• Title/Summary/Keyword: Joint function

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The Proprioceptive Function of Rotator Cuff Tear Patients: Preliminary Report of Pre-operative Function (회전근개 파열 환자의 고유 수용성 감각 기능: 수술전 기능의 예비 보고)

  • Lee, Hyunil;Heo, Jaewon;Yoo, Jae Chul
    • Journal of Korean Orthopaedic Sports Medicine
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    • v.12 no.1
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    • pp.29-36
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    • 2013
  • Purpose: Proprioceptive function has been known to be important to shoulder stability. However, the function in rotator cuff tear patients is rarely investigated. The purpose of current study is to report the proprioceptive function in rotator cuff tear patients and to analyze the proprioceptive function regarding the tear size and the presence of subscapularis tear. Materials and Methods: Between 2011 and 2012, total 76 patients (male 28 and female 48) were recruited and average age was 61.7 years old (range, 38~76). Preoperatively, joint position senses in internal and external rotation were measured for proprioceptive function testing by method of active re-positioning technique. The absolute difference from set point was measured. Proprioceptive function was further analyzed according to tear size of rotator cuff, the presence of subscapularis tear, visual analogue scale of pain, shoulder functional score (American society of elbow and shoulder score), and ranges of motion in shoulder. Results: The absolute difference for external rotation was $4.9^{\circ}{\pm}2.9^{\circ}$, in normal joint and $4.9^{\circ}{\pm}3.0^{\circ}$for involved joint in rotator cuff tear patients. This difference was not significant statistically (p=0.87). The absolute difference for internal rotation was $4.0^{\circ}{\pm}2.7^{\circ}$in normal joint whereas $4.8^{\circ}{\pm}3.7^{\circ}$ for involved joint showing statistically significant difference (p=0.043). There was some trend that the proprioceptive function of internal rotation was more impaired in the bigger tear size group (more than medium tear) compared to the smaller tear size group (partial thickness and small tear, 5.0 vs. 4.0, p=0.061). The impairment of internal rotation proprioception was also accentuated in patients with subscapularis tear (4.8 vs. 4.0, p=0.065). The proprioceptive function of internal rotation was decreased when the pain visual analogue scale was increased (5.2 vs. 4.0 p=0.04), shoulder functional score was decreased (6.1 vs. 4.2, p=0.005), or range of motion in shoulder joint was restricted (5.3 vs. 3.7, p=0.041). Conclusion: The deficit of proprioceptive function was observed in rotator cuff tear patients. Proprioception for internal rotation was impaired in patients with the bigger tear size and subscapularis tear. Pain, shoulder function score, and range of motion were also shown to be related with the deficit in proprioceptive function.

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An Application of the Aumann-Sharpley Prices for Joint Cost Allocation through Book Profit (Aumann-Sharpley 가격에 의한 공통 제조원가의 배분 - 상대적 이익 기여도를 중심으로-)

  • Lee, Kyung-Keun
    • IE interfaces
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    • v.2 no.2
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    • pp.25-32
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    • 1989
  • We study the joint cost allocation based on the book profit producing power of the output through the A-S price mechanism. We show what part of the A-S book profit is allocated to the joint cost and what part is allocated to the variable total book profit of the short-run book profit function. Also we compare some other classical joint cost allocation methods with this A-S price method.

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Effect of Quadriceps Activity for Degenerative Arthritis Applied EMG Biofeedback Training (근전도 바이오피드백 훈련이 퇴행성 슬관절염 환자의 대퇴사두근 활성에 미치는 효과)

  • Kim, Young-Eok;Kim, Dong-Youn
    • Journal of the Korean Academy of Clinical Electrophysiology
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    • v.6 no.1
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    • pp.31-42
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    • 2008
  • This study performed in order to investigate the effect of isometric resistance exercise for vastus medialis oblique muscle with EMG(electromyography) biofeedback training which are applied to the patello-femoral joint of patients with osteoarthritis on the improve of function. The subjects had no neuromuscular disorders, and they were elder patients with osteoarthritis, 20 women. And the experiment was performed in control group, taping with EMG biofeedback training group respectively, and the measurement was carried out before and after the treatment and 4 weeks after the treatment. Motor unit action potential analysis with surface electromyography showed a significant change in RMS(root mean square) amplitude and MDF(median frequency) in vastus medialis oblique muscle(p<0.05). VMO/VL(vastus medialis oblique/vastus lateralis oblique) MDF ratio showed a significant change between groups(p<0.05). Taping with EMG biofeedback training applied to patello-femoral joint of osteoarthritis patients appeared to be effective for muscle function improvement. However, increase of muscular force in vastus medialis oblique muscle appears to have a positive effect on improve of function along with correction effect on patella malalignment. In conclusion, in case of osteoarthritis patients with loss of patello-femoral joint function, it appears to be effective to practice isometric resistance exercise of vastus medialis oblique muscle selective with taping.

