• Title/Summary/Keyword: 발목 관절

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A Study on the One-leg Drop landing Pattern and Muscular Activity depending on Chronic Ankle instability among Basketball Club members (농구동호인의 만성발목관절불안정성에 따른 한발착지패턴과 근활성도에 관한 연구)

  • Jeong, Kyoung-Yeol;Kim, Tae-Gyu
    • Journal of Digital Convergence
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    • v.19 no.2
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    • pp.481-488
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    • 2021
  • This study aimed to identify and to compare the difference the changes of one-leg drop landing pattern depending on chronic ankle instability (CAI) among basketball club members. For 30 basketball club members who are currently participating in recreational basketball games in Busan Metropolitan City, 21 CAI groups and 9 CON groups were classified according to the CAI standards provided by the International Ankle Consortium. The one-leg drop landing pattern was measured with the alignment of the lower extremity and joint movement at the initial contact (IC), and the point of peak knee flexion. In addition, the one-leg drop landing pattern was tested with the muscular activity of tibialis anterior, peroneus longus, medial gastrocnemius and gluteus medius at the initial contact (IC), heel contact (HC), and the point of peak knee flexion. The results of this study showed that there was no significant difference in lower limb alignment and lower limb muscular activity among single leg drop landing. These results showed no significant differences in the one leg drop landing pattern and muscular activity depending on CAI. The further studies should classify the types of chronic ankle instability and consider the physical demands and movement characteristics depending on their playing position for providing useful information on prevention of CAI in basketball club members.

A Study on the Usefulness of an Ankle Joint Examination Assistive Device using a 3D Printing (3D 프린터를 이용한 발목관절 검사 보조기구의 유용성연구)

  • Dong-Hee Hong;Eun-hye Kim;Young-Cheol Joo
    • Journal of the Korean Society of Radiology
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    • v.17 no.7
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    • pp.1099-1108
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    • 2023
  • The mortise view radiography procedure is an ankle joint examination and observes the presence of trauma, sprain, or dislocation suspected in the ankle joint. The auxiliary equipment used during the mortise view radiography procedure can generate artifacts in the radiograph images and is not diverse enough to be custom-made for each patient; not cost-efficient. The purpose of this study is to create a custom assistive device to support mortise view radiography procedure. This study utilized 3D printing technology to create the mortise view radiography procedure assistive device (ShinHan Device; SHD). The lengths of the tibiotalar joint (TTJ), talar calcaneal joint (TCJ), and medial joint (MJ) were measured and evaluated by five researchers using both SHD and the prototype Hologic tool. The mean ranges were found to be 39.42-39.47 mm for TTJ, 31.41-31.57 mm for TCJ, and 21.21-21.23 mm for MJ while using SHD device. On the other hand, the measurements showed mean ranges of 39.73-39.79 mm for TTJ, 31.46-31.50 mm for TCJ, and 21.31-21.35 mm for MJ while using the Hologic tool. Based on this study results, the error ranges at all positions decreased by 24% for TTJ, 17% for TCJ, and 36% for MJ when using SHD device compared to the Hologic tool. Moreover, when SHD was used, it allowed for a highly reproducible examination posture (ICC = 0.99), and it enabled the acquisition of radiograph images without artifacts, which were present in the Hologic tool.

Quantitative Assessment and Ligament Traceability of Volume Isotropic Turbo Spin Echo Acquisition (VISTA) Ankle Magnetic Resonance Imaging: Fat Suppression versus without Fat Suppression (발목관절 VISTA 자기공명영상에서 정량평가와 인대의 Traceability: 지방억제 대비 지방억제기법)

