• Title/Summary/Keyword: 근 기능

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Revision Rotator Cuff Repair (회전근 개 봉합술 후 재수술)

  • Kim, Young-Kyu;Kim, Dong-Wook
    • Journal of the Korean Arthroscopy Society
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    • v.13 no.2
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    • pp.119-125
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    • 2009
  • The primary purposes of revision repair for a failed rotator cuff repair are a relief of pain and functional improvement. Therefore, revision repair is most proper in patients with the functional deficit accompanied with the shoulder weakness as well as the persistent pain. The important factor that is considered in revision repair is a quality of torn cuff. Especially, Care must be taken to ensure that the revision repair is possible, considering the size of tendon defect, atrophy of the muscle, fatty infiltration and extent of the retraction of tendon. Revision repair of a failed rotator cuff repair is more difficult, and the functional results are less satisfactory than those of primary repair, because excessive bursal scarring and tendon retraction may be exhibited, a large or massive tear is often detected, tear has usually been present for a long time, and a quality of muscle-tendon may be poor. So, we discuss our experiences related to revision repair after a failed cuff repair that has been recently introduced through the articles.

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Isokinetic Strength Capacity Between Elite Athletes and Taekwondo Player (엘리트 육상선수와 태권도 선수의 등속성 운동능력에 관한 비교 연구)

  • Kim, Hyun-Mi;Lee, So-Yun
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.12 no.6
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    • pp.2691-2697
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    • 2011
  • The purpose of the dissertation is to offer basic data available for being conducive to application of a training program by comparatively analyzing the players' physical strength, the knee joint, a hip joint, power of the trunk joint and muscle power in order to study isokinetic strength and muscle power between short distance athletes and Taekwondo players. This study measured peak power, %Body weight peak power, always power, and %Body weight peak power targeting 8 male athletes and 8 male Taekwondo players who warmed up 10 minutes before from the test to reduce repulsion and unfamiliarity at the instrument. The power of the knee joint($60^{\circ}$/sec), muscle power($180^{\circ}$/sec), were measured by using HUNOM(U.S.A). As a result of the physical strength, statistically, short distance athletes were indicated to be better in muscle strength, muscular endurance than Taekwondo players, and there was no significant difference between flexibility, power, and muscular endurance. Although the short distance athletes were indicated to be better in right and left muscle strength of knee joint than Taekwondo player, there was no significant difference and Taekwonde players were indicated to be higher at the right and left muscle power than short distance athletes.

The Effect of Combined Exercise on Body Composition, Functional Fitness and Muscle Protein Synthesis Related Hormone in Sarcopenic Obesity Elderly Women (복합운동이 근감소증을 동반한 비만 여성고령자의 신체조성과 기능적 체력 및 근단백질합성 관련 호르몬에 미치는 영향)

  • So, Yong-Seok
    • Journal of the Korea Convergence Society
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    • v.7 no.3
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    • pp.185-193
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    • 2016
  • The purpose of this study was to analyze the effects of combined exercise on body composition, funtional fitness and muscle protein synthesis related hormone in sarcopenic obesity elderly women. The subjects for the study were 20 obesity elderly women over 65 years old. They were divided into two groups, the sarcopenic obesity group(n=10) and non-sarcopenic obesity group(n=10). The variables of body composition and cardiovascular fitness were measured in all the subjects before and after 12-week combined exercise. The findings of this study were as follows; In the sarcopenic obesity elderly women (SG), % body fat significantly decreased in the SG group, FFM and ASM significantly increased. In the chair stand test and arm curl test, SG group significantly increased. SG group significantly changed in chair sit-and-reach test, back scratch test, 2-minute step test. In the muscle protein synthesis related hormone(growth hormone and IGF-1), SG group significantly increased.

INTERPOSITIONAL ARTHROPLASTY OF TEMPOROMANDIBULAR JOINT ANKYLOSIS WITH TEMPORALIS MYOFASCIAL FLAP (측두근-근막피판을 이용한 악관절 강직증의 외과적 재건)

  • Nam, Jung-Soon;Lee, Yong-Gyoo;Kwon, Tae-Geon;Kim, Jong-Bae
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.26 no.5
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    • pp.544-549
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    • 2000
  • The treatment of TMJ ankylosis poses a significant challenge because of technical difficulties and high incidence of recurrence. TMJ ankylosis has been treated by excision and total joint reconstruction with alloplastic, allogeneic, autogenous materials as interpositional materials. The temporalis myofascial flap had been considered to be a successful interpositional material, due to its anatomical, topographical, and functional properties. This study evaluated the efficacy of the temporalis myofascial flap for nine TMJs (five patients) through the preauricular approach and coronoidectomy. Radiographic and physiologic long term result was investigated in this study. The result reveals that the temporalis myofascial flap is a good autogenous tissue satisfying the criteria of an ideal interpositional material, which offers a material that fulfills the physiological function of the disc. In spite of favorable functional outcome, mild postoperative openbite tendency remains another challenge.

