• 대한정형도수물리치료학회지
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• 제29권1호
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• pp.25-31
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• 2023

Background: In this study, the abductor hallucis activity and medial longitudinal arch angle were compared by performing four exercises, namely the short foot exercise, the short foot exercise with 2^nd~5^th toe extension, the short foot exercise with 2^nd~5^th toe extension with a load of 1kt on the sole, and the short foot exercise with 2^nd~5^th toe extension with a load of 2kg on the sole. Methods: Four short foot exercises as described above were performed by 20 healthy adult males and females. The abductor hallucis activity and medial longitudinal arch angle were measured and analyzed by surface electromyography and the Kinovea software program. Results: The short foot exercise with 2^nd~5^th toe extension, short foot exercise with 2^nd~5^th toe extension with a load of 1kg on the sole, and the short foot exercise with 2^nd~5^th toe extension with a load of 2kg on the sole showed significantly higher abductor hallucis activity than the short foot exercise alone. Among these, the short foot exercise with the 2^nd~5^th toe extension was the most effective. All exercises showed a significantly decreased medial longitudinal arch angle post-exercise than pre-exercise, and the short foot exercise with the 2^nd~5^th toe extension showed a significantly decreased medial longitudinal arch angle compared to the other three exercises. Conclusion: It is believed that the short foot exercise with the 2^nd~5^th toe extension can be proposed as an effective exercise that can replace the short foot exercise alone.

• The Journal of Korean Physical Therapy
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• 제32권4호
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• pp.233-237
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• 2020

Purpose: This study compared the electromyographic activity of the tibialis anterior (TA) and isometric dorsiflexor strength during dorsiflexion according to the toe postures in individuals with ankle dorsiflexor weakness. Methods: Twenty subjects with ankle dorsiflexor weakness participated in this study. The electromyographic activity of the TA and isometric dorsiflexor strength during dorsiflexion between with toe flexion, extension, and neutral postures were measured using an electromyography device and a hand-held dynamometer in individuals with ankle dorsiflexor weakness. One-way repeated measured analysis of variance, and a Bonferroni post hoc test was used. The level of statistical significance was set to α=0.01. Results: The electromyographic activity of the TA was greater with toe flexion during dorsiflexion than with toe extension and neutral postures (p<0.01). The isometric dorsiflexor strength was smaller with toe flexion during dorsiflexion than with toe extension and neutral postures (p<0.01). Conclusions: In individuals with ankle dorsiflexor weakness, the dorsiflexion with toe flexion can help improve the TA electromyographic activity. The toe posture during dorsiflexion for selective TA activation should be considered, especially in individuals with ankle dorsiflexor weakness.

• 한국전문물리치료학회지
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• 제31권2호
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• pp.151-158
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• 2024

Background: In Taekwondo athletes, ankle sprain is the most common risk factor for injury. Repeated ankle injuries lead to weakness and imbalance of the ankle muscles, resulting in chronic ankle instability (CAI). Both the ankle and toe muscles contribute to the inversion and eversion of the foot at the subtalar joint. Therefore, it is necessary to consider the ankle and toe joint positions when measuring ankle invertor and evertor strength. Objects: This study aimed to compare the muscle strength and ratio differences of the ankle invertor and evertor muscles in both the toe and ankle positions between the CAI and uninjured sides in Taekwondo athletes. Methods: Fifteen Taekwondo athletes participated in this study. The isometric strengths of both the ankle invertor and evertor were determined in different ankle and toe positions (dorsiflexion with toe extension, dorsiflexion with toe flexion, plantarflexion with toe extension, and plantarflexion with toe flexion). Paired t-tests were used to determine the differences between the ankle invertor and evertor in strength and ratio according to toe and ankle positions between the ankle CAI side and the uninjured side. Results: The results demonstrated that ankle evertor strength significantly decreased in all ankle and toe positions on the CAI side (p < 0.05). In addition, significant differences were observed in the ratios of the ankle invertor and evertor strengths in the dorsiflexion with toe flexion, plantarflexion with toe extension, and plantarflexion with toe flexion positions (p < 0.05). Conclusion: The findings of this study suggest that athletes, trainers, and clinicians should consider ankle and toe positions when measuring invertor and evertor strength and develop ankle rehabilitation protocols for Taekwondo athletes with CAI.

