• Title/Summary/Keyword: Segmental joint

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Strength Evaluation of I-Type Connecting System on a Segmental Retaining Reinforced Wall Consideration the Backfill Settlement (배면침하 영향을 고려한 보강토 옹벽의 I형 연결시스템 강도 평가)

  • Moon, Hee-Jung;Han, Jung-Geun;Lee, Jong-Young;Cho, Sam-Deok;Lee, Kwang-Wu
    • Journal of the Korean Geosynthetics Society
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    • v.6 no.1
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    • pp.27-32
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    • 2007
  • This paper describes the applicability of geogrid with I-type coupling system, which permits vertical displacement on back fill ground of the reinforced retaining wall and also minimize the damage between block and geogrid. The improvement of coupling method allowed the reduction of approximately 700 mm in the existing geogrid, and as a result, the tensile strength at the coupling joint showed approximately 53% of the maximum tensile strength. It is expected from the laboratory investigations that the coupling strength of geogrid with the combination of in-situ supporting material should be predominant in the field condition.

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Reliability and Validity of the Side-lying Instability and Prone Instability Tests in Patients with Lumbar Segmental Instability

  • Kim, Bo-Eon;Lee, Kwan-Woo;Park, Dae-Sung
    • Journal of the Korean Society of Physical Medicine
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    • v.16 no.1
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    • pp.1-7
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    • 2021
  • PURPOSE: The purpose of this study is to conduct inter-rater and intra-rater reliability tests in patients with low back pain (LBP) using the prone instability test (PIT) and side-lying instability test (SIT). We have analyzed the Korean version Oswestry disability index (K-ODI) correlations and radiograph finding (RF) for validity. METHODS: Individuals (n = 51) (mean age of 40.27 ± 13.28) with LBP for at least over a week were recruited, together with two participating physical therapist examiners. The measurement consisted of PIT, PST, K-ODI, and RF. Sensitivity (Sn), specificity (Sp), positive predictive value, negative predictive value, prevalence index, agreement %, Cohen's kappa, and prevalence-adjusted bias-adjusted kappa (PABAK) were calculated. The PIT and SIT were compared with RF for validity analysis, while PIT, SIT, K-ODI, and RF were calculated for the correlation analysis. RESULTS: The intra-rater reliability test measured for the PIT (kappa = .79, PABAK = .88) and SIT (kappa = .73, PABAK = .84), and inter-rater reliability test measured for the SIT (kappa = .80, PABAK = .88) showed good agreements. The PIT (Sn = .65, Sp = .63) and SIT validities (Sn = .68, Sp = .70) were compared with RF, showing a significant correlation in PIT and RF (r = .69), SIT and RF (r = .73), and PIT and K-ODI (r = .53). CONCLUSION: The SIT is a more comfortable position test than the PIT in patients. Both PIT and SIT have acceptable reliability and validity.

Knee Joint Sparing Tumor Resection in 4years-Old Patient with Osteosarcoma - A Case Report - (4세 소아 대퇴골 골육종의 슬관절 보존형 절제 및 재건술 - 증례 보고 -)

  • Cho, Wan-Hyung;Cho, Sang-Hyun;Won, Ho-Hyun;Jeon, Dae-Geun
    • The Journal of the Korean bone and joint tumor society
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    • v.14 no.2
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    • pp.157-162
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    • 2008
  • Nowadays, most of the malignant bone tumor patient underwent limb salvage operation, however, reconstructive options for skeletally immature group are still controversial. There are three necessary conditions of most ideal reconstructive method in treating the skeletally immature children. As the epiphyseal plate sacrification is usually inevitable in malignant bone tumor around knee joint, ideal reconstructive technique would be as follows; 1)minimal or no damage to theadjacent epiphyseal plate, 2) maintaining mobile joint, 3) index procedure does not disturb subsequent operation such as lengthening. Segmental resection and reconstruction using autogenous pasteurized graft was done for 4 years old meta-diaphyseal osteosarcoma of femur. At 6 months from index operation, plain radiograph showed pasteurized bone resorption and loosening of fixation devise. To overcome the complication, we used allograft reconstruction by impacting the proximal host bone to the fluted portion of allobone. Three months later, proximal bone union was observed and patient showed good functional outcome.

