• Title/Summary/Keyword: External Rotation

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The Effects of Scapular Stabilization Exercise before Rotator Cuff Repair on Pain and ROM of Middle-aged Women (중년여성의 가시위근 봉합술전 어깨뼈 안정화운동이 통증과 ROM향상에 미치는 영향)

  • Kim, Taeyeob;Yoo, Byungkook
    • Journal of The Korean Society of Integrative Medicine
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    • v.2 no.1
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    • pp.63-76
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    • 2014
  • Purpose : The purpose of this study was to ascertain the effects of scapular stabilization exercise before rotator cuff surgery on pain and range of motion of middle-aged women. Method : 20 subjects who agreed on this experiment and were diagnosed with rotator cuff rupture participated in this study. Experimental groups were treated while 40 minutes a day, 5 times per week, for 2 weeks before surgery. The effects of scapular stabilization exercise were evaluated on VAS and range of motion. Collected data were analyzed with SPSS for windows ver. 20.0 program. One-way repeated ANOVA was used to examine a significance of each variable by time. Two-way repeated ANOVA was applied to examine a significance of the experimental group against the control group. In all statistical tests, the significance level was set by ${\alpha}=.05$. Result : The results of this study are as follows: 1) In both control and experimental groups, VASs were decreased significantly according to intervention period. There was no significant difference between VASs of two groups. 2) In both control and experimental groups, ROMs of shoulder, flexion, abduction and external rotation were increased significantly according to intervention period. In these three flexibility measurement variables, there were significant differences between ROMs of two groups. Conclusion : In view of all the results in this study, scapular stabilization exercise on before rotator cuff surgery proved to be effective in improving their pain, range of motion after surgery. It will be sufficient data to perform with their own exercise program.

The Effect of Stabilization Exercise and Strength Exercise on Pain, ROM, Strength, Muscle Thickness of Non-Specific Low Back Patients (안정화 운동과 근력운동이 비특이성 요통환자의 통증, 관절가동범위, 근력, 근 두께에 미치는 영향)

  • Jeong, Chanju;Yang, Hoesong;Yoo, Youngdae;Kno, Hynujun;Jang, Yunhyung;Moon, Kyoungae;Yi, Yunkyong;Lim, Changwoo;Cho, Silgeum
    • Journal of The Korean Society of Integrative Medicine
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    • v.2 no.1
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    • pp.35-49
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    • 2014
  • Purpose : The purpose of this study was to find the effects of the lumbar stabilization exercise and strength exercise on pain, ROM, strength, muscle thickness of low back pain(LBP) patients. Method : The subjects were consisted of twelve patients who had nonspecific LBP. All subjects randomly assigned to lumbar stabilization exercise group(N=6) and strength exercise group(N=6). We measured muscular strength, ROM by using Tergumed-extension, rotation and muscle thickness by using ultrasonography and pain score by using Visual analog scale(VAS). The lumbar stabilization exercise group received TOGU exercise, strength exercise group received Tergumed exercise. The data analyzed by repeated measure of Independent t-test, paired t-test, reliability test. Result : The results were as follows. The result which measured of the change of pain score was a significant decrease. The result which measured of the change of ROM and strength was a significant increase. The result which measured of the change of the Internal abdominal oblique, External abdominal oblique on muscle thickness was a significant increase. Stabilization exercise group and Strength exercise group showed the significant difference in muscle thickness on Transversus abdominis, Multifidus. Stabilization exercise group was more increased in muscle thickness. Conclusion : Therefore, we suggest that stabilization exercise is effective for non-specific low back pain.

