• Title/Summary/Keyword: Toes

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Comparison of normal and replantation digital blood flow using photo-plethysmography (Photo-Plethysmography를 이용한 정상과 재접합 수지 혈류량의 비교)

  • Nam, Ki-Chang;Kim, Sung-Woo;Rah, Dong-Kyun;Kim, Deok-Won
    • Proceedings of the KIEE Conference
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    • 2004.11c
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    • pp.322-324
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    • 2004
  • Up to the present, digital replantation patients has appealed different symptoms due to blood circulatory failure. But, the level of blood circulatory failure has been evaluated only by clinical symptoms, or angiography. According to the cases of digit replantation is increasing, then objective evaluation methods of the level of blood circulation failure is needed other than patient's subjective symptoms and complaints. Although angiography, doppler, electromagnetic flowmeter, laser blood flowmeter, mechanical blood flowmeter has been used for the evaluation of the blood circulatory failure, the result was affected by time, place, surrounding temperature, patient's body temperature, and even emotion. Therefore, it is pointed out with lack of availability, feasibility and reproducibility. Thus, we compared digital blood flow of dominant hand to non dominant hand, and replanted fingers to opposite normal fingers from developed photo-plethysmography. The average digital blood flow showed no difference in normal digits each other, but, replanted digits showed average of 53% (9 - 100 %) compare to opposit normal digits. As it measure relative blood flow for circulatory failure of tissue such as fingers and toes more sensitively, reliably. In conclusion, it is expected that photo- plethysmography will be very useful for diagnosis, curative effect, prognosis of blood circulatory failure in digital replantation patient.

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A Study on Arterial Characterization using Finger-Toe Index (FTI) (지첨-족지 지수에 의한 동맥 혈관 특성화 연구)

  • Byeon, M.K.;Han, S.W.;Huh, W.
    • Journal of Biomedical Engineering Research
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    • v.28 no.6
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    • pp.777-785
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    • 2007
  • In this paper, Finger-Toe Index (FTI) is proposed as an analytic parameter for the characterization of arterial vessel. Different from the currently being employed pulse wave velocity (PWV) information of the volume pulse wave measured from 4 arterial channels, the proposed FTI uses the ratio of the shorter of the two up-stroke time of PPG from fingers ($UT_{finger}$) and that of PPG (Photoplethysmography) from toes ($UT_{toe}$). To verify the usefulness of the proposed method, Finger-Toe Indexes were derived from the volume pulse waves acquired from 50 people under examination aged from 12 to 81 years old, and they were then compared with blood pressure ankle-brachial index (ABI). It was successfully demonstrated that the arterial stiffness can be estimated with respect to age and FTI is more strongly correlated with the pulse transit time than ABI. From the regression analysis, we also found that FTI has significant correlation PWV for a quantitative index of arterial stiffness and provides more accurate information than ABI for the characterization of arterial vessel.

Subungual Squamous Cell Carcinoma of the Toe (A Case Report) (족지에 발생한 조갑하 편평 상피 세포암 (1예 보고))

  • Kang, Ho-Jung;Jung, Sung-Hoon;Kwak, Yoon-Hae;Hahn, Soo-Bong;Shin, Kyoo-Ho
    • Journal of Korean Foot and Ankle Society
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    • v.11 no.1
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    • pp.97-99
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    • 2007
  • Nail bed malignancies are rare entities. Most nail bed malignancies are squamous cell carcinoma (SCC)s. Less than 10% of subungual SCCs occur in the foot. Fifty percent occurred on the hallux and approximately 25% on both the fourth and fifth digits. The correct diagnosis is often delayed because nail bed malignancies are frequently mistaken for benign or infectious processes. SCC on extremities is hard to distinguish from the benign lesion like chronic ulcer, fistula caused by chronic osteomyelitis, and abscess fistula. Attention should especially be paid in diagnosing the subungual lesion because paronychia is a common disease. SCC is the most common carcinoma second to malignant melanoma as a soft tissue malignant tumor in the West, and it involves mainly the head, neck and upper extremities but rarely involves lower extremities, particularly the toes. The authors emphasize the importance of a biopsy for chronic nonhealing lesions by presenting this case.

