• Title/Summary/Keyword: Orthotics

검색결과 122건 처리시간 0.02초

시각적 정보와 내측 쐐기 인솔의 높이 차이가 정상 성인의 슬관절 고유수용성 감각에 미치는 영향 (The Influences of Visual Information and Different Elevations of Medially Wedged Insoles on Knee Joint Proprioception in Healthy Persons)

  • 김도균;고은혜;이강성;신헌석
    • 한국전문물리치료학회지
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    • 제12권1호
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    • pp.22-27
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    • 2005
  • The purpose of this study was to investigate the effects of visual information and different elevations of medially wedged insoles on the proprioceptive sense of the knee joint. The subjects of this study were 16 able-bodied men who were not athletic. An electrogoniometer was used to determine the error value between calculated 50% of full flexion (target position) and performed 50% of full flexion in a standing position with the upper extremities crossed. Tests were randomly performed in $2{\times}4$ conditions. Visual variations included open eyes vs. closed eyes, while the elevation was adjusted through the use (or lack thereof) of medially wedged insoles of 10 mm, 14 mm, and 18 mm. The average error value in each condition was statistically analyzed. The findings of this study revealed as follows: 1) The average error value was significantly higher with the subjects' eyes open than with their eyes closed (p<.05). 2) The averaged error value was also significantly higher when the subjects were elevated 18 mm than with no elevation at all (p<.05). The findings of this study should be considered in lower extremity rehabilitation programs when medially wedged insoles used.

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지체 장애인 여성을 위한 디자인 선호도 조사 및 기능성 의복 디자인 개발 연구 (A Research on the Design Preferences among and the Development of Functional Clothing Designs for Disabled Women)

  • 정삼호;이현정
    • 복식
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    • 제56권6호
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    • pp.58-71
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    • 2006
  • This research is aimed to develop the functional clothing designs for disabled women in the manner of investigating design preferences among them by means of questionnaire and interview with 150 disabled women as respondents and interviewees. The findings of this research are summarized as follows: 1. Regarding satisfaction with ready-made clothes, the respondents answered 'very satisfied' (1.6%), 'usually satisfied' (14.1%), 'moderate' (20.3%) and 'unsatisfied' (53.1%), suggesting that they had been generally unsatisfied with ready-made clothes. 2. There were more disabled women preferring to ready-made clothes with one-grade bigger (loose.) size than the actual one (53.1%) instead of completely fitted size (43.8%) when they purchased such clothes. This result indicates that they prefer to ready-made clothes with bigger size than the actual one because most of such clothes are made up of non-elastic materials which may be unfavorable for wearer's activities. 3. It was found that primarily worn upper garment among them was T-shirt (59.4%). The reason may be that T-shirt is favorable for using prosthesis and orthotics such as wheelchair, walking stick and crutches thanks to its remarkably high activity as well as simple to maintain, compared with other kinds of upper garments. 4. Regarding preferences to functional clothing designs, the primarily worn lower garment among them was trousers (85.9%); the reason was easiness to move. The main reasons of avoiding to wear a skirt included 'difficult to move' (40.6%) and 'exposed disabled region' (30.3%). Accordingly, functional clothing for disabled women should be developed in consideration for their individual characteristics of disability associated with the disabled region such as wheelchair user, crutch user or brace user, In addition, the designs should be made so that they are not different from those for non-disabled people.

