• 제목/요약/키워드: Heel Angle

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Haglund씨 병에서 시행한 내시경적 감압술의 결과 (The Results of the Endoscopic Decompression for the Treatment of Haglund's Disease)

  • 안수한;조형래;홍성확;왕태현
    • 대한족부족관절학회지
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    • 제12권2호
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    • pp.197-202
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    • 2008
  • Purpose: Haglund's disease represents a painful heel caused by mechanically induced inflammation of the retrocalcaneal bursa and insertional Achilles tendinosis may coexist. Traditional open surgery can cause complications such as skin breakdown, painful scar and altered sensation around the heel. Endoscopic treatment offers the advantages that are related to minimally invasive procedure and we evaluate the clinical results and operative techniques of endoscopic decompression of retrocalcaneal space for Haglund's disease. Materials and Methods: Our retrospective study included seven heels in six consecutive patients for which nonoperative treatment had failed and endoscopic decompression was performed. The mean age was forty-one years (range, 28 to 53 years). All of the patients had typical complaints of inflammation of the retrocalcaneal bursa and Fowler-Philip angle of more than $75^{\circ}$ and positive parallel pitch lines were present on the lateral calcaneal radiograph. The endoscopic procedure consists of the resection of inflamed retrocalcaneal bursa and enough bone to prevent impingement of the bursa between the calcaneus and Achilles tendon. All patients were evaluated with radiologic angle, visual analogue scale (VAS) for pain and Ogilvie-Harris functional score. The mean follow-up was 18 months (range, 15 to 21 months). Results: The mean operation time was 61 minutes (range, 50 to 85 minutes). VAS for pain and Fowler-Philip angle were decreased from preoperative 8.7 and $82^{\circ}$ to postoperative 2.3 and $57^{\circ}$, respectively. One patient with ankylosing spondylitis had a fair result, 2 patients had good results and the remaining 3 patients had excellent results according to Ogilvie-Harris functional score. There were no surgical complications such as infection, Achilles tendon avulsion or abnormal heel sensation. Conclusion: The endoscopic decompression for Haglund's disease was demonstrated to have several advantages including low morbidity, allowance of functional rehabilitation, short recovery time and quick sports resumption. However a comparative study is needed to determine the value of endoscopic decompression and particular caution should be exerted for the enthesiopathy.

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여대생의 발 유형과 선호 구두 형태와의 관계 (Relationship of Types of Foot Shape and Favorite Shoes Shape of Female University Students)

  • 이진희;김경희
    • 한국생활과학회지
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    • 제12권1호
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    • pp.75-84
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    • 2003
  • The objective of this paper was to analyse the foot type of female university students by the direct and indirect measure of foot and the measures of foot outline. The results were as follow: 1. The length and the width of foot were small and ankle slender and the modification of the big toe slight. 2. The analysis on the 16 measure items revealed five factors; the first factor was related to the width and girth of foot, the second one to the length of foot, the third one to the transformation of the little toe, the fourth one to the height of foot, the fifth one to transformation of the big toe. 3. The grouping on the shape of foot revealed three types. The inline angle of foot was the smallest in average in the type 1, while it appeared to be middle in the other types. The wider foot shapes were grouped as type 2 because their inline and outline angles of foot were the biggest in average. In the type 3, the big toe was curved a lot, since it was the largest in average. 4. From the naked eye measuring method, classification from which toe was popped-out told that Egyptian foot was 30.9%, Greek foot 27.9%. On the other hand, the instrumental method showed that Egyptian foot was 57.3%, Squared foot 35.3% and Greek foot 7.4%. 5. The result from the analysis about the traits of foot shape by the degree of the arch formation of bottom foot, showed that 33.8% had the normal foot, 66.2% slightly flat foot or middle one. There was no one with rigid flat foot. 6. The shoes size they declared were that 240cm was 33.3%, 235cm 18.1% and 245cm 18.1%. The shape of their shoe heel were flat heel(34.8%), cuban heel(25.5%), and narrow straight heel(19.9%); and that of the shoe toe were round toe(25.4%), oval toe(20.4%) and squared toe(20.4%). 7. The discomforting parts when they wear shoes were the little toe(35.4%), the rear of foot(13.9%), and the width of foot(13.9%), which was related to their dislike of shoe with the pointed toe.

