• Title/Summary/Keyword: External Rotation

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A Randomized Comparative Study of a Standard Anterior Capsular Release versus Inferior Extended Release for the Treatment of Shoulder Stiffness

  • Alzeyadi, Ahmed Abdullah;Kim, Yang-Soo;Lee, Hyo-Jin;Park, Sung-Ryeoll;Sung, Gwang Young;Kim, Dong-Jin;Jung, Ji-Hwan;Kim, Jong-Ho
    • Clinics in Shoulder and Elbow
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    • v.20 no.3
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    • pp.117-125
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    • 2017
  • Background: To compare the clinical outcomes of arthroscopic capsular release in patients with and without inferior capsular release for shoulder stiffness. Methods: Between January 2010 and December 2015, 39 patients who underwent arthroscopic capsular release for shoulder stiffness were enrolled and randomized into two groups. In group I, 19 patients underwent arthroscopic capsular release of the rotator interval and anterior capsule. In group II, 20 patients underwent arthroscopic capsular release of the anterior to inferior capsule, including the rotator interval. The American Shoulder and Elbow Surgeons score, Constant scoring system, Simple Shoulder Test, visual analogue scale for pain, and range of motion (ROM) were used for evaluation before surgery, at 3, 6, and 12 months after surgery and on the last follow-up. Results: Preoperative demographic data revealed no significant differences (p>0.05). The average follow-up was 16.07 months. Both groups showed significantly increased ROM at the last follow-up compared with preoperative (p<0.05). At the last follow-up, no statistical differences were found (p>0.05) between groups I and II in functional scores and ROM (forward flexion, p=0.91; side external rotation, p=0.17; abduction external rotation, p=0.72; internal rotation, p=0.61). But we found that group II gained more flexion compared to group I at 3 months and 6 months (p<0.05) after the surgery. Conclusions: Both techniques of capsular release are effective for stiffness shoulder. However, the extended inferior capsular release shows superiority in forward flexion over anterior capsular release alone during 6 months of follows-up (level of evidence: Level I, therapeutic randomized controlled trial).

A study on the computer simulation model of the NONHOLONOMIC rotating motion system about the closed system (폐쇄된 계에서 비 흘로노믹 (NONHOLONOMIC) 회전 운동 SYSTEM에 대한 컴퓨터 씨뮬레이션 모델에 관한 연구)

  • Chung, Byung-Tae
    • Journal of the Korea Computer Industry Society
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    • v.10 no.5
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    • pp.221-226
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    • 2009
  • The closed system's internal rigid body particle rotation motion can be distinguished by a main body that becomes the core of the rotation and the particles that are subjected to the rotation. The instance of particles becoming bounded to the main body as a holonomic system, has till now, been well defined and formulated in the study of Kinetics, and the structure of the formulas relate well to reality. However, when the structure is non-holonomic it deviates from these existing equations. The purpose of this research is to categorize the differences between a holonomic system and a non-holonomic system when rotating, through devices. With a special emphasis on the real phenomenon of the non-holonomic system which will be formulated in the form of a model or computer simulation. With these formulas, the center of mass shift in a closed rotating motion system and confined motion of external friction will be adequately expressed, so that it may be applied to computer graphics motions methods.

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Investigations on the Magneto-optical Properties of Bilayered Co/Ni Micro-patterned Anti-dot Arrays

