• Title/Summary/Keyword: 편심도

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Physiotherapy Approaches for Chronic Subacromial Impingement Syndrome : Comparison of Effects of Eccentric Training and General Exercise (만성 봉우리 밑 충돌증후군을 위한 물리치료적 접근법 : 편심성 훈련과 일반적 운동의 효과 비교)

  • Choo, Yeon-Ki;Bae, Won-Sik;Kim, In-Seob
    • Journal of The Korean Society of Integrative Medicine
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    • v.10 no.1
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    • pp.61-72
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    • 2022
  • Purpose : This study was to verify the effect of eccentric training and suggest a specific application method by comparing the effects of acromohumeral distance (AHD), supraspinatus tendon thicknees (STT), pain intensity and functional performance after MWM and eccentric training (MWM-ET) or general exercise (MWM-GE) in chronic subacromial impingement syndrome (SAIS) patients. Methods : A total of 55 participants were randomly assigned to each group, and according to the intervention method, "MWM-ET group (n=28)" vs. "MWM-GE group (n=27)" was divided into two groups. AHD, STT, pain intensity, and functional performance were measured before intervention, and both groups were re-measured 3 times a week after 6 weeks of intervention in the same way. Results : The AHD was significantly increased in MWM-ET group compared to MWM-GE group. No significant difference was observed between the groups in the STT, but Pain intensity was significantly lower in MWM-ET group than in MWM-GE group, and functional performance was significantly increased in MWM-ET group compared to MWM-GE group. Conclusion : As a result of MWM-ET intervention that further increases AHD compared to MGE, it can be clinically presented as a more effective intervention method for faster recovery from injury due to pain reduction and smooth return to daily life due to improved functional performance.

Physical Therapy Intervention for High School Baseball Players with Internal Impingement Syndrome : Comparison of the effects of eccentric training and concentric training (내부 충돌증후군을 가진 고등학교 야구선수들을 위한 물리치료적 중재법 : 편심성 훈련과 동심성 훈련의 효과 비교)

  • Choo, Yeon-Ki;Kim, Hyeon-Su;Lee, Keon-Cheol
    • Journal of The Korean Society of Integrative Medicine
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    • v.10 no.4
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    • pp.219-228
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    • 2022
  • Purpose : The purpose of this study was to suggest a more effective method by comparing the effects of changes in pain intensity, muscle strength, and athletic performance after applying a 6-week eccentric training program (ET-MWM) or concentric training program (CT-MWM) with MWM for high school baseball players with shoulder internal impingement (SII). Methods : A total of 75 participants were randomly assigned to each group and divided into two groups, "ET-MWM group (n=35)" and "CT-MWM group (n=32)" according to the intervention method. Pain intensity, muscle strength (external rotation, internal rotation), and athletic performance were first measured before the intervention, and after the intervention 3 times a week for a total of 6 weeks, both groups were re-measured in the same way. Visual analog scale (VAS) was used for pain intensity, biodex dynamometer for muscle strength (60 °/sec.), and Kerlan-Jobe orthopedic clinic shoulder & elbow score (K-KJOC) for athletic performance. Results : As a result of analyzing the homogeneity of the pre-intervention characteristics and initial measurement variables of the study subjects, there was no significant difference between the two groups in all variable values. Pain intensity (VAS) was significantly reduced in the ET-MWM group than in the CT-MWM group (p<.05). In addition, the maximum muscle strength of external rotation & internal rotation of the shoulder (60 °/sec.) and athletic performance (K-KJOC) were significantly increased in the ET-MWM group than in the CT-MWM group (p<.05). Conclusion : Compared with the CT-MWM training program, the ET-MWM training program reduced shoulder joint pain and further increased the muscle strength required for throwing motion in high school baseball players. As the result showed better athletic performance improvement, the ET-MWM training program can be clinically recommended as a more effective intervention.

Physical Therapy Program for Patients with Partial Rotator Cuff (Supraspinatus) Tears with Moderate to Severe Shoulder Pain : Comparison of the effects of eccentric training and concentric training (중등도 이상의 어깨통증을 동반한 근육둘레띠(가시위근) 부분파열 환자를 위한 물리치료 프로그램 : 편심성 훈련과 동심성 훈련의 효과 비교)

