• 제목/요약/키워드: joint loss

검색결과 482건 처리시간 0.031초

근전도 바이오피드백 훈련이 퇴행성 슬관절염 환자의 대퇴사두근 활성에 미치는 효과 (Effect of Quadriceps Activity for Degenerative Arthritis Applied EMG Biofeedback Training)

  • 김용억;김동현
    • 대한임상전기생리학회지
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    • 제6권1호
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    • pp.31-42
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    • 2008
  • This study performed in order to investigate the effect of isometric resistance exercise for vastus medialis oblique muscle with EMG(electromyography) biofeedback training which are applied to the patello-femoral joint of patients with osteoarthritis on the improve of function. The subjects had no neuromuscular disorders, and they were elder patients with osteoarthritis, 20 women. And the experiment was performed in control group, taping with EMG biofeedback training group respectively, and the measurement was carried out before and after the treatment and 4 weeks after the treatment. Motor unit action potential analysis with surface electromyography showed a significant change in RMS(root mean square) amplitude and MDF(median frequency) in vastus medialis oblique muscle(p<0.05). VMO/VL(vastus medialis oblique/vastus lateralis oblique) MDF ratio showed a significant change between groups(p<0.05). Taping with EMG biofeedback training applied to patello-femoral joint of osteoarthritis patients appeared to be effective for muscle function improvement. However, increase of muscular force in vastus medialis oblique muscle appears to have a positive effect on improve of function along with correction effect on patella malalignment. In conclusion, in case of osteoarthritis patients with loss of patello-femoral joint function, it appears to be effective to practice isometric resistance exercise of vastus medialis oblique muscle selective with taping.

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Pathogenesis and clinical manifestations of juvenile rheumatoid arthritis

  • Hahn, Youn-Soo;Kim, Joong-Gon
    • Clinical and Experimental Pediatrics
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    • 제53권11호
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    • pp.921-930
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    • 2010
  • Juvenile rheumatoid arthritis (JRA) is the most common rheumatic childhood disease; its onset is before 16 years of age and it persists for at least 6 weeks. JRA encompasses a heterogeneous group of diseases that is classified according to 3 major presentations: oligoarthritis, polyarthritis, and systemic onset diseases. These presentations may originate from the same or different causes that involve interaction with specific immunogenetic predispositions, and result in heterogeneous clinical manifestations. An arthritic joint exhibits cardinal signs of joint inflammation, such as swelling, pain, heat, and loss of function; any joint can be arthritic, but large joints are more frequently affected. Extra-articular manifestations include high fever, skin rash, serositis, and uveitis. The first 2 types of JRA are regarded as T helper 1 (Th1) cell-mediated inflammatory disorders, mainly based on the abundance of activated Th1 cells in the inflamed synovium and the pathogenetic role of proinflammatory cytokines that are mainly produced by Th1 cell-stimulated monocytes. In contrast, the pathogenesis of systemic onset disease differs from that of other types of JRA in several respects, including the lack of association with human leukocyte antigen type and the absence of autoantibodies or autoreactive T cells. Although the precise mechanism that leads to JRA remains unclear, proinflammatory cytokines are thought to be responsible for at least part of the clinical symptoms in all JRA types. The effectiveness of biologic therapy in blocking the action of these cytokines in JRA patients provides strong evidence that they play a fundamental role in JRA inflammation.

적응형 화면 스킵 기반 실시간 비디오의 소스/채널 통합 부호화율 제어 (Joint Source/Channel Rate Control based on Adaptive Frame Skip for Real-Time Video Transmission)

  • 이명진
    • 한국항행학회논문지
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    • 제13권4호
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    • pp.523-531
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    • 2009
  • 본 논문에서는 패킷 손실 채널로의 전송을 위한 비디오 부호기의 소스/채널 부호화율 통합 제어 방식을 제안한다. 비디오 전송 시스템의 지연 제약에 따른 소스 부호화율 상한을 구하고, 부호화되거나 스킵된 화면에 대한 소스 왜곡과 패킷 손실에 의한 채널 왜곡을 기반으로 일정 부호화 구간에 대한 평균 왜곡을 정의한다. 주어진 채널률과 패킷 손실률에 대해 비디오 부호화 계수와 FEC 블록 크기를 제어계수로 하는 평균 왜곡 최소화 문제를 정의하고, 실시간 해결 알고리즘을 제안한다. 모의실험에서 제안방식은 40% 이하의 패킷 손실률과 30 프레임 이상의 인트라 매크로블럭 갱신률에서 TMN8에 비해 PSNR과 주관적 화질에서 우수한 성능을 보였다.