  • Deshpande, N.G.;Zheng, H.Y.;Hwang, J.S.;Lee, S.J.;Lee, Y.P.;Rhee, J.Y.;Kim, K.W.
    • Proceedings of the Korean Vacuum Society Conference
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    • 2012.02a
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    • pp.251-251
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    • 2012
  • A lot of studies are undergoing on the magneto-optical (MO) properties of patterned magnetic systems for the reason that they have potential application to information technology such as ultrahigh-speed computing. Moreover, they can be considered as the future candidates for high-density MO storage devices. Not only the technical aspects, but there have been also tremendous interests in studying their properties related to the fundamental physics. The MO Kerr-rotation effects (both in reflected and the diffracted modes) and the magnetic force microscopy (MFM) are very useful techniques to investigate the micromagnetic properties of such periodic structures. Hence, in this study, we report on the MO properties of bilayered Cobalt (Co)/ nickel (Ni) micro-patterned anti-dot arrays. Such a ferromagnetic structure was made by sequentially depositing co (40 nm)/Ni (5 nm) bilayer on a Si substrate. The anti-dot patterning with hole diameter of $1{\mu}m$ was done only on the upper Co layer using photolithography technique, while the Ni underlayer was kept uniform. The longitudinal Kerr rotation (LKR) of the zeroth- and the first-order diffracted beams were measured at an incidence of $30^{\circ}$ by using a photoelastic modulator method. The external magnetic field was applied perpendicularly to the reflected and the diffracted beams using an electromagnet capable of a maximum field of ${\pm}5$ kOe. Significantly, it was observed that the LKR of the first-order diffracted beam is nearly 4 times larger than that of the zeroth-order beam. The simulated results for the hysteresis loops matched qualitatively well with the experimentally obtained ones. In conjunction with the LKR, we also investigated the magnetic-domain structure by using a MFM system, which were analyzed to elucidate the origin of the enhanced MO rotation.

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Kinetic comparative analysis of tennis backhand stroke for interdisciplinary convergence research (학제간 융합연구를 위한 테니스 백핸드 스트로크 동작의 운동역학적 비교 분석)

  • Cha, Jung-Hoon
    • Journal of Digital Convergence
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    • v.13 no.7
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    • pp.373-380
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    • 2015
  • This study which was conducted on male tennis player on one hand(OH) & two hand(TH) backhand stroke and how both motion differed on low extremity movement with each feature analyzed in detail, the result as follow. The motion of TH based on resultant velocity, appeared to be a higher than OH, which was important variable in determining the ball speed. Contrary to TH where the player minimized the motion in the lower body and finalized a stroke through the turn of the trunk as if sticking the ball closed to the body, OH was carried out such that the player appeared to chase the ball. Whereas in OH, the knee joint extension moment was not found to be larger than TH, the opposite result came out for abduction moment and internal rotation moment. In the case of hip joint, consisted of extension, abduction and internal rotation moment, the outcome emerged to be greater for TH with conspicuous difference in abduction moment. Flection moment for TH overwhelmed in TH though both adduction and external rotation moment brought about similar outcome for both strokes.

An Analysis of Shoulder Joint Torque and Muscle Pattern Duing Tennis Serve by Isokinetic Motions on Isomed 2000 (Isomed 2000을 이용한 고등학교 테니스 선수 서브동작의 어깨관절 회전력과 근동원 양상 분석)

  • Kim, Sung-Sup;Kim, Eui-Hwan;Sung, Young-Ho;Kim, Tae-Whan;Chung, Jae-Wook
    • Korean Journal of Applied Biomechanics
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    • v.17 no.1
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    • pp.61-68
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    • 2007
  • The purpose of this study was to analyze the shoulder joint torque and muscle pattern performing as Tennis serve by Isokinetic motions on Isomed 2000. The subject, who was 5 males Korean national high school tennis players. By analyzing the flexion/extension of the shoulder, the peak torque of the internal/external rotation motion(at 60,180 and 300 degree/sec) at peak torque degree, the weight, peak torque, and power. combined with the timing of the electrode of the attached trapezius and posterior deltoid at the three part. From the data analysis & discussion the following conclusions were drawn. When doing a shoulder extension, the peak torque can be widely seen at 60degree per second. However the degree may be different depending on angular velocity. When doing an internal rotation at 90degree abduction, peak torque per weight was seen at 60degree per second. The degree of peak torque was at 31.6-44.2 and peak power was faster when angular velocity was increased. The aspect of muscle pattern was seen more at the internal rotation in the 90degree abduction rather than the shoulder extension. However the angular velocity was not influenced by muscle mobilization(in order of anterior deltoid, posterior deltoid and trapezius. To properly apply the above conclusion, when tennis players serve it is better the elbow be impacted by the extension. when doing isokinetic motion it is better to increase angular velocity and improve muscle power. also the anterior deltoid amongst the shoulder muscle should be improved to develop serve speed.

