• Title/Summary/Keyword: EXTERNAL ROTATION

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Effect of Swiss Ball Exercise on the Muscular Activity of Hamstring during Different Feet Position (양발의 위치에 따른 스위스 볼 운동이 뒤넙다리근 근활성도에 미치는 영향)

  • Jang, Yujin;Yoon, Sukhoon
    • Korean Journal of Applied Biomechanics
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    • v.31 no.3
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    • pp.214-219
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    • 2021
  • Objective: The aim of this study was to evaluate the differences in muscle activity of hamstring muscle depending on the position of the feet during Swiss ball hamstring curl exercise. Method: Total of 15 male participants with no history of hamstring muscle injuries and musculoskeletal disorders in the past 6 months were participated in this study (Age: 29.27 ± 4.96 yrs, Height: 173.47 ± 5.18 cm, Body mass: 75.47 ± 12.50 kg). The muscle activation of semitendinosus and biceps femoris with four different feet positions including neutral stance, internal rotation, external rotation, and wide stance were measured during a Swiss ball hamstring curl exercise. For the analysis, the Swiss ball exercise movement comprised of 3 events (90°→ 0°→ 90°) based on the knee angle and 2 phases relative to the mechanism of muscle contraction (eccentric/concentric contraction). To pursue the study goal, an one-way ANOVA with repeated measures was performed with statistical significance as α = 0.05. Results: There was no statistically significant feet position effect found during the Swiss ball hamstring curl with eccentric contraction phase (p>.05). It is, however, semitendinosus showed an enhanced muscle activation in concentric contraction phase, displaying the highest muscle activity in wide stance and the lowest in external rotation (p<.05). Conclusion: Our findings suggest that this exercise can be beneficial in selectively training the semitendinosus. In other words, Swiss ball hamstring curls performed in wide stance strengthens semitendinosus, which improves the stability of knee and are effective in preventing knee injuries and reinforces rehabilitation.

Comparative clinical and radiologic evaluation between patients undergoing standard reversed shoulder arthroplasty or bony increased offset

  • Tiago Amorim-Barbosa;Ana Ribau;Helder Fonte;Luis Henrique Barros;Rui Claro
    • Clinics in Shoulder and Elbow
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    • v.26 no.1
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    • pp.3-9
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    • 2023
  • Background: Modifications of the medialized design of Grammont-type reverse shoulder arthroplasty (RSA) using a bony increased offset (BIO-RSA) has shown better clinical results and fewer complications. The aim of this study is to compare the clinical results, complications, and radiological outcomes between patients undergoing standard RSA and BIO-RSA. Methods: A retrospective review was performed of 42 RSA procedures (22 standard RSA and 20 BIO-RSA). With a minimum of 1 year of follow-up, range of motion (ROM), Constant shoulder score (CSS), visual analog scale (VAS), and subjective shoulder score (SSS) were compared. Radiographs and computed tomography (CT) scan were examined for scapular notching, glenoid and humeral fixation, and graft healing. Results: At a mean follow-up of 27.6 months (range, 12-48 months), a significant difference was found for active-internal rotation (P=0.038) and for passive-external rotation (P=0.013), with better results in BIO-RSA. No other differences were found in ROM, CSS (P=0.884), VAS score, and SSS. Graft healing and viability were verified in all patients with CT scan (n=34). The notching rate was 28% in the standard RSA group and 33% in the BIO-RSA group, but the standard RSA had more severe notching (grade 2) than BIO-RSA (P=0.039). No other significative differences were found in glenoid and humeral fixation. Conclusions: Bone-graft lateralization is associated with better internal and external rotation and with less severe scapular notching compared to the standard RSA. Integration of the bone graft occurs effectively, with no relevant changes observed on radiographic evaluation. Level of evidence: III.

