Foot and Ankle Society
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    • v.11 no.2
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    • pp.171-176
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    • 2007
  • Purpose: We assess the mid to long term follow up results of arthrodesis of the first metatarso-phalangeal (MTP) joint and resection arthroplasty of the lesser toes in rheumatoid arthritic forefoot deformity. Materials and Methods: Between 1998 to 2001 year, 25 cases (18 patients) rheumatoid forefoot deformities were surgically corrected. Follow up period was 83 months (range, 63 to 90 months). The clinical outcome was evaluated using subjective satisfaction and AOFAS score. The radiological measurements were hallux valgus angle, first and second intermetatarsal angle, second metatarso-phalangeal angle (MTP-$2^{nd}$ angle). Results: Subjective satisfaction was 76%. AOFAS score improved from 37 to 73. The hallux valgus angle improved from preoperative $39^{\circ}$ ($27{\sim}64^{\circ}$) to $14^{\circ}$ ($4{\sim}34$) at the last follow up. The intermetatarsal angle were preoperative $13^{\circ}$ ($6{\sim}22^{\circ}$) to $11^{\circ}$ ($3{\sim}13^{\circ}$) at the last follow up, The MTP-$2^{nd}$ angle were preoperative $24^{\circ}$ ($9{\sim}47$) to last follow up $15^{\circ}$ ($2{\sim}39^{\circ}$) respectively (p>0.05). Complication was intractable callus 10 cases, Interphalangeal arthritis 5 cases. Conclusion: Mid to long term outcomes rheumatoid forefoot reconstruction by first MTP arthrodesis and resection arthroplasty of lesser toes results a satisfaction and pain relief.

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The Effects of Baby Carrier and Sling in Muscle Activation of Trunk, Low Extremity and Foot Pressure (아기띠와 슬링 착용이 체간과 하지의 근활성 및 족저압에 미치는 영향)

  • Yuk, Goon-Chang;Park, Rae-Joon;Lee, Hyun-Young;Lee, Myoung-Hee;Lee, Jeon-Hyeong;Kuk, Jung-Seok;Jang, Jong-Sung
    • Journal of the Korean Society of Physical Medicine
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    • v.5 no.2
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    • pp.223-231
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    • 2010
  • Purpose : The Purpose of this study was to compare muscle activation and foot pressure on baby carrier and sling for baby care. Methods : Thirty one women subjects (mean age 23.2 years) participated in four static conditions : unloaded quite standing, carrying an anterior baby carrier, carrying a posterior baby carrier, and sling. The baby carrier and sling were loaded with baby model that filled 7.6kg loads. Surface electromyography was used to measure activity in the internal oblique, T4, L3, L5 paraspinal muscle, vastus medialis, biceps femoris, tibialis anterior, and gastrocnemius for four conditions. And foot pressure was measured by using MatScan system(Tekscan, USA). Results : The activation of Biceps femoris, T4, L3, and L5 paraspinal muscle were significant differences(p<.05), but other muscles were no significant differences in four conditions(p>.05). Right foot contact area and peak pressure of right mid foot area were significant differences in four conditions(p<.05). Conclusion : The results of this study indicate that the use of baby carrier of sling for baby care were influenced postural responses of young women. Further work is recommended to find out the influences of various assistive devices for baby care.

Overwintering Site and Seasonal Occurrence of the Rice Black Bug Scotinophara lurida $B\"{U}RMEISTER$ (Hemiptera: Pentatomidae) in the Rice Paddy Field (벼먹노린재(Scotinophara lurida)의 월동처와 본답발생)

  • Lee Ki-Yeol;Park Sung-Kyu;Ahn Ki-Su;Choi Byeong-Reol
    • Korean journal of applied entomology
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    • v.43 no.4 s.137
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    • pp.291-296
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    • 2004
  • Overwintering sites and Seasonal occurrence of various growth stage of the rice black bug, Scotinophara lurida BURMEISTER were studied at the rice paddy field in Chungbuk area, from 1999 to 2001. Attraction by light trap from overwintering site of overwintering adults occurred from early June to mid July and its peak was shown on late June. Eggs were oviposited from early July to early August and its peak appeared in late July. Nymphs were observed from mid July to late September with its peak on mid August. The newly eclosed rice black bugs were found in late August and its peak on mid September. The rice black bug overwintered as adult at mountain foot, banks, and rice paddy levee.

