Total ankle arthroplasty has become a viable motion-preserving alternative to ankle arthrodesis, especially in the last two decades. Recent improvements have been achieved in the strength of implant design and surgical technique. Nevertheless, addressing preoperative deformities is essential for successful outcomes of total ankle arthroplasty. Residual malalignment can produce instability and edge loading, causing acceleration of polyethylene wear, followed by osteolysis and an increased risk of revision surgery. Therefore, the accompanying deformities and their correction techniques need to be comprehensively elucidated and understood. In this article, we provide a review of the application of total ankle arthroplasty in arthritis with coronal plane varus and valgus deformities.
In terms of women engaged in clerical job. working time of the workers who mainly keep standing with their high-heeled shoes on has been increasing. According]y. they are exposed to many kinds of foot deformation caused by loads of lower back and lower extremities due to high-heeled shoes. The type of heels they usually wear are diverse though the hight is same. In this study. we investigated most women's favorite styles of shoes concerned with heights. types and contact areas of the heels. Hence. we designed three kinds of shoes for an experiment: their contact areas with ground are 1 cm2. 2-4 cm2 and over 9 cm2 according to the heel heights. respectively. To investigate the biomechanical effects. analysis of motion and EMG were applied to the experiments. In addition. foot pressure distribution was measured for more detailed analysis. Six healthy young women were participated in this experiments. The result showed the heel becoming higher and narrower increased not only fluctuation of CBM(Center of Body Mass). but also the load of low back muscle and lower extremities. Accordingly. there was significant difference among types of the heel in terms of the role supporting load of the body. though the height is same. Especially. the difference among the pressures on a foot was most significant. In conclusion. we verified biomechanical effects are related with the contact area of a heel with ground as well as the hight.
Purpose: To investigate the characteristics of the patients and therapeutic shoes for diabetic patients. Materials and Methods: Forty two diabetic patients who had their own therapeutic shoes which were prescribed somewhere else were studied from March 2003 to December 2003. There were 27 males and 15 females, and the mean age was 62.1 years (range, 49-72 years). Duration of diabetes was average 14 years (range, $6{\sim}30$ years), all had type 2 diabetes. Sensation was examined with 5.07 nylon monofilament. The route of purchasing the shoes, compliance to the prescribed shoes were investigated by interview. The shape of shoe, stiffness of upper, conformity of insole to the shape of the foot were recorded. In-shoe plantar pressure was measured in 15 patients. Results: Eighteen patients were insensate to the monofilament. Seven patients did not wear the therapeutic shoes, and only 18 of 35 patients were wearing the therapeutic shoes more than 6 hours a day. The shoes of 17 patients were prescribed by medical doctor and the rest were purchased by the recommendation of acquaintances or advertisement. Ulcer recurred in four of five patients to whom the shoe was prescribed by medical doctor and the cause of three recurrences were evident by just observing the foot and shoe. The therapeutic shoes were made from 11 different makers. Eight shoes were adequate for diabetic patients with respect to the material, shape of insole, type of shoe. In-shoe plantar pressure was examined in 15 patients and was less than 300 kPa in all patients. Conclusion: The therapeutic shoes for the diabetic patients need to be prescribed by medical doctor for selective patients with neuropathy or previous history of ulcer and follow-up examination is important to monitor the compliance of the patients and adequacy of the shoes.
Journal of the Korean Society of Clothing and Textiles
/
v.19
no.1
/
pp.36-50
/
1995
The purpose of this study was 1) to estimate the improvement of thermal storage/release and moisture transport properties of PEG-treated acrylic athletic socks and suggest the optimum add-on for PEG treatment, 2) to investigate wear performance of untreated cocks and two kinds of socks treated with PEG of minimum and optimum add-on respectively, and 3) to consider the effect of thermal storage/release and moisture transport properties of PEG- treated socks on the wear performance and the subjective comfort zone. Thermal activities of specimens treated by PDC were evaluated on a DSC by measuring the heat of fusion on heating and the heat of crystallization on cooling. Moisture regain, absorption speed, wickability, water retenti on value, and water-vapor permeability were measured. In the wear trials that the subjects performed a subsequent exercise protocol wearing three differently treated socks in a conditioned environment ($14\pm2^{\circ}C$, 65$\pm$2% R.H.), microclimate temperature and humidity, and subjective wear sensations including thermal sensation, wettedness, softness, fit, and overall comfort were obtained. PEC-treated specimens with more than 20% add-on showed thermal storage on heating and thermal release on cooling by a DSC and the heat contents of treated ones were generally proportional to the add-ons. Moisture transport properties were highly improved after PEG treatment and increased rapidly with increasing add-on. The tendencies were, however, relaxed above 50% add-on and the treated knits were much stiffer above that add-on. In the wear trials of untreated, PEG add-on 20%, and 50% acrylic socks, the changes of microclimate temperature of 50% socks were significantly less than that of 20% socks. PEG add-on 50% socks showed significantly less changes of microclimate humidity than other two kinds of socks. Three kinds of socks showed significant differences in overall comfort and add-on 50% socks were accepted more comfortable than other two kinds of socks. Comfort zone of foot was extended after PEG treatment on socks and it implied that the subjects wearing PEG- treated socks felt comfortable in wider ranges of microclimate temperature and humidity.
