• Title/Summary/Keyword: (고관절)

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Wearing Characteristic Evaluation of Hip Protector for Hip Fracture Prevention (고관절 골절 예방을 위한 힙프로텍터 착용특성 평가)

  • Jeon, Eun-Jin;Park, Sei-Kwon;You, Hee-Cheon;Kim, Hee-Eun
    • Fashion & Textile Research Journal
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    • v.16 no.6
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    • pp.1001-1007
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    • 2014
  • We surveyed the wearing characteristics of hip protectors. The problems of existing hip protectors were identified and the directions for improvement were presented. The evaluation of wearing characteristics was conducted on the 100 elderly women (60 to 85 years) with 5 types of hip protector. The questionnaire was composed of history and characteristics on falling, hip protector acceptance, preference, use characteristics and improvement requirements. The result of wearing characteristic evaluation indicated that 52% of the subject experienced falling in winter. Incidents resulting from falling occurred: outdoors (74.5%), bathroom (10.9%), and kitchen (5.5%). Body parts to be protected were in several areas: 35.6% for lumbar, 26.9% for hip joint, and 15% for hip bone. Participants prefer a belt B type design at a rate of 56.9% because it provided a sense of stability by clinging to the body and upholding the waist. Belt B type was the most appropriate in terms of fit, allowance, mobility, and design except pad thickness. To reduce the risk of hip fracture, hip protector needs to be designed in consideration of user's type of fall and body shape. The pattern and size of a hip protector has to be improved in regards to the amount of discomfort. An objective evaluation is needed for the ergonomic design of a hip protector based on and analysis of 3D body image of the elderly and the shock-absorbing quality of pad.

An effectiveness of multitransmit parallel technique on scan time reduction in hip joint MRI (고관절 자기공명영상 검사 시 multitransmit 기법의 적용에 따른 검사시간 단축의 유용성)

  • Choi, Kwan-Woo;Son, Soon-Yong
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.17 no.3
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    • pp.103-108
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    • 2016
  • This study examined the effectiveness of the multitransmit parallel technique on the MRI scan time reduction by removing the dielectric effect. The T1 and T2 weighted images of the patients' hip joint were acquired with and without a multitransmit technique. The ROIs were located in the head of femur and iliopsoas muscle. The SNR, CNR and scan time were measured and compared. There was no difference in the images with and without multitransmit. In contrast, the acquisition time was decreased by 42.8% in T1WI and 49.7% in T2WI. In conclusion, this study demonstrated that significant scan time reductions can be accomplished without any differences in the image quality in hip joint MRI by applying the multitransmit parallel technique. Furthermore, the multitranstmit technique is useful in other body parts to resolve the long scan time of an MRI examination.

Improving Evaluation of the Basket-to-Handstand Mount by a Technical Training Program on Parallel Bars (평행봉 Basket to Handstand 기술 훈련 프로그램 적용을 통한 향상도 평가)

  • Lee, Chong-Hoon;Back, Jin-Ho
    • Korean Journal of Applied Biomechanics
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    • v.19 no.4
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    • pp.719-728
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    • 2009
  • In this study, a training program was conducted to improve the performance of the basic movement of the basket-to-handstand mount. After completion of the training program, the kinematic comparison of the before and after effects were investigated to provide scientific data about this technique. It is recommended that during P1, the center of body mass at the back should push the hip joint to flex quickly, and the shoulder joint should be maintained at a maximum angle. During P2, the body's center of mass must be accelerated so as to create enough momentum to rise efficiently for this, quick extension of both the hip and the shoulder is required. For safety during P3, it is advised that the speed upwards must be increased and that the hands, shoulders, and hip joint must be extended, as in the posture of a handstand. These results stress to coaches the importance of the bodies speed during the ascent in the motion.

A Study on a Mask R-CNN-Based Diagnostic System Measuring DDH Angles on Ultrasound Scans (다중 트레이닝 기법을 이용한 MASK R-CNN의 초음파 DDH 각도 측정 진단 시스템 연구)

  • Hwang, Seok-Min;Lee, Si-Wook;Lee, Jong-Ha
    • Journal of the Institute of Convergence Signal Processing
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    • v.21 no.4
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    • pp.183-194
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    • 2020
  • Recently, the number of hip dysplasia (DDH) that occurs during infant and child growth has been increasing. DDH should be detected and treated as early as possible because it hinders infant growth and causes many other side effects In this study, two modelling techniques were used for multiple training techniques. Based on the results after the first transformation, the training was designed to be possible even with a small amount of data. The vertical flip, rotation, width and height shift functions were used to improve the efficiency of the model. Adam optimization was applied for parameter learning with the learning parameter initially set at 2.0 x 10e-4. Training was stopped when the validation loss was at the minimum. respectively A novel image overlay system using 3D laser scanner and a non-rigid registration method is implemented and its accuracy is evaluated. By using the proposed system, we successfully related the preoperative images with an open organ in the operating room

