• Title/Summary/Keyword: Internal Rotation

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The Proprioceptive Function of Rotator Cuff Tear Patients: Preliminary Report of Pre-operative Function (회전근개 파열 환자의 고유 수용성 감각 기능: 수술전 기능의 예비 보고)

  • Lee, Hyunil;Heo, Jaewon;Yoo, Jae Chul
    • Journal of Korean Orthopaedic Sports Medicine
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    • v.12 no.1
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    • pp.29-36
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    • 2013
  • Purpose: Proprioceptive function has been known to be important to shoulder stability. However, the function in rotator cuff tear patients is rarely investigated. The purpose of current study is to report the proprioceptive function in rotator cuff tear patients and to analyze the proprioceptive function regarding the tear size and the presence of subscapularis tear. Materials and Methods: Between 2011 and 2012, total 76 patients (male 28 and female 48) were recruited and average age was 61.7 years old (range, 38~76). Preoperatively, joint position senses in internal and external rotation were measured for proprioceptive function testing by method of active re-positioning technique. The absolute difference from set point was measured. Proprioceptive function was further analyzed according to tear size of rotator cuff, the presence of subscapularis tear, visual analogue scale of pain, shoulder functional score (American society of elbow and shoulder score), and ranges of motion in shoulder. Results: The absolute difference for external rotation was $4.9^{\circ}{\pm}2.9^{\circ}$, in normal joint and $4.9^{\circ}{\pm}3.0^{\circ}$for involved joint in rotator cuff tear patients. This difference was not significant statistically (p=0.87). The absolute difference for internal rotation was $4.0^{\circ}{\pm}2.7^{\circ}$in normal joint whereas $4.8^{\circ}{\pm}3.7^{\circ}$ for involved joint showing statistically significant difference (p=0.043). There was some trend that the proprioceptive function of internal rotation was more impaired in the bigger tear size group (more than medium tear) compared to the smaller tear size group (partial thickness and small tear, 5.0 vs. 4.0, p=0.061). The impairment of internal rotation proprioception was also accentuated in patients with subscapularis tear (4.8 vs. 4.0, p=0.065). The proprioceptive function of internal rotation was decreased when the pain visual analogue scale was increased (5.2 vs. 4.0 p=0.04), shoulder functional score was decreased (6.1 vs. 4.2, p=0.005), or range of motion in shoulder joint was restricted (5.3 vs. 3.7, p=0.041). Conclusion: The deficit of proprioceptive function was observed in rotator cuff tear patients. Proprioception for internal rotation was impaired in patients with the bigger tear size and subscapularis tear. Pain, shoulder function score, and range of motion were also shown to be related with the deficit in proprioceptive function.

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The Effects of Spencer Technique on the ROM, Pain, Function in Patients with Shoulder Adhesive Capsulitis (스펜서 테크닉이 유착성 관절낭염 환자의 어깨관절 가동범위와 통증, 기능에 미치는 영향)

  • park, Ki-suk;Jeong, Ki-yong
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.24 no.2
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    • pp.37-42
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    • 2018
  • Background: The Purpose of this study was to evaluate the value of Spencer technique on the range of motion (ROM), Pain, function in patients with shoulder adhesive capsulitis. Methods: subjects consisted of 30patients who were diagnosed shoulder adhesive capsulitis. All subjects are randomly assigned to 2groups: Spencer technique (ST) group (n=15), self assistive ROM exercise(S-A ROM E) group (n=15). The subjects performed an intervention program 30 minuets per day and was repeated 3 times a week for 4 weeks a total of 12 times. ROM of flexion, abduction, external rotation, internal rotation were measured using a goniometer. The visual analog scale (VAS), Shoulder pain and disability index (SPADI) were used to measure pain, functional ability. Results: In the intergroup comparisons after the intervention, ROM of flexion, abduction, internal rotation, VAS, SPADI were significantly different(p<.05). Spencer technique was more effective for improving ROM, pain, functional ability than self assistive ROM exercise. Conclusions: Our study suggest that considering Spencer technique for the patient with shoulder adhesive capsulitis. Further studies on Spencer technique are needed in the future.

