• Title/Summary/Keyword: Lateral Rotation

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Versatile Two Island Flaps for Head and Neck Reconstruction (두경부 재건에 융용한 두가지 도서형 피판 : 대흉근피판과 외측 승모근피판)

  • Lee Hye-Kyung;Shin Keuk-Sun;Kim Kwang-Moon
    • Korean Journal of Head & Neck Oncology
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    • v.7 no.2
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    • pp.92-98
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    • 1991
  • Numerous mycoutaneous island flaps or free flaps have been used to reconstruct a defect which resulted from the wide resection of tumor mass in head and neck region. Since the curative resection of tumor usually include muscles and bones as well as skin and mucosa, the anatomical and functional restoration of the defect depend on which and what amount of tissues were provided to cover the defect; good aesthetic appearance subsequently follows the result. Furthermore, a simultaneous neck nodes dissection usually results in exposure of major neck vessels., which should be protected with sufficient padding. The ideal method to reconstruct a defect in the head and neck region requires a sufficient coverage by muscle layer with good vascularity, a wide arc of rotation, and minimization of donor site defect. The pectoralis major myocutaneous flap which was first decribed by Ariyan and lateral trapezius myocutaneous flap by Demergasso meet these criteria. We describe the use of these myocutaneous flaps in reconstruction of mandible and oral cavity.

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Investigating the effect of bond slip on the seismic response of RC structures

  • Fallah, Mohammad Mehdi;Shooshtari, Ahmad;Ronagh, Hamid Reza
    • Structural Engineering and Mechanics
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    • v.46 no.5
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    • pp.695-711
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    • 2013
  • It is reasonable to assume that reinforced concrete (RC) structures enter the nonlinear range of response during a severe ground motion. Numerical analysis to predict the behaviour therefore must allow for the presence of nonlinear deformations if an accurate estimate of seismic response is aimed. Among the factors contributing to inelastic deformations, the influence of the degradation of the bond slip phenomenon is important. Any rebar slip generates an additional rotation at the end regions of structural members which are not accounted for in a conventional analysis. Although these deformations could affect the seismic response of RC structures considerably, they are often neglected due to the unavailability of suitable models. In this paper, the seismic response of two types of RC structures, designed according to the Iranian concrete code (ABA) and the Iranian seismic code (2800), are evaluated using nonlinear dynamic and static analyses. The investigation is performed using nonlinear dynamic and static pushover analysis considering the deformations due to anchorage slip. The nonlinear analysis results confirm that bond slip significantly influences the seismic behavior of RC structure leading to an increase of lateral deformations by up to 30% depending on the height of building. The outcomes also identify important parameters affecting the extent of this influence.

A Clinical Study on the Outcome of Chuna Treatment of Adolescent Structural Scoliosis (청소년기의 구조적 척추측만증에 대한 추나치료 결과 고찰)

  • Heo, Su-Young
    • The Journal of Korea CHUNA Manual Medicine
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    • v.2 no.1
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    • pp.121-132
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    • 2001
  • Objectives The present study retrospectively investigated clinical outcome of patients with structual scoliosis during Chuna treatment. Methods : The study population consisted of 34 patients(14 patients of adolescent and 20 patients of adult) who were diagnosised as scoliosis with radiological finding. All patients were treated with Chuna treatment, and after treatment, evaluated with radiological measurement by calculating the scoliosis correction angle from the Initial and follow-up spine AP and lateral views. Also the evaluation of clinical outcome was done twice pre and post treatment during this study. Results : The results were summarized as follows ; 1) The 85.3 percent of patients complained physical pain. and adult group had various painful lesion compared with adolescent group. 2) Adult group had treated $18.0{\pm}7.2$ times and adolescent group treated $13.5{\pm}5.7$ times with Chuna treatment. 3) Scoliotic angle is reduced in 92.9 percent of adolescent group and had all of adult group after Chuna treatment, especially, statistically significance appeared in adult group. 4) Adult group was superior to adolescent group in correctability and scoliotic angle change. 5) Correction effect was better in the group which initial scoliotic angle was lessor, or had more time of treatment. 6) According to grade of vertebral body rotation, scoliotic angle is larger and correctability was lower. Conclusions : Chuna treatment was efficacious against scoliosis. And it is necessary for adolescent scoliosis patient to be more carefully treated and observed.

