• 한국전문물리치료학회지
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• 제16권2호
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• pp.9-15
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• 2009

The purposes of this study were to compare abductor hallucis (AbdH) muscle activity during toe curl exercise according to position of interphalangeal joint (IPJ). Fifteen healthy subjects with neutral foot were recruit for this study. All subjects performed toe curl exercise with towel while maintaining the IPJ in flexion (condition 1) and extension (condition 2). Toe curl exercise with towel was perform three trials for five second periods in each condition. Surface electromyography (EMG) activities were recorded from three muscles (AbdH, tibialis anterior, peroneous longus) in each condition. EMG activity was normalized to the value of maximal voluntary isometric contraction (%MVIC). The EMG activities acoording to position of IPJ were compared using a paired t-test. This study showed that the EMG activity of AbdH during toe curl exercise with IPJ extension significantly increased compared to those during toe curl exercise with IPJ flexion (p<.05). However, the EMG activity of tibialis anterior and peroneus longus were not significantly different between the conditions (p>.05). These results suggest that toe curl exercise with towel must be performed with extension of IPJ in order to strengthen intrinsic muscle in subjects with overuse injuries related to excessive pronation.

• 대한족부족관절학회지
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• 제6권2호
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• pp.178-180
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• 2002

Authors report one patient of concurrent fracture of medial malleolus and rupture of deltoid ligament. To the author's knowledge, combined failure of both structures has not been previously reported in Korea. Injury mechanism was classified into pronation -abduction type according to Lauge-Hansen classification. Plain radiograph revealed trimalleolar fracture and posterior ankle dislocation. MRI showed complete rupture of both deep and superficial layer of the deltoid ligament. In conclusion, therefore, concurrent rupture of deltoid ligament should be considered for the surgical treatment in trimalleolar ankle fracture with posterior ankle dislocation resulted from pronation-adduction injury.

• 대한물리의학회지
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• 제4권4호
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• pp.209-214
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• 2009

Purpose：The purpose of this study are analysis characteristic of grasping power with each different elbow flexion degree and grasping power with each different elbow each different hand position and announcement. Methods：Measuring about 10cm wide open position with both feet for each elbow in the line positions of the $0^{\circ}$, $45^{\circ}$, $90^{\circ}$, $135^{\circ}$, and forearm position of supination, mid position, pronation is of the order. Results：The averge position of maximal grip strength was $0^{\circ}$ of elbow flexion with mid position in male and $90^{\circ}$ of elbow flexion with mid position in female. Grip strength in change of wrist position according to elbow flexion was significant difference(P<0.05). Grip strength in change of wrist position according to elbow flexion by sex was significant difference(P<0.05) Conclusion：When the elbow has flexion with $0^{\circ}$, $45^{\circ}$, $90^{\circ}$, $135^{\circ}$ then grasping power has a intimate relation with forearm position. Grasping power with forearm supination, pronation and mid position also has a intimate relation with elbow flexion.

• 한국운동역학회지
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• 제18권2호
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• pp.115-124
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• 2008

본 연구는 행군 시 발보장구 착용이 하지 근육 활동에 미치는 영향을 알아보는데 목적이 있다. 과회내족과 정상족을 선정하여 트레드밀에서 4.5km/h의 속도로 걷게 하였고 이때 근전도기를 이용하여 하지근육의 근육신호를 수집, 분석하였다. 수집한 데이터를 평균적분근전도와 스펙트럼 분석을 통해 근활성도와 피로도를 알아보았고 SPSS 12.0을 이용하여 통계분석하였다. 실험 결과는 과회내족이 정상족보다 행군 시 근 활성이 큰 것으로 나타났고, 보장구 착용 시 근 활성과 피로도가 줄어드는 경향을 나타냈다. 특히 전경골근과 장비골근의 근육활성 감소와 피로도 감소가 통계적으로 유의한 차이를 나타냈다. 결과적으로 과회내족은 장시간 행군 시 발보장구 착용이 피로도 감소에 효과적이며 이는 잠재적인 하지 근골격계 상해 예방에 도움이 될 것으로 사료된다.

