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Biomechanical Analysis of Elderly Fall Related Risk Factors using Downhill Walking on Treadmill (트레드밀 내리막 보행을 이용한 노인 낙상관련 위험요인의 운동역학적 분석)

  • Woo, Jeong-Hyun;Park, Sang-Kyoon
    • 한국체육학회지인문사회과학편
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    • v.55 no.2
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    • pp.643-655
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    • 2016
  • The purpose of this study was to investigate biomechanical differences between young and old adults during downhill walking on a treadmill in order to understand the mechanisms of elderly falls. Eighteen healthy young females(YG: yrs: 21.17±1.5) and eighteen healthy old females(OG: yrs: 66.67±1.33) participated in this study. They were asked to walk at their preferred speed on a treadmill at level, 7.5° and 15° decline. OG walked more wobbly in the medial and lateral directions than YG(p<.05). As slope got steeper, OG had smaller ROM(range of motion) of ankle and knee joints compared with YG. However, there was no difference in ROM of the hip between OG and YG, but maximum extension angle of OG was smaller compared with YG(p<.05). Smaller extensor moment was generated on OG during downhill walking(p<.05). It was hypothesized that more risk factors would be found on older people compared to young people during downhill. However, older people actually walks with a safer strategy compared to young people during downhill. Finally, current findings about biomechanical characteristics of elderly walking would provide useful fundamental information for a follow-up study regarding the prevention of elderly fall during their daily life.

Correlation Between Pectoralis Minor, Shoulder Mobility and Neck Range of Motion on Rounded Shoulder Posture for Life-Care Increase in Women University Student (여대생의 라이프 케어 증진을 위한 둥근 어깨 자세의 작은가슴근, 어깨가동성과 목 관절가동범위의 상관연구)

  • Seo, Tae-Hwa;Kim, Min-Sun;Jeong, Yeon-Woo
    • Journal of Korea Entertainment Industry Association
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    • v.13 no.5
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    • pp.239-246
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    • 2019
  • This study aims to examine the correlation between pectoralis minor, shoulder mobility, and neck range of motion on rounded shoulder posture for Life-care increase in Women university student. The 80 female adults with rounded shoulder posture were selected for this study. Measurements of shoulder height were obtained by measuring the rounded shoulder posture using a caliper. To measure the length of pectoralis minor, a tape measure was used to measure from the point where the 4th rib and sternum meets to the inferior medial side of coracoid process. Shoulder mobility was measured by holding fists in both hands, then raising one side of the elbow until the palm on that side can be placed on the back, while lowering the other side of the elbow until the back of the hand on that side can be placed on the back. Neck range of motion was used to measure the neck movement including the flexion and the extension, lateral flexion to the right or to the left, and rotation to the right or to the left. The results of this study showed that there are significant negative correlations between pectoralis minor index, shoulder mobility, and neck range of motion in rounded shoulder posture(p<0.05). From these results, in female students with rounded shoulder, the lateral flexion of the neck to the left decreased as the left shoulder mobility increased, the neck extension decreased as the right pectoralis minor shortened, and the rotation of the neck to the left decreased as the left shoulder mobility increased.

Ultrasound-Guided Greater Occipital Nerve Block for Primary Headache: Comparison of Two Techniques by Anatomical Injection Site (일차성 두통에서 초음파 유도 하 후두신경 차단술: 해부학적 주사부위에 따른 두 가지 테크닉의 비교)

  • Yoo, Myung Chul;Kim, Hee-Sang;Lee, Jong Ha;Yoo, Seung Don;Yun, Dong Hwan;Kim, Dong Hwan;Lee, Seung Ah;Soh, Yunsoo;Kim, Yong;Han, Young Rok;Kwon, Jung Ho;Jang, Haneul;Chon, Jinmann
    • Clinical Pain
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    • v.18 no.1
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    • pp.24-30
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    • 2019
  • Objective: Greater occipital nerve block (GONB) is a widely accepted treatment of primary headaches. Two ultrasound (US)-guided blockade techniques exist: 1) the classical distal nerve block technique performed medial to the occipital artery at the superior nuchal line, and 2) the new proximal nerve block technique performed at the obliquus capitis inferior muscle at the level of C2. Our study aim was to perform a head-to-head comparative study of these two US-guided techniques. Method: Forty-nine patients with primary headache treated in our university hospital were recruited. Patients were randomized into two groups of the classical nerve block and the new proximal nerve block techniques. The headache questionnaire was made to assess the intensity of the pain of headache attacks, number of days they experience headache, duration of headache, and amount of pain medication they consumed. Results: In both groups, a decrease in the severity and frequency of the headache was observed. There was no measurable difference in outcome between the two groups. Conclusion: Our study showed that the classic and new proximal techniques are equally effective in decreasing the headache severity and frequency.

