• 제목/요약/키워드: Dynamic stabilization

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수면이갈이 환자에서 교합안정장치 사용 후 교합력 및 동기능적교합분석: 예비 연구 (Changes of bite force and dynamic functional occlusion analysis after occlusal stabilization splint therapy in sleep bruxism patients: a pilot study)

  • 김재연;최이슬;송율빈;박원서;김성택
    • 구강회복응용과학지
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    • 제38권4호
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    • pp.204-212
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    • 2022
  • 목적: 수면이갈이 환자에서 한달 간 수면 시 교합안정장치를 장착하였을 때 교합력과 교합 접촉 면적 및 동기능적교합분석의 변화량을 비교하고자 하였다. 연구 재료 및 방법: 2021년 10월부터 2022년 7월까지 연세대학교 치과대학병원 구강내과 외래에 방문한 수면이갈이 환자 30명 중 교합안정장치를 수면 중 착용하는 실험군(treatment; n = 15)과 교합안정장치를 착용하지 않는 대조군(control; n = 15)으로 구성하였다. 교합안정장치 장착 전, 장착 1개월 후에 교합력 검사와 동기능적교합분석(측방, 전후방 하악 운동 시 좌/우 힘의 균형, 평균 교합력, 최대 교합력, 최대 접촉 개수)을 진행하였다. 결과: 한달 간 수면 중 교합안정장치를 착용하는 실험군과 교합안정장치를 착용하지 않는 대조군에서 교합력과 교합 접촉 면적은 차이가 없었으나 측방 및 전후방 운동에서 평균 교합력과 최대 교합력, 전후방 운동에서 최대 접촉 개수가 유의한 차이가 있었음을 관찰하였다. 결론: 교합안정장치가 측방, 전후방 운동을 하는 이갈이 환자에게 도움이 될 것으로 사료되며, 향후 추가적으로 대단위 집단을 대상으로 하는 이중 맹검연구가 필요할 것으로 사료된다.

Radicular Pain due to Subsidence of the Nitinol Shape Memory Loop for Stabilization after Lumbar Decompressive Laminectomy

  • Son, Byung-Chul;Kim, Deog-Ryeong
    • Journal of Korean Neurosurgical Society
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    • 제57권1호
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    • pp.61-64
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    • 2015
  • A number of dynamic stabilization systems have been used to overcome the problems associated with spinal fusion with rigid fixation recently and the demand for an ideal dynamic stabilization system is greater for younger patients with multisegment disc degeneration. Nitinol, a shape memory alloy of nickel and titanium, is flexible at low temperatures and regains its original shape when heated, and the Nitinol shape memory loop (SML) implant has been used as a posterior tension band mostly in decompressive laminectomy cases because the Nitinol implant has various characteristics such as high elasticity and a tensile force, flexibility, and biological compatibility. The reported short-term outcomes of the application of SMLs as posterior column supporters in cervical and lumbar decompressive laminectomies seem to be positive, and complications are minimal except for the rare occurrence of pullout and fracture of the SML. However, there was no report of neurological complications related to neural compression in spite of the use of the loop of SML in the epidural space. The authors report a case of delayed development of radiating pain caused by subsidence of the SML resulting epidural compression.

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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고유수용성 신경근 촉진법을 적용한 요부 안정화 운동이 만성 뇌졸중 환자의 균형과 보행에 미치는 영향 (The Effect of Lumbar Stabilization Exercise with Proprioceptive Neuromuscular Facilitation Technique to Balance and Gait in Chronic Stroke Patients)

  • 박재명;신영일;양성화
    • 대한정형도수물리치료학회지
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    • 제18권1호
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    • pp.65-72
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    • 2012
  • Background: The purpose of this study is on finding the effects of the lumbar stabilization exercise applied with the proprioceptive neuromuscular facilitation technique (PNF) to the balance and the gait of chronic stroke patients. Methods: An experiment was conducted using two sets of behavioral measures with 30 chronic stroke hospitalized patients in the rehabilitation center located in Incheon city. The 15 participants in group A were instructed to apply the traditional exercise therapy. And the other 15 participants were assigned to apply the lumbar stabilization exercise with the PNF technique. It was conducted for 30 minutes per three days for six weeks, which had eighteen times. Using the balance system, it was checked about the static and dynamic balance. Using the Gaitrite, it was checked about the ability of the gait. Results: There was a better effect on both groups especially with the static balance. Those who were applied the lumbar stabilization exercise with the PNF technique had a better result on the dynamic balance and the gait than those applied the traditional exercise therapy. Conclusion: This research shows that the Lumbar Stabilization Exercise applied with the PNF technique is more effective on dynamic balance and the gait performance ability of the chronic stroke patients.

