• 제목/요약/키워드: Instability

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견관절 전방 재발성 탈구의 치료-관절경 및 관혈적 Bankart병변 수복술의 비교 - (Bankart Suture Repair for Anterior Instability of the Shoulder- Results of Arthroscopic versus Open Repair -)

  • 최창혁;권굉우;김신근;이상욱;신동규;김경민
    • Clinics in Shoulder and Elbow
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    • 제5권1호
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    • pp.47-54
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    • 2002
  • Purpose : We evaluated clinical result of arthroscopic and open Bankart repair in anterior shoulder instability to identify factors iuluencing operative result and prognosis. Materials & Methods . We reviewed 24 patients of anterior shoulder instability treated with arthroscopic Bankart repair in 16 cases and open Bankart repair in 8 cases. Average age was 26 years old and involved in dominant arm in 15 cases. Patients were suffered instability for 3.1 years before operation and mean follow-up was 2 year 9 months ( 1 you 9 months -4year 10 months). Results : Post operative pain was subsided in 2 weeks in arthroscopic surgery and 3 weeks in open surgery. The final range of motion after arthroscopic repair were flekion in 168" , external rotation in 54" , and internal rotation in 79, and after open repair 168" ,49" , and 78 respectively. In arthroscopic surgery,2 cases (13%) were redislocated, and 4 cases(25%) showed mild instability. In open case,1 case (11%) showed mild instability. According to function- al result by Rowe grading scale, satisfactory results were 12case (76%) in arthroscopic repair and 7 cases (88%) in open cases. Conclusions Both arthroscopic or open Bankart could get good results in the treatment of anterior instability of shoulder. In arthroscopic repair, perioperative morbidity was lower than open repair, but it needs careful rehabilitation program to prevent redislocation and to return to sports activity.

The Effect of Fatigue on EMG Activity and Dynamic Balance of Subjects with Functional Lumbar Instability

  • Kim, Myong-Chul;Kim, Ho-Sung
    • The Journal of Korean Physical Therapy
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    • 제27권4호
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    • pp.207-213
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    • 2015
  • Purpose: The aim of the current study was to investigate EMG activity on dynamic balance of subjects with functional lumbar instability following fatigue of low back. Methods: The subjects (24 university students) were divided into 2 groups; functional lumbar instability group (6 males and 6 females) and lumbar stable group (7 males and 5 females) who could complete a questionnaire and undergo a prone instability test. All participants were evaluated for distribution of muscle activity using the TeleMyo DTSTM system. Dynamic balance was tested by Y balance test. This study was conducted for measurement of EMG activity on dynamic balance with the difference between FLIG and control group following muscle fatigue. Results: The functional lumbar instability group (FLIG) showed a significantly lower YBT score (%) of anterior, posterolateral direction on Y-balance test (YBT) in dynamic balance than the lumbar stable group (LSG) (p<0.05). The FLIG was significantly lower than the LSG in anterior direction in EMG activity(%) of MF, RA, ES, GMX, GME, RF, and posteromedial direction in EMG activity(%) of IO, ES and then posterolateral direction in EMG activity(%) of IO, ES in dynamic balance (p<0.05). There was significant correlation of MF, RA, and GMX in anterior reach direction (p<0.05) and ES, GME (p<0.01) and IO, ES in posteromedial reach direction (p<0.05) and EO, ES, GMX in posterolateral reach direction (p<0.05) there was positive correlation. Conclusion: This study showed that FLIG effected EMG activity by dynamic balance following muscle fatigue. Further study is needed for measurement of various ages and work with lumbar instability for clinical application.

