• Title/Summary/Keyword: Arch support

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Changes in Medio-lateral Knee Joint Reaction Force of Patients with Over-pronation during Gait Due to Insole Parameters - A Case Study (인솔 설계 변수에 따른 발목 과-회내 환자의 보행 시 좌우 방향 무릎 관절 하중의 변화 - 사례 연구)

  • Lee, Sang-Jun;Baek, Seung-Yeob;Son, Jin-Kyou;Kim, Dong-Wook;Lee, Kun-Woo
    • Korean Journal of Computational Design and Engineering
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    • v.17 no.3
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    • pp.149-155
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    • 2012
  • The ankle over-pronation causes the mechanical overloading transferred to proximal areas (i.e. knees or hips) over time. Thus, the over-pronation is recognized as a contributory factor in a wide variety of musculo-skeletal pathologies in lower extremities. Commonly, over-pronated ankles are treated using specially designed insoles that support medial heels and correct the posture of lower limbs. However, the biomechanical effects of the insoles are not yet fully understood, so there still are controversies whether such insoles really have clinical significance. In this study, in order to verify the effects of insoles and determine the best shape of the insoles, we examined how the medio-lateral knee joint reaction force changes due to insole conditions through a case study about a subject. As a result, it is revealed that the medial heel post, which drastically reduced the peak medio-lateral knee joint reaction force, has significant effects on the gait of the over-pronated patients. However, in case that the arch support is combined together, the positive effect of the medial heel post may rather decrease.

Malocclusion with Congenital Missing of Lower Incisors (하악 전치의 선천적 결손을 동반한 부정 교합의 치험례)

  • Kim, Kyung-Ho;Choy, Kwang-Chul;Chung, Kil-Yong;Yun, Hee-Sun
    • The korean journal of orthodontics
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    • v.28 no.6 s.71
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    • pp.981-989
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    • 1998
  • Positions, angulation and mesiodistal dimension of lower incisors are important in esthetics, occlusion and post-treatment stability of tower arch. When lower incisor is congenitally missing, problems such as increased overjet and overbite, closing in of adjacent teeth and size/space discrepancies may occur. When creating treatment plans, incisor position and angulation, lip support, anteroposterior skeletal relationship canine-molar relationship, overjet overbite, remaining growth potential, crowding and anterior tooth ratio have to be considered. For an accurate analysis of incisal size discrepancy, diagnostic model set-up may be helpful. The two patients in this presentation both had two lower incisor missing, but the degree of crowding, skeletal relationship, lip support, molar relationship are different and therefore treatment plan was different as well. Long term follow-up may be necessary for stability and retention.

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Reinforcing Effect of Pre-Tensioned Rock Bolts in the Jointed Rocks Condition (록볼트 긴장에 의한 수평절리암반의 보강효과)

  • An, Joung-Hwan;Lee, Sang-Duk
    • Tunnel and Underground Space
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    • v.19 no.5
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    • pp.388-396
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    • 2009
  • Rock bolt is one of the most important supports for tunnelling to prevent excessive ground relaxation at the primary tunnel excavation stage. It forms a ground arch band by confining the ground around a tunnel. Rock bolt has various effects, such as support or hanging effect, internal pressure effect, arching effect, ground improvement effect etc. Most studies on rock bolt focused on the concept of support, but only a few researches on the ground reinforcing effect by pre-tensioning a rock bolts. In this study, large scale model tests are performed to investigate the ground reinforcing effect of rock bolts for regularly jointed rocks. Simple beam model was built to find out the reinforcing effect of jointed rocks, which was reinforced by pre-tensioned rock bolts. Settlement of model beam was analyzed through measuring its sagging for various installation intervals.

CASES REPORT OF CLEFT ALVEOLUS REPAIR WITH PMCB GRAFT (치조골 파열환자의 자가망상골 이식을 이용한 치험례)

  • Lee, Dong-Keun;Choi, Seong-Hoon;Chung, Hyung-Bai
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.13 no.1
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    • pp.9-15
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    • 1991
  • The cleft alveolus occurs about 75% of cleft lip and palate patients. The purpose of bone grafting is improve the maxillary growth, rehabilitation of continuty of maxillary arch and providing bone for periodontal support for unerupted teeth. The bone grafting for alveolar cleft defect repair are classsified; primary bone grafting, early secondary bone grafting secondary bone grafting and late secondary bone grafting. In this article, we reported the cases of PMCB grafts for repair of the alveolar clefts showed potential benifit to the patient to induce a normal maxillary growth and providing bone foor periodontal support of unerupted teeth.

