• 제목/요약/키워드: Dynamic Stabilization System

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Change of Lumbar Motion after Multi-Level Posterior Dynamic Stabilization with Bioflex System : 1 Year Follow Up

  • Park, Hun-Ho;Zhang, Ho-Yeol;Cho, Bo-Young;Park, Jeong-Yoon
    • Journal of Korean Neurosurgical Society
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    • 제46권4호
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    • pp.285-291
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    • 2009
  • Objective : This study examined the change of range of motion (ROM) at the segments within the dynamic posterior stabilization, segments above and below the system, the clinical course and analyzed the factors influencing them. Methods : This study included a consecutive 27 patients who underwent one-level to three-level dynamic stabilization with Bioflex system at our institute. All of these patients with degenerative disc disease underwent decompressive laminectomy with/without discectomy and dynamic stabilization with Bioflex system at the laminectomy level without fusion. Visual analogue scale (VAS) scores for back and leg pain, whole lumbar lordosis (from L1 to S1), ROMs from preoperative, immediate postoperative, 1.5, 3, 6, 12 months at whole lumbar (from L1 to S1), each instrumented levels, and one segment above and below this instrumentation were evaluated. Results : VAS scores for leg and back pain decreased significantly throughout the whole study period. Whole lumbar lordosis remained within preoperative range, ROM of whole lumbar and instrumented levels showed a significant decrease. ROM of one level upper and lower to the instrumentation increased, but statistically invalid. There were also 5 cases of complications related with the fixation system. Conclusion : Bioflex posterior dynamic stabilization system supports operation-induced unstable, destroyed segments and assists in physiological motion and stabilization at the instrumented level, decrease back and leg pain, maintain preoperative lumbar lordotic angle and reduce ROM of whole lumbar and instrumented segments. Prevention of adjacent segment degeneration and complication rates are something to be reconsidered through longer follow up period.

가변구조제어에 의한 조준경 고각 안정화 (Stabilization of elevation for gunner primary sight using variable structure control)

  • 김중완;이정규;김주상;이만형
    • 제어로봇시스템학회:학술대회논문집
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    • 제어로봇시스템학회 1990년도 한국자동제어학술회의논문집(국내학술편); KOEX, Seoul; 26-27 Oct. 1990
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    • pp.643-647
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    • 1990
  • Gunner primary sight(GPS) stabilization system lays line of sight(LOS) to find out a target and transmits informations to the fire control system (FCS). In a moving vehicle, accuracy of LOS and FCS depends on the design of GPS and servomechanism system. The heavy vibration of vehicle on the severe off-road environment degenerates the stabilization capability of GPS. In this study, to stabilize of elevation for GPS using the variable structure control, we derived the dynamic equation of GPS system and designed the variable structure controller. Computer simulation results fulfilled the static and dynamic stability of GPS using the variable structure control.

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3차원 요부안정화 운동이 20대 요통환자의 통증과 동적 및 정적 균형능력 향상에 미치는 효과 (The Effects of 3-Dimensional Lumbar Stabilization Exercise have an effect on the improvement of pain and static or dynamic balance ability in 20's age group with Low Back Pain)

  • 김규용;안창식;김성수
    • 대한물리의학회지
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    • 제6권2호
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    • pp.235-246
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    • 2011
  • Purpose: The aim of this study is to compare and assess the effects of lumbar stabilization exercise on the balance ability of young college studets with low back pain after having performed spinal stabilization exercise by using 3-dimensional air-balance system and gym ball. Methods: The subjects of this study were 34 low back patients in their early twenties. They were divided into two groups: 3-dimensional lumbar stabilization exercise group(N=17) and gym ball lumbar stabilization exercise group(N=17). The period of the intervention was for five weeks. VAS(Visual Analogue Scale) for pain test, ODI(Oswestry Disability Index) for ADL limitation test, Tetrax system for static balance test, and Air-balance system 3D for dynamic balance test were used as evaluation tools for this study. Results: Pain showed significant decrease in both groups after having performed the experiment, but ADL limitation of the groups did not show any remarkable difference between before and after the experiment. Dynamic balance ability in the 8-directional angle comparison test significantly increased in all directions except for the backward, left-backward, and right-backward directions. As for dynamic balance ability in the 8-directional postural test, 3D exercise group showed statistically significant reduction in every direction while gym ball exercise group did not(p<.05). However, when it comes to static balance ability in the weight distribution and stability test, there was not significantly change between pre and post test in both groups. Conclusion: This study shows 3-dimensional lumbar stabilization exercise is more effective in the lumbar stabilization of coordinated movement than gym ball exercise, which may imply that 3D air-balance system can be used for the therapeutic treatment of body imbalance for patients with low back pain.

NFlex Dynamic Stabilization System : Two-Year Clinical Outcomes of Multi-Center Study

