• Title/Summary/Keyword: 외측 회전

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Mini-open Rotator Cuff Repair Using Anterolateral Approach (전외측 도달법을 이용한 소절개 회전근 개 봉합술)

  • Cho, Chul-Hyun;Yeo, Kyung-Ki;Lee, Sung-Yoon;Jung, Gu-Hee
    • Clinics in Shoulder and Elbow
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    • v.13 no.1
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    • pp.86-91
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    • 2010
  • Purpose: To introduce mini-open rotator cuff repair using the anterolateral approach and evaluate its clinical outcomes and effectiveness. Materials and Methods: 59 consecutive cases of rotator cuff tearing which were treated with mini-open repair utilizing the anterolateral approach were evaluated. The population comprised 39 men and 20 women, with an average age of 56.6 years. An average follow-up time period was 26 months. Clinical outcomes were analyzed based on VAS, ADL, and ASES scores. Results: The average respective VAS, ADL, and ASES scores improved from 7.04, 12.37, and 35.32 preoperatively to 1.02, 27.20, and 90.08 postoperatively (p=0.000). There were 41 excellent, 11 good, 2 fair, and 5 poor results. There were satisfactory results in 52 cases (88.1%). There were no statistically significant differences between the final ASES scores and age, sex, duration of symptoms, tear size, and preoperative stiffness (p>0.05). Conclusion: Mini-open rotator cuff repair using the anterolateral approach effective in providing better visualization.

Application of Curved Channel for Superelevation Evaluation (편수위 산정을 위한 만곡수로의 적용)

  • Kim, Sang-Ho;Min, Sang-Ki;Cho, Ah-Ra
    • Proceedings of the Korea Water Resources Association Conference
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    • 2011.05a
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    • pp.173-177
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    • 2011
  • 만곡도가 높은 하천의 경우 수위가 상승하게 될 때 만곡부에서의 흐름 회전 방향이 나선형 흐름으로 바뀌어 하류방향으로 주 흐름에 중첩하여 발생하는 이차류로 인해 하도가 불안정해지고 내 외측의 수위차가 발생하는 편수위가 발생하면서 하도 바깥쪽으로 수위가 상승하는 현상이 나타나게 된다. 이와 같은 만곡부의 외측부에서 발생하는 수위상승은 제방의 월류 피해와 이차류로 인한 침식 피해를 유발하게 된다. 하천에서의 만곡은 보편적인 현상이며, 흐름의 물리적인 현상으로 인해 발생하는 자연현상이다. 본 연구에서는 만곡수로의 내 외측부에서 발생하는 유속과 편수위 현상과 같은 수리학적 특성을 규명하기 위해 $90^{\circ}$ 하도와 $180^{\circ}$ Sharp 하도와 같은 만곡 실험하도를 대상으로 SMS 모형, RAMS 모형 그리고 CCHE2D 모형과 같은 3개의 2차원 모형을 적용하고 그 결과를 실측자료와 비교함으로써 만곡부에서의 2차원 수리 특성을 살펴보았다. 또한 과거에 개발된 편수위 산정공식들의 적용성을 살펴보기 위해 주요 지점의 실측자료와 2차원 모형의 모의자료를 이용하여 만곡부의 편수위를 산정하여 비교 검토하였다.

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Kinematic Analysis on Stroke in Wheelchair Table Tennis of Spinal Cord Injured Athletes and a Comparative Study with Abscission Athletes -Case Study of Medalists of Beijing 2008 Paralympics- (척수장애 휠체어 탁구 스트로크의 운동학적 분석 및 절단장애 선수와의 비교 -2008 베이징 장애인 올림픽 메달리스트 사례연구-)

  • Moon, Gun-Pil
    • Korean Journal of Applied Biomechanics
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    • v.18 no.4
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    • pp.151-159
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    • 2008
  • In this research, kinematic comparative analysis was performed on strokes of abscission and spinal cord injured athletes who participated in 2008 Beijing Paralympics wheelchair table tennis games. Strokes of all situations were collected under real match-like conditions. Among those, three major forehand stroke motions and backhand stroke motions were drawn Data collected by 9 infrared cameras were expressed in angular motions using graphic program LabVIEW7.0. As a result, forehand stroke of spin handicap athlete from analyzed images, the rotations of the trunk happened with the rotations of shoulder and the flexion extensions of elbow nearly at the same time. According to these results, insufficient turning force or speed of rackets is recompensed using flexion. backhand stroke of spin handicap athlete from analyzed images, the rotations of the trunk, the flexion extensions of the elbow and the flexion extensions of the shoulder were lined up on the prolongations of ping-pong balls. Forehand stroke of abscission athletes was done by outward rotation of the arm using backswing and inner rotation. As for backhand stroke, backswing was made by inner rotation in the spin of shoulder and waist. And after the backswing, impact was formed in wide outer rotation towards the ball.