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A Study on Locational Competitiveness Factor of Inland Logistics Complex in Gangwon (강원영동남부권 내륙물류기지 입지경쟁 요인에 관한 연구)

  • MIN, Se-hong;JEONG, Dong-hun;KANG, Dal-won
    • The Journal of shipping and logistics
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    • v.34 no.4
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    • pp.637-656
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    • 2018
  • This res arch was conducted to identify a suitable location for an inland logistics complex in Gangwon Province, South Korea and it aims use competitive factors to derive implications from the logistics competitiveness of Gangwon Province. According to Origin-Destination analysis, the most suitable and desirable site for creating the complex was found to be in the Wonju city area. A total of 28 variable were derived through prior study in order to identify the competition factors for the inland logistics complex, As a result of exploratory factor analysis, a total of 16 subfactors were reclassified into four main factors. Analytic hierarchy process(AHP) analysis showed that 'accessibility factors' (0.374) ranked highest in terms of importance, followed by 'reliability factors' (0.358), 'operability factors' (0.166), and 'government policy factors' (0.102). In each category, delivery of goods from the inland logistics complex base to the demand site was found to be the most important factor (0.160).

Differences in Spatiotemporal Gait Parameters and Lower Extremity Function and Pain in Accordance with Foot Morphological Characteristics (발의 형태학적 특성에 따른 시공간 보행 변인과 하지의 기능 및 통증 차이)

  • Jeon, Hyung Gyu;Lee, Inje;Lee, Sae Yong;Ha, Sunghe
    • Korean Journal of Applied Biomechanics
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    • v.31 no.2
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    • pp.95-103
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    • 2021
  • Objective: The aim of this study was to investigate the differences in spatiotemporal gait performance, function, and pain of lower-extremity according to foot morphological characteristics. Method: This case-control study recruited 42 adults and they were classified into 3 groups according to foot morphology using navicular-drop test: pronated (≥ 10 mm), normal (5~9 mm), and supinated (≤ 4 mm) feet. Spatiotemporal gait analysis and questionnaires including Foot and Ankle Ability Measure activities of daily living / Sports, Western Ontario and McMasters Universities Osteoarthritis Index, Lower Extremity Functional Scale, International Physical Activity Questionnaire, and Tegner activity score were conducted. One-way analysis of variance was used for statistical analysis. Results: The pronated feet group showed longer loading response and double limb support in both feet and increased pre-swing phase in non-dominant feet. The supinated feet group demonstrated a longer swing phase in non-dominant feet and single limb support in dominant feet. However, there was no significant group difference in function and pain of knee joint and lower-extremity between groups. Conclusion: Our results indicated that abnormal spatiotemporal gait performance according to foot morphology. Although there was no difference in lower extremity dysfunction and pain according to the difference in foot morphology, they have the possibility of symptom occurs as a result of continuous participation in activities of daily living and sports. Therefore, individuals with pronated or supinated foot should be supplemented by utilizing an orthosis or training to restore normal gait performance.

ALVEOLAR CLEFT GRAFT (치조열 골이식)

  • Jun, Sang-Ho;Padwa, Bonnie L.;Jung, Young-Soo
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.31 no.3
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    • pp.267-272
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    • 2009
  • Bone grafting the alveolar cleft allows for stability and continuity of the dental arch, provides bone for eruption of permanent teeth or placement of dental implants, and gives support to the lateral ala of the nose. Closure of residual oronasal fistula can occur simultaneously. Repair of alveolar clefts can occur at a variety of stages defined as primary, early secondary, secondary, and late. Most centers perform this surgery as secondary bone grafting. Autogenous bone provides osteogenesis, osteoinduction and conduction and is recommended for grafting to the cleft alveolus and several donor sites are available. The surgeon should select the best flap design considering the amount of mucosa available, blood supply and tension-free closure, and the extent of the oronasal communication. The authors provide a comprehensive understanding of alveolar clefts and their repair by reviewing the historical perspective, objectives for treatment, timing, source of graft, presurgical orthodontics, surgical techniques, postoperative care, and complications.