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Therapeutic Exercise of Low Back Pain (요통(腰痛)의 운동요법(運動療法)에 관한 고찰(考察))

  • Song, Young-Sang;Lim, Hyung-Ho
    • The Journal of Korea CHUNA Manual Medicine
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    • v.2 no.1
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    • pp.51-84
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    • 2001
  • Objective : The therapeutic exercise on low back found In the literatures mostly have adopted methods that are applied to only certain muscles. The purpose of this paper to classify various low pains and to Investigate an active physical treatment can be applied to certain low back pain. Methods : By exploring the journals and medical publications. Results and Conclusions 1. A goal of low back exercise is reinforcement and extension of muscles in order to control pains. 2 Low back exercise which causes the movement of the spinal joint and disk can control pains. 3. Flexion exercise of lumbar spine can be generally applied to any low back pains except kyposis. 4. Extension exercise of lumbar spine can be applied to any low back pains except facet joint syndrome or hyperlordosis. 5. Rotation exercise of lumbar spine can be applied to any low back pains except facet joint syndrome. 6. Lateral bending exercise of lumbar spine can be applied to HNP. facet Joint syndrome, scoliosis.

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A CLINICAL CONSIDERATION ON TREATMENT OF ANTERIOR CROSS-BITE IN GROWING CHILDREN (THE EFFECT OF CHIN CAP) (성장기아동(成長期兒童)의 반대교합치료(反對咬合治療)에 관(關)한 임상적(臨床的) 고찰(考察) (- 신모효과(?帽?果) -))

  • Sung, Jae Hyun
    • The korean journal of orthodontics
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    • v.12 no.2
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    • pp.117-126
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    • 1982
  • The author evaluated the effect of chin cap for the growing patient with cross-bite. The date were obtained from superimposition of pre and post-treatment lateral cephalograms. The results might be as follows; 1. increase ANB angle, Y-axis angle, SN-MP angle. 2. made anterior facial height more greater than posterior facial height. 3. as a results, rotate mandible backward.

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The Effects of Trunk Strengthening Program in Gait and Spinal Segment with Spastic Cerebral Palsy (청소년기 경직형 뇌성마비아동의 체간강화 운동이 척추분절 및 보행에 미치는 영향)

  • Lee, Yeon-Seop;Nam, Taek-Gil
    • Journal of Korean Physical Therapy Science
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    • v.19 no.1
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    • pp.1-7
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    • 2012
  • Purpose : This study aims to examine effects of trunk strengthening exercise in three rigid cerebral palsy adolescents aged between 11 and 13 on their spinal segments and gait. Methods : 2A trunk strengthening program for proprioceptive neuromuscular facilitation was made focusing on improvement in their school life and mental and social activities during their school years, and then trunk strengthening exercise was applied to the three subjects for 30 minutes five times per week for four weeks. With the subjects in a static state, each group's gait analysis was made and maximum anterior flexion, maximum extension, maximum left and right lateral flexion, and cross rotation of the trunk were measured using Sonosens (Germany) prior to and after the intervention. Results : Assessment of spinal segment mobility with the subjects in a static state showed that the trunk muscle strengthening exercise increased their maximum joint movement angles from the right side to the center and rotational abilities of the cervical and lumbar spines. Gait analysis indicated increased movements in the thoracic and lumbar spines and relatively decreased anterior-posterior movement of the cervical spine. Conclusion : Trunk strengthening program is effective in enhancing spinal segment mobility and balance ability of cerebral palsy adolescents and considered able to be used together with diverse treatment interventions.

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A Study of Biomechanical Simulation Model for Spinal Fusion using Spinal Fixation System (척추경 고정 나사 시스템을 이용한 척추 유합 시술의 생체역학적 분석 모델 연구)

  • Kim, Sung-Min;Yang, In-Chul;Kang, Ho-Chul
    • Journal of the Korean Society for Precision Engineering
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    • v.27 no.2
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    • pp.137-144
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    • 2010
  • In general, spinal fusion surgery takes pressure off the pain induced nerves, by restoring the alignment of the spine. Therefore spinal fixation system is used to maintain the alignment of spine. In this study, a biomechanical study was performed comparing the SROM(Spinal Range Of Motion) of three types of system such as Rigid, Dynesys, and Fused system to analyze the behavior of spinal fixation system inserted in vertebra. Dynesys system, a flexible posterior stabilization system that provides an alternative to fusion, is designed to preserve inter-segmental kinematics and alleviate loading at the facet joints. In this study, SROM of inter-vertebra with spinal fixation system installed in the virtual vertebra from L4 to S1 is estimated. To compare with spinal fixation system, a simulation was performed by BRG. LifeMOD 2005.5.0 was used to create the human virtual model of spinal fixation system. Through this, each SROM of flexion, extension, lateral bending, and axial rotation of human virtual model was measured. The result demonstrates that the movement of Dynesys system was similar to normal condition through allowing the movement of lumbar.