Reverse total shoulder replacement for patients with "weight-bearing" shoulders

  • Ofer Levy;Georgios Arealis;Oren Tsvieli;Paolo Consigliere;Omri Lubovsky
    • Clinics in Shoulder and Elbow
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    • v.27 no.2
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    • pp.183-195
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    • 2024
  • Background: Reverse total shoulder arthroplasty (rTSA) has gained popularity in recent years and is indicated for a wide variety of shoulder pathologies. However, use of rTSA in patients with "weight-bearing" shoulders that support wheelchair use or crutches has higher risk. The aim of this study was to assess the results of rTSA in such patients. Methods: Between 2005 and 2014, 24 patients (30 shoulders) with weight-bearing shoulders were treated with rTSA at our unit. Patients had cuff arthropathy (n=21), rheumatoid arthritis (n=3), osteoarthritis (n=1), acute fracture (n=3), or fracture sequela (n=2). Postoperatively, patients were advised not to push themselves up and out of their wheelchair for 6 weeks. This study was performed in 2016, and 21 patients (27 shoulders) were available for a mean follow-up of 5.6 years (range, 2-10 years). The mean age at surgery was 78 years (range, 54-90 years). Results: Constant-Murley score improved from 9.4 preoperatively to 59.8 at the final follow-up (P=0.001). Pain score improved from 2/15 to 13.8/15 (P=0.001). Patient satisfaction (Subjective Shoulder Value) improved from 0.6/10 to 8.7/10 (P=0.001). Significant improvement in mean range of motion from 46° to 130° of elevation, 14° to 35° of external rotation, and 29° to 78° internal rotation was recorded (P=0.001). Final mean Activities of Daily Living External and Internal Rotation was 32.4/36. Only three patients showed Sirveaux-Nerot grade-1 (10%) glenoid notching and three grade 2 (10%). Conclusions: rTSA can be used for treatment of patients with weight-bearing shoulders. Such patients reported pain free movement, resumed daily activities, and high satisfaction rates.

Effects of shoulder rotation according to stance posture and plane of motion on EMG response of shoulder rotator cuff and Trunk muscles. (스탠스 자세와 운동면의 차이에 따른 위팔어깨관절의 돌림운동이 어깨돌림근군과 몸통근군의 근전도 반응에 미치는 영향)

  • Kim, Ki-Hong;Cho, Sang-Woo;Jeong, Hwan-Jong;Kim, Ki-Hong
    • Journal of the Korean Applied Science and Technology
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    • v.35 no.3
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    • pp.914-924
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    • 2018
  • The purpose of this study is to provide the basic data for the shoulder strengthening exercise by analyzing the% MVIC of the muscle activity in the shoulder rotator cuff by the difference of the stance posture and the anatomical plane. 8male subjects were randomly assigned to perform the shoulder rotation exercise 10 times on the frontal plane, the horizontal plane, the sagittal plane and the two legs stance posture, the one leg stance posture, the lunge posture. Measured muscle activity of supraspinatus, infraspinatus, teres minor, anterior deltoid, rectus abdominis, erector supinea, pectoralis major, lattisimus dorsi during exercise. A repetitive one-way ANOVA was performed using the SPSS 22.0 statistical program. First, during the external rotation on the frontal plane, the erector spinea was higher in the lunge posture than in the two legs stance posture and the one leg stance posture, And during the internal rotation on the frontal plane, the muscle activity of suprapinatus was higher in one leg stance posture than in the two legs stance posture and more so in the lunge posture. Second, during the external rotation on the horizontal plane, the muscle activity of deltoid anterior was higher in the one legs stance posture and in the lunge posture than in the two legs stance posture, and during the internal rotation on the horizontal plane, the muscle activity of infraspinatus was higher in the lunge posture than in the two legs stance posture and one leg posture, and the muscle activity of pectoralis major was higher in two leg stance posture than in the one legs stance posture and more so in the lunge posture. Third, during the external rotation on the sagittal plane, muscle activity of rectus abdominis was higher one leg stance posture in the lunge posture than in two leg stance posture. During the internal rotation on the sagittal plane, muscle activity of supraspinatus was higher one leg stance posture in the lunge posture than in two leg stance posture. And muscle activity of infraspinatus was higher in the lunge posture than in two leg stance posture, one leg stance. And muscle activity of Rectus abdominis was higher in the lunge posture and one leg stance posture than in the two legs stance posture. And muscle activity of Erector spinea was higher in the two legs stance postur and lunge posture than in the one leg stance posture. In conclusion, the differences in stance and shoulder anatomy have different effects on the muscle activity of the shoulder rotator exercises, and this is expected to be a more positive exercise program when applied to the shoulder strengthening exercise program.

