Objective: This study aimed to investigate the effect of adding hip abductor strengthening to conventional rehabilitation on muscle strength and physical function following total knee replacement (TKR) for knee osteoarthritis. Design: Randomized controlled trial Methods: Thirty-five participants were randomly allocated to exercise groups I (n=18) and II (n=17). Group I underwent hip abductor training and conventional rehabilitation for 30 min per day, 5 days per week for 4 weeks. Group II underwent conventional rehabilitation for 30 min per day, 5 days per week for 4 weeks. The participants in both groups also received continuous passive motion therapy for 15 min per day, 5 days per week for 4 weeks. To investigate the effect of the intervention, the Biodex dynamometer was used to measure the peak torque of both knee extensors and hip abductors. This study used the Knee Outcome Survey-Activities of Daily Living Scale (KOS-ADLS) to assess physical function, as well as the figure-of-8 walk test (F8W) and the stair climb test (SCT). Results: According to the interventions, exercise groups I and II showed significantly improved muscle strength and KOS-ADLS, F8W, and SCT scores (p<0.001). Compared with that of exercise group II, exercise group I showed significantly improved hip abductor strength (p<0.001) and KOS-ADLS, F8W, and SCT scores (p<0.05). Conclusions: The results of this study indicate that the combination of hip abductor strengthening and conventional rehabilitation is an effective exercise method to increase hip abductor muscle strength and physical function after TKR.
International Journal of Internet, Broadcasting and Communication
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v.15
no.2
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pp.187-195
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2023
Sarcopenia is a phenomenon in which muscle function, including muscle strength, deteriorates as muscle mass decreases in the process of increasing age. The diagnosis of sarcopenia utilizes total muscle mass and limb muscle mass, and limb muscle mass is expressed as height squared, body weight, and BMI. Each divided value is used as an index, mainly less than 7.23 kg/m2 for men and less than 5.67 kg/m2 for women. Grip strength, standing up from a chair, and walking speed were mainly used as physical function factors, and grip strength less than 27 kg for men and less than 16 kg for women were used as indicators. The limb muscle mass showed a decreasing trend after peaking in the mid-20s in men, and maintaining a gradual peak in women from the mid-20s to the mid-40s, showing a more rapid decline in men. The rate of decrease in muscle mass and strength continues to increase after the age of 20, and muscle strength rapidly decreases after the age of 80. In Korean men, total muscle mass and limb muscle mass show a decreasing trend from the mid-30s, and a more markedly rapid decrease from the age of 60. For women, it remains constant from the age of 30 to the age of 50, then gradually decreases after the mid-50s, and shows a rather rapid decrease after the mid-70s, showing a more gradual decrease than that of men. Men show a sharp decrease from the mid-40s when limb muscle mass is divided by height squared, and women show a marked decrease after 70 years old when limb muscle mass is divided by height squared. Exercise for the prevention and treatment of sarcopenia results in an increase in protein assimilation hormone, an increase in antioxidant activity, a decrease in inflammation, an increase in muscle insulin sensitivity, and an increase in protein synthesis. Resistance exercise is basically used, and aerobic exercise and equilibrium A combination of exercises is effective. In addition, for a more efficient effect of sarcopenia through resistance exercise, it is necessary to supplement nutrition including protein.
Roughness and joint inclination angle are the important factors that affect the strength and deformation characteristics of jointed rock mass. In this paper, 3D printer has been employed to make molds firstly, and casting the jointed specimens with different joint roughness coefficient (JRC), and different joint inclination angle (α). Conventional triaxial compression tests were carried out on the jointed specimens, and the influence of JRC on the strength and deformation parameters was analyzed. At the same time, acoustic emission (AE) testing system has been adopted to reveal the AE characteristic of the jointed specimens in the process of triaxial compression. Finally, the morphological of the joint surface was observed by digital three-dimensional video microscopy system, and the relationship between the peak strength and JRC under different confining pressures has been discussed. The results indicate that the existence of joint results in a significant reduction in the strength of the joint specimen, JRC also has great influence on the morphology, quantity and spatial distribution characteristics of cracks. With the increase of JRC, the triaxial compressive strength increase, and the specimen will change from brittle failure to ductile failure.
