• Title/Summary/Keyword: Foot area

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Influence of Negative-Pressure Wound Therapy on Tissue Oxygenation of the Foot

  • Shon, Yoo-Seok;Lee, Ye-Na;Jeong, Seong-Ho;Dhong, Eun-Sang;Han, Seung-Kyu
    • Archives of Plastic Surgery
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    • v.41 no.6
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    • pp.668-672
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    • 2014
  • Background Negative-pressure wound therapy (NPWT) is believed to accelerate wound healing by altering wound microvascular blood flow. Although many studies using laser Doppler have found that NPWT increases perfusion, recent work using other modalities has demonstrated that perfusion is reduced. The purpose of this study was to investigate the influence of NPWT on tissue oxygenation of the foot, which is the most sensitive region of the body to ischemia. Methods Transcutaneous partial pressure of oxygen ($TcpO_2$) was used to determine perfusion beneath NPWT dressings of 10 healthy feet. The sensor was placed on the tarso-metatarsal area of the foot and the NPWT dressing was placed above the sensor. $TcpO_2$ was measured until it reached a steady plateau state. The readings obtained at the suction-on period were compared with the initial baseline (pre-suction) readings. Results $TcpO_2$ decreased significantly immediately after applying NPWT, but gradually increased over time until reaching a steady plateau state. The decrease in $TcpO_2$ from baseline to the steady state was 2.9 to 13.9 mm Hg (mean, $9.3{\pm}3.6$ mm Hg; $13.5{\pm}5.8%$; P<0.01). All feet reached a plateau within 20 to 65 minutes after suction was applied. Conclusions NPWT significantly decrease tissue oxygenation of the foot by 2.9 to 13.9 mm Hg. NPWT should be used with caution on feet that do not have adequate tissue oxygenation for wound healing.

A Recognition Algorithm of Suspicious Human Behaviors using Hidden Markov Models in an Intelligent Surveillance System (지능형 영상 감시 시스템에서의 은닉 마르코프 모델을 이용한 특이 행동 인식 알고리즘)

  • Jung, Chang-Wook;Kang, Dong-Joong
    • Journal of Korea Multimedia Society
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    • v.11 no.11
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    • pp.1491-1500
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    • 2008
  • This paper proposes an intelligent surveillance system to recognize suspicious patterns of the human behavior by using the Hidden Markov Model. First, the method finds foot area of the human by motion detection algorithm from image sequence of the surveillance camera. Then, these foot locus form observation series of features to learn the HMM. The feature that is position of the human foot is changed to each code that corresponds to a specific label among 16 local partitions of image region. Therefore, specific moving patterns formed by the foot locus are the series of the label numbers. The Baum-Welch algorithm of the HMM learns each suspicious and specific pattern to classify the human behaviors. To recognize the inputted human behavior pattern in a test image, the probabilistic comparison between the learned pattern of the HMM and foot series to be tested decides the categorization of the test pattern. The experimental results show that the method can be applied to detect a suspicious person prowling in corridor.

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The Effect of Plantar Foot Pressure Negotitating Obstacles in the Elderly

  • Seo, Kyo-Chul;Kim, Hyeun-Ae;Kim, Hee-Tak;Kim, Sung-Gyung;Kim, Jin-Sang
    • The Journal of Korean Physical Therapy
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    • v.23 no.6
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    • pp.15-22
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    • 2011
  • Purpose: This research investigated falls due to obstacles that occur among elderly people by assessing changes in the values of plantar foot force, peak force, and plantar foot pressure in elderly subjects while they were stepping over obstacles of different heights. Methods: The subjects were 20 elderly people aged 70-80 years; Pressure was measured on flat ground(0 cm), and after installing obstacles of 8 cm and 12 cm using the F-scan system, which is a resistance-type pressure sensor. A one-way analysis of variance was performed to compare pressure on each part of the foot according to various heights after collecting data using the Tekscan program. The least significant difference test was used for the post-hoc analysis, A p-value <0.05 was considered significant. Results: The force value for the toe area (parts 1, and 2) and contact pressure increased significantly with the 12 cm obstacle (p<0.05). The peak force value and the peak contact pressure for part 1 increased significantly with the 12 cm obstacle (p<0.05). Conclusion: Larger changes appeared in the functions and structure of the foot while subjects walked over obstacles of different heights compared to flatland walking. This result suggests that people have safety strategies to prevent falls, and that there is a need for a more realistic approach through practice to overcome obstacles of various heights to prevent falls.