절단장애인을 위한 한국어 의지평가 설문지의 신뢰도 (The Reliability of the K-PEQ(Korean Prosthesis Evaluation Questionnaire) in Lower Extremity Amputees)

  • 성우성;김장환;정동훈
    • 디지털콘텐츠학회 논문지
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    • 제19권7호
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    • pp.1405-1412
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    • 2018
  • 한국어 의지평가 설문지를 개발하고 그 타당도가 연구되었으나, 다리 절단장애인을 대상으로 의지평가 설문지를 적용하여 신뢰도를 평가한 연구는 실시되지 않았다. 본 연구에서는 다리 절단장애인을 대상으로 개발된 한국어-PEQ를 적용하여 그에 대한 신뢰도를 평가하였다. 그 결과, 한국어-PEQ의 모든 항목에서 천장효과와 바닥효과가 15%이하로 나타나 응답의 난이도가 적절한 것으로 나타났다. 한국어-PEQ 영역별 신뢰도(inter-rater reliability)의 급간내 상관계수(intra-class coefficient, ICC)는 .719(95%CI .600~.811)~.920(95%CI .890~.945)로 나타났고, 영역간 신뢰도는 .958로 높게 나타났다. 문항 내적 일치도 Cronbach's ${\alpha}$값은 .910으로 높게 나타나 한국어-PEQ는 높은 신뢰도가 있음을 알 수 있었다.

무지 외반증 환자의 hard insole 착용에 의한 중족지절관절 각도의 변화 (The Effect of Hard Insole on Metatarsophalangeal Joint in Patients With Hallux Valgus)

  • 임성태;김택훈;최흥식;노정석;김장환
    • 한국전문물리치료학회지
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    • 제8권2호
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    • pp.17-27
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    • 2001
  • The purpose of this study was to investigate the effect of donning of a hard insole in patients with hallux valgus. Fourteen subjects were selected from patient with foot pain at Lee Chang-Heon Foot Clinic from August 4, 2000 to September 15, 2000. The hallux valgus angle and the first-second intermetatarsal angle were radiographically measured before and after donning the hard insole. Based on these two kinds of angles, a mild hallux valgus deformity group was characterized by the hallux valgus angle of less than 20 degrees, and a moderate hallux valgus deformity group was characterized by the hallux valgus angle of 20 to 40 degrees. After three weeks with the hard insole donned, the foot angles of the patients with hallux valgus were measured again. The data were analyzed by Wilcoxon signed ranks test, and the following results were obtained: 1) After the trial, both mild hallux valgus deformity group and moderate hallux valgus deformity group demonstrated that the hallux valgus angles were significantly decreased. 2) After the trial, mild hallux valgus deformity group demonstrated that the first-second intermetatarsal angle was significantly decreased. 3) After the trial, moderate hallux valgus deformity group demonstrated that the first-second intermetatarsal angle was not significantly decreased. The above findings revealed that according to donning hard insole, the hallux valgus angles of mild and moderate hallux valgus deformity groups and the first-second intermetatarsal angle of mild hallux valgus deformity group were significantly decreased. The results of this study have some limitation for generalization due to the limited number of subjects. Further studies are needed to evaluate the effect of hard insole on hallux valgus with more precise laboratory equipments and measurements in patients with hallux valgus.

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석창포(石菖蒲)의 면역조절 및 항암효과 (Immuno-regulatory and Anti-cancer Effect of Acorus gramineus Solander)

  • 김남석;이규희;김태호;배진범;김순근;전훈;임종필;신태용;이창현;정승일;권진;오찬호
    • 동의생리병리학회지
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    • 제21권4호
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    • pp.869-873
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    • 2007
  • Methanol extracts of Acorus gramineus Solander(AGS) were found to exhibit immuno-regulatory action in BALB/c mice. Oral administration of AGS increased murine splenic T lymphocytes, especially $T_H$ and $T_C/T_S$ subpopulations were increased significantly. Treatment of AGS exerted strong cytotoxicity against U937 and HL60 human leukemia cells. Also, AGS induced apoptosis of U937 leukemia cells in a dose dependent manner. Nitric oxide(NO) production and iNOS gene expression were also increased in AGS-treated RAW264.7 cells. Treatment of AGS increased the expression of p53 gene and decreased the expression of PCNA protein in cultured U937 cells. These data suggest that AGS are effective on the immuno-regulatory action and anti-cancer properties.