The shoulder diagnosis Scapula study of patients who visited the hospital (병원 내원한 환자 견갑골(scapula) 진단을 위한 연구)

  • Ahn, Byeong-Ju;Lee, Jun-Haeng
    • Journal of the Korean Society of Radiology
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    • v.4 no.2
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    • pp.13-20
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    • 2010
  • True lateral scapula image was very important to diagnosis the scapula fracture and dislocation induced by traumatic injury. The aim of this study was to know the patient rotation angle to be showing the scapula true lateral in korean. d Materials Thirty patients(22men, 8 women, mean ages 53.4)with scapular pain, had supine Anteroposterior projection taken with $30^{\circ}$, $40^{\circ}$, $45^{\circ}$ trunk rotation angle changing the manual angulation material. Radiographs were evaluated independently by 5 experienced observers(1 orthopedics surgery specialist, 1 diagnostic radiology specialist, 3 radiological technologist) They assessed overlap of vertebral border and axillary border of scapula as follows; Totally overlapping of vertebral border and axillary border is 4, partially overlapping is 3, not overlapping is 2 and oblique location with two borders is 1. All observers scored using by PACS monitor.$30^{\circ}$ trunk rotation was scored $1.53{\pm}0.39$, $40^{\circ}$ trunk rotation was scored $3.83{\pm}0.15$ and $45^{\circ}$ trunk rotation was scored $2.17{\pm}0.43$. There was no difference(p<0.05) between group of more than 100cm of the girth of the chest and group of less than 100cm. Similarly, men and women group showed no difference(p<0.05) with trunk rotation statistically. There was no result of trunk rotation angle to radiograph the true scapula lateral image up to date. This studies were summarized as follows; Adaptation of $40^{\circ}$ trunk rotation was the best to show the true scapula lateral image in korean. Our results were very useful to get the true scapula lateral images in clinic.

3D Flow Simulation in the Meandering Natural Channel (사행 자연수로에서의 3차원 흐름 모의)

  • Son, Min-Woo;Baek, Kyoung-Oh;Kim, Sang-Ug
    • Proceedings of the Korea Water Resources Association Conference
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    • 2006.05a
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    • pp.1661-1665
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    • 2006
  • In a natural river, cross sections of a channel vary according to inner or outer parts of meandering. Generally, depth of outer parts is deeper than that of inner parts. This kind of cross section change by meandering can be demonstrated by Beta distribution. The objects of this research is a 3D simulation of primary and secondary flow in the meandering natural channel. FLOW-3D program, a numerical model using CFD technique, and LES method was used for this research. 3D simulations were conducted in the channels having Beta distribution cross sections which have beds of mortar, gravel and vegetation. Two types of water stages and discharge were applied to each channel. In this research, primary flows are located in the outer parts of a top of bend and secondary flows rotate in the bottom on outer parts.

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Analysis of Superelevation Characteristics using RAMS Model (RAMS 모형을 이용한 편수위 특성 분석)

  • Kim, Sang Ho;Min, Sang Ki;Hwang, Sin Bum
    • 한국방재학회:학술대회논문집
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    • 2011.02a
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    • pp.209-209
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    • 2011
  • 산지하천의 비율이 높은 국내 하천은 주로 만곡도가 높은 사행하천으로 이루어져 있으며, 만곡부가 교호적으로 나타나는 사행하천의 흐름구조는 매우 복잡하다. 산지하천의 특성상 홍수시에는 유속이 매우 빠르게 나타나며 하천의 수위가 상승하게 될 때 만곡부에서의 흐름 회전 방향이 나선형 흐름으로 바뀌어 하류방향으로 주 흐름에 중첩하여 발생하는 이차류로 인해 하도가 불안정해지고 내 외측의 수위차가 발생하는 편수위가 발생하면서 하도 바깥쪽으로 수위가 상승하는 현상이 나타나게 된다. 따라서 집중호우로 인해 하천에서 발생하는 재해는 주로 만곡부를 중심으로 발생하게 된다. 본 연구에서는 이와 같은 만곡부의 외측부에서 발생하는 수위상승으로 인해 제방의 월류 피해와 이차류로 인한 침식피해를 유발하게 되는 문제를 사전에 예측하기 위하여 $90^{\circ}$ 실험하도와 $180^{\circ}$ Sharp 실험하도에 2차원 유한요소 모형인 RAMS 모형을 적용하여 수리특성을 살펴보았으며, 모의 결과에 대한 정확도를 살펴보기 위해 실측자료와 비교 검토하였다. 이와 같은 연구결과는 만곡부에서 발생가능한 제방침식이나 월류로 인한 하천에서의 피해 방지에 크게 기여할 것으로 기대된다.

