• 제목/요약/키워드: Foot-drop

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총비골신경마비의 근골격계 초음파를 이용한 침도치료 임상증례 (The Case Report of Common Peroneal Nerve Palsy Treated with Musculoskeletal Ultrasound-guided Acupotomy Therapy)

  • 김성하;박만용;이상미;정호현;박세운;박옥주;김성철
    • Journal of Acupuncture Research
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    • 제29권5호
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    • pp.177-185
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    • 2012
  • Objectives : The objective of this case report was to observe the effect of musculoskeletal ultrasound-guided acupotomy therapy on common peroneal nerve palsy. Methods : From June, 2010 to September, 2012, 3 patients clinically diagnosed as common peroneal nerve palsy were treated with general oriental medicine therapy (acupuncture, pharmacopuncture, moxibustion, cupping, physical therapy, herbal medication) and acupotomy. Results : The foot drop of the patients was remarkably improved. Conclusions : This study demonstrates that oriental medical treatment with acuputomy therapy hasnotable effect in improving symptoms of common peroneal nerve palsy. As though we had not widly experienced in this treatment, more research is needed.

근골격계 초음파를 이용한 침도침술의 비골신경 마비 증례 보고 (Case Study of Oriental Medicine Treatment with Acupotomy Therapy of the Peroneal Nerve Palsy through Ultrasound Case Report)

  • 김성하;박만용;이상미;이상관;임진영;김성철
    • 대한약침학회지
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    • 제14권1호
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    • pp.87-95
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    • 2011
  • Purpose : In order to estimate clinical effects of Oriental Medicine Treatment with acupotomy therapy of Peroneal nerve Palsy. Methods : From 10th June, 2010 to 19th June, 2010, 1 female patient diagnosed as Peroneal nerve Palsy(clinical diagnosed) was treated with general oriental medicine therapy (acupuncture, pharmacopuncture, moxibustion, cupping, physical therapy, herbal medication) and acupotomy. Results : The patient's left foot drop was remarkably improved. Conclusions : This study demonstrates that oriental medical treatment with acuputomy therapy has notable effect in improving symptoms of peroneal nerve palsy. as though we had not wide experience in this treatment, more research is needed.

불안정한 지면에서 발 내재근 강화운동이 유연성 편평발을 가진 성인의 균형능력과 발배뼈 높이에 미치는 효과 (The Effect of Intrinsic Foot Muscles Strengthening Exercise on the Balancing Ability and the Height of Navicular Bone in Adults with Flexible Flatfoot on Unstable Surface )

  • 이주현;김민석;신수빈;이찬영;채서연;홍유진;오세정
    • 대한물리의학회지
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    • 제18권2호
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    • pp.61-70
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    • 2023
  • PURPOSE: This study evaluated an intrinsic foot strengthening exercise method for flat feet by comparing the effects of intrinsic exercises on a stable surface and intrinsic exercises on an unstable surface. METHODS: Twenty-four people with flat feet were divided into two groups. The control group performed short foot exercises and toe towel curl exercises on the stable support surface. The experimental group performed short foot exercises and toe towel curl exercises on an unstable support surface using Aerostep. The navicular drop test, and the static and dynamic balance were measured before and after the intervention. RESULTS: In the experimental and control groups, there was a significant difference in the navicular drop test and static balance before and after the intervention (p < .05). On the other hand, there was no significant difference between the two groups (p > .05). In the dynamic balance, the experimental group showed significant differences in all directions after the intervention (p < .05). The control group showed significant differences in the postero-lateral direction and posteromedial direction (p < .05). In particular, in the forward direction, the experimental group had a more significant change than the control group (p < .05). CONCLUSION: Intrinsic foot muscle strengthening exercises performed on unstable surfaces can be an effective clinical exercise method to improve the dynamic balance ability of people with flat feet.

Effects of elastic band orthosis (aider) on balance and gait in chronic stroke patients

  • Daher, Noha;Lee, Seungjun;Yang, You Jin
    • Physical Therapy Rehabilitation Science
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    • 제2권2호
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    • pp.81-86
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    • 2013
  • Objective: The objective of this study was to investigate the feasibility and effects of balance training using a newly developed elastic band orthosis (aider) for improvement of mobility and balance in chronic stroke patients. Design: Cross-sectional study. Methods: Ten patients with chronic hemiplegia participated in this study. There were six males and four females; two patients had right hemiplegia and eight had left hemiplegia. This study investigated the effect of the elastic band orthosis on balance and gait ability compared with bare foot condition. Gait parameters were measured using the opto-gait system for analysis of the spatial and temporal parameters of walking in stroke patients. In addition, balance ability in stroke patients was evaluated using the Timed Up and Go (TUG) and Berg Balance Scale (BBS). Results: This study investigated the effect of the elastic band orthosis on balance compared with bare foot condition. The TUG and BBS showed significant improvement with use of the elastic band orthosis (p<0.05). Use of the Elastic band orthosis resulted in significantly improved velocity, cadence, less-affected step length, less-affected stride length, and less-affected single limb support in stroke patients (p<0.05). Conclusions: We demonstrated a significant improvement in dynamic balance and gait ability in chronic stroke patients using the elastic band orthosis. This orthosis may aid in prevention of spastic foot drop, leading to improvement of walking ability.