• 한국산학기술학회논문지
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• 제10권12호
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• pp.3833-3838
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• 2009

본 논문은 산업용 로봇을 이용하여 운동화의 특성을 측정하는 측정장비를 소개한다. 여기서 사용된 로봇은 6관절의 퓨마타입 로봇(삼성전자의 FARA AT2 모델)을 인간의 보행 동작을 구현할 수 있도록 보완하였다. 보행 동작은 고속카메라로 분석한 후, 로봇 관절각들을 추출하여 동작구현에 사용한다. 3가지 종류의 경도 아웃솔(신발 겉창)로 만들어진 신발 시편을 준비하고, 이 로봇 시스템을 이용하여 걸음동작을 구현하여 신발에 따른 지면 충격력을 측정한다. 걸음동작에서 발생하는 발 앞축 부분을 굽히기 위해 요구되는 굽힘 모멘트의 측정과 걸음동작에서 발생하는 요동현상의 측정에 사용한다. 동일한 압축변형을 유지하도록 시스템을 설정하고, 신발을 측정한 결과 아웃솔의 경도에 따라 지면반력의 크기는 선형적으로 증가하는 추세가 관찰되었다. 또한 굽힘 모멘트와 요동현상 역시 아웃솔의 경도에 따라 선형적으로 증가하는 추세가 관찰되었다. 상기의 몇 가지 실험을 통하여, 본 로봇 시스템은 일관성 있는 실험결과를 제공하였으며, 따라서 산업용 로봇을 이용하여 신발의 유용한 특성 정보 도출이 가능하며, 추후 신발설계의 활용에 대한 가능성을 보여준다.

• Clinics in Shoulder and Elbow
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• 제17권1호
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• pp.25-30
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• 2014

Background: Normal elbow joint kinematics has been widely studied in cadaver, whilst in vivo study, especially of the forearm, is rare. Our study analyses, in vivo, the kinematics of normal forearm and of malunited forearm using a three-dimensional computerized simulation system. Methods: We examined 8 patients with malunited Monteggia fracture and 4 controls with normal elbow joint. The ulna and radius were reconstructed from CT data placing the forearm in three different positions; full pronation, neutral, and full supination using computer bone models. We analyzed the axis of rotation 3-dimentionally based on the axes during forearm rotation from full pronation to full supination. Results: Axis of rotation of normal forearm was pitch line, with a mean range of 2 mm, from full pronation to full supination, connecting the radial head center proximally and ulnar fovea distally. In normal forearm, the mean range was 1.32 mm at the proximal radioulnar joint and 1.51 mm at the distal radioulnar joint. However in Monteggia fracture patients, this range changed to 7.65 mm at proximal and 4.99 mm at distal radoulnar joint. Conclusions: During forearm rotation, the axis of rotation was constant in normal elbow joint but unstable in malunited Monteggia fracture patients as seen with radial head instability. Therefore, consideration should be given not only to correcting deformity but also to restoring AOR by 3D kinematics analysis before surgical treatment of such fractures.

• 대한인간공학회지
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• 제24권3호
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• pp.11-27
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• 2005

The objectives of this study are to analyze representative wrist postures while using hand tools and parts at general assembly processes, to evaluate perceived discomfort on the wrist when external loads are present, and to suggest an evaluation and prediction model of perceived discomfort. Sixteen subjects participated in an experiment to appraise perceived discomfort. Three types of the wrist postures with five levels of non-neutralities were analyzed when five levels of external load were applied to each posture. The ANOVA results showed that the perceived discomfort of wrist postures was significantly affected by both the wrist posture and external load (p$<$0.001). It was also shown that some of the interactions between external loads and the wrist postures(Flexion/$Extension^*$Load, Flexion/$Extension^*$supination/pronation, ulnar/radial $deviation^*$supination/pronation) were significant(p$<$0.001). The result implies that a new posture classification scheme for workload assessment methods may be needed to reflect such effects of external load and wrist posture. A regression model of perceived discomfort was developed with respect to wrist posture and external load from the experimental data. A subsequent experiment revealed that the correlation coefficient between the predicted values of perceived discomfort from the model and the actual values obtained from the experiment was about 0.98. It is expected that the results help to properly estimate the body stress resulting from worker's postures and external loads and can be used as a valuable design guideline to analyze potential hazard of musculoskeletal diseases in industry.

