• The Journal of the Society of Stroke on Korean Medicine
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• v.14 no.1
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• pp.23-30
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• 2013

■ Objectives This study is to examine change of gait parameters on shoes sole height(high heels, MBT shoes, house shoes) through gait analyzer. ■ Methods The subjects of this study were 12 women in their twenties. Gait analysis system is 5m in total length and gait is led to be comfortable. They put three kinds of shoes each and were led to walk 5m on gait analysis system. ■ Results There were significant differences in step length, single support and load response of gait parameters and in stride length and total double support at double support phase. ■ Conclusion Muscle activity differs in that different that shoes sole height and form because tibialis anterior muscle has strengthen and gastrocnemius has stretched. Therefore we think that patients with knee joint problem consider gait parameters when shoes select.

• Journal of Biomedical Engineering Research
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• v.29 no.4
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• pp.316-322
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• 2008

The purpose of this study was to investigate muscle activation of lower extremity such as rectus femoris, tibialis anterior and soleus according to 0cm(bare foot), 4cm and 7cm heel height of shoe on the rocking surface in older women. 20 older women who did not have any lower musculoskeletal and neurological disorders in the past were participated in this study. Each subject was standing for 15 seconds on the level 8 of Biodex Stability System (BSS) while wearing 4cm and 7cm heel height shoes including bare foot. Electromyography was used to measure muscle activation of lower extremity, and the muscle activation was expressed as a percentage of maximal voluntary isometric contraction (% MVIC). We measured % MVIC of three muscles during 5 seconds except for the first 5 seconds and last 5 seconds. SPSS 12.0 program was used for this study. Repeated one-way analysis of variance(ANOVA) was performed to compare the significant difference among the muscles of lower extremities according to heel heights of shoe on the rocking plate. % MVIC of each muscle such as rectus femoris, tibialis anterior and soleus regarding heel heights of shoe had statistically significant differences (p<0.05). The results of contrast test were as follows; 1) % MVIC of rectus femoris had significant differences between barefoot and 4cm, and barefoot and 7cm. 2) % MVIC of tibialis anterior had significant differences between barefoot and 4cm, barefoot and 7cm, and 4cm and 7cm. 3) % MVIC of soleus had significant differences between barefoot and 7cm, 4cm and 7cm. The results indicate that all commonly responsive muscle on the conditions of barefoot, 4cm, and 7cm shoe height on the rcoking surface is tibialis anterior muscle. We found out that the more heels of shoe high, the more muscle activation increases. High-heeled shoes above 7cm remarkably increase the muscle activation of lower extremity and may result in muscle fatigue. Thus, these shoes may summate risk factors of falls in older women. We can acknowledge that the heels above 4 cm affect each muscle activation in lower extremity on the rocking surface.

• The Research Journal of the Costume Culture
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• v.23 no.4
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• pp.604-615
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• 2015

The objectives of this study were to investigate whether heel height changes in the U.S. market occur in a cyclical pattern and heel heights show greater within-year variability over time. Heel height data from U.S. Vogue's spring and fall editions were analyzed over the time period 1950~2014. A total of 1581 pieces of data were measured in millimeter units using Adobe Illustrator and standardized by dividing the height of the heel by the shoe length through the curved sole line. To analyze the cycle pattern of heel heights, the yearly averages were standardized by using three-year moving average technique to average out the irregular components of time series data and give a better indication of the long-term fluctuation of heel height. To identify the degree of within-year variability of heel height, the standard deviation of the average measurements for a year was calculated, and then decade averages were drawn from the yearly averaged standard deviation. One-way ANOVA was conducted to compare the within-year variability of data in heel height over the time period studied by decade. The results showed: First, there was a trend toward higher heels from the early 1950s to 2011. Second, four cyclical movements of heel height were observed from 1950 to 2007, and heel heights gradually decreased after 2008. Third, the within-year variability significantly increased over time, especially after the 1980s.

