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Occlusal Analysis of the Subjects with Chewing Side Preference Using the T-Scan II System (T-Scan II 시스템을 이용한 습관적 편측저작자들의 교합 분석)

  • Park, Eun-Hee;Kim, Mee-Eun;Kim, Ki-Suk
    • Journal of Oral Medicine and Pain
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    • v.31 no.3
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    • pp.245-254
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    • 2006
  • While orofacial pain or various dental factors are generally considered as the primary cause of unilateral chewing tendency, there exist several studies indicating that dental factors did not affect the preferred chewing side. The aim of this study was to examine difference of occlusal scheme between the subjects with and without chewing side preference. The difference between the chewing and non-chewing sides in the unilateral chewing group was investigated as well. Computerized, T-Scan II system was used for occlusal analysis. 20 subjects for the unilateral chewing group (mean age of $25.25{\pm}2.84$ years) and 20 subjects for the bilateral chewing group (mean age of $27.00{\pm}5.07$ years) were selected by a questionnaire on presence or absence of chewing side preference and those with occlusal problem or pain and/or dysfunction of jaw were excluded. T-Scan recordings were obtained during maximum intercuspation and excursion movement. The number of contact points, relative occlusal force ratio between right and left sides, tooth sliding area and elapsed time throughout the maximum intercuspation were calculated. Elapsed time for excursion was also investigated. The results of this study shows that the unilateral chewing group had the smaller average tooth contact areas compared with those of the bilateral group (p<0.005). In the unilateral chewing group, the contact areas of non-chewing side are smaller than those of chewing side (p<0.005). The contact areas on their preferred sides were not significantly different with those of right or left side of the subjects without chewing side preference. There was no significant difference in the elapsed time during maximum intercuspation and lateral excursion, the sliding areas and relative of right-to-left occlusal force ratio between the two groups. From the results of this study, it is likely that individuals prefer chewing on the side with more contact areas for efficient chewing.

A Study on the Masticatory Muscle Activity According to the Occlusal Guidance Patterns (교합 유도 형태에 따른 저작근 활성도에 관한 연구)

  • Kim, Ok-Hee;Kay, Kee-Sung
    • The Journal of Korean Academy of Prosthodontics
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    • v.27 no.2
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    • pp.189-200
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    • 1989
  • The purpose of this study was to investigate the muscle activity of the group function occlusion and the changed canine guided occlusion using EM2. In this study, 13 subjects with group function occlusion and without temporomandibular disorders were selected, each subject was changed to the canine guided occlusion by forming the lingual ramps in the upper canines with light curing composite resin. The muscle activities of the anterior temporal and masseter muscle were recorded in the group function occlusion and immediately, one week, and two weeks after changing to the canine guided occlusion under the condition of maximum voluntary clenching in centric occlusion, lateral excursion, and during gum chewing. The results were as follows: 1. In case of maximum voluntary clenching in centric occlusion, the muscle activities of the anterior temporal and masseter muscle of working and balancing side didn't show any difference immediately after changing to the canine guided occlusion, one week after changing to the canine guided occlusion, one week after changing to it the muscle activities of the anterior temporal masseter muscle of working and balancing side were increased significantly, and two weeks after changing to it the muscle activities of the masseter muscle were increased significantly in comparison with the group function occlusion. 2. In case of maximum voluntary clenching in lateral excursion, the muscle activities of the anterior temporal and masseter muscle of working and balancing side were reduced significantly immediately after changing to the canine guided occlusion, one week after changing to it the muscle activities of the anterior temporal muscle of balancing side and of the anterior temporal and masseter muscle of working side were reduced significantly, and 2 weeks after changing to it the muscle activities of the anterior temporal and masseter muscle of working side were reduced significantly in comparison with the .group function occlusion. 3. During gum chewing, the muscle activities of the anterior temporal and masseter muscle of working and balancing side didn't show any difference immediately after changing to the canine guided occlusion, one week after changing to it the muscle activities of the masseter muscle of working and balancing side were increased significantly, and two weeks after changing to it only the muscle activities of masseter muscle of working side were increased significantly.

