• Title/Summary/Keyword: Active Tendon

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Two Clinical Cases of Active Release Technique with Koeran Medicine Treatment for Supraspinatus Tendon Partial Tear (능동이완기법(active release technique)을 병행한 한방치료로 호전된 극상근건 부분 파열 호전 2례)

  • Lee, Sung-Joon;Park, Jae-Hyun;Nam, Su-Hyeon;Kang, Jun-Hyuk
    • The Journal of Churna Manual Medicine for Spine and Nerves
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    • v.9 no.1
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    • pp.89-101
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    • 2014
  • Objectives : The purpose of this study is to report the effect of Korean medicine treatment combined with active release technique on supraspinatus tendon partial tear. Methods : Two patients with supraspinatus tendon partial tear were treated by Korean medicine treatment in combination with active release technique. Visual analog scale(VAS), range of motion(ROM) were used to measure changes during treatment. Results : After treatment, shoulder pain and limited range of motion were improved significantly. Conclusions : Korean medicine treatment in combination with active release technique is proved to be helpful to improve the symptoms of the supraspinatus tendon partial tear patients. And, further studies will be needed.

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Arthroscopic-assisted Latissimus Dorsi Tendon Transfer for the Management of Irreparable Rotator Cuff Tears in Middle-aged Physically Active Patients

  • Lim, Tae Kang;Bae, Kyu Hwan
    • Clinics in Shoulder and Elbow
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    • v.22 no.1
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    • pp.9-15
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    • 2019
  • Background: Latissimus dorsi (LD) tendon transfer is used as a treatment option for massive irreparable posterosuperior rotator cuff tears, and recently, an arthroscopic-assisted technique was introduced. This study was undertaken to evaluate the clinical and radiological outcomes of arthroscopic-assisted LD tendon transfer for the management of irreparable rotator cuff tears in active middle-aged patients. Methods: The records of five patients (two males) with irreparable tears involving the supraspinatus and infraspinatus tendons managed by arthroscopic-assisted LD tendon transfer were retrospectively reviewed. Clinical outcomes were assessed using the visual analogue scale (VAS) pain scale, American Shoulder and Elbow Surgeon's (ASES) scores, the University of California Los Angeles (UCLA) scale, and ranges of motion. Postoperative integrities of transferred tendon were evaluated by magnetic resonance imaging in 4 patients and by ultrasound in one. Results: Mean patient age was 55 years (range, 48-61 years), and mean follow-up period was 20 months (range, 12.0-27.2 months). Mean VAS score significantly improved from $6.6{\pm}2.6$ preoperatively to $1.8{\pm}2.5$ postoperatively (p=0.009), mean ASES score increased from $67.6{\pm}9.2$ to $84.6{\pm}15.1$, and mean UCLA score from $18.0{\pm}1.4$ to $28.8{\pm}8.5$ (all p<0.001). Postoperative imaging of the transferred LD tendon showed intact repair in 4 patients. The remaining patient experienced LD transfer rupture and a poor outcome. Conclusions: Arthroscopic-assisted LD tendon transfer improved shoulder pain and function in patients with massive, irreparable rotator cuff tears, and may be an option for this condition, especially in physically active patients.

Optimal Active Seismic Control of Structures with Optimum Location of Active Controllers (제어기의 최적위치선정을 고려한 구조물의 최적 능동지진제어)

  • Cho, Chang-Geun;Kwon, Joon-Myoung;Park, Tae-Hoon;Park, Moon-Ho
    • Journal of the Korea institute for structural maintenance and inspection
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    • v.12 no.5
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    • pp.179-189
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    • 2008
  • The object of this study is to develope a program with proposed numerical techniques for an optimal seismic control of structures using active tendon systems. Ricatti closed-loop algorithm has been applied to control the active tendon systems with time-delay problem. The optimal control is formulated as an optimization problem which is finding optimal weighting matrices by minimizing the quadratic performance index by SUMT. In order to find the optimal location of active tendons in structures, controllability index has been introduced. From numerical examples, the current optimal control technique with optimal location of tendons was suitable to control the seismic response of structures.