  • Yeon-Ki Choo
    • Journal of The Korean Society of Integrative Medicine
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    • v.11 no.1
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    • pp.87-98
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    • 2023
  • Purpose : This study was to verify the effectiveness of eccentric training and to make clinical recommendations on detailed application methods by comparing the effects of changes in acromiohumeral distance (AHD), pain intensity, muscle strength, and functional performance after applying a 12-week eccentric training program (ET group) or concentric training program (CT group) for patients with partial rotator cuff (supraspinatus) tears with moderate to severe shoulder pain. Methods : A total of 29 subjects were assigned to either the "ET group (n=15)" or the "CT group (n=14)" through simple randomization and were measured in the same way at baseline before intervention, 4 weeks and 12 weeks after intervention. All subjects received a physical therapy program 12 sessions 3 times a week for the first 4 weeks, and physical therapy program, 12 sessions a week, from 4 weeks to 12 weeks, for a total 20 sessions. Ultrasound machine was used for AHD, visual analog scale (VAS) was used for pain intensity, electronic hand held dynamometer was used for muscle strength, Korean Constant shoulder score (K-CSS) used for functional performance. Results : AHD, pain intensity, and muscle strength did not show significant differences at 4 weeks, but improved numerically, and showed significant differences at 12 weeks (p<.05), showing superior results in the eccentric training group compared to the concentric training group. Functional performance showed significant changes at both 4 and 12 weeks (p<.05), and excellent results were also found in the eccentric training group. Conclusion : In patients with partial rotator cuff tears with moderate to severe shoulder pain, an eccentric training program increased acromiohumeral distance (AHD), reduced pain, and increased muscle strength. Therefore, it can be clinically presented as an intervention method that can quickly and effectively improve functional performance, which is the ultimate goal of physical therapy.

Analysis of Damping Performance of Hysteretic Dampers of Buckling restrained Braced Type According to eccentricity of school buildings with Torsional irregularities (비틀림 비정형을 가지는 학교건물의 편심율에 따른 좌굴방지가새형 이력댐퍼의 제진성능분석)

  • Kim, Yu-Seong;Lee, Joon-Ho;Kim, Gee-Chul
    • Journal of Korean Association for Spatial Structures
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    • v.23 no.2
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    • pp.37-44
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    • 2023
  • In the case of a school building, even though it is a regular structure in terms of plan shape, if the masonry infill wall acts as a lateral load resisting element, it can be determined as a torsionally irregular building. As a result, the strength and ductility of the structure are reduced, which may cause additional earthquake damage to the structure. Therefore, in this study, a structure similar to a school building with torsional irregularity was selected as an example structure and the damping performance of the PC-BRB was analyzed by adjusting the eccentricity according to the amount of masonry infilled wall. As a result of nonlinear dynamic analysis after seismic reinforcement, the torsional irregularity of each floor was reduced compared to before reinforcement, and the beams and column members of the collapse level satisfied the performance level due to the reduction of shear force and the reinforcement of stiffness. The energy dissipation of PC-BRB was similar in the REC-10 ~ REC-20 analytical models with an eccentricity of 20% or less. REC-25 with an eccentricity of 25% was the largest, and it is judged that it is effective to combine and apply PC-BRB when it has an eccentricity of 25% or more to control the torsional behavior.

Analysis of Influence Factors for PSC Beams with Unbonded External Tendons (외부 비부착 강선에 의해 보강된 PSC보의 영향인자 분석)

  • Kwak, Hyo-Gyoung;Son, Je-Kuk;Kim, Sun-Yong;Park, Young-Hwan
    • KSCE Journal of Civil and Environmental Engineering Research
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    • v.26 no.2A
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    • pp.261-271
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    • 2006
  • Many uncertainties affecting to the structural behavior of prestressed concrete (PSC) bridges reinforced with the un bonded external tendons are analyzed on the basis of the analytical method introduced in the companion paper. Many design parameters, which must be considered in design procedure, such as friction slip at the deviators, number of deviators, time-dependent deformations of concrete, relaxation of tendon and influence of loading history in PSC bridges are reviewed, and a lot of valuable results are obtained through this parametric study. In advance, the structural responses according to the external tendon profiles are analyzed to grasp if an optimum tendon profile depends on the applied loading type, and the obtained results show that the most stable structural response is revealed when the locations of deviators are coincident with the loading points.

Reliability Analysis of Composite Girder Designed by LRFD Method for Positive Flexure (하중저항계수설계법(LRFD)으로 설계된 강합성 거더의 휨에 대한 신뢰도해석)

  • Shin, Dong-Ku;Kim, Cheon-Yong;Paik, In-Yeol
    • KSCE Journal of Civil and Environmental Engineering Research
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    • v.26 no.3A
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    • pp.539-546
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    • 2006
  • The reliability analysis of simply-supported composite plate girder and box girder bridges under positive flexure is performed. The bridges are designed based on the AASHTO-LRFD specification. A performance function for flexural failure is expressed as a function of such random variables as flexural resistance of composite section and design moments due to permanent load and live load. For the flexural resistance, the statistical parameters obtained by analyzing over 16,000 samples of domestic structural steel products are used. Several different values of statistical parameters with the bias factor in the range of 0.95-1.05 and the coefficient of variation in the range of 0.15-0.25 are used for the live-load moment. Due to the lack of available domestic measured data on the dead load moment, the same values of statistical properties used in the calibration of AASHTO-LRFD are applied. The reliability indices for the composite plate girder and box girder bridges with various span lengths are calculated by applying the Rackwitz-Fiessler technique.

