• Clinics in Shoulder and Elbow
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• v.25 no.4
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• pp.274-281
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• 2022

Background: In the present study, the age- and sex-adjusted Constant score (CS) in a normal Indian population was calculated and any differences with other population cohorts assessed. Methods: The study participants were patients who visited the outpatient department for problems other than shoulder and healthy volunteers from the local population. Patients without shoulder pain/discomfort during activity were included in the study. Subjects with any problem that might affect shoulder function (e.g., cervical, thoracic spine, rib cage deformity, inflammatory arthritis) were excluded. Constant scoring of all participants was performed by trained senior residents under the supervision of the senior faculty. Shoulder range of movement and strength were measured following recommendations given by the research and Development Committee of the European Society for Shoulder and Elbow Surgery (2008). A fixed spring balance was used for strength measurement; one end was fixed on the floor and the other end tied with a strap to the wrist of the participant, arm in 90° abduction in scapular plane with palm facing down. Results: Among the 248 subjects (496 shoulders), the average age was 37 years (range, 18-78 years), 65.7% were males (326 shoulders) and 34.3% females (170 shoulders). The mean CS was 84.6±2.9 (males, 86.1±3.0; females, 81.8±2.9). CS decreased significantly after 50 years of age in males and 40 years of age in females (p<0.05). The mean CS was lower than in previous studies for both males and females. Heavy occupation workers had higher mean CS (p<0.05). A linear standardized equation was estimated for calculating the adjusted CS for any age. Conclusions: Mean CS and its change with age differed from previous studies among various population cohorts.

• Journal of Power System Engineering
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• v.21 no.5
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• pp.86-91
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• 2017

Friction Stir Welding (FSW) is useful technique to join aluminum alloy with energy efficient and environment friendly. In this paper, the design of experiment with three-way factorial design was adopted for optimum conditions of welding variables in the FSW of Al 6061 alloy. Tools of shoulder diameter of 9, 12, 15 mm and pin length of 1.5 mm were used. Also the material's dimension for welding were $2{\times}100{\times}150mm$, and the tensile specimens were worked by water-jet technique. Welding variables were shoulder diameter, rotating speed and travel speed of tool. From the results of this work, the welding factor influenced on yield strength most was travel speed and the optimum condition for FSW was predicted as the shoulder diameter of 15 mm, welding speed of 500 mm/min and rotating speed of 2,000 rpm. Also the presumption range of yield strength at optimal condition of reliability 99% was estimated to $207.19{\pm}9.91MPa$.

• The Journal of Korean Physical Therapy
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• v.11 no.1
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• pp.111-119
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• 1999

The object of study who healthufl thirty persons have been enforced Isokinetic exercise of non-dominant muscular strength. The next same that each dominant muscular strength and non-dominant strength, peak torque and total work have been comparative analysis 1, Shoulder muscles comparion increase peak torque at low speed from pretraining Isokinetic exercise of non-dominant strength side to ten week of post-training.. Flexor and extensor come out high and statistically significant 6, 8, 10 week than pretraining. Adductor and abductor come out high and statistically significant 4, 6, 8. 10 week then pre-training, Internal rotator and external rotator come out statistically significant 2, 4, 6, 8, 10 week then pre-ttraining. 2. Shoulder muscles comparion increase peak torque at high speed from pre-training Isokinetic execise of non-dominant strenght side to ten week of post-training. Flexor and extensor come out high and statistically significant 4, 6, 8, 10 week then pie-training. Adductor and abductor come out high and statistically significant 2, 4, 6, 8, 10 week than pre-training. Futernal rotator and external rotator come out statistically significant 4. 6, 8, 10 week than pre-training.

