• Journal of the Korean Society of Physical Medicine
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• v.12 no.3
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• pp.85-91
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• 2017

PURPOSE: The purpose of this study was to compare muscle activation of the trunk and lower limbs of subjects wearing high-heeled or flat shoes while crossing over obstacles of different heights. METHODS: Twenty subjects participated in this study. While wearing high-heeled shoes (7 cm) or flat shoes (0 cm), the subjects were asked to cross over obstacles of different heights (10%, 20%, and 30% of their lower-limb length). Muscle activation of the trunk and lower limbs with the supported side while crossing over obstacles of different heights was measured using the electromyogram (Noraxon, DTS, Germany). Two-way repeated ANOVA was used to compare the muscle activation between high-heel shoes and flat shoes while crossing over obstacles of different heights. All statistical analyses were performed using SPSS ver. 21, and p-values less than .05 were used to identify significant differences. RESULTS: As an obstacle's height increased, muscle activation of the trunk and lower limbs with the supported side was increased while wearing either type of shoe, and it was generally higher while wearing high-heeled shoes. However, tibialis anterior muscle activity while wearing high-heeled shoes was lower than while wearing flat shoes. CONCLUSION: This study showed that muscle activation of the trunk and lower limbs was higher when subjects wore high-heeled shoes than when they wore flat shoes while crossing over obstacles of different heights. Therefore, high-heeled shoes can easily cause high muscle fatigue of the trunk and lower limbs, and the TA muscle may weaken in persons who wear high-heeled shoes.

• Korean Journal of Applied Biomechanics
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• v.18 no.1
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• pp.203-212
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• 2008

The purpose of this study is to propose appropriate model for 3 staged Didimsae movement to Jajinmori rhythm and to provide information for ideal foot step movements. For the locational change of body center, the height of body center is lowered at the moment of forward step and during forward intersection of the feet, forward direction linear motion is converted to vertical motion to maintain stability. Speed change of body center reduces flow of body on step forward moment and controls rapid forward movement for stabled movement and position when preventing fast forward horizontal direction movement of centroid speed while knee joint and foot joint are vertically risen for heel bone contacts the ground. For angle changes of joints, in order to prevent hyperextension of lower leg, hip joint is extended and knee joint is curved to secure stability of movement for smooth curves and extension. When centroid of foot joint is moved from top of the feet to whole foot sole and when left foot makes dorsal curve, stabled movement is accomplished.

• Journal of Oriental Medical Thermology
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• v.2 no.1
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• pp.29-34
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• 2003

Purpose The purpose of this study was to verify the association between Cold Hypersensitivity and Orthostatic Hypotension(OH). Method This study was carried out on 39 women who visited outpatient department of Dept. of Gynecology. Bundang CHA oriental Hospital. College of Medicine. Pochun CHA univ. from December 2001 to November 2002. We divided them into two groups (Orthostatic Hypotension Group 24, Normal BP Group 15) and investigated general characteristics, weight, height, past history. family history through out the patient's note. OH was assessed 1 minute after the patients rose from a supine position by using tilting table. For the diagnosis of cold hypersensitivity, thermographic measurements were performed on two pairs of areas(palm-upper arm and back of hand-upper arm. And for that of the feet, other two pairs of areas(anterior thigh-top of the feet and posterior thigh-heel). And then by which verify the association between Cold Hypersensitivity and Orthostatic Hypotension(OH) Results As a results, 16 out of 24 patients, the OH group had cold hypersensitivity and 4 out of 15 Patients the normal BP group had cold hypersensitivity. It means that there was association between Cold Hypersensitivity and Orthostatic Hypotension(OH). Conclusion Above these results, we can reach the conclusion that OH is considered one of the causes of cold hypersensitivity.

