• Title/Summary/Keyword: 불안정운동

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The Effects of Segmental Instability and Muscle Fatigue after Applying Sabilization Exercise Program In Degenerated Disc Disease Patients of Aged (노인 퇴행성디스크 환자의 안정화운동이 척추불안정과 피로도에 미치는 영향)

  • Kim, Hee-Ra
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.13 no.2
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    • pp.12-20
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    • 2007
  • The purpose of this study was designed to find out the effectiveness of vertebral segment instability, muscle fatigue response on lumbar spine after apply lumbosacral stabilization exercise program to 4 patients with chronic low back pain and for 12 weeks. In this study, the lumbar spine motion with blind by MedX test machine and the difference of instability to lumbar vertebra segments in flexion, extension test of standing position and spinal load test(Matthiass Test) by Spinal Mouse. The stabilization exercise program was applied 2 times a week for 12 weeks in hospital and 2 times a day for 20 minutes at home. The results of the present study were as follows: 1. Instability test of lumbar vertebra segment is 2 type differential angle test between vertebrae segment and loading test of spine(matthiass) by Spinal Mouse. It appeared to improve stability of segments in sagittal plane after applying program. So lumbar spine curve increased lordosis toward anterior and was improved of the lumbar spine flexibility in flexion and extension. Specially, in matthiass test, (-) value was increased between lumbar vertebra segment when was the load on spine. And so applying stability improved after program. 2. Fatigue response test(FRT) results, in male, was raised muscle fatigue rate during increase weight, on the other hand female appeared lower than male. As a results, lumbosacral stabilization exercise was aided to improvement of lumbar spine vertebra segments stabilization. Spine instability patients will have a risk when in lifting a load or working with slight flexion posture during the daily of living life and it is probably to increase recurrence rate. Thus, not only lumbar extension muscle strength but also stability of vertebra segments in lumbar spine may be very important.

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Inferior Capsular Shift Procedure for Multidirectional Instability of the Shoulder in Contact Athletes (접촉성 운동선수의 다방성 불안정 견관절의 하관절낭 이동술)

  • Kim Young Kyu;Baek Seung Jeong
    • Clinics in Shoulder and Elbow
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    • v.2 no.1
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    • pp.53-59
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    • 1999
  • Initial treatment of multidirectional instability of the shoulder would be a thorough rehabilitation program. If rehabilitation fails to resolve a patient's symptoms, the most commonly performed surgical procedure remains the inferior capsular shift. Eleven patients who had disabling multidirectional instability of the shoulder were managed with the inferior capsular shift. All of the procedure were performed by means of an anterior approach and a laterally based capsular shift. All of the patients were the contact athletes. The purpose of our study was to evaluate the efficacy of the inferior capsular shift procedure in the contact athletic patients, to review the loss of external rotation postoperatively and to discuss their return to sports. Mean follow up duration was 14.5 months(range, 12 to 24). Pain was relieved postoperatively in all cases and most patients could get stability except one case of recurrent subluxation. The average loss of external rotation and forward flexion after the operation were Y and 30 at last follow up. By the rating scale from American Shoulder and Elbow Society, overall scores improved from 49 points to 85 points. The results were excellent or good in 9 patients(82%) out of 11 patients. In reference to return to sports, 10 patients(91 %) of 11 patients returned to their sports with 7 patients (64%) returning at the same levels of competitiveness. The inferior capsular shift procedure was considered to be a recommendable method for the management of the multidirectional instability of the shoulder.

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A Rare Case of Irreducible Knee Dislocation: Vastus Medialis Obliqus-Buttonholing of Medial Femoral Condyle - A Case Report - (정복 불가능한 슬관절 탈구의 드문 예: 내측광근의 단추구멍손상 - 증례 보고 -)

  • Kim, Hyoung-Soo;Park, Seung-Rim;Kang, Joon-Soon;Lee, Woo-Hyeong;Kim, Ki-Wook
    • Journal of the Korean Arthroscopy Society
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    • v.5 no.1
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    • pp.41-44
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    • 2001
  • The muscular button holing of vastus medialis is a very rare case of irreducible knee dislocations, and rapid reduction of this can diminish the complications which delayed reduction accompanies. We diagnosed a patient who appeared posterolateral dislocation of the knee and protrusion of the medial femoral condyle with MRI grossly. That was reduced by open arthrotomy, followed the reconstruction of both cruciate ligaments and repair of medial collateral ligament. Patient didn't show joint instability except minor posterior sagging and had full range of motion postoperatively after 10 months.