Kinmatics Analysis of pelvis and lower extremity using orientation angles during a developpe a la seconde (Developpe a la seconde 동작 시 골반과 하지의 지향각(Orientation angles)의 운동학적 분석)

  • Jung, Chul-Jung;Jeung, He-Jin
    • Korean Journal of Applied Biomechanics
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    • v.14 no.3
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    • pp.259-270
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    • 2004
  • The purpose of this study was to analysis of pelvis and lower extremity using orientation angles during a developpe a la seconde. Data were collected by Kwon3D program. Two females professional modem dancer were participated in this experiment. Subjects performed a developpe a la seconde in meddle heights(about 90 dog.) The results were as follows. The orientation angles of pelvis were, in most cases, caused by the movement of trunk and thigh. It was restricted the movement of pelvis within narrow limits because the movement of pelvis was very important to lower extremity alignment. The orientation angle of shank against thigh showed a change of angle about $3-6^{\circ}$ in internal external rotation. The orientation angle of foot against shank showed a change of angle about $6-7^{\circ}$ in internal external rotation.

Component based moment-rotation model of composite beam blind bolted to CFDST column joint

  • Guo, Lei;Wang, Jingfeng;Wang, Wanqian;Ding, Zhaodong
    • Steel and Composite Structures
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    • v.38 no.5
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    • pp.547-562
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    • 2021
  • This paper aims to explore the mechanical behavior and moment-rotation model of blind bolted joints between concrete-filled double skin steel tubular columns and steel-concrete composite beams. For this type of joint, the inner tube and sandwiched concrete were additionally identified as basic components compared with CFST blind bolted joint. A modified moment-rotation model for this type of connection was developed, of which the compatibility condition and mechanical equilibrium were employed to determine the internal forces of basic components and neutral axis. Following this, load transfer mechanism among the inner tube, sandwiched concrete and outer tube was discussed to assert the action area of the components. Subsequently, assembly processes of basic coefficients in terms of their stiffness and resistances based on the component method by simplifying them as assemblages of springs in series or in parallel. Finally, an experimental investigation on four substructure joints with CFDST columns for validation purposes was carried out to capture the connection details. The predicted results derived from the mechanical models coincided well with the experimental results. It is demonstrated that the proposed mechanical model is capable of evaluating the complete moment-rotation relationships of blind bolted CFDST column composite connections.

A Study on Measurement and Control of position and pose of Mobile Robot using Ka13nan Filter and using lane detecting filter in monocular Vision (단일 비전에서 칼만 필티와 차선 검출 필터를 이용한 모빌 로봇 주행 위치.자세 계측 제어에 관한 연구)

  • 이용구;송현승;노도환
    • 제어로봇시스템학회:학술대회논문집
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    • 2000.10a
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    • pp.81-81
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    • 2000
  • We use camera to apply human vision system in measurement. To do that, we need to know about camera parameters. The camera parameters are consisted of internal parameters and external parameters. we can fix scale factor&focal length in internal parameters, we can acquire external parameters. And we want to use these parameters in automatically driven vehicle by using camera. When we observe an camera parameters in respect with that the external parameters are important parameters. We can acquire external parameter as fixing focal length&scale factor. To get lane coordinate in image, we propose a lane detection filter. After searching lanes, we can seek vanishing point. And then y-axis seek y-sxis rotation component(${\beta}$). By using these parameter, we can find x-axis translation component(Xo). Before we make stepping motor rotate to be y-axis rotation component(${\beta}$), '0', we estimate image coordinates of lane at (t+1). Using this point, we apply this system to Kalman filter. And then we calculate to new parameters whick make minimum error.

