• Title/Summary/Keyword: RANGE OF MOTION

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Medial Retracted Large Rotator Cuff Tears (내측으로 퇴축된 대범위 회전근 개 파열)

  • Ko, Sang-Hun;Cha, Jae-Ryong;Kim, Tae-Won
    • Journal of the Korean Arthroscopy Society
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    • v.13 no.3
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    • pp.212-219
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    • 2009
  • Medially retracted large-sized rotator cuff tears includes large-sized tears, massive tears and irreparable tears. Generally arthroscopic repair or open repair of rotator cuff tears is used in reparable tears. However, arthroscopic repair requires long period practice and endurance. In irreparable tears, arthroscopic debridement, partial repair, latissimus dorsi transfer and retrograde arthroplasty can be the option. Arthoscopic debridement gives temporal relief who experienced improvement in pain and increase in range of motion after subacromial local anesthetic injection. Also arthroscopic partial repair gives good results in irreparable cases, especially in suprascapular nerve traction neurapraxia. Tendon transfer can be used in mild to moderate muscle weakness in shoulder abduction for long term treatment. Pectoralis major transfer can be used in anterosupeior tears and latissimus dorsi transfer can be used in posterosuperior tears. Reverse shoulder prosthesis is used in extreamly weakened shoulder pseudoparalysis. The authors discussed the method of arthroscopic repair in irreparable tears. The debridement, partial repair, and tendon transfer could be used in medially retracted large-sized rotator cuff tears.

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Seismic Fragility Analysis of Rahmen-type Continuous Bridge Supported by High Piers (고교각으로 지지된 라멘형 연속교의 지진취약도 분석)

  • Kang, Pan-Seung;Hong, Ki-Nam;Yeon, Yeong-Mo
    • Journal of the Korea institute for structural maintenance and inspection
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    • v.23 no.5
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    • pp.84-95
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    • 2019
  • This paper reports the process of seismic fragility analysis for the rahman-type continuous bridge system. The target structure was the five span highway bridge with maximum pier hight of 72m. OpenSees software was used for the nonlinear time history analysis. In this study, 50 ground motions are considered for nonlinear time history analysis. For each ground motion, PGA was scaled from 0.1g to 2.0g with intervals of 0.1g in order to consider a wide range of the seismic intensity measure. In addition, yield displacement and ultimate displacement of each pier were calculated through section analysis. Based on the result of non linear time history analysis and section analysis, damage condition of target bridge was classified according to the definition of damage condition proposed by Barbat et al. As a result, it was predicted that Extensive Damage occurred at P1 when 0.731 g earthquake occurred in the longitudinal direction. Based on the seismic fragility analysis results, it is found that the probability of occurrence of Extensive Damage in the 4,800 - year period earthquake was about 4.2%. Therefore the target bridge has enough safety for earthquake.

The Action-observation Training Impacts on the Improvement of Stroke Patient's Cognitive Functioning (동작관찰훈련이 뇌졸중 환자의 인지기능 향상에 미치는 영향)

  • Lee, Seul-Ah;Kang, Seon-Hwa;Choi, Won-Ho;Lee, In-Kyung;Jung, Sang-Mi
    • Journal of Korea Entertainment Industry Association
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    • v.13 no.1
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    • pp.199-206
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    • 2019
  • This study aims to identify whether the action-observation training impacts on the improvement of stroke patient's cognitive functioning. When it comes to the research methods, Korean version of Mini-Mental State Examination (MMSE-K) and Literacy Independent Cognitive Assessment (LICA) conducted to assess samples between 23 April and 18 May 2018. Samples are seven patients who are hospitalized in Kyung-In region. In the meantime, seven tasks such as the range of joint motion (ROM) dance, arrangement of pullover clothes, lacing-ups of a pair, folding up a facecloth and socks, the origami and tying a necktie implemented as the action-observation programme. In order to analyse collected data, descriptive statistics analysis, paired t-test and the Wilcoxon signed-rank test were carried out via SPSS version 20 (a statistics programme). The change in value from MMSE-K showed its statistical significant as 3.29 (±1.38, p<.001) as well as value from LICA in recollective powers was 12.16 (±6.73), therefore, the statistic is said to be statistically significant. In conclusion, action-observation training most influenced recollective powers amongst stroke patient's cognitive functioning areas. Even though development of cognitive functioning discovered in other areas, its values were possibly statistically insignificant. Hence, future research ought to demonstrate which areas action-observation training is effective according to brain lesion site.