ORTHODONTIC TREATMENT OF PALATALLY IMPACTED GAMINE (상악 구개측 매복 견치의 교정적 치료)

  • Chang, Young-Il;Sohn, Young-Hwa;Kim, Tae-Woo
    • The korean journal of orthodontics
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    • v.24 no.3 s.46
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    • pp.509-519
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    • 1994
  • Upper canine is described as 'cornerstone' of maxilla, and its importance is implicated by long root and good alveolar support. The incidence of impaction of upper canine is the second most frequent next to the third molar because it takes a long period of time to develop, and has a complicated path of eruption, and erupts lately. Generally, the patient who has a palatally impacted canine visit the clinic primarily due to a missing of canine after 12-13 years old. Palatally impacted canine is different from labially impacted canine in its cause and treatment process. It is due to malposition or anomalous lateral incisor rather than arch length deficiency. Once the impaction is identified, the first stage of the treatment is to localiz the lesion by radiographic examinations or others and according to severity, orthodontic traction, or transplantation should be considered, and comprehensive diagnosis and treatment plan of malocclusion should be estsblished. Properly managed impacted canine can provide funtion and esthetic through proper diagnosis and treatment of extraction of canine is not indicated.

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CASE REPORT ON FORCED ERUPTION FOR CLINICAL CROWN LENGTHENING IN MAXILLARY ANTERIORS (상악전치부에서 치아정출술을 이용한 치관연장의 증례보고)

  • Kim, Young-Jun;Ju, Jae-Ig;Ryue, Myung-Girl;Jin, Yu-Nam;Chung, Hyun-Ju
    • Journal of Periodontal and Implant Science
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    • v.25 no.1
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    • pp.111-120
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    • 1995
  • This case report presents two maxillary anterior cases for clinical crown lengthening by forced eruption. In the first case, clinical crown of maxillary right lateral incisor was almost lost by fracture. Forced eruption using intracoronal splint and elastic thread accomplished vertical root movement successfully. Then, post & core was inserted and final restoration was harmonious with adjacent teeth. In the second case, the crown portion of maxillary right central incisor was almost mutilated by secondary caries. Forced eruption using removable Hawley appliance and elastic accomplished vertical root movement successfully. Then, post & core was inserted and final restoration was placed. In conclusion, clinical crown lengthening by vertical root movement can be accomplished by a simple appliance without any sacrifice of periodontal support in selected patients. A clinical crown so created can be restored to adequate function and arch integrity without compromising adjacent teeth. Therefore, forced eruption is preferred in the anterior region of the dentition where esthetics is of major concern.

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TREATMENT OF ECTOPIC ERUPTION OF LOWER PERMANENT MOLAR : A CASE REPORT (하악 대구치 이소맹출의 치험례)

  • Kim, Jung-Wook;Shon, Dong-Su
    • Journal of the korean academy of Pediatric Dentistry
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    • v.21 no.2
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    • pp.491-495
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    • 1994
  • The ectopic eruption is defined rise to be abnormal eruption, which gives to displacement of the teeth and abnormal root resorption of adjacent teeth. The ectopic eruption of first permanent molar is approximately 2-4% of the population, most of them are in the maxilla, rarely in the mandible. In the case of the second permanent molars, most of them are found in the mandible for the reason of the arch length discrepancies and large size of the teeth. The ectopic erupted molars should be treated early in order to coordinate normal growth pattern and to obtain good occlusal support. So, this should be early diagnosed and treated. But, ectopically erupting molars are often self-corrected, hence periodic follow-up is required. The methods of the treatment are largely classified into surgical, surgical-orthodontic, and orthodontic method. Especially in orthodontic method, they are divided as follows; appliances that is positioned at the contact point for unlocking and the distal movement, fixed and removable appliance that is connected to more than one tooth, and occlusion guiding method after disking or extraction of the second deciduous molar. The report presents the good results in treating patients, whose chief complaint was ectopic eruption of mandibular permanent molars.

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