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Studies on Development of a Chicken Feet-bone Remover (I) - Analysis of design factor with Chicken Feet-bone Remover - (닭발 뼈 제거장치 개발에 관한 연구(1) - 닭발 뼈 제거장치의 설계요인 분석 -)

  • Lee, Jeong-Taeg;Kim, Tae-Han
    • Journal of Biosystems Engineering
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    • v.36 no.4
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    • pp.252-256
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    • 2011
  • Consumption of chicken feet has been increasing recently, thus it was necessary to produce good quality of bone less chicken feet. In the process of bone removal during chicken feet production, feeding, conveying, cutting and bone removing process takes about 90% of overall labor. Therefore, the development of a chicken feet-bone remover was necessary to reduce the cost of labor. There has been few research on the chicken feet bone removers so far in Korea as well as worldwide. So the main objective of this study was to develop a chicken feet-bone remover which is suitable for domestic circumstances. The average length of chicken feet was 113.3 mm with maximum and minimum lengths of 135.8 mm and 92.2 mm, and the average diameter of chicken leg was 12.5 mm, average width of the toe was 56.2 mm and the average weight of chicken feet was 26.4 g with maximum and minimum weight of 39.3 g and 16.9 g, respectively. Also, the average moisture content was 64.7% (w.b). The average cutting force of little toes was 15.6 N for the size ranges of less than 3.5 mm, 22.5 N, 3.5~6.0 mm and 30.3 N for larger than 6.0 mm in diameter, respectively.

The Effect of a Rollator on Plantar Pressure and Foot Balance during Gait in old-aged Adults (노인의 보행 시 Rollator 사용이 족저압 및 균형에 미치는 영향)

  • Koo, Hyung-Mo;Kim, Min-Hee
    • The Journal of Korean Physical Therapy
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    • v.22 no.5
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    • pp.71-76
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    • 2010
  • Purpose: The present study was designed to investigate the effect of a Rollator on plantar pressure and foot balance during gait in older adults. Methods: Twenty consecutive subjects (8 men, 12 women; age: $69.9{\pm}8.9$) had the following measurements done: plantar pressure in 10 areas of the foot, foot balance including heel rotation, foot balance, forefoot balance, medial forefoot balance, and meta loading during gait with or without a Rollator. Results: Significant differences in plantar pressure were observed in the areas of toes 2-5 or etatarsal areas 1, 4, 5 during gait with and without a Rollator. There were no significant differences in other areas of the foot. Regarding foot balance during gait with or without a Rollator, there were statistically significant differences in heel rotation, forefoot balance, medial forefoot balance, and meta loading. Conclusion: For older adults, the use of a Rollator can decrease plantar pressure and increase foot balance in various foot areas.

The Study of Gait Parameter and Plantar Foot Pressure during Walking in Adults with Down Syndrome (다운증후군 성인의 보행 특성과 족저압에 관한 연구)

  • Koo, Hyun-Mo
    • Journal of the Korean Society of Physical Medicine
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    • v.7 no.1
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    • pp.21-28
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    • 2012
  • Purpose : The purpose of this study was to examine the gait parameter and plantar foot pressure of adults with Down syndrome(DS) during walking in order to provide data for developing evidence-based deficit or common rehabilitation strategies. Method : 15 participants with DS(12 men, 3 women; age $26.06{\pm}4.47$) and 15 healthy subjects(12 men, 3 women; age $25.33{\pm}3.43$) were matched age. They walked at self selected speeds on a GAITRite system and RS-scan system, and had the following measurements done: cadence, stride length, step width, foot angle, percent stance, percent double support, and plantar foot pressure in 10 areas of the foot. Results : In comparison of gait parameter(cadence, stride length, step width, foot angle, percent stance, and percent double support) between adults with DS and healthy subjects, there was significant differences(p<.05). Regarding plantar foot pressure during gait with or without DS, there were statisically significant differences in the area of Toes 1-5, Metatasal 1-4, Midfoot, and Heel(Medial and lateral)(p<.05). Conclusion : Our data show that DS walk with a less physiolosical gait pattern and plantar foot pressure than healthy subjects. Based on our results, DS patients need targeted rehabilitation and exercise strategies.

