• Title/Summary/Keyword: 외측 회전

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Patterns of Retear After Repair of the Rotator Cuff - MRI Analysis of 109Cases - (회전근 개 봉합술 후 발생한 재파열의 양상 - 109예의 자기 공명 영상 검사 분석 -)

  • Tae, Suk-Kee;Kim, Young-Sung;Lee, Ho-Min;Park, Pan-Kun
    • Clinics in Shoulder and Elbow
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    • v.15 no.1
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    • pp.16-24
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    • 2012
  • Purpose: This study was designed to investigate the rate of incidence, location and the clinical value of the rotator cuff retear by analyzing MRI scans, which was taken after an arthroscopic rotator cuff repair. Materials and Methods: This study included a total of 109 patients, who underwent a shoulder MRI scan after an average of 10.6 months later from the arthroscopic rotator cuff repair. We only defined the 'retear' when the Sugaya type IV and V was observed in the sagittal section of the MRI. The location of the retear was divided into the medial and lateral areas by the site, which was 1 cm medial to the anchor insertion. We investigated the incidence rate and the location of the retear, in terms of the age, sex, initial tear size and the suture method. Also, we compared the functional score of the retear group and the non-retear group, after an average of 13.9 months follow-up. Results: There were 38 of the 109 patients that showed the rotator cuff retear. Of these patients, 25 were male patients, and 13 were female patients. Of the 38 patients with the rotator cuff retear, 21 patients were included in the <3 cm retear group, and 17 were included in the ${\geqq}3$ cm retear group. At the end of the follow up period, all 109 patients showed a statistical significant improvement in the shoulder functional score. Conclusion: According to the follow up of the MRI scan, which was taken after the rotator cuff repair, the retear rate reached 34.9 %, and there were no significant differences on the age and the suture method. More rotator cuff retear occurred in male patients, and the initial tear size was positively correlated with the incidence rate of the rotator cuff retear. Also, the retear was more frequently observed at the medial side. That is because when the suture was performed, excessive tension was loaded on the medial side of the suture site.

Kinematic Difference between the Lower Limb Joints and the Lower Extremities Given Elderly Women's Walking through the Lower-limb Resistance Exercises (하지 저항운동을 통한 여성고령자 보행 시 하지관절 및 분절의 운동학적 차이)

  • Seo, Se-Mi
    • The Journal of the Korea Contents Association
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    • v.9 no.12
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    • pp.364-375
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    • 2009
  • The purpose of this study is to offer basic data for the fall prevention by analyzing the kinematic difference between the lower limb joints and the lower extremities in elderly people's walking given the lower-limb resistance exercises. For this, three-dimensional image analysis was carried out by selecting 7 elderly women from over 70s to under 80 years old. To obtain the three-dimensional location coordinates in the lower limb joints and the lower extremities, it shot with 100Hz/s by using MCU(Qualisys, Sweden) camera. The shot image gained raw data on the location coordinates by using QTM(Qualisys, Sweden). As a result of calculating three-dimensional angle by using program of Matlab 6.5, the following conclusions were obtained. Flexion and extension in the thigh and the lower-leg extremities were indicated to be big in motion of flexion after exercising at E5. Foot segment indicated statistical difference while showing eversion at E4. Knee joints showed flexion at E4 after exercising. Ankle joints showed statistical difference while indicating motion in inversion at E3 and in eversion at E4(p<.05).

The Effect of Medio-lateral Balance to Head Rotation in Stroke Patient (뇌졸중 환자의 머리회전 각도가 내.외측 균형에 미치는 영향)

  • Lee, Kwan-Sub;Kim, Chung-Sun
    • The Journal of Korean Physical Therapy
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    • v.24 no.5
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    • pp.334-339
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    • 2012
  • Purpose: This study was conducted in order to compare the ability to control postural sway during perturbation when stroke patients received postural sway induced by head rotation. Methods: This study included 15 stroke patients and 15 healthy adults. Each group was measured by 3D motion analysis for determination of the angle of the neck in static position and by balance performance monitor for estimation of swaying angle in both neutral posture and head rotation position. These results were then analyzed in order to compare the healthy control group and the stroke patients group. Results: In both static posture ($60.7{\pm}4.81$) and dynamic posture ($51.46{\pm}6.87$, $70.8{\pm}6.55$), significant decreases were observed in the angle of head rotation of the patient group, compared to the healthy group (p<0.05), and significant decreases were observed in the sway angle of the patient group when in the neutral position ($3.62{\pm}7$, $24{\pm}0.60$) and head rotation ($3.04{\pm}0.80$, $51.46{\pm}6.87$), compared to the healthy group (p<0.05). Conclusion: According to these findings, patients with stroke tend to restrict the ROM of head rotation and swaying angle in dynamic posture and maintain their posture instability using limitation of head movement relative to the trunk and sway angle of area which is larger than that of affected side in unaffected side.

