• Asian Pacific Journal of Cancer Prevention
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• v.13 no.1
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• pp.127-130
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• 2012

Aim: We conducted a study in China to assess the health-related quality of life (HRQoL) in patients treated on for malignant bone tumors after surgery, and investigate the possible determinants. Methods: The subjects were 120 patients surgically treated by amputation and limb-salvage for bone tumors during the period of June 2008 to June 2010. The Medical Outcomes Study Short Form 36 (SF-36) was employed to measure the HRQoL of all the patients before and after surgery. Results: With regard to the results of the general quality of life tool (SF-36), we observed a significant improvement of all the indexes of HRQoL after 6 months (p<0.05). PF, RP and BP scores showed significant increase between surgery after 6 and 12 months (p<0.05). The means of the HRQoL of bone tumor patients in our study were still much lower than those of general population in every domain, even 12 months after surgery. Logistic regression showed that female patients were found to have lower scores in physical component summary (PCS) than males (OR=0.64, 95% CI=0.35-0.89). Patients older than 15 years had lower scores in mental component summary (MCS) (OR=0.60, 95% CI=0.32-0.86). Ablative surgery was related to both lower MCS and PCS scores (For MCS, OR=0.54, 95% CI=0.31-0.83; for PCS, OR=0.43, 95% CI=0.25-0.73). Conclusion: Our study showed the treatment for bone tumor could greatly alter the HRQoL of patients. Age, sex and type of surgery were associated with physical or mental HRQoL after surgery.

• Korean Journal of Applied Biomechanics
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• v.18 no.1
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• pp.179-190
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• 2008

The purpose of this study was to identify whether or not in one-leg vertical jump of each limb asymmetry between both sides is present and to identify how the discrepancies between both limbs affect two-leg jumping performance, that is bilateral deficit. We had 13 healthy subjects perform one-leg jump for both sides and two-leg countermovement jump. The result of biomechanical analysis showed significantly difference of 4-7% in net impulses and work output between dominant and non-dominant one-leg jump and bilateral deficit of 24% when sum of those of each one-leg jump was compared with two-leg jump. But asymmetry in lower extremity was not significantly correlated with bilateral deficit. Two-leg jump could be characterized by relatively short propulsion time, long propulsion distance and high joint angular velocity compared with one-leg jump. These factors seemed to contribute to decreased performance in two-leg jump. Furthermore bilateral deficit was attributed to lower activities of extensor muscles found in two-leg jump.

• Archives of Plastic Surgery
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• v.34 no.6
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• pp.759-764
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• 2007

Purpose: Various types of flaps, with their own advantages and disadvantages, have been described for reconstruction of soft tissue defect with exposure of tendons, bones, or joints in the hand or foot. Local flaps with random vascularity have a limitation by their length. Free flaps are time-consuming procedure that may require the sacrifice of some major vessels. The ideal flap for covering soft tissue defects of the hand or foot must provide subcutaneous tissue that tendons can glide through which, supply enough subcutaneous tissue for cover of vital neural, bony, vascular and joint structures, and it has to be aesthetically pleasing. The adipofascial flap fulfills these criteria. It allows immediate or early closure of difficult wound of hand and foot in an easy way, and is especially indicated for small to medium-sized defects. Methods: From October 2005 to December 2006, seven cases underwent this procedure to reconstruct soft tissue defect on hand or foot. Results: All flaps survived completely, and no complications were observed. Conclusion: The adipofascial flap is a convenient flap for coverage of soft tissue with exposure of vital structure in the hand or foot, and provide several advantages, as following; easy and safe, short operating time, one stage procedure, thinness and good pliability of the flap, preservation of the major vascular pedicles, skin preservation at the donor site, thus preserve the shape of the limb and minimize donor site scar.

• Archives of Plastic Surgery
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• v.41 no.6
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• pp.709-715
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• 2014

