• Clinics in Shoulder and Elbow
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• 제25권3호
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• pp.173-181
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• 2022

Background: Healing of the tendon itself is not always related to successful clinical outcomes after rotator cuff repair. It was hypothesized that certain radiologic factors affecting clinical outcomes could exist in case of the retear after arthroscopic rotator cuff repair (ARCR) and the radiologic factors could help predict clinical process. The purpose of this study was to identify the radiologic factors associated with clinical outcomes of the retear after ARCR. Methods: Between January 2012 and December 2019, among patients with sufficient footprint coverage for ARCR, 96 patients with Sugaya classification 4 or higher retear on follow-up magnetic resonance imaging were included. The association between clinical outcomes such as American Shoulder and Elbow Surgeons (ASES) score, Constant score and range of motion and radiologic variables such as initial tear dimension, retear dimension, variance of tear dimension, critical shoulder angle, acromial index, and acromiohumeral distance was analyzed. Results: Preoperatively, the ASES and Constant scores were 59.81±17.02 and 64.30±15.27, respectively. And at the last follow-up, they improved to 81.56±16.29 and 78.62±14.16, respectively (p<0.01 and p<0.01). In multiple linear regression analysis, the variance of the mediolateral dimension of tear had statistically significant association with the ASES and Constant scores (p<0.01 and p=0.01). Conclusions: In patients with the retear after ARCR, the variance in the mediolateral dimension of tear had significantly negative association with the clinical outcomes. This could be considered to be reference as relative criteria and needed more sample and mechanical study.

• 구강회복응용과학지
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• 제19권3호
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• pp.169-183
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• 2003

According to our recent investigation that the increase in the occlusal vertical dimension made the appendage muscle strength got higher, the occlusal appliances were made by increasing the occlusal vertical dimension "from the centric relation" position of the mandible. In this experiment, the authors tried to study the change in the appendage muscle strength due to increase in occlusal vertical dimension from intercuspal position(ICP) of mandible with the same subjects and manner as the former experiment. For this study, ten male athletes in a mean age of 23 year who were joined the former study were selected. All the subjects had a complete or almost complete set of natural teeth and reported no subjective symptoms of temporomandibular disorders. Upper and lower casts were mounted on the semi-adjustable articulator at the intercuspal position and a point was marked on the attached gingival area between the right canine and the right 1st. premolar in each upper and lower cast. From the points, the occlusal vertical dimension was increased by 2mm, 3.5mm and 5mm, and then each 10 maxillary type occlusal splint at each 3-increased position were fabricated with heat curing clear acrylic resin. Including the intercuspal position, the 3 kinds of occlusal splints were placed on the subjects individually, and then isokinetic muscle strength on 7 parts of the human appendage which are shoulder, knee, ankle, wrist, forearm, elbow and hip was measured with the CYBEX 6000 SYSTEM (Lumex, NewYork, USA). The results were as follows: The highest mean value in muscular strength was shown at the position of 2mm-increased vertical dimension. The muscle strength during internal/external rotation of shoulder and knee, plantarflexion of ankle, flexion of elbow, and flexion and extension of hip at the increased occlusal vertical dimension position were significantly higher than them at the intercuspal position (p<0.05). Only in view of the increase in the appendage muscle strength, regardless of the way of making the occlusal splints by elevating the occlusal vertical dimension from the centric relation position or intercuspal position, the occlusal splints had an effect on the increase of isokinetic muscle strength at the occlusal vertical dimension which increased within the proper range on the habitual arc of closure.

• The Journal of Korean Physical Therapy
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• 제16권3호
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• pp.176-191
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• 2004

The purpose of this study was to find the effects of the eccentric exercise induced delayed muscle soreness on proprioception, muscle strength, muscle fatigue, and muscle pain of the elbow flexor muscles. Thirty one healthy male subjects were participated in this study. Before resisted eccentric exercise of the elbow flexors and immediately and at 1, 3, 5, and 7 days post-exercise, pain threshold, proprioception, tension tracking, initial median frequency, and fatigue index were measured. Pain pressure threshold and visual analog scale (VAS) was used to measure muscle pain. Proprioception of the elbow joint was measured by using 3 dimension motion analysis system. Maximum isometric contraction was measured by using digital tensiometer. Electromyography and power spectrum analysis was used to measure initial median frequency (IMF) and fatigue index (FI). Immediately post-exercise, a significant decrease pain threshold was observed that continued to 5 days post-exercise. VAS score was significantly increased at 1 and 3 days post-exercise compared to that of immediately post-exercise. Maximum isometric contraction, IMF, tension tracking ability of the exercised elbow joint were significantly decreased at 1, 3, and 5 days post-exercise compared to that of pre-exercise. FI was significantly increased at 1 and 3 days post-exercise compared that of pre-exercise. Proprioception sense of exercised elbow joint was significantly decreased immediately and at 1, 3, and 5 days post-exercise compared to that of pre-exercise. Proprioception sense of the contralateral elbow joint was significantly decreased immediately post-exercise compared to that of pre-exercise. However, proprioception sense that was measured in close chain kinematic position was not significantly difference between pre-exercise and post-exercise. These results could be useful to determine the resume time for exercising and participating sports activities.

