• Archives of Plastic Surgery
• /
• v.44 no.2
• /
• pp.124-135
• /
• 2017

Background In cases of total knee arthroplasty (TKA) threatened by potential hardware exposure, flap-based reconstruction is indicated to provide durable coverage. Historically, muscle flaps were favored as they provide vascular tissue to an infected wound bed. However, data comparing the performance of muscle versus fasciocutaneous flaps are limited and reflect a lack of consensus regarding the optimal management of these wounds. The aim of this study was to compare the outcomes of muscle versus fasciocutaneous flaps following the salvage of compromised TKA. Methods A systematic search and meta-analysis were performed to identify patients with TKA who underwent either pedicled muscle or fasciocutaneous flap coverage of periprosthetic knee defects. Studies evaluating implant/limb salvage rates, ambulatory function, complications, and donor-site morbidity were included in the comparative analysis. Results A total of 18 articles, corresponding to 172 flaps (119 muscle flaps and 53 fasciocutaneous flaps) were reviewed. Rates of implant salvage (88.8% vs. 90.1%, P=0.05) and limb salvage (89.8% vs. 100%, P=0.14) were comparable in each cohort. While overall complication rates were similar (47.3% vs. 44%, P=0.78), the rates of persistent infection (16.4% vs. 0%, P=0.14) and recurrent infection (9.1% vs. 4%, P=0.94) tended to be higher in the muscle flap cohort. Notably, functional outcomes and ambulation rates were sparingly reported. Conclusions Rates of limb and prosthetic salvage were comparable following muscle or fasciocutaneous flap coverage of compromised TKA. The functional morbidity associated with muscle flap harvest, however, may support the use of fasciocutaneous flaps for coverage of these defects, particularly in young patients and/or high-performance athletes.

• Physical Therapy Rehabilitation Science
• /
• v.5 no.1
• /
• pp.29-33
• /
• 2016

Objective: This study compared the muscle activities of the erector spinae (ES), the external oblique (EO), and the rectus abdominis (RA) on three different surfaces. The purpose of this study was to determine which surface induces the highest muscle activity during the plank exercises. The information from this study can be used to recommend plank exercises to athletes and patients with weak core muscles. Design: Cross-sectional study. Methods: The subjects include 20 adult males attending S University in Seoul. Participants completed each plank exercise on three different surfaces. To measure muscle activities, researchers used the values from electromyography. The measurement excluded the initial two and final two seconds and collected information on the RA, EO, and ES in each posture of each subject. Results: The left external oblique showed significant differences between the plank position on stable ground (ST) and the plank position using a suspension device (SL) (p<0.05) and between the plank position on the unstable ground (US) and SL (p<0.05). The right rectus abdominis and left rectus abdominis displayed statistically significant differences between the ST and the US (p<0.05) and between the ST and the SL (p<0.05). The right erector spinae had a statistically significant difference between ST and US (p<0.05). Conclusions: The plank exercise strengthens the core muscles effectively, and muscle activity is related to the posture of the exercise and the location of the muscle. These results suggest that plank exercises improve muscle activities. Additionally, plank exercises can be applied to general medical care.

• Korean Journal of Applied Biomechanics
• /
• v.21 no.5
• /
• pp.585-593
• /
• 2011

The purpose of this study was to analyze, from a kinematical point of view, the high jump techniques of three women's high jump winners at the IAAF World Championships, Daegu 2011. The trends for the techniques of the world's top high jumpers were examined, with a view toward adapting these techniques to the physical characteristics of Korean women's high jumpers. It was valuable that Di Martino, who was the shortest in height, was able to win a medal by using a single arm swing take-off technique, along with a half flexed leading leg swing to attain a deep arch and clear the bar. This showed that the world's top athletes used jumping techniques with no decrease in the run-up velocity at the take-off. Furthermore, It appeared that the knee joint angle at take-off had a direct effect on the body position at take-off (H1).