• The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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• v.21 no.2
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• pp.39-46
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• 2015

Background: The purpose of this study was to investigate the influence of short-term treadmill walking with high-heeled shoes on electromyography activities of the medial gastrocnemius, lateral gastrocnemius and tibialis anterior in healthy young females. Methods: Fifteen healthy females were recruited for this study. To measure muscle activation, the subjects were asked in random order to walk on a treadmill using either high-heeled shoes or barefoot conditions. The shoe heel height for high-heeled walking was 7 cm. The walking speed on the treadmill was 4 km/h, and the inclination rate of the treadmill was 10%. The subjects performed treadmill walking in the barefoot and high-heeled walking conditions for 5 minutes. Electromyography data were collected from the tibialis anterior, medial gastrocnemius, lateral gastrocnemius, and soleus on both firm and foam surfaces and during eyes-open and-closed conditions while standing. Results: Tibialis anterior activity was significantly different before and after the walking task while standing on a foam surface with eyes closed (p<.05). Conclusion: This finding suggests that the activity of the tibialis anterior may be lowered after high-heeled walking. Therefore, high-heeled shoes contribute to harmful effects at the ankle joints, increasing the risks of falling and musculoskeletal injury.

• Journal of the Korea Fashion and Costume Design Association
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• v.14 no.2
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• pp.171-183
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• 2012

This research attempted to examine whether there were differences in preference for the shoes according to fashion lifestyle and age by conducting survey on 200 women of 20s and 40s among the adult women who were expected to have interest in not only functionality but also aesthetic aspects of shoes. First, the results of comparing the preferences according to fashion lifestyles showed that those who pursued practical group preferred loafer, strap shoes, and baggy boots, indicating that they preferred low and comfortable shape of shoes which are easy to put on/take off and easy to coordinate with any clothes. Those who pursued personality group and ostentation group were more sensitive to fashion than practical group preferred high heel shoes, which could express their own personality, it would be great to have various designs by reflecting the trendy materials and details focusing on pumps, strap and walker boots which can express individuality and supplement the body shape and height as matching to the trendy clothes. Second, as women in 20s have tendency to show more preference of a certain trendy shoes shape than women in 40s, the shoes designs for 20s should focus on certain types of shoes preferred by them by varying materials and details, rather than having various designs. However, it would be great to show various designs for the shoes for 40s. Most of the 20s are the individual and complex fashion-seeking types while the 40s have the most of practical fashion-seeking type and the least of individual fashion-seeking type.

• Journal of rehabilitation welfare engineering & assistive technology
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• v.9 no.1
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• pp.37-43
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• 2015

In this paper, an efficient system using 3-axis accelerometer is proposed to diagnose the gait imbalance. The proposed hardware system consists of two 3-axis accelerometers to measure 3 directional acceleration of ankles and an embedded system to transfer the data. The acquired data were normalized and then compared to analyze the symmetry between normal and abnormal gait with ROCC (ratio of correlation coefficient). 10 healthy subjects were participated and each subject repeated the experiment 5 times. To make unbalanced ambulation, the height of the heel of one foot was changed during experiments. From the results, it is verified that ROCC index grew apart from the reference according to growing imbalance and the proposed system could be available for estimation of gait imbalance.

• Korean Journal of Applied Biomechanics
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• v.21 no.1
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• pp.67-75
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• 2011

The purpose of this study was to find the difference in gait patterns when elderly and young people walk by analyzing COP, Gait Line, Foot pressure pattern, and ensuring the original biomechanics technology of developing high performance footwear for the elderly. The subjects who took part in the test consist of 20 elderly people and 20 young people. The physical features of the elderly people that were recruited for the study are as below: 20 healthy male subjects(elderly people) with an average age of 75.43 yrs(S.D 6.46 yrs), weight of 68.10 kg(S.D 0.94 kg) and a height of 168.65 cm(S.D 1.47 cm). Foot pressure pattern data was collected using a EMED-AT system(Novel Gmbh, Germany) operating at the 50 Hz during walking. The results are as follow : COP route of the elderly leans to lateral compared to the young, and Gait Line from heel to toe is not clear and laterally curved. At the same time, a contact are aonthe midfoot is high compared to the young, and maximum force of the forefoot is low. As a result of analysis, in order to develop high performance footwear for the elderly, it is necessary to develop lasts and soles reflecting the elderly's gait patterns.