Three-dimensional Kinematics of Knee Joint in a Complete Gait Cycle: A Comparative Study between Handball Players and Non-athletes

  • Dinesh, Paudel;Back, Jin-Ho
    • Korean Journal of Applied Biomechanics
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    • v.31 no.3
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    • pp.176-182
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    • 2021
  • Objective: The purpose of this study is to investigate whether the athletic knee show greater rotation and translation movement than non-athletic knee during the treadmill walking with their preferred speed in a complete gait cycle. Method: Thirty young and healthy male subjects participated in the study, fifteen handball players (mean age: 19.6 ± 1.4 years old, mean weight: 85 ± 11.9 Kg, mean height: 179.8 ± 4.7) and fifteen non-athletes (mean age: 22.8 ± 1.2 years old, mean weight: 74.5 ± 8.6 Kg, mean height: 175 ± 5.9). Three-dimensional positional coordinate of lower limb during treadmill walking were analyzed. Results: There were significant differences (t (22.014)=1.585, p=0.127 in the range of internal and external rotation with mean value for handball player (M=14.4513, SD=2.3839) was higher than non-athletes (M=13.3327, SD=1.337). The magnitude of the difference in the means (mean difference=1.11867, 95% CI: -0.34489 to 2.5822) was significant. There were also significant differences (t (17.956)=1.654, p=0.116 in the max abduction and adduction with mean value for handball player (M=5.7160, SD=2.49281) was higher than non-athletes (M=4.5773, SD=0.94667). The magnitude of the difference in the means (mean difference=1.138, 95% CI: -0.30805 to 2.58539) was significant. At significance level 0.05. Conclusion: Finding of this study suggest that to understand the actual characteristic of knee motion studies have to be done in different walking and running trial at variable speed.

Implant selection for successful reverse total shoulder arthroplasty

  • Joo Han Oh;Hyeon Jang Jeong;Yoo-Sun Won
    • Clinics in Shoulder and Elbow
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    • v.26 no.1
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    • pp.93-106
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    • 2023
  • Reverse total shoulder arthroplasty (RTSA) emerged as a new concept of arthroplasty that does not restore normal anatomy but does restore function. It enables the function of the torn rotator cuff to be performed by the deltoid and shows encouraging clinical outcomes. Since its introduction, various modifications have been designed to improve the outcome of the RTSA. From the original cemented baseplate with peg or keel, a cementless baseplate was designed that could be fixed with central and peripheral screws. In addition, a modular-type glenoid component enabled easier revision options. For the humeral component, the initial design was an inlay type of long stem with cemented fixation. However, loss of bone stock from the cemented stem hindered revision surgery. Therefore, a cementless design was introduced with a firm metaphyseal fixation. Furthermore, to prevent complications such as scapular notching, the concept of lateralization emerged. Lateralization helped to maintain normal shoulder contour and better rotator cuff function for improved external/internal rotation power, but excessive lateralization yielded problems such as subacromial notching. Therefore, for patients with pseudoparalysis or with risk of subacromial notching, a medial eccentric tray option can be used for distalization and reduced lateralization of the center of rotation. In summary, it is important that surgeons understand the characteristics of each implant in the various options for RTSA. Furthermore, through preoperative evaluation of patients, surgeons can choose the implant option that will lead to the best outcomes after RTSA.

Experimental and numerical study of Persian brick masonry barrel vaults under probable structural hazards

