• Title/Summary/Keyword: Lateral Rotation

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Effects of Posteroanterior Mobilization on the Cervical Spine in Patient with Chronic Whiplash-Associated Disorders

  • Park, Si Eun;Kim, Ji Sung;Choi, Wan Suk
    • Journal of International Academy of Physical Therapy Research
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    • v.8 no.1
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    • pp.1122-1127
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    • 2017
  • The purpose of this case study was to identify the effects of posteroanterior (PA) mobilization on the cervical spine in a patient with chronic whiplash-associated disorder (WAD). The subject of this study was a 58-year-old woman who sustained a chronic WAD as a result of a motor vehicle accident two years prior. The subject has progressively worsening neck pain and stiffness. The subject was determined to have a grade IIb WAD the use of the Modified Quebec Classification. The intervention was central and unilateral PA mobilization on the spinous process of C4 and C5. The PA mobilizations were performed at the end of range to Maitland grade IV. The PA mobilization was conducted once daily for a total of eight days. Two sets of measurements were done one before and one after the intervention. Neck pain, cervical stiffness, range of motion and lordosis of the cervical spine were measured. Experimental intervention decreased the neck pain, and increased the neck stiffness and cervical ROM (range of motion) such as flexion, extension, lateral flexion and rotation. X-ray photographs also represented that cervical curvature increased from $35^{\circ}$ to $40^{\circ}$. This study suggested that PA cervical mobilization applied to hronic WAD is effective in decreasing pain, increasing cervical ROM and cervical curvature.

A STUDY OF DENTAL ANOMALIES (치아이상에 관한 연구)

  • Yang Sook;Kim Jae-Duk
    • Journal of Korean Academy of Oral and Maxillofacial Radiology
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    • v.23 no.2
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    • pp.303-314
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    • 1993
  • The purpose of this study was to find out the prevalence of dental anomalies in 600 normal persons (male:363, female:237) at age 14 to 39 years, through history taking, oral examination, and radiographic observations of subjects. The obtained results were as follows: 1. The prevalences of individual dental anomalies were as follows; Congenitally missing teeth 7%; supernumerary teeth 1.33%; ectopic eruption; 8.50%, transposition;0.33% rotation; 23.67%, microdontia;11.16%(peg lateralis;5.33%, third molar;5.83%), prolonged retention of deciduous teeth;1.33%, crowding 49.83%, and spacing;15.17%. 2. Alterations in numbers of teeth : The most frequently missing teeth were mandibular lateral incisors, followed by mandibular second premolars and maxillary second premolars. In numbers of congenitally missing teeth per person, 52.38% had one missing tooth and 30.95% had two missing teeth. In supernumerary teeth, there was higher rate in male than in female. Most supernumerary teeth were mesiodens of median area in maxilla and the eruption pattern of that teeth generally was unerupted state. 3. In transposition, exchange of position of teeth involved the canine and first premolar. 4. Congenital missing rate of permanent successors in prolonged retention of deciduous teeth was 69.23%. 5. Crowing and spacing had respectively higher rate in mandible and in maxilla.

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A Smart Setup for Craniospinal Irradiation

  • Peterson, Jennifer L.;Vallow, Laura A.;Kim, Siyong;Casale, Henry E.;Tzou, Katherine S.
    • Progress in Medical Physics
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    • v.24 no.4
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    • pp.230-236
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    • 2013
  • Our purpose is to present a novel technique for delivering craniospinal irradiation in the supine position using a perfect match, field-in-field (FIF) intrafractional feathering, and simple forward-optimization technique. To achieve this purpose, computed tomography simulation was performed with patients in the supine position. Half-beam, blocked, opposed, lateral, cranial fields with a collimator rotation were matched to the divergence of the superior border of an upper-spinal field. Fixed field parameters were used, and the isocenter of the upper-spinal field was placed at the same source-to-axis distance (SAD), 20 cm inferior to the cranial isocenter. For a lower-spinal field, the isocenter was placed 40 cm inferior to the cranial isocenter at a constant SAD. Both gantry and couch rotations for the lower-spinal field were used to achieve perfect divergence match with the inferior border of the upper-spinal field. A FIF technique was used to feather the craniospinal and spinal-spinal junction daily by varying the match line over 2 cm. The dose throughout the target volume was modulated using the FIF simple forward optimization technique to obtain homogenous coverage. Daily, image-guided therapy was used to assure and verify the setup. This supine-position, perfect match craniospinal irradiation technique with FIF intrafractional feathering and dose modulation provides a simple and safe way to deliver treatment while minimizing dose inhomogeneity.

