This study aims to investigate the effects of ankle foot orthosis(AFO) on the activities of tibialis anterior(TA), soleus(Sol), rectus femoris(RF) and biceps femoris(BF) during stairs descending. The activities of TA, Sol, RF and BF were initially measured while descending 4 stairs without using AFO. The activities of the same muscles were then measured again while descending 4 stairs while using AFO. Wilcoxon signed-rank tests were used to analyze the results in order to examine the differences between the with using AFO and without using AFO. Although the activities of TA, Sol and RF were relatively lower while using AFO than without using AFO, only the differences in Sol and RF activities were significant(p<0.05). The activity of BF was relatively higher while using AFO compared to the activity of BF observed without using AFO. However, difference was not significant(p>0.05). Conclusion of this study was observed since AFO’s ground reaction force absorption during stairs descending reduced the need to use So and RF that is related to shock absorption. BF activity was increased with AFO than without during standing forward to correct the trunk stability.

This study aimed to investigate the effect of differing heel heights on the electromyographic (EMG) activity in vastus medialis (VM) and vastus lateralis (VL) during stair ascending and descending activities. A total of 26 healthy women volunteered to perform stair-ascending and stair-descending tasks with 3 heel heights: barefoot, 3 cm, and 7 cm. The EMG activities of the VM and VL were recorded during the tasks. During the stair ascending and descending tasks, the EMG activities of both VM and VL significantly changed with differing the heel heights (p<.05). Moreover, the EMG activities of VM and VL during the stair ascending task were significantly higher than the corresponding values during the stair-descending task (p<.05). However, there were no significant differences between the VM:VL EMG ratios for the 3 heel heights (p>.05). The VM:VL EMG ratios between the 2 tasks differed significantly in the 7 cm high heel condition (p<.05). Despite an increase in the EMG activities in both VM and VL during stair ascending and descending tasks, there was no change in the relative EMG intensities of VM and VL, which was measured by calculating the VM:VL ratio this result indicates that no VM:VL imbalances were elicited. The relative EMG intensities of VM and VL during stair descent were lower than the corresponding values during the ascent, suggesting that VM and VL may show an imbalance in the eccentric activation during the weight-acceptance phase. This study provides useful information that will facilitate future research on how heel height affects muscle activity around the knee joint.

본 연구는 젊은층과 고령층을 대상으로 계단 상하행시 하지근군의 근전도(EMG; Electromyogram)를 측정하여 발휘근육부위와 근피로 정도와의 관계를 파악하기 위해 근전도 amplitude 분석을 실시하여, 비교하였다. 피험자는 젊은층과 고령층 각각 20명이었으며, 하지근 8부위(전경골근, 내측광근, 외측광근, 대퇴직근, 반건양근, 대퇴이두근, 내비복근, 외비복근)에 전극을 부착하여 계단 상하행 전후의 근전도를 측정하였다. 그 결과 젊은층은 계단 상하 보행 후 모든 측정 부위의 근전도 amplitude가 커졌으며, 고령층도 전경골근과 대퇴직근을 제외한 근육 6부위에서 근전도 amplitude가 커졌다. 또한 젊은층과 고령층의 amplitude 분석 값을 비교해 보면, 대퇴이두근과 내비복근을 제외한 모든 근육부위에서, 젊은층의 amplitude 값이 고령층에 비해 계단 상하 보행 전후 변화가 더 크게 나타났으며 특히 전경골근은 통계적 유의차가 인정되었다(p<0.05). 이와 같이 젊은층에 비해 고령층은 근육량이 적으므로 amplitude의 변화가 작은데, 노인들을 위한 제품 또는 환경 설계시 노인 근전도의 특성을 고려하여 측정하고 분석해야 할 것이다.

Purpose: Yin-Yan(陰陽) is often seen with the mean of ascending and descending force in the Sasang Constitutional Medicine. In the PI(脾) and Shen(腎), oppositive interacting forces existe and causes the change that ascending and descending of Yin-Yan(陰陽). The purpose of this study is understand the mean of Pi-Yan(脾陽), Pi-Yin(脾陰), Shen-Yan(腎陽), Shen-Yin(腎陰) and their inter action in the pathology of Soyangin(少陽人) and Soumin(少陰人). Method: It was depended on the sentence that recorded in the Dongyi-Soose-Bowon(東醫壽世保元) Result: The following results have been obtained 1. The origen of Soumin's outer disease is ascending obstruction of Shen-Yan(腎陽), caused by deficiency of Pi-Yan(脾陽) 2. The origen of Soumin's interior disease is being cold of Shen-Yin(腎陰), caused by deficiency of Pi-Yin(脾陰) 3. The origen of Soyangin's outer disease is descending obstruction of Pi-Yin(脾陰), caused by deficiency of Shen-Yin(腎陰) 4. The origen of Soyangin's interior disease is being heat of Pi-Yan(脾陽), caused by deficiency of Shen-Yan(腎陽)

Prevalence of the coronary artery anomaly is approximately 1% of the population who undergo coronary angiography. The anomalous origin of the right coronary artery (RCA) as a branch of the left anterior descending artery (LAD) is a very rare variation of single coronary artery. The anatomic variation has no clinical significance. However, some patterns of congenital coronary artery anomalies can cause clinical manifestations of myocardial ischemia, reducing myocardial perfusion. We report on a case of a 78-year-old man who had anomalous RCA arising from the proximal part of the LAD, which probably caused chest pain.

Spontaneous resolution of aortic dissection is extremely rare and only a few cases have reported. We report on the case of an elderly man who presented with DeBakey type III aortic dissection, which was resolved spontaneously over two years after antihypertensive treatment. We also discuss the possible mechanism and the role of conservative management.