정상의 발과 병적인 발에서 발보조기 연구의 비판적 고찰 (A Critical Review of Foot Orthoses in Normal and Diseased Foot)

  • 김승재;김장환;탁계래;배상우;박영기
    • 한국운동역학회지
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    • 제17권3호
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    • pp.81-94
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    • 2007
  • The purpose of this study was to critically review biomechanical studies on foot orthoses (FO) in normal and diseased foot and provide beneficial information obtained from researches until now and future researching focus. The search was performed by Medline and Embase database including studies published in English from January 1980 to April 2007. The searching terms were foot orthoses, foot orthotics, insoles and shoe insert. 57 studies including 54 journal articles and 3 abstracts were finally selected under the conditions of having clinical trials, FO, control condition, movement, scientific measuring system. The reviewed studies were divided into 10 categories according to subject characteristics; healthy normal, excessive pronation or flexible flat foot, rheumatoid arthritis, diabetes, medial knee osteoarthritis, forefoot varus, plantar fasciitis, patellofemoral syndrome, cavus foot and finite element model. In summary, first, soft and semirigid FOs with some degree of cushioning showed much higher comfort and efficacy than rigid FO. Second, no big differences between prefabricated and custom FO were shown. Third, the full length's FO was preferable to the half length's FO or simple arch supports. Fourth, the wearing of FO combining medial arch supports and metatarsal dome made positive roles to enhance comfort and functionality and redistribute plantar pressure under the foot. Fifth, for patients with knee-related diseases lateral wedges were preferable. Sixth, measuring systems were properly applied according to the types of foot diseases.

발효홍삼 추출물의 광노화 피부 보호 효과 (Protective Effect of Fermented Red Ginseng Extracts on Photoaging Skin of Induced by UVB in Hairless Mice)

  • 김호일;오미진;김종석;이성철;권진;이창현
    • 동의생리병리학회지
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    • 제29권1호
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    • pp.58-65
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    • 2015
  • This study is designed to investigate the protective effects of fermented Red Ginseng (FRG) against photoaging in vitro and in vivo. UVB was irradiated to the human keratinocyte HaCaT cell and dorsal skin of SKH-1 mice for the induction of photoaging. After treatment of non-fermented red ginseng (NRG), fermented red ginseng (FRG), and fortified fermented red ginseng (FFRG) to the UVB irradiated HaCaT cell, ROS production and activity of MMP-9 were examined by DCFC-DA assay and gelatin zymographic assay respectively. UVB irradiated SKH-1 mice were treated with NRG, FRG, and FFRG via oral(300 mg/Kg B.W./day) and topical($100{\mu}{\ell}/mouse/day$) route.All of NRG, FRG, and FFRG had significantly reduced the intracellular ROS production elicited by UVB, among them FRG slightly more reduced the ROS production than NRG and FFRG. FFRG had slightly more reduced the MMP-9 activity in UVB irradiated HaCaT cells than NRG and FFRG in high dose. Oral and topical treatment of NRG, FRG, and FFRG had decreased the expression of matrix metalloproteinase-2, -3, and -9 in dorsal skin of UVB irradiated mice. Among them, inhibitory effect of FRG on the expression of MMP-2 was apparent. We speculate that FRG has therapeutic potentials on the UVB irradiated photoaging.

Effect of Alcohol Insoluble Residues from Stem and Root Barks of Elm (Ulmus davidiana) on Intestinal Characteristics in Rats