• Korean Journal of Applied Biomechanics
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• v.27 no.2
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• pp.133-140
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• 2017

Objective: The purpose of this study was to determine the relationship between center of pressure (CoP) and local stability of the lower joints, which was calculated based on approximate entropy (ApEn) during walking in elderly women. Method: Eighteen elderly women were recruited (age: $66.4{\pm}1.2yrs$; mass: $55.4{\pm}8.3kg$; height: $1.56{\pm}0.04m$) for this study. Before collecting data, reflective marker triads composed of 3 non-collinear spheres were attached to the lateral surface of the thigh and shank near the mid-segment to measure motion of the thigh and shank segments. To measure foot motion, reflective markers were placed on the shoe at the heel, head of the fifth metatarsal, and lateral malleolus, and were also placed on the right anterior-superior iliac spine, left anterior-superior iliac spine, and sacrum to observe pelvic motion. During treadmill walking, kinematic data were recorded using 6 infrared cameras (Oqus 300, Qualisys, Sweden) with a 100 Hz sampling frequency and kinetic data were collected from a treadmill (Instrumented Treadmill, Bertec, USA) for 20 strides. From kinematic data, 3D angles of the lower extremity's joint were calculated using Cardan technique and then ApEn were computed for their angles to evaluate local stability. Range of CoP was determined from the kinetic data. Pearson product-moment and Spearman rank correlation coefficient were applied to find relationship between CoP and ApEn. The level of significance was determined at p<.05. Results: There was a negative linear correlation between CoP and ApEn of hip joint adduction-abduction motion (p<.05), but ApEn of other joint motion did not affect the CoP. Conclusion: It was conjectured that ApEn, local stability index, for adduction/abduction of the hip joint during walking could be useful as a fall predictor.

• The Journal of Korean Obstetrics and Gynecology
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• v.28 no.4
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• pp.11-20
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• 2015

Objectives The purpose of this study was to examine the relationship between cold hypersensitivity and bone mineral density. Methods 28 outpatients who visited OO University Oriental Hospital from July 11th, 2013 to August 28th, 2013 were analyzed. Patients were subjected to thermometer, and those with thermal difference greater than 0.3 ℃ between upper arm and palm and also with more than VAS 4 of cold hypersensitivity were diagnosed with cold sensitivity. Lumba spine (L2-4) and heel bone measurement were obtained on dual energy X-ray absorptiometry (DEXA) and Quantitative Computed Tomography (QCT). Results 1. There was statistically significant correlation between T-score of DEXA and body weight (0.522), BMI (0.643), OSTA (Osteoporosis elf-assesment Tool for Asians, 0.579), BMI, T-score and Z-score of QCT. OSTA and T-score of QCT (0.521) also had statistically significance. 2. There was no statistically significant correlation between body fat, abdominal obesity rate, degree of cold hypersensitivity, upper arm and palm's temperature difference, palm temperature, height and Z-score, T-score of QCT or T-sore of DEXA. Conclusions Bone mineral density was lower in women who had cold hypersensitivity of hand and feet. But there was no statistically significant correlation between bone mineral density and degree of cold hypersensitivity, upper arm and palm’s temperature difference.

• Korean Journal of Applied Biomechanics
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• v.15 no.4
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• pp.117-129
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• 2005

The purpose of this study was to characterize the impact shock wave and its attenuation, and the kinematic response of the lower extremity's joints to the impact shock during downhill running in which the lower extremity's extensor acts dominantly. For this study, fifteen subjects(mean age:$27.08{\pm}4.39$; mass:$76.30{\pm}6.60$; height:$177.25{\pm}4.11$) were required to run on the 0% grade treadmill and downhill grades of 7%, and 15% in random at speed of their preference. When the participant run, acceleration at the tibia and the sacrum and kinematic data of the lower extremity were collected for 20s so as to provide at least 5 strides for analysis at each grade. Peak impact accelerations were used to calculate shock attenuation between the tibia and sacrum in time domain at each grade. Fast Fourier transformation(FFT) and power spectral density(PSD) techniques were used to analyze impact shock factors and its attenuation in the frequency domain. Joint coordinate system technique was used to compute angular displacement of the ankle and knee joint in three dimension. The conclusions were drawn as fellows: 1. Peak impact accelerations of the tibia and sacrum in downhill run were greater than that of 0% grade run, but no significant between conditions. Peak shock of PSD resembled also in pattern of peak impact acceleration. The wave of impact shock attenuation between the tibia and sacrum decreased with increasing grade, but didn't find a significant difference between grade conditions. 2. Adduction/abduction, flexion/extention, and internal/external rotation of the ankle and knee joints at support phase between grade conditions didn't make much difference. 3. At grade of 7% and 15%, there were relationship between the knee of the flexion/extension movement and peak impact acceleration during heel strike and found also it in the ankle of plantar/dorsiflexion at grade of 15%.