• Title/Summary/Keyword: 굴곡검사

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Functional analysis of isolated posterior cruciate ligament deficient subjects (후방 십자 인대 단독 손상 환자의 기능적 분석)

  • Kim Jin Goo
    • Journal of Korean Orthopaedic Sports Medicine
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    • v.3 no.1
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    • pp.66-72
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    • 2004
  • Purpose: To evaluate the compensatory mechanism in vivo and develop the treatment guide by performing the comprehensive functional tests of the posterior cruciate ligament (PCL) deficient subjects. Material and Methods: 10 PCL deficient subjects and 10 healthy control group were evaluated. Performed functional tests were range of motion, posterior drawer test, Telos, 30$^{\circ}$ flexion wt-bearing view, KT-1000 arthrometer, gait analysis, EMG test and isokinetic tests. Results: Physical, KT-1000, Telos posterior tests showed significant differences, but 300 full weight bearing lateral view, muscle strength test revealed no difference between two groups. Less knee flexion at initial contact and reduced maximum valgus moment were observed in PCL deficient group. In vertical drop landing, PCL group had increased plantar flexion angle at initial contact. Conclusion: Compensatory mechanisms such as reduced unstable components and absorbing the maximal load of the joint were occurred after PCL insufficiency, which result in good clinical and functional outcomes. Further investigations would be needed to understand the functional adaptations of PCL deficient subjects.

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Ultrasound Wave Propagation in Thick Composites with Uniform Fiber Waviness (일정한 보강섬유 굴곡이 있는 두꺼운 복합재료에서의 초음파 전파에 관한 연구)

  • Chun, Heoung-Jae;Jang, Pil-Sung
    • Journal of the Korean Society for Nondestructive Testing
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    • v.21 no.3
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    • pp.288-298
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    • 2001
  • There has been a growing interest in thick composite materials especially for primary structures. Fiber waviness is one of the manufacturing defects frequently encountered in thick composite structures and affects the mechanical properties such as stiffness and strength significantly. Therefore, nondestructive evaluation technique that can detect fiber waviness of thick composite is very important for the integrity of structures. In this study, efforts were made to understand ultrasonic wave propagation in thick composites with uniform fiber waviness by adopting the ray and plane wave theories. Both theoretical and experimental investigations were conducted to understand the wave propagation in thick composites with uniform fiber waviness. The experiments were conducted on specially fabricated thick composite specimens with various degrees of uniform fiber waviness using the conventional through-transmission method to verify the predicted results. The experimental results showed good agreement with the theoretical predictions.

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Effects of Knee Position during the Graft Fixation of the Arthroscopic Anterior Cruciate Ligament Reconstruction with Autogenous Hamstring Graft (이식 건 고정 시 슬관절 위치가 자가 슬괵건을 이용한 관절경적 전방 십자 인대 재건술 후 결과에 미치는 영향)

  • Lee, Churl-Woo;Yoo, Jae-Doo;Roh, Kwon-Jae;Park, Seong-Pil
    • Journal of the Korean Arthroscopy Society
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    • v.9 no.2
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    • pp.143-147
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    • 2005
  • Purpose: In case of anterior cruciate ligament (ACL) reconstruction, graft tendon is generally fixed in tibial tunnel with knee extended. When reconstructing ACL using hamstring tendon, the authors aim to find out the effect of knee joint position during graft fixation on postoperative knee joint stability and range of motion. Materials and Methods: Prospective study was done on patients who have undergone ACL reconstruction using hamstring tendon from May 2002 to January 2003 We used Rigifix system (Mitek Product, Johnson and Johnson, USA) and Intrafix system for fixation. Thirty nine patients received ACL reconstruction during this period. Excluding 2 patients lost in the follow-up, 37 patients were analyzed. The mean follow-up period was 14 months $(13{\sim}25months)$. Knee position was decided alternatively without any bias. Clinical evaluation was based on Lachman test, pivot shift test, Lysholm score, IKDC(international knee documentation committee) assessment and side to side KT-1000 maximal manual arthrometer difference. Results: After the last follow-up, average postoperative Lysholm score was 93.1 poins(65-98points). According to IKDC score, 26 cases were normal, 10 cases were nearly normal, 1 case was abnormal and we had no case of severe abnormality. The mean difference from the normal side was 2.5 mm under maximal manual loading KT-1000 arthrometer. According to postoperative Lachman test, 32 cases were normal,2 cases were grade I and 1 case was grade II. There were 34 cases of normal, 2 cases of grade I and 1 case of grade II. When using maximal manual KT-1000 arthrometer side to side difference, the difference from the normal side while fixing the tibia at 20'knee flexion was 2.3 mm and at full extention the difference was 2.7 mm. The range of motion at postoperative 1 year showed 5 degree flexion contracture in 1 case at 20 degrees knee flexion and 10 degrees of flexion limitation was observed in 2 cases at full extension. Conclusion: When ACL reconstruction using autogenous hamstring tendon, anterior laxity showed no difference in its stability between two groups. Tibial side fixation at full extension may be helpful in preventing flexion contracture due to overconstrained graft tendon.

