• Journal of the Korean Arthroscopy Society
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• v.8 no.1
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• pp.45-50
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• 2004

Purpose: The purpose of this study is to compare the outcome of operative results in the impingement syndrome of the shoulder with and without the stiffness. Material and Method: Seventy-six patients who had the impingement syndrome without stiffness were evaluated, and treated with the subacromial decompression and 24 patients who had the impingement syndrome with stiffness, were treated with the subacromial decompression and the manipulation. The average follow-up period was 32 months. Result: The impingement syndrome of the shoulder with stiffness was more severe in the preoperative pain and worse in ASES score than without stiffness. The postoperative pain and ASES score improved in the both group. The satisfactory groups were 67% in the group with stiffness and 80% without stiffness. The satisfactory rate was 83% in the group with stiffness and 93% without stiffness. The satisfactory groups with diabetes were 47% in the group with stiffness and 81% without stiffness. Forward elevation, exeternal rotation at the side and internal rotation improved in both groups postoperatively and there were no statistically significant differences postoperatively External rotation was restricted statistically in the group with stiffness. Conclusion: Although patients may not regain the full range of motion, the technique of manipulation followed by arthroscopic subacromial decompression offers good pain relief and satisfactory functional recovery for the impingement syndrome with stiffness. However preoperative counseling is necessary for the impingement syndrome combined with diabetes and stiffness due to poor out come.

• The Academic Congress of Korean Shoulder and Elbow Society
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• 2005.03a
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• pp.7-7
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• 2005

• Proceedings of the Korean Society of Propulsion Engineers Conference
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• 2005.11a
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• pp.46-55
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• 2005

For the sea-level performance test of rocket motor designed to operate in the upper atmosphere, ejectors with no induced secondary flow are generally used, which serves dual purposes of evacuating the test cell and performing as a supersonic exhaust diffuser (SED). The main concern of this research is to simulate starting transients in order to visualize evolution of internal shock structures in SED with different initial cell (vacuum chamber) pressures. RANS code with low Reynolds $k-\varepsilon$ turbulence model was employed for these computations. Numerical results were compared with the pressure measurements previously performed [Proceedings of 2004 Annual Conference, KIMST], and showed good agreements with pressure-time history of measured data. In the case of low vacuum chamber pressure, abrupt impingement of the under-expanded supersonic jet from the nozzle onto the diffuser wall was observed, whereas initial impingement point was located downstream and moved slowly upstream in the case of non-vacuum chamber pressure. In spite of initially dissimilar evolution of shock structures, iso-mach contour revealed that the steady shock structures had little difference except the location of flow separation and normal shock.

• Journal of Mechanical Science and Technology
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• v.17 no.12
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• pp.2010-2018
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• 2003

Although continuous casting process has highly developed, there still remain many problems to be considered. Specifically, two vortex flows resulting from impingement against narrow walls make a flow field unstable in a mold, and it is directly related to internal and external defects of steel products. To cope with this instability, EMBR (Electromagnetic Brake Ruler) technique has been lately studied for the stability of molten steel flow, and it is revealed that molten steel flow in a mold can be controlled with applied magnetic field. However, it is still difficult to clarify flow pattern in an EMBR caster due to complex correlations among variables such as geometric factors, casting conditions, and the place and the intensity of charged magnetic field. In the present study, flow field in a mold is focused with different conditions of electromagnetic effect. To accurately analyze the case, three dimensional low Reynolds turbulent model and appropriate boundary conditions are chosen. To evaluate the electromagnetic effect in molten steel flow, dimensionless numbers are employed. The results show that the location and the intensity of the applied magnetic field significantly influence the flow pattern. Both impingement and internal flow pattern are changed remarkably with the change of the location of applied magnetic field. It turns out that an insufficient magnetic force yields adverse effect like channeling, and rather lowers the quality of steel product.

• Clinics in Shoulder and Elbow
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• v.13 no.2
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• pp.280-285
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• 2010

Purpose: Coracoid impingement syndrome refers to subscapularis impingement between the coracoid process and lesser tuberosity of the humerus, and pain may occur when the arm is positioned in forward flexion, internal rotation and adduction. This position is common for archers. Material and methods: A female archer with coracoid impingement syndrome that was uncontrolled by conservative therapy underwent arthroscopic subcoracoid decompression. At the 20th postoperative month of follow up, she complained of painful rotator interval widening and so she underwent arthroscopic rotator interval plication. Results: At the postoperative 6th month of follow up after the second operation, she showed no pain and good functional results, and she returned to competing as an archer. Conclusion: We have reported here on a case of successful treatment of painful rotator widening after subcoracoid decompression in an elite archer.