The aim of this study is to evaluate tennis shoes's plantar pressure distribution in tennis prayers and to determine the influence of the shoe on various tennis movements. When investigating the biomechanics of movement in tennis, one of the first things to do is to understand the movement patterns of the sport, specifically how these patterns relate to different tennis shoes. Once these patterns are understood, footwear company can design tennis shoes that match the individual needs of tennis players. Plantar pressure measurement is widely employed to study foot function, the mechanical pathogenesis for foot disease and as a diagnostic and outcome measurement tool for many performance. Measurements were taken of plantar pressure distribution across the foot and using F-Scan(Tekscan Inc.) systems respectively. The F-Scan system for dynamic in-shoe foot pressure measurements has enabled us to assess quantitatively the efficacy of different types of footwear in reducing foot pressures. The Tekscan F-Scan system consists of a flexible, 0.18mm thick sole-shape having 1260 pressure sensors, the sensor insole was trimmed to fit the subjects' right, left shoes. For this study 4 university male, high level tennis players were instructed to hit alternated forehand stroke, backhand stroke, forehand volley, backhand volley, smash, service movement in 4 different tennis shoes. 1. When impact in tennis movement, peak pressure distribution of landing foot displayed D>C>B>A, A displayed the best low pressure distribution. A style's tennis shoes will suggest prayer with high impact. If prayer with high impact feeling during pray in tennis wear A style, it will decrease injury, will have performance improvement. 2. When impact in tennis movement, plantar pattern of pressure distribution in landing foot displayed B>A>C>D in stability performance. During tennis, prayer want to stability movement suggest B style tennis shoes when tennis movement impact keep stability of human body. B style tennis shoes give performance improvement 3. When impact in tennis movement, plantar pattern of center of force(C.O.F.)trajectory in landing foot analyzed this : 1) When stroke movement and volley movement in tennis, prayer better to rearfoot movement. 2) when service movement, prayer midfoot strike movement. 3) when smash movement, prayer have forefoot strike movement.
Purpose: Changes in the curvature of the vertebral columns of elderly women with increasing age causes various side effects and disorders. Therefore, this study was conducted to evaluate the effectiveness of the 8-figure scapular brace to improve pulmonary function and balance ability based on lung capacity and foot pressure by increasing the vertebral curvature. Methods: Seventeen elderly women with a forward head posture were selected. Women were asked to wear the 8-figure scapular brace and the forced expiratory volume in 1 second (FEV1) and forced vital capacity (FVC) were measured, as were changes in foot pressure. Measurements were conducted three times each and the mean values were used for subsequent analyses. For static evaluation, we used the paired t-test to identify differences between pre and post values. Results: There was no significant difference in FEV1 and FVC before and after use of the brace (p>0.05); however, there was a significant decrease in forefoot pressure and an increase in rearfoot pressure following application of the brace (p<0.05). Conclusion: Application of the 8-figure scapular brace to correct vertebral curvature in elderly women influenced pressure distribution change from immediate effect body arrange of cervical and thoracic. However, wearing the 8-figure scapular brace may interfere with expansion of the chest and therefore respiratory muscle activity. Accordingly, it is necessary to apply appropriate treatment when wearing a scapular brace and to allow a sufficient intervention period while also providing therapeutic interventions such as posture correction or respiration training.
Foot has two functions : one is walking (or propulsion), the other is supporting or protecting of human body. In spite of such important roles, the importance of foot in keeping health has been easily disregarded. The bottom of foot is usually regarded as the second heart, for it is the pocket edition of all the principal parts of human body. Shoe is one of the tools to protect foot, and to wear a good shoe is the most demanded point in keeping health, Shoe can be different in kinds and shapes according to each one's usage. That is, different conditions of different people should have the different results in the material, design, last, pattern and structure in manufacturing shoe. A good shoe is absolutely a shoe with its right suitability, elasticity and adaptability. To make this healthy shoe, it is needed to design in the way of human technology, and the relative and scientific materials are basically required in manufacturing it. Recently there is an increasing demand for milti-functional shoe that can improve the efficiency of work in parallel with the maintenance of health. Accordingly this paper put its main purpose on the development of a healthy shoe based on proper and right theory and test.