  • Cho, Kyung Eun;Yoon, Choon-Sik;Song, Ho-Taek;Lee, Young Han;Lim, Daekeon;Suh, Jin-Suck;Kim, Sungjun
    • Investigative Magnetic Resonance Imaging
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    • v.17 no.2
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    • pp.110-122
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    • 2013
  • Purpose : To compare the image quality and ligament traceability in ankle images obtained using Volume Isotropic Turbo Spin Echo Acquisition (VISTA) MRI with and without fat suppression. Materials and Methods: The signal-to-noise ratios (SNRs) in images from a phantom and from the ankle of a volunteer were compared. Ten ankles from 10 non-symptomatic volunteers were imaged for comparisons of contrast ratio (CR) and ligament traceability. All examinations were performed using VISTA sequences with and without fat suppression on a 3T MRI scanner. The SNRs were obtained from images with subjects and without subjects (noise-only). Contrast ratios from images of the 10 ankles were acquired between fluid and tendon (F-T), F-cartilage (C), F-ligament (L), fat (f)-T, f-C and f-L. Two musculoskeletal radiologists independently scored the traceability of 7 ligaments, in sagittal, axial and coronal images respectively, based on a 4-point scale (1 as not traceable through 4 as clearly traceable). The Wilcoxon signed-rank test was used to compare the CR. Fisher's exact test and Pearson's chi-squared test were used to compare the ligament traceability. Results: The SNRs did not differ significantly between the two sequences except in bone marrow. VISTA SPAIR showed the higher CR only in F-T (p = 0.04), whereas VISTA showed higher CR in f-T (p = 0.005), f-C (p = 0.005) and f-L (p = 0.005). The calcaneofibular ligament traceability with VISTA was superior to that obtained with VISTA SPAIR (p < 0.05) in all planes. Conclusion: VISTA showed significant superiority to VISTA SPAIR in tracing CFL due to the superior CR between fat and ligament.

Hypertrophic osteodystrophy in a Jindodog (진도개에 발생한 비대성골이영양증)

  • Seong-ho Lee;Sang-ki kim
    • Journal of Veterinary Clinics
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    • v.16 no.2
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    • pp.443-447
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    • 1999
  • 전지 파행을 호소하여 의뢰된 약 2개월령의 진도개 암캐에서 비대성골이영양증이 진단되었다. 내원 2일 전부터 파행과 침울 증상을 보인 이 개의 이학적인 검사 결과 grade II/IV 정도의 좌측 전지파행이 관찰되었으며, 좌측과 우측의 앞발목관절의 미약한 종대가 인정되었다. 좌측발목관절을 촉진한 결과 요골과 척골의 골단부위를 촉진할 때 심한 통증을 호소하였으며, 우측 앞발목관절의 촉진에서도 미약한 통증이 인정되었다. 좌측과 우측 앞발목관절의 x-ray 검사에서 양측 전지 원위 요골 및 척골의 성장절 바로 위쪽 골간단에 성장절과 나란히 존재하는 불규칙한 방사선투과성의 선이 관찰되었고, 이 부위의 바로 아래쪽과 위쪽에는 방사선투과성이 감소되어 있었다. 이상의 결과 비대성골이영양증으로 진단되었다. ketoprofen과 amoxicillin을 투여하고, 운동을 철저히 제한한 결과 이 개의 증상은 빠르게 호전되었으며, 치료 2일 후 파행증상이 완전히 소실되었고, 증상이 재발되지 않았다. 이 보고에서는 진도개에 발생한 비대성골이영양증을 처음으로 소개하면서 이 질환으로 원인, 진단 및 치료에 대해 문헌적으로 고찰되었다.

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Massage application at calf muscles for ankle flexibility (발목의 유연성 증진을 위한 종아리 근육 마사지 적용)

  • Roh, Hyo-lyun
    • Proceedings of the Korea Contents Association Conference
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    • 2017.05a
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    • pp.343-344
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    • 2017
  • 본 연구의 목적은 종아리 근육에 마사지를 적용하여 발목의 유연성과 균형에 미치는 영향을 알아보고자 실시하였다. 연구대상자는 건강한 대학생 32명으로 마사지 적용방법에 따라 세 그룹으로 나누어 한쪽 종아리에 각 5분간, 총 10분 동안 마사지를 적용하였다. 마사지 적용 전, 후로 발목의 유연성을 측정하기 위하여 Star excursion balance test를 실시하였다. 종아리 근육 마사지 중재 후에 두 그룹 모두 기능적 뻗기 검사와 변형된 한발 서기 검사에서 마사지전보다 유의하게 증가한 것으로 나타났다. 그러나 마사지 종류에 따른 차이는 나타나지 않았다. 마사지 종류에 관계없이 종아리 근육 마사지는 발목관절의 유연성과 균형능력에 효과가 나타났다. 따라서 종아리 마사지의 적용은 균형능력을 향상시키는 방법으로 보인다.