Surface Areas, Volumes and Sizes Changes of the Lower Leg in Women due to Menstruation and Pregnancy (월경시(月經時)와 임신중(姙娠中)에 있어서의 여자하복부(女子下服部)의 표면적(表面積) 및 체적(體積)의 변화(變化)에 대(對)한 연구(硏究))

  • Lee, Yeong-Suk
    • Journal of the Ergonomics Society of Korea
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    • v.7 no.1
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    • pp.21-30
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    • 1988
  • The investigation of the surface areas, volumes and sizes (circumference, length, breadth) changes has been performed on women during menstruation, non-menstruation, pregnancy and post-pregnancy periods. (1) During menstruation and non-menstruation periods: The subjects were 30 healthy women from 19 to 24 years of age. The changes of lower leg areas were measured using the paper replacement method, showing an increase of 0.71% in surface during the menstruation period. The changes of lower 1g volumes were measured by the water replacement method, showing an increase of 1,74% in volume during the menstruation period. The correlation between the surface area changes and the volume changes was of r=0.45. The greatest change among the four parts of the leg was found at the ankle in both experiments. We measured also the foot length(1), the ball of foot girth(2), the foot breadth(3), the instep height (4), the instep girth(5), the ankle girth(6), the calf circumference(7) and we found the greatest changes in(4)=3,92% in(5)=0.79% and in (7) =0.84%. (2) During pregnancy and post-pregnancy periods: The subjects were 3 women, two pregnants(both from the 24th to the 36th week of pregnancy during the experiment) and one post-pregnant(from the second week to the eighth week during the expriment). For the first two subjects, we measured only the last 6 items of the preceding experiments(foot length(1),ball of foot girth(2), (3), (5), (6), (7)), Showing the greatest changes in the instep girth(5) and the calf circumference(7). In the case of the post-pregnant subject, these two items (5) and(7) decreased sharply during the second, third and fourth week and remain approximately the same afterwards.

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Effects of Water Exercise on the Foot Pressure Distribution of a Female Adult with Hemiplegia: A Biomechanical Case Study

  • Lee, In-Woo;Kim, Jin-Ki;Yang, Jeong-Ok;Lee, Joong-Sook;Lee, Bom-Jin
    • Korean Journal of Applied Biomechanics
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    • v.23 no.2
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    • pp.179-187
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    • 2013
  • This case study was conducted to determine the effects of water exercise on the foot pressure distribution (FPD) of persons who have a hemiplegia. A 43-year old female with hemiplegia acquired at the age of 3 years was selected from a local disability program. A 12-week water exercise program (60 min. per session and twice a week) focusing on gait training was developed and implemented as the intervention of this study. A recent product of the Pedar-X (Novel, Germany) was used to measure the FPD of hemiplegic gait before and after the intervention. Variables considered in this study included the average pressure (AP), contact area (CA), maximum pressure (MP), ground reaction force (GRF), and center of pressure (COP). The data collected were analyzed via the descriptive statistics and qualitative analyses on the graphical presentations of the FPD. Results revealed that the AP and CA of the hemiplegic foot was considerably increased before and after the intervention. Similar results were also found in the MP and GRF. Additionally, the graphical route of the COP related to hemiplegic foot was changed in a positive way after the intervention. It can be concluded that water exercise may be beneficial to restore hemiplegic gait. Limitations related to measurement and generalizability are further discussed.

A Case Study of Wound Dressing Treatment in a Patient with Diabetic Foot Ulcer (당뇨병성 족부 궤양 환자의 창상 드레싱 치료 증례)

  • Lee, Ma-Eum;Jeong, Mi-Rae;Kwon, Kang;Kim, Min-Hee;Seo, Hyung-Sik
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.34 no.2
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    • pp.80-85
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    • 2021
  • Objectives : The purpose of this study is to report on the treatment of wound dressing in patients with diabetic foot ulcers in the dermatology clinic of Korean medicine. Methods : First, sufficient marginal resection of the ulcer and necrotic tissue on the foot of a patient with diabetic peripheral neuropathy was performed. Inflammation was treated with Anti-inflammatory pharmacopuncture solution, and dressings were applied for one month using Cornu Cervi Parvum pharmacopuncture solution, and Haeboo ointment for granulation tissue formation and skin regeneration. Results : After 10 days of the treatment, the formation of new granulation tissue was observed in the necrotic tissue area, and the extent of the lesion decreased sharply from the 14th day. On the 40th day, epithelialization progressed so that the treatment was terminated, and complete keratinization of the site was observed at follow-up 3 weeks after the end of the treatment. Conclusions : In the treatment of wound dressings in diabetic foot ulcer patients, marginal resection treatment with the application of pharmacopuncture solution and herbal ointment showed good effect.