Immediate Effect of Fabric Ankle Foot Orthosis on Balance in Children With Unilateral Cerebral Palsy

  • Sim, Yon-Ju;Yang, You-Jin;Yi, Chung-Hwi
    • 한국전문물리치료학회지
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    • 제22권2호
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    • pp.52-58
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    • 2015
  • Balance control deficits have been indicated to be a primary problem among cerebral palsy (CP) patients. Fabric ankle foot orthosis (AFO) can allow more efficient balance control by facilitating proprioception. The purpose of this study was to investigate the immediate effect of fabric AFO on balance, compared to a barefoot condition in children with unilateral CP. Twelve children with unilateral CP participated in this study. Their balance ability was evaluated using pediatric balance scale and bubble test. Both pediatric balance scale and bubble test showed significant improvement with the use of the fabirc AFO (p<.05). The fabric AFO could improve functional balance ability, and promote better balance among children with unilateral CP. We demonstrated that fabric AFO contributed to improving balance among children with unilateral CP, classified as Gross Motor Function Classification System level I and II. Consequently, fabric AFO might be an assistive device leading to the improvement of balance instead of the typical AFOs.

두 가지 축구 골킥 동작의 운동역학적 비교 분석 (Biomechanical Comparative Analysis of Two Goal-kick Motion in Soccer)

  • 진영완;신제민
    • 한국운동역학회지
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    • 제15권1호
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    • pp.29-44
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    • 2005
  • The purpose of this study is to reveal the effects of two different kicks, the drop kick and the punt kick, into the kicking motion, through the kinetic comparative analysis of the kicking motion, which is conducted when one kicks a soccer goal. To grasp kinetic changing factors, which is performed by individual's each body segment, I connected kicking motions, which were analyzed by a two dimension co-ordination, into the personal computer to concrete the digits of it and smoothed by 10Hz. Using the smoothed data, I found a needed kinematical data by inputting an analytical program into the computer. The result of comparative analysis of two kicking motions can be summarized as below. 1. There was not a big difference between the time of the loading phase and the time of the swing phase, which can affect the exact impact and the angle of balls aviation direction. 2. The two kicks were not affected the timing and the velocity of the kicking leg's segment. 3. In the goal kick motion, the maximum velocity timing of the kicking leg's lower segment showed the following orders: the thigh(-0.06sec), the lower leg(-0.05sec), the foot(-0.018sec) in the drop kick, and the thigh(-0.06sec), the lower leg(-0.05sec), the foot(-0.015sec) in the punt kick. It showed that whipping motion increases the velocity of the foot at the time of impact. 4. At the time of impact, there was not a significant difference in the supporting leg's knee and ankle. When one does the punt kick, the subject spreads out his hip joint more at the time of impact. 5. When the impact performed, kicking leg's every segment was similar. Because the height of the ball is higher in the punt kick than in the drop kick, the subject has to stretch the knees more when he kicks a ball, so there is a significant affect on the angle and the distance of the ball's flying. 6. When one performs the drop kick, the stride is 0.02m shorter than the punt kick, and the ratio of height of the drop kick is 0.05 smaller than the punt kick. This difference greatly affects the center of the ball, the supporting leg's location, and the location of the center of gravity with the center of the ball at the time of impact. 7. Right before the moment of the impact, the center of gravity was located from the center of the ball, the height of the drop kick was 0.67m ratio of height was 0.37, and the height of the punt kick was 0.65m ratio of height was 0.36. The drop kick was located more to the back 0.21m ratio of height was 0.12, the punt kick was located more to the back 0.28m ratio of height was 0.16. 8. There was not a significant difference in the absolute angle of incidence and the maximum distance, but the absolute velocity of incidence showed a significant difference. This difference is caused from that whether players have the time to perform of not; the drop kick is used when the players have time to perform, and punt kick is used when the players launch a shifting attack. 9. The surface reaction force of the supporting leg had some relation with the approaching angle. Vertical reaction force (Fz) showed some differences in the two movements(p<0.05). The maximum force of the right and left surface reaction force (Fx) didn't have much differences (p<0.05), but it showed the tendency that the maximum force occurs before the peak force of the front and back surface (Fy) occurs.

