• 제목/요약/키워드: BIOMECHANICAL

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슬관절 연부조직의 물리치료에 관한 문헌적 고찰 (Physical therapy of soft tissue surround the knee joint)

  • 이준희;윤상집;정영준;최원호
    • 대한물리치료과학회지
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    • 제9권3호
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    • pp.161-170
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    • 2002
  • knee injuries are among the most common problems confronting patients, physical therapist and physicians. since the bony structure provides little stability, the soft tissues are required to withstand high forces, often resulting in tissue overload and injury immobilization of the knee in the presence of a hemarthrosis usually leads to proliferation of intraarticular connective tissue adhesions and pint fibrosis. the physical basis of treating scar tissue is early controlled motion. the management of the knee with increased instability is to strengthening the muscles to properly treat an soft tissue injuries, physical therapist should know about the anatomic structures and biomechanical function of the knee joint, in this review article, we discuss the physiologic properties of soft tissue, biomechanical observation in fibrous connective tissue, managing soft tissue contractures, principles in treating scar tissue and treatment of the knee with increased instability.

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발 보조기 착용이 요통환자의 골반 변위와 통증 변화에 미치는 영향 (The Effect of Low Back Pain and Pelvic Displacement on Foot Orthosis)

  • 이완희;박대성
    • 대한물리치료과학회지
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    • 제12권4호
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    • pp.57-67
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    • 2005
  • The purpose of this study is to investigate the effect of low back pain(LBP) and pelvic displacement on foot orthosis. Before and after experiments were designed to compare the effect. 21 LBP patients who were the subjects diagnosed of applying foot orthosis for 3 weeks after, investigated about pelvic obliquity angle, displacement of ilium, lumbo-sacral angle by x-ray test which is one of pelvic displacement tests, visual analogue scale is used for LBP measurement. The result show the followings; First, Pelvic obliquity angle was significantly reduced after applying foot orthosis compared before using it(p<.05). Second, Displacement of ilium was significantly reduced after applying foot orthosis compared before using it(p<.05). Third, Lumbo-sacral angle was significantly reduced after applying foot orthosis compared before using it(p<.05). Fourth, LBP was significantly reduced after applying foot orthosis compared before using it(p<.05). This study tries to suggest new LBP treatment to reduce pelvic displacement by apply foot orthosis. In conclusion, foot orthosis reduces pelvic obliquity angle, displacement of ilium, lumbo-sacral angle and also decrease LBP. Further more, It needs of biomechanical study which can recognize relation between foot arch and pelvic displacement. This study will serve as a clinically useful data for diagnosis and treatment of LBP and biomechanical analysis of lower limb.

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침술에서 초음파의 역할 (Role of Ultrasound in Acupuncture)

  • 박기영
    • 대한정형외과 초음파학회지
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    • 제2권2호
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    • pp.94-98
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    • 2009
  • 침술은 중국에서 3,000년 이상의 기원을 가진 가장 대중적인 보완대체의학 치료 방법으로 전세계적에서 널리 시행되고 있다. 초음파는 교육과 연구목적, 신경과 늑막과 같은 위험한 구조 주위 경혈에 침술을 시행할 때 도움이 된다. 또한 초음파는 조직에서 침 수기의 생 기계적 효과를 평가하는 데 이상적인 영상 검사로 조직 형태와 생 기계적 정보의 영상을 제공하는 특징적 장점을 가지고 있다. 탄성영상은 내부 혹은 외부에서 발생하는 기계적 자극에 의한 조직의 기계적 성질 혹은 반응을 정량화 할 수 있다. 그러므로 초음파와 탄성영상의 결합은 침술에 의한 인체 결합조직 구조의 동적변화를 정량적으로 평가할 수 있다.