Surgical Treatment of Ganglions in Foot and Ankle (족부 및 족관절부 결절종의 수술적 치료)

  • Choi, Ik-Su;Roh, Su-In;Kwak, Cheol-Ho;Kim, Sang-Eun;Lee, Chan-Woo
    • Journal of Korean Foot and Ankle Society
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    • v.8 no.1
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    • pp.97-100
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    • 2004
  • Purpose: To evaluate the results of surgical treatment and relationship between the recurrence and characteristics of ganglions in foot and ankle. Materials and Methods: Seventeen cases of ganglions located in foot and ankle, excised at St. Benedict Hospital from Mar. 1993 to Apr. 2003, were included in the study. All of cases were analyzed retrospectively in terms of age, sex of the patients, location and size of the ganglion, symptom, operative method as well as recurrence rate were evaluated. The mean follow up was 1.8 years (11 months${\sim}$6.5 years). Results: The size of ganglion ranged from 0.5 cm to 5.0 cm with mean size of 2.5 cm. The most common area of ganglion was the dorsum of foot and pain was the primary chief complain. The recurrence was found in 4 cases (23.5%): 1 of them occurred among 8 cases the diameter of which was less than 2.5 cm and other 3 occurred among 9 cases larger than 2.5 cm. 12 cases were completely excised mass with no recurrence. But 5 cases were incompletely excised & ligated stalk of mass and 4 cases of them were recurred. A correlation was only observed between complete excision and low recurrence rate. Conclusion: Recurrence rate of ganglions in foot and ankle was high and the correlation was obtained between complete excision and low recurrence rate.

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Effect of ankle strengthening exercise using BOSU ball and taping on plantar pressure in patients in their 20s with hallux valgus (보수볼을 이용한 발목 강화 운동과 테이핑이 엄지발가락가쪽휨증을 가진 20대 환자의 발바닥 압력에 미치는 영향)

  • SAIKHANZUL, JARGALSAIKHAN;Jeong, Beom-Cheol;Yoo, Kyung-Tae
    • Journal of Industrial Convergence
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    • v.19 no.6
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    • pp.81-91
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    • 2021
  • This study was conducted to investigate the effect of ankle muscle strengthening exercise using BOSU ball and taping on static and dynamic plantar pressure in patients with hallux valgus. Subjects were 26 men and women in their twenties with hallux valgus, and they were randomly assigned to a taping group (TG; n=13) and an ankle strengthening group (ASG; n=13). Each group received the appropriate intervention over a total of 4 weeks, and static and dynamic plantar pressure were measured before and after the intervention. Independent T-test was performed to examine the difference in the amount of change between groups, and paired-sample T-test was performed to determine whether the difference between the pre-post values within the group was significant. The statistical significance level was set as α=.05. As for the ratio of the total body weight of the foot (Foot), the amount of change in the ASG of the left foot was significantly decreased compared to the TG within the group (p<.05). Significantly increased (p<.05). As for the degree of pronation of the foot (MP/change ratio), the amount of change in the TG of the right foot was significantly decreased compared to the ASG (p<.05), and in the force of the foot, the TG of the left foot was the amount of change within the group compared to the ASG. was significantly increased (p<.05), and in the group-to-group change, the amount of change in TG was significantly different than that of ASG (p<.05). Therefore, it can be considered that ankle strengthening exercise using bosu ball and taping are insufficient to give effective change to patients with hallux valgus.

A Study on Morphology Measurement and Comparison of Nutria(Myocastor coypus) Inhabiting in Korea (국내 서식하는 뉴트리아(Myocastor coypus)의 형태측정 및 비교에 관한 연구)

