• Title/Summary/Keyword: Lateral Wedge

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A Study on the Usefulness of Styrofoam Wedge for Wrist True PA and Lateral examination (WRIST TRUE PA와 LATERAL 검사 시 경사보조도구의 유용성 분석)

  • Jeon, Sang-Hyun;Kim, Gab-Jung;Kim, Nak-Sang;Seo, Sun-Youl;Choi, Seon-Wook;Jeon, Min-Cheol
    • Journal of the Korea Convergence Society
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    • v.11 no.2
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    • pp.53-60
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    • 2020
  • The purpose of this paper is to evaluate the image of the Styrofoam Wedge that can minimize the position change by supporting the wrist during the True PA and lateral examination of the wrist. In 50 people, the gap between the distal radius joint facet and the wrist bone was measured after the wrist True PA and lateral images were obtained using a general examination(vertical), tube angle(vertical:10°, lateral:20°) and Styrofoam Wedge(vertical). When joint spacing was measured in the True PA and lateral images of the wrist, general examination(5.54mm, 9.42mm), tube angle(2.05mm, 5.07mm) and Styrofoam Wedge(1.79mm, 5.46mm) were shown to be small. The smaller the joint spacing, the easier it is to observe that is open. Therefore, True PA and lateral imaging of the wrist Styrofoam Wedge can reduce the distortion of the image and thus acquire images of high diagnostic value. In addition, it may be possible to reduce the deviation caused by the change of patient's position during re-projection.

Effects of Medial, Lateral Wedge and Difference of Quadriceps Angle on Vastus Medialis Oblique/Vastus Lateralis Muscle Activity Ratios (내·외측 Wedge와 넙다리네갈래근 각의 차이가 안쪽빗넓은근/가쪽넓은근 비에 미치는 영향)

  • Yoo, Won-Gyu;Lee, Hyun-Ju;Yi, Chung-Hwi
    • Physical Therapy Korea
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    • v.12 no.2
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    • pp.11-19
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    • 2005
  • Patellofemoral pain syndrome (PFPS) is often attributed to malalignment and maltracking of patella within the patellofemoral joint. Most exercise for PFPS has focused on selectively strengthening the vastus medialis oblique muscle (VMO). This study was designed to identify the effect of medial, lateral wedge and difference of Quadriceps angle (Q-angle) on vastus medialis oblique/vastus lateralis muscle (VL) activity ratios. The subjects were twenty young adult males who had not experienced any knee injury. They were asked to perform isometric contraction exercises in three postures using medial and lateral wedge. The EMG activity of the VL and VMO were recorded in three postures by surface electrodes and normalized by %MVC values derived from seated, isometric knee extensions. The normalized EMG activity levels (%MVC) of the VL and VMO for the three postures of the lower extremities were compared using 2-way repeated measures ANOVA with 1 between-subject factor (group), and 1 within-subject factor (wedge). Results of repeated measures of ANOVA's revealed that the medial wedge isometric contraction exercise produced significantly greater EMG activity of VMO/VL ratios in Group I (Q-angle $18^{\circ}$ or less) (p<.05). But, the medial wedge isometric contraction exercise was no significant difference of VMO/VL ratios in Group II (Q-angle $19^{\circ}$ or more) (p>.05). These results have important implications for selective VMO muscle strengthening exercises in PFPS patients.

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Application on Pile Under Lateral Load in Multi Layered Ground Using the Strain Wedge Model (변형률 쐐기모델을 이용한 다층지반에서의 횡하중을 받는 말뚝의 적용성 평가)

  • Kim, Hongtaek;Lee, Jungjae;Chung, Jongmin;Yoon, Changjin
    • Journal of the Korean GEO-environmental Society
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    • v.10 no.7
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    • pp.159-165
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    • 2009
  • The Strain Wedge Model is useful method for horizontal bearing capacity calculation considering interaction of pile and ground deformation. However, application case of the Strain Wedge Model is rare and the strain wedge model of plenty of verification is needed on multi layered ground in Korea. In this present study, to conduct laboratory model test and numerical analysis for verification of Strain Wedge Model, adapt model that could describe the interaction of pile and ground deformation on multi layered ground. In model test, it was performed to estimate the behavior characteristics on pile under lateral load and to analyze the relationship between load and deformation. In addition, it was fulfilled to measure the skin friction on pile using strain gauge and to decide the ground passive resistance wedge using skin friction. Numerical analysis was performed to verify laboratory model test results.

