• 제목/요약/키워드: PLANTAR FOOT

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족무지 지관절 종자골에 의한 난치성 족저 각화증 (증례보고) (Intractable Plantar Keratoses due to Interphalangeal Sesamoid Bone of the Hallux (A Case Report))

  • 채수욱;김강득;김종윤;차명수
    • 대한족부족관절학회지
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    • 제17권3호
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    • pp.239-242
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    • 2013
  • A sesamoid bone can occasionally be found under the interphalangeal joint of the hallux. These had anatomical variants and usually remain asymptomatic, it is uncommon for symptomatic cases of painful plantar keratoses or irreducible dislocation of interphalangeal joint of the hallux with incarcerated sesamoid. While the latter has a few cases, the former has not reported in Korea. We experienced a rare case of intractable plantar keratoses due to interphalangeal sesamoid bone of the hallux which may reqire excision.

외족장신경 제1분지의 신경초종에 의해 발생된 족장터널증후군 (Tarsal Tunnel Syndrome secondary to the Neurilemoma of first branch of the Lateral Plantar Nerve)

  • 이경태;탁상보
    • 대한족부족관절학회지
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    • 제2권1호
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    • pp.52-55
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    • 1998
  • Tarsal tunnel syndrome is a complex of symptoms resulting from the compression of the posterior tibial nerve or its branches, Many disease have been previously reported in the literatures as etiological agents in tarsal tunnel syndrome. We reported a case of tarsal tunnel syndrome secondary to neurilemoma of the first branch of lateral plantar nerve. The symptoms were similar with the entrapment syndrome of the first branch of the lateral plantar nerve. Symptoms were completely relieved after operation.

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요족형 족저근막염 환자에 대한 도침요법과 근막 추나요법 병행 치료의 임상적 효과: 증례 보고 (A Case Report of Talipes Cavus-Type Plantar Fasciitis Treated with Acupotomy and Fascia Chuna Therapy)

  • 하원배
    • 척추신경추나의학회지
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    • 제17권1호
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    • pp.47-53
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    • 2022
  • Objectives This case study aimed to investigate the effect of acupotomy and fascia chuna therapy on talipes cavus-type plantar fasciitis. Methods We classified the foot arch type using a podoscope and estimated the outcome by evaluating the numeric rating scale, pain disability index, and EuroQol-5-dimension measurement. Results After treatment, heel pain decreased and the quality-of-life score improved. Conclusions This study suggests that treatment with acupotomy and muscle energy techniques based on the foot arch type may be effective for plantar fasciitis. A limitation of this study is the small number of cases. Further clinical studies are required.

트레드밀보행 시 경사도에 따른 족저압과 발목관절의 관절가동범위의 변화 (The change of ankle of plantar pressure and range of motion joint according to treadmill gradients)

  • 김태호;김병곤
    • 대한정형도수물리치료학회지
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    • 제14권1호
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    • pp.39-47
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    • 2008
  • Purpose : The purpose of this study was to investigate the change of the peak plantar pressure distribution under the foot areas and the range of motion (ROM) of ankle joint according to gradients in treadmill gait. Method : Thirty normal subjects (15 male and 15 female) walked on treadmill at three gradient conditions ($0^{\circ}$, $10^{\circ}$, and $15^{\circ}$) in normal speed. The ankle ROM was measured using the CMS70P that is three dimensional analyzer for excursion of ankle ROM, plantar flexion, and dorsi flexion. The peak plantar pressure distribution under the hallux, 1st metatarsal head (MTH) and heel was measured using the F -Scan system with an in-shoe sensor. Data was collected from 9 steps of left sife foot in at each gradient condition while all subjects walked. Result : As the treadmill gradient increased, the excursion of ankle joint was significantly increased (p<.05). Also, plantar flexion and dorsi flexion was significantly increased according to treadmill gradients (p<.05). The peak plantar pressure under the 1st MTH was significantly increased (p<.05) and the peak plantar pressure under the heel was significantly decreased (p<.05) as the treadmill gradient increased. No significant different in the peak plantar pressure under the hallux was observed. Conclusion : This study suggests that physical therapy for patients who have limited ankle ROM should be considered sufficient range of motion for functional ambulation. And individuals that have painful forefoot syndromes, including metatarsalgia, hallux valgus, and plantar ulceration should be careful in walking to uphill, as there is high plantar pressure under the forefoot.

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이물 육아종으로 오인된 심부 열상 이후 발생한 비정상적인 내측 족저 신경의 외상성 신경종: 증례 보고 (Unusual Presentation of Traumatic Neuroma of the Medial Plantar Nerve after Deep Laceration Mimicking a Foreign Body Granuloma: A Case Report)

  • 우승훈;김태우;배정연
    • 대한족부족관절학회지
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    • 제21권4호
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    • pp.174-178
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    • 2017
  • Traumatic neuromas are rare benign tumors that are common after trauma or surgery and are usually accompanied by obvious symptoms of pain. Most reports show neuromas in the face, neck, and limbs, and the traumatic neuroma of the medial plantar nerve has rarely been reported. We encountered a traumatic neuroma of the medial plantar nerve after a deep laceration mimicking a foreign body granuloma. A small mass lesion was found around plantar aponeurosis with heterogeneous high signal intensity in the T2 fat suppression view and slightly enhanced intensity in the magnetic resonance imaging that suggested a foreign body granuloma. The lesion was diagnosed pathologically as a traumatic neuroma. A satisfactory clinical result was obtained after excision of the traumatic neuroma and burial of the proximal and distal stumps to the adjacent muscle at the secondary operation.