The Immediate Effects of Electromyographic Biodfeedback Training on Muscle Activity of Trapezius in Patients with Subacromial Impingement Syndrome (근전도 생체되먹임 훈련이 봉우리밑 충돌증후군 환자의 등세모근 근활성도에 미치는 즉각적인 효과)

  • Jung, Jong-Chul;An, Da-In;Yoon, So-Hee;Lee, Jae-Seung;Kim, Soo-Yong
    • PNF and Movement
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    • v.18 no.1
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    • pp.107-116
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    • 2020
  • Purpose: To investigate the effects of electromyography (EMG) biofeedback on the muscle activity of the trapezius, shoulder pain, function, and range of motion (ROM) in patients with subacromial impingement syndrome (SAIS). Methods: Sixteen patients (9 males and 7 females) with SAIS participated voluntarily. The main outcome measures were muscle activity of the trapezius, shoulder pain (VAS), ROM, and the shoulder pain and disability index (SPADI). Exercises with EMG biofeedback consisted of shoulder flexion in a standing position, shoulder external rotation in a side-lying position, and shoulder horizontal abduction in a prone position. Post measurements were taken immediately after EMG biofeedback training. Results: Middle and lower trapezius activity, as well as ROM, was significantly increased by exercise with EMG biofeedback (p<0.05). In addition, VAS and SPADI scores significantly decreased post-EMG biofeedback training (p<0.05). Conclusion: EMG biofeedback intervention is an effective exercise for SAIS patients to restore activity of the middle and lower trapezius and to improve pain, shoulder function, and ROM.

The Effects of Resistance Exercise on Muscle Function Parameters and Cytokine Concentration in Saliva in Breast Cancer Patients with Sarcopenia (저항성 운동형태가 근감소증 유방암 환자의 근기능 지표 및 타액 내 사이토카인에 미치는 영향)

  • Jang, Jae-Hoon;Hur, Sun
    • Journal of the Korea Convergence Society
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    • v.12 no.12
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    • pp.411-418
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    • 2021
  • The purpose of this study was to find out the effects of isomatric and isotonic exercise on the muscle function and cytokine which will prevent recurrence of breast cancer patients. A subjects were thirteen breast cancer patients and they were randomly assigned either isometric exercise group(n=10), isotonic exercises group(n=10) or a daily base care control group(n=10). Resistance exercise group did a exercise program with 60~70%RM for 60min, 3days per week during 8week. There were significantly difference between groups which were showing a increasing flexion, abduction, external rotation, IL-6 and IL-10 in isotonic exercise.

Analysis of Dynamic Response Characteristics for 5 MW Jacket-type Fixed Offshore Wind Turbine

  • Kim, Jaewook;Heo, Sanghwan;Koo, WeonCheol
    • Journal of Ocean Engineering and Technology
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    • v.35 no.5
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    • pp.347-359
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    • 2021
  • This study aims to evaluate the dynamic responses of the jacket-type offshore wind turbine using FAST software (Fatigue, Aerodynamics, Structures, and Turbulence). A systematic series of simulation cases of a 5 MW jacket-type offshore wind turbine, including wind-only, wave-only, wind & wave load cases are conducted. The dynamic responses of the wind turbine structure are obtained, including the structure displacement, rotor speed, thrust force, nacelle acceleration, bending moment at the tower bottom, and shear force on the jacket leg. The calculated time-domain results are transformed to frequency domain results using FFT and the environmental load with more impact on each dynamic response is identified. It is confirmed that the dynamic displacements of the wind turbine are dominant in the wave frequency under the incident wave alone condition, and the rotor thrust, nacelle acceleration, and bending moment at the bottom of the tower exhibit high responses in the natural frequency band of the wind turbine. In the wind only condition, all responses except the vertical displacement of the wind turbine are dominant at three times the rotor rotation frequency (considering the number of blades) generated by the wind. In a combined external force with wind and waves, it was observed that the horizontal displacement is dominant by the wind load. Additionally, the bending moment on the tower base is highly affected by the wind. The shear force of the jacket leg is basically influenced by the wave loads, but it can be affected by both the wind and wave loads especially under the turbulent wind and irregular wave conditions.