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Estimated Risk of Radiation Induced Contra Lateral Breast Cancer Following Chest Wall Irradiation by Conformal Wedge Field and Forward Intensity Modulated Radiotherapy Technique for Post-Mastectomy Breast Cancer Patients

  • Athiyaman, Hemalatha;M, Athiyaman;Chougule, Arun;Kumar, HS
    • Asian Pacific Journal of Cancer Prevention
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    • v.17 no.12
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    • pp.5107-5111
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    • 2016
  • Background: Epidemiological studies have indicated an increasing incidence of radiation induced secondary cancer (SC) in breast cancer patients after radiotherapy (RT), most commonly in the contra-lateral breast (CLB). The present study was conducted to estimate the SC risk in the CLB following 3D conformal radiotherapy techniques (3DCRT) including wedge field and forward intensity modulated radiotherapy (fIMRT) based on the organ equivalent dose (OED). Material and Methods: RT plans treating the chest wall with conformal wedge field and fIMRT plans were created for 30 breast cancer patients. The risks of radiation induced cancer were estimated for the CLB using dose-response models: a linear model, a linear-plateau model and a bell-shaped model with full dose response accounting for fractionated RT on the basis of OED. Results: The plans were found to be ranked quite differently according to the choice of model; calculations based on a linear dose response model fIMRT predict statistically significant lower risk compared to the enhanced dynamic wedge (EDW) technique (p-0.0089) and a non-significant difference between fIMRT and physical wedge (PW) techniques (p-0.054). The widely used plateau dose response model based estimation showed significantly lower SC risk associated with fIMRT technique compared to both wedge field techniques (fIMRT vs EDW p-0.013, fIMRT vs PW p-0.04). The full dose response model showed a non-significant difference between all three techniques in the view of second CLB cancer. Finally the bell shaped model predicted interestingly that PW is associated with significantly higher risk compared to both fIMRT and EDW techniques (fIMRT vs PW p-0.0003, EDW vs PW p-0.0032). Conclusion: In conclusion, the SC risk estimations of the CLB revealed that there is a clear relation between risk associated with wedge field and fIMRT technique depending on the choice of model selected for risk comparison.

The Results of the First Ray Forefoot Osteotomy Using Low Profile Wedge Plate without a Bone Grafting for Pes Planus Correction (제 1열 전족부 절골술을 통한 평발 교정에 있어 골이식 없이 사용한 소형 쐐기형 금속판의 치료 결과)

  • Choi, Jun Young;Shin, Myung Jin;Suh, Jin Soo
    • Journal of Korean Foot and Ankle Society
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    • v.21 no.1
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    • pp.7-11
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    • 2017
  • Purpose: We retrospectively analyzed the radiographic and clinical results after the first ray of forefoot osteotomy using low profile wedge plate without additional cancellous bone grafting for pes planus correction. Materials and Methods: Twenty-four patients were enrolled in this study. Medial cuneiform opening wedge osteotomy was performed in 12 patients (Cotton osteotomy, group C) and first metatarsal base osteotomy was performed in 12 patients (group MT). Results: On average, the wedge size was 5.61 mm (5~6 mm). The mean time to radiographic union was 3.18 and 3.27 months in groups C and MT, respectively. Postoperative talonavicular coverage angle, talo-first metatarsal angle (anteroposterior), talo-first metatarsal angle (lateral), talo-calcaneal angle (lateral), medial cuneiform height, and American orthopaedic foot, as well as ankle society midfoot scale were significantly improved in both groups. Nonunion, delayed union or fixation failure was not presented in our series. Conclusion: We have shown that low profile wedge plate was effective in the case of first ray forefoot osteotomy for pes planus correction without any additional cancellous bone grafting.