• The Journal of Korean Physical Therapy
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• v.30 no.2
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• pp.63-66
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• 2018

Purpose: The purpose of the current study was to examine the effects of exercise-induced fatigue of the plantar flexor muscle in the dominant ankle on the plantar flexor strength and postural control function of the contra-lateral side. Methods: Twenty-one young adults (male: 10, female: 11) volunteered to participate in this study. An exercise-induced fatigue protocol to induce fatigue was performed in the plantar flexor of the dominant ankle. For the fatigue protocol, the participants were instructed to raise their heels as high as possible in the position with one leg stance of the dominant lower limb, and the heel was then downed after holding for 1 second. The muscle strength of the contra-lateral plantar flexor was measured using a digital muscle strength test device, and the static and dynamic postural control were tested by acquiring the center of gravity velocity while performing one leg standing. A paired t-test was used to identify the differences between the pre- and post, and the data were analyzed using SPSS 12.0 software. Results: Comparison of the pre- and post-test data revealed a significant difference in the plantar flexor strength and dynamic postural control after exercise-induced muscle fatigue in the dominant side. On the other hand, there was no significant difference in the static postural control. Conclusion: These findings have practical implications, suggesting that unilateral muscle fatigue affects the ankle muscle strength and postural ability of the contralateral side.

• Korean Journal of Occupational Health Nursing
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• v.8 no.2
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• pp.156-161
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• 1999

The EMG(Electromyography) analysis was used to identify the fact the degree of inclined step was selected as dependent variable and feet muscle fatigue was selected as a independent variable. In a final result from EMG test. the shift in median frequency (MF) with 20, 25, 30, 35 degree of inclined steps indicated that 30 degree step was identified as most effective for a decrease in feet muscle fatigue. In a department store, 80% of the workers are female standing sales workers. They work at standing on average 10 hours per day. They performed heavy duty jobs such as lifting, lowering. packing and carrying heavy materials. Furthermore, even though they have work shoes, they usually use various kind of high heels. Eventually, this situation develops low-back-pain (LBP) problems for female workers. In conclusion, it is recommended that a particular branch in a department store claimed this step can effectively to circulate blood and significantly decrease feet muscle fatigue in lower extremity.

• Journal of Korean Physical Therapy Science
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• v.15 no.4
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• pp.27-34
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• 2008

Background: This study was designed to analyze Repetitive dorsiflexion exercises in ankles have effects on the active range of flexion and extension motion through lumbar, cervical spine and ankle, wrist joints. Methods: 30 female college students in their twenties who frequently wear high heels participated the number of the experimental group was 15 persons and the number of the control group was 15 persons. They did exercise at the physical therapy room in M college, from the 8th of March to the 11th of April 2007. The experimental group had used the model of dorsiflexion repetitive exercise three times per week, for 4 weeks, but the control group did not exercise at all. In the sagittal plane active ROM of the these spine and joints were measured before and after the experiment using a digital goniometer. The results of two groups were compared and analyzed using paired T-test. Results: The active range of flexion and extension motion of the vertebra(especially lumbar flexion) and distal joints were significantly different in exercise group(p<.05). Conclusion: The model of repetitive dorsiflexion exercise of the ankle joint had positive effects on improving the active range of flexion and extension motion of the lumbar vertebra and distal joints of limbs. The results suggest that the repetitive dorsiflexion exercise is useful and also effective therapy for improving motion in women usually wearing high-heel.

• Journal of the Korean Society of Physical Medicine
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• v.12 no.4
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• pp.83-92
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• 2017

PURPOSE: The purpose of this study was to investigate the effect of the elastic band and stretching exercise program on ankle joint maximal voluntary isometric contraction (MVIC) and plantar pressure in high-heel wearing women in their 20s. METHODS: Twenty women in their twenties were randomly assigned to the experimental group (n=10) and the control group (n=10). The experimental group (n=10) performed the elastic band exercise program, while the control group (n=10) performed the stretching exercise program. Both exercise programs were performed three times a week for a total of four weeks. The BTE Primus RS was used in order to measure the ankle joint MVIC during dorsiflexion, plantar flexion, inversion, and eversion. Maximum pressure ($N/cm^2$), average pressure ($N/cm^2$) were measured using the Pedoscan. SPSS v. 21.0 software was used for all statistical analyses in this study. RESULTS: The measurement of the ankle joint's MVIC revealed that in inversion, a significant change in both feet was seen in both the experimental and control groups. In eversion, there was a significant change in both feet only in the experimental group. In terms of the rest of the results, no significant changes were visible. With regard to the plantar pressure, no significant results were seen for either foot in the comparison between or within the groups. CONCLUSION: Exercise program using elastic band and exercise program using stretching were effective on MVIC of ankle joint muscles, although it had no effect on changes of plantar pressure.