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청소년 특발성 척추 측만증 환자를 위한 보정웨어가 측만각도와 보행 시 몸통과 골반의 중심이동에 미치는 영향 (Effects of the Functional Garment Wear on Cobb's Angle and COM of Trunk and Pelvic during Gait for Adolescent Idiopathic Scoliosis Patients)

  • 박양선;임영태
    • 한국운동역학회지
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    • 제24권3호
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    • pp.269-275
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    • 2014
  • The purpose of this study is to develop functional garment wear for patients with adolescent idiopathic scoliosis (AIS) and to analyze changes in Cobb's angle and the COM of the body and the pelvis during gaits in order to identify the effects of the functional garment wear. The subjects of the study were 9 patients with adolescent idiopathic scoliosis, who wore the functional garment wear for 12 weeks 12 hours a day. As for the research methods, the scoliotic angle was measured using Cobb's angle, and the shoulder angle and the COM of the body and the pelvis during gaits for the AIS patients were calculated using five high speed infrared cameras. As a result of the study, it was found that the scoliotic angle (Cobb's angle) was reduced significantly and that the smaller the original scoliotic angle, the greater the effects. As for the shoulder motion angle, a significantly larger angle was found 12 weeks after wearing the functional garment wear, and particularly, larger shoulder motion (activity) was observed at the phase of right heel contact. As for the motion of the body and the pelvis, the moving ranges were significantly reduced after wearing the functional garment wear for 12 weeks, which stabilized gait in the patients with adolescent idiopathic scoliosis.

청년층과 노년층 여성의 발바닥 유형 분류와 유형별 특성 분석 (Classification of Sole Types and Characteristics According to Types for Young and Elderly Women)

  • 국영지;임호선
    • 한국의류산업학회지
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    • 제20권1호
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    • pp.75-82
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    • 2018
  • This study was attempted to clarify differences in sizes and shapes of foot between 20's and 60-70's women and analyzed the characteristics of elderly women's foot shapes as compared with those of young. The 2D data were 101 elderly and 101 young women in Seoul and Gyeonggi-do. The results are as follows: Firstly, the foot length of the elderly was shorter than that of the young, the foot breadth and the heel width were widened, but the toes breadth became smaller and the deformity of the toe 1 and the first metatarsal part appeared. Secondly, in the Foot Index, there was a significant difference in age group, the young is more than the elderly in the narrow type, standard type, the elderly women showed more than three times the young in the wide type. Thirdly, in the factor analysis for the foot type classification, 'foot length' factors in both age groups were large. Next, young group were influenced by 'toes breadth', lateral ball breadth' factors, elderly group was influenced by the 'lateral ball breadth', 'medial ball breadth' factors. Lastly, in the cluster analysis of the elderly group, the types of sole were classified as W-Type(20.8%, wide foot and toes, large heel), H-type(20.8%, small toes breadth, heel), D-type(31.7%, long length and wide lateral ball) and A-Type(26.7%, which is found only in the elderly, small length and large toes angle). As a result, it is necessary to design the shoes that match the characteristics of the soles of the elderly women.

보행 시 무릎관절 내번토크에 미치는 후족왯지의 영향 (Effects of a Heel Wedge on the Knee Varus Torque During Walking)

  • 정임숙;김사엽;김영호;정도영;권오윤
    • 대한의용생체공학회:의공학회지
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    • 제25권4호
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    • pp.289-293
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    • 2004
  • 본 연구에서는 경사각도가 다른 내, 외측 후족 왯지를 착용하고 보행하는 동안 삼차원 동작분석시스템과 무선가속도측정시스템을 이용하여 무릎관절의 내번토크와 내외측 방향 가속도를 측정하였다. 내번토크와 외측 가속도는 하중수용기와 전유각기에서 각각 양의 절정값을 나타내었다. 하중수용기에 내측 왯지의 경우 내번토크와 외측 가속도가 맨발에 비하여 증가되었으며, 외측 왯지의 경우 내번토크와 외측 가속도값이 감소하였다. (p<0.05). 이러한 변화는 왯지의 경사각이 커질수록 더욱 뚜렷한 상관성을 보였다(p<0.05). 그러나 전유각기에서는 왯지의 방향과 경사에 따른 무릎의 내번토크와 내외측 가속도의 상관성을 확인할 수 없었다. 본 연구의 견과를 통하여 외측 왯지 사용 시 무릎관절의 내번토크가 감소되어 퇴행성 무릎관절염의 치료에 도움을 줄 수 있다. 또한, 보행 중 무릎관절의 내번토크 대신에 외측방향 가속도를 측정함으로써 간단히 왯지의 효과를 결정할 수 있을 것이다.

런닝화의 경도 차이가 후족 제어 및 충격력에 미치는 영향 분석 (An Effect Analysis of Rearfoot Movement and Impact force by Different Design of Running Shoes Hardness)

  • 이동춘;이우창
    • 한국산업경영시스템학회:학술대회논문집
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    • 한국산업경영시스템학회 2002년도 춘계학술대회
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    • pp.291-296
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    • 2002
  • The midsole hardness of athletic footwear affects capability of absorbing impact shock and controls rearfoot movement during running and walking. The prior studies were focused on examining the proper hardness of footwear for rearfoot movement or to finding effective hardness for absorbing impact shock. The displacements of maximal Achilles tendon angle described a amount of pronation motion is decreased when medial hardness of midsole is large more than lateral. Increasing hardness of footwear midsole are effected to reduce maximum and intial pronation angle, but declined the ability of impact shock during heelstrike. For determination of effectiveness hardness of midsole, therefore, the study that makes a compromise between rearfoot movement and absorbing impact during footstrike must be performed. The purpose of this study is to examine quantitative values of rearfoot control and absorbing impact shock with different hardness of medial and lateral midsole on heel portion. The results are useful to define biomechanical hardness of midsole for developing running shoes. As variable for impact shock, accelerations onto shank and knee are measured during 4 running speeds (5, 7, 9, 11km/h). Also, maximum and $10\%$ pronation angle (Achilles tendon angle) were measured using high-speed camera.

