• 제목/요약/키워드: Toe

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양산지역 대학원 일개 학년 학생을 대상으로 동적검사 및 정적검사를 통한 족부지표 분석 (Analysis of the Foot Indices Using Dynamic and Static Check of Postgraduate School Students in Yangsan)

  • 천경재;박달아;신병철;황의형;허인;김병준;임경태;허광호
    • 척추신경추나의학회지
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    • 제11권1호
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    • pp.33-40
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    • 2016
  • Objectives : To evaluate the foot indices using dynamic and static checking on healthy adult people. Methods : Foot indices analysis was performed for 46 students. Static checking practiced for Foot Pressure(FP) and Toe Pressure Difference(TPD) and dynamic checking was used for Vertical Axis Angle(VAA). Results : On gender, there was generally no statical significant difference, except RFP(Right Foot Pressure). The RFP of male was bigger than that of female. On age, in addition, there was similar tendency, only RFP had a positive correlation (r=0.35, p<0.05). Comparing foot indices on right and left, we found TPD and VAA had a tendency of pronation on left, but FP had a opposite tendency. On consistency of each foot index, discrepancy between TPD and VAA (39.47%) was lesser than combination of the others. Conclusions : According to foot indices among 46 healthy student, we found out that there is partially correlation between dynamic and static checking. We hope that the data we found will contribute to standardization of podiatry indices which provide medical guidance for cure of foot disease, supporting further podiatry research.

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심층혼합처리지반에 설치된 안벽의 신뢰성해석 (Part II: 개량지반의 내부안정) (Reliability Analysis of a Quay Wall Constructed on the Deep-Cement-Mixed Ground (Part II: Internal Stability of the Improved Soil System))

  • 허정원;박옥주;김영상;허동수
    • 한국해안·해양공학회논문집
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    • 제22권2호
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    • pp.88-94
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    • 2010
  • 외부안정성을 다룬 동반논문과 차별화하여, 이 논문에서는 심층혼합처리지반에 설치된 안벽의 내부안정성에 대한 정량적 위험도 평가를 위한 신뢰성해석 방법을 제안하였다. 내부안정성 위험도 평가를 위해 개량지반의 단지압, 전단강도 그리고 무개량토의 압출 파괴모드에 대해 MVFOSM, FORM 그리고 MCS를 적용하여 안정성을 검토하고 비교하였다. 심층혼합처리지반상 안벽의 내부안정성에 대한 신뢰성해석 결과, 흙-시멘트 개량체 압축강도의 변동성과 분포형태가 파괴확률에 큰 영향을 미치는 것으로 나타났으며 다른 확률변수들의 영향은 상대적으로 미미했다. 그러므로 흙-시멘트 개량체의 현장 압축강도에 대한 통계적 특성을 합리적이고 정확하게 결정하는 것이 중요하다.

식별체계기반의 전자원문 연계시스템 설계 및 구현 (Design and Implementation of a Digital Contents Service System based on the Identification System)

  • 이상환;신동구;김재수;최진영;정택영
    • 정보관리학회지
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    • 제21권3호
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    • pp.15-29
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    • 2004
  • 정보통신 및 인터넷의 급속한 발전으로 기존의 불리적인 저작물이 디지털 콘텐츠로 급속히 전환되면서 디지털 콘텐츠 자원에 대한 접근 및 서비스 방식과 기존의 식별기호로는 디지털 콘벤츠의 특성을 충족시키는 석별이 미흡하고 한계가 있다 또한, URN 명세를 만족하는 DOl 식별체계도 저널, 회의자료와 같은 학술잡지형태에만 활용되고 있어 다양한 형대의 비학술잡지에 적용할 식별체계가 필요하다. 따라서, 해외 주요 디지털 콘텐츠 서비스기관의 식멸체계 활용사례와 KISTI에서 소장하고 있는 학술잡저 형태 2종, 비 학술잡지 형태 3 종 등 5종을 분석하여 학술잡지뿐만 아니라 비학술잡지에도 적용할 수 있는 고유 식별기 호를 개발하고, 고유 식별기호 기반의 전자원문 연계시스템을 설계 및 구현하고자 한다.

연부조직 교정술에 의한 무지 외반증의 치료 (Treatment of Hallux Valgus with Modified McBride Method)

  • 최호;김훈;조형래;고영철;박영일;안수한
    • 대한족부족관절학회지
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    • 제7권1호
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    • pp.115-118
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    • 2003
  • Purpose: We are going to present a report from clinical and radiographic results of hallux valgus done only by soft-tissue procedure, when intermetatarsal joint is totally unfit under mild to moderate deformity. Materials and Methods: As a retrospective study, among all the patients who went under the surgery for hallux valgus, and of those who were possible to follow up,(excluding those whose intermetatarsal joint is fit) it was done over 28 cases (18 patients). the soft-tissue procedure was all done by Modified Mc Bride. Results: Hallux valgus angle and intermetatarsal angle each showed correction of $19.4^{\circ}$ and $5.2^{\circ}$, and from the final follow up, they were each decreased by $5.1^{\circ}$ and $1.5^{\circ}$. 21% (6case) were recurred, in one case, the intermetatarsal angle decreasing 120 and the other 5 case all decreased by $13^{\circ}$. Conclusion: when the intermetatarsal joint is unfit and there is no degenerative change, and, if the intermetatarsal angle is not large, moderate hallux valgus can show a good result, just by the distal soft-tissue procedure. a critical indication and a well through out preparation can reduce unneccessary surgeries.