• The Journal of Korean Physical Therapy
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• v.31 no.4
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• pp.176-183
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• 2019

Purpose: The purpose of this study was to investigate the short term effects of ASEJ (ankle strengthening with emphasis on jumping) for 3weeks on strength, mechanical properties, and balance and to compare the balance with and without HH(high-heel) condition. Methods: ASEJ (a combined exercise of squat, heel raise up, and jumping) were performed for the subjects in 11 female ankle instability young females ($21.7{\pm}2.0yrs$ Cumberland ankle instability score $19{\pm}6.5$). To investigate the effect of ASEJ, investigator used dynamometer for measuring strength, MyotonPRO for measuring mechanical properties(tone, stiffness, and elasticity of the muscles), I-Balance test for static balance, and Y-balance test for dynamic balance between the condition with and without HH condition. All data were normally distributed and analyzed using the SPSS 22.0 statistical program. Comparing pre- and post-intervention and the condition with and without HH conditions data were examined using the paired t-test. The level of significance was chosen as 0.05 for all the analyses. Results: 3wks of ASEJ would strengthen leg muscles and increasing muscle tone and stiffness in most muscles however there was decreasing muscle elasticity of gastrocnemious. In addition, the ASEJ improves the static balance for ankle instability young females and increases the dynamic balance when wearing the heels especially. Conclusions: the ASEJ could recommend to improve the strength and balance for ankle instability young females. Also, measuring the balance with HH conditions well represents the risk of ankle damage in female.

• Korean Journal of Applied Biomechanics
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• v.19 no.4
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• pp.771-778
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• 2009

We aimed to determine the effect of heel height on foot pressure by comparing and analyzing data on foot pressure in shoes with different heel heights. Qn the basis of a previous study, we selected 3cm and 7cm as the shoe heel heights preferred by female college students. We divided 10 female students into forefoot and hindfoot to measure vertical force, maximum pressure, and average pressure. The average pressure on the forefoot was higher and that on the hindfoot was lower in the case of 7cm high-heeled shoes. The maximum pressure on the forefoot was significantly higher in the case of the 7cm heel height (p<.05). The vertical force, maximum pressure, and average pressure on the hindfoot were also significantly higher in the case of the 7cm heel height (p<.05). The results showed that wearing 7cm high-heeled shoes exerted greater maximum pressure on the forefoot and greater vertical force, maximum pressure, and average pressure on the Hndfoot. This leads to increase in confining pressure caused by high pressure distribution over the forefoot and increase in the pressure on the hindfoot, which may cause deformation of toes and heel pain over a long period. Therefore, female college students who wish to wear high heels are recommended to wear 3cm high-heeled shoes rather than 7cm high-heeled shoes.

• Journal of East-West Nursing Research
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• v.4 no.1
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• pp.66-76
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• 1999

The auricular acupuncture therapy is stimulus treat method that acupuncts or moxibusts at the reaction blood vessel point of various diseases in the upper portion of ear. And this effects from the reaction blood vessel point of an ear to the meridian of whole body system through blood stream. The auricular acupuncture has cured and cared signs and symptoms of many diseases and pathologic problems. And this treatment heels abnormal reactions, nursing focuses so it was examined through literature review that nurses use many portions of the auricular acupuncture in their clinical cares of oriental medicine. This study was proved that the Mae-Chim acupuncture method among various methods of the auricular acupuncture is easy and simple so this method can be used by nurses. And the ear acupuncture site which controls diarrhea, insomnia, migraine, stress vomiting, dyspepsia, high fever, insufficient lactation, bowel dysfunction, menoxenia, anxiety, pruritus and can be found easily and is few the number of acupuncture so the oriental medicine nurses can apply easily to their clients. Therefore the independent oriental medicine nursing intervention can be developed by application of the auricular acupuncture therapy on the oriental medicine clinical nursing and home care in our community.