• The Journal of Korean Physical Therapy
• /
• v.22 no.3
• /
• pp.17-21
• /
• 2010

Purpose: This study was designed to investigate possibilities for quantitative analysis using the electromyography and sonography. For better understanding, we evaluated the correlation between the pressure pain threshold and sonography, spontaneous electrical activity in trigger points located in the upper trapezius muscle. Methods: Thirty three active subjects volunteered to participate in this study (n=33). They had a palpable taut band, exquisite spot tenderness of a nodule in a taut band, spontaneous pain, referred pain, jump sign, local twitch response, and a painful limit to full stretch range of motion. We measured Pressure pain threshold, density, white area index, root mean square, and reaction. Pearson’s correlation coefficient was calculated to estimate the relationship between the pressure pain threshold and other variables including density, white area index, root mean square, and reaction time. Results: There were significant correlations between pressure pain threshold and density (r=-0.75, p<0.01), and between pressure pain threshold and white area index (r=-0.74, p<0.01). A significant correlations between pressure pain threshold and root mean square (r=-0.59, p<0.01). The significant correlation was found between pressure pain threshold and reaction time (r=-0.64, p<0.01). Conclusion: These should indicate whether quantitative analysis can be done using the characteristics of electromyography and sonography.

• 한국지구물리탐사학회:학술대회논문집
• /
• 2006.06a
• /
• pp.187-192
• /
• 2006

The Korean peninsula has been considered as seismically intermediate region, since seismic activities have not been severe for long time and the active tectonic boundary is also located far away. However, the activities of earthquakes have been increased significantly for last decade. Since currently important structures and facilities are increasing rapidly in the Korean Peninsula, the importance of seismic design are increasing exponentially too. This study used observed ground motion of Fukuoka event including 11 afterschocks and then estimated seismic parameters representing seismic source, propagation effect, considering site amplification. The results were comparable to those of other studies in the same region. The results could be used as basic important parameters for seismic design of the important structures and facilities in Korean peninsula.

• Archives of Reconstructive Microsurgery
• /
• v.1 no.1
• /
• pp.9-16
• /
• 1992

Volkmann's ischemic contracture is the end result of an untreated, delayed or Inadequately decompressed compartment syndrome in which muscle ischemia and necrosis have occurred. Once the muscle necrosis have happened, the involved muscle undergo permanent change into fibrous tissue. So secondary shortening and distal joint contracture will be a final outcome, which results in marked functional impairment of hand and forearm. Even though several procedures, such as muscle sliding operation has been attempted, overall results were far from satisfaction, compare to healthy opposite hand. The management of these unfavorable condition of the forearm and hand was regarded as one of challenging area in orthopedics. Recently new approach, using microsurgical technique which transfers functioning muscle unit, has been developed and its result was much better than any other methods in the aspect of an active motion. Among these musculocutaneous free flaps, gracilis has obtained special reputation due to its easiness to handle such as elevation of flap and reliable neurovascular pedicle. Other advantages are flexibility of flap size to adjust variable size of the defect in the forearm and minor morbidity of the donor site. Authors have performed 7 cases of functioning gracilis musulocutaneous free flap transplantation for the functional loss of forearm and hand due to Volkmann's ischemic contracture or muscle and skin defect due to severe trauma since November, 1981 till May, 1991. The results in most cases were satisfactory and acceptable.

• Clinics in Shoulder and Elbow
• /
• v.18 no.3
• /
• pp.144-151
• /
• 2015

Background: The consensus is that a bony Bankart lesion shorter than 25% of the length of glenoid does not affect the clinical result; hence, such lesions were often neglected. However, small bony Bankart lesions are associated with various types of capsulolabral lesions. Methods: A total of 82 patients who had undergone arthroscopic capsulolabral lesion repair surgery for anterior shoulder dislocation were reviewed. The prevalence rates of early and late type of capsulolabral lesions were compared between a group of patients with and a group without small bony Bankart lesions. In addition, the types of accompanying capsulolabral lesion were analyzed according to the type of bony Bankart lesion. Finally, the clinical outcomes were evaluated (active range of motion, American Shoulder and Elbow Surgeons score and Rowe's score). Results: Among the 13 patients who had small bony Bankart lesions, the prevalence rate of early and late type of capsulolabral lesions was 38.5% and 61.5%, respectively. Among the 69 patients without bony Bankart lesion, the prevalence rates of early and late type of capsulolabral lesions were 74% and 26%, respectively. Significantly worse clinical outcome was observed for the group of patients with both small bony Bankart lesions and late type of capsulolabral lesion. Conclusions: More severe type of small bony Bankart lesion appears to be associated with late type of capsulolabral lesion. The significantly worse clinical outcome for patients with both small bony Bankart lesion and late type of capsulolabral lesion indicates that small bony Bankart lesions cannot always be neglected.