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Study on the Availability of Repeated Flexible Bronchoscopy(RFB) (반복적 굴곡성 기관지경검사(RFB)의 유용성에 대한 연구)

  • Lee, Hong-Lyeol;Moon, Tae-Hoon;Cho, Jae-Hwa;Ryu, Jeong-Seon;Kwak, Seung-Min;Cho, Chul-Ho
    • Tuberculosis and Respiratory Diseases
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    • v.48 no.3
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    • pp.365-376
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    • 2000
  • Background : Ever since Flexible Fiberoptic Bronchoscopy was introduced into clinical practice, it has played an important role in both diagnosis and therapy of respiratory diseases. Repeated bronchoscopic examinations is are not so uncommon. This study was designed prospectively to assess the clinical availability of the Repeated Flexible Bronchoscopy (RFB). Methods : Pre-established indications were as follows : 1) To confirm diagnosis or the cell type in proven malignancy 2) to diagnose or locate hemoptysis 3) to follow-up or confirm recurrence 4) to use in therapy. We performed RFB and analyzed the data in 156 patients during 28-month period. Results : The frequency of RFB was 23.0%. The indication for diagnosis or cell type of malignancy was 25 cases, of which 2 cases were confirmed by a third bronchoscopic examination and 3 cases by surgical procedures. Localization of the bleeding site was confirmed in 53.8%. RFB for small cell lung cancer yielded more information on residual or recurred lesion not apparent even with the CT scan in 30%. Previous cases of bronchostenosis due to endo-bronchial tuberculosis was shown to have worsened in 66.7%. Therapeutic manipulations were done in 126 cases, and bronchial suction was most common. Complications showed decreasing tendency with repeated examinations. Conclusion : The RFB for diagnosis or cell type of malignancy was useful in that comfirmation of diagnosis was possible in 85.7% of malignancy. More aggressive procedures should be employed including TBLB or TBNA. The RFB showed possible usefulness in the follow-up of patients with small cell lung cancer. For the patients with hemoptysis or endobronchial tuberculosis, the RFB did not the significance did not show significance because its results did not influence the diagnosis, therapy or clinical course.

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Usefulness Evaluation of Merchant Auxiliary Equipment of Body Type Changing Suitable for X-ray Table Integral Type (체형변화에 적합한 X-선 검사대 일체형 Merchant 보조장비의 유용성 평가)