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EFFECT OF ROTATIONAL SPEED OF PROTAPERTM ROTARY FILE ON THE CHANCE OF ROOT CANAL CONFIGURATION (ProTaperTM로 근관성형시 회전 속도 변화가 근관형태에 미치는 영향)

  • Seo, Min-Chul;Jeon, Yoon-Jeong;Kang, In-Chol;Kim, Dong-Jun;Hwang, Yun-Chan;Hwang, In-Nam;Oh, Won-Mann
    • Restorative Dentistry and Endodontics
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    • v.31 no.3
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    • pp.179-185
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    • 2006
  • This study was conducted to evaluate canal configuration after shaping by $ProTaper^{TM}$ with various rotational speed in J-shaped simulated resin canals. Forty simulated root canals were divided into 4 groups, and instrumented using by $ProTaper^{TM}$ at the rotational speed of 250, 300, 350 and 400 rpm. Pre-instrumented and post-instrumented images were taken by a scanner and those were superimposed. Outer canal width, inner canal width, total canal width, and amount of transportation from original axis were measured at 1, 2, 3, 4, 5, 6, 7 and 8 mm from apex. Instrumentation time, instrument deformation and fracture were recorded. Data were analyzed by means of one-way ANOVA followed by Scheffe's test. The results were as follows 1. Regardless of rotational speed, at the $1{\sim}2mm$ from the apex, axis of canal was transported to outer side of a curvature, and at 3~6 mm from the apex, to inner side of a curvature. Amounts of transportation from original axis were not sienifcantly different among experimental groups except at 5 and 6 mm from the apex. 2. Instrumentation time of 350 and 400 rpm was significantly less than that of 250 and 300 rpm (p<0.01). In conclusion the rotational speed of $ProTaper^{TM}$ files in the range of $250{\sim}400rpm$ does not affect the change of canal configuration, and high rotational speed reduces the instrumentation time. However appearance of separation and distortion of Ni-Ti rotary files can occur in high rotational speed.

Muscle Length and Shortening Velocity Changes during the Different Types of Vertical Jumps (수직점프 동작시 근육길이와 수축속도 변화)

  • Chae, Woen-Sik
    • Korean Journal of Applied Biomechanics
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    • v.14 no.1
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    • pp.161-172
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    • 2004
  • 본 연구의 목적은 각기 다른 수직 점프 동작 시 근육의 길이와 근육의 수축속도 변화를 비교 분석하는데 있다. 피험자의 운동학적 변인들을 분석하기 위해 2대의 고감도 카메라를 (60 Hz, Panasonic AG455) 사용하여 점프 동작을 촬영하였다. 대퇴직근, 내측광근, 외측광근, 중간광근, 대퇴이두근(단두), 내측과 외측 비복근의 길이와 근수축 속도는 Brand et al. (1982)에 의해 제시되어진 하지근 기시 정지점의 3차원 좌표값과 동작분석을 통한 하지 분절간의 회전 및 변환행렬을 사용하여 측정되어졌다. 일반적인 근육 길이와 수축속도의 변화 형태는 각기 다른 점프간에 매우 유사한 형태를 보였다. 상승기 초기에 대퇴사두근의 길이가 최대인것으로 나타났으며, 이에 반해 대퇴이두근과 내외측 비복근은 공중 동작이 발생하는 시점에 근의 길이가 최대인 것으로 나타났다. 근육의 길이 변화 범위는 대퇴직근이 35.9에서 47.5 cm, 외측광근이 29.4에서 38.8 cm, 중간광근이 31.5에서 38.0 cm, 내측광근이 30.9에서 38.6 cm, 대퇴이두근이 21.3에서 39.1 cm, 외측비복근이 31.4에서 33.5 cm, 내측비복근이 30.5에서 33.2 cm인 것으로 나타났다. SQ와 CMJ에서는 대퇴사두근의 최대 단축성 수축 속도와 대퇴이두근과 내외측 비복근의 최대 신장성 수축이 공중동작이 발생하기 바로 전에 이루어졌다. 대퇴사두근의 최대 신장성 수축과 대퇴이두근과 내외측 비복근의 최대 단축성 수축은 일반적으로 피험자가 착지하는 순간에 발생되어졌다. 그러나 HJ와 DJ에서는 대퇴사두근의 최대 신장성 추축과 대퇴이두근과 내외측 비복근의 최대 신장성 수축이 하강기 초반에 발생되어졌다.