• Journal of Korean Foot and Ankle Society
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• v.9 no.1
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• pp.94-98
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• 2005

Purpose: To compare the radiographic evaluations between two radiographic views (AP and lateral views) and four radiographic views (AP, lateral and both oblique views) in ankle fractures. Materials and Methods: From January 2000 to June 2002, 60 cases of ankle fractures were treated with open reduction and internal fixation and its followed up periods were at least 2 years. All cases were classified into three groups according to the method of preoperative radiographic evaluation. Two radiographic views (AP and lateral views) were taken in group A and four radiographic views (AP, lateral and both oblique views) were taken in group B. 12 Cases were evaluated with three dimensional computed tomography (3D CT). Four radiographic views and 3D CT were taken in group C. All cases were classified according to the Danis-Weber and Lauge-Hansen classification. Displacement of fracture fragment of medial, lateral, posterior malleolus and size of fracture fragment of posterior malleous were measured using picture archiving communication system (PACS). Results: Although kappa value between two or four radiographic views were good or excellent in Danis-Weber classification and Lauge-Hansen classification of ankle fractures, the displacements of medial and lateral malleoli were statistically different. Four radiographic views evalulated the degree of displacement of medial and lateral fragments more accurately compared to two radiographic views. Conclusion: Four radiographic views will be more useful than two radiographic views to decide the method of treatment and operation considering the displacement of fracture fragment.

• Journal of Acupuncture Research
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• v.24 no.1
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• pp.29-38
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• 2007

Objectives : The objective of this study was to research delayed growth with acupuncture and moxibustion treatment. Methods : We search the oriental medical literature related to delayed growth, especially loose skull, pigeon chest(龜胸), turtle back(龜背), five kinds of flaccidity(五軟), five kinds of retardations(五遲) and infantile malnutrition(疳證). Results : 1. Loose skull is treated with moxibustion therapy of CV8(神厥) and two points(1.5cm upper and under of CV8) 2. Pigeon chest(龜胸) is treated with moxibustion therapy of GB38(外丘), ST18(乳根) and 6 points around of STl7(乳中). 3. Turtle back(龜背) is treated with moxibustion therapy of BLl3(肺兪), BL15(心兪) and BLl7(膈兪) 4. Acupuncture therapy of five kinds of flaccidity(五軟) was rare. but there are one case to stimulate Hwatahyeopcheok point using plum-blossom needle. 5. Five kinds of retardations(五遲) is treated with moxibustion therapy of BLl5(心兪) and two point of medial malleolus 6. Infantile malnutrition(疳證) is treated with acupuncture therapy of the spleen channel and stomach. channel, therapy using three-edged needle, cutting therapy(LUlO(魚際) and Sabong), moxibustion therapy(LRl3(章門) and BL2l(胃兪), and Ch'una therapy. Conclusion: We expect that acupuncture and moxibustion treatment of delayed growth will be applied practically in clinical medicine due to further study on delayed growth.

• Archives of Plastic Surgery
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• v.35 no.6
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• pp.716-722
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• 2008

Purpose: Split or full thickness skin graft is generally used to reconstruct the palmar skin and soft tissue defect after release of burn scar flexion contracture of hand. As a way to overcome and improve aesthetic and functional problems, the authors used the preserved superficial fat skin(PSFS) composite graft for correction of burn scar contracture of hand. Methods: From December of 2001 to July of 2007, thirty patients with burn scar contracture of hand were corrected. The palmar skin and soft tissue defect after release of burn scar contracture was reconstructed with the PSFS composite graft harvested from medial foot or below lateral and medial malleolus, with a preserved superficial fat layer. To promote take of the PSFS composite graft, a foam and polyurethane film dressing was used to maintain the moisture environment and Kirschner wire was inserted for immobilization. Before and after the surgery, a range of motion was measured by graduator. Using a chromameter, skin color difference between the PSFS composite graft and surrounding normal skin was measured and compared with full thickness skin graft from groin. Results: In all cases, the PSFS composite graft was well taken without necrosis, although the graft was as big as $330mm^2$(mean $150mm^2$). Contracture of hand was completely corrected without recurrence. The PSFS composite graft showed more correlations and harmonies with surrounding normal skin and less pigmentation than full thickness skin graft. Donor site scar was also obscure. Conclusion: The PSFS composite graft should be considered as a useful option for correction of burn scar flexion contracture of hand.