  • Seoung, Youl-Hun
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.14 no.6
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    • pp.2773-2779
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    • 2013
  • The purpose of this study was to evaluate of the usefulness and to develop new auxiliary equipment that can bending angle of the bone of the knee various depending on the thickness of the thigh of the human. The subjects agreed for research purposes and were selected from normal person who do not have past knee-related diseases and grouped thin group A and thick group B for the thigh. We set in order to obtain images in the axial direction of the bones of the knee, $35^{\circ}$ to increase by $5^{\circ}$ angle of knee flexion, $45^{\circ}$, to $55^{\circ}$, and we performed combinations of 9 tests by incident angle X-ray per each angle, $40^{\circ}$, $50^{\circ}$ and $60^{\circ}$. As a result, we have developed an Merchant auxillary equipment of X-ray table integral type in radiographic images which was easy to use and could take images of various integral knee joint angles adjusting different body types. Using the auxiliary equipment, in the case of X-ray incident angle $50^{\circ}$ and $60^{\circ}$ with the knee flexion angle of $40^{\circ}$ in group A, and in group B, Knee flexion angle of $45^{\circ}$ and $35^{\circ}$, the X-ray incident angle at $60^{\circ}$, excellent images were derived. Future, it would be very useful in the examination of patients with a variety of body types.

A Study on the Standardization of the Test Method Upon Testing the Anterior Cruciate Ligament Damage Using TELOS (TELOS를 이용한 Knee Stress (Lachman)검사의 표준화에 대한 연구)

  • Lim, Jongcheon;Han, Dongkyoon
    • Journal of the Korean Society of Radiology
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    • v.8 no.2
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    • pp.57-63
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    • 2014
  • This study aims to find out the standardized test criteria regarding patients with the anterior cruciate ligament damage by identifying the degree of the flexion gap of femur and tibia upon bending of the anterior cruciate ligament in order to carry out the accurate test of such impairment. On the standardized test method and judgement criteria upon the anterior cruciate ligament test using Telos, it has been shown that there was no significant difference in the results according to the position of a fixed roller in the anterior cruciate ligament test for normal patients. However, in a test for patients who had undergone the anterior cruciate ligament reconstruction, it has been shown that the measured values of the anterior cruciate ligament tended to be pushed when the position of a fixed roller was less than 1cm in the test according to the position of a fixed roller of Telos (less than 1cm, more than 3cm), and this was statistically significant. The anterior cruciate ligament test (knee stress test) is a limited method used in orthopedics and rehabilitation medicine, and there have been no standardized test guidelines available yet although numerous ligament measurement tests have been performed. In addition, since the measured values are often different depending on testers even on the test that is expected to give the same result, the reproducibility of the test is still low. Accordingly, it is considered that the criteria for the anterior cruciate ligament test need to be established, and this would contribute to the accuracy of the diagnosis through the accurate test and standardized measurements.

The Effects of Mechanical Horseback-Riding Exercise on Lumbar Flexibility (승마기구 운동이 허리 유연성에 미치는 영향)

  • Si-Kyoung Lee
    • Journal of the Health Care and Life Science
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    • v.11 no.1
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    • pp.149-153
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    • 2023
  • This study conducted an eight-week equestrian exercise for 20 adults aged 20 or older to find out the effect of equestrian exercise on the flexibility of the human body.As a result of the experiment, the range of flexion-tension in the waist joint motion increased from an average of 120.2° to an average of 132.5° before the experiment, and the range of lateral bending increased from an average of 65.8° to an average of 67.3°. In the Sit and reach Test, it increased from 2.94 mm to 4.97 mm before the experiment. It was found that the range of motion of the joint increased during flexion and extension of the waist, and as the range of lateral bending increased, the flexibility of the human body increased. To confirm this, a flexibility test was conducted, and I believe that riding equipment exercise is a physiotherapy intervention that prevents back pain and increases flexibility in the human body, I would like to suggest that it can be used to promote health not only for patients with diseases such as back pain but also for the healthy general public.

The Effect of Cushion Insole on the Flexibility and Exercise Ability of Lumbar Spinal Stenosis (쿠션인솔이 요추 척추관협착증 환자의 유연성 및 운동능력에 미치는 영향)

  • Kim, Hyun Taeg;Moon, Sang Ho;Kim, Kyung Chul;Kwon, Byong An
    • Journal of Digital Convergence
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    • v.17 no.1
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    • pp.423-432
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    • 2019
  • The purpose of this study was to investigate the effect of cushion insole on lumbar flexibility and motor fitness in patients with lumbar spinal stenosis. 26 patients with lumbar spinal stenosis were randomly assigned to the experimental group 13 and the control group 13. Volunteers were allowed to wear cushioned insoles for two hours a day for six weeks. The experimental group was 8 mm and the control group was 4 mm, wearing a cushion insole as a blinded experiment. There was a significant increase(p<0.05) in the flexion test of the experimental group ($3.38{\pm}3.12$), but not statistically significant in the other tests(p>0.05). In conclusion, cushion insole was not suitable for intervention for lumbar spinal stenosis. There is a need to study the height and material of the insoles in the future.

