• Title/Summary/Keyword: Toe

Search Result 1,130, Processing Time 0.024 seconds

Microsurgical Distal Thumb Reconstruction Using a Mini Wrap-around Free Flap (Mini Wrap-around 유리 피판술을 이용한 무지 원위부 재건술)

  • Kwon, Gi-Doo;Ahn, Byung-Moon;Yeo, Yong-Bum
    • Archives of Reconstructive Microsurgery
    • /
    • v.17 no.2
    • /
    • pp.101-107
    • /
    • 2008
  • Purpose: Free flaps from the great toe are an established method for reconstruction of absent or partially amputated thumbs. However, options differ as to which technique represents the ideal solution for each level of amputation. Various methods of distal thumb reconstruction have been proposed. We prefer to transplant the entire great toe nail complex with the almost all of the pulp rather than a portion of the nail. This paper reflects our experience in using the great toe mini wrap-around flap for distal thumb reconstruction. Materials and Methods: In the period from October of 2005 to July of 2007, 9 patients were treated for traumatic thumb defects localized at the distal phalanx of the thumb. The patients included seven men and two women. The mean age was 44 years (range, 21~60) and the dominant right hand was involved in seven of nine patients. Results: The transferred flaps have survived completely in all cases. The mean range of motion in the interphalangeal joints was 51o, with 73% of the normal uninjured opposite hands. The two-point discrimination was 10.5 mm (range, 5~13 mm). In Semmes-Weinstein monofilament test, the sensibility was 4.31 in 4 cases, 3.61 in 3 cases and 2.83 in 2 cases. The pinch power was 64% (range, 55~95%) of the opposite hand. All patients were satisfied with the appearance of the reconstructed thumb and felt comfortable at final follow-up. Conclusion: We have successfully reconstructed 9 cases of traumatic distal thumb defects using the mini wrap-around free flap. The mini wrap-around free flap in great toe is an excellent alternative method for distal thumb reconstruction in selected patients.

  • PDF

A Study on Relationship of TOE, Blockchain Technology, and Logistics Performance in Korean Logistics' Firms

  • Kim, Seong Ho
    • Journal of the Korea Society of Computer and Information
    • /
    • v.25 no.5
    • /
    • pp.217-227
    • /
    • 2020
  • In this paper, I propose that what factors affect logistics companies' adoption of blockchain technology and to analyze the effects of blockchain technology on logistics performance. The variables influencing the adoption of blockchain technology were presented based on the TOE frame. Expected profit, organizational readiness, technology compatibility, and competitive pressure were suggested as factors to adopt blockchain technology. Also, as a blockchain technology, smart contracts and information transparency were presented. Logistics performance suggested agility and alignment. A survey was conducted with Korean logistics companies. Looking at the results of analyzing the collected data, it was found that expected profit and technology compatibility have a positive effect on this blockchain technology (smart contract, information transparency). Organizational readiness was found to have a positive effect on information transparency. Blockchain technology was found to have a positive effect on logistics performance.

Enhanced strategic Monte-Carlo Tree Search algorithm to play the game of Tic-Tac-Toe (삼목 게임을 위해 개선된 몬테카를로 트리탐색 알고리즘)

  • Lee, Byung-Doo
    • Journal of Korea Game Society
    • /
    • v.16 no.4
    • /
    • pp.79-86
    • /
    • 2016
  • Monte-Carlo Tree Search(MCTS) is a best-first tree search algorithm and has been successfully applied to various games, especially to the game of Go. We evaluate the performance of MCTS playing against each other in the game of Tic-Tac-Toe. It reveals that the first player always has an overwhelming advantage to the second player; and we try to find out the reason why the first player is superior to the second player in spite of the fact that the best game result should be a draw. Since MCTS is a statistical algorithm based on the repeated random sampling, it cannot adequately tackle an urgent problem that needs a strategy, especially for the second player. For this, we propose a strategic MCTS(S-MCTS) and show that the S-MCTS player never loses a Tic-Tac-Toe game.

Development of the Active Ankle Foot Orthosis to Induce the Normal Gait for the Paralysis Patients (마비 환자의 정상적 보행을 위한 능동형 단하지 보조기 개발)

  • Hwang, Sung-Jae;Kim, Jung-Yoon;Hwang, Seon-Hong;Park, Sun-Woo;Yi, Jin-Bock;Kim, Young-Ho
    • Journal of the Ergonomics Society of Korea
    • /
    • v.26 no.2
    • /
    • pp.131-136
    • /
    • 2007
  • In this study, we developed an active ankle-foot orthosis(AAFO) which can control dorsi/ plantar flexion of the ankle joint to prevent foot drop and toe drag during walking. 3D gait analyses were performed on five healthy subjects under three different gait conditions: the normal gait without AFO, the SAFO gait with the conventional plastic AFO, and the AAFO gait with the developed AFO. As a result, the developed AAFO preeminently induced the normal gait compared to the SAFO. Additionally, AAFO prevented foot drop by proper plantarflexion during loading response and provided enough plantarflexion moment as a driving force to walk forward by sufficient push-off during pre-swing. AAFO also could prevent toe drag by proper dorsiflexion during swing phase. These results indicate that the developed AAFO may have more clinical benefits to treat foot drop and toe drag, compared to conventional AFOs, and also may be useful in patients with other orthotic devices.