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Short-term changes in muscle activity and jaw movement patterns after orthognathic surgery in skeletal Class III patients with facial asymmetry

  • Kim, Kyung-A;Park, Hong-Sik;Lee, Soo-Yeon;Kim, Su-Jung;Baek, Seung-Hak;Ahn, Hyo-Won
    • The korean journal of orthodontics
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    • v.49 no.4
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    • pp.254-264
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    • 2019
  • Objective: To evaluate the short-term changes in masticatory muscle activity and mandibular movement patterns after orthognathic surgery in skeletal Class III patients with facial asymmetry. Methods: Twenty-seven skeletal Class III adult patients were divided into two groups based on the degree of facial asymmetry: the experimental group (n = 17 [11 male and 6 female]; menton deviation ${\geq}4mm$) and control group (n = 10 [4 male and 6 female]; menton deviation < 1.6 mm). Cephalography, electromyography (EMG) for the anterior temporalis (TA) and masseter muscles (MM), and mandibular movement (range of motion [ROM] and average chewing pattern [ACP]) were evaluated before (T0) and 7 to 8 months (T1) after the surgery. Results: There were no significant postoperative changes in the EMG potentials of the TA and MM in both groups, except in the anterior cotton roll biting test, in which the masticatory muscle activity had changed into an MM-dominant pattern postoperatively in both groups. In the experimental group, the amount of maximum opening, protrusion, and lateral excursion to the non-deviated side were significantly decreased. The turning point tended to be shorter and significantly moved medially during chewing in the non-deviated side in the experimental group. Conclusions: In skeletal Class III patients with facial asymmetry, the EMG activity characteristics recovered to presurgical levels within 7 to 8 months after the surgery. Correction of the asymmetry caused limitation in jaw movement in terms of both ROM and ACP on the non-deviated side.

Effect of Body Posture on the Rest Position and the Rotational Torque Movement of the Mandible (신체 자세의 변화가 하악의 안정위와 비틀림 회전운동에 미치는 영향)

  • Jung, Seung-Ah;Han, Kyung-Soo;Park, Mi-Sung;Yang, Keun-Young
    • Journal of Oral Medicine and Pain
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    • v.25 no.4
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    • pp.383-394
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    • 2000
  • This study was performed to investigate the effect of change of body posture on the rest position and the rotational torque movement of the mandible. Thirty dental students without any signs and symptoms of temporomandibular disorders and with natural dentition were selected for this study. Cervical inclination and the amount of the mandibular movement on protrusion, on left and right excursion, and on tapping in three body postures such as sitting position, supine position without pillow, and supine position with pillow were measured by goniometer, Cervical-Range-of-$Motion^{(R)}$, and mandibular tracking device, $BioEGN^{(R)}$ with $Rotate!^{(R)}$ program. The data obtained were classified and processed according to body posture and type of lateral guidance with SPSS windows program and the results were as follows: 1. There was significant difference among the three cervical inclinations by body postures. 2. Comparison of mandibular rest positions among body postures showed significant difference only for lateral distance in frontal plane, but comparison between before and after swallowing showed significant difference except for the lateral distance, vice versa. 3. Distance and amount of the rotational torque movement on protrusion and/or lateral excursions didn't show any difference by body posture. But by both body posture and lateral guidance type, there were slightly significant difference for some items. 4. A significant difference was shown for the rotational torque movement in frontal plane on tapping by body postures, for the lateral distance in frontal plane on sitting position by lateral guidance type, and for the rotational torque movement in frontal plane by both body posture and lateral guidance type.

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Effect of Nonequilibrium Condensation on the Oscillation of the Terminating Shock in a Transonic Airfoil Flow (천음속 익형 유동에 있어서 비평형 응축이 충격파 진동에 미치는 영향)