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Modified chevron 절골술을 이용한 무지외반증의 치험 (Modified Chevron Osteotomy for the Treatment of Hallux Valgus)

  • 이범구;박홍기;위성
    • 대한족부족관절학회지
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    • 제1권2호
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    • pp.95-101
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    • 1997
  • Hallux valgus has been characterized by a valgus deformity of the great toe at the metatarsophalangeal joint, along with medial deviation of the first metatarsal, and by three components. First, there is a valgus angle more than $20^{\circ}$ at the first, metatarsophalangeal joint. Second, there is a greater angle than $9^{\circ}$ between the first. and second metatarsals. Third, there is bursal hypertrophy at the medial eminence of the first metatarsals head. The etiology is multifactorial and many procedures have been reported in the treatment of hallux valgus. Most of the procedures are directed towards pain relief, correction of deformity, and preservation of dorsiflexion in the first metatarsophalangeal joint. One such treatment is the Modified chevron osteotomy. It is technically simple, and provides greater stability than a standard osteotomy, and allows early ambulation after surgery. We a reviewed 19 cases with 13 patients of hallux valgus deformity. They were all treated with the Modified chevron osteotomy at the Department of Orthopedic Surgery, Choong ang Gil Hospital, between June 1988 and May 1994. The results of the study were as follows; 1. The mean age was 36 years. Three patients(5 case) were male and ten patients(14 cases) were female. 2. The mean value of the hallux valgus angle was $34.1^{\circ}$, and the first to second intermetatarsal angle was $12.1^{\circ}$, preoperatively. These angles were corrected to $15.8^{\circ}$ and $8.5^{\circ}$, respectively. 3. The metatarsalgia subsided in 17 cases (89.5%). avascular necrosis, non union, and dorsal angulation complicatious were nonexistant. Early bone healing occurred in all cases. 4. The Modified chevron osteotomy is technically simple. It provides excellent pain relief, early ambulation, increased mechanical stability, and many avoids many complications such as AVN, non-union, and dorsal angulation.

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당뇨병성 족부 궤양 환자의 진단 1년 내의 절단율 및 위험 인자의 분석 (The Amputation Rate and Associated Risk Factors within 1 Year after the Diagnosis of Diabetic Foot Ulcer)

  • 천동일;전민철;최성우;김용범;노재휘;원성훈
    • 대한족부족관절학회지
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    • 제20권3호
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    • pp.121-125
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    • 2016
  • Purpose: This study investigates the amputation rate within 1 year after the diagnosis of diabetic foot ulcer and its associated risk factors. Materials and Methods: This study enrolled 60 patients with diabetic foot ulcer. The mean and standard deviation age was $64.4{\pm}12.8years$ (range, 32~89 years); the mean and standard deviation prevalence period for diabetes mellitus was $21.0{\pm}7.5years$ (range, 0.5~36 years). The amputation rate was evaluated by dividing the subjects into two groups - the major and minor amputation groups - within 1 year following the initial diagnosis of diabetic foot ulcer. Multivariate Cox proportional hazards regression analysis was used to identify the risk factors for amputation. Results: The total amputation rate of 38.3% (n=23) was comprised of the amputation rate for the major amputation group (10.0%) and rate for the minor amputation group (23.8%). There was a high correlation between peripheral artery disease (toe brachial pressure index <0.7) and amputation (hazard ratio [HR] 5.81, confidence interval [CI] 2.09~16.1, p<0.01). Nephropathy was significantly correlated with the amputation rate (HR 3.53, CI 1.29~9.64, p=0.01). Conclusion: Clinicians who treat patients with diabetic foot complications must understand the fact that the amputation rate within 1 year is significant, and that the amputation rate of patients with peripheral artery disease or nephropathy is especially high.

키높이 인솔두께에 따른 족부의 생체역학적 특성변화에 대한 연구 (A Study on Changes in Biomechanical Characteristics of the Foot with Respect to Wedge-type Insole Thickness)