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신.구형도마에서 1/1Turn, Stretched, Tucked 기술수행 시 운동역학적 분석 (Comparative Analysis of Biomechanical Factors in Performing Techniques of 1/1Turn, Stretched, and Tucked on the Old Vaulting Horse and the New Vaulting Table)

  • 김지태;허성규
    • 한국운동역학회지
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    • 제16권4호
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    • pp.135-145
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    • 2006
  • The aim of this study was to find out the differences of biomechanical factors from touching down the vaulting board to landing when techniques of 1/1Turn, stretched, and Tucked were performed on the old vaulting horse and on the new vaulting table. Three national representative men gymnasts were sampled for this study. Three dimension motion analyses by means of six Sony PD-150 video cameras with the velocity of 60 fps were used. As a result of analyzing the kinetic data from two kind of vaulting table, the following conclusions were made. 1. There was not significant differences of angular momentum between the old and the new vaulting table in all three techniques except the phase of stepping on the vaulting board and contacting the vaulting horse in the Tucked technique. IN the two phases above, the angular momentum in the new vaulting table was greater than that of the old vaulting horse. 2. There were few significant differences between the old and the new vaulting horses in the horizontal and vertical reaction force according to techniques when stepping was performed. However, it appeared tendency that the horizontal and vertical reaction force in the new vaulting table was a little greater than that of the old vaulting horse when the 1/1Turn, the Stretched and the Tucked were performed.

한국형 파킨슨 환자의 역학적 기능수행지수 개발 (Developing an Biomechanical Functional Performance Index for Parkinson's Disease Patients)

  • Shin, Sunghoon;Han, Byungin;Chung, Chulmin;Lee, Yungon
    • 한국운동역학회지
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    • 제30권1호
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    • pp.83-91
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    • 2020
  • Objective: The study aimed to develop a functional performance index that evaluates the functional performance of Parkinson's patients, i.e., to integrate biomechanical measurements of walking, balance, muscle strength and tremor, and to use multiple linear regression with stepwise methods to identify the most suitable predictors for the progression of disease. Method: A total of 60 subjects were tested for sub-variables of four factors: walking, balance, isometric strength and hand tremors. Potential independet variables were extracted through correlation analysis of the sub-variables and dependent variables, Hoehn & Yahr scale. And then, a stepwise multiple regression analysis using the potential independent variables was performed to identify predictor of Hoehn & Yahr scale. Results: First, the results of the study showed that physical composition and gait had a relatively more correlated with the progression of the disease, compared to balance and hand tremor. Second, Parkinson's functional performance is characterized by dynamic pattern of walking, such as foot clearance and turning angle (TA) of walking, and a high-explained regression model is completed. Conclusion: The study emphasized the importance of walking variables and body composition in minor pathological features compared to Parkinson's patient's balancing ability and hand tremor. Specifically, it revealed that dynamic walking patterns functionally characterize patients. The results are worth considering when assessing functional performance related to the progression of the disease at the site.

모사된 근육 수축력을 바탕으로 한 트럭 승하차 동작의 불편도 평가 (Discomfort Assessment of Truck Ingress and Egress Motions Based on Simulated Muscle Contraction Forces)

  • 최남철;심지성;이상형;이기광;이상헌
    • 한국CDE학회논문집
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    • 제17권1호
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    • pp.62-70
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    • 2012
  • This paper proposes a novel discomfort assessment method for truck ingress and egress motions based on the maximum-voluntary-contraction (MVC) ratios of muscles obtained by biomechanical analysis of human musculoskeletal models. In this study, a human motion to enter and exit a truck cabin with different types and heights of footsteps is first measured using an optical motion capture system and load sensors. Next, in a biomechanical analysis system, a human musculoskeletal model with contacting conditions on footsteps and handles is modeled, and then joint torques and muscles forces are calculated by inverse dynamics of the musculoskeletal model with the motion data. Finally, the MVC ratios for the muscles are calculated and their statistical values are used as the measure of discomfort. To ensure the feasibility of our method, subjective discomfort levels have been investigated through the participants' experiments and questionnaires and compared to the results of our method. Comparing to the existing methods based on joint angles or torques, our approach provide a more essential criterion for discomfort because it is based on the muscle contraction by which an active human motion is basically generated.

Stress-strain distribution at bone-implant interface of two splinted overdenture systems using 3D finite element analysis

  • Hussein, Mostafa Omran
    • The Journal of Advanced Prosthodontics
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    • 제5권3호
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    • pp.333-340
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    • 2013
  • PURPOSE. This study was accomplished to assess the biomechanical state of different retaining methods of bar implant-overdenture. MATERIALS AND METHODS. Two 3D finite element models were designed. The first model included implant overdenture retained by Hader-clip attachment, while the second model included two extracoronal resilient attachment (ERA) studs added distally to Hader splint bar. A non-linear frictional contact type was assumed between overdentures and mucosa to represent sliding and rotational movements among different attachment components. A 200 N was applied at the molar region unilaterally and perpendicular to the occlusal plane. Additionally, the mandible was restrained at their ramus ends. The maximum equivalent stress and strain (von Mises) were recorded and analyzed at the bone-implant interface level. RESULTS. The values of von Mises stress and strain of the first model at bone-implant interface were higher than their counterparts of the second model. Stress concentration and high value of strain were recognized surrounding implant of the unloaded side in both models. CONCLUSION. There were different patterns of stress-strain distribution at bone-implant interface between the studied attachment designs. Hader bar-clip attachment showed better biomechanical behavior than adding ERA studs distal to hader bar.