Evaluation of Scattered Dose to the Contralateral Breast by Separating Effect of Medial Tangential Field and Lateral Tangential Field: A Comparison of Common Primary Breast Irradiation Techniques (유방암 접선조사 치료 방법에 대한 반대쪽 유방에서의 산란선량 평가)

  • Ban, Tae-Joon;Jeon, Soo-Dong;Kwak, Jung-Won;Baek, Geum-Mun
    • The Journal of Korean Society for Radiation Therapy
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    • v.24 no.2
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    • pp.183-188
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    • 2012
  • Purpose: The concern of improving the quality of life and reducing side effects related to cancer treatment has been a subject of interest in recent years with advances in cancer treatment techniques and increasing survival time. This study is an analysis of differing scattered dose to the contralateral breast using common different treatment techniques. Materials and Methods: Eclipse 10.0 (Varian, USA) based $30^{\circ}$ EDW (Enhanced dynamic wedge) plan, $15^{\circ}$ wedge plan, $30^{\circ}$ wedge plan, Open beam plan, FiF (field in field) plan were established using CT image of breast phantom which in our hospital. Each treatment plan were designed to exposure 400 cGy using CL-6EX (VARIAN, USA) and we measured scattered dose at 1 cm, 3 cm, 5 cm, 9 cm away from medial side of the phantom at 1 cm depth using ionization chamber (FC 65G, IBA). We carried out measurement by separating effect of medial tangential field and lateral tangential field and analyze. Results: The evaluation of scattered dose to contralateral breast, $30^{\circ}$ EDW plan, $15^{\circ}$ wedge plan, $30^{\circ}$ wedge plan, Open beam plan, FIF plan showed 6.55%, 4.72%, 2.79%, 2.33%, 1.87% about prescription dose of each treatment plan. The result of scattered dose measurement by separating effect of medial tangential field and lateral tangential field results were 4.94%, 3.33%, 1.55%, 1.17%, 0.77% about prescription dose at medial tangential field and 1.61%, 1.40%, 1.24%, 1.16%, 1.10% at lateral tangential field along with measured distance. Conclusion: In our experiment, FiF treatment technique generates minimum of scattered dose to contralateral breast which come from mainly phantom scatter factor. Whereas $30^{\circ}$ wedge plan generates maximum of scattered doses to contralateral breast and 3.3% of them was scattered from gantry head. The description of treatment planning system showed a loss of precision for a relatively low scatter dose region. Scattered dose out of Treatment radiation field is relatively lower than prescription dose but, in decision of radiation therapy, it cannot be ignored that doses to contralateral breast are related with probability of secondary cancer.

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The effects of increased unilateral and bilateral calcaneal eversion on pelvic and trunk alignment in standing position

  • Yi, Jaehoon
    • Physical Therapy Rehabilitation Science
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    • v.5 no.2
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    • pp.84-88
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    • 2016
  • Objective: Generally, it is known that there is a correlation between excessive calcaneus eversion and a patient with low back pain and it also affects pelvic alignment. However, there are not enough studies that show calcaneal eversion having an effect on the alignment of the trunk. Design: Cross-sectional study. Methods: A 3-dimensional motion analysis system was used to assess the lower limbs, pelvic alignment, and trunk alignment with increased unilateral and bilateral calcaneal eversion in twenty-one subjects. All subjects were asked to maintain a static posture for seven seconds on a wedge three times per posture for measurement and analysis purposes. The wedge used in the process was a lateral wedge with a 10-degree tilt to the lateral direction. To unify all of the subjects' foot position, the front and inner side of the wedge were marked. The height of the tilted wedge's inner side and flat wedge were balanced equally in order to be able to maintain the lateral part of the foot to the same height when producing an increased calcaneal eversion. Results: Comparing the changes in trunk and pelvic alignment in accordance to calcaneal eversion for each posture, there was a significant different in the X and Y-axis for each posture, but not in the Z-axis (p<0.05). Thus, it can be confirmed that calcaneal eversion in the sagittal plane and frontal plane may have and effect on the pelvis and the trunk. Conclusions: Postures with increased bilateral and unilateral calcaneal eversion has an effect on pelvic alignment, but does not cause any changes in trunk alignment.