Snapping Triceps Syndrome with Dislocation of the Ulnar Nerve - Usefulness of Dynamic Ultrasonography - (척골 신경 탈구와 동반된 발음성 삼두근 증후군 - 동적 초음파 검사의 유용성 -)

  • Jeong, Ung-Gyo;Park, Sang-Won;Song, Dong-Ik;Lee, Sun-Hyeok
    • The Academic Congress of Korean Shoulder and Elbow Society
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    • 2008.03a
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    • pp.171-171
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    • 2008
  • 발음성 삼두근 증후군은 주관절을 굴곡하거나 신전할 때 삼두근 말단부 일부와 척골 신경이 내상과 전방으로 탈구되는 드문 질환이다. 이학적 검사 만으로는 다른 질환으로 오진되는 경우가 많아 정확한 진단이 필수적이며 확진을 위하여는 척골 신경 및 삼두근의 비정상적인 움직임을 관찰할 수 있는 영상 검사가 필요하다. 초음파 검사는 자기 공명 영상 촬영 등 다른 검사에 비해 간편하고 효과적으로 연부 조직의 동적 검사를 시행할 수 있는 장점이 있다. 저자들은 발음성 삼두근 증후군 환자를 동적 초음파 검사를 사용하여 진단하고 척골 신경 전방 전위술 및 삼두근 내두의 이전술을 시행하여 치유하였기에 문헌 고찰과 함께 초음파 검사의 유용성을 보고하고자 한다.

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THE COMPARISON OF RELATIVE RELIABILITY ON BIAXIAL AND THREE POINT FLEXURAL STRENGTH TESTING METHODS OF LIGHT CURING COMPOSITE RESIN (광중합형 레진의 3점 굴곡 강도와 이축 굴곡 강도 측정 방법에 대한 상대적 신뢰도의 비교)

  • Seo, Deog-Gyu;Roh, Byoung-Duck
    • Restorative Dentistry and Endodontics
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    • v.31 no.1
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    • pp.58-65
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    • 2006
  • The possibility of applying a hi-axial flexure strength test on composite resin was examined using three point and hi-axial flexure strength tests to measure the strength of the light-cured resin and to compare the relative reliability using the Weibull modulus. The materials used in this study were light-curing restorative materials, $MICRONEW^{TM},\;RENEW^{(R)}$ (Bisco, Schaumburg, USA). The hi-axial flexure strength measurements used the piston-on-3-ball test according to the regulations of the International Organization for Standardization (ISO) 6872 and were divided into 6 groups, where the radius of the specimens were 12mm (radius connecting the 3-balls: 3.75mm), 16 mm(radius connecting the 3-balls: 5mm), and the thickness were 0.5mm, 1mm, 2mn for each radius. The hi-axial flexure strength of the $MICRONEW^{TM}\;and\;RENEW^{(R)}$ were higher than the three point flexure strength and the Weibull modulus value were also higher in all of the bi-axial flexure strength groups, indicating that the hi-axial strength test is relatively less affected by experimental error. In addition, the 2 mm thick specimens had the highest Weibull modulus values in the hi-axial flexure strength test, and the $MICRONEW^{TM}$ group showed no significant statistical difference (p>0.05). Besides the 2mm $MICRONEW^{TM}$ group, each group showed significant statistical differences (p<0.05) according to the thickness of the specimen and the radius connecting the 3-balls. The results indicate that for the 2mm group, the hi-axial flexure strength test is a more reliable testing method than the three point flexure strength test.