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반복이 있는 랜덤화 블록 계획법에서 정렬방법과 결합위치를 이용한 비모수 검정법 (Nonparametric procedures using aligned method and joint placement in randomized block design with replications)

  • 이은지;김동재
    • 응용통계연구
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    • 제30권2호
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    • pp.291-299
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    • 2017
  • 반복이 있는 랜덤화 블록 계획법을 검정하는 비모수 검정방법에는 Mack과 Skillings (1980), Mack (1981)가 제안한 방법이 있다. 본 논문에서는 Hodges와 Lehmann (1962)의 정렬 방법과 Chung과 Kim (2007)이 제안한 결합위치 검정법을 확장하여 반복이 있는 랜덤화 블록 모형에서 새로운 비모수적 방법을 제시하였다. 또한 모의실험을 통해 모수적 방법과 기존의 비모수적 방법과의 검정력을 비교하였다.

결합 변환 상관기를 이용한 잡음 및 변이에 강한 암호화 시스템 (Shift and Noise Tolerance Encryption System Using a Joint Transform Correlator)

  • 서동환;김수중
    • 대한전자공학회논문지SD
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    • 제40권7호
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    • pp.499-506
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    • 2003
  • 본 논문에서는 가상 위상 영상과 정확한 광축 정렬이 필요 없는 결합 변환 상관기를 이용하여 잡음이나 변이에 강한 복호화 방법을 제안하였다. 암호화된 영상은 원 영상을 속이기 위한 위상 변조된 가상 영상과 무작위 위상 영상을 곱하여 퓨리에 변환하여 만든다. 따라서 허가되지 않은 사용자가 암호화된 영상을 분석함으로써 있을 수 있는 복제 가능성을 원 영상의 어떤 정보도 포함하지 않은 가상 영상을 사용함으로써 배제할 수 있다 결합 변환 상관기를 이용한 제안한 복호화 방법이 암호화된 영상에 잡음이나 절단, 변이에 대해서 강한 특성을 가짐을 확인하였다.

낮은 SNR 다중 표적 환경에서의 iterative Joint Integrated Probabilistic Data Association을 이용한 표적추적 알고리즘 연구 (Study of Target Tracking Algorithm using iterative Joint Integrated Probabilistic Data Association in Low SNR Multi-Target Environments)

  • 김형준;송택렬
    • 한국군사과학기술학회지
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    • 제23권3호
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    • pp.204-212
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    • 2020
  • For general target tracking works by receiving a set of measurements from sensor. However, if the SNR(Signal to Noise Ratio) is low due to small RCS(Radar Cross Section), caused by remote small targets, the target's information can be lost during signal processing. TBD(Track Before Detect) is an algorithm that performs target tracking without threshold for detection. That is, all sensor data is sent to the tracking system, which prevents the loss of the target's information by thresholding the signal intensity. On the other hand, using all sensor data inevitably leads to computational problems that can severely limit the application. In this paper, we propose an iterative Joint Integrated Probabilistic Data Association as a practical target tracking technique suitable for a low SNR multi-target environment with real time operation capability, and verify its performance through simulation studies.

Joint Source/Channel Coding Based on Two-Dimensional Optimization for Scalable H.264/AVC Video

  • Li, Xiao-Feng;Zhou, Ning;Liu, Hong-Sheng
    • ETRI Journal
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    • 제33권2호
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    • pp.155-162
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    • 2011
  • The scalable extension of the H.264/AVC video coding standard (SVC) demonstrates superb adaptability in video communications. Joint source and channel coding (JSCC) has been shown to be very effective for such scalable video consisting of parts of different significance. In this paper, a new JSCC scheme for SVC transmission over packet loss channels is proposed which performs two-dimensional optimization on the quality layers of each frame in a rate-distortion (R-D) sense as well as on the temporal hierarchical structure of frames under dependency constraints. To compute the end-to-end R-D points of a frame, a novel reduced trellis algorithm is developed with a significant reduction of complexity from the existing Viterbi-based algorithm. The R-D points of frames are sorted under the hierarchical dependency constraints and optimal JSCC solution is obtained in terms of the best R-D performance. Experimental results show that our scheme outperforms the existing scheme of [13] with average quality gains of 0.26 dB and 0.22 dB for progressive and non-progressive modes respectively.