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The effect of whole body vibration on lower joints in vertical jump (전신진동운동이 수직점프 시 하지관절에 미치는 영향)

  • Yi, Jae-Hoon
    • Journal of Digital Convergence
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    • v.14 no.6
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    • pp.513-518
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    • 2016
  • The Mechanisms of whole body vibration on the human body is not clearly presented despite of the research result and there is not enough research that shows the effects of vibration on the kinetic changes of the lower joint. Therefore, this study focuses on finding out which lower joint is related with kinetic vertical jump ability. Five male and five female who didn't have orthopedic history were selected as the subjects. The subjects carried out three squat jumps before and after 5minutes of 30Hz whole body vibration. We have utilized a 3D motion analysis system to analyze the kinetic changes of the lower joint in the vertical jump. The height of subjects squat jump was improved after whole body vibration treatment. Also, the lower joint moment and power increased. However, there were no statistically significant changes in GRF, hip joint moment and power after the whole body vibration proved to have positive effect on the ankle and knee joints but showed negative effect on the hip joint.

Effect of Accelerated Rehabilitation with Anti-Gravity Treadmill Exercise on Ankle Joint Function After Surgery of Modified Brostrom Operation in Chronic Ankle Instability Patients (변형된 Brostrom 수술 후, Anti-gravity treadmill 가속재활운동이 만성발목불안정성 환자의 발목기능 회복에 미치는 영향)

  • Choi, In-Hyuk;Lee, Jang-Kyu
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.7
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    • pp.228-235
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    • 2019
  • The purpose of this study was to investigate the effect of 6 weeks' accelerated rehabilitation with anti-gravity treadmill exercise on VAS, ROM, isokinetic myofunction, and dynamic stability after surgery of modified brostrom operation in chronic ankle instability patients. The subjects of this study were 12 chronic ankle instability patients who underwent modified Brostrom operation(MBO) by the same doctor. 6 weeks' accelerated rehabilitation program is scheduled to perform for 60min, everyday, and also anti-gravity program performed for 15~30min, everyday. The visual analog scale(VSA) and significantly decreased(p<.001) and ROM in all of dorsal flexion, plantar flexion, inversion and eversion significantly increased(p<.05) after 6 weeks' accelerated rehabilitation with anti-gravity treadmill exercise. Both inversion and eversion peak torque at $60^{\circ}/sec$(p<.001, p<.01) and at $180^{\circ}/sec$(p<.001) significantly increased after 6 weeks' accelerated rehabilitation with anti-gravity treadmill exercise respectively. In muscle defect, although inversion(p<.01) and eversion(p<.001) at $60^{\circ}/sec$ and inversion(p<.01) at $180^{\circ}/sec$ significantly decreased, eversion at $180^{\circ}/sec$ tended to decrease but did not change significantly after 6 weeks' accelerated rehabilitation with anti-gravity treadmill exercise. The dynamic stability significantly increased after 6 weeks' accelerated rehabilitation with anti-gravity treadmill exercise(p<.001). These results suggest that 6 weeks' accelerated rehabilitation with anti-gravity treadmill exercise has positive effect of VAS, ROM, isokinetic myofunction, and dynamic stability after surgery of modified brostrom operation in chronic ankle instability patients. Therefore, we consider that the accelerated rehabilitation with anti-gravity treadmill exercise, which is safely and fast method, has effect on more faster recovery of ankle stability, play ground and normal daily activities.