  • Choi, Yun-Kyung;Lee, Chang-Hyun;Lee, Moon-Won;Kwon, Jin;Song, Geun-Seoup;Kim, Young-Soo
    • Food Science and Biotechnology
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    • 제15권3호
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    • pp.380-384
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    • 2006
  • Sprague-Dawley rats (n=32) were fed a diet containing basal (control), cellulose (5%), or alcohol insoluble residue (AIR) (5%) extracted from the stem and root barks of elm (Ulmus davidiana var. japonica Nakai) for 4 weeks. The effects of the diets, on gastrointestinal functions and morphology were evaluated. The weight gains, food intake, and food efficiencies for the cellulose and AIR diet-fed groups were not significantly different from those of the AIR-free (basal) diet. The gastrointestinal transit times of the stem and root bark AIR diets were significantly reduced (p<0.01) compared to the basal diet, and were slower than those of the cellulose diet. The fecal weights of the stem and root bark AIR diets were significantly increased (p<0.01) up to 4-fold compared to those of the basal diet. The height of the mucosal villi, and mucosal and muscle layer thicknesses of the colon were greater and more developed in the stem and root bark AIR diets (p<0.01) than in the basal diet. The villus heights in the jejunum and the colon mucosal goblet cells were more developed in the order of cellulose > stem bark AIR > root bark AIR diets.

동작중 작용부하 분석을 위한 간접적 부하규명 (Indirect Load Identification for the Operational Load Analysis)

  • 조문선
    • 대한의용생체공학회:의공학회지
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    • 제24권6호
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    • pp.501-507
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    • 2003
  • 환자의 재활을 돕는 보조기 및 의지와 같은 의료기기의 기본 요건 중의 하나는 충분한 강도를 가지도록 설계해야 하는 것이다. 강도설계를 위해서는 먼저 기구에 작용하는 부하를 파악하여야 하는데, 인체에 직접 착용하거나, 인체의 운동을 돕도록 고안된 의료기구의 특성상 정하중 보다는 동하중 형태의 부하를 받는 경우가 많으며, 때때로 충격하중을 받는 경우도 있다. 이같은 형태의 부하를 직접적으로 파악하기 위해서는 구조물에 계측용 센서를 직접 설치하여야 하나, 이럴 경우 센서의 설치로 인한 구조 변경으로 인해 계의 고유 특성을 유지할 수 없는 경우가 흔히 발생하다. 따라서, 이와 같은 경우에는 작용 부하를 간접적으로 즉, 진동 등의 출력으로부터 역으로 구해내는 수 밖에는 없다. 본 논문에서는 이와 같은 동하중 형태의 부하 즉, 작동부하를 구하는 데 있어서 기존 방법인 전달률 방법의 문제점 및 한계점을 살펴보고, 다수개의 기준점을 사용하여 다입력 환경하에서도 적용이 가능한 주성분 분석을 이용한 새로운 방법을 제시하였으며, 실험을 통해 이의 타당성을 검증하였다.

치매환자의 균형반응과 신체활동에 관한 연구 (The Study on the Balance Reaction and Physical Activity of Dementia Patients)

  • 임재길;이강성
    • 한국산학기술학회논문지
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    • 제12권11호
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    • pp.5087-5093
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    • 2011
  • 본 연구는 30명의 치매환자를 대상으로 균형반응 특성을 알아보고자 다음과 같이 실시하였다. 인지기능이 중등도와 중도인 환자로 나누어 인지 기능에 따른 균형과 감각상호작용(CTSIB), 균형수행력(BBS), 일상생활동작(BI)의 상관관계를 각각 측정하였다. 그 결과 치매환자의 균형과 감각상호작용(CTSIB)은 두 그룹 간에 유의한 차이가 없었다. 중등도와 중도의 치매환자에서 균형수행력(BBS)은 중등도 $47.32{\pm}4.80$점, 중도 $43.09{\pm}4.18$점으로 통계학적으로 유의한 차이가 있었으며(p<0.05), 일상생활동작에서도 중등도 $92.89{\pm}9.33$점, 중도 $76.82{\pm}6.81$점으로 통계학적으로 유의한 차이가 있었다(p<0.05). 치매환자의 인지기능, 균형수행력, 일상생활동작도 통계학적으로 유의한 상관관계가 있었다(p<0.05, p<0.01). 따라서 향후 치매환자를 위한 재활프로그램 개발이나 치매환자의 보호관리 시 기초자료로 이용 될 수 있을 것으로 생각된다.