Background The distally based sural artery flap is a reliable, local reconstructive option for small soft tissue defects of the distal third of the leg. The purpose of this study is to describe an adipofascial flap based on a single sural nerve branch without sacrificing the entire sural nerve, thereby preserving sensibility of the lateral foot. Methods The posterior aspect of the lower limb was dissected in 15 cadaveric limbs. Four patients with soft tissue defects over the tendo-achilles and ankle underwent reconstruction using the adipofascial flap, which incorporated the distal peroneal perforator, short saphenous vein, and a single branch of the sural nerve. Results From the anatomical study, the distal peroneal perforator was situated at an average of 6.2 cm (2.5-12 cm) from the distal tip of the lateral malleolus. The medial and lateral sural nerve branches ran subfascially and pierced the muscle fascia 16 cm (14-19 cm) proximal to the lateral malleolus to enter the subcutaneous plane. They merged 1-2 cm distal to the subcutaneous entry point to form the common sural nerve at a mean distance of 14.5 cm (11.5-18 cm) proximal to the lateral malleolus. This merging point determined the pivot point of the flap. In the clinical cases, all patients reported near complete recovery of sensation over the lateral foot six months after surgery. All donor sites healed well with a full range of motion over the foot and ankle. Conclusions The distally based sural artery adipofascial flap allowed for minimal sensory loss, a good range of motion, an aesthetically acceptable outcome and can be performed by a single surgeon in under 2 hours.

• Fashion & Textile Research Journal
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• v.11 no.4
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• pp.621-632
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• 2009

The purpose of this study was to analyze the physical characteristic of the wheelchair users by directly measuring the disabled men who use a wheelchair and to classify body types. The subjects were 178 male wheelchair users 20-69 years range of age. The results of this study were as follows. The cause of disability was classified into four groups; Poliomyelitis(P), Spinal Cord Injury(S), Cerebral Palsy(C), Amputee(A). There was a remarkable difference in the physical characteristic of the wheelchair users due to their cause of disability. A have greater values in all the dimensions. P have the largest drop values and smaller values in the lower body dimensions. S have greater values in the height of upper body trunk, back interscye length, and chest circumference, whereas smaller values in waist front length and thigh circumference. C have smaller values in most body dimensions except circumference of lower limb. By the factor analysis on the anthropometric data came out the result to be eight factors. The result of cluster analysis using factor scores shows the body types of wheelchair users can be divided into four body types; PY, RBB, TBP, RA. PY type is short and has the largest drop values, whereas RBB type tends to have the smallest drop values. TBP type is tall and the torso tends to be larger than those of the other types. RA type has smaller values in front body dimensions and moderate values in other dimensions. The diversity in body types should be considered among the wheelchair users.

• Korean Journal of Applied Biomechanics
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• v.30 no.1
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• pp.51-61
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• 2020

Objective: The purpose of this study is to analyse and comparison the differences of kinematic variables for Fente skill in Fencing. Method: For this, 15 people were selected as 5 beginners with less than 2 years of experience, 5 intermediate-class people with more than 2 years and less than 4 years, and 5 experts-class people with more than 4 years. Through the comparison of Marche Fente motion according to proficiency, for the necessary time, travel distance, the kinematical factor of joint angle, oneway ANOVA was performed in order to identify differences according to variables by phase. Results: The time required for each phase was shown to be shorter for all phases experts than for beginners and intermediates. At the horizontal displacement of the foot, the right foot left out the last phase and the experts appeared long. The left foot showed short beginners in all phases. The angle of forward lean showed that the angle of forward lean was tilted forward by the experts of all phases. There was a difference between the left and right joint angles of the lower limb, both of the ankle, knee and hip joints. Conclusion: In overall, Beginners should quickly widen the distance of their feet when they make a Fente movement. The beginner shall tilt the upper body forward in order to increase the angle of forward lean. The beginner shall, in the last phase, have a smaller angle on the hip joint.

• Journal of The Korean Astronomical Society
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• v.24 no.1
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• pp.55-70
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• 1991

Infrared emission maps are constructed at 12.5, 25, 60, and $100{\mu}m$ for dark globules B5, B34, B133, B134, B361, L134 and L1523 by using Infrared Astronomical Satellite data base. These clouds are selected on the basis of their appearance in Palomar print as dark obscuring objects with angular sizes in the range of 3 to 30 arcminutes. The short wavelength(12.5 and $25{\mu}m$) maps show the embedded infrared sources. We found many such sources only in B5, B361 and B34 regions, Diffuse component at 12.5 and $25{\mu}m$, possibly arising from the stochastically heated very small dust grains(a < $0.01{\mu}m$) by interstellar radiation field, is found in B361 and L1523 regions. Such emission is characterized by the limb brightening, and it is confirmed in L1523 and in B361. Infrared emissions at the long wavelengths(60 and $100{\mu}m$) are due to colder dusts with temperature less than 20 K. The distribution of color index determined by the ratio 60 to $100{\mu}m$ intensities shows monotonic decrease of dust temperature toward the center. The black body temperature determined from these ratios is found to lie between 16 and 23 K. Such temperature is possible for small(i.e., $a\;{\lesssim}\;0.01{\mu}m$) graphite grains if the grains are mainly heated by interstellar radiation field. Thus IRAS 100 and $60{\mu}m$ emissions are arising mainly from small grains in the colud. The distribution of such dust grains implied from the emissivity distributions at 100 and $60{\mu}m$ resembles that of isothermal sphere. This contrasts to earlier findings of much steeper distribution of dusts contributing visible extinction. These dust grains are mainly larger ones(i.e., $a{\simeq}0.1{\mu}m$). Therefore we conclude that the average grain size increase, toward the cloud center.