Dynamic combination resonance characteristics of doubly curved panels subjected to non-uniform tensile edge loading with damping

  • Udar, Ratnakar. S.;Datta, P.K.
    • Structural Engineering and Mechanics
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    • 제25권4호
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    • pp.481-500
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    • 2007
  • The dynamic instability of doubly curved panels, subjected to non-uniform tensile in-plane harmonic edge loading $P(t)=P_s+P_d\;{\cos}{\Omega}t$ is investigated. The present work deals with the problem of the occurrence of combination resonances in contrast to simple resonances in parametrically excited doubly curved panels. Analytical expressions for the instability regions are obtained at ${\Omega}={\omega}_m+{\omega}_n$, (${\Omega}$ is the excitation frequency and ${\omega}_m$ and ${\omega}_n$ are the natural frequencies of the system) by using the method of multiple scales. It is shown that, besides the principal instability region at ${\Omega}=2{\omega}_1$, where ${\omega}_1$ is the fundamental frequency, other cases of ${\Omega}={\omega}_m+{\omega}_n$, related to other modes, can be of major importance and yield a significantly enlarged instability region. The effects of edge loading, curvature, damping and the static load factor on dynamic instability behavior of simply supported doubly curved panels are studied. The results show that under localized edge loading, combination resonance zones are as important as simple resonance zones. The effects of damping show that there is a finite critical value of the dynamic load factor for each instability region below which the curved panels cannot become dynamically unstable. This example of simultaneous excitation of two modes, each oscillating steadily at its own natural frequency, may be of considerable interest in vibration testing of actual structures.

Aerostatic instability mode analysis of three-tower suspension bridges via strain energy and dynamic characteristics

  • Zhang, Wen-ming;Qian, Kai-rui;Wang, Li;Ge, Yao-jun
    • Wind and Structures
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    • 제29권3호
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    • pp.163-175
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    • 2019
  • Multispan suspension bridges make a good alternative to single-span ones if the crossed strait or river width exceeds 2-3 km. However, multispan three-tower suspension bridges are found to be very sensitive to the wind load due to the lack of effective longitudinal constraint at their central tower. Moreover, at certain critical wind speed values, the aerostatic instability with sharply deteriorating dynamic characteristics may occur with catastrophic consequences. An attempt of an in-depth study on the aerostatic stability mode and damage mechanism of three-tower suspension bridges is made in this paper based on the assessment of strain energy and dynamic characteristics of three particular three-tower suspension bridges in China under different wind speeds and their further integration into the aerostatic stability analysis. The results obtained on the three bridges under study strongly suggest that their aerostatic instability mode is controlled by the coupled action of the anti-symmetric torsion and vertical bending of the two main-spans' deck, together with the longitudinal bending of the towers, which can be regarded as the first-order torsion vibration mode coupled with the first-order vertical bending vibration mode. The growth rates of the torsional and vertical bending strain energy of the deck after the aerostatic instability are higher than those of the lateral bending. The bending and torsion frequencies decrease rapidly when the wind speed approaches the critical value, while the frequencies of the anti-symmetric vibration modes drop more sharply than those of the symmetric ones. The obtained dependences between the critical wind speed, strain energy, and dynamic characteristics of the bridge components under the aerostatic instability modes are considered instrumental in strength and integrity calculation of three-tower suspension bridges.

모델 가스터빈 연소기에서 인젝터 형태에 따른 종-방향 불안정성 특성에 관한 실험적 연구 (An Experimental Study on Longitudinal Instability Characteristics with Injector Type in Model Gas Turbine Combustor)

  • 안지환;강연세;이기만
    • 한국추진공학회지
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    • 제25권2호
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    • pp.12-23
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    • 2021
  • 이 연구에서는, 모델 가스 터빈 연소기에서 발생하는 저선회 인젝터와 강선회 인젝터의 열-음향불안정성을 비교하고 있다. 인젝터 형태에 다른 불안정한 거동의 비교를 위하여, 다양한 당량비와 연소실 길이의 광범위한 범위의 실험이 수행되었다. 실험 결과, 연소기에서 발생된 대부분의 불안정성은 종-방향 불안정성이라는 것이 확인되었다. 또한, 강선회 인젝터가 저선회 인젝터에 비하여 더 넓은 연소실 길이 영역에서 강한 연소 불안정성이 발생됨이 발견되었다. 저선회 인젝터의 막힘률은 전체적인 거동 측면에서 큰 의미를 보이지 않았다. 또한, 인젝터의 형태에 무관하게 연소실 길이가 동일한 경우에 연소 불안정성이 발생한 경우에는 불안정성의 특성이 유사함이 발견되었다.