• Korean Journal of Applied Biomechanics
• /
• v.21 no.5
• /
• pp.529-540
• /
• 2011

The purpose of this study was to evaluate the kinematic characteristics of $5^{th}$ and $6^{th}$ hurdle clearances during the final of the 110-m hurdles at the IAAF World Championships, Daegu 2011. To this end, the hurdling motions of the top 4 ranked male hurdlers in the competition were analyzed. A total of 12 cameras were used to record their motions, with a sampling frequency of 120 Hz. The cameras were calibrated using $11{\times}2{\times}1\;m$ control objects that covered all of the lanes (1st~8th lanes). After analyzing all the data, we arrived at the following results. In the take-off phase, all athletes revealed similar take-off times (CT), and similar distances from the take-off to hurdleto (L1) and hurdle to landing (L2). In particular, Turner, ranked $3^{rd}$, had an inconsistent L2 and may need further training to correct it. In the flight phase, Richardson, ranked $1^{st}$, showed the longest flight distance, whereas Xiang, who was ranked $2^{nd}$, showed the highest CG height from the hurdle. For the step patterns, to increase the pitch frequency, Richardson and Xiang used shorter 3-step lengths than Turner and Oliver.

• Korean Journal of Applied Biomechanics
• /
• v.21 no.5
• /
• pp.511-520
• /
• 2011

The purpose of this study was to provide scientific information to track and field coaches and athletes through the analyses of the biomechanics characteristics of the top 4 sprinters in the men's 100 m final in the IAAF World Championships Daegu 2011. Twelve video cameras (Sony, Japan) were used to capture the mid portion of the race (40 m - 70 m) with a sampling frequency of 60Hz. Biomechanical variables including the right ankle, knee and hip angles, the trunk angle, and the velocity of center of mass (COM) in the running direction, were calculated with the Kwon 3D program (Visol, Korea). Correlation coefficients between the COM velocity and each variables were calculated using Matlab 2008a (MathWorks, USA) at an alpha level of 0.05. The findings indicated that Yohan Blake (JAM) showed greater range of motion at the ankle and hip. Walter Dix(USA) showed greater knee and trunk movement, and Kim Collins (SKN) showed more dorsi-flexed and extended trunk angles during the race. Finally, Christophe Lemaitre (FRA) showed more plantar-flexed ankle with a less trunk motion, throughout the analyzed race.

• Journal of Korean Orthopaedic Sports Medicine
• /
• v.6 no.2
• /
• pp.115-118
• /
• 2007

Rupture of the pectoralis major muscle may occur in youngers or athletes associated with extreme sports, especially during the weight training. It is uncommon, but the incidence is increased by the recent growth of athletic population, According to the drift, variable methods of operative treatment for the functional and cosmetic recovery are introduced. We report a case of pectoralis major muscle rupture which was successfully repaired using transosseous repair and suture anchors five months after the initial injury during the bench-pressing.

• Journal of The Korean Society of Integrative Medicine
• /
• v.7 no.4
• /
• pp.291-300
• /
• 2019

Purpose : This study focuses on the influence of bridge exercise combined with whole body vibration on muscle activity and balance. Methods : 30 stroke patients were recruited for subjects. The subjects were divided to bridge exercise combined stable surface (Group I), bridge exercise combined unstable surface (Group II), and bridge exercise combined bridge exercise (Group III), of which 10 subjects were randomly allocated. The subjects were given 30 minutes of neurologic physical therapy which included gait training and muscular strength training, and additionally given 30 minutes of bridge exercise combined stable surface, bridge exercise combined unstable surface, and bridge exercise combined whole body vibration for each group, five times a week, for 8 weeks. Their muscle activity and balance were analyzed before the intervention. After 8 weeks of the intervention, the mentioned parameters were measured once more for between-group analysis. Results : Comparative analysis of the muscle activity and balance between the groups showed statistically significant difference, and post-hoc analysis showed the Group III had greater changes in muscle activity and balance than Group Iand Group II. Conclusion : Such results revealed that bridge exercise combined with whole body vibration is effective in muscle activity and balance. Based on the current study, more effective program is to be proposed for elite athletes as well as stroke patients. Based on the current study, studies that incorporates various frequencies of vibration is required for development of effective whole body vibration exercise program.

