• Title/Summary/Keyword: Joint Replacement

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A Case of Chronic Ankylosing Spondylitis with Total Hip Replacement - A Case Report - (고관절 전치환술을 시행 후 내원한 만성 강직성 척추염 환자 치험 1례)

  • Cho, Yoon-Chul;Ra, Kyoung-Won;Lim, Se-Young;Yoo, Sang-Min;Kim, Sang-Deok
    • The Journal of Korea CHUNA Manual Medicine
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    • v.5 no.1
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    • pp.141-150
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    • 2004
  • Objectives : The objective of this study is to evaluate the treatment effect of Oriental therapy including exercise therapy in chronic ankylosing spondylitis with total hip replacement. Methods : Oriental therapy and exercise therapy were performed for 64days admission in a patient who had chronic ankylosing spondylitis with total hip replacement and physical tests were examined. Result : Pain and ROM of cervical. lumbar spine, and left hip joint has improved with this treatment. And Anorexia, dyspepsia, and fatigue were also decreased. Conclusions: In this case, oriental therapy was proved to be effective in improving chronic symptoms and general prostration of Ankylosing Spondylitis. And It is necessary to carry out exercise therapy regulary.

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The Immediate Effect of Functional Massage on Pain, Range of Motion, Balance Ability and Gait Speed in Patients with Total Hip Replacement (기능적 마사지가 엉덩관절 전치환술 환자의 통증, 관절가동범위, 균형능력, 보행속도에 미치는 즉각적인 영향)

  • Park, Si-hyun;Jeong, Eui-young
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.28 no.1
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    • pp.9-17
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    • 2022
  • Background: Functional massage is a therapeutic massage that incorporates joint motion in non-end-range to reduce pain and improve range of motion (ROM) in patients. This study was aimed at investigating the immediate effect of functional massage on pain, range of motion, balance ability and, gait speed of patients having undergone total hip replacement. Methods: Twenty patients were treated by one participating orthopedic manual physical therapist and randomly assigned to the control group (n=10) or the experimental group (n=10). To treat patients of each group, functional massage and range of motion exercises were used. The experimental group received a functional massage and the control group received range of motion exercise for minutes for one session. The visual analog scale was used for pain assessment. Balance ability was measured using a timed up and go test and a one-leg standing test for patients. The 10-meter walk test was used for the measurement of gait speed assessment of patients. Results: Significant improvements were observed in terms of balance ability (p<.05), gait speed (p<.05), and ROM (p<.05) after functional massage. There was no significant inter-group difference (p>.05). Conclusion: Application of the functional massage showed that statistically significant improvements in ROM, gait speed, and balance ability after a single treatment session. This technique may be a useful treatment in patients having undergone total hip replacement.

Performance of hybrid beam-column joint cast with high strength concrete

  • Al-Osta, M.A.;Al-Khatib, A.M.;Baluch, M.H.;Azad, A.K.;Rahman, M.K.
    • Earthquakes and Structures
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    • v.12 no.6
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    • pp.603-617
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    • 2017
  • This paper presents investigation into the behavior of beam-column joints, with the joint region concrete being replaced by steel fiber reinforced concrete (SFRC) and by ultra-high performance concrete (UHPC). A total of ten beam-column joint specimens (BCJ) were tested experimentally to failure under monotonic and cyclic loading, with the beam section being subjected to flexural loading and the column to combined flexural and axial loading. The joint region essentially transferred shear and axial stresses as received from the column. Steel fiber reinforced concrete (SFRC) and ultra-high performance concrete (UHPC) were used as an innovative construction and/or strengthening scheme for some of the BCJ specimens. The reinforced concrete specimens were reinforced with longitudinal steel rebar, 18 mm, and some specimens were reinforced with an additional two ties in the joint region. The results showed that using SFRC and UHPC as a replacement concrete for the BCJ improved the joint shear strength and the load carrying capacity of the hybrid specimens. The mode of failure was also converted from a non-desirable joint shear failure to a preferred beam flexural failure. The effect of the ties in the SFRC and UHPC joint regions could not be observed due to the beam flexural failure. Several models were used in estimating the joint shear strength for different BCJ specimens. The results showed that the existing models yielded wide-ranging values. A new concept to take into account the influence of column axial load on the shear strength of beam-column joints is also presented, which demonstrates that the recommended values for concrete tensile strength for determination of joint shear strength need to be amended for joints subject to moderate to high axial loads. Furthermore, finite element model (FEM) simulation to predict the behaviour of the hybrid BCJ specimens was also carried out in an ABAQUS environment. The result of the FEM modelling showed good agreement with experimental results.

