• Clinics in Shoulder and Elbow
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• v.25 no.3
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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.

• Journal of Dental Rehabilitation and Applied Science
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• v.19 no.3
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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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• v.16 no.3
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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.

• Journal of Dental Rehabilitation and Applied Science
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• v.17 no.4
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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%).

• Transactions of the Korean Society of Pressure Vessels and Piping
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• v.18 no.2
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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.

• Korean Journal of Applied Biomechanics
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• v.22 no.1
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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).

• Journal of Korean Physical Therapy Science
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• v.3 no.4
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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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• v.26 no.2
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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.

• Archives of design research
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• v.12 no.1
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• pp.157-166
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• 1999

With the increase in use of the computer, the VCT syndrome has occured as a new socialJhea/health problem. ErgonomicaI design standards are a for the users to reduce stress and poor physical posture in the human body. In this study. we have suggested design dimensions recommended from previous studies. We also have reviewed users' preference dimenision, and analyzed differences between users' preference dimenision. and the previous design aiteria to verify physical appropriateness. We analyzed how each design dimension was reached and affected the tunan body by objective EMG evaluation. and subjective evaluation of physical discomfort and oorrIort. We have found that keyboard height is very important in a workstation. If the elbow's height is lower than the keyboard's height. it effedS the hand and wrist. If higher, it brings fatigue to the shoulder and neck. As a result of this experiment. we suggested that the height of a keyboard desk for Koreans be 660mm for the fixed type and 540-774mm for the adjustable type. Also other design reoommendations were suggested in the thesis. In ooncIusion, our research will be very important in the database because it provides adjustable ranges to fit user's body types in the various design flekIs.

• Korean Journal of Applied Biomechanics
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• v.22 no.3
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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.