A Study on the Behavior of Elastic Stress Distribution in Front Fillet Welds by Finite Element Method (Front Fillet Welds에서의 탄성응력(彈性應力)의 거동(擧動)에 관(關)한 연구(硏究))

  • Dong-Suk,Um
    • Bulletin of the Society of Naval Architects of Korea
    • /
    • v.12 no.2
    • /
    • pp.35-42
    • /
    • 1975
  • This paper investigates the distribution of stress and its behavior at the Root Toe in fillet welding joint. Furthermore, the stress components and principal stresses in the fillet welds are calculated by the finite element method. The distribution of stresses obtained numerically by means of the finite element method is also compared with the experimental results of two dimensional photoelasticity. A Cover plate type and Center block type of fillet welds are used as models for the numerical calculations covering the variations of 2 W/M(thickness of main plate/thickness of cover plate)=1 through 2W/M=4. The results obtained in these studies are summarized as follows; 1) When W2/M values become small, the stress concentration factors of the Root are larger than of the Toe in a C-type. Its critical value is 2W/M=3.00. However, no critical value exists in a T-type. 2) For 2W/M Values being avove 3.5 in a C-type and above 4.0 in a T-type, $K_R$ and $K_{\tau}$ become 1. 3) According to the differences of 2W/M values, the differences in stress become increasing in the Root but become decreasing in the Toe. These differences, however, disappear as the free boundary surface is approached. 4) The stress concentration factors of both the Root and Toe obtained by means of the finite element method have somewhat lower values than obtained by the photoelasiticity. But their principal stress directions coincide in either method. 5) It proves beneficial to employ the finite element method for two-dimensional plane stress analysis in front fillet welding joint.

  • PDF

Acute effect of self-myofascial release using a foam roller on the plantar fascia on hamstring and lumbar spine superficial back line flexibility

  • Do, Kwangsun;Kim, Jaeeun;Yim, Jongeun
    • Physical Therapy Rehabilitation Science
    • /
    • v.7 no.1
    • /
    • pp.35-40
    • /
    • 2018
  • Objective: The purpose of this study was to investigate the immediate effect of applying self-myofascial release (SMR) to the plantar fascia using a foam roller on hamstring and lumbar spine superficial back line (SBL). Design: Randomized controlled trial. Methods: Thirty-one healthy adults agreed to the method and purpose of the study. Selection and exclusion criteria were screened, and baseline measurements for the Toe Touch test and passive straight leg raise (PSLR) test were obtained. The participants were then randomly assigned to the SMR group or the sham group. After group assignment, the SMR group rolled the surface of the foot from the heel to the metatarsal head using a foam roller for 5 minutes. The sham group received passive mobilization of the ankle joint in the supine position. Afterwards, the Toe Touch test and the passive straight leg-raise test were re-assessed. Results: In the SMR group, the Toe Touch test results showed significant improvement (p<0.05). Left and right PSLR test results showed a significant increase (p<0.05). In the sham group, there was no significant difference between pre and post-test results. The SMR group showed a significant difference in the PSLR test and Toe Touch test compared to the sham group (p<0.05). Conclusions: The results of this study showed that SMR on the plantar fascia was immediately effective for improving the flexibility of the SBL of the lumbar spine and hamstring.

Effect of leg weight shifting on muscle activation of the trunk and lower extremity during trunk flexion and extension performance

  • Shim, Suyoung;Chung, Yijung
    • Physical Therapy Rehabilitation Science
    • /
    • v.7 no.1
    • /
    • pp.41-47
    • /
    • 2018
  • Objective: To investigate the effect of performing three different toe touch (TT) task condition on the activities of four different muscles using surface electromyography (sEMG) in healthy young adults. Design: Cross-sectional study. Methods: A total of 20 healthy young adults (6 males, 14 females) voluntarily participated in this study. All subject randomly performed three different TT task conditions as follows: general toe-touch (GTT) task, one side toe touch (TT) task during weight bearing, and one side foward toe touch (FTT) task during weight bearing. The muscle activities of erector spinae (ES), gluteus maximus (GM), hamstring (HAM), tibialis anterior (TA) muscles during the TT task were measured using sEMG. Subject performed each of the three conditions three time in random order and mean values were obtained. Results: With the trunk flexion period, the TT and FTT showed significantly greater muscle activity in the GM, HAM and TA compared to the GTT task (p<0.05). The TT position showed significantly greater HAM muscle activity than the GTT position. The dominant and nondominant ES muscle activity was significantly greater in the FTT compared to the GTT position (p<0.05). The dominant GM, HAM, and TA was significantly greater in the TT and FTT compared to the GTT position (p<0.05). Although the dominant ES was significantly greater in the TT and FTT compared to the GTT position (p<0.05), the dominant GM muscle activity was signifcantly greater in the TT compared with the GTT position (p<0.05). Conclusions: These findings may be applicable within the clinical field for selective trunk and lower extremity muscle activation and basic biomechanics purpose.