  • 박태현;정태곤;한동욱;이성재
    • 대한의용생체공학회:의공학회지
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    • 제34권2호
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    • pp.80-90
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    • 2013
  • Recently, functional insoles of wedge-type it is for the young to raise their height inserted between insole and heel cause foot pain and disease. Additionally, these have a problem with stability and excessively load-bearing during gait like high-heel shoes. In this study, we compared the changes in biomechanical characteristics of foot with different insole thickness then we will utilize for the development of the insole with the purpose of relieving the pain and disease. Subjects(male, n = 6) measured COP(center of pressure) and PCP(peak contact pressure) on the treadmill(140cm/s) using F-scan system and different insole thickness(0~50 mm) between sole and plantar surface during gait. Also, we computed changes of stresses at the foot using finite element model with various insole thickness during toe-off phase. COP moved anterior and medial direction and, PCP was increased at medial forefoot surface, $1^{st}$ and $2^{nd}$ metatarsophalangeal, ($9%{\uparrow}$) with thicker insoles and it was show sensitive increment as the insole thickness was increased from 40 mm to 50 mm. Change of the stress at the soft-tissue of plantar surface, $1^{st}$ metatarsal head represents rapid growth($36%{\uparrow}$). Also, lateral moments were increased over the 100% near the $1^{st}$ metatarsal as the insole thickness was increased from 0 mm to 30 mm. And it is show sensitive increment as the insole thickness changed 10 mm to 20 mm. As a result, it was expected that use of excessively thick insoles might cause unwanted foot pain at the forefoot region. Therefore, insole thickness under 30 mm was selected.

성장기 태권도 선수의 경기 손상 (Match Injuries Related to Adolescent Taekwondo Athletes)

  • 김성택;김창윤;신현호
    • 대한정형외과스포츠의학회지
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    • 제6권2호
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    • pp.99-104
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    • 2007
  • 목적: 성장기 태권도 선수들의 경기 손상을 분석하고 그 예 방법을 알아보고자 하였다. 대상 및 방법: 2005년 5월과 2006년 5월의 광주광역시에서 열린 전국 중 고교 태권도 대회에서 발생한 경기 손상 162예를 분석하였다. 결과: 경기 손상 162예에서 족부와 수부 손상이 많았고 골절 및 개방성 탈구, 개방성 골단판 골절 등의 심한 손상도 35예 있었다. 태권도 선수의 빠른 속도와 파괴력은 족부 무지가 접질릴 때 개방성 탈구를 가져 올 수 있고 가격 족부와 피격 상지에 골절을 가져 올 수 있다. 결론: 부상 선수들의 적절한 치료와 함께 훈련 손상 및 경기 손상이 누적되지 않도록 충분한 휴식이 요구되며, 경기 손상의 예방을 위해 경기장 매트, 발등 보호대 손 장갑의 보완과 팔꿈치 보호대의 착용 등이 필요할 것으로 사료된다.

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석문일월무예 음양보법의 숙련성에 따른 보행 패턴의 하지 운동학 및 운동역학적 특성 (A Study of Motor Expertise about Kinematic and Kinetic Characteristics of Lower Extremity in the Seokmun Ilwol Martial Art Yin-yang Bo Gait Pattern)

  • 박복희;김기형
    • 한국운동역학회지
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    • 제24권3호
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    • pp.239-248
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    • 2014
  • The purpose of this study was to quantify kinematic and kinetic characteristics of Yin-yang Bo gait according to their motor expertise, one of the Seokmun Ilwol martial art gait patterns. Yin-yang Bo gait pattern shows initial forefoot contact instead of heel contact, and increased time of stance phase time, internal-external rotation of ankle-knee-hip joints and pelvic. It aims to produce and store the more energy through continuous homeostasis of center of gravity (COG) and performance of stretch-shortening cycle. Some of these characteristics also were similar to the gait modification strategies for reducing knee adduction moment such as toe-out progression, medial thrust, internal rotation of hip joint. To identify the characteristics, four factors of expert Yin-yang Bo gait performance group were compared to that of none expert group; 1) angles of COG displacement and rotation 2) distal joint pre-rotation in internal-external rotation of ankle-knee-hip joints and pelvic, 3) invariability pelvic potential and pelvic segment total energy 4) knee abduction moment. Six healthy(three male) subjects participated in the experiment to perform Yin-yang gait pattern. Three-dimensional and force plate data were collected. Kinematic and kinetic data were compared between two groups using t-tests. Results showed that 1) the peak point of COG internal rotation angle was reduced in expert group, 2) kneeexternal and hip joint -internal and pelvic rotation angle peak frames were more near points in expert group.

DHCR 7 유전자 돌연변이로 확진된 스미스-렘리-오피츠 증후군 1례 (A Case of Smith-Lemli-Opitz Syndrome in DHCR7 Mutation)

  • 정유주;허림;권영희;이지은;조성윤;기창석;진동규
    • 대한유전성대사질환학회지
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    • 제14권1호
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    • pp.60-65
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    • 2014
  • 스미스-렘리-오피츠 증후군은 상염색체 열성유전질환으로 콜레스테롤 합성의 장애로 나타나는 질병이다. 7-dehydrochlolesterol reductase 유전자의 변이로 인하여 콜레스테롤을 합성하지 못함으로써 정신지체, 자폐증, 발육부진, 내부장기 기형, 손과 발의 기형, 면역기능 저하, 소화기 및 시력의 문제 등이 나타난다. 이 질환은 경미한 증상에서부터 치명적인 증상까지 다양한 스펙트럼을 가진다. 저자들은 다양한 기형을 가진 환아에서 조기에 스미스-렘리-오피츠 증후군을 유전자 분석을 통하여 진단하였으며, 조기 진단 후 식이진행 및 기형에 대한 치료, 콜레스테롤을 보충 하였으며, 이를 문헌고찰과 함께 보고하는 바이다.