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체간 안정화 운동이 요통환자의 요부안정성과 족저압에 미치는 영향 (Influence of Trunk Stabilization Exercise upon the Lumbar Stabilization and Foot Pressure in Patients with Back Pain)

  • 이우진;박설;박지원
    • The Journal of Korean Physical Therapy
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    • 제26권1호
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    • pp.21-26
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    • 2014
  • Purpose: This study examined the effect of trunk stabilization exercise upon the lumbar stabilization and foot pressure on an unstable surface with back pain. Methods: The subjects of the study were 10 patients who showed the symptom of back pain with excessive lumbar curve. This study was 4 weeks, 30 minutes per session, three times a week for a total of 12 times as a result of exercise radiation imaging device and foot pressure analyzer. Results: The sacrohorizontal angle was statistically significant(p<0.05). Comparison of the difference between static right and left foot pressure ratio analysis was statistically significant(p<0.05). Dynamic right and left foot pressure comparisons for the difference was statistically significant in the analysis (p<0.05). Conclusion: Trunk stabilization exercise and the reduction of the excessive sacrohorizontal angle, and static and dynamic foot pressure imbalance reduced left and right.

마찰보상을 통한 서어보제어계의 정밀 안정화 제어 (Precision Stabilization Control of Servo-system by Using Friction Compensation)

  • 강민식
    • 한국정밀공학회지
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    • 제16권3호통권96호
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    • pp.109-115
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    • 1999
  • This paper presents a stabilization control designed to improve position stabilization performance of a position servo-system(turret) mounted on a manuvering platform(vehicle). In the consideration of the motion of the platform, a dynamic model of the stabilization system is derived and shows the viscous and stick-slip friction torques are the major source of stabilization errors. An extended generalized minimum variance control which consists of a feedforward disturbance compensation as well as a pole placement feedback control is suggested to reduce the stabilization errors caused from the friction disturbances. This modeling and control are applied to a small experimental set-up and the experimental results confirm the accuracy of the model and the effectiveness of the suggested control.

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정합조건을 만족하지 않는 불확정 비선형 시스템의 강인 안정화 (Robust stabilization of nonlinear uncertain systems without matching conditions)

  • 주진만;최윤호;박진배
    • 제어로봇시스템학회:학술대회논문집
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    • 제어로봇시스템학회 1997년도 한국자동제어학술회의논문집; 한국전력공사 서울연수원; 17-18 Oct. 1997
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    • pp.159-162
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    • 1997
  • This paper describes robust stabilization of nonlinear single-input uncertain systems without matching conditions. We consider nonlinear systems with a vector of unknown constant parameters perturbed about a known value. The approach utilizes the generalized controller canonical form to lump the unmatched uncertainties recursively into the matched ones. This can be achieved via nonlinear coordinate transformations which depend not only on the states of the nonlinear system but also on the control input. Then the dynamic robust control law is derived and the stability result is also presented.

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키네시오 테이핑을 적용한 발목 안정화운동이 정적·동적 균형에 미치는 효과 (Effect of Ankle Stabilization Exercise with Kinesio Taping on Static·Dynamic Balance)

  • 홍수진;김나영;김선하;박성연;이연정;전예원;정승연;정진영;조현정;김정자
    • 한국임상보건과학회지
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    • 제11권1호
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    • pp.1644-1653
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    • 2023
  • Purpose: The purpose of this study was to investigate the effect of kinesio taping application on static and dynamic balance during ankle stabilization exercise. Method: H University in Gunsan is recruiting subjects with unstable ankles (N=12). The 12 subjects were randomly divided into groups (n=6) that performed ankle stabilization exercises by applying kinesio taping and groups that performed ankle stabilization exercises only (N=6). Exercise was done twice a week for 4 weeks. All groups conducted the same exercise program, including stretching, for 40 minutes. The exercise program was conducted in the following order. It was conducted in the order of 5 minutes of stretching, 30 minutes of exercise program, and 5 minutes of finishing stretching. To measure the change in static and dynamic balance, the experimenter and control group measured the change by conducting the Cumberland ankle instability tool, the Y-balance test, and the Stork balance standing test (SBST). Results: There was a statistically significant difference in static and dynamic balance between the group with kinesio taping (experimental group) and the group without kinesio taping (control group) in patients with chronic ankle instability. However, there was no statistically significant difference in static and dynamic balance before and after intervention between groups. Conclusion: These results were expected to help improve dynamic and static balance in ankle instability when applying kinesio taping and balance exercises, but there was no significant difference between the experimental group and the control group because the experiment period was short.