Analysis of Angular Velocity during Toe Tapping for the Quantification of the Lower Limb Bradykinesia in Patients with Idiopathic Parkinson's Disease (특발성 파킨슨병 환자의 하지 완서증 정량화를 위한 발 두드리기 동작의 각속도 분석)

  • Kim, Ji-Won;Kwon, Yu-Ri;Eom, Gwang-Moon;Kim, Hyung-Sik;Yi, Jeong-Han;Kwon, Do-Young;Koh, Seong-Beom;Park, Byung Kyu;Kwon, Tae-Kyu
    • The Transactions of The Korean Institute of Electrical Engineers
    • /
    • v.59 no.11
    • /
    • pp.2114-2118
    • /
    • 2010
  • The purpose of this study was to analyze bradykinesia of toe tapping movement in patients with Parkinson's disease (PD) as compared to those of normal subjects. 39 PD patients (age: $65.5{\pm}11.2$ yrs, H&Y stage:$2.3{\pm}0.5$), 14 eldelry subjects with comparable mean age ($65.0{\pm}3.9$ yrs) and 17 healthy young subjects ($24.1{\pm}2.1$ yrs) participated in this study. Angular velocity during repetitive toe tapping movement was measured in both feet using a gyro sensor system. Suggested quantitative measures of bradykinesia were root-mean-squared (RMS) angular velocity, RMS angle, peak power and total power which were derived from the angular velocity signal. ANOVA showed that all measures were significantly different among three groups (p<0.001). Subsequent post-hoc test revealed that all measures in PD patients were significantly smaller than in healthy elderly and healthy young subjects (p<0.02). All measures were significantly correlated with UPDRS scores(r=-0.689~-0.825). These results suggest that the developed system can be used as quantitative measures of the lower limb bradykinesia in PD patients.

A Study on a Algorithm of Gait Analysis and Step Count with Pressure Sensors (보행수 측정 및 보행패턴 분류 알고리즘)

  • Do, Ju-pyo;Choi, Dae-yeong;Kim, Dong-jun;Kim, Kyung-Ho
    • The Transactions of The Korean Institute of Electrical Engineers
    • /
    • v.66 no.12
    • /
    • pp.1810-1814
    • /
    • 2017
  • This paper develops an approach to the algorithm of Gait pattern Analysis and step measurement with Multi-Pressure Sensors. The process of gait consists of 8 steps including stance and swing phase. As 3 parts of foot is supporting most of human weight, multiple pressure sensors are attached on the parts of foot: forefoot, big toe, heel. As 3 parts of foot is supporting most of human weight, multiple pressure sensors are attached on the parts of foot: forefoot, big toe, heel. normal gait proceed from heel, forefoot and big toe over time. While normal gait proceeds, values of heel, forefoot and big toe can be changed over time. So Each values of pressure sensors over time could discriminate whether it is normal or abnormal gait. Measuring Device consists of non-inverting amplifiers and low pass filter. Through timetable of values, normal gait pattern can be analyzed, because of supported weight of foot. Also, the peak value of pressure can judge whether it is walking or running. While people are running, insole of shoes is floating in the air on moment. Using this algorithm, gait analysis and step count can be measured.

Changes of Walking Pattern for Young Adults dur ing Level Walking under Low Illumination (20대 남성의 낮은 조도의 평지 보행 시 보행 패턴 변화)

  • Choi, Jin-Seung;Kang, Dong-Won;Bang, Yun-Hwan;Tack, Gye-Rae
    • Korean Journal of Applied Biomechanics
    • /
    • v.20 no.4
    • /
    • pp.381-386
    • /
    • 2010
  • This study examined the changes in the walking pattern during level walking under low illumination conditions. Fourteen male subjects ($22.1{\pm}2.21$ years, $174{\pm}3.74\;cm$, $68.86{\pm}10.81\;kg$) with normal vision and no disabilities were enrolled in this study. All experiments were performed on a level walkway with three conditions: normal walking (preferred & low speed) and walking with low illumination. 3D motion capturing system was used for acquisition and analysis of the walking motion data with a sampling frequency of 120Hz. The walking speed, normalized jerk(NJ) at the center of mass(COM), wrist and heel, knee and elbow joint angle, ratio of the knee joint angle to elbow joint angle and the toe clearance on stance phase were used to compare the differences in walking pattern between the two illumination conditions, The results showed that the walking speed and joint angles decreased in low illumination, whereas the NJ and toe minimum clearance increased. In low illumination, most variables were similar to effects of low speed walking, but toe clearance was different from the effects of low speed. These results can be used as primary data for examining the changes in the level walking pattern of young adults under low illumination. Further study will be needed to compare these results in young adults with those in the elderly.