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Deformation Characteristics of Artificially Fracture Joins of Granite under Normal and Shear Loading (수직 및 전단하중하에서 화강암 인공절리의 변형특성)

  • 김영근;이희근
    • Tunnel and Underground Space
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    • v.3 no.2
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    • pp.142-151
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    • 1993
  • In this study, the deformation characteristics of atrtificially fractured joints of granite under normal and shear loading were investigated. To obtain the characteristics of joint deformation, compression and shear tests were performed in the laboratory on three different sizes of rock specimens. The rock used in the experimens was Iksan granite. Joints were produced artificially by fracturing using the apparatus for generating extension-joint. Joint normal deformability was studied by conducting cyclic loading tests on the joints. Joint closure varied non-linearly with normal stress through cyclic loadings. As normal stress increased, the joints gradually reached a state of maximum joint closure. The relation between normal stress and joint closure for mated and unmated joints was well described by the hyperbolic and exponential function, respectively. Joint shear deformability was studied by performing direct shear tests under normal stresses on the joints. it was shown that the behaviour in the prepeak range was non-linear and joint shear stiffness depended on the size of specimen and the normal stress.

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Joint mechanoreceptors of shoulder (견관절의 관절 기계적수용기)

  • Kweon Oh-Hyun;Yuk Goon-Chang;Bae Sung-Soo
    • The Journal of Korean Physical Therapy
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    • v.15 no.2
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    • pp.12-18
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    • 2003
  • Proprioception can be defined as a specialized variation of touch that encompasses the sensation of joint movement(kinesthesia) and joint position(static joint position sense). Several types of joint and muscular mechanoreceptors provide proprioceptive information for joint stability. Joint mechanoreceptors have been classified into four types based of activation characteristics : Ruffini endings, Pacinian corpuscles, Golgi tendon organlike endings, free nerve endings. The paper review the morphology, distrubution, function of mechanoreceptors in shoulder joint.

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Hip Function after Surgically Treated Isolated Traumatic Acetabular Fracture: A Prospective Series of Consecutive Cases

  • Indy Smits;Niek Koenders;Vincent Stirler;Erik Hermans
    • Hip & pelvis
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    • v.35 no.2
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    • pp.133-141
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    • 2023
  • Purpose: Isolated acetabular fractures can occur as a result of a high energy impact on the hip joint. Surgery is required for most patients with an isolated acetabular fracture in order to alleviate pain, restore joint stability, and regain hip function. This study was conducted in order to examine the course of hip function in patients after surgical treatment of an isolated traumatic acetabular fracture. Materials and Methods: This prospective series of consecutive cases included patients who underwent surgery for treatment of an isolated acetabular fracture in a European level one trauma center between 2016 and 2020. Patients with relevant concomitant injuries were excluded. Scoring of hip function was performed by a trauma surgeon using the Modified Merle d'Aubigné and Postel score at six-week, 12-week, six-month, and one-year follow-up. Scores between 3-11 indicate poor, 12-14 fair, 15-17 good, and 18 excellent hip function. Results: Data on 46 patients were included. The mean score for hip function was 10 (95% confidence interval [CI] 7.09-12.91) at six-week follow-up (23 patients), 13.75 (95% CI 10.74-16.76) at 12-week follow-up (28 patients), 16 (95% CI 13.40-18.60) at six-month follow-up (25 patients), and 15.50 (95% CI 10.55-20.45) at one-year follow-up (17 patients). After one-year follow-up, the scores reflected an excellent outcome in 11 patients, good in five patients, and poor in one patient. Conclusion: This study reports on the course of hip function in patients who have undergone surgical treatment for isolated acetabular fractures. Restoration of excellent hip function takes six months.