Correlation between the Oswestry Disability Index, Berg Balance Scale, and Kinematic Data during Gait Analysis in Elderly People with Chronic Back Pain (만성 허리 통증 노인의 오스웨스트리 장애지수, 버그 균형 척도, 보행 시 운동학적 움직임과의 상관관계)

  • Hwang, Young-In;Kim, Ki-Song
    • Journal of the Korean Society of Physical Medicine
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    • v.16 no.2
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    • pp.71-79
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    • 2021
  • PURPOSE: Chronic low back pain is one of the main factors that affect the quality of life and cause problems of gait and balance in elderly people. This study investigated the correlation between the Oswestry disability index (ODI), Berg balance scale (BBS), and kinematic data measured while analyzing the gait of elderly people with chronic back pain. METHODS: A total of 29 subjects participated in this study. The ODI, BBS, and kinematic data of lower extremities were measured while walking. All data were analyzed using Pearson's correlation coefficients and the significance was measured at .05. RESULTS: ODI had a significant correlation with 1, 13, and 14 items of BBS (p < .05), and left hip external rotation and right ankle abduction respectively in the stance and swing phase of gait (p < .01). 13 items of BBS had a significant correlation with the right ankle abduction in the stance phase of gait (p < .01). In addition, 14 items of BBS had a significant correlation with right and left ankle abduction in the stance and swing phase of gait (p < .01). CONCLUSION: While attempting to predict chronic low back pain and balance issues, it may be useful to check the right ankle abduction in the stance and swing phase of gait. In the future, it would be helpful if some simple tests could be designed to assess balance in elderly people with chronic low back pain.

DEVELOPMENT OF THE SNU COELOSTAT: CONCEPTUAL DESIGN

  • Kang, Juhyung;Chae, Jongchul;Kwak, Hannah;Yang, Heesu
    • Journal of The Korean Astronomical Society
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    • v.51 no.6
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    • pp.207-214
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    • 2018
  • A coelostat is often used for solar observations, because it corrects the image rotation automatically by guiding sunlight into a fixed telescope with two plane mirrors. For the purposes of education and spectroscopic observation, the solar group at Seoul National University (SNU) plans to develop the SNU coelostat (SNUC) and install it in the SNU Astronomical Observatory (SAO). Requirements of the SNUC are < 1" positioning accuracy with 30 cm beam size on the entrance pupil in the compact dome. To allow for installation in the small dome, we design a compact slope type coelostat with a 45 cm primary plane mirror and a 39 cm secondary plane mirror. The motion of the SNUC is minimized by fixing the position of the slope frame. Numerical simulations of the available observational time of the designed coelostat shows that the sun can be observed ay all times from June to early August and at least three hours in other months. Since the high accuracy driving motors installed in the SNUC can be affected by external environment factors such as humidity and temperature variations, we design a prototype to test the significance of these effects. The prototype consists of a 20 cm primary plane mirror, a 1 m slope rail, a direct drive motor, a ballscrew, a linear motion guide, an AC servo motor, a reduction gear and a linear encoder. We plan to control and test the accuracy of the prototype with varying atmospheric conditions in early 2019. After testing the prototype, the SNUC will be manufactured and installed in SAO by 2020.

Kinetics calculation of fast periodic pulsed reactors using MCNP6

  • Zhon, Z.;Gohar, Y.;Talamo, A.;Cao, Y.;Bolshinsky, I.;Pepelyshev, Yu N.;Vinogradov, Alexander
    • Nuclear Engineering and Technology
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    • v.50 no.7
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    • pp.1051-1059
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    • 2018
  • Fast periodic pulsed reactor is a type of reactor in which the fission bursts are formed entirely with external reactivity modulation with a specified time periodicity. This type of reactors could generate much larger intensity of neutron beams for experimental use, compared with the steady state reactors. In the design of fast periodic pulsed reactors, the time dependent simulation of the power pulse is majorly based on a point kinetic model, which is known to have limitations. A more accurate calculation method is desired for the design analyses of fast periodic pulsed reactors. Monte Carlo computer code MCNP6 is used for this task due to its three dimensional transport capability with a continuous energy library. Some new routines were added to simulate the rotation of the movable reflector parts in the time dependent calculation. Fast periodic pulsed reactor IBR-2M was utilized to validate the new routines. This reactor is periodically in prompt supercritical state, which lasts for ${\sim}400{\mu}s$, during the equilibrium state. This generates long neutron fission chains, which requires tremendously large amount of computation time during Monte Carlo simulations. Russian Roulette was applied for these very long neutron chains in MCNP6 calculation, combined with other approaches to improve the efficiency of the simulations. In the power pulse of the IBR-2M at equilibrium state, there is some discrepancy between the experimental measurements and the calculated results using the point kinetics model. MCNP6 results matches better the experimental measurements, which shows the merit of using MCNP6 calculation relative to the point kinetics model.