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Nonfunctional Parathyroid Carcinoma: A Case Report (비기능성 부갑상선암: 증례 보고)

  • Choi, Sang-Gyu
    • Radiation Oncology Journal
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    • v.28 no.2
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    • pp.111-116
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    • 2010
  • Parathyroid carcinoma is a rare endocrine malignancy accounting for 0.5% to 4.0% of all cases of hyperparathyroidism and commonly present as hypercalcemia and parathyroid hormone (PTH) elevation. Nonfunctional parathyroid carcinoma does not show symptoms of hyperparathyroidism and only showed a vague indication of being pathologic, even when detected late. The optimal treatment is en bloc resection of the cancer, but frequent local recurrence after surgery has been reported. Adjuvant local treatment such as radiotherapy may improve the likelihood local control in cases with incompletely resected or microscopic residual tumor. The results of this study point to a case of nonfunctional parathyroid carcinoma treated by external beam radiotherapy after en-bloc resection of cancer.

The Effect of Inline Skate Program on Physical Fitness(PAPS-D) Improvement of Student with Developmental Disability (인라인스케이트 프로그램이 발달장애 학생들의 건강체력(PAPS-D) 향상에 미치는 효과)

  • Chol, Jae-Yong;Kim, Ji-Sun
    • Journal of the Korean Applied Science and Technology
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    • v.36 no.2
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    • pp.541-550
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    • 2019
  • This study is aimed to find out the effect of PAPS-D on physical fitness of developmental disabled students who participated of Inline skate program. The subject of this study was 10 middle and high school students diagnosed as developmental disability. The subject attended a total of 32 classes twice a week for 16 weeks and the class was 1 hour each time. Improvement of physical fitness was assessed based on PAPS-D program developed by the Department of Education science in 2016 except for obesity measurement; cardio pulmonary function (walking in 6 minutes), flexibility (seated forward bend, clasped hand behind the back), muscle function (sit-up) and agility (standing long jump). To find out the interaction between control group and experimental group, two-way repeated measure ANOVA was used. As a result, there was a statistically significant relation in cardio pulmonary function and agility but not in flexibility and muscle function. 3 variables (cardio pulmonary function, flexibility and muscle function) among 4 variables showed positive effect of Inline skate program on physical fitness while one variable which was agility showed decreased result in post-test. Based on the results of three variables that were found to have improved in the pre post-examination, the result of this study indicates positive effect of Inline skating program on physical fitness of developmentally disabled students.

The Effect of Treadmill Exercise and Environmental Enrichment on Cognitive Function, Muscle Function, and Levels of tight junction protein in an Alzheimer's Disease Animal Model (트레드밀 운동 및 환경강화가 알츠하이머 질환 동물 모델의 인지기능, 근 기능 및 밀착연접 단백질 수준에 미치는 영향)

  • Hyun-Seob Um;Jong-Hwan Jung;Tae-Kyung Kim;Yoo-Joung Jeon;Joon-Yong Cho;Jung-Hoon Koo
    • Journal of the Korean Applied Science and Technology
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    • v.41 no.1
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    • pp.58-68
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    • 2024
  • The purpose of this study was to investigate the effects of treadmill exercise treadmill exercise (TE) and environmental enrichment (EE) interventions on cognitive function, muscle function, and the expression of tight junction proteins in an Alzheimer's disease (AD) animal model. To create the AD animal model, aluminum chloride (AlCl3) was administered for 90 days (40mg/kg/day), while simultaneously exposing the animals to TE (10-12m/min, 40-60min/day) or EE. The results showed that cognitive impairment and muscle dysfunction induced by AlCl3 administration were alleviated by TE and EE. Furthermore, TE and EE reduced the increased expression of β-amyloid(Aβ), alpha-synuclein, and tumor necrosis factor-α (TNF-α) proteins observed in AD pathology. Additionally, TE and EE significantly increased the expression of decreased adhesive adjacent proteins (Occludin, Claudin-5, and ZO-1) induced by AlCl3 administration. Lastly, correlation analysis between Aβ protein and tight junction proteins showed negative correlations (Occludin: r=-0.853, p=0.001; Claudin-5: r=-0.352, p=0.915; ZO-1: r=-0.424, p=0.0390). In conclusion, TE or EE interventions are considered effective exercise methods that partially alleviate pathological features of AD, improving cognitive and muscle function.

Partial Thickness Rotator Cuff Tears (회전근 개 부분 파열)

  • Sin, Sang-Jin;Jang, Gi-Yeong
    • 대한관절경학회:학술대회논문집
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    • 2009.10a
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    • pp.14-22
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    • 2009
  • 회전근 개 부분 파열은 노화의 과정 중 생기는 무증상의 병변 또는 견관절 기능 장애의 잠재적인 원인으로 생각되었다. 발병 원인은 해부학적인 원인에 의한 충돌 또는 반복적 미세 외상 등이 원인으로 이해되고 있으며 병리생태에 관한 이해가 깊어지고 진단 기구, 즉 초음파나 자기공명영상, 관절경 등의 발달로 발생률이 과거에 비해 증가하고 있다. 그러나 회전근 개부분 파열은 질환 자체보다 전층 파열로 진행하는 일종의 질환 스펙트럼(disease spectrum)의 개념으로 전층 파열에 비해 현재까지 발표된 연구 자료가 많지 않다. 즉 회전근 개 부종, 견봉과의 마찰로 생긴 염증성 건병증, 회전근 개 섬유화 및 부분 또는 전층 파열로 진행되는 회전근 개 병변의 스펙트럼의 일부로 간주되는 경우가 많다. 본 종설은 회전근 개 부분 파열의 진단, 파열 분류, 수술의 적응증 및 수술 방법과 그 결과에 대해 논하고자 한다.

