• 대한물리의학회지
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• 제5권1호
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• pp.43-51
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• 2010

Purpose : The purpose of this study was to compare plantar pressure distribution between affected side and unaffected side and to analyze plantar pressure distribution of affected side according to the extent of hemineglect in the adult hemiplegia. Methods : Twenty-five hemiplegia participated in this study. The analysis of plantar pressure distribution was conducted by the F-scan system, and the extent of hemineglect was evaluated with line-bisection test. While the subject walked about 10 meters in their comfortable speed the plantar pressure was evaluated and stored. Results : Total contact area, AP CoP trajectory, contact pressure of mid-foot of the affected side were significantly different from the unaffected side. Total contact area, AP CoP trajectory and contact pressure of mid-foot were smaller than those of unaffected side. In the comparison among the group according to the extent of hemineglect, AP CoP trajectory of subject who has severe hemineglect was significantly different from the patient that has no hemineglect and it was shorter than that of no hemineglect. Conclusion : The plantar pressure distribution was generally different between affected side and unaffected side and the hemineglect affected negatively the patient to move CoP forwardly while walking. Accordingly, it will help the clinician to understand the hemineglect which has an effect on abnormal walking and to intervent the hemiplegia who has a neglection to the affected side.

• 대한족부족관절학회지
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• 제17권4호
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• pp.309-315
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• 2013

Purpose: The purpose of the study was to investigate five cases with chronic Achilles tendon rupture that occurred after steroid injections. Materials and Methods: In our hospital, we experienced five cases of chronic Achilles tendon rupture from September 2010 to March 2012. All patients had got steroid injection for Achilles tendinitis at the other hospitals, and their heel pain was aggravated when they visited our outpatient department. After treatment, signs and symptoms of Achilles tendon rupture were developed and the diagnosis was confirmed by ultrasonography or magnetic resonance imaging (MRI). Surgical treatment was done for Achilles tendon rupture. Results: There was difference between intra-operative findings of Achilles tendon rupture and usual chronic Achilles tendon rupture. Unlike usual findings of chronic Achilles tendon rupture whose scar tissue or tissue attenuation are found around the defect area of Achilles tendon, there were partial necrosis of tendon severe adhesion with surrounding tissue, extensive defect and longitudinal rupture on ruptured area. Also, severe inflammation of paratenon, granulation and fibrinoid deposit were found on biopsy findings in four cases. Conclusion: Based on review of data about relative risk and benefit of local corticosteroid injection to inflammatory lesion in Achilles tendon, it requires more attention to Achilles tendon rupture following local corticosteroid injection.

• Journal of Acupuncture Research
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• 제20권5호
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• pp.252-260
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• 2003

Objective : The purpose of this report is to examine the effects of Scalp Acupuncture therapy in the H.I.V.D patients. Methods : We investigated 30 patients suffering from low back pain with sciatica which were admitted to Cheonan O. M. hospital from Aug. 1, 2001 to Jan. 31. 2002. 30 patients had a diagnosis of herniated lumbar intervertebral disc by Lumbar-C.T or Lumbar-M.R.I. we treated 30 patients by Scalp Acupuncture therapy. Results : 1. We operated Scalp Acupuncture on the foot-motion sensory area(족운동감각구), the sensory area(감각구) 2. In the result of treatment due to clinical symptoms, leg radiating pain was more effective than any other clinical symptoms. 3. The efficacy of Scalp Acupuncture therapy was 83.3%(when we set a standard things more than fair) and 63.3%(when we set a standard things more than good). Conclusions: The Scalp Acupuncture therapy is effective of H.I.V.D patients, but we thought that it needed to prove effects of Scalp Acupuncture therapy for efficient application by more clinical reports.

• 한국운동역학회지
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• 제17권3호
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• pp.173-180
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• 2007

The purpose of study was to compare plantar pressure during walking wearing the curved rear balance and normal shoes. Twelve university students(height: $177.2{\pm}4.6cm$, weight: $68.4{\pm}5.8kg$, age: $26.2{\pm}1.6yrs.$) who have no known musculoskeletal disorders were recruited as the subjects. Plantar foot pressures were evaluated using the Tekscan's pressure measurement systems while subjects walked upright position wearing the curved rear balance and normal shoes in random order at a speed of 1.3 m/s. The contacting dimension, the mean plantar pressure, and the peak plantar pressure were determined for each trial. For each dependent variable, paired t-test was performed to test if significant difference existed between shoe conditions (p<.05). As a result, the curved rear balanced shoes showed as large as 38 up to 50 % of area at the rear side of feet than the normal shoes when measuring the contact area with upright position. In the distribution of average pressure, the curved rear balanced shoes displayed fairly low pressure compared to other normal shoes in general except for one area, which is M2, and especially, the measured pressures at the both rear (M1) and middle (M5) side of feet were low and statically significant. The contact area of the curved rear balanced shoes when walking was significantly larger at the rear (M1) and fore (M6, M7) side of feet. When considering pressure distribution at walking, low pressure was detected at the rear side of feet with the curved rear balanced shoes and at the fore side of feet for other normal shoes. The results showed that the contacting dimension of the curved rear balance shoes that acts between shoes and feet was higher than the corresponding value for the normal shoes in general; therefore it would reduce the pressure to the feet by allowing the each sole of the foot on the ground evenly.