Surgical Treatment of the Fifth Metatarsal Base Fracture Using Multiple Kirschner Wires (다발성 Kirschner 강선을 이용한 제 5중족골 기저부 골절의 수술적 치료)

  • Kim, Jihyeung;Kim, Jang Woo;Lee, Jeong Ik;Kim, Sang Kil;Rhee, Seung Hwan
    • Journal of Korean Foot and Ankle Society
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    • v.18 no.1
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    • pp.24-28
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    • 2014
  • Purpose: The purpose of this study is to evaluate the clinical and radiographic results of internal fixation using multiple Kirschner wires (K-wires) for the fifth metatarsal base fracture. Materials and Methods: We retrospectively reviewed 14 patients with a displaced fifth metatarsal base fracture. We measured the distance of fracture displacement on the foot oblique radiograph pre- and post-operatively. We evaluated the clinical results using the visual analog pain scale at six weeks and three months postoperatively and the American Orthopaedic Foot and Ankle Society (AOFAS) mid-foot score at six months postoperatively. Results: In our series, 10 cases were zone I fracture and four cases were zone II fracture. We achieved anatomical reduction and bony union in all of our cases. The average time to bone union was 43 days. The degree of pain around the fifth metatarsal base was significantly decreased after surgery. The average AOFAS score was 95 at six months postoperatively. Conclusion: Multiple K-wire fixation is a relatively simple fixation method for displaced fifth metatarsal base fractures. If we place a K-wire into the medial cortex of the fifth metatarsal, we could prevent proximal migration of the K-wire.

Changes in Impact Characteristics of the Body by Different Heel Strike Patterns during Running (달리기 시 착지 유형에 따른 인체에 미치는 충격의 변화)

  • Young-Seong Lee;Sang-Kyoon Park
    • Korean Journal of Applied Biomechanics
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    • v.33 no.4
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    • pp.164-174
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    • 2023
  • Objective: The aim of this study was to quantitatively analyze the impact characteristics of the lower extremity on strike pattern during running. Method: 19 young subjects (age: 26.53 ± 5.24 yrs., height: 174.89 ± 4.75 cm, weight: 70.97 ± 5.97 kg) participated in this study. All subjects performed treadmill running with fore-foot strike (FFS), mid-foot strike (MFS), and rear-foot strike (RFS) to analyze the impact characteristics in the lower extremity. Impact variables were analyzed including vertical ground reaction force, lower extremity joint moments, impact acceleration, and impact shock. Accelerometers for measuring impact acceleration and impact shock were attached to the heel, distal tibia, proximal tibia, and 50% point of the femur. Results: The peak vertical force and loading rate in passive portion were significantly higher in MFS and FFS compared to FFS. The peak plantarflexion moment at the ankle joint was significantly higher in the FFS compared to the MFS and RFS, while the peak extension moment at the knee joint was significantly higher in the RFS compared to the MFS and FFS. The resultant impact acceleration was significantly higher in FFS and MFS than in RFS at the foot and distal tibia, and MFS was significantly higher than FFS at the proximal tibia. In impact shock, FFS and MFS were significantly higher than RFS at the foot, distal tibia, and proximal tibia. Conclusion: Running with 3 strike patterns (FFS, MFS, and RFS) show different impact characteristics which may lead to an increased risk of running-related injuries (RRI). However, through the results of this study, it is possible to understand the characteristics of impact on strike patterns, and to explore preventive measures for injuries. To reduce the incidence of RRI, it is crucial to first identify one's strike pattern and then seek appropriate alternatives (such as reducing impact force and strengthening relevant muscles) on that strike pattern.

Operative Treatment for Osteochondral Lesions of the Talus: Bone Marrow Aspirate Concentrate and Matrix-induced Chondrogenesis (거골 골연골병변에 대한 수술적 치료: 골수 흡인물 농축액 및 기질 유래 연골 형성)

  • Kim, Bom Soo;Na, Yeop;Kwon, Won-Hwan
    • Journal of Korean Foot and Ankle Society
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    • v.24 no.2
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    • pp.61-68
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    • 2020
  • Bone marrow aspirate concentrate and matrix-induced chondrogenesis (BMIC) is an interesting treatment option for osteochondral lesions of the talus with promising short- to mid-term results. The various terminologies used to describe this surgical method need to be addressed. These include bone marrow-derived cell transplantation, matrix-induced bone marrow aspirate concentrate, and matrix-associated stem cell transplantation. BMIC is a one-stage, minimally invasive surgery performed arthroscopically or using a mini-open arthrotomy approach without a malleolar osteotomy in most cases. The lesion is replaced with hyaline-like cartilage, and treatmentrelated complications are rare. BMIC is a safe and effective treatment option and should be considered in large lesions or lesions with a prior treatment history.