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A study on Pre-and Post-surgical Patterns of Mandibular Movement and EMG in Skeletal Class III Prognathic Patients who underwent Intraoral Vertical Ramus Osteotomy (하악 전돌증 환자의 구내 하악골 상행지 골절단술전후의 하악골 운동양상 및 저작근 근전도 변화에 관한 연구)

  • Park, Young-Chel;Hwang, Chung-Ju;Yu, Hyung-Seog;Han, Hee-Kyung
    • The korean journal of orthodontics
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    • v.27 no.2
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    • pp.283-296
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    • 1997
  • Stomatognathic system is a complex one that is composed of TMJ, neuromuscular system, teeth and connective tissue, and all its components are doing their parts to maintain their physiological relationships. Mandible, in particular, performs various functions such as mastication, speech, and deglutition, the muscular activities that determine such functions are signalled by numerous types of proprioceptors that exist in periodontal membrane, TMJ, and muscles to be controlled by complicated pathways and mechanics of peripheral and central nervous system. Orthodontic treatment, especially when accompanied by orthognathic surgery, brings dramatic changes of stornatognat is system such as intraoral proprioceptors and muscle activities and thus, changes in patterns of mandibular function result The author tried to analyze changes in patterns of mandibular movement and physiologic activities of surrounding muscles in Skeletal Class III ortlrognathic surgery patients who presently show a great increase in numbers. The purpose of this study was to draw some objective guidelines in evaluating funclierual aspects of orthognathic surgery patients. Mandibular functional analysis using Biopak was performed for skeletal Class III prognathic patients who underwent IVRO(lntraoral Vertical Ramus Osteotmy), and the following results were obtained: 1. Resting EMG was greater in pre-surgical group than the control group, and it showed gradual decrease after the surgery. Clenching EMG of masseter and anterior temporalis of pre-surgical group was smaller than those of control group, they also increased post-surgically, and significant difference was found between pre-surgical and post-surgical(6 months) groups. 2. Resting EMG of anterior ternporalis was greater than that of all the other muscles, but there was no significant difference. Clenching EMG of anterior temporalis and masseter were greater than those of the other muscles with statistical difference. In swallowing, digastric muscle showed the highest EMG with statistical significance. 3. Limited range of mandibular movement was shown in pre-surgical group. Significant increase in maximum mouth opening was observed six months post-surgically, and significant increase in protrusive movement was observed three months post-surgically.

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Management for Cervical Instability (경추 불안정성의 관리)

  • Kim, Young-Min;Kim, Ho-Bong
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.11 no.1
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    • pp.74-91
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    • 2005
  • 척추의 기본적인 생체 역학적 기능은 신체 부분간의 운동을 허용하고 척수와 신경근을 보호하는 것으로서 이러한 기능을 수행하기 위해서는 척추의 역학적 안정성이 필수적이다. 척추의 안정체계는 수동적 근 골격계, 능동적 근 골격계, 그리고 신경계의 세 가지 하부체계로 나누어지며 이들 하부체계는 각각 독립적으로 안정성에 관여하고 있다. 경추의 불안정성의 문제는 비정상적으로 증가된 추간관절의 운동에 의해 염증성의 신경을 압박 또는 신장하거나 또는 통증수용기가 많이 분포하는 인대, 관절낭, 섬유륜과 종판에 비정상적인 변형을 일으키는 것을 말한다. 안정성의 장애는 근육의 기능적 측면에서 국소적 안정체계와 포괄적 안정체계의 문제로 구분할 수 있다. 불안정한 경추 환자의 임상적 양상은 일반적으로 머리가 앞으로 나오고 전방 전위된 자세로 견갑대와 승모근 상부의 과활동성을 나타낸다. 또한 능동운동은 감소되지 않으나 수동운동에서 분절의 회전운동과 병진운동의 증가와 종말감의 변화가 있다. 경추의 불안정성을 관리하기 위한 실험적 연구로 전반적인 근육 훈련, 고유수용기 훈련, 그리고 도수치료의 세 가지 주된 접근법이 있고 실제적인 접근법으로는 고유수용성 재활프로그램, 칼텐본-에반스 접근법, 그리고, 슬링운동법 등이 있다. 각 방법들은 임상에서 나름대로의 이점이 있으며 환자의 상태에 따라 이들 방법을 단독으로 또는 병행해서 적용할 수 있을 것이다. 그러나 경추에서 이러한 방법들의 효과를 입증하는 증거는 부족하여 앞으로 이러한 방법에 대한 임상적 경험보다는 그 효과를 입증할 수 있는 연구가 필요하다고 본다.

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