• Korean Journal of Applied Biomechanics
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• v.27 no.2
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• pp.133-140
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• 2017

Objective: The purpose of this study was to determine the relationship between center of pressure (CoP) and local stability of the lower joints, which was calculated based on approximate entropy (ApEn) during walking in elderly women. Method: Eighteen elderly women were recruited (age: $66.4{\pm}1.2yrs$; mass: $55.4{\pm}8.3kg$; height: $1.56{\pm}0.04m$) for this study. Before collecting data, reflective marker triads composed of 3 non-collinear spheres were attached to the lateral surface of the thigh and shank near the mid-segment to measure motion of the thigh and shank segments. To measure foot motion, reflective markers were placed on the shoe at the heel, head of the fifth metatarsal, and lateral malleolus, and were also placed on the right anterior-superior iliac spine, left anterior-superior iliac spine, and sacrum to observe pelvic motion. During treadmill walking, kinematic data were recorded using 6 infrared cameras (Oqus 300, Qualisys, Sweden) with a 100 Hz sampling frequency and kinetic data were collected from a treadmill (Instrumented Treadmill, Bertec, USA) for 20 strides. From kinematic data, 3D angles of the lower extremity's joint were calculated using Cardan technique and then ApEn were computed for their angles to evaluate local stability. Range of CoP was determined from the kinetic data. Pearson product-moment and Spearman rank correlation coefficient were applied to find relationship between CoP and ApEn. The level of significance was determined at p<.05. Results: There was a negative linear correlation between CoP and ApEn of hip joint adduction-abduction motion (p<.05), but ApEn of other joint motion did not affect the CoP. Conclusion: It was conjectured that ApEn, local stability index, for adduction/abduction of the hip joint during walking could be useful as a fall predictor.

• Journal of the Korean Society of Costume
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• v.62 no.1
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• pp.76-89
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• 2012

This study was performed to offer the basic data for the design of farm shoes. 265 Korean female farmers aging between the 40s to the 80s volunteered for this study and we measured 40 items on each foot with the 3D foot scanner. First, the differences between farmers' feet and non-farmers' feet were analyzed. Farmers' feet were thicker in the instep areas, but had lower arch height than non-farmers' feet. In addition, farmer's feet were tilted to the inside. Next, eight factors were extracted among the 40 measuring items, and the classification criteria of the foot shape was analyzed. The important factors were: size of foot length and volume of ankle, malleolus height and size, volume of the front part of ankle, medial & lateral ball width, and vertical size of foot. Third, three clusters according to the foot shapes were categorized by cluster analysis of eight factor scores. Foot type 1 was medium in foot length, big in thickness, large in lateral ball width, small in toe 1 angle, and tilted to the inside. Foot type 2 was long and slim, and big in toe 5 angle. Foot type 3 was short in foot length, medium in volume of the front part of ankle, large in medial ball width, and big in toe 1 angle. Despite its shortness, foot type 3 was thick and showed severe deformation in toe 1. Lastly, the frequency distributions of the foot types in each age group were analyzed. Female farmers of the forties showed high frequency in type 1 and other age groups showed high frequency in type 2. The older female farmers showed higher frequency of type 3.

• Journal of the Korean Society of Clothing and Textiles
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• v.38 no.3
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• pp.305-320
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• 2014

This study identifies the foot shapes of elderly women by classifying foot type according to the 3D shape of the foot and 2D sole type analyzing individual characteristics. The subjects were 295 elderly women over 60 years of age who live in Gwangju. A foot scanner (K&I Technology $Nexcan^{(R)}$) was used to obtain three-dimensional shapes of feet and a flat bad scanner (HP Scanjet G2410) was used to obtain the two-dimensional shapes of soles. The anthropometric measuring items consisted of 59 items estimated on the right foot of each subject. Data were analyzed by various statistical methods such as factor analysis, ANOVA and cluster analysis using the SPSS 19.0 statistical program. To classify the side type of elderly women's feet, three-dimensional measurement data were analyzed for the 27 measurement items using factor analysis and 6 factors were extracted (inside height and side gradient, ankle thickness, toe height and midfoot size, lateral malleolus height, instep, and heel height and gradient). A cluster analysis resulted in three types: 36.5% belonged to Type 1 (high forefoot and high midfoot), 31.1% belonged to Type 2 (high forefoot and low midfoot), and 32.4% belonged to Type 3 (low forefoot and high midfoot). The distribution was relatively even. For the sole, 8 factors were extracted (ball width and medial foot protrusion, lateral foot protrusion, forefoot and hindfoot length ratio, ball gradient, heel size, toe breadth, lateral ball length, and foot length) and a cluster analysis resulted in three Types (Type H, Type D, and Type A). The largest proportion (42.7%) belonged to Type H, which is the same as the elderly men's case.

• Journal of Korean Foot and Ankle Society
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• v.10 no.2
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• pp.173-178
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• 2006

Purpose: The purpose of this study is to assess the clinical and radiological results of the early primary repair for acute ankle sprains. Materials and Methods: From October 2002 to September 2005, nine patients with acute ankle sprain were analyzed. Among them, eight patients took the inversion stress X-ray at local clinics, and the mean talar tilting angle was 28 degrees. We observed avulsion fragment near lateral malleolus in the other. The average age at the time of operation was 24 years and average follow-up period was 29 months. We evaluated postoperative symptoms by Hasegawa's clinical rating system, postoperative complications, and compared the talar tilting angle and anterior draw distance between both ankles at the final follow-up X-rays. Results: Anterior talofibular ligament was ruptured at fibula in 4, at midsubstance in 3, at talus in 1 and at fibula and midsubstance simultaneously in 1. Calcaneofibular ligament was ruptured at fibula in 3 including a case of avulsion fracture, at midsubstance in 2, and at calcaneus in 4. And posterior talofibular ligament was ruptured at midsubstance in 2. Clinical results were rated as excellent in all. We did not find major postoperative complications except for one sural nerve irritation. Both (injured ankle/uninjured ankle) talar tilting angle averaged 6.8/8.2 degrees and anterior draw distance averaged 2.9/3.7 mm at final follow-up X-rays. Conclusion: Early primary repair is recommended for treating acute severe ankle sprains and in case found avulsion fracture in X-ray taken after ankle sprain.