  • Lee, Do-Hun;Kil, Jihyon
    • Journal of Environmental Impact Assessment
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    • v.22 no.3
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    • pp.241-254
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    • 2013
  • The nutria(Myocastor coypus) that is originated from South America is a representative Invasive alien species in Korea. invasive alien species is one of the biggest causes for the loss of biodiversity and it may threaten the conservation and function of ecology as well as the welfare of mankind. Intense habitation has been made around the Nakdong River basin area that this study has analyzed the habitat density of nutria for the subject of 3 survey sites in the Nakdong River basin area. As a result of survey on habitation density in 2011 and 2012, under St.1 it was shown $2.01{\pm}0.21$/ha in 2011 and $0.69{\pm}0.55$/ha in 2012. Under St.2, it was shown $0.91{\pm}0.37$/ha in 2011 and $0.55{\pm}0.39$/ha in 2012. Under St.3, it was shown $5.31{\pm}0.72$/ha in 2011 and $3.99{\pm}2.31$/ha in 2012. The wet survey areas of St.1 and St.3 had shown relatively high habitation density compared to St. 2, the river survey area, and the average annual habitation density of the survey area was $2.74{\pm}2.29$/ha in 2011 and $1.74{\pm}1.18$/ha in 2012 that it has shown slightly reducing trend. As a result of measuring the morphology by capturing the habitation individuals, the average body length of adults is $92.23{\pm}9.41cm$, the length from the head to body for $53.90{\pm}5.15cm$, tail length for $38.33{\pm}4.83cm$, hind foot length for $13.82{\pm}1.00cm$, front foot length for $6.02{\pm}0.56cm$, and weight for $5.48{\pm}1.08kg$. As a result of comparing the types between genders, male showed a slightly higher figure in all parts compared to female and it showed significantly difference in total body length, head-body length, front foot length and total weight. As a result of analysis for each head-body length, other measured parts, weight and relativity for each measured part, all bodily part is shown to have the higher volume of correlations. The condition index of individuals in the survey area was shown in the average of $35.67{\pm}4.78$ with female for an average of $36.60{\pm}5.19$ and male for an average of $34.73{\pm}4.34$. The winter temperature in the southern area of Korea is considered for not greatly impacting on the habitation and development of nutria that, if there is no artificial control, it is considered to have certain concern of showing drastic breeding and territory expansion for the habitation group.

Employing Magnetic Resonance Imaging(MRI) in the Estimation of the Biomechanical Body Segment Parameters of Korean Adults (MRI에 의한 한국인 신체분절의 생체역학적 모수치 산출)

  • Joo, Young-Hwa
    • Korean Journal of Applied Biomechanics
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    • v.12 no.1
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    • pp.233-249
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    • 2002
  • The purpose of this study was to employing MRI in the estimation of the biomechanical body segment parameters of Korean adults. for this purpose MRI study on 19 Korean living subjects were used to measurement. All the parameters that was concerned were inertial characteristics of human body mass of each segment, center of mass of them and the length of radius of gyration of them. The cross sectional images and saggital images of every 1cm interval were got using the 0.5 Tesla MRI from the top of head to the bottom of foot, whole body. And then, by tracing the images of the film and scanning them, got the area which the several tissues occupied in the image of slice. By summing the area of slice of each segment which were calculating and by multipling the density of the tissues, got the mass of segment and other inertial characteristics. The ratios of radius of gyration in both transverse axis and longitudinal axis though the segmental mass and segment length are as follow: male A : head($0.229\pm0.0029$), neck($0.256\pm0.0095$), thorax($0.374\pm0.0059$) abdomen($0.245\pm0.0020$), pelvis($0.368\pm0.0106$), thigh($0.288\pm0.0030$) shank($0.280\pm0.0043$), foot($0.277\pm0.0195$), upperarm($0.311\pm0.0074$) forearm($0.286\pm0.0051$), hand($0.253\pm0.0095$) female A : head($0.214\pm0.0032$), neck($0.254\pm0.0112$), thorax($0.295\pm0.0061$) abdomen($0.289\pm0.0021$), pelvis($0.329\pm0.0108$), thigh($0.288\pm0.0036$) shank($0.280\pm0.0047$), foot($0.243\pm0.0206$), upperarm($0.279\pm0.0083$) forearm($0.286\pm0.0048$), hand($0.229\pm0.0097$) male B : head($0.532\pm0.0006$), neck($0.533\pm0.0006$), thorax($0.658\pm0.0008$) abdomen($1.350\pm0.0022$), pelvis($0.875\pm0.0002$), thigh($0.213\pm0.0001$) shank($0.160\pm0.0001$), foot($0.152\pm0.0002$), upperarm($0.136\pm0.0002$) forearm($0.202\pm0.0002$), hand($0.273\pm0.0006$) female B : head($0.198\pm0.0002$), neck($0.335\pm0.0011$), thorax($0.238\pm0.0001$) abdomen($0.888\pm0.0001$), pelvis($1.318\pm0.0117$), thigh($0.095\pm0.0001$) shank($0.075\pm0.0001$), foot($0.181\pm0.0006$), upperarm($0.0.062\pm0.0001$) forearm($0.083\pm0.0001$), hand($0.105\pm0.0007$).