골프스윙, 드롭랜딩, 컷팅 동작 시 슬관절 모멘트 분석 (Knee Joint Moment during Golf Swing, Drop-landing, and Cutting Maneuver)

  • 김기현;임영태;박준성
    • 한국응용과학기술학회지
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    • 제37권2호
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    • pp.296-302
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    • 2020
  • The purpose of this study was to assess knee joint loading in the target knee during a golf swing compared to loading rates of high impact activities such as cutting and drop landings. Nine healthy competitive golfers completed golf swings with the target foot both straight and externally rotated 30 degrees, as well as drop landings and cutting maneuvers. Motion capture data was collected at 240 Hz and ground reaction force data was collected at 2400 Hz. The frontal and transverse knee moments were examined using repeated measures ANOVA through SPSS. The abduction moments were higher in golf swings as compared to the other high impact activities (p=.010), while the external rotation moments were lower (p=.003). There were no significant differences between externally rotated and neutral golf swings. These results suggest moments applied to the knee during a golf swing are similar to those applied during a high impact activity.

스트레치소재(素材) 의류제품(衣類製品)의 생산실태(生産實態) 연구(硏究)(II) (A Study on the Conditions of Apparel Products of Stretch Material (II))

  • 박진영;손희순
    • 패션비즈니스
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    • 제2권2호
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    • pp.77-84
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    • 1998
  • As a result of surveying the process for sewing, the problems involving the outlook of sewn apparels were error off the standard dimensions and uneven sizes, which verifies the need for urgent technological guidance and development. On the other hand, the majority of the businesses were operating their sewing machines at the speed of 2,000 rpm or higher. Such a conventional working method may not well reflect the properties of the stretch fabrics, causing poorer quality products. Moreover, most of the businesses were using the ball-point needles which should be replaced with appropriate ones for stretch fabric. The types of feed dog which were used most were Drop feed, Union feed, Confound feed, Differential feed in their oder. Anyway, the automatized dog should urgently replace these inefficient ones for stretch fabric. Meanwhile, the types of presser foot which were used most were Plain foot, Teflon foot, Roller foot, Ring foot in their order, which also necessitates their replacement which Teflon foot. 2. As a result of surveying the process for finishing and inspection, while the causes scores less than 3 points, those due to pressers scored more than 3 points. This results suggests that a technological guidance is needed for the pressing work. Lastly, the causes of defect due to poor outlook attributable to such notions as button or zipper and those due to the uneven sizes scored more than 3 points, which suggests that the entire of needle works should be reformed through scientific research and technological guidance.

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보행주기에 따른 맞춤형 단하지보조기의 응력분포 특성 (The Stress Distribution Property on the Customized Ankle Foot Orthoses During the Gait Period)

  • 최영철;이근민;최화순
    • 한국정밀공학회지
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    • 제25권3호
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    • pp.165-175
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    • 2008
  • An ankle-foot orthosis(AFO) is a brace for persons with gait disabilities to support or replace the function of ankle joint. Ankle-foot orthoses(AFO's) are usually prescribed to alleviate the drop-foot by constraining the excessive plantar flexion. The shape and the strength of the AFO are often based on 'trial and error' due to a lack of knowledge of the stress distribution in the AFO. In this study, an improved stress-freezing method was proposed to measure the stress distribution characteristics in the AFO. As a result, a photoelastic material with low freezing temperature was developed to measure the stresses under a person's direct contact loading condition. The three-dimensional stress-1rozen photoelastic models of AFO's for five stages of stance phase such as heel contact, foot flat, mid stance, heel off, and toe off were produced. The results of photoelastic analysis revealed that the stresses developed in the AFO were varied considerably from tensile to compressive or vice versa, during walking. At the posterior part of ankle joint in the AFO, the maximum compressive stress of 1.81MPa was observed in the mid stance, and the maximum tensile stress of 0.74MPa was observed during heel contact. The overall stress levels in the AFO's were low in the toe off phase. The results suggested that the posterior part of ankle joint might be the most fragile part in the AFO.

압박손상으로 발생한 비골신경마비 환자 치험 1례 (A Clinical study on Sitting Cross-Legged Patient Diagnosed as Peroneal Neuropathy)

  • 김정아;지민정;원제훈;안뜰에봄;김동철
    • 척추신경추나의학회지
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    • 제9권1호
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    • pp.77-87
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    • 2014
  • Objectives: The Purpose of this study is to report the effects of Korean medical treatment on patient of peroneal neuropathy caused by sitting cross-legged. Methods: The patient diagnosed as peroneal neuropathy was treated by Acupuncture, Bee Venom therapy, Herbal medicine. To evaluate the effects of Korean treatment, we used Range of Motion(ROM) of Ankle, Visual Analog Scale(VAS), Numeric Rating Scale(NRS), Ankle-Hind-foot Scale(AHS), Digital Infrared Thermal Imaging(DITI). Results: After treatment, ROM of Ankle, VAS, NRS, AHS were improved. Temperature Difference(${\Delta}T$) was decreased on DITI. Conclusions: This study suggests that Korean medical treatment might be effective on sitting cross-legged patient diagnosed as Peroneal Neuropathy.

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