Armstrong, John G.;Morris, Tyler R.;Sebro, Ronnie;Israelite, Craig L.;Kamath, Atul F.
Knee surgery & related research
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제30권4호
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pp.319-325
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2018
Purpose: Body mass index (BMI) is often used to predict surgical difficulty in patients receiving total knee arthroplasty (TKA); however, BMI neglects variation in the central versus peripheral distribution of adipose tissue. We sought to examine whether anthropometric factors, rather than BMI alone, may serve as a more effective indication of surgical difficulty in TKA. Materials and Methods: We prospectively enrolled 67 patients undergoing primary TKA. Correlation coefficients were used to evaluate the associations of tourniquet time, a surrogate of surgical difficulty, with BMI, pre- and intraoperative anthropometric measurements, and radiographic knee alignment. Similarly, Knee Injury and Osteoarthritis Outcome Score (KOOS) was compared to BMI. Results: Tourniquet time was significantly associated with preoperative inferior knee circumference (p=0.025) and ankle circumference (p=0.003) as well as the intraoperative depth of incision at the quadriceps (p=0.014). BMI was not significantly associated with tourniquet time or any of the radiographic parameters or KOOS scores. Conclusions: Inferior knee circumference, ankle circumference, and depth of incision at the quadriceps (measures of peripheral obesity) are likely better predictors of surgical difficulty than BMI. Further study of alternative surgical indicators should investigate patients that may be deterred from TKA for high BMI, despite relatively low peripheral obesity.
PURPOSE: To determine the effect of four weeks of exercise training on knee circumference and range of motion (ROM), pain perception, wellness, and VO2max in patients at Osun State University Teaching Hospital, Osogbo, Nigeria. METHODS: Forty subjects who met the inclusion criteria were randomized into control and experimental groups. patients were subjected to four weeks of flexibility and strengthening exercise, which included squatting exercise, ROM exercise, both groups were given some cardiovascular exercise. VO2max), Wellness score and circumference. RESULTS: Compared to the baseline values (week 1), there was increase in the knee ROM, and decrease in the pain perception in both groups after four weeks. However, the improvements seen in the experimental group, were significantly better relative to the control group after four weeks of intervention. owever, knee ROM and wellness scores of the experimental group, and the VO2max of both significantly increase, but significantly decrease in the knee circumference and pain perception of both groups following 4 weeks of exercise was recorded. CONCLUSION: he exercise modality in the study promote cardiovascular endurance, knee joint integrity, reduce pain perception in subjects. xercise intervention s beneficia to both groups since both reduction in the pain felt and also in knee swelling.
This study conducted a survey on jean pants that targeted males in the 20s in order to select preferred brands for skinny jean pants. Preliminary data for the pattern development of skinny jean pants was presented through functionality evaluation, appearance evaluation and pattern analysis. The results were as follows. 1. The result of survey targeting males in the 20s to select the design and brand name of jean pants showed that skinny jean pants were selected as the most favorite type of jean pants to wear; in addition, non-brand products and brand names such as Uniqlo and Levi's were also preferred. 2. The result of functionality evaluation showed that L brand received a high score in all items except for items regarding the knee circumference and mid-thigh circumference, S brand received a high score as well as a low score, and N brand received a low score in general. The result of appearance evaluation showed that L brand for the waist height and waist circumference, N brand for the brand crotch circumference, posterior crotch length and knee circumference, and S brand and N brand for the length of pants were preferred. 3. The result of pattern measurements analysis from the result of functionality evaluation showed that L brand provided a large pattern measurement for the waist height, L brand provided less ease due to small pattern measurements for waist circumference; in addition, N brand for the knee circumference and mid-thigh circumference were preferred. 4. The analysis result shows that a ease of 5cm based on the belly band which is 3.5cm below the belt width is proper for the waist circumference when designing a skinny jean pant pattern and 4cm for the hip circumference and 32.5cm for the ease of crotch circumference are proper, -0.4-0cm for the ease of mid-thigh circumference and knee circumference in consideration of human body measurements; therefore, 80.1-80.5cm for inseam as the length from the crotch height to the leg length, 25.7cm for vertical hip length and 53.0cm for crotch length are proper.