슬관절 주위에 발생한 연부조직 골육종 - 증례 보고 - (Extraskeletal Osteosarcoma Around the Knee Joint - A Case Report -)

  • 이봉진;김태호;하창원;김성수
    • 대한골관절종양학회지
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    • 제15권1호
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    • pp.81-86
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    • 2009
  • 연부조직에 발생되는 골육종은 매우 드문 종양으로, 세계적으로 소수의 예가 보고되었으며 한국에서는 2례가 보고되었을 뿐이다. 문헌상 세계에서 최고령의 증례인 91 세 남자에서 외상, 방사선 조사, 화골성 근염, 피부 근염 등과 관련없이 슬관절 주위에 발생한 연부조직 골육종을 경험하였다. 절제술만으로 치료하였으며, 환자는 수술 후 1년 추시 상 생존해 있고 국소재발이나 전이의 징후가 없으며 슬관절의 기능도 양호한 상태이다.

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견갑 및 부견갑 병합 유리피판에 의한 광범위한 사지 연부 조직 결손의 수복 (Free Vascularized Scapular and Parascapular Combined Flap Coverage for Extensive Soft Tissue Injury of the Extremity)

  • 최수중;장기영;이창주
    • Archives of Reconstructive Microsurgery
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    • 제14권2호
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    • pp.144-151
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    • 2005
  • Purpose: Disaster as traffic accident, industrial disaster, high voltage electrical bum and flame burn of extremity have a destructive effect because of the involvement of deep structure. Generally, such injury may result in decreased function or loss of limb. In this study the successful use of the combined scapular/parascapular flap as microsurgical transfer to cover extensive defect of electrical and flame bum is reported. Material and Method: Between January 2000 and June 2001, the combined scapular and parascapular flap was used for the coverage of soft tissue defect for 7 patients were admitted to our department with high voltage electrical bum and flame burn. The recipient site were the wrist joint in 2 cases, the forearm in 1 case, the ankle joint in 1 case, the foot dorsum in 1 case, the heel in 1 case. Result: Flap survival was complete in all patients. The result of flap coverage for these deep wound was successful. Conclusion: The advantages of scapular/parascapular combined flap were coverage of the large defect, easy shaping of the flap to fit the required three dimensional configuration around the joint, non hair bearing skin of uniform thickness, minimal donor site morbidity.

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Natural Products as Sources of Novel Drug Candidates for the Pharmacological Management of Osteoarthritis: A Narrative Review

  • Kang, Young-Hoon;Lee, Hyun Jae;Lee, Choong Jae;Park, Jin-Sung
    • Biomolecules & Therapeutics
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    • 제27권6호
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    • pp.503-513
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    • 2019
  • Osteoarthritis is a chronic degenerative articular disorder. Formation of bone spurs, synovial inflammation, loss of cartilage, and underlying bone restructuring have been reported to be the main pathologic characteristics of osteoarthritis symptoms. The onset and progression of osteoarthritis are attributed to various inflammatory cytokines in joint tissues and fluids that are produced by chondrocytes and/or interact with chondrocytes, as well as to low-grade inflammation in intra-articular tissues. Disruption of the equilibrium between the synthesis and degradation of the cartilage of the joint is the major cause of osteoarthritis. Hence, developing a promising pharmacological tool to restore the equilibrium between the synthesis and degradation of osteoarthritic joint cartilage can be a useful strategy for effectively managing osteoarthritis. In this review, we provide an overview of the research results pertaining to the search for a novel candidate agent for osteoarthritis management via restoration of the equilibrium between cartilage synthesis and degradation. We especially focused on investigations of medicinal plants and natural products derived from them to shed light on the potential pharmacotherapy of osteoarthritis.