Three-dimensional finite element analysis of implant-supported crown in fibula bone model

  • Park, Young-Seok;Kwon, Ho-Beom
    • The Journal of Advanced Prosthodontics
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    • 제5권3호
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    • pp.326-332
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    • 2013
  • PURPOSE. The purpose of this study was to compare stress distributions of implant-supported crown placed in fibula bone model with those in intact mandible model using three-dimensional finite element analysis. MATERIALS AND METHODS. Two three-dimensional finite element models were created to analyze biomechanical behaviors of implant-supported crowns placed in intact mandible and fibula model. The finite element models were generated from patient's computed tomography data. The model for grafted fibula was composed of fibula block, dental implant system, and implant-supported crown. In the mandible model, same components with identical geometries with the fibula model were used except that the mandible replaced the fibula. Vertical and oblique loadings were applied on the crowns. The highest von Mises stresses were investigated and stress distributions of the two models were analyzed. RESULTS. Overall stress distributions in the two models were similar. The highest von Mises stress values were higher in the mandible model than in the fibula model. In the individual prosthodontic components there was no prominent difference between models. The stress concentrations occurred in cortical bones in both models and the effect of bicortical anchorage could be found in the fibula model. CONCLUSION. Using finite element analysis it was shown that the implant-supported crown placed in free fibula graft might function successfully in terms of biomechanical behavior.

Biotribological Properties of TZP/Al2O3 Ceramics for Biomechanical Applications

  • Lee, Deuk-Yong;Lee, Se-Jong;Jang, Ju-Woong;Kim, Hak-Kwan;Kim, Dae-Joon
    • 한국세라믹학회지
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    • 제40권6호
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    • pp.525-529
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    • 2003
  • Biotribological properties, such as wear rate and friction coefficient, of 3Y-TZP and Low Temperature Degradation (LTD) free materials were investigated via a ball(SiC)-on-plate sliding wear test to evaluate the relationship between wear mechanism and phase transformation. Wear test was conducted with a sliding speed of 0.035 m/s at room temperature and at 25$0^{\circ}C$ in air under a normal load of 49 N, respectively. Although friction coefficient of 3Y-TZP was the lowest due to the fine grain size, the highest wear loss and rate were observed due to the debris of monoclinic grains introduced during sliding and their values increased drastically with raising temperature. However, the biotribological properties of LTD-free materials were insensitive to temperature due to the inertness of the phase transformation, suggesting that they may be applicable to the biomechanical parts.

임플란트 보철의 생역학과 교합 (Biomechanics and Occlusion for Implant-Supported Prosthesis)

  • 구철인;곽종하;정재헌
    • 구강회복응용과학지
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    • 제18권2호
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    • pp.127-144
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    • 2002
  • There is an increasing appreciation of the vital role that biomechanics play in the performance of oral implant. The aim of this article is to provide some basic principles that will allow a clinician to formulate a biomechanically valid treatment plan. However, at this point in the history of oral implantology, the clinician should realize that we do not know enough to provide absolute biomechanical rules that will guarantee success of all implants in all situations. To examine the biomechanical questions, one must begin with an analysis of the distribution of biting forcess to implants. Related topics, such as stress transfer to surrounding tissues and interrelationships between bone biology and mechanical loading are major subjects, deserving a separate discussion. Once rigid fixation, angulation, crestal bone level, contour, and gingival health are achieved, stress beyond physiologic limits is the primary cause of initial bone loss around implants. The restoring dentist has specific responsibilities to reduce overload to the bone-implant interface. These include proper diagnosis, leading to a treatment plan designed with adequate retention and form, and progressive loading to improve the amount and density of bone and further reduce the risk of stress beyond physiologic limits. The major remaining factor is the development of occlusal concept in harmony with the rest of the stomagnetic system.