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Effects of hand grip strength on shoulder muscle activity in breast cancer patients

  • Yun, Tae-Won;Lee, Byoung-Hee
    • Physical Therapy Rehabilitation Science
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    • v.5 no.2
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    • pp.95-100
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    • 2016
  • Objective: The purpose of this study was to investigate effects of hand grip strength on the muscle activation of shoulder joint in breast cancer patients. Design: Cross-sectional study. Methods: Ten breast cancer patients who agreed to active participation were included. These patients were operated with either conservative surgery or segmental mastectomy, and then were treated with radiation therapy and chemotherapy. The activity of the upper trapezius, lower trapezius, supraspinatus and serratus anterior muscle were measured using surface electrodes during 4 hand gripping tasks (lowered their arms in standing position, 0%, 30%, and 50% of maximum voluntary contraction) in the scapular abduction plane. Results: The results were analyzed using a one-way repeated measures ANOVA. There was a significant difference in the lower trapezius and supraspinatus muscles according to grip strength, lower trapezius and supraspinatus muscles showed significantly difference according to grip strength (p<0.05). The result of the muscle activation according to hand strength (0%, 30%, and 50%) it showed a significant difference between the upper trapezius and supraspinatus in 0% grip strength (p<0.05). In addition, it did not show a significant difference between muscles in 30%, 50% hand strength. Conclusions: This study showed an increase in shoulder muscle activation with increasing hand grip strength with the upper trapezius muscle being more activated than other muscles in 0% grip strength. The finding of this study suggests usefulness for development of preventative measures and rehabilitation strategies for increasing shoulder motor function in patients with breast cancer.

The Immediate Effect of Maitland Cervical Spine Mobilization on Tone and Stiffness of Upper Limb Muscles in Chronic Stroke Patients (메이틀랜드 목뼈 가동술이 만성 뇌졸중 환자의 팔 긴장도 및 뻣뻣함에 미치는 즉각적인 영향)

  • Park, Shin-jun
    • Physical Therapy Korea
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    • v.25 no.2
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    • pp.13-21
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    • 2018
  • Background: After a stroke, the patient may have abnormal muscle tone due to abnormal alignment. Physical therapists have used stretching, neural mobilization other methods to treat patients after stroke. In addition, joint mobilization is also used to stimulation in pathway of cervical segmental region and to normal cervical spine alignment. Objects: The purpose of this study was to determine whether Maitland cervical spine mobilization has an immediate effect on muscle tone and stiffness of upper extremity. Methods: Thirty subjects were divided into a experimental group ($n_1=10$), a placebo group ($n_2=10$), and a control group ($n_3=10$). The Maitland cervical spine mobilization was applied in the supine position. Immediately after the intervention, muscle tone and stiffness of biceps brachii, brachioradialis, deltoid, and pectoralis major were measured using Myoton(R)PRO. In the placebo group, sham mobilization was applied to the fifth and sixth cervical vertebra, and the control group was instructed to control breathing. Results: In the experimental group, significant differences were found in muscle tone and stiffness of biceps brachii and brachioradialis in comparison with the affected side and the non-affected side before the intervention (p<.05), whereas there was no significant difference after the intervention (p>.05). Muscle tone of biceps brachii on the non-affected side and pectoralis major on the affected side was significantly decreased before and after the intervention (p<.05). The placebo and control group showed no changes on the non-affected and affected side, and no significant differences were detected before and after the intervention. All the groups revealed no significant differences in muscle tone and stiffness of upper extremity before and after the intervention. Conclusion: This study suggests that the application of Maitland cervical spine mobilization enhanced muscle tone of upper extremity on the involved side symmetrically, and influenced a decrease in muscle tone.

Recurrent Osteofibrous Dysplasia Treated with Wide Extraperiosteal Resection and Vascularized Fibular Graft -A Case Report- (광범위 골막외 절제 후 유리 생비골 이식술로 치료한 재발성 골섬유성 이형성증 -1예 보고-)

  • Ok, In-Young;Chung, Yang-Guk;Kim, Hyung-Min;Kang, Hyun-Taek
    • The Journal of the Korean bone and joint tumor society
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    • v.12 no.1
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    • pp.47-51
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    • 2006
  • Osteofibrous dysplasia is a rare bone tumor arising in patient younger than 10 years. Because of the frequent local recurrences after intralesional curettage and even after wide extraperiosteal resection, it is difficult to treat. Recurred lesions often showed increased disease activities. We experienced a case of osteofibrous dysplasia arisen in tibia. We treated the recurrent lesion occurred after two times of curettages and bone grafts with wide extraperiosteal segmental resection and reconstruction with free vascularized fibular graft. Here we report the case with review of the related literatures.