A Class of Bivariate Linear Failure Rate Distributions and Their Mixtures

  • Sarhan, Ammar M.;El-Gohary, A.;El-Bassiouny, A.H.;Balakrishnan, N.
    • International Journal of Reliability and Applications
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    • v.10 no.2
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    • pp.63-79
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    • 2009
  • A new bivariate linear failure rate distribution is introduced through a shock model. It is proved that the marginal distributions of this new bivariate distribution are linear failure rate distributions. The joint moment generating function of the bivariate distribution is derived. Mixtures of bivariate linear failure rate distributions are also discussed. Application to a real data is given.

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Physical Function of Patients with Amyotrophic Lateral Sclerosis (근위축성측삭경화증 환자의 신체적 기능 상태)

  • Lee, Yoon-Kyoung;Lim, Nan-Young;Kim, Seung-Hyun
    • Journal of muscle and joint health
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    • v.13 no.2
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    • pp.130-139
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    • 2006
  • Purpose: This study was designed to present preliminary data for the development of appropriate nursing care system for the patients with ALS by analyzing their physical function. Method: The clinical data of 36 ALS patients, who visited ALS Clinic of H University Hospital in Seoul, were collected from January, 2006 to August, 2006. To determine the physical function, Norris ALS scale and Appel ALS Rating Scale were used. The data were analyzed by frequency, percentage, mean, standard deviation, range, t-test, ANOVA, using SPSS PC program. Results: The mean score of physical activity, muscle strength, upper extremity function, lower extremity function was 18.08, 27.72, 25.94, 25.19 respectively. There were significant differences in physical activity, muscle strength, and upper extremity function according to sender and comorbid disease(diabetes). Although sites of symptom onset were not statistically significant with all physical function, patients with bulbar onset showed relatively severe physical disabilities. Conclusion: The preliminary data on physical function of patients with ALS would be helpful for the development of ALS nursing guideline system.

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Development and Evaluation of Functional Group Activity Program on Institutionalized Aged (시설 노인을 위한 기능적 그룹활동 프로그램의 개발 및 운영 평가)

  • Bang, Yo-Soon;Kim, Hee-Young
    • Journal of muscle and joint health
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    • v.18 no.1
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    • pp.83-92
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    • 2011
  • Purpose: The purpose of this study was to identify the changes of physical function, perceptual and cognitive function, emotional function, and functional independence in the institutionalized aged according to functional group activity program (self help Tai Chi exercise plus functional task). Methods: Study subjects were 20 institutionalized aged from June to October in 2010. The subjects received functional group activity program two times a week for 15 weeks. Physical function (grip strength, coordination, lower extremity strength, balance, gait, trunk flexibility), perceptual and cognitive function, emotional function(depression, social skill), and functional independence were measured before and after the program. Results: The subjects showed significantly increased physical function (coordination, lower extremity strength, gait, trunk flexibility), perceptual and cognitive function, emotional function (depression, social skill), and functional independence. The functional group activity program may be an effective strategy for institutionalized elders to enhance their functions. Conclusion: The functional group activity program may be effective on elderly institutions which have limitation in human, material, environmental resources.

Impact of Upper Limb Joint Fluid Variation on Inflammatory Diseases Diagnosis

  • Hari, Krishnan G.;Ananda, Natarajan R.;Nanda, Anima
    • Journal of Electrical Engineering and Technology
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    • v.9 no.6
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    • pp.2114-2117
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    • 2014
  • Joint pain is generally a common disorder not only for the old aged people but also for the immunocompromised patients. The present proposed study reveals the presence of inflammatory diseases in joint generally diagnosed by removing synovial fluid and changes in the volume and composition are examined for the presence of WBC and crystals. This study implement a non-invasive approach to identify the changes in joint fluid by measuring the changes in electrical property of the synovial tissue under the influence of electrical current signal with frequency range between 100 kHz to 300 kHz. The response of tissue for the current signal was measured in terms of potential drop across the tissue. The hardware system design consists of input and output sections. The input section which applies current signal to upper limb joint region is made of ICL8038 function generator IC with amplifier and voltage to current converter. The output section picks voltage variation using metal surface electrode, amplifier, ADC, PIC microcontroller and LCD interface. 100 patient inclusive of normal and disease affected patients where examined for upper limb synovial fluid variation and inflammatory diseases were identified.