• Clinics in Shoulder and Elbow
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• v.2 no.2
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• pp.99-105
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• 1999

We investigated the effectiveness of arthroscopic decompression in stage Ⅱ subacromial impingement after long term follow up. Arthroscopic subacromial decompression was done in 104 consecutive patients who had stage Ⅱ sub­acromial impingement. After average of 8.4 years follow up, the final results were as following; 57 shoulders(55%) in excellent, 25(24%) in good, 16(15%) in fair and 6(6%) in poor. All parameters-pain, function, muscle strength and motion-were improved significantly(p<0.00l). Rotator cuff tear was developed in 10 shoulders after decompression. Among them, 8 shoulders had unfavorable results including two poor. In 6 failures, two had rotator cuff tear, three had recurrence of impingement with degenerative change and reflex sympathetic dystrophy was developed in one. Reoperations were done in 4 shoulders. Improvement of impingement symptoms was maintained in the most of patients(79%) after long term follow up. Arthroscopic decompression surgery was very effective means for stage Ⅱ impingement syndrome.

• Journal of the Korea Safety Management & Science
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• v.8 no.4
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• pp.13-23
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• 2006

Grip strength provides a quick and objective index of the functional integrity of the upper extremities. It is widely used as an assessment measure in physical and rehabilitation medicine. In this study, maximum voluntary grip strength of 20 college students wearing 5 different gloves were measured using Jamar hand dynamometer. The results show that maximum voluntary grip strength was generally reduced when wearing gloves as compared to bare-handed. More specifically, the grip strength was highest when wearing PVC coated glove or bare-handed and getting lowered as wrist band, rubber, leather, and cotton glove in these order. Depending on the measuring posture of grip strength, shoulder height with arm extended forward was higher than the elbow was flexed 90 degree. Moreover, subjects' demographic factors and hand dimensions were not closely related to the grip strength. It is thus recommended that the proper glove should be provided to reduce the negative consequences including dropping a tool, poorer control of a tool. lower quality work, and increased muscle fatigue and in turn to increase the user safety and satisfaction.

• Proceedings of the Korea Contents Association Conference
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• 2005.05a
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• pp.156-164
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• 2005

The aim of this study was to analyze the isokinetic strength of ankle, lumbar and shoulder in fin swimmers. For this study, 7 male fin swimmers and 7 men general swimmers were selected. Isokinetic strength of ankle, lumbar and shoulder were measured by Biodex System 3,000. Statistical techniques for data analysis were a descriptive statistics and t-test. The results of this study were as following; The first, significant difference between two groups in right and left plantar flexion of ankle at $30^{\circ}/sec\;and\;180^{\circ}/sec$. But no significant difference was found between right and left in two groups. The second, significant difference between two groups in right dorsiflexion of ankle at $30^{\circ}/sec$. The third, significant difference between two groups in extension of lumbar at $60^{\circ}/sec$. The fourth, significant difference between two groups in right flexing of shoulder at $60^{\circ}/sec$ and $180^{\circ}/sec$. As result of this conclusion, the isokinetic strength of ankle and lumbar in fin swimming group showed significantly higher than non-fin swimming group.

• The Journal of Korea Robotics Society
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• v.14 no.4
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• pp.318-325
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• 2019

NREX, an upper limb exoskeleton robot, was developed at the National Rehabilitation Center to assist in the upper limb movements of subjects with weak muscular strength and control ability of the upper limbs, such as those with hemiplegia. For the free movement of the shoulder of the existing NREX, three passive joints were added, which improved its wearability. For the flexion/extension movement and internal/external rotation movement of the shoulder of the robot, the ball lock pin is used to fix or rotate the passive joint. The force and torque between a human and a robot were measured and analyzed in a reaching movement for four targets using a six-axis force/torque sensor for 20 able-bodied subjects. The addition of two passive joints to allow the user to rotate the shoulder can confirm that the average force of the upper limb must be 31.6% less and the torque must be 48.9% less to perform the movement related to the axis of rotation.

• Structural Engineering and Mechanics
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• v.90 no.2
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• pp.177-187
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• 2024

In this study, compared two distinct estimation methods (stress charts and regression equations) proposed by the Indian road congress design guideline (IRC:58-2015) to determine flexural stress in Jointed Plain Concrete Pavement (JPCP). The occurrence of critical flexural stresses in pavement slabs is due to the combined effects of wheel loads and temperature. These stresses depend on various factors such as material properties of concrete, soil-subgrade strength, loading, and geometric properties of the slab. In order to account for the practical variability of these factors, critical edge stresses are determined using both methods and compared considering tied concrete shoulder. IRC:58 (2015) suggests, the stresses calculated by both the procedures should provide the same results. However, when these stresses are compared for the same configurations and same loading conditions, large variations are observed. The effect of tied concrete shoulder on reduction in critical edge stress is observed. Based on the study, certain important conclusions and recommendations are presented.

• Journal of Dental Rehabilitation and Applied Science
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• v.16 no.2
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• pp.105-112
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• 2000

In-Ceram system is one of contemporary esthetic all ceramic restorations and has relatively high flexural strength. The purpose of this study was to evaluate the marginal fit of In-Ceram crown according to shoulder width and measuring position. In this study, twenty seven In-Ceram crowns devided into three groups, each prepared with shoulder width of 0.6mm, 0.9mm and 1.2mm. All specimens were cemented with glass ionomer cement. After cementation, specimens were measured marginal gap between the margin of the In-Ceram crown and the finishing line of resin master die by using a refrective microscope. Marginal gaps were recorded at the labial, lingual, mesial and distal measuring points on the resin master die. The results of this study were as follows: 1. Mean marginal fits of each group were $81.28{\mu}m$ in 0.6mm shoulder width, $70.78{\mu}m$ in 0.9mm shoulder width and $67.75{\mu}m$ in 1.2mm shoulder width. 2. There was significant difference between group 0.6mm and 0.9mm, 1.2mm.(p<0.05). 3. In comparison of marginal fit according to the measuring points, there was no significant difference.