On-orbit Thermal Characteristic for Multilayered High Damping Yoke Structure Based on Superelastic Shape Memory Alloy for Passive Vibration Control of Solar Panels (태양전지판의 수동형 제진을 위한 초탄성 형상기억합금 기반 적층형 고댐핑 요크 구조의 궤도상 열적 특성 분석)

  • Min-Young Son;Jae-Hyeon Park;Bong-Geon Chae;Sung-Woo Park;Hyun-Ung Oh
    • Journal of Aerospace System Engineering
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    • v.18 no.1
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    • pp.1-10
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    • 2024
  • In a previous study, a structure of a superplastic yoke consisting of a thin FR4 layer laminated with viscoelastic tape on both sides of a shape memory alloy (SMA) was proposed to reduce residual vibration generated by a deployable solar panel during high motion of a satellite. Damping properties of viscoelastic tapes will change with temperature, which can directly affect vibration reduction performance of the yoke. To check damping performance of the yoke at different temperatures, free damping tests were performed under various temperature conditions to identify the temperature range where the damping performance was maximized. Based on above temperature test results, this paper predicts temperature of the yoke through orbital thermal analysis so that the yoke can have effective damping performance even if it is exposed to an orbital thermal environment. In addition, the thermal design method was described so that the yoke could have optimal vibration reduction performance.

The ultrasound-guided injection of prolotherapy and steroid mixture in patients with adhesive capsulitis (견관절 유착성 관절낭염 환자에서 시행한 초음파 관찰 하에 증식제제와 스테로이드제 병합주사요법)

  • Moon, Young-Lae;An, Ki-Yong;Park, Sung-Min;Bae, Byung-Jo
    • Journal of Korean Orthopaedic Sports Medicine
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    • v.9 no.2
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    • pp.109-113
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    • 2010
  • Purpose: To evaluate the efficacy of ultrasound guided injection of prolotherapy and steroid mixture injection in patients with adhesive capsulitis. Materials and Methods: 53 patients with adhesive capsulitis were included in the study and in all the patients a mixture of steroid and prolotherapy agent was injected into the coracohumeral ligament under the sonographic guidance. The patients were evaluated using the VAS and ROM of the shoulder before the injection and at 8 weeks and at 1 year after the injection. Results: Forward flexion was 93.4 degrees before the injection and was 142, 153 degrees at 8weeks and 1 year after injection. Abduction was 79.2 degrees before the injection and was 125.4, 152.6 degrees at 8 weeks and 1 year after the injection. The VAS score was 6.7 before the injection and was 3.5, 3.7 at 8 weeks and 1 year after the injection. Conclusion: The ultrasound guided injection of prolotherapy and steroid mixture into the coracohumeral ligament in patients with adhesive capsulitis is allowing both tissue distension and inflammatory process controlling procedure. It is effective in improving the range of shoulder motion significantly and is also effective in decreasing the pain.

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Surgical Result of Congenital Mitral Regurgitation in Children (선천성 승모판폐쇄부전증 교정수술의 단기성적)

  • 홍유선;박영환
    • Journal of Chest Surgery
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    • v.30 no.4
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    • pp.373-377
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    • 1997
  • Between January, 1991 and May 1995, mitral valve repair was undertaken on 32 patients under 15 years for congenital mitral regurgitation. Mean age was 24.0$\pm$26.1 months(range 3 months to 15 years), 16 patients were male and 16 patients were female associated cardiac anomalies were found in 26 patients (81%), and ventricular septal defects were noted in 18 patients(56%). In regards to pathologic findings, there were annular dilatation(n:7), leaflet prolapse(n=18), cleft leaflet(n=5) and restricted valve motion (n=2). The method of repair consisted of annuloplasty(Modif ed Devega type) in 14, repair of redundunt leaflet in 6, closure of cleft in 5, triangular resection in 2 and splitting of papillary muscle in one. There was no operative mortality and two late deaths occurred as a result of heart failure and sepsis. Tro patients required replacement of the mitral valve after 3 months and 7 months respectivehy because of recurrent mitral regurgitation. Actuarial survival was 92.5% at 46 months and actuarial freedom from reoperation was 95% at 12 months and 92.5% at 46 months. Actuarial freedom from valve repair failure was 68% at 12 months and 61.8% at 46 months. Although valve repair failure rate was high, we believe that mitral valve repair should be of rcrred to children because of low mortality and low reoperation rate.

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Development of Rustling Sound Generator Using Reciprocating Motion and Evaluation of Its Fabric Sound (왕복운동에 의한 직물마찰음발생장치의 개발 및 이를 이용한 직물소리 평가)

  • Kim Chun-Jeong;Cho Gil-Soo
    • Science of Emotion and Sensibility
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    • v.9 no.2
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    • pp.133-140
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    • 2006
  • In order to investigate the sensation of the fabric sound simulating the real wear-condition, the fabric sound simulator using reciprocating friction was developed. Fabric sounds from 5 specimen were generated by the fabric sound simulator and recorded using high performance microphone. Physical sound parameters of fabrics including level pressure of total sound (LPT), level range (${\Delta}L$), and frequency differences (${\Delta}f$) were calculated. For psychological evaluation, seven adjectives for sound (softness, loudness, sharpness, clearness, roughness, highness, and pleasantness) were used as the semantic differential scale. Fabric sounds by reciprocating friction of nylon taffeta and polyester leno had the highest value of LPT and evaluated as loud, sharp, rough, and unpleasant while polyester ultra suede and silk crepe de chine haying the lower LPT and ${\Delta}f$ were perceived as soft and quite. Comparing with fabric sound by one-way friction, fabric sound by reciprocation friction was perceived as more sharp, loud, and rough. LPT was also the most important factor affecting the sensation of the fabric sound by reciprocating friction.