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Effect of Unstable Surface Exercise on Trunk Posture and Balance Ability in Patients With Scoliosis: After six months follow-up (불안정한 표면 운동이 척추측만증 환자의 체간자세와 균형에 미치는 영향)

  • Lee, Woo Jin;Kong, Young Soo;Ko, Yu Min;Park, Ji Won
    • The Journal of Korean Physical Therapy
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    • v.25 no.5
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    • pp.232-238
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    • 2013
  • Purpose: The aim of this study was to evaluate the effect of lumbar stabilization exercise on an unstable surface on trunk posture and static standing balance ability in patients with scoliosis. Methods: Subjects included 18 patients who showed symptom of scoliosis. Patients were divided into two experimental groups, one using an unstable surface and one using a fixed surface, and the patients were required to perform a lumbar stabilization exercise a total of 12 times for 60 minutes per session, three times per week for a period of four weeks, with a six-months follow-up period. Results: A significant reduction was observed in the group that performed the lumbar stabilization exercise on an unstable surface (p<0.05). A significant decrease in both the condition of closed eyes or open eyes in the left and right directions was observed in the group that performed the lumbar stabilization exercise on an unstable surface (p<0.05). After six months, results of comparison of the length of both sides of the trunk showed a significantl decrease in the group performing lumbar stabilization exercises on an unstable surface. Conclusion: Lumbar stabilization exercise on an unstable surface improved the trunk posture of patients with scoliosis symmetrically, and static balance ability in a standing posture showed improvement. In the future, lumbar stabilization exercise on an unstable surface may be used as an exercise for posture correction and balance increase for patients with scoliosis.

Nonlinear Adaptive Control for Position Synchronization of a Gantry-Moving-Type Linear Motor (겐트리형 리니어 모터의 동기화를 위한 비선형 적응제어)

  • Han, Sang-Oh;Kim, In-Keun;Huh, Kun-Soo
    • Transactions of the Korean Society of Mechanical Engineers A
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    • v.34 no.12
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    • pp.1925-1930
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    • 2010
  • For high-speed/high-accuracy position control of a gantry-moving-type linear motor, we propose a nonlinear adaptive controller including a synchronization algorithm. Linear motors are easily affected by force ripple, friction, and parameter variations because there is no mechanical transmission to reduce the effects of model uncertainties and external disturbances. Synchronization error is also caused by skew motion, model uncertainties, and force disturbance on each axis. Nonlinear effects such as friction and ripple force are estimated and compensated for. The synchronization algorithm is used to reduce the synchronous error of the two side pillars. The performance of the controller is evaluated via computer simulations.

Effect of Unstale Surface Lumbar Stabilization Exercise on Trunk Posture and Balance Ability in Patients With Scoliosis (불안정한 지지면의 척추안정화 운동이 척추측만증 환자의 체간 자세와 균형에 미치는 영향)

  • Lee, Woo-Jin;Lim, Chang-Hun
    • Journal of the Korean Society of Physical Medicine
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    • v.7 no.1
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    • pp.59-67
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    • 2012
  • Purpose : This study was somatosensory less in patients with idiopathic scoliosis somatosensory input to the lumbar stabilization exercises carried out to determine the most effective treatment method to be stable and unstable in terms of supporting the lumbar stabilization exercises the patient's torso length and postural sway by comparing the distance from a standing position and looked for differences in effect on the balance. Methods : The subjects of the study were 18 patients who showed the symptom of scoliosis. The study classified the patients into two experimental groups, one using an unstable surface and one a fixed surface, and the patients were required to do a lumbar stabilization exercise a total of 12 times for 60 minutes per session, three times a week for four weeks. The study carried out a paired comparison t-test so as to compare differences between measurement values in each experimental group before and after the exercise. Results : Superior iliac spine on the left, there was a significant reduction in the group doing the lumbar stabilization exercise on an unstable surface (p<0.05). Regarding change in sway distance to the left and right directions in the group doing the lumbar stabilization exercise on the unstable surface, there was a significant decrease in both the condition of closed eyes or open eyes (p<0.05). As for change in sway distance in forward-and-backward direction, there was a significant reduction in the condition of either closed eyes or open eyes (p<0.05). Conclusion : The lumbar stabilization exercise on an unstable surface improved the trunk posture of patients with scoliosis symmetrically, and the static balance ability in a standing posture was discovered to be improved. In the future, the lumbar stabilization exercise on an unstable surface may be used as a posture correction and balance increase exercise for patients with scoliosis.