Surgical therapy of Sprengel deformity by Woodward procedure - A case report - (Woodward 술식을 이용한 Sprengel 변형의 수술적 치료 - 1예 보고 -)

  • Lee, Chae-Chil;Cho, Sung-Do;Kang, Byeong-Seong;Kim, Sang-Woo;Ko, Sang-Hun
    • Clinics in Shoulder and Elbow
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    • v.10 no.1
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    • pp.146-149
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    • 2007
  • Congenital undescended scapula is congenital structural abnormality which affects only one side usually. Scapula located higher than the usual and rotating deformity that inferior angle to medial side, superior angle to lateral side is common. This report presents one case of the surgical therapy of a sprengel deformity patient who passed an optimal operation period with age $3{\sim}7$years old, and includes brief review of the literature. 7 years old boy whose chief complaint was the limitation of left scapular-thoracic movement and he had an omovertebral bone bridge and periscapular muscle atrophy. There was improvement of motion ranges and cosmetic problems after surgical treatment.

Performance Evaluation of Connection of Seismic Rectangular Steel Tube Column-H Beam Using One-side Bolts (원사이드 볼트를 이용한 내진 각형강관 기둥-H형강 보 접합부의 구조성능평가)

  • Shim, Hyun-Ju;Jang, Bo-Ra;Chung, Jin-An;Lee, Eun-Taik
    • Journal of Korean Society of Steel Construction
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    • v.22 no.4
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    • pp.355-363
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    • 2010
  • The objective of this study is to examine the structural performance on the Rectangular Steel Tube Column-to-H Beam connections using one-side bolts and T-stub. Although a rectangular steel tube comparing with a H-shaped steel has many advantages and is more efficient, its application is limited due to the lack of experiences and connection details. Existing steel moment connections using the rectangular steel tube are mainly using through plate diaphragms. Its processing of construction is so complicated that it is hard to apply in the field. In this study, the structural performance and the earthquake capacity for T-stub connection with one-side bolts were investigated. And it is performed a comparative analysis of strength, rigidity, total rotation and energy absorption capacity for the various connection details.

Comparison Analysis of Muscle Strength and Asymmetry according to Bowler Injury Experience and Type (볼링 선수 상해 경험과 유형에 따른 근력과 비대칭 비교 분석)

  • Byun, Ho-Jin
    • Journal of the Korea Convergence Society
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    • v.9 no.10
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    • pp.423-432
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    • 2018
  • The purpose of this study was to investigate the differences in upper and lower strengths and symmetry between upper body injury group, lower body injury group and non-injury group of bowling athletes. The subjects were the upper body injury group (UG), n = 16, the low body injury group (LG), n = 8, the non injury group, [NG], n = 15). The isometric strength of the bowler was measured using Manual Muscle Tester 01165 (Lafayette Instrument Company, USA) and the symmetry index (SI) was calculated. The results were as follow. The symmetry index of hip extension strength and hip external rotation strength was statistically larger in NG than LG (p <.05). The above results suggest that lower body strength and bilateral symmetry was closely related to injuries of the lower body. In order to prevent injury of the bowler, strengthening of lower body strength and symmetrical training are needed.