  • Kim, Jin-Soo;Lee, Sung-Jin;Alam, Miah Md. Ashraful;Kwon, Soon-Bum
    • Transactions of the Korean Society of Mechanical Engineers B
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    • v.36 no.1
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    • pp.61-66
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    • 2012
  • In this study, to find the effect of nonequilibrium condensation on the oscillation of the terminating shock wave in transonic flows, an NACA0014 airfoil flow with nonequilibrium condensation is analyzed using the total variation diminishing (TVD) numerical scheme. Transonic free stream Mach numbers of 0.81-0.87 are tested with variations in the stagnation relative humidity. For the same free stream Mach number and attack angle of ${\alpha}=0^{\circ}$, an increase in the stagnation relative humidity attenuates the strength of the terminating shock and reduces the oscillation of the terminating shock wave. Furthermore, for the same stagnation relative humidity, the larger the free stream Mach number becomes, the shorter the period of the oscillation shock wave is. The excursion distance of the oscillation shock increases with the free stream Mach numbers for the same stagnation relative humidity. Finally, it is found that for the same shock location, the strength of the oscillating shock facing upstream is stronger than that facing downstream.

Ipsilesional Movement Deficit of Proximal & Distal Upper Extremity in Patients With Unilateral Brain Damage (편측 뇌손상 환자에서 동측 상지의 근위부 및 원위부의 운동 결함에 관한 분석)

  • Kwon, Yong-Hyun;Choi, Jin-Ho;Shin, Hwa-Kyung;Bai, Dai-Seg
    • Physical Therapy Korea
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    • v.12 no.1
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    • pp.71-79
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    • 2005
  • The purpose of this study was to analyze the presence of ipsilesional movement deficit, with segmental performance in each proximal or distal upper extremity. The visuoperceptual complex task of the ipsilesional upper extremity was investigated in patients with unilateral brain damage and a control group of healthy sex-age-matched controls. Tracking movements were tested in the proximal and distal upper extremities. Movements were measured by the accuracy index, which was normalized to each subject's own range of motion and took into account any differences between subjects in the excursion of the tracking target. The findings revealed that stroke patients experienced difficulties with tracking movement of both proximal and distal segments in the upper extremities on the so-called "non-affected side", irrespectively of the extent of patient's age, time since onset, or severity of contralateral upper extremity. Therefore, the unilateral brain damage affected ipsilateral motor function of the proximal and distal upper limbs in the performance of complex motor tasks, requiring central processing and the higher order cognitive function in the integrity of both hemispheres.

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Reliability of the Tone Assessment Scale for Poststroke Spasticity (뇌졸중 후 강직(spasticity) 평가를 위한 Tone Assessment Scale의 신뢰도)

  • Kim, Tae-Ho;Chung, Ey-Jung
    • Physical Therapy Korea
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    • v.9 no.2
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    • pp.133-144
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    • 2002
  • The purpose of this study was to establish reliability of the Tone Assessment Scale (TAS) translated into Korean in patients with stroke. The TAS consists of resting posture, response to passive movement, and associated reaction to active effort. Fifteen patients (14 males, 1 female) were examined by two raters. Surface electromyography (EMG) data at elbow flexor muscle and joint excursion were collected from 6 patients. To identify the correlation between muscle activity and angular changes of elbow muscle, Pearson product moment correlation was used. The inter-rater and intra-rater reliability of the TAS ranged from very good to good (K/Kw=.61~1.00 for intra-rater and K/Kw=.73~1.00 for intra-rater comparisons) in the sections of resting posture and associated reaction. However, in the section of response to passive movement, the reliability coefficients ranged from very good to fair (Kw=.29~1.00). In the 11th item, correlation between EMG ratio of elbow flexor and angular changes of elbow joint showed statistically strong positive relationship (r=.94, p<.05). These results indicate that the TAS is selectively reliable in the sections of resting posture and associated reaction.

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The Effect of Core Stabilization Exercise on Dynamic Balance and Trunk Horizontal Rotation in Adult Men (코어 운동이 성인 남성의 동적 균형과 몸통의 수평 회전에 미치는 효과)

