• 한국방사선학회논문지
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• 제6권4호
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• pp.299-303
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• 2012

자기공명 관절 조영술(Shoulder MR Arthrography)는 견관절(Shoulder joint) 의 복잡한 해부학적 구조에 관하여 정확한 영상평가를 진단하기 위해 시행 한다. 우리는 어께 상완골(Shoulder humerus) 의 다양한 position인 Neutral position, Internal rotation position, External rotation position 에 관하여 Shoulder joint의 해부학 적인 회전 변화가 견관절 자기공명(Shoulder MRI) 영상에 어떤 진단적 결과를 가져오는가에 대해 상호 비교 하였다. 또한 환자의 정확한 촬영자세 유지를 위해 촬영 보조기구를 만들었다. 이 보조기구는 Modeling 설계에 의해 우리가 직접 제작한 자기공명 견관절 조영술 보조 기구이다. 이 보조기구를 사용하여 촬영한 결과 다음과 같은 결론을 도출해 내었다. External rotation position 에 의한 Shoulder MRArthrography 검사가 Shoulder joint의 중요 해부학적 구조인 Biceps tendon, Supera-spiatus tendon, Sub-scapularis tendon, Labrum, Sub-acromial space 의 해부학적 평가에서 제일 적합하다는 진단적 평가를 얻었다.

• 대한물리의학회지
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• 제12권4호
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• pp.19-28
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• 2017

PURPOSE: The purpose of this study was to describe the Proprioceptive Neuromuscular Facilitation (PNF) Intervention strategy applied International Classification of Functioning, Disability and Health (ICF) Tool about strength, range of motion, scapular stability, pain and function of shoulder for patients with adhesive capsulitis. METHODS: The data was collected by patient with adhesive capsulitis. The patient was a 50-year-old male diagnosed with right shoulder with adhesive capsulitis. We applied the PNF Intervention strategy applied ICF Tool to patient with adhesive capsulitis. PNF interventions were consisting of such as combination of isotonic and stabilizing reversal technique and various positions. PNF interventions were applied, such as those aiming at decreasing pain and disability and increasing range of motion and function for the four weeks. Parameters of result were collected for strength, range of motion, scapular stability, pain and function of shoulder using the hand held dynamometer, goniometer, lateral scapula slide test, and shoulder pain and disability index, respectively. RESULTS: Clinical benefits were observed the patient with adhesive capsulitis for strength, range of motion, scapular stability, pain, and function of shoulder. The patient with adhesive capsulitis improved strength, range of motion, scapular stability, pain, and function of shoulder. CONCLUSION: Patient reported improved strength, range of motion, scapular stability, pain, and function of shoulder after intervention.

• 한국마린엔지니어링학회:학술대회논문집
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• 한국마린엔지니어링학회 2002년도 춘계학술대회논문집
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• pp.153-160
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• 2002

This paper shows the possibility of performing Lap joint using the friction stir welding and the determination of tool's dimensions for FSW in Milling machine. This research also is reported on obtaining the tensile-shear strength, 9.319 ( kgf/mm$^{2}$) and the energy absorption, 2,682 (kgf-mm) under this experiment. The optimal tool's dimensions and method for Lap joint in 2tmm aluminum alloy plate using FSW is as follows; The diameter of shoulder and pin are 9 $\phi$mm and 3$\phi$mm, the length of pin is 3.6mm. The conditions of shoulder of tool is not pressed into original base metal.