• 구강회복응용과학지
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• 제17권4호
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• pp.231-244
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• 2001

This study was conducted to observe the effect on appendage muscle strength according to increase in occlusal vertical dimension. For this study, ten males with a mean age of 21 were selected. The subjects had a complete or almost complete set of natural teeth and reported no subjected symptoms of pain or dysfunction in the masticatory system. The tested occlusal splints were made at the position of increased occlusal vertical dimension of 2mm, 3.5mm, and 5mm from the ICP. Before and after wearing occlusal splints, the appendage muscle strength were tested by CybexII Dynamometer in each subject. The results were as follows : 1. When occlusal vertical dimension was increased, most of mean muscular strength values were increased except for those of supination and pronation of forearm at the position of 5mm increased occlusal vertical dimension. 2. The statistical analyses demonstrated that the increased occlusal vertical dimension position to be significantly stronger than intercuspal position for the muscle strength of the flexion and extension of hip, supination of forearm, external and internal rotation of knee, dorsiflexion and plantarflexion of ankle (p<0.05). 3. At the position of 3.5mm increased vertical dimension displayed the highest mean muscluar strength value than other positions. 4. Statistically demonstrated values, except for supination of forearm, internal rotation of shoulder, were related to lower appendage. Therefore splint was more effective on lower appendage than upper appendage to make muscle strength increased. 5. The mean increased rate of muscular strength tested on knee(57%), ankle(42%), and wrist(20%) were higher than hip(31%), elbow(14%), and shoulder(17%).

• 한국압력기기공학회 논문집
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• 제18권2호
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• pp.77-86
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• 2022

This study investigates the effect of the diameter and thickness on crack initiation location and orientation of 90° elbows under in-plane mode displacement-controlled cyclic bending loads. Finite element (FE) analysis of cyclic failure test is conducted for elbow specimens under in-plane mode displacement-controlled cyclic bending to identify the parameters affecting crack location and orientation. Furthermore, parametric FE analysis of the pipe elbows with various pipe nominal sizes and Schedules is performed, and the crack location and orientation from the results of FE analysis are determined. It is found that the crack location and orientation in the pipe elbows are determined mianly by the radius to thickness ratio of pipe elbows (R_m/t). It is also found that the presence of internal pressure slightly increases the value of R_m/t at which the failure mode changes.

• 한국운동역학회지
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• 제22권1호
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• pp.95-104
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• 2012

The purpose of this study targeted to national cross-country skiers representatives was to implement hypothetical experiment on their patterns of the movements and analysis on kinematic variables occurred while double polling was conducted between starting and finishing phase of 56 meters. Furthermore, it aimed to provide a set of quantitative data to illustrate how to improve one's skill and performance of sprint. In our experiments, we conducted 3-dimension analysis of cycle characteristics, joint angle(hip, knee and elbow), and pole angle. The results showed that at the starting phase, the players did not show a significant difference in attributes of time and distance. In heat 1 where elbow angle and polling starts, the pole angle was noticeably high in heat 1. At the finishing phase, there was a considerable distinction with a high frequency in performing a short polling time and high speed in heat 3. The players showed large extension between the flexion and of the hip angle which indicates high contribution given from the movement of lower body(hip, knee).

• 대한물리치료과학회지
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• 제3권4호
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• pp.171-179
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• 1996

This study was conducted to investigate on the standardization of wheel chair for Korean in the twenties college students. Study population included 200 students in Andong junior college from September 25, 1996 to October 16, 1996. Basic measurements for wheel chair production were carried out A(from behind calf to rear of buttocks), B(from the popliteal fossa to the bottom of the heel), C(from the bottom of the elbow to the seating surface), D(from the seating surface from to midseapula), E(across the hip at widest point). The results are as follows. There was a statistical significance between male and female body dimension measurements in the A(p=0.0018), B(p=0.0001), E(p=0.0001), the other side not significance of C(p=0.1193), D(p=0.8467). The standard dimension of wheel chair included seat depth 40.6 cm, seat height 48.1 cm, arm height 25.8 cm, back height 35.7 cm, seat width 39.6 cm in the twenties male college students and in female case included seat depth 39.3 cm, seat height 45.2 cm, arm height 26.5 cm, back height 35.8 cm, seat width 41.2 cm.