Sliding Mode Trim and Attitude Control of a 2-00F Rigid-Rotor Helicopter Model

  • Jeong, Heon-Sul;Chang, Se-Myong;Park, Jin-Sung
    • International Journal of Aeronautical and Space Sciences
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    • v.6 no.2
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    • pp.23-32
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    • 2005
  • An experimental control system is proposed for the attitude control of a simplified 2-DOF helicopter model. The main rotor is a rigid one, and the fuselage is simply supported by a fixed hinge point where the longitudinal motion is decoupled from the lateral one since the translations and the rolling rotation are completely removed. The yaw trim of the helicopter is performed with a tail rotor, by which the azimuthal attitude can be adjusted on the rotatable post in the yaw direction. The robust sliding mode control tracking a given attitude angle is proposed based on the flight dynamics. A pitch damper is inserted for the control of pitching angle while the compensator to reaction torque is used for the control of azimuth angle. Several parameters of the system are selected through experiments. The results shows that the proposed control method effectively counteracts nonlinear perturbations such as main rotor disturbance, undesirable chattering, and high frequency dynamics.

A Case of Osteotomy of the Distal Radius and Ulna with Panarthrodesis of Carpus for Reform of (성장판 조기페쇄에 따른 요척골 외전과 완관절 아탈구 교정들 위한 요척골 절단술 및 광범위 완관절 고술의 일례)

  • 이종일;김남수;최인혁
    • Journal of Veterinary Clinics
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    • v.17 no.2
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    • pp.485-489
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    • 2000
  • A 23.5 kg179, 8 months olds non-spaycd female Rottweiler dog was submitted to the veterinary teaching animal hospitals Chonbuk: national university, for chronic bitten trauma on right foreleg with pain, lameness, and pronation. The patient fought with a neighboring dog about five months ago and had mild anorexia, depression, bolt normal walking at that time. CBC and blood chemical examination were in normal range. Physical examination resulted in the right foreleg with edema and interval rotation of carpal joint. Radiograph of the right carpus showed varus and subluxation. We finally diagnosed the patient as the growth deformity of distal radius and ulna caused by medial premature closure of distal radial physis. Osteotomy was performed fur reforming of the varus of the distal radius and ulna with 6-hole straight plate and six 3.5 mm screws. Panarthrodcsis of carpus was preformed for correcting subluxation using 6-hole T-shaped plate and four 3.5 mm screws with cortical onlay autograft and strengthened by two 3.5 mm screws and tension wire band in lateral aspect of the carpus. Follow-up radiographs after 16 weeds of the surgery showed complete coaptation of osteotomy sire of the radius and uIna. After 6 months of the procedurc, talc plate, screws and the wire were removed except 7-shaped plate and four screws fur arthrodesis. The patient was seen in normal forelimb and could walk and run without lameness after 7 months of the procedure.

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The Effects of Pelvis, Lumbar Spine and Cervical Spine Manipulation on Joint Position Sense in Healthy Adults

  • Gong, Wontae
    • Journal of International Academy of Physical Therapy Research
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    • v.9 no.1
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    • pp.1381-1386
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    • 2018
  • The purpose of this study is to investigate the effect of pelvic, Lumbar spine and Cervical spine manipulation on the joint position sense in normal adults. Thirty normal adults were divided into an experimental group of 15 subjects and a control group of 15 subjects. The experimental group was treated with pelvic, Lumbar spine and Cervical spine manipulation with massage, whereas the control group received only massage. Both groups were evaluated in terms of joint position errors (JPEs) using a digital dual clinometer before and after the experiment. The comparison of the JPEs of the experimental group and the control group before and after the experiment showed that the experimental group's cervical spine results were significantly different in the flexion, left lateral flexion, and right rotation (p < .05) and lumbar spine results were significantly different in the flexion and extension (p < .05), but the control group's results were not statistically significant in all items (p > .05). The pelvic, lumbar spine and cervical spine manipulation makes an effect on the joint position sense in normal adults. The findings of this study suggest that the pelvis, lumbar spine and cervical spine manipulation improve the motor ability in people with low joint position sense.