• Journal of Korean Physical Therapy Science
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• v.30 no.3
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• pp.14-22
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• 2023

Background: This study was to investigate the relationship between scapular downward rotation ratio (SDRR), lower trapezius (LT) muscle, and rounded shoulder angle (RSA) on each side in subjects with scapular downward rotation syndrome (SDRS). Design: Cross-sectional Study Methods: Fifteen subjects have participated in this study. The RSA and SDRR were assessed using a tape measure in standing posture. The RSA was computed by the angle made by two lines: one was the distance between the root of the scapula and the acromion, and the other was the distance between the acromion and the horizontal line in the root of the scapula. The SDRR was computed by two horizontal lines: one was the distance between the mid-line and root of the scapula, and the other was the distance between the mid-line and inferior angle of the scapula. LT muscle strength was performed in a prone position by the hand-held dynamometer. Results: There was a positive correlation between SDRR and LT strength in the less affected sides (r=.59; p=.02), however, there was no correlation between RSA and LT strength in the more affected sides (p>.05).

• Journal of the Korea Academia-Industrial cooperation Society
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• v.19 no.3
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• pp.614-618
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• 2018

The changes in the mechanical properties according to the width of the tool shoulder, rotation speed and moving speed in friction stir welding (FSW) are evaluated using Al 6061-T6. The results indicated that the tensile strength value increases with increasing rotation speed. The higher the moving speed of the tool shoulder, the lower the tensile strength, regardless of the tool type. A higher tensile strength value was generally obtained with a tool shoulder diameter of 12mm (TSD12) than with 8mm. When the moving and rotation speeds exceed a limiting value, a stabilization stage is reached, in which (the tool shoulder diameter?) no longer affects the material properties. At a tool shoulder diameter of 8mm (TSD8), the material properties are decreased and the mixture of material in the welding area is incomplete in comparison with the tool type of TSD12. The tensile strength value is decreased at a rotation speed of 1500 rpm. As a result, a rotation speed higher than the threshold value is needed in order for and the transition temperature to be reached, which allows the complete mixing of the material in the welding area.

• Clinics in Shoulder and Elbow
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• v.26 no.1
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• pp.82-86
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• 2023

Intraoperative periprosthetic humeral fractures are a rare but debilitating complication of reverse shoulder arthroplasty and can occur during multiple stages of the procedure. Prior biceps tenodesis has been found to reduce cortical humeral strength and predispose the patient to humeral fracture. We present a case of a 68-year-old female with a previous history of biceps tenodesis due to an irreparable rotator cuff tear. Months later, and after symptoms persisted, a reverse shoulder arthroplasty was performed. During the surgery and while performing final reduction, a fracture line was observed involving the hole used for the previous tenodesis procedure. The fracture was repaired, and the patient reported favorable outcomes. We report several factors that might have contributed to sustenance of this intraoperative fracture including prior biceps tenodesis, use of a press fit humeral stem, and the sex of the patient. Level of evidence: V.

• Korean Journal of Applied Biomechanics
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• v.19 no.3
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• pp.549-555
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• 2009

The purpose of this study was to quantify the isokinetic peak torque and range of motion at the shoulder in 8 national male volleyball players who played during the 2008 professional leagues. In this study the strength and range of motion data in the internal rotation(IR) and external rotation(ER) of shoulder joint were measured with isokinetic measurement system(Biodex Inc) and motion analysis system (Simi motion system Inc.) from 3 volleyball players with atrophy of the infrasupinatus and 5 volleyball players without atrophy of the infraspinatus. Peak torques were determined using isokinetic measurement on the shoulder joint rotator at the point of angular velocities of $60^{\circ}$/s. Significant difference was found in the peak torque, IR / ER ratio and the range of motion through assessment of the dominant shoulder between two groups. we recommended functional exercises that improve both external rotators strength and stretching exercise for internal rotation in the dominant side during the prevention programs in volleyball players.

