• The Journal of Korean Physical Therapy
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• 제11권3호
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• pp.89-96
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• 1999

The purpose of this study was to examine the effects of neuromuscular electrical stimulation(NMES) on the spasticity of elbow flexor. Ten spastic hemiplegia who have been at EUL-JI medical college hospital in Taejon with age range of 35 to 70 years$(56.8\pm9.5)$, were participated in this study. The subjects (5male, 5female) took neuromuscular electrical stimulation therapy on the triceps of the affected elbow. To compare the effect of the treatment, the grade of spasticity of affected elbow flexor was measured at pre-treatment and the end of each weeks using modified Ashworth scale. Then, the range of extension of the affected elbow was measured at pre-treatmen and the end of each weeks using full circle goniometer. The data were analyzed with ANOVA to determine significant differences with the passage of time. The results were as follows: 1. ANOVA test showed significant differences in reducing spasticity of NMES group with the passage of time (p<.01). 2. ANOVA test showed significant differences in increasing range of motion with the passage of time of NMES group(p<.01). The neuromuscular electrical stimulation is a effective method to reduce the spasticity of elbow flexor.

• 대한물리의학회지
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• 제10권3호
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• pp.101-108
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• 2015

PURPOSE: This study researched the effects of the changes of elbow joint angle and of arm position in PNF pattern on muscle activation of the contralateral shoulder muscles while performing PNF pattern exercise. METHODS: The research subjects were 16 male physical therapists who had no neuromuscular or neurological disorders. To measure the muscle activation of the contralateral shoulder muscles, EMG electrodes were attached to the muscle valley of the middle and posterior areas of the deltoid and triceps muscles of the arm. Muscle activation while performing the ulnar thrust PNF pattern exercise was measured with the elbow joint positioned at angles of $30^{\circ}$, $45^{\circ}$, and $60^{\circ}$. Resistance points were at the initial, middle, and end ranges of PNF pattern exercise. RESULTS: Muscle activation of the middle and posterior portions of the deltoid muscle increased significantly according to the changes of elbow joint angle. In each resistance point the middle range was significantly higher than at other points. A significant difference on muscle activation was demonstrated throughout each range depending on the type of muscle. Muscle activation of the middle and posterior portions of the deltoid muscle was higher than muscle activation of the triceps. CONCLUSION: The results of this study demonstrate that the PNF pattern exercising method used in this study is a selective exercising method focusing on the deltoid muscle over the triceps muscle. In order to increase the muscle strength to the maximum level, it is necessary to provide the maximum level of resistance in the middle range of the elbow joint.

• Nuclear Engineering and Technology
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• 제52권9호
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• pp.2092-2099
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• 2020

Many damages due to flow-accelerated corrosion and cracking have been observed during recent in-service inspections of nuclear power plants. To determine the operability or repair for damaged pipes, an integrity evaluation related to the damaged piping system should be performed by using already proven code and standards. One of them, the ASME Code Case is most popularly used to integrity assessment in nuclear power plants. However, the recent version of CC N-513 still recommends the simplified method which means a damaged elbow is assumed as an equivalent straight pipe. In addition, to enhance the accuracy integrity assessment in elbow, several previous studies recommend that the SIF and elastic COD values for an elbow with relatively large crack could be predicted by an interpolation technique. However, those estimates for elbow with relatively large crack might be derived to inaccurate results for crack growth analysis, such as for the allowable crack size and life estimation. Therefore, in this paper, the effect of crack length (0.3≤θ₁/π≤0.5) on SIF and elastic COD for elbow is systematically investigated. Then, for large crack in elbow, accurate estimates for SIF and elastic COD, which are widely used to assess the integrity of elbows, are proposed. Those proposed solutions are expected to be the technical basis for revisions of CC N-513-4 through the validation.

• Clinics in Shoulder and Elbow
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• 제14권1호
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• pp.99-104
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• 2011

목적: 주관절에 대한 인공 관절 성형술은 아직도 슬관절이나 고관절에서의 그것에 비해 정설이 정립되지 않은 분야이다. 치환물의 디자인이나 수술 술기면에서 많은 발전이 이루어지고 있지만, 여전히 문헌상 보고되는 장기 추시 결과는 많지 않은 실정이다. 여기에서는 현재 사용되고 있는 다양한 주관절 치환물에 대해 전반적으로 살펴보고자 하였다. 대상 및 방법: 주관절에 대한 인공 관절 성형술에 사용되는 치환물은 크게 3개로 분류되고 있다. 비구속형과 구속형, 그리고 전환 가능한 치환물이 그것이다. 이들 각각 치환물의 특징 및 현재의 경과 등에 대해 살펴보았다. 결과 및 결론: 주관절에 대한 인공 관절 성형술에 있어서 치환물의 형태 자체보다는 이를 적절히 적용하기 위한 적절한 환자의 선택, 지속적인 치환물 디자인의 개선, 수술 술기의 발달, 적절한 수술 후 재활 치료 등과 같은 요인 역시 중요하다.