Kim, Young-Soon;Shin, Jiho;Kim, Hyung-Il;Cho, Joong-Hee;Seo, Hyung-Ki;Kim, Gil-Sung;Shin, Hyung-Shik
Korean Chemical Engineering Research
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v.43
no.4
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pp.495-502
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2005
Copper was plated on the tungsten substrate by use of a direct copper electroless plating. The optimum deposition conditions were found to be with a concentration of $CuSO_4$ 7.615 g/L, EDTA of 10.258 g/L, and glyoxylic acid of 7 g/L, respectively. The solution temperature was maintained at $60^{\circ}C$. The pH was varied from 11.0 to 12.8. After the deposition, the properties of the copper film were investigated with X-ray diffractometer (XRD), Field emission secondary electron microscope (FESEM), Atomic force microscope (AFM), X-ray photoelectron spectroscope (XPS), and Rutherford backscattering spectroscope (RBS). The best deposition condition was founded to be the solution pH of 11.8. In the case of 10 min deposition at the pH of 11.8, the grain shape was spherical, Cu phase was pure without impurity peak ($Cu_2O$ peak), and the surface root mean square roughness was about 11 nm. The thickness of the film turned out to be 140 nm after deposition for 12 min and the deposition rate was found to be about 12 nm/min. Increase in pH induced a formation of $Cu_2O$ phase with a long rectangular grain shape. The pH control seems to play an important role for the orientation of Cu in electroless deposition. The deposited copper concentration was 99 atomic percent according to RBS. The resulting Cu/W film yielded a good adhesive strength, because Cu/W alloy forms during electroless deposition.
This study was performed to probe the effect of exercise program on muscle strength, endurance, flexibility, pain, disability level and life satisfaction in female teachers of elementary school who complain of low back pain. For this study, 44 female teachers aged 30-50 years with mechanical low back pain of 6 months' duration, who had the structural normalities in the lumbar spine, were recruited from April 1 to July 10 1999. Twenty three out of them were assigned to the experimental group and twenty one to the control group. The exercise program consisted of education on right postures, the etiology and diagnosis of low back pain, and exercise intervention such as muscle relaxation, elongation and strengthening. With 8 weeks program, the subjects received two sessions of education and six sessions of group exercise in the 1st week, while three sessions of group exercise and four sessions of individual exercise weekly and two sessions of education during the later 7 weeks. The muscle strength and endurance were measured by Cybex 770, the flexibility by flexibility measurement machine, the intensity of pain by Visual Analogue Scale (VAS), the level of disability by Oswestry low back pain disability scale, depression by Beck depression inventory (BDI), and life satisfaction by Life satisfaction index-Z. Study measurements were taken before and after 8 weeks exercise program. Data were analyzed using paired t-test, t-test, and ANCOVA. The results were as follows ; 1. The flexors and extensors peak torque and flexors peak torque per body weight of experimental group were significantly increased at test velocities $30^{\circ}$/sec, $60^{\circ}$/sec compared with those of control group. There was no significant difference in extensors peak torque per flexors peak torque at $30^{\circ}/sec$, $60^{\circ}/sec$ between experimental and control group. 2. The flexors and extensors total work and flexors total work per body weight of experimental group were significantly increased at $120^{\circ}/sec$, compared with those of control group. 3.The flexibility of lumbar spine in experimental group was significantly increased compared with that of control group. The pains in anterior, posterior, left lateral and right lateral bending and in rotation of experimental group were significantly increased compared with those of control group. 4. The Oswestry disability scores of experimental and control group were significantly decreased, and there was no difference in the Oswestry disability score change between experimental and control group. 5. The scores of BDI of experimental group were significantly decreased compared with those of control group. Life satisfaction index-Z scores of experimental group were not changed, but those of control group were significantly decreased. There was no difference in the score change of Life satisfaction index-Z between experimental and control group. 6. ANCOVA analysis for the data variables of inhomogeneous baseline represented that there was no significant difference in extensors peak torque and extensors total work at $120^{\circ}/sec$ and extensor total work per body weight at $120^{\circ}/sec$ change between experimental group and control group. These findings indicate that the exercise program could be effective in increasing the muscle strength, endurance, flexibility and decreasing pain, improving depression in female teachers of elementary school with chronic low back pain. It is suggested that the exercise program could be an essential factor for the effective nursing intervention to the patients suffered from chronic low back pain.
Journal of the Korea institute for structural maintenance and inspection
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v.11
no.3
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pp.95-104
/
2007
This study was focused on the effect of concrete strength and lateral ties of concrete columns subjected to eccentric compressive loads. The twenty-four concrete columns with $200mm{\times}200mm$ square cross-section were tested. The main variables were concrete strength, spacing and configuration of lateral ties, and eccentricity ratios. From the experiment, the followings were investigated ; 1) In all cases, it was observed that the increase of concrete compressive strength led to the decrease of ductility. Also, as the eccentricity ratios increased, the effect of ductility enhancement by lateral ties decreased. 2) As the ties spacing decreased from 100mm to 30mm, the magnitude of axial load acting on the concrete column showed an enhancement of 1.1~1.2 times and the descending curve after a peak moment presented a smooth decline. 3) The high-strength concrete columns required a design of lateral ties to increase the volumetric ratios and density of tie spacing to sustain a proper strength and ductility. Accordingly, regardless of concrete strength, the current AIK design code to specify the maximum tie spacing of concrete columns was proven to lead to the poor strength and ductility for seismic design. Therefore, it is necessary to develop a new seismic design code that connects volumetric ratios and tie spacing of concrete columns with concrete strength.