• Physical Therapy Rehabilitation Science
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• v.8 no.2
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• pp.79-85
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• 2019

Objective: The purpose of this study was to investigate the relationship between physical features, strength, function, and upper extremity musculoskeletal pain during rehabilitation of manual wheelchair users with spinal cord injuries. Design: Cross-sectional study. Methods: The degree and frequency of upper extremity musculoskeletal pain were measured in persons with spinal cord injuries using manual wheelchairs with the use of questionnaires. The pain scores of the hand, wrist, and shoulder joints were calculated by multiplying the seriousness and frequency of pain. We collected data on the manual muscle test, Spinal Cord Independent Measure-III, and the Body Mass Index. Statistical analysis was performed by descriptive analysis and Pearson's correlation analysis. Results: A total of 47 patients participated in this study and the neurological level of the injuries ranged from C2 to S5. Pain in the shoulder joints was the most common in persons with tetraplegia and paraplegia. Pain was experienced as mild to moderate, and occurred one or more times a week. Of the 32 persons with paraplegia, the most common area of complaint was the shoulder. Of the 15 persons with paraplegia, the shoulder joints were the most common site of pain. The independence levels of the persons with spinal cord injuries were highly correlated to muscle strength levels (p<0.05). Conclusions: This study investigated upper extremity musculoskeletal pain during rehabilitation of manual wheelchair users with spinal cord injuries and the relationship between physical features, strength, and function. In most persons with spinal cord injuries, pain and frequency of shoulder joints were high and pain levels were also related to functional levels.

• Journal of the Korean Society of Manufacturing Process Engineers
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• v.11 no.6
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• pp.16-21
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• 2012

Magnesium alloy has been focussed as lightweight material owing to its high strength even though low density with aluminum alloy, titanium alloy and plastic material. Friction stir welding technique was performed by rotating and plunging a shouldered tool with a small diameter pin into the joint line between two butted plates and useful to join magnesium alloy. In this paper, the experiments of friction stir welding were done to investigate the joint characteristics of AZ31 magnesium alloy. For its evaluation, the orthogonal array method$(L_{27}(3^{13}))$ was applied with four factors of pin diameter, shoulder diameter, travel speed and rotation speed of tool and also three levels of each factor. Nine tools were worked through shoulder diameter of 9, 12, 15mm and pin root diameter of 3, 4, 5mm. In addition tensile tests were excuted for the assessment of mechanical properties for joint conditions. From the results, pin diameter, shoulder diameter, and rotating speed of tool influenced on the tensile strength meaningful, but welding speed did not influence on that by the variance analysis. Beside of that, optimum condition of tensile strength was estimated as following ; shoulder diameter:15mm, welding speed:200mm/min, rotating speed:200rpm.

• Clinics in Shoulder and Elbow
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• v.15 no.2
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• pp.79-85
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• 2012

Objective: It has been expected that patient with posttraumatic recurrent anterior shoulder dislocation might have limited daily life activity because of pain and apprehension of dislocation. But there have been only a small number of investigations regarding the rotator strength in this patient. The aim of this study is to find the characteristics about rotator strength of patient with posttraumatic recurrent anterior shoulder dislocation using an isokinetic testing. Method: We enrolled thirteen patients with posttraumatic recurrent anterior shoulder dislocation and fifteen sex, age-matched healthy nonathletic subjects in this controlled study. All participants were male and there were no significant differences between the two groups in age, height, weight, BMI. Isokinetic internal rotator and external rotator strength was evaluated with a Biodex Isokinetic Testing machine (Biodex Medical Systems, Shirley, NY, USA), tests were performed at 60 deg/sec and 180 deg/sec for both sides. Peak torque normalized to body weight, external rotator to internal rotator ratio, total work and fatigue were calculated for each angular velocity. The association between internal rotator and external rotator strength and shoulder instability was analyzed by comparisons with a control group. Results: Any notable differences could not be found between the two groups given all data from no symptomatic left shoulder. There were no significant differences between the two groups statistically in internal rotation strength of right shoulder. However, there has been a tendency that at all angular velocities, external rotator peak torque to body weight, total work and external rotator to internal rotator ratio were significantly lower in the anterior instability group than the control group at all angular velocities. There was no substantial difference between those groups with respect to the fatigue of external rotator and internal rotator in our study. Conclusion: The prominent characteristics of posttraumatic recurrent anterior shoulder dislocation are external rotator weakness and loss of balance with external rotator and internal rotator. Therefore selective training using this information rotator might be helpful in conservative treatment and rehabilitation.