Seismic Performance of Piloti-Type Structures with Columns Strengthened with Aramid Fiber Sheets (아라미드 섬유시트로 기둥 보강된 필로티 구조물의 내진성능 평가)

  • Keun-Hyeok Yang;Ju-Hyun Mun;Chae-Rim Im;Kwang-Geun Rho
    • Journal of the Korea institute for structural maintenance and inspection
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    • v.27 no.6
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    • pp.201-210
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    • 2023
  • This study is to evaluate the ductility strengthening effect of aramid fiber sheets on piloti-type structures. Two piloti-type structure specimens were prepared and tested under statical cyclic lateral loads. The ductility strengthening effect was validated from the analysis of lateral load-displacement relationship, displacement ductility ratio, work damage index and torsion behavior. Test results showed that the post-peak behavior of piloti-type structures with columns strengthened with aramid fiber sheets tended to be ductile resulting from preventing shear failure and minimizing torsion due to the effective lateral confinement of column concrete by aramid fiber sheet. Consequently, the displacement ductility ratio and work damage index of piloti-type structures with columns with strengthened with aramid fiber sheets were 4.63 and 42.81 times higher than those of non strengthened piloti-type structures.

Compression Test of a TBM Thrust Jack for Validating Buckling Stability (TBM 추진잭의 좌굴 안정성 검토를 위한 압축시험)

  • Mun-Gyu Kim;Min-Gi Cho;Jung-Woo Cho;Han-Young Jeong
    • Tunnel and Underground Space
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    • v.33 no.5
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    • pp.339-347
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    • 2023
  • As the jacks provide a thrust force on the inclined surface, bending deformations by a side force occur in the pedestal and rod parts. This can induce disorder or degradation of the thrust module, buckling stability on the inclined compression condition should be clarified to secure the reliability of shield TBM. For analyzing the stability, a buckling testing method for hydraulic cylinder was investigated and compression testing system was installed. Before the test, a numerical analysis was conducted to check the stress concentration parts. The maximum allowable force was loaded on the cylinder specimen at 0 degree surface condition as a preliminary test. After the test, plastic deformations or hydraulic leakage was not observed. The static stability of it was verified at 0 degree condition.

The Effects of Eccentric Training Applied to Calf Muscles on Muscle Tone, Muscle Strength and Gait of Patients with Chronic Stroke (만성 뇌졸중 환자의 종아리 근육에 적용한 편심성 훈련이 근긴장도와 근력 및 보행에 미치는 영향)

  • Ji-Hyun Bae;Young-Keun Woo;Yong-Wook Kim;Kyue-Nam Park
    • PNF and Movement
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    • v.22 no.1
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    • pp.113-128
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    • 2024
  • Purpose: This study aimed to investigate the effects of eccentric training applied to the calf muscles on muscle tone, muscle strength, and gait variables in patients with chronic stroke. Methods: Twenty-two participants were divided into experimental (n=12; eccentric training) and control (n=10; static stretching and stretching board) groups. The participants completed 30-minute physical therapy sessions five times a week for three weeks. Calf muscle tone, muscle strength, and gait variables were measured using MyotonPRO, a hand-held dynamometer, and Optogait, respectively, before and after each intervention. Results: Two-way analysis of variance (ANOVA) indicated a significant interaction effect between measurement points and groups in frequency, stiffness, and decrement of the lateral gastrocnemius, medial gastrocnemius, and soleus muscles (p<.05). Paired t-tests showed that the experimental group exhibited significantly decreased frequency and stiffness scores for the lateral gastrocnemius, medial gastrocnemius, and soleus muscles (p<.05), as well as significantly increased decrement and muscle strength scores, gait speed, step length, and stride length (p<.05). Conclusion: The application of eccentric training to the calf effectively reduced muscle tone, increased muscle strength, and improved the gait speed, step length, and stride length of patients with chronic stroke.

A Study on the Structural Behavior of Fabricated Columns Reinforced with Steel sheet Forms and Angles (ㄱ형강과 강판을 이용한 조립 기둥의 거동에 관한 연구)

  • Kim, Sung-Bae;Lee, Chang-Nam;Yoon, Yeong-Ho;Kim, Sang-Seup
    • Journal of the Korea institute for structural maintenance and inspection
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    • v.11 no.4
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    • pp.89-98
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    • 2007
  • The purpose of this study is to experimentally evaluate the structural behavior of built-up type column consisted of angles and y-shape steel sheet forms for filling concrete. This column for minimizing form working and reinforcement placing is able to improve capacity of construction and reduce the term of works. Thirteen 1/3 scaled columns were fabricated. The main variables are 1) effect of angles and y-shape steel sheets of fabricated columns, 2) slenderness of column, 3) eccentricity of column. The results show that the experimental capacity of built-up type column is similar to theoretical one by reinforcement concrete design code. The maximum loads increase according to the rate of angle to cross section of column.