A Comparison of Vastus Medialis Oblique and Vastus Lateralis Electromyography Activities According to Different Tibial Rotation Taping Methods in Healthy People (건강한 성인의 경골 회전 테이핑 방법에 따른 내측사광근과 외측광근의 근활성도 비교)

  • Sung, Gi-Uk;Oh, Yun-Jae;Kim, Suhn-Yeop
    • Journal of the Korean Society of Physical Medicine
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    • v.13 no.2
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    • pp.33-41
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    • 2018
  • PURPOSE: Femur and tibia alignment in the knee joint is important to the biomechanics of lower limb movement. The purpose of this study was to compare vastus medialis oblique (VMO) and vastus lateralis electromyographic muscle activities according to tibial rotation taping methods. METHODS: Twenty-nine healthy subjects (13 males and 16 females) in the 20s, without knee joint-related diseases or disorders, participated in our study. After identifying each subject's dominant foot, the maximal voluntary isometric contraction (MVIC) was determined using a manual muscle tester. The activity of each target muscle was measured at 50% MVIC in isometric muscle contraction and at a $30^{\circ}$ knee flexion position before and after applying internal and external rotation taping by the Mulligan concept and in the neutral position. Non-elastic tape was used to stabilize the tibia rotation position. RESULTS: In the males, VMO muscle activity was significantly increased in the tibia internal rotation position ($47.2{\pm}14.6$, $mean{\pm}SD$) than in the neutral position ($39.3{\pm}14.9$) (p<.05). CONCLUSION: The results of this study indicate that when applying tibia internal rotation taping in healthy males, VMO muscle activity significantly increases during isometric extension of the knee. Therefore, this study provides a basis for selecting the appropriate taping method, in consideration of the available treatments in clinical practice for patients with knee problems.

Sperm Ultrastructure of Pipistrellus savii velox (한국산 검은큰집박쥐(Pipistrellus savii velox)의 정자미세구조)

  • Lee, Yu-Ri;Lee, Jung-Hun
    • Applied Microscopy
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    • v.41 no.2
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    • pp.117-122
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    • 2011
  • Sperm morphology of Pipistrellus savii velox was examined by transmission electron microscope. The sperm head of P. savii velox was bullet in shape. The sperm head was 3.1 ${\mu}m$ in length, whose posterior 3.0 ${\mu}m$ was occupied by a nucleus with 1.8 ${\mu}m$ in width. The segmented columns were about 14~15 in number. The total number of mitochondrial gyres was 57. Number of 1, 5, and 6 of the outer dense fibers were larger than the others. A fibrous sheath and longitudinal column of the principal piece were evidence, but the fibrous sheath was not seen at the end piece. In the present study, the length of the sperm head of P. savii velox were very shorter than those of other bats.

Cyclic Seismic Testing of Steel Moment Connections Reinforced with Welded Straight Haunch (용접 수평헌치로 보강된 철골 모멘트 접합부의 반복재하 내진실험)

  • 이철호;권근배;정종현;오명호;구은숙
    • Journal of the Earthquake Engineering Society of Korea
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    • v.6 no.4
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    • pp.31-37
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    • 2002
  • Recently a simplified design procedure as well as load transfer model for seismic steel moment connections with welded straight haunch have been proposed by Lee and Uang. Cyclic seismic testing was conducted to verify the proposed design procedure and to develop the details that will prevent the cracking at the haunch tip, where stress concentration was the highest. All the specimens thus designed effectively pushed plastic hinging away from the haunch tip and were able to develop satisfactory plastic rotation capacity of 0.04 radian with no fracture. A sloped edge combined with drilling a hole near the haunch tip or a pair of stiffeners(partially or fully) extended from the beam web successfully prevented the crack initiation at the haunch tip. The strut action of the haunch web, which had been predicted from the previous analytical study, was also experimentally identified through the strain gage readings.

An Experimental Study on Flow Characteristics in the Open Annular Flume (환형수조에서 흐름특성에 관한 실험적 연구)

  • Choi, In Ho;Kim, Jong Woo
    • Journal of Wetlands Research
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    • v.21 no.3
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    • pp.207-214
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    • 2019
  • This study investigated the flow characteristics in an annular flume with a free water surface using the Acoustic Doppler Velocimeter(ADV) in the laboratory. The flow was driven by the rotation of the inner cylinder in a way designed not to interfere with flocculation of cohesive sediments. The effect of the inner cylinder for the longitudinal velocities showed highest near the moving boundary and decreased towards the outer wall. At the lower longitudinal velocity, there was a peak in turbulent kinetic energy near the bed, whereas it moved upward to with increasing of the velocity. The longitudinal velocities estimated using the power law were in good agreement with the measured values than the values predicted by the log-law with roughness lengths. The average friction velocities evaluated by Reynolds shear stress were smaller than the values calculated using the log-law and power law when increasing the longitudinal velocity.