The purpose of the study was to develop generalized equations for estimating stature and weight for the nonambulatory elderly persons. Height weight recumbent knee height total ann length, midarm, waist and calf circumferences, triceps and subscapular skinfolds were measured from over 60 years old 315 ambulatory elderly. The equations to predict stature and weight were derived from participants in the validation sample and were applied to the participants in the cross-validation to test the accuracy and validity of equations. Stature and weight were significantly and negatively associated with age of women and similar patterns observed in men but associated to a slight degree. Knee height and total arm length were highly correlated with stature but the majority of the variances in stature was accounted for by knee height for both the men and women. In men, waist circumference was the most significantly correlated with weight and am, calf circumferences and so forth. But in women arm circumference was the highest then waist and calf circumference in order. The possible predictor variables to estimate of stature were knee height total arm length and age for both elderly men and women. Predictor variables to estimate of weight were recumbent measures of waist am, calf circumferences and knee height for both sexes. Inclusion of skinfold thickness measurements did not improve the prediction power of estimation for weight. When both equations developed from the present study and Chumlea's study were applied to cross-valida-tions samples, the equations derived from present study showed better accuracy and validity. The presentation of prediction equations using two, three, or four recommended measurements allows the selection of an equation based upon the measurements that are possible to collect on an individual basis.
This study was to research the characteristics of the somatotype of Korean farmers. 836 Korean farmers(Male: 361 persons, Female: 475 persons) volunteered for this study. They volunteered from 9 different area such as Kumi, Damyang, Iksan, Injae, Chungju, Choongju, Haman, Whasung, and Whasoon. The reusults were as follows: 1. The subcutaneous body fat thickness were decreased as they aged(p<.05). 2. The thicker the subcutaneous body fat thickness of Korean farmer, the wider the circumference size by the Korean famer's physical parts(p<.05-p<.001). 3. There were no significant differences in the circumference size such as upper arm, chest, bust, waist, umbilical waist, hip, and calf between Korean farmers and Korean standard size. 4. Korean women farmer showed significantly differences in the upper arm circumference(p<.01), the chest circumference(p<.01), the bust circumference(p<.01), the waist circumference(p<.01), the umbilical waist circumference(p<.01), and the calf circumference(p<.05) from Korean women standard by ages. Especially, Korean women farmer had thicker the umbilical waist circumference(the 40's: 103.2mm, the 50's 52.3mm, the 60's 22.3mm, over 70's 22.1mm) than Korean women standard. 5. The 40's women farmer had thicker the upper arm circumference, the chest circumference, the bust circumference, the waist circumference, the umbilical waist circumference, and the calf circumference than Korean women standard. The 70's women farmer had skinner circumferences except the umbilical waist circumference than Korean women standard. 6. Korean farmers showed the crooked back shape, the broad-knee length and also front-bending knee shape as they aged.
This study was carried out to characterized the effect of Youndamsagan-tang on a Case of Septic Knee. After we gave Youndamsagan-tang to a patient of septic knee, we examined not only symptom of patient but also the thickness and circumference of knee, the change of WBC, ESR, body temperature, VAS. As admission time passes, the pain, flare, swelling and movement of left-side knee joint were improved. The thickness and circumference of knee joint were decreased, and the count of WBC, ESR were decreased. And patient's pain by VAS was subsided. From the above result, administration of Youndamsagan-tang reduces the progressing of pain, flare, swelling and movement in knee joint.
Purpose: The purpose of this study was to analyze the correlation between balance control ability and leg circumference, proprioception, range of motion (ROM), and muscle strength in young adults. Methods: The subjects of this study were 30 university students who were enrolled in D university in Gyeongbuk province. We measured the dynamic balance and static balance using the Biorescue. The muscular strengths of the hip, knee, and ankle joints were measured using a muscle contraction dynamometer. The ROM and proprioception were measured using an inclinometer. Pearson correlation analysis was used to test the correlations between balance control ability and variables. Results: Sway length was significantly correlated with knee and hip joint muscle strength, ROM, and proprioception of hip and ankle joints (p<0.05). Sway speed was significantly correlated with ROM and proprioception in hip joints (p<0.05). Limit of stability was significantly correlated with muscle strength and ROM in ankle joints, and proprioception in hip, knee, and ankle joints (p<0.05). Conclusion: The sway length was most related to hip extension and ankle joint plantar flexion in the range of motion and ankle joint plantar flexion in proprioception. Overall, balance training for young adults will be of effective help if the treatment focuses on the knee and hip joints, range of motion and the ankle and hip joints' proprioception.