• Journal of Acupuncture Research
• /
• v.30 no.1
• /
• pp.35-41
• /
• 2013

Objectives : This study aimed to perform descriptive analysis on demographic characteristics and symptom distribution of 199 marathon participants in Pusan, Korea. Methods : Brief medical charts of 199 marathon participants in 11 marathon rallies who had visited the emergency medical support team of Korean Medicine Hospital, Pusan National University were collected. Participants' demographic and clinical characteristics were descriptively analyzed. Results : More than two third of participants who have visited the support team was male(71.9 %) and their mean age was 44.0(years). The main intervention was manual acupuncture with vigorous stimulation techniques. Most of treated symptoms were lower extremity pain(77.0 %). Knee pain was the most frequently recorded symptoms, following the ankle pain. No information on the safety of acupuncture treatments were reported in the records. Conclusions : Symptom distribution of marathon participants who have visited the emergency medical support team of Korean Medicine Hospital was similar to previous literatures of acute injuries of marathon athletes and runners. The role of acupuncture for emergency support care of acute injuries in marathon participants should be further explored in well-designed clinical studies.

• Korean Journal of Exercise Nutrition
• /
• v.24 no.2
• /
• pp.1-5
• /
• 2020

[Purpose] Lactate has several beneficial roles as an energy resource and in metabolism. However, studies on the effects of oral administration of lactate on fat metabolism and glycogen synthesis are limited. Therefore, the purpose of the present study was to investigate how oral administration of lactate affects fat metabolism and glycogen synthesis factors at specific times (0, 30, 60, 120 min) after intake. [Methods] Male Sprague Dawley (SD) rats (n = 24) were divided into four groups as follows: the control group (0 min) was sacrificed immediately after oral lactate administration; the test groups were administered lactate (2 g/kg) and sacrificed after 30, 60, and 120 min. Skeletal muscle and liver mRNA expression of GLUT4, FAT/CD36, PDH, CS, PC and GYS2 was assessed using reverse transcription-polymerase chain reaction. [Results] GLUT4 and FAT/CD36 expression was significantly increased in skeletal muscle 120 min after lactate administration. PDH expression in skeletal muscle was altered at 30 and 120 min after lactate consumption, but was not significantly different compared to the control. CS, PC and GYS2 expression in liver was increased 60 min after lactate administration. [Conclusion] Our results indicate that exogenous lactate administration increases GLUT4 and FAT/CD36 expression in the muscle as well as glycogen synthase factors (PC, GYS2) in the liver after 60 min. Therefore, lactate supplementation may increase fat utilization as well as induce positive effects on glycogen synthesis in athletes.

• Clinics in Shoulder and Elbow
• /
• v.2 no.1
• /
• pp.21-27
• /
• 1999

Purpose : The purpose of this study was to evaluate the functional outcomes of one-part fracture of the greater tuberosity that had been treated either by a conservative treatment or an operative approach. Materials and Method: Eighteen shoulders in 18 patients who had an one-part fracture of the greater tuberosity of the proximal humerus were managed, and the average follow-up period was 4 years and 10 months (range, 1 year to 8 years 6 months). Results: According to Neer's criteria for evaluation of results, in the group of 13 patients managed nonoperatively, the results were good or excellent in ten patients, fair in one, and poor in two. In the group managed operatively, the results were excellent in all five patients. Conclusion: If the displacement of the fragment is more than 5mm in young active patients, and more than 3mm especially in athletes and heavy laborers involved in overhead activity, the fragment should be mobilized, repaired and fixed into its original bed or a little bit inferolaterally with multiple heavy non-absorbable sutures, tension band technique, or cancellous screws and washers. We would suggest that the patients showing one-part fracture of the greater tuberosity of the proximal humerus should be evaluated individually.