• Title/Summary/Keyword: Lateral Wedge

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Study on Effect of KWOMAC of a Contact Lateral-Wedged Insole with Strapping in Patients with Varus Deformity Osteoarthritis of the Knee (내반슬 골관절염 환자에 대한 밀착형 외측 쐐기 스트랩 발받침이 한국형 WOMAC에 미치는 영향에 관한 연구)

  • Lee, Sang-Yang;Gong, Won-Tae
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.13 no.1
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    • pp.26-35
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    • 2007
  • The purpose are to demonstrate the pain, stiffness, and physical function by the Korean Western Ontario MacMaster University(KWOMAC) score of the patients with varus deformity osteoarthritis of the knee after treatment period. Twenty outpatients with knee osteoarthritis(OA) were randomized and divided into the control(n=10) and wedge(n=10) groups. The remission scores of the KWOMAC index of severity for knee OA were compared between the groups. The result of repeated two-way ANOVA's revealed that a contact lateral-wedged insole with strapping produced significantly differences in the pain and physical function score between groups after treatment period(P<0.05), but it was not significant differences in the stiffness score between groups(P>0.05). These results suggest that the pain relief and improvement in function reported by patients with osteoarthritis while using lateral-wedged insole with strapping may be achieved by a reduction in external varus moment and medial compartment load.

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Numerical study of hydrodynamic interaction on a vessel in restricted waterways

  • Lee, Chun-Ki
    • International Journal of Naval Architecture and Ocean Engineering
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    • v.4 no.1
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    • pp.1-8
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    • 2012
  • The hydrodynamic interaction between ship and bank can't be neglected when a vessel is app- roached toward the tip of a wedge-shaped bank in restricted waterways, such as in a harbor, near some fixed obstacles, or in a narrow channel. In this paper, the characteristic features of the hydrodynamic interaction acting on a slowly moving vessel in the proximity of a wedge-shaped bank are described and illustrated, and the effects of water depth and the spacing between ship and wedge-shaped bank are summarized and discussed based on the slender body theory. From the theoretical results, it indicated that the hydrodynamic interactions decrease as wedge-shaped bank of angle ${\beta}$ in-creases. For water depth to draft ratio less than about 2.0, the hydrodynamic interactions between ship and bank in-crease sharply as h/d decreases, regardless of the wedge-shaped bank of angle ${\beta}$. Also, for lateral separation more than about 0.2L between ship and wedge-shaped bank, it can be concluded that the bank effects decrease largely as the separation increases.

Seismic lateral earth pressure analysis of retaining walls

  • Ismeik, Muhannad;Shaqour, Fathi
    • Geomechanics and Engineering
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    • v.8 no.4
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    • pp.523-540
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    • 2015
  • Based on limit equilibrium principles, this study presents a theoretical derivation of a new analytical formulation for estimating magnitude and lateral earth pressure distribution on a retaining wall subjected to seismic loads. The proposed solution accounts for failure wedge inclination, unit weight and friction angle of backfill soil, wall roughness, and horizontal and vertical seismic ground accelerations. The current analysis predicts a nonlinear lateral earth pressure variation along the wall with and without seismic loads. A parametric study is conducted to examine the influence of various parameters on lateral earth pressure distribution. Findings reveal that lateral earth pressure increases with the increase of horizontal ground acceleration while it decreases with the increase of vertical ground acceleration. Compared to classical theory, the position of resultant lateral earth force is located at a higher distance from wall base which in turn has a direct impact on wall stability and economy. A numerical example is presented to illustrate the computations of lateral earth pressure distribution based on the suggested analytical method.

The Learning Curve for Biplane Medial Open Wedge High Tibial Osteotomy in 100 Consecutive Cases Assessed Using the Cumulative Summation Method