멕켄지 운동 적용에 따른 전방머리자세와 족저압의 상관관계 (The Correlation Between Forward Head Posture Used McKenzie Exercise and Plantar Pressure)

  • 한지훈;김정현;정민근;주태성;전재국
    • 대한정형도수물리치료학회지
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    • 제22권1호
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    • pp.65-70
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    • 2016
  • Background: To determine the correlation Between forward head posture and plantar pressor in a McKenzie Exercise. Methods: This study had a cross-sectional design. There are included 20 participants with forward head posture. We measured the craniovertebral angle (CVA), cranial rotation angle (CRA) by image obtained digital camera and the plantar pressure, static balance using Gait Analyzer each before and after McKenzie Exercise. Results: There was negative correlation between CVA and CRA (p<.05). There was negative correlation between CVA and fore foot(p<.05). There was positive correlation between CRA and both fore foot (p<.05). There was negative correlation between CVA and static balance(p<.05). There was positive correlation between CRA and static balance (p<.05). Conclusions: There is a correlation between the change a mount of forward head position and plantar pressure in the McKenzie Exercise.

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인체 족부 근골격계 상세 유한요소모델링을 통한 족저압 해석 (Pressure Analysis of the Plantar Musculoskeletal Fascia Using a Fine Finite-Element Model)

  • 전성모;김철
    • 대한기계학회논문집A
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    • 제35권10호
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    • pp.1237-1242
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    • 2011
  • 족저부의 압력 분포를 해석하기 위하여 인체에 근접한 족부 상세 해석용 모델을 개발하였다. 이 상세 해석용 모델은 족부의 단층촬영 영상(CT scan image)으로부터 밀도 차이에 따라서 골격부와 피부 및 피하조직을 각각 3D CAD 모델로 변환한 후에 결합하여 구성하였며, 근육과 뼈, 피부 모두를 반영한 3D 족부 유한요소해석 모델로 개발하였다. 개발된 3D 족부 유한요소모델에 대하여 NASTRAN의 접촉해석을 수행하여 족저압의 분포를 계산하였으며, 이러한 결과는 균일분포압력을 작용시키는 당뇨병 환자용 신발 설계의 기초 자료로 활용될 수 있다.

엄지 발가락외반증환자의 발바닥 압력분포 특성 (Plantar Pressure Distribution Characteristics of Hallux Valgus)

  • 김영호;박시복;양길태;임송학;이강목;문무성
    • 대한의용생체공학회:의공학회지
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    • 제18권4호
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    • pp.439-446
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    • 1997
  • 증가하고 있는 주요 족부질환인 엄지발가락외반증의 특성을 이해하기 위하여 본 연구를 수행하였다.23명의 엄지발가락외반증 환자들에 관한 방사선학적 연구와 함께 자유보행시의 족저압력분포를 측정하였다. 또한 본 연구에서는 족저압력 분포를 상세히 분석하기 위한 해부학적으로 적절한 구역설정을 제시하였다. 족저압력분포를 측정한 결과, 엄지발가락외반증이 심한 환자일수록 중족골 부위의 압력, 접촉면 적과 시간, 충격량 등이 현저하게 증가함을 알 수 있었다. 엄지발가락외반증은 신발의 선정이 잘못됨에 의하는 경우가 적지 않았다. 족저압력집중은 족부질환에 있어서 매우 중요하므로, 신발의 설계에 있어서 적절한 족저압력분포를 고려하여야 한다.

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족저근막염의 초음파유도하 봉약침 치험1례 (A Case Report of Ultrasound-guided Bee Venom Pharmacopuncture on Plantar Fasciitis)

  • 오승윤;염지윤;박수정
    • 대한한의학회지
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    • 제44권1호
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    • pp.108-116
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    • 2023
  • Objectives: This study is to report the usefulness of ultrasound in diagnosing plantar fasciitis and the effectiveness of ultrasound-guided bee venom pharmacopuncture as a treatment of it. Methods: A 61-year-old woman suffered from plantar fasciitis on her right foot for 1 month. The sonographic findings were fascial thickening, blurring of perifascial border and perifascial effusion. The ultrasound-guided bee venom pharmacopuncture for 6 times and conventional Korean medicine therapies like acupuncture and moxibustion for 12 times in 5 weeks. Numeric rating scale (NRS) and foot function index(FFI) was used to evaluate the pain and its progress. and thickness of plantar fascia was measured by sonography every week. Results: After treatments, NRS and FFI were reduced from 10 to 1 and from 190 to 72. The thickness of fascia was reduced from 0.43cm to 0.40. Blurring and effusion of perifascial border were also improved. Conclusion: This report suggests that the Ultrasound-guided Bee Venom Pharmacopuncture is effective for Plantar Fasciitis. Ultrasonography could be one of the most valuable items in the clinical practice of Korean medicine doctors who seek minimally invasive treatment.

Orthotics 착용에 따른 정상, 요족, 평발의 생체역학적 보행분석 및 시뮬레이션 (Biomechanical Gait Analysis and Simulation on the Normal, Cavus and Flat Foot with Orthotics)

  • 이중현;이재옥;박성하;이영신
    • 대한기계학회논문집A
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    • 제31권11호
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    • pp.1115-1123
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    • 2007
  • The foot plays an important role in supporting the body and keeping body balance. An abnormal walking habit breaks the balance of the human body as well as the function of the foot. The foot orthotics which is designed to consider biomechanics effectively distributes the load of the human body on the sole of the foot. In this paper, gait analysis was performed for three male subjects wearing the orthotics. In this study, three male subjects were selected. The experimental apparatus consists of a plantar pressure analysis system and digital EMG system. The gait characteristics are simulated by ADAMS/LifeMOD. The COP (Center of Pressure), EMG and ground reaction force were investigated. As a result of gait analysis, the path of COP was improved and muscle activities were decreased with orthotics on the abnormal walking subjects.