A Case of Frozen Shoulder Treated with Korean Medicine (開結舒經湯(개결서경탕) 투여를 포함한 동결견 환자 한방복합치료 치험례 1례)

  • Choi, Ki-won;Lee, Yu-jin;Kwon, Min-jin;Park, Han-bin;Jang, Won-suk;Kim, Ho;Bae, In-su;Youn, Jun-heum
    • The Journal of Internal Korean Medicine
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    • v.42 no.5
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    • pp.883-892
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    • 2021
  • Background: This case study suggests the potential usefulness of Korean medicine treatment with herbal medicines for shoulder pain and improving the quality of life of patients with frozen shoulder. Case Summary: A patient had shoulder pain and decreased daily living function due to frozen shoulder. Korean medicine treatments, including herbal medicine; acupuncture at points TE14, HT1, BL11, SI10, and LI15; and pharma-acupuncture containing Sinbaro, were applied for 31 days. The Numeric Rating Scale scores for shoulder pain decreased from 7 to 4, and the Shoulder Pain and Disability Index scores decreased from 71.54 to 66.15, with an increase in range of motion from 30° flexion, 60° abduction, and 10° external rotation to around the normal range of motion. Conclusion: Korean medicine treatment can be considered an effective conservative management option for pain and decreased daily living function in patients with frozen shoulder.

Muscle Functional MRI of Exercise-Induced Rotator Cuff Muscles

  • Tawara, Noriyuki;Nishiyama, Atsushi
    • Investigative Magnetic Resonance Imaging
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    • v.25 no.1
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    • pp.1-9
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    • 2021
  • The aim of this study was to provide a new assessment of rotator cuff muscle activity. Eight male subjects (24.7 ± 3.2 years old,171.2 ± 9.8 cm tall, and weighing 63.8 ± 11.9 kg) performed the study exercises. The subjects performed 10 sets of the exercise while fixing the elbow at 90 degrees flexure and lying supine on a bed. One exercise set consisted of the subject performing external shoulder rotation 50 times using training equipment. Two imaging protocols were employed: (a) true fast imaging with steady precession (TrueFISP) at an acquisition time of 12 seconds and (b) multi-shot spin-echo echo-planar imaging (MSSE-EPI) at an acquisition time of 30 seconds for one echo. The main method of assessing rotator cuff muscle activity was functional T2 mapping using ultrafast imaging (fast-acquired muscle functional MRI [fast-mfMRI]). Fast-mfMRI enabled real-time imaging for the identification and evaluation of the degree of muscle activity induced by the exercise. Regions of interest were set at several places in the musculus subscapularis (sub), musculus supraspinatus (sup), musculus teres minor (ter), and deltoid muscle (del). We used the MR signal of the images and transverse relaxation time (T2) for comparison. Most of the TrueFISP signal was not changed by exercise and there was no significant difference from the resting values. Only the T2 in the musculus teres minor was increased after one set and the change were seen on the T2 images. Additionally, except for those after one and two sets, the changes in T2 were significant compared to those at rest (P < 0.01). We also demonstrated identify and visualize the extent to which muscles involved in muscle activity by exercise. In addition, we showed that muscle activity in a region such as a shoulder, which is susceptible to B0 inhomogeneity, could be easily detected using this technique.