Total Elbow Arthroplasty for the Fracture of Elbow Arthrodesis Site - A Case Report - (주관절 전치환술로 치료한 주관절 관절 고정술 부위의 골절 - 증례 보고 -)

  • Kim, Myung-Ho;Seo, Joong-Bae;Hwang, Sung-Su
    • Clinics in Shoulder and Elbow
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    • v.10 no.2
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    • pp.246-250
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    • 2007
  • Total elbow arthroplasty is a relatively rare procedure compared with total knee or total hip arthroplasty. Total elbow arthroplasty for bony ankylosis is even rarer, and the results are often unsatisfactory. We report a patient who gained good mobility of the elbow after total elbow arthroplasty for the treatment of fractured arthrodesis site with which the patient had lived with for 12 years.

Health Care Providers' Perceptions of Physical Function in Older Adults with Arthroplasty from Hip Fracture (고관절 골절로 인공고관절 수술을 받은 노인의 신체적 기능에 대한 의료인의 인식 분석)

  • Ko, Young Ji;Lee, JuHee
    • Journal of muscle and joint health
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    • v.22 no.2
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    • pp.67-77
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    • 2015
  • Purpose: This study was a qualitative research using focus group interviews to collect data on the health care providers' perceptions of physical function in older adults with arthroplasty from hip fracture. Methods: A total of 12 subjects participated in this study. In order to conduct focus group interviews, structured manuscript, field notes, visual recording, and debriefing notes were referred and thematic analysis was used in analysis phase. Results: The six themes were raised: 'burdensome client', 'health care providers' perception of functional decline in older adults after surgery', 'health care providers' perception of caregiver', 'medical environment perceived as affecting physical function', 'crucial components perceived as encouraging functional restoration', and 'difficulty of pain management' with 18 subthemes. Conclusion: Healthcare providers perceived functional decline of elderly after arthroplasty and identified points facilitating or disturbing physical function Moreover, various perspectives on pain management related to physical function were represented.

Treatment of Developmental Dislocation of the Hip in Walking Age (보행기의 발달성 고관절 탈구의 치료)

  • Kim, Se-Dong;Jang, Jae-Hyuk;Lee, Dong-Chul;Shin, Duk-Seop
    • Journal of Yeungnam Medical Science
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    • v.13 no.2
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    • pp.211-224
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    • 1996
  • The patients of developmental dislocation of the hip(DDH) are almost found after walking age because of early diagnosis of DDH in younger children is not easy. A controversy still exists as to the relative value of closed and operative management in the treatment of a child who has reached walking age. This study is a report of the results of 16 patients(17 cases) in developmental dislocation of the hip who have visited our hospital at the age of 9 months to 3 years old, and have been followed more than 12 months (12-112 months) on review of plain radiographs and arthrograms. The results were as follows : 1. The age at diagnosis was 16.4 months(9-31 months) in average. The methods of treatment were conservative for 8 cases, and operation for 4 cases and secondary operation for 5 cases who were failed with conservative therapy. 2. By Severin's radiologic grade, the result was good in 4 cases, fair in 3 cases and poor in 1 case in conservative treatment. In operative treatment, fair was in 2 cases and poor in 2 cases. In secondary operative patients who were failed with conservative therapy, good was in 2 cases, fair in 2 cases and poor in 1 case. 3. Avascular necrosis of femoral head was developed in 3 cases. 4. In the good reduction as determined by arthrogram according to Race and Herring, we can get a favorable result in conservative treatment, and in the poor reduction as determined by arthrogram, the better result in operative treatment can be expected.

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The Study of Usefulness of Metal Artifact Reduction Algorithm and Artifacts Caused by Metallic Hip Prosthesis on PET/CT (PET/CT에서의 고관절 삽입물에 의한 인공물과 Metal Artifact Reduction Algorithm의 유용성에 대한 고찰)