• Clinics in Shoulder and Elbow
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• 제8권1호
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• pp.49-56
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• 2005

Purpose: To review the surgical results of stiff elbow using the posterior extensile approach which provides a wide surgical view with a single posterior skin incision. Materials and Methods: From February 1999 to May 2002, we performed 6 surgical correction of stiff elbow using posterior extensile approach and followed the patients more than 1 year. In order to get better result, we performed cadaver study (four elbows of two fresh cadavers). Average duration of follow up was 15.7 months $(14{\sim}21)$. Functional results was analyzed using Brobery and Morrey analysis scale. Results: The approach through the plane between the extensor carpi radialis longus and the extensor carpi radialis brevis was ideal, because it preserves normal anatomy and provides a wide surgical view of the anterior joint. The posterior joint could be approached directly between the medial head of the triceps brachii and brachialis medially, the lateral head of triceps brachii and brachioradialis laterally. In all patients, an improved ROM was obtained with intra and extra-articular adhesiolysis: an average $61.7^{\circ}$ improvement $(50{\sim}75)$. Functional results were as follows: five excellent, one good. In addition, the patients' satisfaction was high since the scar from the operation was only a single line at the posterior surface of the elbow. Conclusion: In the treatment of stiff elbow, posterior extensile approach is thought to be useful because this method provides wide anterior and posterior surgical view.

• 대한견주관절학회:학술대회논문집
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• 대한견주관절학회 2005년도 제13차 춘계학술대회
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• pp.72-72
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• 2005

• 대한통합의학회지
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• 제3권2호
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• pp.1-8
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• 2015

Purpose: This study was conducted to know the evidence case to assessment about literatures of extensor carpi radialis therapeutic strategy of tennis elbow about dysfunction wrist extension with anatomy, biomechanic and function. Method: Patient was received the physical therapy program with medication for two weeks. Physical therapy program consists of strengthening exercise, stretching exercise and extracopereal shock wave therapy. Results: Patients could do computer and house works at three weeks significant with improved pain. The amounts used repetitive muscle was reduced slowly over a period of a day or two days for wrist moving. Wrist flexor strengthening exercise and could reduced the wrist extensor injury. Conclusion: Clinicians certainly realized biomechanic effects and anatomy of extensor carpiradialis and elbow joint.

• 대한전기학회:학술대회논문집
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• 대한전기학회 2006년도 제37회 하계학술대회 논문집 D
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• pp.1929-1930
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• 2006

Human like robot arm posture for grasping by considering the shape of the target object is quite a challenge in the field of robotics. In this paper, an optimized grasp posture with respect to the shape of the object considering the wrist joint angle and elbow elevation angle, in order to verify that the grasp posture is human like has been proposed. Given a target object, the candidates for grasp are computed by the method described in this paper. For each candidate, the closed loop inverse kinematics has been solved for the corresponding hand position and orientation. From the obtained joint angles through inverse kinematics, the elbow elevation angle has been computed and compared with the elbow elevation angle obtained through human movement data by the characteristic equation. After considering all the candidates, the hand position and orientation with minimum wrist joint and difference in elbow elevation angles has been utilized as the optimized grasp posture. Simulation results are presented.

• 대한기계학회논문집B
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• 제23권11호
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• pp.1453-1463
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• 1999

An electromagnetic flowmeter, based on a magnetic induction principle; provides an obstructionless flowmeter that essentially averages the velocity distribution over the pipe cross-sectional area. To predict the installation effects, the flowmeter installed near $90^{\circ}$ elbow is simulated by using a commercial code FLUENT(ver. 4.48) for the laminar flow field and a code developed through this study for magnetic field. The installation effects of the flowmeter are estimated by varying a number of the dependent parameters such as the radius of the elbow(Rc=1D, 1.5D, 2D, 3D), the location, Reynolds number and the direction of electrodes plane(${\varphi}$). It was found that all these factors affect the performance of the electromagnetic flowmeter significantly. The longer installation distance from the elbow is not always optimal to minimize the error, and also there exists an optimal location to install the EMF for a minimum error. Especially the flow signal with the electrodes plane direction of ${\varphi}=45^{\circ}$ is shown to yield smallest measurement error regardless of the Reynolds number and the curvature of elbow.

• Nuclear Engineering and Technology
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• 제49권1호
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• pp.245-253
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• 2017

The relative displacement of a piping system installed between isolated and nonisolated structures in a severe earthquake might be larger when without a seismic isolation system. As a result of the relative displacement, the seismic risks of some components in the building could increase. The possibility of an increase in seismic risks is especially high in the crossover piping system in the buildings. Previous studies found that an elbow which could be ruptured by low-cycle ratcheting fatigue is one of the weakest elements. Fatigue curves for elbows were suggested based on component tests. However, it is hard to find a quantitative evaluation of the ultimate state of piping elbows. Generally, the energy dissipation of a solid structure can be calculated from the relation between displacement and force. Therefore, in this study, the ultimate state of the pipe elbow, normally considered as failure of the pipe elbow, is defined as leakage under in-plane cyclic loading tests, and a failure estimation method is proposed using a damage index based on energy dissipation.