• 한국정밀공학회:학술대회논문집
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• 한국정밀공학회 2009년도 추계학술대회 논문집
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• pp.641-642
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• 2009

• 대한의용생체공학회:학술대회논문집
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• 대한의용생체공학회 1997년도 추계학술대회
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• pp.369-372
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• 1997

Socket pressure distributions with gait analyses of a transfemoral and a transtibial prostheses were measured in order to assess an optimal socket fitting and unction. Ankle joint was aligned by the neutral and the dorsi/plantar flexed positions. Compared to dorsi and plantar flexed positions of ankle joint, cadence and walking speed increased with the neutral ankle joint alignment. Other gait parameters were close to the normative data with the neutral ankle joint alignment. For the transfemoral amputee, dorsiflexed alignment of the ankle joint created high pressure on the lateral aspect of the socket, on the other hand, plantarflexed alignment resulted in increased pressure on the medial aspect of the socket. For the transtibial amputee, dorsiflexed alignment of the ankle resulted in high pressure on the antero-lateral aspect of the socket during mid-stance, but plantarflexion of the ankle joint showed slight increases in pressure at the same location in the socket. The present study clearly demonstrated that malalignment of a prosthesis results in localized increasing pressure within the socket. Proper alignment of the prosthesis is required in order to acquire an appropriate socket-limb interface as well as the proper gait.

• Clinical Pain
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• 제19권1호
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• pp.28-31
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• 2020

The incidence of heterotopic ossification (HO) was reported to be higher in combat-injured patients than in civilian trauma patients. HO is often considered a possible cause of residual limbs pain in amputee. Here, we report the case of a 21-year-old male, who underwent a traumatic right transfemoral and left transtibial amputation with two segments of painful HO around his left amputation site. We report the effect of extracorporeal shock wave therapy (ESWT) on size and pain associated with HO. After ESWT, the visual analog scale score decreased from 5~6 to 0~1 and the size of two masses decreased from 13.1 × 6.7 mm and 12.5 mm to 11.9 × 4.7 mm and 12.2 mm, respectively. To the best of our knowledge, this is the first case that has reported on the treatment of HO using ESWT for a traumatic transtibial amputation patient. The case suggests that ESWT could serve as a complementary treatment for HO in traumatic amputation patient.

• 한국정밀공학회:학술대회논문집
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• 한국정밀공학회 2010년도 춘계학술대회 논문집
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• pp.1391-1392
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• 2010

• 대한의용생체공학회:의공학회지
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• 제19권4호
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• pp.403-416
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• 1998

본 연구는 대퇴 및 하퇴 의족 착용자의 소켓의 적합성 및 기능성을 평가하기 위하여 소켓내부압력을 측정하였다. 발목관절을 중립, 배굴, 저굴 상태로 조절하였을 때, 배굴 및 저굴에 비하여 중립상태에서 분속수나 보행속도는 증가 하였다. 다른 보행 인자들 역시 발목관절을 중립상태로 조절하였을 때 정상인의 보행인자에 근접하고 있다. 대퇴 절단 환자의 경우 발목관절을 배굴 상태로 조절하면 소켓의 외측부분에 압력집중이 나타나고, 저굴상태로 조절하면 소켓의 내측 부분에 압력집중이 발생하였다. 하퇴 절단 환자의 경우 발목관절을 배굴상태로 조절하면 중간입각기때 소켓의 전면 외측에 압력집중 현상이 나타나며, 저굴시에는 배굴시와 같은 위치에 약간의 압력이 증가하는 것으로 나타났다. 본 연구는 의족의 부적절한 정렬상태로 인한 소켓내에서의 압력집중 현상을 설명하고자 하였으며, 의족의 올바른 정렬은 적절한 보행을 유도하기 위한 소켓과 스텀프와의 접촉 상태를 결정하는데 있어 매우 중요한 인자중 하나이다.

• 대한물리치료과학회지
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• 제12권4호
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• pp.33-41
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• 2005

The purpose of this report was to describe the gait pattern and parameters of the complicated bilateral amputee with right transtibial and left tarsometatarsal amputation. Using a Vicon 370 three dimensional gait analysis system, the gait analysis was performed at pre and post-test. Treadmill Training with 15 degree, incline was practiced for 8weeks, 3times per week. In linear parameters, the Velocity, Stride length and Single limb support were increased than pre-test. but Cadence and Double limb support were less post-test than pre-test. In kinematics, the maximal pelvic tilt angle showed right side $21.87^{\circ}$, left side $20.67^{\circ}$ at pre-swing phase, and decreased as compared with pre-test. Especially, the inimal hip flexion angle showed right side $-6.83^{\circ}$, left side $1.52^{\circ}$ at pre-swing phase and increased as compared with pre-test. The maximal knee flexion angle disclosed right side $2.66^{\circ}$, left side $21.71^{\circ}$ at stance phase, and decreased as compared with pre-test. In kinetics, the hip extension moment on initial contact stage was right side 0.938NM/Kg, left side 0.09NM/Kg, which was impaired compared with normal person.