• The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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• v.28 no.3
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• pp.89-99
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• 2022

Background: The purpose of this study was to investigate the effects of physical therapy intervention with local vibration on the physical function of patients with traumatic patella fractures. Methods: This study recruited 6 subjects who had suffered traumatic patella fractures. The study was conducted for an average of 12.8 weeks. Before the treatment (2 weeks post-surgery), they were evaluated using the numeric pain rating scale (NPRS), the Korean-version of the impact of event scale-revised (IES-R-K), pressure pain threshold (PPT), range of motion (ROM) of the knee joint, and the Korean knee injury and osteoarthritis outcome score (K-KOOS) and were reevaluated after 7 and 12 weeks, post-surgery. This study was conducted according to ORIF Patella Fracture Post-Operative Rehabilitation Protocol after applying local vibration. The protocol consists of Phases 1~5 and this study has been applied from phase 2. Results: A comparison of the performance of the participants before and after the intervention showed a decrease in NPRS (9.83±.41→4.83±.98), IES-R-K (68.67±2.73→23.83±2.40), and K-KOOS (Function, Daily living: 70.5±5.96→34.0±3.35, Function, Sports and Recreational activities: 22.83±2.32→10.77±1.37, Quality of Life: 19.33±7.33→7.33±.52) scores. And the ROM (Knee flexion: 30.0±4.47°→128.73±3.6°, Knee extension: -6.83±2.48°→-1.33±1.03°) and PPT (9.67±.52kg/cm²→22.44±2.33kg/cm²) scores increased. Conclusion: These results show that physical intervention with local vibration using a Blackroll® booster and head can help to improve pain, physical function, and psychological status. Also, it was possible to select interventions depending on the patient's condition and the desired goal, using physical intervention with the Blackroll® booster technique.

• Structural Engineering and Mechanics
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• v.85 no.3
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• pp.337-351
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• 2023

In this paper, the shear behavior of soft filling in rectangular-hollow concrete specimens was simulated using the 2D particle flow code (PFC2D). The laboratory-measured properties were used to calibrate some PFC2D micro-properties for modeling the behavior of geo-materials. The dimensions of prepared and modeled samples were 100 mm×100 mm. Some disc type narrow bands were removed from the central part of the model and different lengths of bridge areas (i.e., the distance between internal tips of two joints) with lengths of 30 mm, 50 mm, and 70 mm were produced. Then, the middle of the rectangular hollow was filled with cement material. Three filling sizes with dimensions of 5 mm×5 mm, 10 mm×5 mm, and 15 mm×5 mm were provided for different modeled samples. The parallel bond model was used to calibrate and re-produce these modeled specimens. Therefore, totally, 9 different types of samples were designed for the shear tests in PFC2D. The shear load was gradually applied to the model under a constant loading condition of 3 MPa (σc/3). The loading was continued till shear failure occur in the modeled concrete specimens. It has been shown that both tensile and shear cracks may occur in the fillings. The shear cracks mainly initiated from the crack (joint) tips and coalesced with another one. The shear displacements and shear strengths were both increased as the filling dimensions increased (for the case of a bridge area with a particular fixed length).

• Journal of the Korean Society of Physical Medicine
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• v.17 no.1
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• pp.109-116
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• 2022

PURPOSE: This study compared the effect of performing gastrocnemius stretching with and without the self-myofascial release of the sole on the active and passive ankle dorsiflexion angles and muscle tone of the gastrocnemius muscle in subjects with short gastrocnemius muscle. METHOD: A total of 23 subjects with short gastrocnemius muscles were included in this study. The study participants were divided into two experimental groups. Group A performed gastrocnemius muscle self-stretching exercises only, while group B performed self-myofascial release of the sole using a massage ball after the gastrocnemius muscle self-stretching exercises. For both groups, the active and passive ankle dorsiflexion angles were measured using a goniometer, and the tone of the gastrocnemius muscle was assessed using the MyotonPRO®. RESULTS: Within-group comparison showed that the participants in both groups A and B had significantly increased active and passive ankle dorsiflexion angles and decreased gastrocnemius muscle tone (p < .05) after performing their respective exercises. However, no significant differences in the said criteria were observed between groups A and B (p>.05). CONCLUSION: The results of this study showed that both methods were effective in increasing active and passive dorsiflexion angles and decreasing muscle tone. Thus, it is recommended to tailor gastrocnemius stretching exercises according to the patient's condition. If the patient does not experience discomfort in the plantar fasciae, it is recommended to perform the gastrocnemius stretching exercise only without myofascial release and use a massage ball afterward.

• Journal of the Korean Orthopaedic Association
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• v.56 no.4
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• pp.361-365
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• 2021

Pelvic fractures are high-energy injuries, often accompanied by damage to the adjacent tissues and organs. For patients with pelvic trauma, active treatment is required early in the injury, because mortality can increase if appropriate treatment is not provided. In most cases, however, minimally invasive surgery is considered because extensive surgery cannot be performed due to the patient's condition. Percutaneous fixation of the pubis has been introduced because it can be applied easily to achieve the stability of the anterior part of the pelvis. Although many studies introduced percutaneous fixation of pubic bone fractures, most describe screw fixation for nondisplaced fractures. When treating displaced fractures with percutaneous screw fixation, it is difficult for the guide pin or drill bit to avoid the joint surface. Using a bent guide pin could allow easy insertion of the cannulated screw while avoiding the articular surface.