Effects of Shoulder Muscle Strength on Terminal Range by Humeral Head Retroversion (상완골 후경각이 가동역에 따른 견관절 근력에 미치는 영향)

  • Park, Si-Young;Lee, Dong-Jun
    • Journal of Life Science
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    • v.20 no.4
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    • pp.549-554
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    • 2010
  • Increased external rotation and decreased internal rotation have been noted to occur progressively in the throwing shoulders of baseball pitchers. The purpose of this study was to provide descriptive data for terminal range eccentric antagonist/concentric agonist shoulder muscle strength in collegiate baseball pitchers with humeral head retroversion diagnosed through MRI. The dominant and non-dominant shoulders of 9 asymptomatic baseball pitchers were tested through a range of 20 degrees of external rotation to 90 degrees of internal rotation using the Biodex system 3 isokinetic dynamometer at speeds of $90^{\circ}/s$ and $180^{\circ}/s$. Differences between the dominant and non-dominant shoulders were assessed using the paired samples t-test. Total range of motion, measured at $90^{\circ}$ of glenohumeral abduction, was $180.1^{\circ}$ for dominant shoulders and $183.7^{\circ}$ for non-dominant shoulders. Humeral head retroversion measured $47.6{\pm}6.1^{\circ}$ in dominant and $37.8{\pm}5.3^{\circ}$ in non-dominant extremities. The mean internal rotator concentric contraction (IR-Con) showed a significant difference compared to $31.5{\pm}5.1$ (Nm) in dominant and $38.7{\pm}5.2$ (Nm) in non-dominant shoulders at $180^{\circ}/s$ (p<0.05). The mean external rotator eccentric contraction (ER-Ecc) showed a significant difference compared to $20.3{\pm}4.7$ (Nm) in dominant and $25.1{\pm}3.7$ (Nm) in non-dominant shoulders at $90^{\circ}/s$ (p<0.05). There is a pattern of increased external rotation and decreased internal rotation in the dominant extremity that significantly correlates with an increase in humeral retroversion.

Effectiveness of Individualized Upper Extremity Exercise Program for Patients after Mastectomy (유방절제술 후 환자를 위한 맞춤형 상지 운동프로그램 효과)

  • Lim, Kyung Hee
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.19 no.10
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    • pp.313-323
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    • 2018
  • This study was conducted to develop an individualized upper extremity exercise program for patients after mastectomy and evaluate its effectiveness. A nonequivalent control-group pretest-posttest design was used for this investigation. Research participants were patients with breast cancer who underwent mastectomy at two university hospitals (experimental group, n=17; control group, n=16). The experimental group received an individualized upper extremity exercise program three times a week for 7 weeks. Data were analyzed by the ${\chi}^2-test$, Fisher's exact test, Mann-Whitney U-test and Wilcoxon Signed Rank test using SPSS WIN 21.0. Inter-group comparison revealed significant differences between pre-test and post-test in hands behind the back, flexion, abduction, external rotation, internal rotation, and grip strength. Moreover, the experimental group showed significant improvements in hands behind the back, flexion, abduction, external rotation, internal rotation, and grip strength relative to the control. In conclusion, the individualized upper extremity exercise program was shown to be an effective intervention to improve physical functions in upper limbs and shoulders. Therefore, this program should be applied to patients after mastectomy in clinics since many patients have suffered from decreased physical functions in upper extremities.

Electrical and Optical Properties of Fluorine-Doped Tin Oxide Films Fabricated at Different Substrate Rotating Speeds during Ultrasonic Spray Pyrolysis Deposition (초음파 분무 열분해 증착 중 기판 회전 속도에 따른 플루오린 도핑 된 주석산화물 막의 전기적 및 광학적 특성)

  • Ki-Won Lee;yeong-Hun Jo;Hyo-Jin Ahn
    • Korean Journal of Materials Research
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    • v.34 no.1
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    • pp.55-62
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    • 2024
  • Fluorine-doped tin oxide (FTO) has been used as a representative transparent conductive oxide (TCO) in various optoelectronic applications, including light emitting diodes, solar cells, photo-detectors, and electrochromic devices. The FTO plays an important role in providing electron transfer between active layers and external circuits while maintaining high transmittance in the devices. Herein, we report the effects of substrate rotation speed on the electrical and optical properties of FTO films during ultrasonic spray pyrolysis deposition (USPD). The substrate rotation speeds were adjusted to 2, 6, 10, and 14 rpm. As the substrate rotation speed increased from 2 to 14 rpm, the FTO films exhibited different film morphologies, including crystallite size, surface roughness, crystal texture, and film thickness. This FTO film engineering can be attributed to the variable nucleation and growth behaviors of FTO crystallites according to substrate rotation speeds during USPD. Among the FTO films with different substrate rotation speeds, the FTO film fabricated at 6 rpm showed the best optimized TCO characteristics when considering both electrical (sheet resistance of 13.73 Ω/□) and optical (average transmittance of 86.76 % at 400~700 nm) properties with a figure of merit (0.018 Ω-1).