A Study on Purchasing Practices, Wearing State and Overall Satisfaction with Footwear for Middle School Students (중학생의 신발구매와 착용실태 및 만족도)

  • Jeong, Young-Sook;Kweon, Soo-Ae
    • Korean Journal of Human Ecology
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    • v.13 no.6
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    • pp.985-995
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    • 2004
  • The purpose of this study is to provide useful footwear information for manufacturers and teenagers so that they can produce or purchase proper footwear that would minimize discomfort. For this study, 486 junior high school students were surveyed with a questionnaire. SPSS WIN10 was used to process a statistical analysis such as ferq., factor analysis, t-test, ANOVA(LSD), crosstab, and coefficient correlation. The results are as follows: A significant difference existed between male and female students in purchasing footwear and using evaluation criteria. When they wear shoes for a long time, they usually experience numbness in toes, blisters, heel, bottom on the feet and peeled skin. Female students experienced more foot injuries than males. There were meaningful correlations among purchasing, evaluation criteria, and satisfaction of footwear. Providing proper information is believed very important for teenagers in choosing right footwear. Footwear manufacturers should help them produce suitable shoes, and further help them establish different marketing strategies. To ease the foot discomfort, shoes should be developed with various widths and sizes. Shock absorbing soles and more flexible materials are also necessary.

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A Study on Relations of Peripheral Arterial Disease Marker and Photoplethysmography Measured from the Lower Limb (하지에서의 광용적맥파와 말초동맥질환 표지자의 상관관계 연구)

  • Im, Ji Hyeon;Heo, Jung Hyun;Yoon, Young Ro
    • Journal of Biomedical Engineering Research
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    • v.38 no.3
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    • pp.95-101
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    • 2017
  • In this study, photoplethysmography(PPG) was suggested as a way to replace the ankle-brachial index(ABI) in diagnosing PAD. The method using the PPG was presented for the simplification of the PAD diagnosis method which was used before. And the index related to the health condition of the artery from the PPG measured in both big toes of the subjects through the experiment was drawn. The indexes showing the significant relativeness in the Pearson correlation analysis with the ABI were the stiffness index(SI), reflection index(RI); it was confirmed each of them had the correlation coefficient of 0.688, and 0.637 at p < 0.05. The explanation ability of the linear regression equation derived using ABI, SI and RI was 52.5%. The explanation ability of the secondary curve regression equation derived using ABI, squared SI was 54.7%. It is expected to provide patients with significant results and draw the index associated with PAD by measuring PPG easily in the real life instead of the ambulatory care field.

The Relationship between Shoe Wearing Trait and Foot Shape of Women in Their Twenties (20대 여성의 구두 착용 특성과 발 유형의 관계)

  • Choi, Sun-Hui;Chun, Jong-Suk
    • The Research Journal of the Costume Culture
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    • v.17 no.1
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    • pp.68-75
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    • 2009
  • The purpose of this study is to find the relationship between women's shoes wearing trait and their foot shape. 203 women in their twenties were participated in the experiment. The subjects' feet were measured with a 3D foot scanner and their foot shapes were classified into five types by factor analysis and cluster analysis in the previous study. In addition to the five foot types, three foot types classified by foot index were also utilized for this study. This study analyzed the trait of their shoe wearing and the areas of discomfort on the foot when they wore shoes. The results of the experiment show that the size of shoe size-foot size mismatching and the foot areas of discomfort wearing shoes were differentiate by foot types. It shows that the subjects with long foot, wide fore foot shape, or fore foot angle deformity wore larger size shoes than their foot size. The foot areas of discomfort with wearing shoes were different according to the foot types. Subjects with wide fore foot shape or fore foot angle deformity had discomfort at the front shoe area. The subjects with straight toes had the least discomfort. The foot discomfort areas differentiated according to foot index type. The foot types with wide ball width experienced discomfort at the front of the ball and the top of the foot.

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The Precipitating Factors of Amputation as Initial Treatment in Diabetic Foot (당뇨발 환자의 치료시 초기 절단 결정의 예상인자)

  • Ko, Sang-Bong;Lee, Sang-Wook;Jeung, Dae-Ui
    • Journal of Korean Foot and Ankle Society
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    • v.9 no.1
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    • pp.26-30
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    • 2005
  • Purpose: To evaluate the precipitating factors of amputation as initial treatment in diabetic foot patients. Materials and Methods: Between March, 1994 and February 2003, 41 cases (37 patients) diabetic foot patients who had diabetic ulcer, pyogenic inflammation and gangrene and followed up over 1 year were collected. Among them, We evaluate the precipitating factors of amputation for average 39.6months (12-118months). Results: Among many factors, Wagner classification, pulse volume recording of toes, Ankle-Brachial Index and Albumin level are statistically significant in amputation patients. Conclusion: In determining the amputation of diabetic foot as initial treatment, the trauma history, circulation of foot and serum albumin level are important precipitating factors. So the education about preventing even minor trauma and maintaining good nutrition state decrease the amputation rate in diabetic foot patients.

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