• Clinics in Shoulder and Elbow
• /
• v.20 no.2
• /
• pp.95-99
• /
• 2017

Background: The purpose of this study was to investigate the clinical and radiological outcomes of locking plate fixation with fibular strut allograft to manage unstable osteoporotic proximal humerus fractures. Methods: We retrospectively reviewed 15 patients who underwent open reduction and locking plate fixation with fibular strut allograft for osteoporotic proximal humerus fracture between July 2011 and June 2015. For functional evaluation, we evaluated visual analogue scale (VAS) pain score, American Shoulder and Elbow Surgeons (ASES) score, University of California Los Angeles (UCLA) shoulder score, and active range of motion. For radiological evaluation, shoulder true anteroposterior (AP) and AP in $20^{\circ}$ external rotation, as well as the axillary view were taken at two weeks, six weeks, three months, six months, and one year. And the neck-shaft angle was measured on the AP view in $20^{\circ}$ external rotation view. Results: At the one-year follow-up, mean VAS pain score and all shoulder scores, including ASES score and UCLA shoulder score, exhibited satisfactory clinical outcomes. All patients obtained bone union between three and six months post-procedure. Moreover, the mean immediate postoperative neck-shaft angle was $138^{\circ}{\pm}4^{\circ}$, and at one-year follow-up, the neck shaft angle was $137^{\circ}{\pm}5^{\circ}$. There was no significant difference between the preoperative and postoperative values (p=0.105). Conclusions: For the unstable two-part and three-part osteoporotic proximal humerus fractures with medial calcar comminution, the use of fibular strut allograft with locking plate fixation was effective in maintaining the initial status of reduction and exhibiting the satisfactory functional and radiological outcomes.

• Physical Therapy Korea
• /
• v.17 no.2
• /
• pp.60-66
• /
• 2010

In chronic ambulatory hemiplegic patients, structural changes might be developed at both ankles possibly due to unequal and repetitive weight bearing on tendons and ligaments. We examined ankles by sonography to find out structural changes of tendons and ligaments of both ankles in ambulatory hemiplegic patients. Nineteen ambulatory hemiplegic patients over 1 year were included as study subjects. All subjects had no previous trauma or disease history in their ankle joints and they were able to walk independently or with supervision but had spastic ankles with equinovarus tendency. We examined both ankle joints by sonography to see joint effusion and measure width, thickness, and area of tendons of the tibialis anterior, tibialis posterior, and Achilles, and also ligaments of the anterior talofibular and calcaneofibular. We compared sonographic features of the hemi-side ankle with the sound-side ankle. There were no significant differences between hemi-side and sound-side ankles in almost all measured parameters of tendons and ligaments. However, the width of the hemi-side tibialis posterior tendon ($7.24{\pm}1.52$ mm) was narrower than the sound-side tendon ($8.61{\pm}1.37$ mm). With the amount of active joint motion and weight bearing possibly preventing ligament and tendon atrophy even though marked weakness, spasticity occurred during the chronic hemiplegic phase.

• The Bulletin of The Korean Astronomical Society
• /
• v.42 no.1
• /
• pp.45.2-46
• /
• 2017

3C 84 (NGC 1275) is one of the most famous radio galaxies and a lot of VLBI observations have been conducted to date because of its brightness and proximity (z = 0.0176; 1 mas = 0.36 pc). The source is entering a significantly active phase with long-term increase in radio flux at cm wavelengths since 2005, and the increased activity at very-high-energy (VHE) gamma rays. In order to study properties of sub-pc-scale structure and the circumnuclear environment in 3C 84, we have conducted multi-epoch VLBI observations with the Korean VLBI Network (KVN) at 86 and 129 GHz, and monthly monitoring by the KVN and VERA Array (KaVA) at 43 GHz from 2015 August. Following the report in the previous KAS meeting (cf. 2016 KAS Autumn Annual Meeting, [구 GC-10]), we present further results mainly on the basis of twelve-epoch observations with KaVA at 43 GHz. Through the monthly monitoring with KaVA, we found that peak intensity of the pc-scale southern lobe (C3) was increased from $2.60\;Jy\;beam^{-1}$ in 2015 October to $9.80\;Jy\;beam^{-1}$ in 2016 June, corresponding to a flux increase of 3.7 times in eight months. We also detected change in direction of motion of C3 from transversal to outward with respect to C1, concurrently with the beginning of its flux increase in 2015 October. We consider that these phenomena are due to interaction of C3 with the ambient medium, and are related to the gamma-ray flare which has been detected with VHE gamma-ray telescopes such as MAGIC and VERITAS.