THE BICEPS : TREATMENT AND CONTROVERSIES

  • Rhee Yong Girl
    • The Academic Congress of Korean Shoulder and Elbow Society
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    • 2001.03a
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    • pp.123-128
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    • 2001
  • in young, active, strenuous patients $\blacksquare$ stabilization for unstable SLAP lesion $\blacksquare$ tenodesis for ruptured biceps tendon above the groove $\blacksquare$ repair for ruptured biceps tendon below the groove $\blacksquare$ relocation for biceps instability in old, inactive patients $\blacksquare$ no need stabilization for unstable SLAP lesion $\blacksquare$ debride/tenotomy for partial ruptured biceps tendon $\blacksquare$ leave alone/trimming of stump for complete ruptured biceps tendon $\blacksquare$ tenodesis/in-site fixation for biceps instability

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Diagnosis and Treatment of the Peroneal Tendon and Tibialis Anterior Tendon Disorders (비골 건 및 전방 경골 건 질환의 진단 및 치료)

  • Jung, Hong Geun
    • The Journal of Korean Orthopaedic Ultrasound Society
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    • v.1 no.1
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    • pp.58-63
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    • 2008
  • Mechanism of the peroneal tendon dislocation is mainly the ankle trauma and commonly caused by severe peroneal tendon contraction at ankle dorsiflexion state. Peroneal tendon tears are frequently combined in recurrent dislocation. The peroneal tendon dislocation from the fibula groove can be confirmed with ultrasound scanning. Recurrent dislocation needs surgical treatment and usually gains good clinical outcome with fibula groove deepening procedure. Tibialis anterior tendon rupture is frequently found in old age but active patients who had tendency of tendon weakness due to chronic tendon attrition, repeated steroid injection, diabetic tendinopathy or inflammatory arthropathy.

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Subscapularis Tendon Rupture with Medial Dislocation of Biceps Tendon - Case Report - (견갑하근 건 파열과 동반된 상완 이두근 건 탈구)

  • Lee Byung-Ill;Kim Dong-Wook;Kim Dong-Jin;Min Kyung-Dae;Rah Soo-Kyoon
    • Clinics in Shoulder and Elbow
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    • v.1 no.2
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    • pp.147-153
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    • 1998
  • Biceps tendon dislocation combined with rupture of subscapularis tendon is not a common lesion and there has been few case reported in Korea. We experienced one fifty Six years old male patient who shows typical features on physical examination and roentgenographic finding. He was injured by direct trauma on his right shoulder in adducted and external rotated position. He showed positive findings on passive external rotation test and lift-off test. On MR!, the subscpaularis tendon was totally ruptured and the biceps tendon was dislocated to anteromedial aspect of the glenoid labrum, which was typical finding. On the arthroscopic examination, the subscapularis tendon was totally ruptured from its humeral attachment and the biceps tendon was not seen in its normal anatomical position and it was dislocated antermedially to the glenoid labrum. We repaired the subscapularis tendon to humerus by use of suture anchor and the biceps tendon was relocated to its normal anatomical position in the intertubercular groove. On the post operative 6 months follow up, the patient shows improvements in his subjective symptoms and active range of motion.

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Optimization of Active Tendon Controlled Structures by Efficient Solution of LQR Control Gain (LQR 제어이득의 효율적 산정에 의한 능동텐던 구조물의 최적화)

  • Cho, Chang-Geun;Kyun, Jun-Myong;Jung, In-Kju;Park, Moon-Ho
    • Journal of Korean Association for Spatial Structures
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    • v.8 no.4
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    • pp.73-80
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    • 2008
  • The objective of current study is to develop an optimization technique for the seismic actively controlled building structures using active tendon devices by an efficient solution of LQR control gain. In order to solve the active control system, the Ricatti closed-loop algorithm has been applied, and the state vector has been formulated by the transfer matrix and solved by a numerical technique of the trapezoidal rule. The time-delay problem has been also considered by phase compensation. To optimize the performance index, the ratio of the weighted matrix is the design variable, allowable story drift limits of IBC 2000 and tendon forces have been applied as restraint conditions, and the optimum control program has been developed with the algorithm of the SUMT technique. In examples of the optimization problem of eight stories shear buildings, it is evaluated that the optimum controlled building is more suitable in the control of earthquake response than the uncontrolled system and can reduce the performance index to compare with the controlled system with a constant ratio of the weighted matrix.