• 대한족부족관절학회지
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• 제8권1호
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• pp.86-91
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• 2004

Purpose: To evaluate the methods and results of the surgical treatment in the trimalleolar fracture of the ankle. Materials and Methods: We analysed the results of the ankle trimalleolar fracture which were treated with open reduction and internal fixation from January 1999 till September 2003. There were 45 patients who had at least six months follow up, 16 men, and 29 women. We have analysed the mechanism of injury, methods of operation and postoperative complications. Results: The results were assessed on ankle AP, lateral and mortise X-rays and retrospective chart review. There were 30 supination-external rotation, 13 pronation-external rotation, 2 pronation-abduction in the mechanism of injury by Lauge-Hansen classification. Cases of the posterior malleolar fracture which involved more than 25% of the weight bearing surface were 7 (15.6%). Medial malleolar mono-fixation was done in 5 cases, fibular mono-fixation in 2 cases, bimalleolar fixation in 32 cases, trimalleolar fixation in 6 cases. 38 cases (84.4%) were good or excellent in clincal assessment and 39 cases (86.7%) were good or excellent in radiological assessment according to the criteria of the Meyer. There was no difference of results among the surgical treatment methods. Conclusion: The results of our study indicate that the rigid fixation with early ankle motion and weight bearing is needed in ankle trimalleolar fracture. But minimal fixation is not bad in slight displaced fracture. Both anterior approach and posterior approach were useful methods to stabilization the posterior malleolar fracture. And pre-operative evaluation to detect the hidden soft tissue injuries and fracture mechanism is very important to avoid the failure.

• 대한물리의학회지
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• 제6권4호
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• pp.489-496
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• 2011

Purpose : The purpose of this study was to identify the effect of an arch support taping on navicular drop height and plantar pressure in the subjects with excessive pronated foot for 6 weeks. Methods : The fifteen subjects with the pronated foot group and the fifteen subjects with the normal foot group volunteered for this study. Both groups were applied arch support taping at 3 times a week during 6 weeks. Subjects were assessed navicular drop test to evaluate pronation of subtalar joint and plantar pressure on treadmill for pressure measuring system during walking with a bare foot state at pre- taping, after 3 weeks, and after 6 weeks. A two-way repeated analysis of variance design was used to examine the difference of navicular drop height and plantar pressure in the pronation foot group and the normal foot group. Results : The pronated foot group had significantly decreased both the navicular drop height and the plantar pressure under the medial midfoot than the normal foot group after 6 weeks(p<.01). Conclusions : This study proposed that an arch support taping can be support to lift navicular bone as well as to transfer the foot pressure from medial midfoot to lateral midfoot in individuals with excessive pronated foot.

• 대한족부족관절학회지
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• 제6권1호
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• pp.54-59
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• 2002

Purpose: To compare the clinical results between the screw fixation and modified tension band wiring in the treatment of medial malleolar fracture. Materials and Methods: From September 1998 to April 2002, 52 patients were treated by screw fixation and 43 patients were treated by modified tension band wiring for medial malleolar fracture. Results: Accoding to Lauge- Hansen classification, there were 28 cases of supination-external rotation type (53.8%), 9 of supination-adduction type (17.3%), 8 of pronation -external rotation type (15.4 %), 7 of pronation -abduction type (13.5 %) in screw fixation group and 21 (48.9%),11 (25.6%), 7 (16.3%) 4 (9.3%) of each type in tension band wiring group. The average time to union was 15.7 weeks in screw fixation group and 12.8 weeks in tension band wiring group.(p<0.05) In the functional outcome (according to Meyer and Kumler), 29 patients treated (76.2 %) with screw fixation showed excellent results and 34 patients (86.6%) treated with tension band wiring had excellent results (p<0.05). Conclusion: We concluded that more satisfactory result could be obtained with modified tension band wiring compared with screw fixation in the treatment of the medial malleolar fracture.