• 한국산학기술학회논문지
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• 제19권3호
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• pp.614-618
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• 2018

Al 6061-T6를 사용하여 마찰교반 용접 시 회전 툴 숄더의 너비부의 넓이와 회전 속도, 이동속도의 변화에 따른 물성의 변화에 대하여 평가되었다. FSW 공정의 접합 변수에 따라 인장시험을 수행하기 위하여 KS B 0801 5호에 따라 시험편을 제작하여 마찰교반 용접을 시행하였다. 마찰교반 용접이 된 시험편의 기계적 특성을 평가하기 위해 Instron 인장시험기를 사용하여 1mm/min의 시험 속도로 인장시험을 시행했다. 평가결과, 인장강도는 회전 속도가 증가함에 증가 하였다. 툴 숄더의 이동 속도가 빠를수록 툴 유형에 관계없이 인장강도는 감소하였다. 툴 숄더 직경 12 mm (TSD12) 의 인장 강도 값은 일반적으로 8mm 보다 높게 나타났다. 이동 속도와 회전하는 속도가 한계 값을 초과하면 재료의 특성에 영향을 주지 않고 안정화 단계에 도달한다. 툴 숄더 직경 8mm (TSD8) 는 TSD12 유형의 공구와 비교하여 재료 특성이 감소하고 용접 영역에서 재료가 완전히 혼합되지 않는다. 인장 강도 값은 모든 회전 속도 1500 rpm에서 상대적으로 감소한다. 이동 속도가 낮을수록 같은 회전수에서 재료의 혼합될 수 있는 양이 많으므로 인장강도값이 높게 나타난다. 결과적으로 용접 영역에서 재료를 완전히 혼합하고 전이 온도에 도달하기 위해서는 임계값을 초과하는 회전 속도가 필요하다.

• 대한물리의학회지
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• 제15권4호
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• pp.87-99
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• 2020

PURPOSE: This study examines the therapeutic effect of functional adjustment procedure therapy (FAPT), by comparatively analyzing behavioral disorders due to shoulder pain and subjective pain intensity subsequent to therapy, in patients with shoulder pain. METHODS: The intervention was performed on 48 employee patients with shoulder pain, Patients were administered 16 sessions of FAPT for 8 weeks, twice a week for 30 minutes per session. This study applied the neck pain and disability scale (NPDS) as a measurement tool, and used the questionnaire to measure subjective pain intensity to investigate the difference before and after administering FAPT to employee patients with shoulder pain. RESULTS: Statistically significant difference was obtained between the mean difference in shoulder pain disorder, before and after FAPT. Assessing gender and age differences in the reduction effect of shoulder pain, showed significant difference in 8 of the 10 factors examined. Finally, examining the difference in the effect of reducing subjective shoulder pain by gender and age, we observed that gender-based disability reduction was significant for all 12 factors examined. CONCLUSION: Taken together, the results of this study, validate the therapeutic efficacy of FAPT for patients with shoulder pain. We believe that this data will provide basic information to understand the health conditions and psychological variables of patients with shoulder pain.

• Clinics in Shoulder and Elbow
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• 제7권1호
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• pp.14-22
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• 2004

Purpose: To evaluate a usefulness of the simple radiograph in the patients with chronic shoulder pain 50 years and older. Material and method: 1152 patients with chronic shoulder pain and 100 asymptomatic individuals were involved in this study. All patients were 50 years and older. We excluded patients who had a history of fracture or dislocation. Radiographic interpretation was performed on a shoulder AP view, an axillary view and a supraspinatus outlet view. For statistical analysis, a chi-square test was performed. A p value of <0.05 was considered statistically significant. Results: Abnormal radiologic findings were identified in 369(32%) out of 1152 patients with a shoulder pain: greater tuberosity sclerosis, acromial sclerosis, subacromial osteophytes are common abnormal radiologic findings. A rotator cuff tear or impingement syndrome was identified on a final diagnosis in 61(85.2%) out of the 76 patients with radiologic abnormalities in both greater tuberosity and acromion (p<0.05). Abnormal radiologic findings were identified in 18% of the asymptomatic individuals. Conclusion: Simple radiographic analysis is an important primary diagnostic tool in patients (50 years and old) with chronic shoulder pain.