  • Park, Min Soo;Ham, Jun Cheol;Cho, Yong In;Kang, Chun Goo;Park, Hoon-Hee;Lim, Han Sang;Lee, Chang Ho
    • The Korean Journal of Nuclear Medicine Technology
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    • v.16 no.2
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    • pp.35-43
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    • 2012
  • Purpose : PET/CT performed CT-based attenuation correction generates the beam hardening artifact by metallic implant. The attenuation correction causes over or underestimate of the area adjacent to metallic hip prosthetic material and change of $^{18}F$-FDG uptake. Also, the image quality and the diagnosability on genitourinary disease are reduced. Therefore, this study will evaluate the usefulness of MAR (Metal Artifact Reduction) algorithm method to improve the image quality on PET/CT. Materials and Methods : PET/CT was performed by fixing hip prosthesis in SPECT/PET phantom. In PET images with and Without MAR algorithm, the Bright streak, Dark streak, Metal region and Background area that appeared on CT were confirmed, and the change of each SUV (standardized uptake value) was analyzed. Also, in 15 patients who underwent total hip arthroplasty, each MAR algorithm and Without MAR algorithm and non attenuation correction was evaluated. Results : In PET image Without MAR algorithm, SUV of Bright streak region was $0.98{\pm}0.48$ g/ml; Dark streak region was $0.88{\pm}0.02$ g/ml; Metal region was $0.24{\pm}0.16$ g/ml, Background area was $0.91{\pm}0.18$ g/ml. In SUV of PET image with MAR algorithm, Bright streak region was $0.88{\pm}0.49$ g/ml, Dark streak region was $0.63{\pm}0.21$ g/ml, Metal region was $0.06{\pm}0.07$ g/ml, Background was $0.90{\pm}0.02$ g/ml. SUV generally decreased when applying MAR algorithm. In PET image Without MAR algorithm, SUVs of Bright region were higher than those measured in the Background, and it was false positive uptake. But, in PET image with MAR algorithm, SUVs of Bright region were similar to the Background, and false positive uptake disappeared. Conclusion : MAR algorithm could reduce an increase of $^{18}F$-FDG uptake due to attenuation correction in the hip surrounding tissue. However, decrease of SUV in Dark streak region should be considered in the future. Therefore, this study propose that the diagnostic accuracy can be improved in genitourinary diseases adjacent to metallic hip prosthesis, if provided PET images with and Without MAR algorithm, and non attenuation correction images at the same time.

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A Study on the Change of Gait Temporal Parameter and Ankle Joint Moment in Patients with Achilles Tendinitis (아킬레스 건염 환자의 보행 시 고관절, 슬관절 및 족관절 모멘트의 변화에 대한 연구)

  • Yu, Jae-Ho;Lee, Gyu-Chang;Lee, Dong-Yeop
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.12 no.12
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    • pp.5766-5772
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    • 2011
  • This study was to investigate the change of gait temporal parameter and ankle joint moment between patients with achilles tendinitis and healthy people. Thus, the purpose of this study is to clarify biomechanical change of gait in patients with achilles tendinitis and to find risk factor for prevention of achilles tendinitis. We recruited 20 patients with an achilles tendinitis and 20 healthy people. While subjects shuttled 5 times on 13 m distance with comfortable pace, we examined gait function marker with three-dimensional gait analysis system. All subject outstepped center of forceplate during gait and calculated ankle joint moment using software. Obtained data was analyzed using SPSS 12.0 software. In results, we confirmed that patients with achilles tendinitis showed reduction of extension moment in early initial phase and reduction of flexion moment in mid-stance on hip joint. and reduction of flexion moment in early initial phase and reduction of extension moment in late phase on knee joint. And we identified that patients with achilles tendinitis showed reduction of dorsiflexion moment in early stance phase, maximal plantarflexion moment in mid stance phase, and dorsiflexion moment in late stance phase. Thus, there are biomechanical changes on gait in patients with achilles tendinitis compared to healthy people. And, in clinical settings, they should focus on changes of gait in patients with achilles tendinitis. Further study will be undertaken for the biomechanical changes of patietns with achilles tendinitis.

The Distal Filling Effects on Hip Jont Function in Cementless Total Hip Replacement (인공 고관절 대치술에서 무시멘트형 스템의 원위부 압박이 고관철 성능에 미치는 영향)

  • 채수원;박상석;박재원
    • Transactions of the Korean Society of Mechanical Engineers A
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    • v.24 no.11
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    • pp.2777-2785
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    • 2000
  • In cementless total hip replacement(THR), an initial stability of the femoral component is important to long term fixation of femoral stem. The intial stability has close relationship with the relative displacement of prosthessis and sponge bone at the proximal of femur. After implantation of the proshesis, the surrounding bone is partially shielded from load carrying and starts to resorb. Stress shielding is the cause of the loss of proximal bone. Assessing stress distribution of femur is important to predict stress shielding. The initial stability and the stress shielding were investigated for two loading conditions approximating a single leg stance and a stair climbing. Three types of stems were studied by the finite element method to analyze the biomechanical effects of distal filling of cementless femoral stems. Three types of stems empolyed are a distal filling stem, a distal flexible stem, and a distal tapered stem.