Optical Performance Evaluation of SIL Assembly with Lateral Shearing Interferometer (층 밀리 간섭계를 이용한 고체침지렌즈의 광학적 성능 평가)

  • Lee, Jin-Eui;Kim, Wan-Chin;Choi, Hyun;Kim, Tae-Seob;Yoon, Yong-Joong;Park, No-Cheol;Park, Young-Pil
    • Transactions of the Society of Information Storage Systems
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    • v.2 no.4
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    • pp.224-229
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    • 2006
  • There has been studied flow to minimize the spot size to increase data capacity. Optical data storage devices are being developed near practical limits with wavelength and NA of 405nm and 0.85. There has been studied many types of next generation storage devices such as blu-ray multilayer system, probe based data storage and holographic data storage. Among these data storage devices, solid immersion lens(SIL) based near field recording (NFR) has been widely studied. In this system, SIL is the key component that focuses the laser beam with a very small size which enables ultra high data capacity. Therefore, optical performance evaluation system is required for SIL assembly. In this dissertation, a simple and accurate SIL assembly measurement method is proposed with wedge plate lateral shearing interferometer(LSI). Wedge plate LSI is cheaper than commercialized interferometer, robust to the vibration and the moving distance for phase shifting is large that is order of micrometer. We designed the thickness, wedge angle, material, surface quality and wavelength of wedge plate as 1mm, 0.02degree, fused silica, lamda/10(10-5) and 405nm, respectively. Also, we confirmed simulation and experimental results with quantitative analysis. This simple wedge plate LSI can be applied to different types of SIL such as solid immersion mirror(SIM), hemispherical, super-hemispherical and elliptical SIL.

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Dynamic Characteristic Analysis of 3-Piece Freight Vehicle with Wedge Friction Damper Using ADAMS (ADAMS를 이용한 3-Piece 마찰 웨지 댐퍼가 장착된 화차의 동특성 해석)

  • Lee, Chul-Hyung;Han, Myung-Jae;Park, Tae-Won
    • Journal of the Korean Society for Railway
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    • v.20 no.3
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    • pp.299-310
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    • 2017
  • In this work, an independent-load friction wedge model was developed using the ADAMS/View program to predict the performance of a freight vehicle with a bogie employing a 3-piece friction wedge. The friction wedge model can generate friction according to lateral and vertical directions of the bolster. The developed friction wedge model was applied to the ADAMS/Rail vehicle model, and results of the dynamic analysis showed a critical speed of 210km/h. In the linear safety analysis, it was confirmed that the lateral and vertical limit of acceleration of the vehicle were satisfied based on UIC518. In the 300R curve line, the application speed was 70km/h, which was satisfied with the limit acceleration of the car-body and bogie based on UIC518. Also, the developed model satisfied the wheel loading, lateral force and derailment coefficient of "The Regulations on Safety Standards for Railway Vehicles"

The Effects of Femorotibial Angle of a Contact Lateral-Wedged Insole with Strapping in Patients with Varus Deformity Osteoarthritis of the Knee (밀착성 외측 쐐기 스트랩 깔창이 내반슬 골관절염 환자의 대퇴경골각에 미치는 영향)

  • Lee, Sang-Yong
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.12 no.2
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    • pp.1-10
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    • 2006
  • The purpose are to assess the efficacy of a contact lateral-wedged insole with strapping on the femorotibial angle in patients with varus deformity osteoarthritis of the knee after treatment period. 25 outpatients with knee osteoarthritis (OA) were randomized to be treated with a contact lateral-wedge insole with strapping. Standing radiographs were used to analyze the femorotibial angle for each subject. The result of repeated two-way ANOVA's reveled that a contact lateral-wedged insole with strapping produced significantly differences in the femorotibial angle between groups after treatment period (P<0.05). and repeated one-way ANOVA's reveled that it produced significantly differences in the femorotibial angle between experimental groups after treatment period (P<0.05). We suggest that these results may be beneficial for manufacturing foot orthotic devices, such as wedged insoles, to control medial and later compartment forces in the knee varus-valgus deformity.

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