  • Lee, Do Kyung;Kim, Kwang Kyoun;Ham, Chang Uk;Yun, Seok Tae;Kim, Byung Kag;Oh, Kwang Jun
    • Knee surgery & related research
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    • v.30 no.4
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    • pp.303-310
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    • 2018
  • Purpose: The purpose of this study was to investigate whether surgical experience could improve surgical competency in medial open wedge high tibial osteotomy (MOWHTO). Materials and Methods: One hundred consecutive cases of MOWHTO were performed with preoperative planning using the Miniaci method. Surgical errors were defined as under- or overcorrection, excessive posterior slope change, or the presence of a lateral hinge fracture. Each of these treatment failures was separately evaluated using the cumulative summation test for learning curve (LC-CUSUM). Results: The LC-CUSUM showed competency in prevention of undercorrection, excessive posterior slope change, and lateral hinge fracture after 27, 47, and 42 procedures, respectively. However, the LC-CUSUM did not signal achievement of competency in prevention of overcorrection after 100 procedures. Furthermore, the failure rate for overcorrection showed an increasing tendency as surgical experience increased. Conclusions: Surgical experience may improve the surgeon's competency in prevention of undercorrection, excessive posterior slope change, and lateral hinge fracture. However, it may not help reduce the incidence of overcorrection even after performance of 100 cases of MOWHTO over a period of 6 years.

Estimation of lateral pile resistance incorporating soil arching in pile-stabilized slopes

  • Neeraj, C.R.;Thiyyakkandi, Sudheesh
    • Geomechanics and Engineering
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    • v.23 no.5
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    • pp.481-491
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    • 2020
  • Piles installed in row(s) are used as an effective technique to improve the stability of soil slopes. The analysis of pile-stabilized slopes require a reliable prediction of lateral resistance offered by the piles. In this work, an analytical solution is developed to estimate the lateral resistance offered by the stabilizing piles in sand and c - 𝜙 soil slopes considering soil arching phenomenon. The soil arching in both horizontal direction (between the neighboring piles) and vertical direction (in the active wedge in front of the pile row) are studied and their effects are incorporated in the proposed model. The shape of soil arch is assumed to be circular and principal stress trajectories are defined separately for both modes of arching. Experimental and numerical studies found in literature were used to validate the proposed method. A detailed parametric analysis was performed to study the influence of pile diameter, center-to-center spacing, slope angle and angle of internal friction on the lateral pile resistance.

Soil Failure Mode of a Buried Pipe Around in Soil Undergoing Lateral Movement (측방변형지반속 매설관 주변지반의 파괴모드)

  • Hong, Won-Pyo;Han, Jung-Geun
    • Journal of the Korean Society of Environmental Restoration Technology
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    • v.5 no.5
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    • pp.11-21
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    • 2002
  • A series of model tests is performed to evaluate the relationship between soil and a buried pipe in soil undergoing lateral movement. As the result of the model tests, a wedge zone and plastic flow zones could be observed in front of the pipe. And also an arc failure of cylindrical cavity could be observed at both upper and lower zones. Failure shapes in both cohesionless and cohesive soils are nearly same, which was investigated failure angle of $45^{\circ}+{\phi}/2$. In the cohesionless soil, the higher relative density produces the larger arc of cylindrical cavity. On the basis of failure mode observed from model tests, the lateral earth pressure acting on a buried pipe in soil undergoing lateral movement could be applying the cylindrical cavity extension mode. The deformation behavior of soils was typically appeared in three divisions, which are elastic zones, plastic zones and pressure behavior zones.

Vibration Analysis of Wedge Type Bar by Ritz Method (Ritz법을 이용한 쐐기형 봉의 진동 해석)

  • Park Sok-Chu
    • Journal of Advanced Marine Engineering and Technology
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    • v.29 no.8
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    • pp.877-882
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    • 2005
  • This paper discusses the lateral vibration of a bar which has its tip free. The uniform bar has a solution by summation of some simple exponential functions But if its shape is not uniform, its solution could be by Bessel's function, or mathematical solution could not be existed. Enen if the solution of Bessel's function exists. as Bessel function is a series function. we must got the solution by numerical method Hereby the author Proposes the ununiform beam solution of the matrix method by Ritz's method. and Proposes a new deflection shape function.