Anatomical Ultrastructure of Spermiogenesis and Spermatozoa of Pseudobagrus fulvidraco (Siluriformes: Bagridae) from Korea (한국산 동자개(Pseudobagrus fulvidraco)의 정세포변형과정과 성숙한 정자의 미세해부학적 구조(Siluriformes: Bagridae))

  • Kim, Kgu-Hwan;Kwon, Deok-Mun
    • Korean Journal of Ichthyology
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    • v.21 no.2
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    • pp.81-86
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    • 2009
  • The spermiogenesis and mature spermatozoa of Pseudobagrus fulvidraco were described by means of scanning and transmission electron microscopy. Spermiogenesis is characterized by lateral development of the flagellum, nuclear rotation, deep nuclear fossa formation and compaction into thick granules. The spermatozoa exhibit a round head containing a nucleus that lacks an acrosome, and having a midpiece and a flagellum. The midpiece is small and has a short cytoplasm including several mitochondria separated from the tail by the cytoplasmic canal. The flagellum contains the 9+2 classical axoneme structure and has two axonemal fins. The presence of axonemal fins in the flagellum is a common character in Bagridae. The interrelationships among the Bagridae as well as other teleosts are herein discussed.

Modeling of local buckling in tubular steel frames by using plastic hinges with damage

  • Inglessis, Pether;Medina, Samuel;Lopez, Alexis;Febres, Rafael;Florez-Lopez, Julio
    • Steel and Composite Structures
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    • v.2 no.1
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    • pp.21-34
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    • 2002
  • A model of the process of local buckling in tubular steel structural elements is presented. It is assumed that this degrading phenomenon can be lumped at plastic hinges. The model is therefore based on the concept of plastic hinge combined with the methods of continuum damage mechanics. The state of this new kind of inelastic hinge is characterized by two internal variables: the plastic rotation and the damage. The model is valid if only one local buckling appears in the plastic hinge region; for instance, in the case of framed structures subjected to monotonic loadings. Based on this damage model, a new finite element that can describe the development of local buckling is proposed. The element is the assemblage of an elastic beamcolumn and two inelastic hinges at its ends. The stiffness matrix, that depends on the level of damage, the yielding function and the damage evolution law of the two hinges define the new finite element. In order to verify model and finite element, several small-scale frames were tested in laboratory under monotonic loading. A lateral load at the top of the frame was applied in a stroke-controlled mode until local buckling appears and develops in several locations of the frame and its ultimate capacity was reached. These tests were simulated with the new finite element and comparison between model and test is presented and discussed.

Rotational capacity of shallow footings and its implication on SSI analyses

  • Blandon, Carlos A.;Smith-Pardo, J. Paul;Ortiz, Albert
    • Earthquakes and Structures
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    • v.8 no.3
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    • pp.591-617
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    • 2015
  • Standards for seismic assessment and retrofitting of buildings provide deformation limit states for structural members and connections. However, in order to perform fully consistent performance-based seismic analyses of soil-structure systems; deformation limit states must also be available for foundations that are vulnerable to nonlinear actions. Because such limit states have never been established in the past, a laboratory testing program was conducted to study the rotational capacity of small-scale foundation models under combined axial load and moment. Fourteen displacement-controlled monotonic and cyclic tests were performed using a cohesionless soil contained in a $2.0{\times}2.0{\times}1.2m$ container box. It was found that the foundation models exhibited a stable hysteretic behavior for imposed rotations exceeding 0.06 rad and that the measured foundation moment capacity complied well with Meyerhof's equivalent width concept. Simplified code-based soil-structure analyses of an 8-story building under an array of strong ground motions were also conducted to preliminary evaluate the implication of finite rotational capacity of vulnerable foundations. It was found that for the same soil as that of the experimental program foundations would have a deformation capacity that far exceeds the imposed rotational demands under the lateral load resisting members so yielding of the soil may constitute a reliable source of energy dissipation for the system.

Movement Patterns of Head and Neck in Proprioceptive Neuromuscular Facilitation (고유수용성 신경근 촉진법의 두부·경부 운동 패턴)

  • Bae, Sung-soo;Kim, Sang-soo
    • PNF and Movement
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    • v.3 no.1
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    • pp.27-34
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    • 2005
  • Objective : The purpose of this study was conducted to find correct head and neck patterns, manual contact. verbal commands with proprioceptive neuromuscular facilitation(PNF). Method : This is a literature study with books, seminar note and book for PNF international course. Result : Keep the information of the biomechanics and neural science in head and neck patterns and emphasize that manual contact, verbal commands and visual stimulus. Manual contacting for movement guide and stability of the $C_0/C_1$ verbal command and visual stimulus for correcting of the $C_0/C_1$ movements. Conclusion : In reminder for PNF learning, begin with head and neck and upper trunk patterns. In that time, Knott and Voss(1968) had not enough information about biomechanic movement components and neural science movement components. But Knott and Voss(1968) emphasized that head and neck patterns relate with trunk, upper extremities and lower extremities directly. Alar ligaments are relaxed with the head in neutral and taut in flexion. Axial rotation of the head and neck tightens both alar ligaments. The right upper and left lower portions of the alar ligament limit left lateral flexion of the head and neck. Therefore, head and neck patterns has to be modify. When head moving, eye and vestibular stimulus will be change. During head and neck patterns, must be consider about stimulus of eye system and vestibular system also.