Effect of Ice and Hot packs on Balance, Proprioception and Muscle Strength in Young Adults with Knee Extensor Muscle Fatigue (젊은 성인의 근 피로가 발생된 무릎관절 폄근에 냉 찜질과 온 찜질의 적용이 균형, 고유수용성감각 및 근력에 미치는 영향 )

  • Heon-Ho Ha;Hee-Jin Jang;Dongyeop Lee;Ji-Heon Hong;Jae-Ho Yu;Jin-Seop Kim;Yeon-Gyo Nam;Seong-Gil Kim
    • Journal of the Korean Society of Physical Medicine
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    • v.18 no.4
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    • pp.121-131
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    • 2023
  • PURPOSE: The purpose of this study was to evaluate the effects of ice and hot packs on proprioception, balance, and muscle strength in knee extensor muscle fatigue. METHODS: A total of 31 male and female students in their twenties from a university in A, Chungnam, Korea, were selected as participants. Three experiments were conducted to assess static balance, dynamic balance, proprioception, and muscle strength before and after induction of muscle fatigue, and following intervention. RESULTS: In the case of stability typical (ST), a significant difference was observed in pillow with eye open (PO) when a Hot pack was applied (p < .05). The weight distribution index (WDI), showed significant differences in normal eye open (NO) and Normal eye closed (NC) tests when ice packs and hot packs were applied (p < .05). In the dynamic balance assessment using Y-balance, significant differences were observed in all values except for pre- and post-intervention in the medial and lateral directions (p < .05). The recovery of proprioceptive sensation showed a significant difference when ice packs were applied (p < .05). In muscle strength, significant differences were observed in all comparisons between measurement time points (p < .05). CONCLUSION: Rest was most effective for static balance, and cold and warm compresses were most effective in recovering dynamic balance. For proprioception, cold compresses were most effective. Muscle strength had a positive effect on recovery in all three intervention methods. These results show that cold and warm compresses can be useful in the recovery of various functions related to muscle fatigue.

Microscopic Anatomy of Male Reproductive Organ in the Long Arm Octopus Octopus minor (Cephalopoda: Octopodidae) (낙지 Octopus minor 수컷 생식기관의 미세해부학적 구조)

  • Seong Jin Kim;Hyeon Jin Kim;So Ryung Shin;Myeong Gyo Seo;Pyeong Woo Kim;Eun Ha Kim;Jung Sick Lee
    • Journal of Marine Life Science
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    • v.8 no.2
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    • pp.178-185
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    • 2023
  • This study was described the microscopic anatomy of male reproductive organs and spermatophore necessary for understanding the reproductive ecology of the long arm octopus Octopus minor. The long arm octopus was a species that has sexual dimorphism that can distinguish between sex based on the presence of hectocotylus. Male reproductive organs consisted of testis, primary spermatic duct, spermatic gland, secondary spermatic duct, spermatophoric gland and spermatophoric sac. Histologically, the testis was testicular tubule type and male germ cells showed a layered arrangement. The primary spermatic duct was a tube connecting the testis and spermatic gland, and consisted with epithelial layer and connective tissue. The spermatic gland was located between the primary and secondary spermatic duct, and the epithelial layer was composed of epithelial cells and mucous cells. Mucous cells reacted blue in the AB-PAS (pH 2.5) reaction and purple in the AF-AB (pH 2.5) reaction. The secondary spermatic duct was a short tube connecting spermatic gland and spermatophoric gland, and folds were developed in lumen. The spermatophoric gland consisted of numerous tubular glands and secretory cells had eosinophilic granules. The spermatophoric sac was shape of pouch, folds were developed in lumen, and vacuolar secretory cells were present in the epithelial layer. The spermatophore was 83.5 mm long and consisted of cap thread in anterior portion, ejaculatory apparatus and cement body in medial portion, sperm mass in posterior portion.