Among the subgroups of speech sound disorder (SSD), the motor speech disorder (MSD) group is characterized by weak articulatory force. This study quantitatively measured and compared articulatory muscle strength between SSD and typically developing (TD) children. The Iowa Oral Performance Instrument (IOPI) was used to measure lip and tongue strength in 15 children with SSD and 15 TD children. We additionally measured peak lip and tongue pressure and endurance, and analyzed the correlation between each strength measure and the percentage of consonants correct (PCC). The findings were as follows: First, lip strength for the bilabial sounds did not differ between the two groups in the initial position but was significantly weaker in the SSD group in the final position. Tongue strength for alveolar sounds was weaker in the SSD group than in the TD group for the initial and final positions. Second, for lip and tongue strength, the difference in voicing features was significant in the TD group but not in the SSD group. Third, the peak pressure and endurance of the lips and tongue were significantly lower in the SSD group than in the TD group. Fourth, significantly higher static correlations were observed between most strength measures and the PCC. These findings suggest that weakness in articulatory motor execution may be an unrecognized underlying problem of SSD with unknown origin.
Concrete has been recognized as a material which is resistant to high temperatures, but chemicophysical property of concrete is changed by the high temperature. So, mechanical properties of concrete may be reduced. Because of this, standards and researches on the degradation of the mechanical properties of concrete at high temperatures have been presented. However, research data about the state that considering the loading condition and high-strength concrete is not much. Therefore, this study evaluated the high-temperature properties of high-strength concrete by loading condition and elevated temperature. The stress-strain, strain at peak stress, compressive strength, elastic modulus, thermal strain and the transient creep are evaluated under the non-loading and $0.25f_{cu}$ loading conditions on high strength concrete of W/B 12.5%, 14.5% and 20%. Result of the experiment, decrease in compressive strength due to high temperature becomes larger as the compressive strength increases, and residual rate of elastic modulus and compressive strength is high by the shrinkage caused by loading and thermal expansion due to high temperature are offset from each other, at a temperature above $500^{\circ}C$.
Kim, Chul-Hyo;Lee, Jeong-Moo;Kim, Kyung-Hyun;Kim, In-Bae
Journal of Korea Foundry Society
/
v.24
no.1
/
pp.45-51
/
2004
Fe and Si are common impurity elements in the aluminum alloys. In this investigation, the effects of the addition of Fe and Si on the age-hardening behaviors of the Al-Cu-Mn-Ti-Zr-Cd casting alloys were examined through hardness measurements, calorimetric techniques and observation of the transmission electron microscopy. The addition of Fe depresses the formation of GPII and ${\theta}'$, and thus retards the peak aging time and reduces the peak hardness of the Al-Cu-Mn-Ti-Zr-Cd alloys. On the contrary, the addition of Si accelerates the formation of GPII and ${\theta}'$ and thus accelerates age-hardening behaviors of the Al-Cu-Mn-Ti-Zr-Cd alloys.
Human-induced vibration could present a serious serviceability problem for large-span and/or lightweight floors using the high-strength material. This paper presents the results of heel-drop, jumping, and walking tests on a large-span composite steel rebar truss-reinforced concrete (CSBTRC) floor. The effects of human activities on the floor vibration behavior were investigated considering the parameters of peak acceleration, root-mean-square acceleration, maximum transient vibration value (MTVV), fundamental frequency, and damping ratio. The measured field test data were validated with the finite element and theoretical analysis results. A comprehensive comparison between the test results and current design codes was carried out. Based on the classical plate theory, a rational and simplified formula for determining the fundamental frequency for the CSBTRC floor is derived. Secondly, appropriate coefficients (βrp) correlating the MTVV with peak acceleration are suggested for heel-drop, jumping, and walking excitations. Lastly, the linear oscillator model (LOM) is adopted to establish the governing equations for the human-structure interaction (HSI). The dynamic characteristics of the LOM (sprung mass, equivalent stiffness, and equivalent damping ratio) are determined by comparing the theoretical and experimental acceleration responses. The HSI effect will increase the acceleration response.
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