• Journal of muscle and joint health
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• v.29 no.3
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• pp.141-150
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• 2022

Purpose: This study aimed to investigate the effects of rehabilitation programs with coaching exercise (CE) or home exercise (HE) on shoulder pain, muscle strength, and daily living functions (DLF) in patients with shoulder impingement syndrome. Methods: With quasi-experimental design, thirty patients (15 CE and 15 HE) participated in rehabilitation programs for 12 weeks. At first, data were collected for pain and DLF using questionnaires with testing muscle strength and range of motion. Then, subjects were allowed to receive training on rehabilitation with structured training materials. CE group visited sports center three times a week at P hospital and HE group did self-exercise at home. Data were analyzed using SPSS program. Results: After 12 weeks, both groups showed statistically significant changes in improving pain, muscle strength, and DLF. Compare to HE group, CE group showed a statistically significant improvement in shoulder pain (p=.021), muscle strength in internal rotation (p=.001) and abduction (p=.013) and DLF (p=.012). Conclusion: Rehabilitation programs for patients with shoulder impingement syndrome were effective to improve pain, muscle strength, and DLF. Although CE would bring the better effects, it is possible to apply HE through structured education to patients who are difficult to visit hospitals.

• Clinics in Shoulder and Elbow
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• v.5 no.2
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• pp.63-68
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• 2002

Volleyball has become one of the world's most popular participatory sports in recent years. There are many dynamic skills and movements needed to play the game. As a result, many acute and overuse injuries to the shoulder may occur. This article addresses the common injuries and rehabilitation recommendations for the shoulder injuries in the volleyball players. The glenohumeral instability, primary or secondary impingement, internal impingement, labral injuries, and suprascapular nerve lesions are common problems in volleyball players. A basic knowledge of the biomechanics and volleyball maneuvers (blocking, serving, and spiking) can help in the development of appropriate trainging and reha- bilitation protocols. Special emphasis must be placed on the knowledge of muscular patterns involved in serving and spiking, because they typically require a strenuous unilateral action of the dominant shoulder. It is therefore impera- tive to include adequate stretching and muscular training programme for the prevention, as well as for therapy, of shoulder pain in volleyball players.

• 한국전산유체공학회:학술대회논문집
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• 2005.10a
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• pp.281-285
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• 2005

Viscous solutions of supersonic jet impinging on a flat wall in a confined plenum are simulated using three-dimensional Navier-Stokes solver. A confined plenum was designed for simulating the missile launch and analyzing the behavior of the exhaust plume, which were accompanied by complex flow interactions with shock and boundary layer. Concerns of this paper are to show accurate simulation of internal flow in confined plenum and to demonstrate the jet flow structure when the jet interacts with a small opening on the side. Objectives of this numerical simulation are to understand the effect of changing the plume exit area of the plenum. Pressure and temperature rise at certain position in the plenum are traced and compared with test data.

• Transactions of the Korean Society of Automotive Engineers
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• v.11 no.3
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• pp.77-84
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• 2003

It is an aim of this study to perform extensive numerical study for analyzing the anisotropic turbulence effects on spatial and temporal behaviors of diesel sprays after wall impingement. The turbulence model of Durbin is used for comparisons with the $k-\varepsilon$ model. The turbulence-induced dispersions of droplets are considered to describe the anisotropy of turbulence effectively and the spray/wall interactions are simulated using the model of Lee and Ryou. The present study investigates the internal structures of impinging diesel sprays such as Sauter mean diameter (SMD), loca1 droplet velocities, and local gas velocities and also compares the results predicted by two turbulence models with the experimental data. The Durbin's model considering the anisotropy of turbulence predicts both gas and droplet tangential velocities better than the$k-\varepsilon$ model does. It is concluded that the anisotropy of turbulence should be considered in simulating impinging diesel sprays.

• The Journal of Korean Physical Therapy
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• v.12 no.2
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• pp.95-105
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• 2000

Glenohumeral internal and external rotation with shoulder abducted in the frontal plane often causes impingement of the supraspinatus tendon. whereas similar activity in scapular plane does not cause impingement. The Purpose of this study was to determine if assessment among the three positions as 30 degrees, 60 degrees, 90 degrees abduction in the sitting position of the scapular plane could be affected the comparison between intemal and external peak torque, total work, average power. In this study, Isokinetic shoulder rotational strength was evaluated in twenty healthy male university students, using the Cybex NORMTM System (CYBEX Division of LUMEX, Inc., Ronkonkoma, New York). Test data was gathered in the plane of the scapular, 30 degrees of horizontal flexion anterior to coronal plane, and the subjects performed the test with the arm 30, 60, and 90degrees abducted in the sitting position. also, test speed was set at deg/sec. Statistical analysis was performed using SPSS 7.5 for Windows software and mean and standard deviations were calculated. ANOVA was used to analyze the difference of the values in the three test positions. A paired t-test was used of examining the difference in the means peak torque between external and internal rotation. Not any significant difference was found among three abduction positions in scapular plane, even though there was a consistent pattern of greater strength in the abducted position of 60 degrees. Internal relation strength peak torque and total work were greater than those of external rotation in every test positions.