스마트폰을 이용한 이중과제 수행이 발목 불안정성을 가진 성인의 균형과 근 활성도에 미치는 영향 (The Effects of Dual Task Performance on Balance and Muscle Activity in Adults with Ankle Instability with Smartphones)

  • 김민규;양회송;유영대;강효정;정찬주
    • 대한통합의학회지
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    • 제11권1호
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    • pp.21-29
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    • 2023
  • Purpose : Using a smartphone while walking districts attention and increases the risk of losing balance or falling. Ankle instability is caused by decreased muscle strength and decreased neuromuscular ability leading to postural control problems. Dual tasks increases the risk of falls by reducing postural control in adults with ankle instability. This study aimed to investigate the effect of performing a dual task on balance and muscle activity in adults with ankle instability using a smartphone. Methods : Forty-nine individuals with ankle instability participated in this study. A game of finding the wrong picture was performed using a smartphone in the dual task, and only looking at the blank screen of a smartphone was evaluated in the single task. The participants randomly performed single and dual task to evalutate balance and muscle atcitivy. Balance was evaluated using the Biodex balance system (BBS), and muscle activity was evaluated using surface EMG. Muscle activity of the gastrocnemius and tibialis anterior was measured at the same time as balance. Results : The results of this study showed that overall, anteior/posterior, and medial/lateral balance indices all showed significant differences when performing the dual task compared with those during the single task (p<.05). The muscle activity results showed a significant difference compared with that of the gastronemius muscle on the nondominant side during the dual task (p>.05). Conclusion : The results of this study showed that maintaining balance is more difficult when performing the dual task than during the single task, and only the muscle activity of the nondominant gastrocnemius muscle decreased. The dual task causes a decrease in concentration for postural control, which negatively affects postural stability. Individuals with ankle ankle instability should refrain from performing dual tasks, such as using smartphones, to prevent ankle damage.

발목 감각-운동과 엉덩 관절 근력 강화 통합 훈련 프로그램이 기능적 발목 불안정성 대상자의 정적균형과 동적 균형 및 근력에 미치는 영향 (Effects of Ankle Sensorimotor Training Program Combined with Hip Strengthening Exercise on Muscle Strength, Static Balance, and Dynamic Balance in Individual with Functional Ankle Instability)

  • 황종석;박순지;유경태
    • 대한물리의학회지
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    • 제17권2호
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    • pp.83-93
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    • 2022
  • PURPOSE: This study examined the comparative effects of an ankle sensorimotor training program combined with hip strengthening exercise (ASTPCHSE) and ankle sensorimotor training program (ASTP) alone on muscle strength, static balance, and dynamic balance in individuals with functional ankle instability. METHODS: Sixteen research participants with functional ankle instability were enrolled in this study. The participants were divided randomly into the ankle sensory motor training program group and the ankle sensory motor training program combined with the hip strengthening exercise group. Each group performed a series of exercise programs two times per week for four weeks. The Cumberland ankle instability tool (CAIT) was used to measure the participants' functional ankle instability. A Balance trainer 4 was applied to assess the static and dynamic balance, and a Primus RS multimodal dynamometer was used to evaluate the muscle strength. RESULTS: No significant differences in static balance, dynamic balance, and muscle strength were found between the ASTP and ASTPCHSE groups (p > .05). On the other hand, the dynamic balance and muscle strength improved in the ASTP and ASTPCHSE groups after the intervention (p < .05). The static balance was not enhanced in both groups after the intervention (p > .05). CONCLUSION: Ankle exercise and an ankle sensorimotor training program combined with hip strengthening exercise are effective in improving muscle strength and dynamic balance in individuals with ankle instability. On the other hand, there are no meaningful differences between ankle exercise and ankle and hip combined exercise.