  • Gyeong Hyeon, Jeong;Byounghee, Lee
    • Journal of Korean Physical Therapy Science
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    • v.29 no.4
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    • pp.96-111
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    • 2022
  • Background: This study aims to evaluate the effect of core stabilization exercise on the dynamic balance and horizontal rotation of the trunk in young adult men. Through this study, it is expected that various core stabilization exercises will prevent and treat musculoskeletal disease. Design: Randomized Controlled Trial. Methods: The study subjects were recruited from young adult men in their 20s and 30s living in Seoul, and after the randomized controlled trial, it was divided into an experimental group training core stabilization exercise(n=15) and a control group(n=15). The evaluation methods of this study were modified Star Excursion Balance Test(mSEBT), Functional Reach Test(FRT), and Trunk Rotation Test(TRT). The experimental group performed three sets of crunches and deadbug exercises twice a week for eight weeks, and the control group did not perform any exercises similar to core stabilization exercise during the experimental period. Results: The result of the experiment, the experimental group showed significant improvement in mSEBT(p<.05), FRT(p<.05) and TRT(p<.05). Conclusion: In conclusion, core stabilization exercises improved dynamic balance and horizontal rotation of the trunk. As a result of this study, core stabilization exercise can prevent and treat musculoskeletal diseases even in healthy people.

Analysis on Mandibular Movement of Temporomandibular Disorder Patients using Mandibular Kinesiograph (Mandibular Kinesiograph를 이용한 측두하악장애환자의 하악운동 분석)

  • Woo-Cheon Kee;Byung Gook Kim;You-Kyung Lee
    • Journal of Oral Medicine and Pain
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    • v.20 no.1
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    • pp.185-194
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    • 1995
  • The purpose of this study was to estimate primary diagnosis, prediction of prognosis and recognition fo treatment progress for treatment of TMD patients through measuring the various ranges of mandibular movement in normal and TMDs patients using Mandibular Kinesiograph K-6 Diagnostic system. In normal groups, 20 adults were selected, who have normal or class I molar relationship, and have no symptoms on TMJ and masticatory muscles, and have restorations less than 3 surfaces on each tooth, and have no other prosthetic restoration. In Patients group, we selected 31 outpatients who were confirmed to TMDs with clinical examination and radiographic findings. The obtained results were as follows : 1. In maximal opening, patient group was showed the limitation of vertical movement range (P<0.01) and lager lateral deviation than in normal group (P<0.05). And actual dimensional displacement of opening was calculated larger in normal group (P<0.05). 2. In protrusive movement, patients group was showed the limitation of anteroposterior movement range (P<0.001) and larger deviation than in normal group (P<0.01). And actual 3 dimensional displacement of protrusion was calculated larger in normal group (P<0.001). 3. In lateral maximum excursion, compared with normal group patient group was no significant differences to affected side, but was showed the limitation of lateral movement to unaffected side (P<0.001). 4. There was no significant difference in movement velocity of opening and closing in both groups. 5. Mandibular movement from physiologic rest position to centric occlusion was moved more anteroposteriorly in patient group. 6. Mandibular movement from centric relation to centric occlusion was no significant difference in both groups.

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Comparison of the Effects of Different Types of Taping on Static and Dynamic Balance in Adults with Chronic Ankle Instability (테이핑의 종류가 만성 발목 불안정성을 가진 성인의 정적 및 동적 균형에 미치는 효과 비교)

  • Kwon, Ohhyun;Kim, Ho;Shin, Wonseob
    • Journal of The Korean Society of Integrative Medicine
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    • v.8 no.1
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    • pp.27-36
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    • 2020
  • Purpose : The purpose of this study is to apply kinesiology taping and dynamic taping to subjects with ankle instability and to find out the change of static balance and dynamic balance ability and to use it more usefully in daily life. Methods : The subjects were based on 30 Cumberland Ankle Instability Tool questionnaire scores of 24 or less, and were randomly assigned to the kinesiology taping group (n=15) and the dynamic taping group (n=15) to change the static balance and dynamic balance before and after taping Measured. The eyes were closed for 30 seconds and the average balance was measured three times through the Wii balance board in static balance, and the balance ability was evaluated by measuring functional reach test and star excursion balance test in dynamic balance. Results : As a result, the static balance showed significant results in the dynamic speed and the moving distance in the dynamic taping group (p<.05). However, there was no significant difference in the shaking area and the difference in the kinesiology taping group (p<.05) However, both groups showed significant differences in dynamic balance (p<.05). Conclusion : It was confirmed that the application of taping was effective for static and dynamic balance in subjects with ankle instability, and the application of dynamic taping was more effective than kinesiology taping.