A Study on the Usefulness of an Ankle Joint Examination Assistive Device using a 3D Printing (3D 프린터를 이용한 발목관절 검사 보조기구의 유용성연구)

  • Dong-Hee Hong;Eun-hye Kim;Young-Cheol Joo
    • Journal of the Korean Society of Radiology
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    • v.17 no.7
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    • pp.1099-1108
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    • 2023
  • The mortise view radiography procedure is an ankle joint examination and observes the presence of trauma, sprain, or dislocation suspected in the ankle joint. The auxiliary equipment used during the mortise view radiography procedure can generate artifacts in the radiograph images and is not diverse enough to be custom-made for each patient; not cost-efficient. The purpose of this study is to create a custom assistive device to support mortise view radiography procedure. This study utilized 3D printing technology to create the mortise view radiography procedure assistive device (ShinHan Device; SHD). The lengths of the tibiotalar joint (TTJ), talar calcaneal joint (TCJ), and medial joint (MJ) were measured and evaluated by five researchers using both SHD and the prototype Hologic tool. The mean ranges were found to be 39.42-39.47 mm for TTJ, 31.41-31.57 mm for TCJ, and 21.21-21.23 mm for MJ while using SHD device. On the other hand, the measurements showed mean ranges of 39.73-39.79 mm for TTJ, 31.46-31.50 mm for TCJ, and 21.31-21.35 mm for MJ while using the Hologic tool. Based on this study results, the error ranges at all positions decreased by 24% for TTJ, 17% for TCJ, and 36% for MJ when using SHD device compared to the Hologic tool. Moreover, when SHD was used, it allowed for a highly reproducible examination posture (ICC = 0.99), and it enabled the acquisition of radiograph images without artifacts, which were present in the Hologic tool.

Impact of Chronic Lateral Ankle Instability with Lateral Collateral Ligament Injuries on Biochemical Alterations in the Cartilage of the Subtalar and Midtarsal Joints Based on MRI T2 Mapping

  • Hongyue Tao;Yiwen Hu;Rong Lu;Yuyang Zhang;Yuxue Xie;Tianwu Chen;Shuang Chen
    • Korean Journal of Radiology
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    • v.22 no.3
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    • pp.384-394
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    • 2021
  • Objective: To quantitatively assess biochemical alterations in the cartilage of the subtalar and midtarsal joints in chronic lateral ankle instability (CLAI) patients with isolated anterior talofibular ligament (ATFL) injuries and combined calcaneofibular ligament (CFL) injuries using MRI T2 mapping. Materials and Methods: This study was performed according to regulations of the Committee for Human Research at our institution, and written informed consent was obtained from all participants. Forty CLAI patients (26 with isolated ATFL injuries and 14 with combined ATFL and CFL injuries) and 25 healthy subjects were recruited for this study. All participants underwent MRI scans with T2 mapping. Patients were assessed with the American Orthopedic Foot and Ankle Society (AOFAS) rating system. The subtalar and midtarsal joints were segmented into 14 cartilage subregions. The T2 value of each subregion was measured from T2 mapping images. Data were analyzed with ANOVA, the Student's t test, and Pearson's correlation coefficient. Results: T2 values of most subregions of the subtalar joint and the calcaneal facet of the calcaneocuboid joint in CLAI patients with combined CFL injuries were higher than those in healthy controls (all p < 0.05). However, there were no significant differences in T2 values in subtalar and midtarsal joints between patients with isolated ATFL injuries and healthy controls (all p > 0.05). Moreover, T2 values of the medial talar subregions of the posterior subtalar joint in patients with combined CFL injuries showed negative correlations with the AOFAS scores (r = -0.687, p = 0.007; r = -0.609, p = 0.021, respectively). Conclusion: CLAI with combined CFL injuries can lead to cartilage degeneration in subtalar and calcaneocuboid joints, while an isolated ATFL injury might not have a significant impact on the cartilage in these joints.

A DB Pruning Method in a Large Corpus-Based TTS with Multiple Candidate Speech Segments (대용량 복수후보 TTS 방식에서 합성용 DB의 감량 방법)

  • Lee, Jung-Chul;Kang, Tae-Ho
    • The Journal of the Acoustical Society of Korea
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    • v.28 no.6
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    • pp.572-577
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    • 2009
  • Large corpus-based concatenating Text-to-Speech (TTS) systems can generate natural synthetic speech without additional signal processing. To prune the redundant speech segments in a large speech segment DB, we can utilize a decision-tree based triphone clustering algorithm widely used in speech recognition area. But, the conventional methods have problems in representing the acoustic transitional characteristics of the phones and in applying context questions with hierarchic priority. In this paper, we propose a new clustering algorithm to downsize the speech DB. Firstly, three 13th order MFCC vectors from first, medial, and final frame of a phone are combined into a 39 dimensional vector to represent the transitional characteristics of a phone. And then the hierarchically grouped three question sets are used to construct the triphone trees. For the performance test, we used DTW algorithm to calculate the acoustic similarity between the target triphone and the triphone from the tree search result. Experimental results show that the proposed method can reduce the size of speech DB by 23% and select better phones with higher acoustic similarity. Therefore the proposed method can be applied to make a small sized TTS.