On the subjects of the female adults in their 20s who love to wear jeans, the wearing reality of basic jean pants and engineered jean pants was examined while pattern comparison and the evaluation of appearance and functions were made to reach the following conclusions: 1. Wearing reality of engineered jean pants Among the examined subjects, 74.8% were found out to favor engineered jean pants. Those who have engineered jean pants turned out to pursue well-known brands more than practicality. 2. Pattern comparison analysis of basic jean pants and engineered jean pants Though similar sizes existed in pants tips and belt width, engineered jean pants showed bigger values in waist circumference, crotch circumference, hip circumference, knee circumference, thigh circumference and so on. There were no big differences in the front part except for the items like crotch circumference and crotch length, but engineered jean pants had bigger sizes in the rear part. Engineered jeans in the rear contained the outward curved silhouette of the legs, curved tips, and a dart design instead of a back yoke. 3. Evaluation of appearance and functions In the scores of appearance, basic jean pants were higher at 3.65 in the order of front > side > back. On the contrary, engineered jean pants were excellent in the order of side > back > front. In the items of functions, engineered jean pants were higher at 4.23 in the order of hips > thighs> waist > abdomen > knee > crotch. On the other hand, basic jean pants showed the order of knee > crotch & thighs > abdomen > hips > waist. In every movement, engineered jean pants revealed higher functionality. In particular, the bigger physical movement led to the greater functional differences between the two kinds of jean pants.
This study presented a making method of jeans pattern with high fitness after deriving the appropriate shrinkage rate by material and washing process. For this purpose of this study, 6 jeans have been tested after washing finishing and we turned out appropriate shrinkage rate by evaluating the exterior of jeans and usage satisfaction. Then, a making method of jeans pattern was presented after applying the optimized shrinkage rate. According to the result of the exterior evaluation of test jeans, all 6 jeans were rated high with scores close to 3.5. Following the evaluation of satisfaction of usage by physical movement, the highest ranking was in the order of walking with normal steps, back bending $90^{\circ}$, chair sitting, climbing stairs, and squatting. The shrinkage rate by physical area showed the highest score in the order of pants length, waist circumference, thigh circumference, knee circumference, hem circumference, hips circumference. In addition, the shrinkage rate was higher in warp direction than weft direction after washing finishing. As for the result of addition and reduction of pattern measurements by parts of jeans, waist circumference was 2.6${\sim}$5.2cm, hips circumference was 1.3${\sim}$4.2cm, thigh circumference was 0.8${\sim}$3.1cm and knee circumference was 0.7${\sim}$2.5cm. Also, hem circumference was 0.5${\sim}$1.8cm and pants length was 4.0${\sim}$6.2cm. That is, this results showed a wide range of addition and reduction according to material and washing finishing.
The purpose of this study was to present a making method of jeans pattern with high fitness after deriving the appropriate shrinkage rate by material and washing process. Research Method of jeans pattern was presented after applying the optimized shrinkage rate. According to the result of the exterior evaluation of test jeans, all 6 jeans were rated high with scores close to 3.5. Following the evaluation of satisfaction of usage by physical movement, the highest ranking was in the order of walking with normal steps, back bending $90^{\circ}$, chair sitting, climbing stairs, and squatting. The shrinkage rate by physical area showed the highest score in the order of pants length, waist circumference, thigh circumference, knee circumference, hem circumference, hips circumference. In addition, the shrinkage rate was higher in warp direction than weft direction after washing finishing. As for the result of addition and reduction of pattern measurements by parts of jeans, waist circumference was $2.5{\sim}5.2cm$, hips circumference was $-1.8{\sim}2.8cm$, thigh circumference was $-1.3{\sim}2.0cm$ and knee circumference was $-1.0{\sim}1.7cm$. Also, hem circumference was $-1.0{\sim}1.8cm$ and pants length was $2.9{\sim}6.2cm$. That is, this results showed a wide range of addition and reduction according to material and washing finishing.
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