Effects of Trunk Control Exercise Performed on an Unstable Surface on Dynamic Balance in Chronic Stroke Patients (불안정한 지지면에서의 체간조절운동이 만성 뇌졸중 환자의 동적 균형에 미치는 효과)

  • Jang, Jun-young;Kim, Suhn-yeop
    • Journal of the Korean Society of Physical Medicine
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    • v.11 no.1
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    • pp.1-9
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    • 2016
  • PURPOSE: This study compared the effectiveness of trunk control exercise performed on an unstable surface with that of general balance exercise on dynamic balance in the patients with chronic stroke. METHODS: The persons of this study were thirty-seven chronic stroke patients were recruited and randomly divided into 2 groups; (1) those who performed trunk control exercise on a foam roll and (2) those who performed general balance exercise. The exercises were performed 5 times a week for 4 weeks. To determine the effectiveness of the 2 types of exercises, we measured dynamic balance at the beginning of the exercises and again after 4 weeks at the completion of exercises program. RESULTS: After 4 weeks of exercise, both the groups showed increased Berg's balance scale and timed-up-and-go test (p<.001) scores. However, Trunk control exercise group was more effective than general balance exercise group was in increasing the Berg's balance scale (p<.01) and timed-up-and-go test (p<.05) scores. CONCLUSION: We suggest that trunk control exercise may be effective in increasing the balance ability of patients with chronic stroke than general balance exercise. Thus, trunk control exercise is important for such patients. Further studies are needed for better understanding of the effectiveness of trunk control exercise in chronic stroke patients.

Acoustic Field Analysis of a Combustor-nozzle System with a Premixing Chamber (예혼합실을 갖는 연소-노즐 시스템의 음향장 해석)

  • Yoon, Myunggon;Kim, Jina;Kim, Daesik
    • Journal of the Korean Society of Propulsion Engineers
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    • v.21 no.5
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    • pp.46-53
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    • 2017
  • This paper deals with an acoustic model for a lean premixed gas turbine combustor composed of three stages: premixing chamber, nozzle and flame tube. Our model is given as an acoustic transfer function whose input is a heat release rate perturbation and output is a velocity perturbation at a flame location. We have shown that the resonance frequencies are functions of three round-trip frequencies of acoustic wave in each stage, and area ratios between stages. By analyzing poles of the acoustic transfer function, we could characterize resonant frequencies and their dependency on various system parameters of a combustor. It was found that our analytic findings match with existing numerical and experimental results in literature.

Effect of the Balance Exercise on the Unstable Surfaces for the Vital Capacity in Healthy Adults: A Preliminary Study (불안정한 지지면에서의 균형운동이 건강한 성인의 폐활량에 미치는 효과: 사전 연구)

  • Kim, Taeho;Park, Hankyu
    • Journal of The Korean Society of Integrative Medicine
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    • v.4 no.3
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    • pp.17-25
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    • 2016
  • Purpose : This study attempts to examine the effect of the balance exercise on the unstable surfaces for the vital capacity in healthy adults. Methods : A total of 13 subjects was randomly divided into a breathing exercise training group (n=7) and a breathing and balance exercise training group (n=6). Changes in vital capacity and respiratory muscle activity were measured before and after the intervention. The intervention was performed three times a week for four weeks. Forced vital capacity (FVC), forced expiratory volume at one second (FEV1) and maximal voluntary ventilation (MVV) were used as measurement tools for the vital capacity test. Electromyography (EMG) was also used to examine respiratory muscle activity. Result : The breathing exercise training group showed significant improvement in terms of FVC, FEV1 and external oblique (EO), and transverse abdominis/internal oblique (TrA/IO) of MVV. The breathing and balance exercise training group showed significant improvement in terms of FVC, MVV and EO, TrA/IO of FVC and rectus abdominis (RA), EO, and TrA/IO of MVV. However, in comparing changes in vital capacity and respiratory muscle activity before and after the training, the breathing exercise training group and the breathing and balance exercise training group showed a significant difference in terms of MVV. Conclusion : This study is as a preliminary study to find out the relation between a balance exercise and a vital capacity, it is considered to require a further study with several revisions of subjects, duration and time for an intervention.

In-Flight Simulation for the Evaluation of Flight Control Law (비행제어계 평가를 위한 항공기 공중모의 비행시험)

  • Go,Jun-Su;Lee,Ho-Geun;Lee,Jin-Yeong
    • Journal of the Korean Society for Aeronautical & Space Sciences
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    • v.31 no.10
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    • pp.79-88
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    • 2003
  • The paper presented here covers the work associated with the flight control law design, ground based and in flight simulation and handling qualities assessment of the Fly-by-Wire type Aircraft (FBWA). The FBWA configurations are of the same generic form of the Korean advanced trainer. The normal acceleration (Nz) and pitch rate (q) feedback control system is employed for longitudinal axis and roll rate (p) and lateral acceleration (Ny) feedback flight control law is developed in lateral/ directional axis. The flight tests for the FBW A dynamics evaluation were executed for the target aircraft (FBWA) on the IFS (In-Flight-Simulator) aircraft . The test results showed that Level 1 handling qualities for the most unstable flight regime and Level 1/2 for the landing approach flight regime were achieved. And the designed FBWA flight control law has revealed acceptable CHR (Cooper-Harper handling qualities Ratings).