Development of Novel Joint Device for a Disposal Canister in Deep Borehole Disposal (고준위폐기물 심부시추공 처분을 위한 처분용기 접속장치의 개발)

  • LEE, Minsoo;LEE, Jongyoul;JI, Sung-Hoon
    • Journal of Nuclear Fuel Cycle and Waste Technology(JNFCWT)
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    • v.16 no.2
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    • pp.261-270
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    • 2018
  • In this study, to replace the 'J-slot joint', a joint device between a disposal canister and an emplacement jig in Deep Borehole Disposal process, a novel joint device was designed and tested. The novel joint device was composed of a wedge on top of a disposal canister and a hook box at the end of a winch system. The designed joint device had merits in that it can recombine an emplaced canister freely without the replacement of the joint component. Moreover, it can be applied to various emplacement jigs such as drill pipes, wire-lines, and coiled tubing. To demonstrate the designed joint device, the joint device (${\Phi}110mm$, H 148 mm), a twin canister string (${\Phi}140mm$, H 1,105 mm), and a water tube (${\Phi}150mm$, H 1,500 mm) as a borehole model were manufactured at 1/3 scale. As deployment muds, Na-type bentonite (MX-80) and Ca-type (GJ II) bentonite muds were prepared at solid contents of 7wt% and 28wt%, respectively. The manufactured joint device showed good performance in pure water and viscous muds, with an operation speed of $10m{\cdot}min^{-1}$. It was concluded that the newly developed joint device can be used for the emplacement and retrieval of a deep disposal canister, below 3~5 km, in the future.

AN EXPERIMENTAL STUDY ON THE EFFECT OF POSTERIOR DISPLACEMENT OF THE MANDIBLE ON THE TEMPOROMANDIBULAR JOINT IN RATS (백서 하악골의 후방 이동이 과두에 미치는 영향에 관한 실험적 연구)

  • Park, Kyung Jin
    • The korean journal of orthodontics
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    • v.10 no.1
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    • pp.29-36
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    • 1980
  • Inclined plane, one of frequently used orthodontic appliances, may cause posterior displacement of mandible and injure the normal growth of temporomandibular joint. So author carried out the mandibular posterior displacement experimentally induced by inserting inclined plane in the rat incisors in order to investigate the histological reactions occuring in the temporomandibular joint of experimental animals. Following results were obtained. 1. The posterior displacement of condyle resulted in the widening of anterior synovial space with anterior condylar hyperplasia and posterior condylar atrophy. In addition, tissue changes were more severe in young rats than in adult rats. 2. The tissue reactions were localized only to condylar head ana there were no evidence of traumatic features in young rats. In adult rats, hemorrhage was an additional finding 1 week after experiment. 3. The remodelling processes were accompanied by the increasing or reduction of fibrous layer and subsequent replacement by cartilage layer occured massively and abruptly in young rats, it occured slightly and slowly in adult rats. 4. The remodelling process of injured condyle occured from 1 week to 4 weeks after experiment and completed between 8 weeks after experiment.

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Ankle Salvage Procedure without Internal Fixation for Large Bone Defect after Failed Total Ankle Arthroplasty: A Case Report (실패한 족관절 인공관절 치환술 후 큰 골결손에서 내고정 없이 시행한 족관절 구제술: 증례 보고)

  • Park, Man-Jun;Eun, Il-Soo;Jung, Chul-Young;Ko, Young-Chul;Yoo, Chong-Il;Kim, Min-Woo;Hwang, Keum-Min
    • Journal of Korean Foot and Ankle Society
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    • v.18 no.2
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    • pp.76-79
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    • 2014
  • In treatment of failure in ankle joint replacement therapy, talar avascular necrosis with massive bone defect, talus fracture with severe comminution and bone defect and ankle dislocation, treatment of large bone defects is considerably important for ankle joint stability and union, therefore, the choice of treatment for large bone defects is use of femoral head or iliac crest bone graft and rigid internal fixation. Because first generation total ankle arthroplasty performed for the first time using a cemented fixation technique requires a large amount of bone resection during re-surgery and there is some possibility of a larger bone defect after removal of implants, in cases where prosthesis for the defect is needed, performance of palliative femoral head or iliac crest bone graft and rigid internal fixation can be difficult. We report on a case of a 48-year-old woman who had experienced ankle pain for 25 years since undergoing total ankle arthroplasty. Because the patient had little ankle motion and rigid soft tissue despite a large bone defect caused by aseptic loosening, a good outcome was obtained only for the femoral cancellous bone graft using allo femoral head without internal fixation.