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Effect of Neck Exercise with PNF for Dysphagia and Pain of Neck in Patients with Stroke (PNF를 이용한 경부 운동이 뇌졸중 환자의 연하기능과 경부 통증에 미치는 영향)

  • Kim, Chang-Heon
    • PNF and Movement
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    • v.13 no.4
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    • pp.169-174
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    • 2015
  • Purpose: This study aimed to investigate the effect of neck exercises using proprioceptive neuromuscular facilitation (PNF) on dysphagia and neck pain in stroke patients. Methods: This study included 20 patients with stroke who performed the following neck exercises using PNF: flexion, lateral flexion, and rotation. The PNF technique was repeated under the guidance of verbal commands from a physical therapist. The exercise program consisted of 5 times, 30-minute sessions each week for four weeks. The Mann Assessment of Swallowing Ability (MASA) and the visual analogue scale (VAS) were used to evaluate the patients before and after the training. Swallowing ability was evaluated using MASA, and the patients' pain was evaluated using VAS. All data were analyzed using SPSS 21.0. Results: Significant differences were observed for the MASA and VAS in the subjects: MASA was significantly improved (p<0.00) and VAS was significantlyincreased (p<0.00). Conclusion: The neck is a very important part of the body in stroke patients. Neck exercises using PNF are effective for improving dysphagia and decreasing neck pain in patients with stroke. Thus, neck exercises using PNF are very effective for stroke patients, and this approach would be effective in clinical practice.

The Effects of a Gluteus Maximus Strengthening Exercise on the Spinal Alignment and Dynamic Balance of Kyphosis Subjects (큰볼기근 근력강화운동이 척추뒤굽음자세를 가진 대상자의 척추정렬 및 동적균형에 미치는 영향)

  • Park, Kanghui;Park, Geuntae;Park, Sookyoung
    • Journal of The Korean Society of Integrative Medicine
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    • v.7 no.3
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    • pp.181-188
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    • 2019
  • Purpose: This study was performed to determine the effects of a gluteus maximus strengthening exercise on both spinal alignment and dynamic balance in subjects with kyphosis. Methods: We measured the kyphosis angle of 150 subjects and selected those whose kyphosis angle was > $50^{\circ}$. The participants included 10 male and 12 female college students. After a gluteus maximus strengthening exercise was applied, the subjects were measured by the formetric 4D and Biorescue systems. The collected data were analyzed by a paired t-test with the SPSS (Ver. 21) program for spinal alignment and dynamic balance comparisons both before and after the gluteus maximus strengthening exercise was completed. Results: The results regarding spinal alignment showed statistically significant decreases in pelvic tilt, kyphotic angle, and lordotic angle after the intervention (p < .05). However, trunk imbalance, pelvic torsion, surface rotation, and lateral deviation were not significantly different after the exercise. The results of the dynamic balance showed statistically significant increases in limits of stability after the exercise (p < .05). Conclusion: The above results suggest that the implemented gluteus maximus strengthening exercise may be effective for spinal alignment and dynamic balance in subjects with kyphosis.

Development of Seismic Safety Evaluation Indices for Dual-Plane, Cable-stayed Bridges With H-type Pylons (H형 주탑 2면 사장교의 지진 안전성 평가지표 개발)

  • Chimedsuren, Solongo;An, Hyo Joon;Shin, Soobong
    • Journal of the Earthquake Engineering Society of Korea
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    • v.23 no.5
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    • pp.261-268
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    • 2019
  • This paper proposes damage indices efficient on evaluating the seismic safety of cable-stayed bridges, especially dual-plane, cable-stayed bridges with H-type pylons. The research assumes that the location of accelerometers is already defined as given in the 2017 Ministry of the Interior and Safety (MOIS) guideline. In other words, the paper does not attempt to suggest optimal sensor location for the seismic safety evaluation of cable-stayed bridges. The proposed damage indices are based on those for building structures widely applied in the field already. Those include changes in natural frequencies and changes in relative lateral displacements. In addition, the study proposes other efficient damage indices as the rotation changes at the top of pylons and in the midspan of the girder system. Sensitivity analysis for various damage indices is performed through dynamic analysis using selected earthquake ground motions. The paper compares the effectiveness of the damage indices.