• Smart Structures and Systems
• /
• v.21 no.3
• /
• pp.359-371
• /
• 2018

Strong seismic events commonly cause large drift and deformation, and functionality failures in the superstructures. One way to prevent functionality failures is to design structures which are ductile and flexible through yielding when subjected to strong ground excitations. By developing forces that assist motion as "negative stiffness forces", yielding can be achieved. In this paper, we adopt the weakening and damping method to achieve a new approach to reduce all of the structural responses by further adjusting damping phase. A semi-active control system is adopted to perform the experiments. In this adaptation, negative stiffness forces through certain devices are used in weakening phase to reduce structural strength. Magneto-rheological (MR) dampers are then added to preserve stability of the structure. To adjust the voltage in MR dampers, an inverse model is employed in the control system to command MR dampers and generate the desired control forces, where a velocity control algorithm produces initial required control force. An extensive numerical study is conducted to evaluate proposed methodology by using the smart base-isolated benchmark building. Totally, nine control systems are examined to study proposed strategy. Based on the numerical results of seven earthquakes, the use of proposed strategy not only reduces base displacements, base accelerations and base shear but also leads to reduction of accelerations and inter story drifts of the superstructure. Numerical results shows that the usage of inverse model produces the desired regulated damping, thus improving the stability of the structure.

• International Journal of Aeronautical and Space Sciences
• /
• v.16 no.3
• /
• pp.475-483
• /
• 2015

We propose a numerical scheme to simulate the time-domain echo signals at tracking radar for a realistic scenario where an EAD (expendable active decoy) and an airborne target are both in dynamic states. On various scenarios where the target takes different maneuvers, the trajectories of the EAD ejected from the target are accurately calculated by solving 6-DOF (Degree-of-Freedom) equations of the motion for the EAD. At each sampling time of the echo signal, the locations of the EAD and the target are assumed to be fixed. Thus, the echo power from the EAD can be simply calculated by using the Friis transmission formula. The returned power from the target can be computed based on the pre-calculated scattering matrix of the target. In this paper, an IPO (iterative physical optics) method is used to construct the scattering matrix database of the target. The sinc function-interpolation formulation (sampling theorem) is applied to compute the scattering at any incidence angle from the database. A simulator is developed based on the proposed scheme to estimate the echo signals, which can consider the movement of the airborne target and EAD, also the scattering of the target and the RF specifications of the EAD. For applications, we consider the detection probability of the target in the presence of the EAD based on Monte Carlo simulation.

• Journal of Korean Foot and Ankle Society
• /
• v.13 no.1
• /
• pp.28-33
• /
• 2009

Purpose: This retrospective study was designed to evaluate the treatment results of chronic Achilles tendon rupture by Lindholm method. Materials and Methods: Between 2002 and 2006, we performed the reconstruction of the Achilles tendon by using of the gatrocnemius-sloeus fascia known as Lindholm method. Ten cases of ten patients were enrolled in this study (8 men and 2 women). The mean age of the patients at the time of operation was 49 years (range, 32${\sim}$66 years). The mean follow-up duration was 15.2 months (range, 12${\sim}$19 months). The retrospective review of the clinical history, physical examination, the American Orthopedic Foot and Ankle Society (AOFAS) score were conducted. Results: The mean AOFAS score before surgery was 74.10${\pm}$2.56 and that of the latest follow-up was 90.60${\pm}$5.72. The excellent results were six and good results were four patients. Eight patients were normal triceps power and the others were good. The average of heel to floor distance was 4.5 mm less in the operated legs than the contralateral ones in each patient, but there was no significant difference (p>0.05). The average of calf muscle circumference in the mid-leg was 7.5 mm less in the operated legs than the contralateral ones and there was significant difference (p<0.05). The active range of motion of the ankles, mean plantarflexion was 40 degrees and dorsiflexion was 16.8 degrees in operated side. The contralateral side was 43 degrees in plantarflexion and 19 degrees in dorsiflexion. No case showed rerupture of the reconstructed Achilles tendon. One patient had the superficial wound infection which was treated successfully by antibiotic therapy. Conclusion: It was suggested that the overall results of Lindholm method for the chronic Achilles tendon rupture indicated satisfactory outcomes.