Wedge Shape Cage in Posterior Lumbar Interbody Fusion : Focusing on Changes of Lordotic Curve

  • Kim, Joon-Seok;Oh, Seong-Hoon;Kim, Sung-Bum;Yi, Hyeong-Joong;Ko, Yong;Kim, Young-Soo
    • Journal of Korean Neurosurgical Society
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    • v.38 no.4
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    • pp.255-258
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    • 2005
  • Objective : Lumbar lordotic curve on L4 to S1 level is important in maintaining spinal sagittal alignment. Although there has been no definite report in lordotic value, loss of lumbar lordotic curve may lead to pathologic change especially in degenerative lumbar disease. This study examines the changes of lumbar lordotic curve after posterior lumbar interbody fusion with wedge shape cage. Methods : We studied 45patients who had undergone posterior lumbar interbody fusion with wedge shape cage and screw fixation due to degenerative lumbar disease. Preoperative and postoperative lateral radiographs were taken and one independent observer measured the change of lordotic curve and height of intervertebral space where cages were placed. Segmental lordotic curve angle was measured by Cobb method. Height of intervertebral space was measured by averaging the sum of anterior, posterior, and midpoint interbody distance. Clinical outcome was assessed on Prolo scale at 1month of postoperative period. Results : Nineteen paired wedge shape cages were placed on L4-5 level and 6 paired same cages were inserted on L5-S1 level. Among them, 18patients showed increased segmental lordotic curve angle. Mean increased segmental lordotic curve angle after placing the wedge shape cages was $1.96^{\circ}$. Mean increased disc height was 3.21mm. No cases showed retropulsion of cage. The clinical success rate on Prolo's scale was 92.0%. Conclusion : Posterior lumbar interbody fusion with wedge shape cage provides increased lordotic curve, increased height of intervertebral space, and satisfactory clinical outcome in a short-term period.

Effect on the Lower Extremity Muscle Activity According to the Heel Height and Wedge Position (신발굽 높이와 Wedge 위치 변화가 하지 근활성도에 미치는 영향)

  • Lee, H.J.;Kima, S.J.;Kimb, S.J.;Kim, H.J.;Park, B.R.;Park, S.Y.;Yu, J.H.;Tae, K.S.
    • Journal of rehabilitation welfare engineering & assistive technology
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    • v.8 no.4
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    • pp.291-297
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    • 2014
  • The purpose of this study was to investigate the change of the electromyographic activity in vastus medialis oblique (VMO) and vastus lateralis (VL), also vastus medialis oblique/vastus lateralis ratios after wearing wedged flated or 5cm heel shoes. The subjects were 30 healthy women who randomly assigned to two group, divided by flated or 5cm heel group. They were asked to perform squat exercise in two postures using medial and lateral wedged shoes. In two groups, EMG activity of VMO and VL was significant difference between the flated heel and 5cm heel (p<.01). This study showed that 5cm heel could selectively more active VMO than flated heel. It should be considered the heel height as the parameter when the patient with lower extremity problem undergo rehabilitation exercise or design of orthoses for the selective muscle activity of knee pain or knee instability.

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TBM disc cutter ring type adaptability and rock-breaking efficiency: Numerical modeling and case study

  • Xiaokang Shao;Yusheng Jiang;Zongyuan Zhu;Zhiyong Yang;Zhenyong Wang;Jinguo Cheng;Quanwei Liu
    • Geomechanics and Engineering
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    • v.34 no.1
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    • pp.103-113
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    • 2023
  • This study focused on understanding the relationship between the design of a tunnel boring machine disc cutter ring and its rock-breaking efficiency, as well as the applicable conditions of different cutter ring types. The discrete element method was used to establish a numerical model of the rock-breaking process using disc cutters with different ring types to reveal the development of rock damage cracks and variation in cutter penetration load. The calculation results indicate that a sharp-edged (V-shaped) disc cutter penetrates a rock mass to a given depth with the lowest load, resulting in more intermediate cracks and few lateral cracks, which leads to difficulty in crack combination. Furthermore, the poor wear resistance of a conventional V-shaped cutter can lead to an exponential increase in the penetration load after cutter ring wear. In contrast, constant-cross-section (CCS) disc cutters have the highest quantity of crack extensions after penetrating rock, but also require the highest penetration loads. An arch-edged (U-shaped) disc cutter is more moderate than the aforementioned types with sufficient intermediate and lateral crack propagation after cutting into rock under a suitable penetration load. Additionally, we found that the cutter ring wedge angle and edge width heavily influence cutter rock-breaking efficiency and that a disc cutter with a 16 to 22 mm edge width and 20° to 30° wedge angle exhibits high performance. Compared to V-shaped and U-shaped cutters, the CCS cutter is more suitable for soft or medium-strength rocks, where the penetration load is relatively small. Additionally, two typical case studies were selected to verify that replacing a CCS cutter with a U-shaped or optimized V-shaped disc cutter can increase cutting efficiency when encountering hard rocks.