• Physical Therapy Korea
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• v.8 no.3
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• pp.43-52
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• 2001

This study was designed to determine the effect of ankle taping and short period of walking on the treadmill on the range of motion (ROM) and proprioception at the ankle joint. Twenty healthy male subjects (mean age=24.2 yr) participated in this study. Goniometry and videotape replaying method were used to measure the ankle ROM. Passive sagittal and frontal plane motions were measured. The difference in degree between the stimulus point and the reproduced point was defined as an angular error. The measurements were performed at four different phases: pre-taping (PRT), post-taping immediately (POT), post-5 minute walking with taping (P5M), and post-10 minute walking with taping (P10M). The ankle of dominant limb was taped by a certified athletic trainer using a closed basket weave technique. Participants walked on the treadmill at 2.5 mph. The results showed that the mean of the sagittal plane motion at PRT, POT, P5M, and P10M was 53.0, 30.5, 36.2, and 40.2 degrees, respectively. The frontal plane motion at PRT, POT, P5M, and P10M was 33.6, 13.9, 15.7, and 18.6 degrees, respectively. The angular error at PRT, POT, P5M, and P10M was 5.5, 1.6, 1.8, and 1.9 degrees, respectively. After 10 minutes of walking, the sagittal plane motion and frontal plane motion was increased by 9.7 and 4.7 degrees compared with POT, respectively. The proprioception was significantly improved after the application of ankle taping. Both the restriction of frontal plane motion and proprioception improvement at the ankle joint may contribute to ankle stability during walking.

• Physical Therapy Korea
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• v.3 no.2
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• pp.55-76
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• 1996

The objective of this study was to identify the immediate effects of the short leg brace on the weight bearing distribution and gait patterns of hemiplegic patients. The subjects of this study were 18 hemiplegic patients who had been hospitalized or visited out-patient department of Rehabilitation Hospital, Yonsei University College of Medicine, from January 5, 1996 through March 23, 1996. PLS(Posterior Leaf Spring) on and off changes in gait patterns were measured using ink foot print as well as by recording weight bearing distribution using a limb load monitor. The data were analyzed by the correlation and paired t-test. The findings were as follows: 1. Eighteen subjects were more weighted on the affected leg when PLS was put off(42.74%) than on(40.08%). 2. The defference in gait patterns between PLS on and off was statistically significant, with an increase in step length by 1.7cm on the involved side; a decrease in foot angle by 4.41 degree on the involved side; and a narrowing of base of support by 1.46cm when PLS were off. In conclusion, this study showed that PLS did not affect the weight bearing distribution and gait patterns of hemiplegic patients. Since, the evaluation method used in this study has limitations in regard to temporal distance gait values. Further studies are required to numerous experiments for subject and extensive study.

• The Korean Journal of Pain
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• v.28 no.3
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• pp.198-202
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• 2015

Background: Lack of proper control of acute postoperative pain often leads to lingering or chronic pain. Several studies have emphasized the role of beta-blockers in reducing postoperative pain. Esmolol is a selective short-acting beta-blocker that produces few side effects. The purpose of this study was to examine the effect of intravenous intraoperative esmolol on postoperative pain reduction following orthopedic leg fracture surgery. Methods: In a clinical trial, 82 patients between 20-65 years of age with tibia fractures and American Society of Anesthesiologists (ASA) physical status I & II who underwent surgery were divided into two groups. Group A received esmolol and group B received normal saline. Postoperative pain was measured at three time points: entering the recovery unit, and at 3 h and 6 h following surgery, using the Visual Analogue Scale (VAS). A P value of < 0.05 was considered significant. Results: Mean VAS scores at all three time points were significantly different between the two test groups (P = 0.02, P = 0.0001, and P = 0.0001, respectively). The consumption of pethidine was lower in group A than in group B (P = 0.004) and the duration of its effect was significantly longer in time (P = 0.026). Conclusions: Intravenous intraoperative esmolol is effective in the reduction of postoperative pain following leg fracture surgery. It reduced opioid consumption following surgery and delayed patient requests for analgesics.