Biomechanical Analysis of Human Foot Joints by Using Computer Graphic-Based Model (컴퓨터 그래픽 모델을 이용한 족부 관절의 생체역학적 해석)

  • Seo Min Jwa;Kim Si Yeol;Cho Won Hak;Choi Hyeon-Chang;Choi Hyeonki
    • Journal of Biomedical Engineering Research
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    • v.24 no.6 s.81
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    • pp.495-500
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    • 2003
  • The purpose of this investigation was to study the kinematics of joints between the foot segments based on computer graphic model during the stance? phase of walking. In the model, all joints were assumed to act as monocentric. single degree of freedom hinge joints. The motion of foot was captured by a video collection system using four cameras. The model fitted in an individual subject was simulated with this motion data. The range of motion of the first tarsometatarsal joint was $-8^{\circ}\;\~\;-13^{\circ}$, and the first metatarsophanlangeal joint was $-13^{\circ}\;\~\;-48^{\circ}$. The kinematic data of tarsometatarsal joint and metatarsophanlangeal joint were similar to the previous data. Therefore, our method based on the graphical computer model is considered useful.

Comparative Analysis of the Kinematics of Types of Step during Blocking in Volleyball (배구 블로킹 시 스텝 방법에 대한 운동학적 비교 분석)

  • Jung, Ji-Un;Youm, Chang-Hong;Park, Young-Hoon;Park, Tae-Jin;Seo, Kook-Woong;Seo, Kook-Eun
    • Korean Journal of Applied Biomechanics
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    • v.18 no.1
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    • pp.73-83
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    • 2008
  • The purpose of this study was to investigate kinematic variables of three types of volleyball jump blocking motions through 3D video analysis. The subjects participated in this study were 7 male university volleyball players and 7 male physical education majors. 1. Regardless of blocking types, peak vertical velocity and jump height in the skilled group were faster and higher than the unskilled group. 2. The skilled group was flexed lower than the unskilled group at E2 of the hip, knee, and ankle joint during the cross over step blocking. 3. In all types of step, the peak angular velocity of the hip, knee, and ankle joint was showed at E2. 4. The skilled group was slower than the unskilled group at E2 of the angular velocity of the hip, knee, and ankle joint during cross over step blocking. In conclusion, the cross over step blocking in which the use of the upper extremities was relatively more available was effective to improve a defence skill for the jump height.

Change in Gastrocnemius Pennation Angle According to Ankle Dorsiflexion among University Students (일부 대학생의 발목관절 발등굽힘 각도 변화에 따른 장딴지근 깃각의 차이)

  • Kim, Ji-Seon;Seo, Byoung-Do;Shin, Hyung-Soo;Shin, Hee-Joon;Ju, Joung-Youl
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.16 no.12
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    • pp.8684-8690
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    • 2015
  • This study aimed to investigate the influence of the ankle dorsiflexion angle ($0^{\circ}$, $10^{\circ}$, and $20^{\circ}$) on the effectiveness of gastrocnemius stretching angle. The subjects of this study were 25 young man and female women. In all participants, the pennation angle of the medial head of the gastrocnemius was evaluated using ultrasonography at an ankle dorsiflexion angle of $0^{\circ}$, $10^{\circ}$, or $20^{\circ}$. Repeated measures analysis of variance was uesd to test for differences between ankle dorsiflexion angles. The independent t-test was performed to determine the significance of sex differences. The results of this study showed that the gastrocnemius pennation angle decreased as the ankle dorsiflexion angle increased, with significant interaction between each angle of ankle dorsiflexion angle (p<0.01). Sex comparison showed that the pennation angle was greater in man than in women, but the difference was not significant (p>0.05). According to the sex the gastrocnemius pennation angle is decreased as the ankle dorsiflexion angle increased (p<0.01). These results suggest that the end range of dorsiflexion is more beneficial for gastrocnemius stretching than a small range. Further studies are needed to investigate the influence of other factors, such as stretching angle and application time, on gastrocnemius stretching.