Clinical Experience of the Dynamic Stabilization System for the Degenerative Spine Disease

  • Lee, Soo-Eon;Park, Sung-Bae;Jahng, Tae-Ahn;Chung, Chun-Kee;Kim, Hyun-Jib
    • Journal of Korean Neurosurgical Society
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    • 제43권5호
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    • pp.221-226
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    • 2008
  • Objective : The aim of the present study was to assess the safety and efficacy of the dynamic stabilization system in the treatment of degenerative spinal diseases. Methods : The study population included 20 consecutive patients (13 females, 7 males) with a mean age of $61{\pm}6.98$ years (range 46-70) who underwent decompression and dynamic stabilization with the Dynesys system between January 2005 and August 2006. The diagnoses included spinal stenosis with degenerative spondylolisthesis (9/20, 45%), degenerative spinal stenosis (5/20, 25%), adjacent segmental disease after fusion (3/20, 15%), spinal stenosis with degenerative scoliosis (2/20, 10%) and recurrent intervertebral lumbar disc herniation (1/20, 5%). All of the patients completed the visual analogue scale (VAS) and the Korean version of the Oswestry Disability Index (ODI). The following radiologic parameters were measured in all patients : global lordotic angles and segmental lordotic angles (stabilized segments, above and below adjacent segments). The range of motion (ROM) was then calculated. Results : The mean follow-up period was $27.25{\pm}5.16$ months (range 16-35 months), and 19 patients (95%) were available for follow-up. One patient had to have the implant removed. There were 30 stabilized segments in 19 patients. Monosegmental stabilization was performed in 9 patients (47.3%), 9 patients (47.3%) underwent two segmental stabilizations and one patient (5.3%) underwent three segmental stabilizations. The most frequently treated segment was L4-5 (15/30, 50%), followed by L3-4 (12/30, 40%) and L5-S1 (3/30, 10%). The VAS decreased from $8.55{\pm}1.21$ to $2.20{\pm}1.70$ (p<0.001), and the patients' mean score on the Korean version of the ODI improved from $79.58%{\pm}15.93%$ to $22.17%{\pm}17.24%$ (p<0.001). No statistically significant changes were seen on the ROM at the stabilized segments (p=0.502) and adjacent segments (above segments, p=0.453, below segments, p=0.062). There were no patients with implant failure. Conclusion : The results of this study show that the Dynesys system could preserve the motion of stabilized segments and provide clinical improvement in patients with degenerative spinal stenosis with instability. Thus, dynamic stabilization systems with adequate decompression may be an alternative surgical option to conventional fusion in selected patients.

동특성 해석에 기반한 이동용 안테나 김발 안정화 시스템 (Stabilization System for Mobile Antenna Gimbal based on Dynamic Characteristics Analysis)

  • 이기남;이병호;이증;김지억;송재복
    • 대한기계학회논문집A
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    • 제37권7호
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    • pp.851-856
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    • 2013
  • 최근에 들어 전술환경이 모든 요소들을 네트워크로 연결하는 NCW 환경으로 변화하면서 위성을 이용한 대용량 고속의 위성통신이 매우 중요하게 부각되었다. 고품질의 위성링크를 제공하기 위해서는 플랫폼의 안정화 기술이 선행되어야 한다. 기존의 안정화 제어기술은 주로 PI제어기를 사용하는 선박용이 주류를 이루었다. 이에 비해 보다 더 빠른 응답특성이 요구되는 지상용 단말의 경우 빠른 시간 안에 위성을 추적할 수 있도록 안테나 구동속도가 빨라야 하며, 외란을 감지하는 센서와 감지된 외란을 보상하면서 위성지향을 유지할 수 있도록 하는 알고리즘이 필요하다. 본 연구에서는 안테나 시스템의 동역학 특성을 분석하여 지상용 단말에 적합한 저주파 영역에서 높은 격리도를 갖는 $PI^2$ 제어기를 포함하는 안정화 제어루프를 제안한다.