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A study on the design of shield tunnel lining in high water pressure condition (고수압 조건에서 쉴드터널 세그먼트 라이닝 구조설계에 관한 연구)

  • Lee, Young-Joon;Kim, Ki-Lim;Jeong, Keon-Woong;Hong, Eui-Joon;Kim, Seon-Hong;Jun, Duk-Chan
    • Journal of Korean Tunnelling and Underground Space Association
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    • v.17 no.3
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    • pp.227-236
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    • 2015
  • In impermeable ground, water pressure is applied due to discontinuity such as joint or fissure. Therefore, water pressure should be considered in design regardless of ground condition. However, when the shape of segmental lining is circular, water pressure may reduce the lining member force, so it is important to define the assumption and the concept of design in case of high water pressure. This paper presents the concepts of design of the lining of shield tunnel at high water pressure and in impermeable ground condition. In addition, the member forces in various load conditions were compared in this study. (elastic equation, closed form solutions, beam-spring model).

The Treatment of Tibial Shaft Fractures by Interlocking Nailing (Interlocking Nail을 사용한 경골간부 골절의 치료)

  • Lee, Jae-Chang;Lee, Jae-Sung;Ahn, Myun-Whan;Kim, Sae-Dong;Ihn, Joo-Chul
    • Journal of Yeungnam Medical Science
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    • v.5 no.1
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    • pp.61-67
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    • 1988
  • The treatment of tibial shaft fracture has become one of the most controversial subjects in orthopedic surgery. Comminuted, segmental and rotationally unstable fractures or bone defect at fracture site have problems of the fixation. The interlocking nail solve these problems. We have experienced 8 cases of the tibial shaft fractures treated with interlocking nail from 1986 to 1988. Authors analysed these cases and our own clinical study. The results were as follows. 1. The average bone union rate was about 15 weeks. 2. The interval between operation and crutch walking was 4:3 weeks. 3. The merits of this operation were the short hospitalization and early adaptation of social activity. 4. The advantage is be able to do early ambulation without following muscular atrophy or joint stiffness. 5. The results were assessed on clinical examination and radiographic appearance by Hamza et al. An excellent results were 7 cases and good result was 1 case.

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Longitudinal Stress Distributions around Construction Joints of PSC Bridge Girders (PSC 교량의 시공이음부 종방향 응력 분포)

  • Im, Jung-Soon;Lee, Soo-Keun;Chae, Sung-Tae
    • Journal of the Korean Society of Hazard Mitigation
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    • v.2 no.3 s.6
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    • pp.101-108
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    • 2002
  • There exist many construction joints in segmentally constructed bridge girders. It is required coupling of tendons or overlapping of tendons to introduce continuous prestress through several spans of bridges. Even though tendon coupling method is easier to use in practice, some cracking problems around construction joints have been reported and complicated stress states around construction joints in PSC girders is not clearly investigated. The purpose of this paper is to investigate in detail the complicated longitudinal stress distributions around the construction joints in prestressed concrete girders with tendon couplers. To this end, a comprehensive experimental program has been set up and a series of specimens have been tested to identify the effects of tendon coupling and segmental construction of bridge sections. The present study indicates that the longitudinal stress distributions of PSC girders with tendon couplers are quite different from those of PSC girders without tendon couplers. The longitudinal compressive stresses introduced by prestressing are greatly reduced around coupled joints according to tendon coupling ratios.

An Experimental Study on Structural Behavior of Segmental Joint in Prestressed Composite Girder (프리스트레스트 강합성거더의 분절 접합부 구조거동에 관한 실험적 연구)

  • Lee, Juwon;Ha, Taeyul;Yang, Inwook;Han, Jongwook
    • Journal of the Society of Disaster Information
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    • v.12 no.4
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    • pp.422-431
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    • 2016
  • This study was evaluated in the performance of the connection according to the details of the concrete casing segment in the prestressed composite girder by fabricating and testing specimens with different segments. A total of four comparative specimens were fabricated by using the variables of general composite girders, reinforcement or non-reinforcement, and details of reinforcing bars in the segments so as to evaluate the structural behavior of steel girders. In addition, the possibility of non-cracking grade design of segmented composite girders as well as the effects of stiffness and strength according to the loop connection types after cracking were analyzed, and the appropriateness of the crack width control both the embedded steel plate and the concrete surface were evaluated.