Decay-Accelerating Factor Differentially Associates With Complement-Mediated Damage in Synovium After Meniscus Tear as Compared to Anterior Cruciate Ligament Injury

  • V. Michael Holers;Rachel M. Frank;Michael Zuscik;Carson Keeter;Robert I. Scheinman;Christopher Striebich;Dmitri Simberg;Michael R. Clay;Larry W. Moreland;Nirmal K. Banda
    • IMMUNE NETWORK
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    • v.24 no.2
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    • pp.17.1-17.16
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    • 2024
  • We have reported that anterior cruciate ligament (ACL) injury leads to the differential dysregulation of the complement system in the synovium as compared to meniscus tear (MT) and proposed this as a mechanism for a greater post-injury prevalence of post traumatic osteoarthritis (PTOA). To explore additional roles of complement proteins and regulators, we determined the presence of decay-accelerating factor (DAF), C5b, and membrane attack complexes (MACs, C5b-9) in discarded surgical synovial tissue (DSST) collected during arthroscopic ACL reconstructive surgery, MT-related meniscectomy, osteoarthritis (OA)-related knee replacement surgery and normal controls. Multiplexed immunohistochemistry was used to detect and quantify complement proteins. To explore the involvement of body mass index (BMI), after these 2 injuries, we examined correlations among DAF, C5b, MAC and BMI. Using these approaches, we found that synovial cells after ACL injury expressed a significantly lower level of DAF as compared to MT (p<0.049). In contrast, C5b staining synovial cells were significantly higher after ACL injury (p<0.0009) and in OA DSST (p<0.039) compared to MT. Interestingly, there were significantly positive correlations between DAF & C5b (r=0.75, p<0.018) and DAF & C5b (r=0.64 p<0.022) after ACL injury and MT, respectively. The data support that DAF, which should normally dampen C5b deposition due to its regulatory activities on C3/C5 convertases, does not appear to exhibit that function in inflamed synovia following either ACL injury or MT. Ineffective DAF regulation may be an additional mechanism by which relatively uncontrolled complement activation damages tissue in these injury states.

The Usefulness of Extradural Anterior Clinoidectomy for Low-Lying Posterior Communicating Artery Aneurysms : A Cadaveric Study

  • Hyoung Soo Byoun;Kyu-Sun Choi;Min Kyun Na;Sae Min Kwon;Yong Seok Nam
    • Journal of Korean Neurosurgical Society
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    • v.67 no.4
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    • pp.411-417
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    • 2024
  • Objective : To confirm the usefulness of the extradural anterior clinoidectomy during the clipping of a low riding posterior communicating artery (PCoA) aneurysm through cadaver dissection. Methods : Anatomic measurements of 12 adult cadaveric heads (24 sides total) were performed to compare the microsurgical exposure of the PCoA and internal carotid artery (ICA) before and after clinoidectomy. A standard pterional craniotomy and transsylvian approach were performed in all cadavers. The distance from the ICA bifurcation to the origin of PCoA (D1), pre-anterior clinoidectomy distance from the ICA bifurcation to tentorium (D2), post-anterior clinoidectomy distance from the ICA bifurcation to tentorium (D3), pre-anterior clinoidectomy distance from the tentorium to the origin of PCoA (D4) and post-anterior clinoidectomy distance from the tentorium to the origin of PCoA (D5) and the distance of the ICA obtained after anterior clinoidectomy (D6) were measured. We measured the precise thickness of the blade for the Yasargil clip with a digital precision ruler to confirm the usefulness of the extradural anterior clinoidectomy. Results : Twenty-four sites were dissected from 12 cadavers. The age of the cadavers was 79.83±6.25 years. The number of males was the same as the females. The space from the proximal origin of the PCoA to the preclinoid-tentorium (D4) was 1.45±1.08 mm (max, 4.01; min, 0.56). After the clinoidectomy, the space from the proximal origin of the PCoA to the postclinoid-tentorium (D5) was 3.612±1.15 mm (max, 6.14; min, 1.83). The length (D6) of the exposed proximal ICA after the extradural clinoididectomy was 2.17±1.04 mm on the lateral side and 2.16±0.89 mm on the medial side. The thickness of the Yasargil clip blade used during the clipping surgery was 1.35 mm measured with a digital precision ruler. Conclusion : The proximal length obtained by performing an external anterior clinoidectomy is about 2 mm, sufficient for proximal control during PCoA aneurysm surgery, considering the thickness of the aneurysm clips. In a subarachnoid hemorrhage, performing an extradural anterior clinoidectomy could prevent a devastating situation during PCoA aneurysm clipping.