  • Saeid Sinaei;Esmaeel Izadi Zaman Abadi;Seyed Jalil Hoseini
    • Structural Engineering and Mechanics
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    • v.87 no.4
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    • pp.317-332
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    • 2023
  • Understanding and analysing the behaviour and response of historical structures in the face of climate changes and environmental conditions is of utmost significance for their preservation. There are several structural hazards associated with climate and hydrology changes in the region, including the settlement of piers, the rotation of piers, and temperature changes. The present study investigates the experimental and numerical structural behaviour of skewed and non-skewed Persian brick masonry barrel vaults under various conditions. The external loading conditions included pier rotation in five modes, settlement, and temperature variations in four states. Initially, the experiments extracted the mechanical properties of the scaled materials. Then, three semi-circular brick barrel vaults were tested with gravitational loads. The outcomes were used to develop and validate the finite element model. Following the development of the finite element model, numerical and parametric studies were conducted on the effect of the aforementioned structural hazards on the response of brick masonry barrel vaults with various Persian geometries (semi-circular, drop pointed, and four-centred), angles of skew (0, 15, 30, and 45 degrees), and dimensional ratios. According to the findings, the fragility of masonry materials makes historical structures susceptible to failure under different loading. A brick barrel vault fails in the presence of minor rotation and settlement of the piers. The four-centred geometric shape has the lowest performance among the seven Persian geometries; therefore, its health monitoring and retrofitting should be prioritised. In Isfahan, Iran, temperature variations, particularly during the warm seasons, cause critical conditions in such structures.

Glenohumeral versus subacromial steroid injections for impingement syndrome with mild stiffness: a randomized controlled trial

  • Yong-Tae Kim;Tae-Yeong Kim;Jun-Beom Lee;Jung-Taek Hwang
    • Clinics in Shoulder and Elbow
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    • v.26 no.4
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    • pp.390-396
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    • 2023
  • Background: The subacromial (SA) space is a commonly used injection site for treatment of impingement syndrome. For shoulder stiffness, glenohumeral (GH) injections are commonly performed. However, in cases of impingement syndrome with mild shoulder stiffness, the optimal site of steroid injection has yet to be identified. Methods: This prospective, randomized study compared the short-term outcomes of ultrasound-guided GH and SA steroid injections in patients who were diagnosed with impingement syndrome and mild stiffness. Each group comprised 24 patients who received either a GH or SA injection of 40 mg of triamcinolone. Range of motion and clinical scores were assessed before and 3, 7, and 13 weeks after the injection. Results: GH and SA injections significantly improved the range of motion and clinical scores after 13 weeks of follow-up. Notably, targeting the GH joint resulted in an earlier gain of forward elevation, external rotation, and internal rotation in 3 weeks (P<0.001, P=0.012, and P=0.002, respectively) and of internal rotation and a Constant-Murley score in 7 weeks (P<0.001 and P=0.046). Subsequent measurements were similar between the groups and showed a steady improvement in all ranges of motion and clinical scores. Conclusions: GH injections may be more favorable than SA injections for treatment of impingement syndrome with mild stiffness, especially in improving the range of motion in the early period. However, the procedures showed similar outcomes after 3 months. Level of evidence: I.

Mirror Manipulator with Independent Adjustability Using an External Spherical Joint (외부 구형관절을 이용한 조정 독립형 거울조정기)

  • 길계환;김창균;나승유;이재민;윤화식;윤무현;백성기
    • Journal of the Korean Vacuum Society
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    • v.10 no.2
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    • pp.145-154
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    • 2001
  • A new type of modular mirror manipulator with independent adjustability was developed for the EPU6 beamline under construction at the Pohang Accelerator Laboratory. The mirror manipulator was designed so that the angular displacements of roll and pitch rotations do not introduce translational displacements and are independent with each other by positioning the mirror center to the center of a newly devised spherical joint. Manipulating its roll and pitch micrometers, the rotation angles of a dummy mirror were measured at an accuracy of 5 $\mu$rad using a gravity-referenced inclinometer. While the designed angular resolution was 3.937 $\mu$rad/$\mu\textrm{m}$, measured angular resolutions were 3.94 $\mu$rad/$\mu\textrm{m}$ for roll rotation and 3.85 $\mu$rad/$\mu\textrm{m}$ for pitch rotation. The effect of roll rotation on pitch angles was measured to be -3.18% and the effect of pitch rotation on roll angles was measured to be -5.21%. As the mirror manipulator was designed with emphases on independent adjustability and standardization, it results in eases of manufacturing, installation and adjustment as well as reductions of development period and design cost of mirror manipulators for various types of mirrors.

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