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Chaotic particle swarm optimization in optimal active control of shear buildings

  • Gharebaghi, Saeed Asil;Zangooeia, Ehsan
    • Structural Engineering and Mechanics
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    • v.61 no.3
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    • pp.347-357
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    • 2017
  • The applications of active control is being more popular nowadays. Several control algorithms have been developed to determine optimum control force. In this paper, a Chaotic Particle Swarm Optimization (CPSO) technique, based on Logistic map, is used to compute the optimum control force of active tendon system. A chaotic exploration is used to search the solution space for optimum control force. The response control of Multi-Degree of Freedom (MDOF) shear buildings, equipped with active tendons, is introduced as an optimization problem, based on Instantaneous Optimal Active Control algorithm. Three MDOFs are simulated in this paper. Two examples out of three, which have been previously controlled using Lattice type Probabilistic Neural Network (LPNN) and Block Pulse Functions (BPFs), are taken from prior works in order to compare the efficiency of the current method. In the present study, a maximum allowable value of control force is added to the original problem. Later, a twenty-story shear building, as the third and more realistic example, is considered and controlled. Besides, the required Central Processing Unit (CPU) time of CPSO control algorithm is investigated. Although the CPU time of LPNN and BPFs methods of prior works is not available, the results show that a full state measurement is necessary, especially when there are more than three control devices. The results show that CPSO algorithm has a good performance, especially in the presence of the cut-off limit of tendon force; therefore, can widely be used in the field of optimum active control of actual buildings.

Anterior Lateral Thigh Free Flap and Achilles Tendon Reconstruction Surgery for Contact Dermal Burn of Heel Including Achilles Tendon: A Case Report -Surgical Treatment for Functional Recovery- (아킬레스건을 포함한 뒷발굽 접촉성 피부 화상에 대해 시행한 전외측 대퇴피부 피판술 및 아킬레스건 재건술: 증례 보고 -기능적 회복을 위한 수술적 치료법-)

  • Park, Jun-Sik;Baek, Seung-Ha;Kim, Gab-Lae
    • Journal of Korean Foot and Ankle Society
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    • v.22 no.3
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    • pp.127-130
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    • 2018
  • A 3rd degree burn on the heel including the Achilles tendon is vulnerable and requires active treatment to improve the functional outcomes. Previously, there have been a few treatments on severe burns, such as amputation, debridement or simple skin graft. The cooperative technique of an anterior lateral thigh flap with Achilles tendon reconstruction can be an innovative procedure that preserves the major arteries. The authors review a case and report the clinical outcome.

Active tendon control of suspension bridges

  • Preumont, Andre;Voltan, Matteo;Sangiovanni, Andrea;Mokrani, Bilal;Alaluf, David
    • Smart Structures and Systems
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    • v.18 no.1
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    • pp.31-52
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    • 2016
  • The paper first reviews the theory of active tendon control with decentralized Integral Force Feedback (IFF) and collocated displacement actuator and force sensor; a formal proof of the formula giving the maximum achievable damping is provided for the first time. Next, the potential of the control strategy for the control of suspension bridges with active stay cables is evaluated on a numerical model of an existing footbridge; several configurations are investigated where the active cables connect the pylon to the deck or the deck to the catenary. The analysis confirms that it is possible to provide a set of targeted modes with a considerable amount of damping, reaching ${\xi}=15%$. Finally, the control strategy is demonstrated experimentally on a laboratory mock-up equipped with four control stay cables equipped with piezoelectric actuators. The experimental results confirm the excellent performance and robustness of the control system and the very good agreement with the predictions.