• Archives of Plastic Surgery
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• v.35 no.2
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• pp.208-213
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• 2008

Purpose: Distally based superficial sural artery island flap has some disadvantages such as postoperative flap edema, congestion, and partial necrosis of the flap margin. Venous congestion is an area of considerable concern in distally based superficial sural artery fasciocutaneous flap and is one of the main reasons for failure, particularly when a large flap is needed. However, we could decrease these disadvantages by means of venous superdrainage. Methods: From June of 2006 to June of 2007, a total of two patients with soft tissue defects of lower one third of the leg underwent venous supercharging distally based superficial sural artery island flap transfer. The distal pivot point of this flap was designed at septocutaneous perforator from the peroneal artery of the posterolateral septum, which was 5 cm above the tip of the lateral malleolus. Briefly, this technique is performed by anastomosing the proximal end of the lesser saphenous vein and collateral vein to any vein in the area of the recipient defect site. Results: No venous congestion was noted in any of the two cases. No other recipient or donor-site complications were observed, except for minor wound dehiscence in one case. In 3 to 6 months follow-up, patients had minor complaints about lack of sensation in the lateral dorsal foot. Conclusion: The peroneal artery perforator is predictable and reliable for the design of a distally based superficial sural artery island flap. Elevation of the venous supercharging flap is safe, easy, and less time consuming. In conclusion, the venous supercharging distally based superficial sural artery island flap offers an alterative to free tissue transfer for reconstruction of the lower extremity.

• Journal of The Korean Society of Integrative Medicine
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• v.6 no.2
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• pp.99-106
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• 2018

Purpose : Various studies effects of mental practice. However, there is a lack of research on the effects of practice on postural alignment. Therefore this study to the effect of ankle exercise combined with mental practice on postural alignment of legs. Method : Subjects were randomly assigned to mental practice group (experimental group n=15) and general exercise group (control group n=15). Postural alignment was the hip, knee, and ankle joints. When viewed from the side, an arbitrary point in front of the malleolus makes a straight line with the plumb line. Exercise was performed a week for weeks. Exercise programs included muscle strengthening, relaxation, and proprioception exercise. The experimental group mental practice. Result : Both groups showed significant differences in postural alignment ankle joint, knee joint, and hip joint. In particular, the experimental group showed a larger change than the control group. However, significant difference in postural alignment change only the knee joint (p<0.05), and there was no significant difference the hip joint (experimental group=$0.77{\pm}0.81$, control group=$0.87{\pm}1.13$) and ankle joint (experimental group=$0.52{\pm}0.63$, control group=$0.48{\pm}0.41$). Conclusion : This study suggests that mental practice is effective as an exercise method postural alignment. Mental practice also expected to be musculoskeletal disorders. Therefore, additional studies should be conducted to verify the effect of mental practice on the alignment of various parts.

• Journal of the Korean Society of Clothing and Textiles
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• v.40 no.4
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• pp.641-649
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• 2016

Highly precision body measurements represent basic data required by industry and researches who wish to utilize information about the human body. The proficiency and expertise of the measurers have a significant influence on the error and accuracy of data when various parts from multiple subjects' bodies are measured. Therefore, in order to measure accurate body measurements (when measuring bodies directly), it is necessary to conduct objective analyses on errors. This study calculated the Relative Technical Error of Measurement (%TEM) using data that measured each of 24 subjects and discussed errors and methods to reduce errors by conducting comparison analysis based on measured items and objects. The result of analysis indicated that the errors based on age and gender of the objects of measurement were minor; however, there were comparatively distinct differences in measured errors based on measured items. 'Right and left Shoulder Angle' for all measured subjects displayed the greatest errors and standard deviations. 'Height' dimension, Lateral Malleolus Height and Head Height had big errors; in addition, 'Circumference', Neck Base Circumference and Armscye Circumference also had big errors. More careful measurements of such items with big errors require additional educational plan such as a proposal for more objective and detailed measurement methods. Items with small errors but big standard deviations such as Waist Circumference, Calf Circumference, Minimum Leg Circumference, Chest Circumference, Hip Circumference and Waist Circumference confirmed that errors for them greatly decreased with repeated experiments and resultant measurers increased proficiency; consequently, repeated measuring experiments for these items greatly enhance accuracy.