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Suture Anchor Capsulorraphy in the Traumatic Anterior Shoulder Instability: Open Versus Arthroscopic Technique (봉합나사를 이용한 Bankart 봉합술의 관절경적 및 개방적 수술의 비교)

  • Kim Seung-Ho;Ha Kwon-Ick;Kim Sang-Hyun
    • Clinics in Shoulder and Elbow
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    • v.2 no.2
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    • pp.157-169
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    • 1999
  • Eighty-nine shoulders in eighty-eight patients with traumatic unilateral anterior shoulder instability were evaluated for Rowe and UCLA scores, recurrence, return to activity, and range of motion by an independent examiner at an average of 39 months after either arthroscopic or open Bankart repair using suture anchors. The arthroscopic technique included a minimum of 3 anchors, and a routine incorporation of capsular plication and proximal shift. Twenty­six shoulders(86.6%) out of thirty in the open Bankart repair group had excellent or good results while fifty­four(91.5%) of the fifty-nine shoulders with arthroscopic Bankart repair had excellent or good results. The arthroscopic group revealed significantly better results in the Rowe(p=.041) and UCLA scores(p=.026). Two shoulders in each group developed redislocation. There were no significant differences in the loss of external rotation and return to prior activity between the two groups(p>.05). The residual instability occurred more frequently in the group of patients with lesser anchors. Arthroscopic suture anchor capsulorraphy has results equal to or better than the open Bankart procedure.

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The Comparative Analysis of Wearing Roller Shoes and Jogging Shoes on Kinematic Characteristics in the Lower Extremity during Walking (롤러 신발과 조깅 신발 착용 후 보행 시 하지 분절의 운동학적 특성 비교 분석)

  • Jang, Jae-Ik;Chae, Woen-Sik;Kang, Nyeon-Ju;Yoon, Chang-Jin
    • Korean Journal of Applied Biomechanics
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    • v.19 no.2
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    • pp.399-406
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    • 2009
  • The purpose of this study was to compare the effect of wearing roller shoes and jogging shoes on kinematic characteristics in lower extremity during walking. Eight male middle school students(age: $15.0{\pm}0.0^{\circ}$ yrs, height $175.9{\pm}6.6cm$, weight: $616.3{\pm}84.9$ N) who have no musculoskeletal disorder were recruited as the subjects. Temporal parameters, step length, stride length, center of mass, velocity of CM, angle of segment, angular velocity and range of motion were determined for each trial. For each dependent variable, paired t-test was performed to test if significant difference existed between shoe conditions(p < .05). The results showed that stride length and velocity of CM in wearing roller shoes were significantly less than those found in wearing jogging shoes. These indicated that walking patterns may be changed by different shoe conditions and unstable braking condition because of wheel. Angle of ankle joint at LHC1 and LHC2 in wearing roller shoes was greater than the corresponding value for wearing jogging shoes. It seems that the ankle joints are locked in an awkward fashion at the heel contact to compensate for imbalance. Otherwise, dorsi flexion was not produced at the heel contact point in wearing roller shoes.

Blind and Ultrasonography-guided Injection Therapy for Calcific Tendinitis of Supraspinatus (극상건 석회화 건염에 대한 맹검 주사요법과 초음파하 주사요법)

  • Moon, Young-Lae;Nam, Gi-Young;Noh, Kyung-Hwan
    • The Journal of Korean Orthopaedic Ultrasound Society
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    • v.1 no.2
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    • pp.86-90
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    • 2008
  • Purpose: To evaluate the differences between blindly and ultrasonography (US)-guided during multiple needling and dextrose injection technique for calcific tendinitis of shoulder. Materials and Methods: We chose 36 symptomatic calcific tendinitis patients, whose age ranged from 27 to 69. Our procedures were multiple needling and injection of dextrose over the lesion of calcific deposits. The bind injection group were 19 patients whose age ranged from 27 to 64-year-old (mean 52.2), and the US-guided injection group were 17 patients ranged from 31 to 69-year-old (mean 49.0). We compare these groups by VAS (visual analogue scale) and range of motion before and after procedures. Results: There is no difference between two groups in VAS and ROM before procedure (p>0.05). Two groups revealed significant improvement without limitation of shoulder function, however, the group under US-guided revealed better results than under blind (VAS:p=0.001, Flexion:p=0.000, Abduction:p=0.000, External rotation: p=0.016). Conclusion: Ultrasonography-guided procedure showed better results than blind, so the use of ultrasonography is more promising procedure.

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