• 대한용접접합학회:학술대회논문집
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• 대한용접접합학회 2005년도 추계학술발표대회 개요집
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• pp.192-194
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• 2005

Joint strength of spot friction welded 5J32 Al alloy were investigated according to the tool shape and the tool penetration depth. General spot friction stir welding tool consists of a shoulder having bigger diameter and a threaded pin projected from the shoulder, which resulted in the generation of large up-lifting of upper plate around the weld nugget because of the deeper penetration and the severe stirring effect of threaded pin. Two kinds of welding tools without the threaded pin were used to avoid the distortion and improve the joint strength. One was a simple cylindrical shape and the other was cylindrical shape with small projection. Therefore, the process was named as spot friction welding comparing to spot friction stir welding because spot friction welding don't use a stirring effect. Using the cylindrical shape tool with small projection, the up-lifting of upper plate were avoided and joint strength were superior to that of the joint using simple cylindrical shape tool. At the 0.5mm of too penetration depth using cylindrical tool with small projection, nugget pull fracture mode can be observed and shear fracture mode were dominant at the rest conditions.

• 한국기계가공학회지
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• 제14권5호
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• pp.81-87
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• 2015

In this paper, the finite element method was used for the flow and strength analysis of aluminum alloy under friction stir welding. The simulations were carried out using Sysweld s/w, and the modeling of the sheet was executed using Unigraphics NX6 s/w. The welding variables for the analysis were the shoulder diameter, rotating speed, and welding speed of the tool. Additionally, a three-way factorial design method was applied to confirm the effect of the welding variables on the flow and strength analysis with variance analysis. From these results, the rotating speed had the greatest influence on the maximum temperature, and the maximum temperature was $578.84{\pm}12.72$ at a confidence interval of 99%. The greater the rotating speed and shoulder diameter, the greater the difference between maximum and minimum temperature. Furthermore, the shoulder diameter had the largest influence on von Mises stress, and the von Mises stress was $184.54{\pm}12.62$ at a confidence interval of 99%. In addition to the increased shoulder diameter, welding speed, and rotating speed of the tool increased the von Mises stress.

• Journal of Advanced Marine Engineering and Technology
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• 제27권6호
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• pp.728-735
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• 2003

This paper shows the possibility of performing Lap joint using the friction stir welding with $2mm^t$ aluminum alloy plate and the determination of tool-dimensions for FSW in milling machine. This research also is reported on obtaining the tensile-shear strength, 91.3 (MPa) and the energy absorption, 26.3 (J) for Lap jointed specimen. The optimal tool-dimensions and method for Lap joint using FSW is as follows; each diameter of shoulder and pin is $9\phi(mm) and 3\phi(mm)$, the length of pin is 3.6(mm), Pressing the shoulder of tool into original base metal is not reasonable.

• Physical Therapy Rehabilitation Science
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• 제12권1호
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• pp.48-55
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• 2023

Objective: The purpose of this study is to compare the effects of extracorporeal shock wave therapy (ESWT) and injection therapy through qualitative and quantitative analysis by synthesizing randomized controlled trials (RCTs) conducted on patients with various shoulder diseases. Design: A systematic review and meta-analysis of randomized controlled trials Methods: This review conducted a literature search through international electronic databases in January 2023 to compare the effects of ESWT and injection therapy. Qualitative analysis was performed as a risk of bias tool, and quantitative analysis was synthesized with a random effect model to show the effect size as a standardized mean difference (SMD). Results: Five RCTs involving 298 individuals with shoulder disorders were included in this systematic review and meta-analysis. ESWT showed a moderate effect on pain (SMD=-0.44; 95% CI, -0.95 to 0.06) and a large effect on shoulder function (SMD =-0.81; 95% CI, -1.70 to 0.07) than injection therapy. A significant difference was found in the shoulder range of motion, showing a large effect size (SMD=1.50; 95% CI, 0.58 to 2.43). Conclusions: When considering treatment options for the management of patients complaining of shoulder disorders, it is appropriate to recommend ESWT first rather than injection therapy to increase the range of motion of the joint. In addition, ESWT is safe for pain control and shoulder function improvement, and a positive prognosis could be expected.