• Clinics in Shoulder and Elbow
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• 제26권2호
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• pp.109-116
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• 2023

Background: Golf is a popular sport involving overhead activity and engagement of the rotator cuff (RC). This study aimed to determine to what level golfers were able to return to golf following RC repair, the barriers to them returning to golf and factors associated with their failure to return to golf. Methods: Patients preoperatively identifying as golfers undergoing RC repair at the study centre from 2012 to 2020 were retrospectively followed up with to assess their golf-playing status, performance and frequency of play and functional and quality of life (QoL) outcomes. Results: Forty-seven golfers (40 men [85.1%] and 7 women [14.9%]) with a mean age of 56.8 years met the inclusion criteria, and 80.1% were followed up with at a mean of 27.1 months postoperatively. Twenty-nine patients (76.3%) had returned to golf with a mean handicap change of +1.0 (P=0.291). Golf frequency decreased from a mean of 1.8 rounds per week preinjury to 1.5 rounds per week postoperatively (P=0.052). The EuroQol 5-dimension 5-level (EQ-5D-5L) index and visual analog scale (EQ-VAS) score were significantly greater in those returning to golf (P=0.024 and P=0.002), although functional outcome measures were not significantly different. The primary barriers to return were ipsilateral shoulder dysfunction (78%) and loss of the habit of play (22%). Conclusions: Golfers were likely (76%) to return to golf following RC repair, including mostly to their premorbid performance level with little residual symptomatology. Return to golf was associated with a greater QoL. Persistent subjective shoulder dysfunction (78%) was the most common barrier to returning to golf.

• 디자인학연구
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• 제12권1호
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• pp.157-166
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• 1999

컴퓨터의 도입과 함께 VDT 증후군이라는 새로운 사회문제가 제기되고 있다. 다양한 체격의 사용자가 무리 없는 자세로 VDT작업을 수행하기 위해서는 인간공학적인 설계기준이 필요하다. 본 연구에서는 선 연구의 설계지침을 이용하여 설계 권장치수를 먼저 제시하였다. 이에 대찬 타당성 검증을 위해 사용자의 선호치수를 구하였고, 그것과 설계지침에 따른 차이를 분석하였다. 그리고 안락감과 신체불편도 평가를 통한 주관적 평가와 근전도(EMG)분석을 통한 객관적 평가를 사용하여 각 설계치수가 인체에 미치는 영향을 비교분석 하였다. 워크스테이션에서 중요한 키보드의 높이는 팔꿈치보다 높이가 낮다면 손과 손목에 영향을 미치고, 높으면 목과 어깨에 피로를 가져다준다. 본 연구 실험결과 한국인을 위한 키보드책상의 권장치수는 고정식일 때 660mm 조절식일 때 540-774mm를 추천한다. 그 외 설계권장치수는 본문에 제시하였으며 이와 같은 인간공학적 권장치수는 결론적으로 사용자의 신체에 맞게끔 조절범위를 제공하므로 설계 분야에 중요한 기초자료가 되리라본다.

• 한국운동역학회지
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• 제22권3호
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• pp.277-284
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• 2012

The purpose of this study was to find out the changes in beginners' batting movements after taking undergraduate baseball lectures, by comparing and analyzing the speed of bat, the angle of body and its segments, the angular velocity and so on. For this purpose, the author picked up five undergraduates who had not taken baseball lectures, and conducted three-dimension computerized tomography twice on them, that is, before and after taking baseball classes, with eight infrared cameras and two force platforms. The conclusions are, first, the time required for swing was shortened after taking the classes. Second, the maximum velocity of the bat-end was increased. Third, at the time of impact, while the rotation angles of the pelvis and the tip of left foot were increased, the left elbow had more flexion after the classes. Fourth, the size of ground reaction force was increased at the point of swing where the ground reaction force of left foot became maximized. As we can infer from these conclusions, beginners' hitting movements before taking baseball classes tended to swing only with the arms, without waist rotation and weight shift of the lower body, but after the classes, their movements were proved to be corrected into the swing using the lower body. For the future studies, the author expects a research in a close to real environment by using pitching machine.