• Journal of Korean Neurosurgical Society
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• v.45 no.2
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• pp.67-73
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• 2009

Objective : Although endoscopic procedures for lumbar disc diseases have improved greatly, the postoperative outcomes for high grade inferior migrated discs are not satisfactory. Because of anatomic limitations, a rigid endoscope cannot reach all lesions effectively. The purpose of this study was to determine the feasibility of endoscopic transforaminal suprapedicular approach to high grade inferior-migrated lumbar disc herniations. Methods : Between May 2006 and March 2008, a suprapedicular approach was performed in 53 patients with high grade inferior-migrated lumbar disc herniations using a rigid endoscope and a semi-rigid flexible curved probe. One-to-four hours after surgery, the presence of remnant discs was checked with MRI. The outcomes were evaluated with the visual analogue scale (VAS) score and the Oswestry Disability Index (ODI) one week after surgery. Results : The L2-3 level was involved in 2 patients and the L3-4 level was involved in 14 patients, while the L4-5 level was involved in 39 patients. There were single piece-type in 34 cases and a multiple piece-type in 19 cases. Satisfactory results were obtained in all cases. The mean preoperative VAS for leg pain was $9.32{\pm}0.43$ points (range, 7-10 points), whereas the mean ODI was $79.82{\pm}4.53$ points (range, 68-92 points). At the last follow-up examination, the mean postoperative VAS for leg pain was $1.78{\pm}0.71$ points and the mean postoperative ODI improved to $15.27{\pm}3.82$ points. Conclusion : A high grade inferior migrated lumbar disc is difficult to remove sufficiently by posterolateral endoscopic lumbar dscectomy using a rigid endoscope. However, a satisfactory result can be obtained by applying a transforaminal suprapedicular approach with a flexible semi-rigid curved probe.

• The Korean Journal of Pain
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• v.10 no.2
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• pp.270-273
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• 1997

Caudal epiduroscopy has been introduced as an alternative technique for direct injection of epidural steroid and lysis of adhesion. Futher, it gives a better understanding of the role of epidural adhesion in recurrence of sciatica and low back disorder after surgery. We experienced a clinical application of flexible fiberoptic epiduroscope inserted through the sacral canal. A 37-year-old woman was suffering from right lumbar radiculopathy after an operation for a herniated disc. A series of volumetric caudal steroid injections and physical therapy had little effect on her symptoms. Patient was thought to be a good candidate for epiduroscopy. Flexible flberoptic epiduroscopy was as follows: 60 ml of normal saline irrigation and epidurogram, 40 mg of triamcinolone in 10m1 of normal saline was directed around right L5 nerve root. The following morning, patient reported reduced pain in her leg.

• Journal of Ocean Engineering and Technology
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• v.21 no.4
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• pp.38-44
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• 2007

The structural response characteristics of Tension leg platforms(TLPs) in waves are examined for presenting the basic data for structural design of TLPs. The numerical approach is based on a combination of the three dimensional source distribution method and the structural response analysis method, in which the superstructure of TLP is assumed to be flexible instead of rigid. Hydrodynamic and hydrostatic forces on the submerged surface of a TLP have been accurately calculated by excluding the assumption of the slender body theory. The hydrodynamic interactions among TLP members, such as columns and pontoons, and the structural damping are included in structural analysis. The mooring forces are estimated as the sum of pretension of tendons and variational tension due to longitudinal displacements. Stiffness matrices of elastic beam elements connecting nodes are formulated by ordinary method of three dimensional frame analysis. The equation of motion about the whole structure is obtained by the sum of forces and moments acting on each nodes.

• Journal of Power System Engineering
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• v.16 no.1
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• pp.65-71
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• 2012

A numerical procedure is described for predicting the dynamic structural responses of tension leg platforms(TLPs) in current and waves. The developed numerical approach is based on a combination of the three dimensional source distribution method and the dynamic structural analysis method, in which the superstructure of the TLPs is assumed to be flexible instead of rigid. The hydrodynamic interactions among TLP members, such as columns and pontoons, and the structural damping are included in the dynamic structural analysis. The equations of motion of a whole structure are formulated using element-fixed coordinate systems which have the origin at the nodes of the each hull element and move parallel to a space-fixed coordinate system. The dynamic structural responses of a TLP were analyzed in the case of including the current or not including the one in waves and the effects of current on the TLP were investigated.

• Journal of Ocean Engineering and Technology
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• v.10 no.1
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• pp.25-35
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• 1996

A numerical procedure is described for predicting the motion and structural responses of tension leg platforms(TLPs) in waves. The developed numerical approach is based on a combination of a three dimensional source distribution method and the dynamic response analysis method, in which the superstructure of TLPs is assumed to be flexible instead of rigid. Restoring forces by hydrostatic pressure on the submerged surface of a TLP have been accurately calculated by excluding the assumption of the slender body theory. The hydrodynamic interactions among TLP members, such as columns and pontoons, and the structural damping are included in the motion and structural analysis. The equations of motion of a whole structure are formulated using element-fixed coordinate systems which have the orgin at the nodes of the each hull element and move parallel to a space-fixed coordinate system. Numerical results are compared with the experimental and numerical ones, which are obtained in the literature, concerning the motion and structural responses of a TLP in waves. The results of comparison confirmed the validity of the proposed approach.