• Journal of Acupuncture Research
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• 제26권4호
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• pp.19-27
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• 2009

Objectives : To investigate the improvement rate of muscle weakness caused by lumbar disc herniation, 17 patients was treated with oriental medicine. Methods : To evaluate weakness of big toe extensor muscles caused by lumbar disc herniation, we measured the active range of motion(ROM) of big toe extension and muscle grading of big toe extensor muscles. We also measured numerical rating scale(NRS), oswestry disability index(ODI) and compared them with the active ROM of big toe extension. Results : 1. Progressive weakness of big toe extensor muscles was observed in 2 patients. Weakness of big toe extensor muscles were improved in 13 patients(76%). 2. Changes in manual muscle testing(MMT) scores corresponded with improvement rate of big toe extension. 3. Numerical rating scale(NRS) and oswestry disability index(ODI) improvement rate did not correspond with improvement rate of big toe extension. Conclusions : Muscle weakness caused by lumbar disc herniation can be treated with oriental medicine and progressive muscle weakness must be observed constantly.

• 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.

• 한국운동역학회지
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• 제29권3호
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• pp.185-196
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• 2019

Objective: The aim of this study was to suggest correct and effective way of squat through biomechanical analysis variables on the change of the toe-out angle. Method: 7 high school male weightlifter (age: $17.57{\pm}0.53yrs$, height: $174.0{\pm}3.93cm$, weight: $81.0{\pm}9.17kg$, 1RM: $164.29{\pm}20.7kg$) participated in this study. Results: Angle of the hip joint at E2 was smaller than toe-out angle was in $20^{\circ}$ than in $0^{\circ}$ (p<.05). Angular velocity of the foot joint at E1 and E3 was quicker that in $10^{\circ}$ than in $30^{\circ}$ (p<.05). Anterior-posterior stability index was greater that toe-out angle was in $30^{\circ}$ than in $0^{\circ}$ (p<.05). In average iEMG of flexion phase, VM of right, left leg showed high activity at toe-out angle $30^{\circ}$. In average iEMG of flexion phase, extension phase and in peak iEMG, RF of right leg, VM and VL of left leg showed high activity at all of the toe-out angles. In average iEMG of flexion phase, extension phase and in peak iEMG, all of the muscles activity of right leg showed high in $10^{\circ}$ and low in $0^{\circ}$, $30^{\circ}$. Conclusion: It is judged that setting the toe-out angle $10^{\circ}$ in squat help to efficiently use muscles and ensure stability.

• The Journal of Korean Physical Therapy
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• 제34권1호
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• pp.12-17
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• 2022

Purpose: Ankle dorsiflexion is an essential element of normal functions, including walking, activities of daily living and sport activities. The tibialis anterior (TA) muscle functioned as a dorsiflexor and as a dynamic stabilizer of the ankle joint during walking and jumping. This study aimed to compare TA muscle thickness using ultrasonography according to the four different toe and ankle postures for the selective TA strengthening exercise. Methods: This study were recruited 26 (males: 15, females: 11) aged 20-30 years, with no injury ankle and calf in the medical history, had normal dorsiflexion and inversion range of motion (ROM). The thickness of the TA muscle was measured by ultrasonography in the four different toe and ankle postures: 1. Ankle dorsiflexion with all toe extension and ankle inversion (ITEDF); 2. Ankle dorsiflexion with all toe flexion and ankle inversion (ITFDF); 3. Ankle dorsiflexion with all toe extension and neutral position (NTEDF); 4. Ankle dorsiflexion with all toe flexion and neutral position (NTFDF). One-way repeated analysis of variance (ANOVA) and Bonferroni correction were used to confirm the significant difference among conditions. The level of statistical significance was set at α=0.01. Results: TA muscle thickness with ITFDF was significantly greater than in any other ankle positions, including ITEDF, NTFDF, and NTEDF (p<0.01). Conclusion: Among the four toe and ankle postures, isometric contraction in ITFDF postures showed the greatest increase in thickness of TA rather than ITEDF, NTEDF, and NTFDF postures. Based on these results, ITFDF can be recommended in an efficient way to selectively strengthen TA muscle.