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초등학생(初等學生)의 발과 하퇴부(下腿部) 성장(成長)에 관(關) 요인분석(要因分析) (Factor Analysis for the Foot and Calf Growth of Primary-School Children)

  • 박명애
    • 패션비즈니스
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    • 제3권2호
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    • pp.77-83
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    • 1999
  • For the purpose of investigating the factor of foot and calf growth of primary-school children who are fastgrowing during this period, a group of the 1st graders of primary-school had been the subject of this measurement in 1995 and thereafter they became the subject again in 1997 when they were the 3rd graders. Measurement was carried out in 30 items including height and weight and marthin-type measurer and Footprint were used for this measurement. As the result, in the part of calf, the measuring items of maximum calf circumference and knee circumference, and in the part of foot, the items of instep circumference, heel circumference, instep circumference, measured angle of big toe showed the highest growth. The average growth of length for 2 years appeared about 2cm and the parts of instep circumference, heel circumference had rapidly grown rather than in the part of foot circumference. Height growth of the part of toe was about 0.1 and in the factor analysis of foot measurement of 8-year and 10-year and children, the following findings appeared in both cases that height was related with the items of calf height and foot length and weight was related with calf circumference and breadth, foot circumference items.

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만성 발목 불안정성(CAI) 환자와 건강 대조군 간 종합적 발목관절복합체의 생체역학적 특성 (Biomechanical Characteristics of Comprehensive Ankle Joint Complex between Chronic Ankle Instability (CAI) and Healthy Control)

  • Kim, Byong Hun;Jeong, Hee Seong;Lee, Inje;Jeon, Hyung Gyu;Lee, Sae Yong
    • 한국운동역학회지
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    • 제31권3호
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    • pp.168-175
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    • 2021
  • Objective: To investigate the static and dynamic analysis of ankle joint complex between subjects with chronic ankle instability (CAI) and healthy controls. Method: A total of 38 subjects and CAI group (N=19) and healthy control (N=19) participated in this first study. Variables that were measured in this study were as follows: 1) Subtalar joint axis inclination and deviation 2) Rearfoot angle 3) Navicular drop test 4) Heel alignment view in alignment analysis. Intra Correlation Coefficient (ICC) is used for reliability. A secondary 17 subjects are recruited including 9 of CAI and healthy for gait analysis between group. Lower extremity sagittal, frontal, and transverse kinematics were measured. All data were analyzed to ensemble curve analysis. Results: 1) There were statistically significant differences in standing rearfoot, navicular drop, heel alignment view, subtalar joint (STJ) inclination and deviation. 2) Only in sagittal, meaningful difference is showed during walking in gait analysis. Conclusion: Morphological problem can affect ankle sprain in aspect of structure with no relation to compensation of neuromuscular.

한국 근해 대형 선망 어선의 복원성 (Stability of the offshore large purseiner in Korea)

  • 함상준;강일권;김형석;조효제;김정창
    • 수산해양기술연구
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    • 제47권3호
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    • pp.241-247
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    • 2011
  • Marine casualties of vessel are said to be in most case caused by human error, but it would be valid for the assumption that the ship is built with high quality and then should be acceptable to the safety standards. It means that the inherent characteristics of a ship should be the first consideration on the safety of ship. Therefore it is basically necessary for navigator to grasp the inherent stability of his ship and ensure that the ship complies with the minimum statutory standards of stability. This study is to realize the stability of the Korean offshore large purseiner varying with loading conditions by the inclining data and some calculations. The author compared the stability of the ship with IMO criteria and domestic rule, and proposed some improvement for the safety of the ship. The results are summarized as follows ; The values of GM of the ship according to the loading condition in navigation satisfy both of the IMO criteria and the domestic rule, but in case of the area under the GZ curves between the heel angles of $30^{\circ}$ and $40^{\circ}$, and the heel angle occuring the maximum righting lever not satisfy the IMO rule at the fishing ground departure and arrival conditions in the haul in net situation. The initial metacentric height of the ship is very large, but the range of stability and the occurring angle of the maximum GZ are very small, so even small inclining can bring about the beam end. The best method of improvement for that is to increase the freeboard of the model among the variables.