• Journal of the Korean Society of Fisheries and Ocean Technology
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• v.32 no.2
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• pp.191-204
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• 1996

The dynamic response characteristics with flexibility variations are examined for presenting the basic data for design of Tension Leg Platforms(TLPs)in waves. A numerical approach is based on the dynamic response analysis theory, in which the superstructure of TLPs is assumed flexible instead of the rigid body assumption used in two-step analysis method. The hydrodynamic interactions among TLP members, such as columns and pontoons are not included in the motion and structural analyse. The equations of motion of a whole structure are formulated using element-fixed coordinate systems which have the origin at the node of the each hull element.

• The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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• v.24 no.1
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• pp.7-14
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• 2018

Background: The purpose of this study is to investigate the effects of Mulligan's bent leg raise (BLR), two leg rotation (TLR) and straight leg raise with traction (traction SLR) technique on the change of shortened hamstring length. Methods: Sixty subjects participated in this study. The subjects were randomly assigned to either the BLR group (n=20) or TLR group (n=20) or traction SLR group (n=20). 90-90 SLR test was performed for evaluation of hamstring shortening at initial time of study. After intervention, immediate effect(immediately after intervention) and effect of maintenance (after 60 minutes from intervention) were assessed. Results: All three groups showed significant differences in the immediate evaluation and the post evaluation after 60 minutes on the change of shortened hamstring length compared to the initial evaluation. When three groups were compared, in the immediate effect, BLR and traction SLR groups were higher than TLR group (p<.05). And the effect after 60 minutes, BLR group was higher than the other two groups (p<.05). Conclusion: In the results of this study, three groups showed immediately and lasting effectiveness in flexibility of shortened hamstring. In addition, BLR and traction SLR groups were more flexible than TLR group in the immediate evaluation and BLR group had better maintenance of flexibility than the other two groups in the post evaluation after 60 minutes.

• Transactions of the Korean Society of Mechanical Engineers A
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• v.24 no.11
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• pp.2777-2785
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• 2000

In cementless total hip replacement(THR), an initial stability of the femoral component is important to long term fixation of femoral stem. The intial stability has close relationship with the relative displacement of prosthessis and sponge bone at the proximal of femur. After implantation of the proshesis, the surrounding bone is partially shielded from load carrying and starts to resorb. Stress shielding is the cause of the loss of proximal bone. Assessing stress distribution of femur is important to predict stress shielding. The initial stability and the stress shielding were investigated for two loading conditions approximating a single leg stance and a stair climbing. Three types of stems were studied by the finite element method to analyze the biomechanical effects of distal filling of cementless femoral stems. Three types of stems empolyed are a distal filling stem, a distal flexible stem, and a distal tapered stem.

• Proceedings of the KSME Conference
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• 2000.04a
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• pp.387-392
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• 2000

In cementless total hip replacement(THR), an initial stability of the femoral component is important to long term fixation of femoral stem. The initial stability has close relationship with the relative displacement of prosthesis and spongy bone at the proximal of femur. After implantation of the prosthesis. the surrounding bone is partially shielded from load carrying and starts to resort. Stress shielding is the cause of the loss of proximal bone. Assessing stress distribution of femur is important to predict stress shielding. The initial stability and the stress shielding were investigated for two loading conditions approximating a single leg stance and a stair climbing. Three types of stems were studied by the finite element method to analyze the biomechanical effects of distal filling of cementless femoral stems, Three types of stems employed are a distal filling stem, a distal flexible stem, and a distal tapered stem.

• Journal of Korea Entertainment Industry Association
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• v.13 no.4
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• pp.369-375
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• 2019

This study looked at the effects of teratainment taping and footpad exercise on the improvement of flat foot in a university student. We divided it into flexible flat foot taping group(n=13), flexible flat foot exercise group(n=14), rigid flat foot taping group(n=12), rigid flat foot exercise group(n=13) through a navicular drop test. After one hour's application of teratainment taping and footpad exercise, the height change of navicular, balancing ability and postural stability were evaluated. Change in the height of the navicular was measured before and after intervention, and the balancing ability was measured timed up & go test, and the postural stability ability was evaluated for stability limits in shoulder-width double leg stance, narrow base double leg stance, tandem stance. According to result, there was a statistically significant difference in the left and right foot of the flexible tapping group, right foot of the flexible tapping group, right foot of the rigid tapping group in the change in the height of the navicular in comparison pre- and post- intervention(p<0.5). There were no statistically significant differences in pre- and post- intervention comparisons intragroup and intergroup in balancing ability. There was a statistically significant difference in flexible flat foot exercise group and rigid flat foot taping group in tandem stance in comparison pre- and postintervention in the postural stability(p<0.5). And there was a statistically significant difference in tendem stance of the flexible flat foot exercise group compared to the rigid flat foot exercise group(p<0.5). The results of this study show that teratainment taping and footpad exercise have a significant effect on the improvement of flat foot in adults. Therefore, it is recommended to apply teratainment taping and footpad exercise to improve flat foot.