• 대한족부족관절학회지
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• 제13권2호
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• pp.138-141
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• 2009

Purpose: Regardless of potential and actual complications, the sesamoidectomy either tibial side or fibular side or both, had been used as a surgical option for various pathologic conditions. The objective of this cadaveric study was to identify the changes of range of motion of great toe after sesamoidectomy. Material and Methods: Eight fresh cadaver legs were used. The angular changes of the hallucal articulations were measured by traction of the flexor hallucis longus tendon at the proximal border of fibro-osseous tarsal tunnel and by traction of the extensor hallucis longus tendon at the superior border of inferior extensor retinaculum. The measurement started at neutral position and proceeded to the maximum for respective tendons. After sesamoidectomy either partial or total, same procedures were repeated and the angular changes were measured. Results: In flexion of great toe, there were significant metatarsophalangeal angular differences at 1 cm traction in total sesamoidectomy and lateral sesamoidectomy. In extension of great toe, there were significant metatarsophalangeal angular differences at more than 2 cm traction in total sesamoidectomy. In other measurements, there were no significant angular changes of the hallucal articulations. Conclusion: The sesamoidectomy resulted in change of motion of great toe. Statistical analysis showed that the significant increases in the initial flexion and maximal extension occurred with total sesamoidectomy and the significant increase in the initial flexion occurred with lateral sesamoidectomy.

• 한국정보통신학회:학술대회논문집
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• 한국해양정보통신학회 2007년도 춘계종합학술대회
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• pp.310-314
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• 2007

이 논문에서는 정보영재 교육 중에서 프로그래밍을 위한 사고력 신장에 적합한 교육 프로그램 모형을 개발하고, Tic-tac-toe 문제를 실제적인 예로 보여 제안된 교육 프로그램의 타당성과 유효성을 검증하였다. 이 논문에서 제안된 모델에서는 자료구조로는 게임 트리를 사용하며 제어구조로는 게임 트리의 탐색에 기반한 사고력 신장 교육 프로그램으로 4단계로 구성되는 모형을 제안한다. 이 모델을 통하여 학생들은 문제를 게임 트리로 표현하는 방법을 학습하게 되며, 게임 트리의 탐색 방법을 통하여 트리로 구성된 문제를 해결하는 방법을 배우게 된다. 이 교육 프로그램에서 목표로 하는 사고력 신장을 위한 정보영재의 내적 능력에는 유창성, 직관력, 독창성, 집중력, 상상력, 분석력, 도형력, 공간력, 종합력, 문제해결력 등이 포함된다.

• 한국정보통신학회논문지
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• 제11권6호
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• pp.1228-1234
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• 2007

이 논문에서는 정보영재 교육 중에서 프로그래밍을 위한 사고력 신장에 적합한 교육 프로그램 모형을 개발하고, Tic-tac-toe 문제를 실제적인 예로 보여 제안된 교육 프로그램의 타당성과 유효성을 검증하였다. 이 논문에서 제안된 모델에서는 자료구조로는 게임 트리를 사용하며 제어구조로는 게임 트리의 탐색에 기반한 사고력 신장 교육 프로그램으로 4단계로 구성되는 모형으로 구성된다. 이 모델을 통하여 학생들은 문제를 게임 트리로 표현하는 방법을 학습하게 되며, 게임 트리의 탐색 방법을 통하여 트리로 구성된 문제를 해결하는 방법을 배우게 된다. 이 교육 프로그램에서 목표로 하는 사고력 신장을 위한 정보영재의 내적 능력에는 유창성, 직관력, 독창성, 집중력, 상상력, 분석력, 도형력, 공간력, 종합력, 문제해결력 등이 포함된다.