Evaluation of O-MAR XD Technique for Reduction of Magnetic Susceptibility Artifact of Knee Implant (인공 무릎관절에서 자화율 인공물의 감소를 위한 O-MAR XD 기법의 평가)

  • Lee, Jung-Hoon
    • Journal of radiological science and technology
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    • v.41 no.5
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    • pp.413-419
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    • 2018
  • Magnetic Resonance Imaging for patients with metallic implant has poor image quality, and signal loss and artifacts including distortion can occur. The purpose of this study is to carry out a comparative evaluation on high receive bandwidth(hiBW), O-MAR, O-MAR XD to reduce artifacts in knee implant. To take MRI, 3.0T scanner and dual-source radiofrequency transmission were used. O-MAR XD technique's strong option showed a significant difference (p<0.001) with O-MAR XD technique's weak option, O-MAR and hiBW excluding the medium option. O-MAR XD's medium option had a significant difference (p<0.01) with O-MAR XD's weak, O-MAR and hiBW. O-MAR XD technique's weak option had a significant difference (p<0.01) with O-MAR XD's strong and medium options, O-MAR and hiBW. O-MAR technique had a significant difference (p<0.001) with strong, medium, weak options of O-MAR XD technique except for hiBW. HiBW had a significant difference (p<0.001) with strong, medium and weak options of O-MAR XD technique except for O-MAR. The results showed that O-MAR XD technique was more useful for MRI scan for patients with knee replacement surgery than traditional techniques such as hiBW or O-MAR, and susceptibility artifacts decreased more when O-MAR XD technique's strong or medium option was applied. Based on the results above, it is considered that it will be possible to acquire images whose susceptibility artifacts were highly decreased by using O-MAR XD technique's strong or medium option when conducting MRI for artificial knee joint and it will be helpful for checking and monitoring patients with knee joint replacement.

The Effects of a Progressive Lower-extremity Exercise Program on Pain, Self-efficacy of Exercise, and Life Satisfaction among Older Women with Total Knee Replacement Arthroplasty (TKRA) (슬관절 전치환술 후 점진적 하지운동요법이 통증, 운동자기효능감, 삶의 만족도에 미치는 효과)

  • Yang, Gui Suck;Eun, Young;Moon, Gyung Hee;Lee, Sun Kyung
    • Journal of muscle and joint health
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    • v.21 no.3
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    • pp.215-223
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    • 2014
  • Purpose: The purpose of this study was to examine the effect of a progressive lower-extremity exercise program on pain, efficacy of exercise, and the life satisfaction among older women with TKRA. Methods: This study was a nonequivalent control group non synchronized design and was conducted from 12 September 2012 to 05 February 2014 in G-university hospital located in J-city. The sample was composed of an experimental group (n=20) and a control group (n=20). The progressive lower extremity exercise program was applied to the experimental group for 13 days. NRS scale was used to measure the pain, self-efficacy of exercise was measured by Exercise Self Efficacy, and life satisfaction was measured by 8 item questionnaire. Results: The experimental group was significantly lower in the degree of pain (F=73.53, p<.001), higher in the degree of self-efficacy of exercise (F=61.42, p<.001) and life satisfaction (F=80.91, p<.001) than the control group. Conclusion: The progressive lower-extremity exercise program for TKRA patients was useful to reduce pain and improve self-efficacy of exercise and life satisfaction, To reduce the pain and th improve the life satisfaction of older women with TKRA, we need to provide the progressive exercise at bedside during the postoperative recovery phase.

Short-Term Clinical Effects of Robot-Assisted Gait Training Applied to Patients Undergoing Lower Extremity Surgery: A Pilot Study (하지 수술환자에게 적용한 로봇보조 보행훈련의 단기간 임상적 효과: 예비 연구)

  • Lee, Ha-Min;Kwon, Jung-Won
    • PNF and Movement
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    • v.20 no.2
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    • pp.295-306
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    • 2022
  • Purpose: This study aimed to investigate the effect of robot-assisted gait training on the active ranges of motion, gait abilities, and biomechanical characteristics of gait in patients who underwent lower extremity surgery, and to verify the effectiveness and clinical usefulness of robot-assisted gait training. Methods: This study was conducted on 14 subjects who underwent lower extremity surgery. The subjects participated in robot-assisted gait training for 2 weeks. The active ranges of motion of the lower extremities were evaluated, and gait abilities were assessed using 10-m and 2-min walk tests. An STT Systems Inertial Measurement Unit was used to collect data on biomechanical characteristics during gait. Spatiotemporal parameters were used to measure cadence, step length, and velocity, and kinematic parameters were used to measure hip and knee joint movement during gait. Results: Significant improvements in the active ranges of motion of the hip and knee joints (flexion, extension, abduction, and adduction) and in the 10-m and 2-min walk test results were observed after robot-assisted gait training (p < 0.05). In addition, biomechanical characteristics of gait, spatiotemporal factors (cadence, step length, and velocity), and kinematic factors (gait hip flexion-extension, internal rotation-external rotation angle, and knee joint flexion-extension) were also significantly improved (p < 0.05). Conclusion: The results of this study are of clinical importance as they demonstrate that robot-assisted gait training can be used as an effective intervention method for patients who have undergone lower extremity surgery. Furthermore, the findings of this study are clinically meaningful as they expand the scope of robot-assisted gait training, which is currently mainly applied to patients with central nervous system conditions.