  • Coe, Jeffrey D.;Kitchel, Scott H.;Meisel, Hans Jorg;Wingo, Charles H.;Lee, Soo-Eon;Jahng, Tae-Ahn
    • Journal of Korean Neurosurgical Society
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    • 제51권6호
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    • pp.343-349
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    • 2012
  • Objective : Pedicle-based dynamic stabilization systems, in which semi-rigid rods or cords are used to restrict or control spinal segmental motion, aim to reduce or eliminate the drawbacks associated with rigid fusion. In this study, we analyzed the two-year clinical outcomes of patients treated with the NFlex (Synthes Spine, Inc.), a pedicle-based dynamic stabilization system. Methods : Five sites participated in a retrospective study of 72 consecutive patients who underwent NFlex stabilization. Of these 72 patients, 65 were available for 2-year follow-up. Patients were included based on the presence of degenerative disc disease (29 patients), degenerative spondylolisthesis (16 patients), lumbar stenosis (9 patients), adjacent segment degeneration (6 patients), and degenerative lumbar scoliosis (5 patients). The clinical outcome measures at each assessment were Visual Analogue Scale (VAS) to measure back pain, and Oswestry Disability Index (ODI) to measure functional status. Radiographic assessments included evidence of instrumentation failure or screw loosening. Results : Sixty-five patients (26 men and 39 women) with a mean age of 54.5 years were included. Mean follow-up was 25.6 months. The mean VAS score improved from 8.1 preoperatively to 3.8 postoperatively, representing a 53% improvement, and the ODI score from 44.5 to 21.8, representing a 51% improvement. Improvements in pain and disability scores were statistically significant. Three implant-related complications were observed. Conclusion : Posterior pedicle-based dynamic stabilization using the NFlex system seems effective in improving pain and functional scores, with sustained clinical improvement after two years. With appropriate patient selection, it may be considered an effective alternative to rigid fusion.

제한 시스템의 분석 및 평가 (Analysis and Evaluation for Constraint Enforcement System)

  • 홍민;박두순;최유주
    • 한국시뮬레이션학회논문지
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    • 제18권2호
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    • pp.57-64
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    • 2009
  • 물리적 기반의 다이내믹 시뮬레이션에 있어서 안정적이고 효율적인 제한 시스템은 매우 중요한 요소 중 하나이다. 본 논문은 기존에 널리 사용되고 있는 제한 시스템들(Lagrange Multiplier method, Baumgarte stabilization method, Post-stabilization Method, Implicit constraint enforcement method, Fast projection method)에 대한 분석과 평가를 통해 제한 시스템을 사용하고자 하는 사용자들에게 적절한 선택을 할 수 있는 지침을 제공하고자 한다. 본 논문은 기존의 제한 방법들에 대한 수학적 수식들이 설명되어 있고, 제한 오차 비교, 계산 비용, 동적 움직임 분석 등을 통해 기존 제한 시스템들 각각에 대한 평가를 제공한다.

전력 계통 안정화를 위한 선재설계에 관한 연구 (A Parameter Optimization Algorithm for Power System Stabilization)

  • 곽노홍;문영현
    • 대한전기학회논문지
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    • 제39권8호
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    • pp.792-804
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    • 1990
  • This paper describes an efficient optimization algorithm by calculating sensitivity function for power system stabilization. In power system, the dynamic performance of exciter, governor etc. following a disturbance can be presented by a nonlinear differential equation. Since a nonlinear equation can be linearized for small disturbances, the state equation is expressed by a system matrix with system parameters. The objective function for power system operation will be related to the system parameter and the initial state at the optimal control condition for control or stabilization. The object function sensitivity to the system parameter can be considered to be effective in selecting the optimal parameter of the system.

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전력계통안정화를 위한 간접적응 비선형제어 (Indirect adaptive nonlinear control for power system stabilization)

  • 이도관;윤태웅;이병준
    • 제어로봇시스템학회:학술대회논문집
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    • 제어로봇시스템학회 1997년도 한국자동제어학술회의논문집; 한국전력공사 서울연수원; 17-18 Oct. 1997
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    • pp.454-457
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    • 1997
  • As in most industrial processes, the dynamic characteristics of an electric power system are subject to changes. Amongst those effects which cause the system to be uncertain, faults on transmission lines are considered. For the stabilization of the power system, we present an indirect adaptive control method, which is capable of tracking a sudden change in the effective reactance of a transmission line. As the plant dynamics are nonlinear, an input-output feedback linearization method equipped with nonlinear damping terms is combined with an identification algorithm which estimates the effect of a fault. The stability of the resulting adaptive nonlinear system is investigated.

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비선형 적응제어를 이용한 전력계통 안정화 (Power system stabilization via adaptive feedback linearization)

  • 윤태웅;이도관
    • 제어로봇시스템학회:학술대회논문집
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    • 제어로봇시스템학회 1996년도 한국자동제어학술회의논문집(국내학술편); 포항공과대학교, 포항; 24-26 Oct. 1996
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    • pp.1221-1224
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    • 1996
  • As in most industrial processes, the dynamic characteristics of an electric power system are subject to changes. Amongst those effects which cause the system to be uncertain, faults on transmission lines are considered. For the stabilization of the power system, we present an indirect adaptive control method, which is capable of tracking a sudden change in the effective reactance of a transmission line. As the plant dynamics are nonlinear, an input-output feedback linearization method is combined with an identification algorithm which estimates the effect of a fault.

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조준경 안정화 시스템의 설계 및 특성분석 (Gunner primary sight stabilization system design and performance analysis)

  • 김용관;백운보;김종화;이만형
    • 제어로봇시스템학회:학술대회논문집
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    • 제어로봇시스템학회 1990년도 한국자동제어학술회의논문집(국내학술편); KOEX, Seoul; 26-27 Oct. 1990
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    • pp.327-332
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    • 1990
  • Gunner primary sight stabilization system is a fully integrated sensor package designed to provide the stabilized Line-of-Sight. In this study, to improve disturbance rejection capabilities, two types of compensator (LQG/LTR, Lead-Lag) were designed and then stabilization performances were compared under severe off-road environment. Simulation results shows that the stabilization performances using LQG/LTR methodology is better than Lead-Lag methodology in spite of dynamic uncertainties.

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