An Experimental Study on Cushion Characteristics of pneumatic Cylinder for Vertically-Mounted. (공압 수직실린더의 쿠션특성에 관한 실험적 연구)

  • Kim, Dong-Su;Kim, Hyeong-Ui;Lee, Sang-Cheon
    • 연구논문집
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    • s.28
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    • pp.73-87
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    • 1998
  • A pneumatic control system of compressed air as a working fluid has a variety of advantages such as low price, high respondence, non-explosion and good control performance and thus has many applications in the field of automobile, electronic and semiconductor industry. However, it has a difficulty in contolling a precise position due to quick response of system and compressibility of working fluid and. in particular, shock stress may occur due to an external load, resulting in fracture of a cylinder cap unless cushion device is equipped in the linear actuator. To avoid this, a cushion device should be installed for damping effect of the external load and the supply pressure as well as for decreasing shock stress and vibration caused by high speed rotation. Previous studies include dimensionless analyses and computer simulations of cushion capability and experiments of horizontally-mounted cylinder performances. A new attempt is experimentally made in this study using a vertically-mounted cylinder under an operation condition of 4, 5 and 6 (bar) as supply pressure and 40, 70 and 100 (kgf) as external load. It turns out that the cushion pressure is mainly a function of the external load rather than the supply pressure. The cushion characteristics was also revealed in the meter-in circuit.

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Biomechanical Analysis on Kinematic Chains Type of Trunk (체간의 운동연쇄 형태에 따른 운동역학적 분석)

  • Han, Je-Hee;Woo, Byung-Hoon
    • Korean Journal of Applied Biomechanics
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    • v.20 no.3
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    • pp.277-284
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    • 2010
  • The purpose of this study was to investigate the trunk rotation type by wheel and axle. In order to analysis, 3D-motion analysis and electromyography were conducted on kinematic variables, impulse, average-EMG and integrated-EMG. Twelve healthy (age: $21.8{\pm}2.2$ yrs, height: $175.4{\pm}5.0cm$, weight: $66.7{\pm}6.4kg$) participated in the experiment. The results were as follows; in hand's velocity and acceleration, wheel and axial rotating movement using kinematic chain(type 3) were much faster. In impulse, type 3 was much stronger. In average-EMG, right and left, latissimus dorsi muscles was much stronger. In integrated-EMG, left erector spinae, right/left latissimus dorsi, and left external oblique muscles was much stronger. These results considered that, in the trunk rotation utilizing the kinematic chains action, latissimus dorsi muscles highly contribute to the muscle utilization that makes the rotating movement maximally effective.

A SMA-based morphing flap: conceptual and advanced design

  • Ameduri, Salvatore;Concilio, Antonio;Pecora, Rosario
    • Smart Structures and Systems
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    • v.16 no.3
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    • pp.555-577
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    • 2015
  • In the work at hand, the development of a morphing flap, actuated through shape memory alloy load bearing elements, is described. Moving from aerodynamic specifications, prescribing the morphed shape enhancing the aerodynamic efficiency of the flap, a suitable actuation architecture was identified, able to affect the curvature. Each rib of the flap was split into three elastic elements, namely "cells", connected each others in serial way and providing the bending stiffness to the structure. The edges of each cell are linked to SMA elements, whose contraction induces rotation onto the cell itself with an increase of the local curvature of the flap airfoil. The cells are made of two metallic plates crossing each others to form a characteristic "X" configuration; a good flexibility and an acceptable stress concentration level was obtained non connecting the plates onto the crossing zone. After identifying the main design parameters of the structure (i.e. plates relative angle, thickness and depth, SMA length, cross section and connections to the cell) an optimization was performed, with the scope of enhancing the achievable rotation of the cell, its ability in absorbing the external aerodynamic loads and, at the same time, containing the stress level and the weight. The conceptual scheme of the architecture was then reinterpreted in view of a practical realization of the prototype. Implementation issues (SMA - cells connection and cells relative rotation to compensate the impressed inflection assuring the SMA pre-load) were considered. Through a detailed FE model the prototype morphing performance were investigated in presence of the most severe load conditions.