• 한국운동역학회지
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• 제20권1호
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• pp.91-99
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• 2010

The purpose of this study was to the kinetic variables effects from the use of arch support inserts on low-arched people. We selected 10 people for the research and separated them into 2 groups, 5 people for the normal arched group and 5 people for the low arched group. Each group wear shoes which have a 3 step convertible arch support (level 0, level 2, level 5) and we measured their foot pressure and 3D motion analysis data. As a result, we found that the mean pressure at the heel of the low arched group was decreased when using the arch supports. The arch support induced the correct grounding area for the foot and dispersion of foot pressure. 3D motion analysis found that as the height of the arch support was increased, the movement of the Y-axis(inversion-eversion) was increased to relieve the shock to the heel. The arch support insert limited the range of motion(ROM) of the Z-axis(abduction-adduction) of the low arched person's ankle joint and prevented ankle injury caused by the excessive eversion when walking. Low arched people are seen to be easily tired due to the ineffective shock absorption of the knees and abnormal walking motion. In order to improve the problems, a 3 step convertible arch support(level 5) insert would improve the low-arched people's walking ability. In other words, the low arched people should be expected to walk as well as normal arched people when they wear shoes with the arch support insert.

• Archives of Reconstructive Microsurgery
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• 제25권1호
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• pp.7-11
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• 2016

Purpose: In recent decades, amputation is still recommended for patients with extensive lower extremity wounds requiring coverage. Although the feet contribute relatively little to total body surface area, they are essential organ for ambulation, and a high mortality rate after amputation has been reported. We report on 10 challenging cases of a mangled foot which was reconstructed using an anterolateral thigh (ALT) free flap, and analyze the advantages and disadvantages of this technique. Materials and Methods: This retrospective study was conducted on 10 patients who underwent reconstructive surgery on a foot. Patients' charts were reviewed for age, sex, causes, defect size and site, flap size and type, flap type, and complications. Cases with a defect size of > $100cm^2$ were included. Results: Seven of the 10 patients were male, and overall mean age was 38.5 years (range, 22 to 61 years). Mean defect size was $179.6cm^2$ (range, 104 to $330cm^2$), and mean flap size was $193cm^2$ (range, 120 to $408cm^2$). Three cases were reconstructed with a musculocutaneous free flap and seven cases were reconstructed with a fasciocutaneous free flap. There were two occurrences of local wound complication. All ten flaps survived well, however five patients underwent a debulking procedure to reduce flap volume. Conclusion: Reconstruction of a near completely degloved soft tissue defect or a wide defect containing two or more surfaces of extremity with an ALT free flap was performed. The purpose of this case study is to report on free tissue transfer using the ALT flap for salvage of the lower extremity.

• PNF and Movement
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• 제20권2호
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• pp.167-177
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• 2022

Purpose: Pes planus is a common foot deformity that involves the loss of the medial longitudinal arch. The medial longitudinal arch deformity is usually asymptomatic; however, it can lead to an increased risk of pain and injury. Low-Dye taping is designed to treat plantar heel pain and pes planus. However, low-Dye taping is relatively complex, and a considerable amount of time is required to apply the tape correctly. The purpose of this study was to compare the acute effect of two different types of taping (low-Dye taping and modified Mulligan taping) on arch reformation, plantar pressure, and gait characteristics in participants with asymptomatic flexible pes planus. Methods: Twenty subjects (9 males and 11 females; mean age = 21.95 years) with asymptomatic flexible pes planus voluntarily participated in this study. Arch reformation was evaluated using navicular height measurements. Changes in plantar pressure distribution were measured using BioRecue equipment. Gait parameters were measured using spatiotemporal data collected during consecutive gait cycles using a G-WALK device. One-way analysis of variance was used to compare the three different conditions (i.e., bare foot, low-Dye taping, and modified Mulligan taping) for each variable. Results: Navicular height was significantly increased in subjects who underwent the two types of taping compared to those who experienced the bare foot condition. The plantar pressure was significantly shifted to the posterolateral area after modified Mulligan taping compared with the bare foot condition. There were no significant differences in the gait parameters. Conclusion: The findings of this study indicate that modified Mulligan taping has a similar effect to low-Dye taping, and modified Mulligan taping is a simpler method than low-Dye taping.

• 대한족부족관절학회지
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• 제24권2호
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• pp.42-47
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• 2020

Increased loading in a localized area is a possible cause of pain-related osteochondral lesions of the talus (OLT), but the reported effects of realignment surgery for OLT have been anecdotal. Moreover, no report of realignment surgery for OLT could be found in the English literature. This study reviewed previous articles on lower extremity alignment and OLT to determine if OLT can be treated with realignment surgery.

• Journal of Korean Neurosurgical Society
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• 제58권3호
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• pp.286-290
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• 2015

We report a case of neurilemmoma of deep peroneal nerve sensory branch that triggered sensory change with compression test on lower extremity. After resection of tumor, there are evoked thermal changes on pre- and post-operative infrared (IR) thermographic images. A 52-year-old female presented with low back pain, sciatica, and sensory change on the dorsal side of the right foot and big toe that has lasted for 9 months. She also presented with right tibial mass sized 1.2 cm by 1.4 cm. Ultrasonographic imaging revealed a peripheral nerve sheath tumor arising from the peroneal nerve. IR thermographic image showed hyperthermia when the neurilemoma induced sensory change with compression test on the fibular area, dorsum of foot, and big toe. After surgery, the symptoms and thermographic changes were relieved and disappeared. The clinical, surgical, radiographic, and thermographic perspectives regarding this case are discussed.

• 대한족부족관절학회지
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• 제6권1호
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• pp.134-138
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• 2002

The acute osteomyelitis of calcaneus has been rarely reported. A diabetic patient, 44 year-old male was appeared with painful swelling on the hindfoot after being injected with steroid on the lateral area of hindfoot at a private clinic. The diagnosis was an acute calcaneal osteomyelits which was based on MRI finding. We report a case of the acute osteomyelitis of calcaneus, which was successfully treated with the curettage, antibiotic- impregnated bone cement beads, and delayed autogenous iliac bone graft, using the lateral approach.