The purpose of this study is to convergence comparison the ankle joint angle change during walking of college students in their 20s with flat foot according to the heel height of insole shoes. Qualisys Track Manager Software ver. 2.8 (Qalisys Track Manager) was used for 15 college students. Functional shoes with insoles were manufactured, and the heel heights of the shoes were set to 3cm and 7cm. The subjects wore shoes with two high heels and gaited by attaching a reflex marker to the side of the ankle joint. The angle change of the ankle joint was measured in the gait stance phase. The angle of the ankle joint significantly decreased both heel strike, foot flat, midstance, and toe off to the heel height increased when the subjects with flat feet wore insole shoes. Therefore, it is thought that flat feet should wear low shoes when wearing insoles to reduce the fatigue of the soles and to walk comfortably.
The purpose of this study is to examine the dress and its ornaments of low-level officials shown in Tamna-Sullyeokdo, the paintings of the inspection tour of Jeju Island. The low-level officials Include low-level soldiers-sungjungun, gichigun, foot soldiers, cavalries, gunroe, ilsu, artillerymen, najang, and sawon-, musicians, servants, and kisaengs in government employ. 1. Different types of low-level soldiers tended to wear different kinds of clothes that is worn under an outer garment and to wear different coats and trousers depending on an outer garment. That is, sungjunggun, gichigun, foot soldiers, and cavalries were jeonbok over a jeogori and baji. On the other hand, gunroe, ilsu, artillerymen, and najang were houi or jakui over a jeogori and baji. However, Sawon simply were Jeonbok or armer or they wore Cheolik in formal occasions. 2. Musicians wore a jeonlib, a type of hat, decorated with an ear of barley and a red houi over a Jungchimak, a man's outer coat with large sleeves. Musicians wore colorful red clothes in order to add to the amusement during military trainings or banquets. 3. Servants in government employ had their hair in plaits and wore a jeonbok over a Jungchimak or baji and jeogori. However, when they dance during banquets, they were cheolik and jeonlib decored with/without an ear of barley or red flowers. 4. Gisaengs in government employ wore a gache on their head and wonsam, a woman's full dress during big occasions. They, on the other hand, wore a jeogoli and chima for regular occasions.
Kim, Y.J.;Ji, J.G.;Kim, J.T.;Hong, J.H.;Lee, J.S.;Lee, H.S.;Park, S.B.
Korean Journal of Applied Biomechanics
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v.14
no.3
/
pp.83-98
/
2004
The purpose of this study was to investigate the test-retest of plantar pressures using the F-Scan system over speeds and plantar regions. 6 healthy female subjects in 20's were recruited for the study. Plantar pressure measurements during locomotor activities can provide information concerning foot function, particularly if the timing and magnitude of the loading profile can be related to the location of specific foot structures such as the metatarsal heads. The Tekscan F-Scan system consists of a flexible, 0.18mm thick sole-shape having 1260 pressure sensors, the sensor insole was trimmed to fit the subjects' right. left shoes - sneakers shoes & dress shoes. It was calibrated by the known weight of the test subject standing on one foot. The Tekscan measurements show the insole pressure distribution as a function of the time. This finding has important implications for the development of plantar pressure test protocols where the function of the forefoot is important. According to the result of analysis it is as follows 1) Center of force trajectory in women's dress shoes display direct movement, compare with center of force trajectory in Sneaker shoes displays a little bit curved slow pronation movement. Sneaker shoes in forefoot part display very quick supination movement, therefore, this shoes effects negative effectiveness for ankle's stability Considering center of force trajectory analyzing the more center of force close straight line, the more movement can be quick movement for locomotion. For foot pressure distribution, center of force trajectory in locomotion is better to curved trajectory with pronation movement. So sneaker shoes style is good shoes considering center of pressure distribution trajectory compare with women's dress shoes. 2) Women's dress shoes increased peak pressure in medial, this is effected by high hill's height. The more increased women's dress shoes's height, the more women's peak pressure will increase, pronation can increase compare with before. Supination movement increase, this focused pressure in lateral, also, supination increased more. If the supination movement increased, foot pressure focused in lateral, therefore, it is appeared force distribution in gait direction. This is bad movement in foot's stability. 3) Women's dress shoes in landing phase displayed a long time, this is when women's dress shoes wear, gait movement is unbalance, so, landing phase displayed a long time. For compensation in gait, swing phase quick movement. 4) Women's dress shoes displayed peak pressure distribution in lateral of rearfoot part, Sneakers shoes displayed peak pressure distribution in medial of forefoot part. Its results has good impact absorption compare with women's dress shoes. In forefoot part, sneakers shoes has good propulsive force compare with women's dress shoes.
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