Unilateral Talonavicular Coalition: A Case Report (편측성 거주상 골결합증: 증례 보고)

  • Ahn, Jungtae;Moon, Myung-Sang;Sung, Ki-Sun;Kwon, Ki-Tae
    • Journal of Korean Foot and Ankle Society
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    • v.20 no.1
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    • pp.36-38
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    • 2016
  • Tarsal coalition is an abnormal union between two or more bones of the hind- and mid-feet, which can occur at various rates from cartilaginous to osseous union. Talonavicular coalition is reported less frequently than calcaneonavicular or talocalcaneal coalition and has been associated with various abnormalities, including symphalangism, clinodactyly, ray anomaly, clubfoot, other tarsal coalitions, and a ball-and-socket ankle joint. Patients with talonavicular coalitions are usually asymptomatic and rarely require surgical treatment. We review the literature and report on a case of 59-year-old male patient with talonavicular coalition.

Effects of Combined Wedge on Angle and Moment of Ankle and Knee Joint During Gait in Patients With Genu Varus

  • Yang, Hae Sun;Choi, Houng Sik
    • Journal of International Academy of Physical Therapy Research
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    • v.7 no.2
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    • pp.1025-1030
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    • 2016
  • The purpose of this study was to investigate the effects of combined wedge on the range of motion in ankle and knee joint, ankle eversion moment and knee adduction moment, and center of pressure excursion of foot for genu varus among adult men during gait. This study was carried out with 10 adult men for genu varus in a motion analysis laboratory in J university. The subjects of the experiment were measured above 5cm width between the knees on contact of both medial malleolus of ankle while standing. The width of their knees in neutral position was measured without the inversion or eversion of the subtalar joint by the investigator. The subjects of the experiment were ten who were conducted randomly for standard insole, insole with $10^{\circ}$ lateral on rear foot wedge, insole at $10^{\circ}$lateral on rear foot and $5^{\circ}$ medial on fore foot wedge. Before and after intervention, changes on the range of motion in ankle and knee joint, ankle eversion moment and knee adduction moment, and center of pressure excursion were measured. In order to compare analyses among groups; repeated one-way ANOVA and $Scheff{\acute{e}}$ post hoc test were used. As a result, combined wedge group was significantly decreased compared to control wedge group in terms of knee varus angle in mid-stance(p<.05). Combined wedge group was significantly decreased compared to lateral wedge group in terms of ankle eversion moment in whole stance(p<.05). Combined wedge group was significantly decreased compared to lateral wedge group in terms of knee adduction moment in whole stance(p<.05). Combined wedge group was significantly decreased compared to lateral wedge in terms of center of pressure excursion in whole stance(p<.05). The results of this study suggest that combined wedge for genu varus decreased ankle eversion moment and knee adduction moment upon center of pressure excursion. We hypothesize that combined wedge may also be effective in the protection excessive ankle pronation.

The Effects of Asymmetric Bag Carrying during Walking on Plantar Pressure (보행 시 비대칭성 가방 휴대가 족저압에 미치는 영향)

  • Park, Soo-Jin;Lee, Jung-Ho;Kim, Jin-Sang
    • Journal of the Korean Society of Physical Medicine
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    • v.7 no.4
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    • pp.459-469
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    • 2012
  • PURPOSE: The purpose of the present study was to examine changes caused by asymmetric bag carrying methods to carry the bag with one shoulder only to plantar pressure during walking. METHODS: Twenty three normal adults without any gait problem participated in the present study. Experimental conditions used consisted of walking without carrying any bag(condition 1), walking wearing a bag on both shouders (condition 2), and walking wearing a bag on the right shoulder(condition 3) and the weight of the bag was set to 15% of each subject's body weight. All the subjects were instructed to participate in all experiments under these three conditions and plantar pressures were measured from the subjects' right and left feet using an F-scan system while the subjects were walking under the three conditions. To analyze the measured plantar pressure, the sole was divided into seven areas (Hallux, Toe, Met1, Met23, Met45, Mid foot and Heel) and maximum plantar pressures in individual areas were measured. RESULTS: The results of measurement of plantar pressures under three walking conditions did not show significant changes in any areas of the left and right feet except for the mid foot area of the right food. The asymmetry between the left and right feet was examined and the results showed significant differences only in area Met23 under condition 2 and did not show significant differences in any other areas. CONCLUSION: On comprehensively considering the results of the present study, it could be seen that asymmetric bag carrying did not have large effects on changes in plantar pressure during walking compared to symmetric carrying. The reason for this is considered to be posture adjusting mechanisms against load positions.