Comparison of Center of Pressure Displacement during Sit to Stand to Sit and Balance Ability of Subjects with and without Chronic Ankle Instability

  • Hyun-Sung Kim;Seung-Jun Oh
    • 대한통합의학회지
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    • 제11권1호
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    • pp.13-20
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    • 2023
  • Purpose : The purpose of this study is to compare the balance ability between subjects with chronic ankle instability and normal people and the center of pressure displacement during the sit to stand and stand to sit. Methods : The subjects of this study were 63 who met the inclusion criteria and were classified into normal group (n=33) and chronic ankle instability group (n=30). The displacement of the center of pressure during sit to stand and stand to sit was measured. And the limit of stability and Y-balance tests were performed to measure the balance ability. Independent t-test was conducted to compare center of pressure displacement and balance ability between groups, and pearson correlation was conducted to analyze the correlation between the center of pressure displacement and balance ability. Results : In the case of the center of pressure displacement, there was a significant difference between the two groups during sit to stand and stand to sit. In the case of balance, both limit of stability and Y-balance test showed significant differences between the two groups. At the time of sit to stand, the center of pressure displacement showed a significant correlation with balance abilities, and at the time of stand to sit, the center of pressure displacement showed a significant correlation with Y-balance test. Conclusion : Chronic ankle instability shows that there is a lot of sway in the body due to compensation to replace the decrease in ankle joint range of motion when performing sit to stand and stand to sit due to sensory input damage such as decrease in ankle range of motion and decrease in ankle proprioception. Chronic ankle instability is expected to have a negative effect on our daily lives in life. The results of this study will serve as the basis for the dynamic approach to objective evaluation, treatment, and prevention of chronic ankle instability.

미국 소비자들의 소비자 신용 이용 분석: 고용불안정성 요인의 효과를 중심으로 (Consumer's Use of Credit as a Financing Medium : The Impact of Employment Instability)

  • 백은영
    • 가족자원경영과 정책
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    • 제8권1호
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    • pp.79-100
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    • 2004
  • This study attempted to examine the employment instability on consumer's use of credit as a financing medium. The purpose of this study was 1) to examine the effect of employment related factors on consumers' use of credit; 2) to compare the results between the two different economic situations. A conceptual framework was developed based on the permanent income hypothesis, family stress theory, and the previous empirical studies. Using data on working households ih the 1992 and 1998 Survey of Consumer Finances (SCF), double-hurdle analyses were conducted. The results suggested that employment related factors that measured employment stability were significantly related to the likelihood of having an outstanding balance on their credit account but were not the influential factors in determining the amount of the outstanding balance. Among other factors, resources factor played the most significant role in determining both the likelihood of having an outstanding balance and the amount of the balance. Although the 1992 and 1998 data represent economic downturn and economic prosperous period, the effects of the factors including employment instability factors were similar between the two periods. This imply that employment instability has increased even in the economic prosperous period. From the findings, several implications for policy makers, credit industry, and financial educators were suggested.

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모델 가스터빈 연소기내의 자발 불안정성에 관한 실험적 연구 (An Experimental Study on the Self-excited Instabilities in Model Gas Turbine Combustor)

  • 이민철;홍정구;신현동
    • 한국연소학회:학술대회논문집
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    • 한국연소학회 2004년도 제29회 KOSCI SYMPOSIUM 논문집
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    • pp.197-205
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    • 2004
  • Most of gas turbines is operated by the type of dry premixed combustion to reduce NOx emission and economize fuel consumption. However this type operation, combustion induced instability brought failure problems cause by high pressure and heat release fluctuations. Though there has been lots of studies since Lord Rayleigh to understand this instability mechanism and control the instabilities, none of them made matters clear. In order to understand the instability phenomena, a simple experimental study with dump combustor was conducted at the moderate pressure and ambient temperature conditions. From this model gas turbine combustor self-excited instabilities at the resonance mode(200Hz) and bulk mode(10Hz) were occurred and observed at the three points of view; pressure, heat release and equivalence ratio which are acquired by peizo-electric transducer, HICCD camera and acetone LIF respectively. From this results we could see the instability mechanism clear with the account of time scale analysis which explained by the propagation of pressure wave to the upward of mixture stream and convectional transfer of the equivalence ratio fluctuation by this pressure fluctuation.

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