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Management of open bite that developed during treatment for internal derangement and osteoarthritis of the temporomandibular joint

  • Arai, Chihiro;Choi, Jae Won;Nakaoka, Kazutoshi;Hamada, Yoshiki;Nakamura, Yoshiki
    • The korean journal of orthodontics
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    • v.45 no.3
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    • pp.136-145
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    • 2015
  • This case report describes the orthodontic treatment performed for open bite caused by internal derangement (ID) and osteoarthritis (OA) of the temporomandibular joint (TMJ). A Japanese woman, aged 31 years and 11 months, referred to our department by an oral surgeon had an open bite with clockwise rotation of the mandible and degeneration of the condyle. The overbite was corrected through intrusion of the maxillary and mandibular molars using mini-screw implants to induce counterclockwise rotation of the mandible. Then, the mandibular second premolars were extracted and comprehensive orthodontic treatment was performed to establish a Class I molar relationship with distalization of the maxillary arch and to eliminate anterior crowding. Following treatment, her facial profile improved and a functional and stable occlusion was achieved without recurrence of the TMJ symptoms. These results suggest that orthodontic intrusion of the molars is one of the safer and less stressful alternatives for the management of open bite due to degeneration of the condyles caused by ID and OA of TMJ.

Effect of the Positions of Female Pro-Volleyball Players on the Stability of Shoulder Joints of the Dominant and Non-dominant Arms

  • Kim, Yong-Yeon;Shin, Hee-Joon;Kim, Bo-Kyung;Koo, Ja-Pung;Park, Joo-Hyun;Kim, Nyeon-Jun;Yun, Young-Dae;An, Ho-Jung
    • Journal of International Academy of Physical Therapy Research
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    • v.2 no.1
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    • pp.229-236
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    • 2011
  • The purpose of this study was to comparatively analyze the active stability of shoulder joints according to the frequency of overhead motions, such as serving and spiking, engaged in by female professional volleyball athletes who play different positions, and to provide the results as the basic data for developing exercise programs to prevent shoulder joint injuries. The subjects of this study were 50 Korean female professional volleyball players and positions were as follows: left and right attackers, centers, setters, and liberos. The external rotation and internal rotation muscle strength and muscle strength ratios of the dominant and non-dominant arms of all subjects were measured using Biodex. The results of this study are as follows: Frist, no significant differences were found in the internal and external rotation muscle strength of the dominant and non-dominant arms between positions. Second, for the shoulder joint muscle strength ratio of the dominant arm, by position, the setter showed significantly greater stability compared to the other positions. Third, for the shoulder joint muscle strength ratio of the non-dominant arm, by position, no significant difference in stability between positions was found. Fourth, it was found that the dominant arm had significantly greater instability of the shoulder joint than the non-dominant arm for attackers and centers, but no significant difference was found for setters and liberos. This study comparatively analyzed the muscle strength ratios of the external/internal rotations and dominant/non-dominant arms, which can determine the stability of the shoulder joints between female professional volleyball playing positions that engage in jumps and spikes using only the dominant hand and positions that do not.

Effects of Modified Cross-body Stretching on Range of Motion in Glenohumeral Joint (수정된 크로스-바디 스트레칭이 오목위팔관절의 관절가동범위에 미치는 영향)

  • Koh, Eun-Kyung;Jung, Do-Young
    • Journal of the Korean Society of Physical Medicine
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    • v.10 no.4
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    • pp.1-7
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    • 2015
  • PURPOSE: The purpose of this study was to compare the effects of cross-body stretching (CBS) and modified cross-body stretching (MCBS) on the range of motion (ROM) of glenohumeral joint (GHJ) in healthy subjects. METHODS: Thirty subjects were randomly assigned to 1 of 2 groups: CBS group without stabilization of scapula (n=15) and MCBS group with stabilization of scapula (n=15). We measured horizontal adduction and internal rotation ROM of GHJ in pre- and post-intervention. The data were analyzed using the analyses of covariate (ANCOVA) and least significant difference (LSD) post hoc tests (p=.05). RESULTS: In the post-intervention, the MCBS group had a significantly greater increase in horizontal adduction ROM (mean ${\pm}$ SD, $11.46^{\circ}{\pm}0.83^{\circ}$) compared to the CBS group ($7.81^{\circ}{\pm}0.83^{\circ}$) (p=.007) and a greater increase in internal rotation ROM ($62.27^{\circ}{\pm}0.74^{\circ}$) compared to the CBS group ($59.20^{\circ}{\pm}0.74^{\circ}$) (p=.004). CONCLUSION: A single session application of an MCBS provides immediate more improvements in both horizontal adduction and internal rotation ROM than CBS. These results suggest that application of MCBS with stabilization of scapula may be a more useful to gain ROM of GHJ than CBS without stabilization of scapula.