• Korean Journal of Head & Neck Oncology
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• v.20 no.2
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• pp.161-166
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• 2004

Objective: The aim of this study is to evaluate shoulder function and preoperative and postoperative electrophysiological changes related to the spinal accessory nerve with reference to neck dissection technique. Materials and Methods: We evaluated shoulder function by pain, strength and range of motion in a total of 35 neck dissection cases of 29 patients with head and neck cancer or thyroid papillary cancer. Electrophysiologic studies were performed before surgery, after third postoperative weeks and 6 months respectively. The results of each test according to the types of neck dissection were compared. Results: Clinical parameters of shoulder function and electrophysiologic study showed deterioration in early postoperative periods and improvements in late postoperative periods when the spinal accessory nerve was spared and permanent nerve damage was observed in radical neck dissection. There were correlations between the clinical parameters and electrophysiologic studies. Conclusion: The shoulder function after spinal accessory nerve sparing procedure is better than the function after nerve sacrificing procedure.

• Clinics in Shoulder and Elbow
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• v.4 no.2
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• pp.161-165
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• 2001

Purpose: The purpose of this study was to analyze the possible contributing factors and surgical results of rotator cuff tears in patients younger than 40 years of age. Materials and Methods: From July, 1996 to February, 2000, twelve patients were available to participate in the study. The average age was 35 years (range, 17 to 40 years) old. Follow-up averaged eighteen months (range, 12 to 55 months). There were eleven men and one women. Each shoulder was evaluated with UCLA shoulder functional assessment, return-to-work status, return-to-sport status, and overall postoperative satisfaction. Results: After operation, eleven patients (92%) reported diminished pain relative to their preoperative level, and ten patients (83%) were improved in shoulder function. eleven patients (92%) exhibited improved strength after operation. nine patients (75%) returned to employment, and six patients (50%) returned to sports activities. Preoperative UCLA score averaged 12 and postoperative score averaged 31. Ten patients (83%) were satisfied with the outcome of their treatment. Conclusion: A traumatic event was the etiology of the rotator cuff tears in patients younger than 40 years. Results of surgical treatment in this younger group were satisfactory.

• Clinics in Shoulder and Elbow
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• v.20 no.3
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• pp.126-132
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• 2017

Background: The aim of the present study was to determine the correlation between the amount of pain reduction after local anesthetic injection into the subacromial space preoperatively and clinical outcome after arthroscopic rotator cuff repair. Methods: A total of 127 patients who underwent arthroscopic rotator cuff repair and followed up at least 1 year were analyzed retrospectively. Preoperatively, a visual analogue scale (VAS) for pain was measured in all patients before and after the ultrasound guided impingement test. The participants were divied into four groups according to pain reduntion ater impingement test (Group A: >75%, Group B: 50%-75%, Group C: 25%-50%, Group D: <25%). VAS for pain, shoulder range of motion, shoulder isometric strength, ASES score were evaluated preoperatively and at 3, 6, 9, and 12 months postoperatively. Results: After surgery, the amount of pain reduction shows significantly at 3, 6 months in Groups A, B as compared to Groups C, D (p<0.05). Among the range of motion of shoulder joint, forward flexion was significantly improved in Group A at 3 months (p<0.05). The ASES score significantly improved at 3, 6 months in Groups A, B as compared to Group C, D (p<0.05). Conclusions: Preoperative degree of pain reduction after impingement test correlates with the improvement of pain after arthroscopic rotator cuff repair, especially in the early phase. Therefore, the impingement test could be effectively used.

• Clinics in Shoulder and Elbow
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• v.27 no.1
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• pp.88-107
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• 2024

The aim of this systematic review was to collect evidence on the following 10 technical aspects of glenoid baseplate fixation in reverse total shoulder arthroplasty (rTSA): screw insertion angles; screw orientation; screw quantity; screw length; screw type; baseplate tilt; baseplate position; baseplate version and rotation; baseplate design; and anatomical safe zones. Five literature libraries were searched for eligible clinical, cadaver, biomechanical, virtual planning, and finite element analysis studies. Studies including patients >16 years old in which at least one of the ten abovementioned technical aspects was assessed were suitable for analysis. We excluded studies of patients with: glenoid bone loss; bony increased offset-reversed shoulder arthroplasty; rTSA with bone grafts; and augmented baseplates. Quality assessment was performed for each included study. Sixty-two studies were included, of which 41 were experimental studies (13 cadaver, 10 virtual planning, 11 biomechanical, and 7 finite element studies) and 21 were clinical studies (12 retrospective cohorts and 9 case-control studies). Overall, the quality of included studies was moderate or high. The majority of studies agreed upon the use of a divergent screw fixation pattern, fixation with four screws (to reduce micromotions), and inferior positioning in neutral or anteversion. A general consensus was not reached on the other technical aspects. Most surgical aspects of baseplate fixation can be decided without affecting fixation strength. There is not a single strategy that provides the best outcome. Therefore, guidelines should cover multiple surgical options that can achieve adequate baseplate fixation.