• Physical Therapy Korea
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• v.29 no.1
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• pp.64-69
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• 2022

Background: Gluteus medius muscle is important for the stability of hip joint. The sufficient core stability can be contributed to the performance of gluteus medius muscle in standing position. In addition, the external support may affect core stability in standing position. Objects: The purpose of this study was to investigated the effectiveness of the external support on the strength and muscle activity of hip abductor muscle during hip abduction in standing position in subjects without core stability. Methods: Fifteen subjects participated in this study. The subjects were evaluated by using the double-leg lowering with bent knees to measure the core stability. The strength and muscle activity of hip abductors was measured in standing position with the condition with and without external support using the tensiometer sensor and the surface electromyography. The paired t-test was used to investigate the difference between hip abductor strength and activity according to external support. The level of statistical significance was set at α = 0.05. Results: The hip abductor strength and muscle activity of gluteus medius muscle with external support were significantly greater than those without external support during hip abduction in standing position (p < 0.05). Conclusion: During hip abduction in standing position, the external support may be contributed to the improvement of the hip abductor strength and muscle activity of gluteus medius especially in the subjects without core stability.

• Journal of Korea Game Society
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• v.22 no.1
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• pp.43-54
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• 2022

COVID-19 provided visitors with new online concerts that gradually increased in many ways. The disadvantage of current online concerts is that cannot make full use of the interaction with others. We hope to provide online concert audiences with the same experience as offline. This study was conducted under the condition that the audience watched online concerts and movies individually or group. Experimental results confirm that watching online concerts collectively will increase the sense of immersion. It can be used as a design guide for the virtual public viewing environment in the future.

• Earthquakes and Structures
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• v.23 no.5
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• pp.473-491
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• 2022

The research investigates experimentally the effect of confinement on structural behavior at the ends of beam-column in reinforced concrete (RC) frames. In the experimental study, five specimens consisting of 1/3-scaled RC frames having single-bay, representing the traditional deficiencies of existing buildings constructed without receiving proper engineering service is investigated. The RC frame specimens were produced to represent most of the existing buildings in Turkey that have damage potential. To decrease the probable damage to the existing buildings exposed to earthquakes, the carbon Textile Reinforced Mortar (TRM) strengthening technique (fully wrapping) was used on the ends of the RC frame elements to increase the energy dissipation and deformation capacity. The specimens were tested under reversed cyclic lateral loading with constant axial loads. They were constructed satisfying the weak column-strong beam condition and consisting of low-strength concrete, such as compressive strength of 15 MPa. The test results were compared and evaluated considering stiffness, strength, energy dissipation capacity, structural damping, ductility, and damage propagation in detail. Comprehensive investigations of these experimental results reveal that the strengthening of a brittle frame with fully-TRM wrapping with non-anchored was effective in increasing the stiffness, ductility, and energy dissipation capacities of RC bare frames. It was also observed that the frame-only-retrofitting with an infill wall is not enough to increase the ductility capacity. In this case, both the frame and infill wall must be retrofitted with TRM composite to increase the stiffness, lateral load carrying, ductility and energy dissipation capacities of RC frames. The presented strengthening method can be an alternative strengthening technique to enhance the seismic performance of existing or moderately damaged RC buildings.

• Journal of Korean Society on Water Environment
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• v.39 no.1
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• pp.9-19
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• 2023

Drought is a natural disaster that can have serious social impacts. Drought's impact ranges from water supply for humans to ecosystems, but the impact of drought on river water quality requires careful investigation. In general, drought occurs meteorologically and is classified as agricultural drought, hydrological drought, and environmental drought. In this study, the BOD environmental drought is defined using the bivariate copula joint probability distribution model between the meteorological drought index and the river BOD, and based on this, the environmental drought condition index (EDCI-BOD) was proposed. The results of examining the proposed index using past precipitation and BOD observation data showed that EDCI-BOD expressed environmental drought well in terms of river BOD water quality. In addition, by classifying the calculated EDCI-BOD into four levels, namely, 'attention', 'caution', 'alert', and 'seriousness', a practical monitoring stage for environmental drought of BOD was constructed. We further estimated the sensitivity of the stream BOD to meteorological drought, and through this, we could identify the stream section in which the stream BOD responded relatively more sensitively to the occurrence of meteorological drought. The results of this study are expected to provide information necessary for river BOD management in the event of meteorological droughts.

• Clinics in Shoulder and Elbow
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• v.26 no.2
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• pp.182-190
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• 2023

Elbow traumas represent a relatively common condition in clinical practice. However, there is a lack of evidence regarding the most accurate tests for screening these potentially serious conditions and excluding elbow fractures. The purpose of this investigation was to analyze the literature concerning the diagnostic accuracy of clinical tests for the detection or exclusion of suspected elbow fractures. A systematic review was performed using the Preferred Reporting Items for a Systematic Review and Meta-analysis of Diagnostic Test Accuracy Studies (PRISMA-DTA) guidelines. Literature databases including PubMed, Cumulative Index to Nursing and Allied Health Literature, Diagnostic Test Accuracy, Cochrane Library, the Web of Science, and ScienceDirect were searched for diagnostic accuracy studies of subjects with suspected traumatic elbow fracture investigating clinical tests compared to imaging reference tests. The risk of bias in each study was assessed independently by two reviewers using the Quality Assessment of Diagnostic Accuracy Studies 2 checklist. Twelve studies (4,485 patients) were included. Three different types of index tests were extracted. In adults, these tests were very sensitive, with values up to 98.6% (95% confidence interval [CI], 95.0%-99.8%). The specificity was very variable, ranging from 24.0% (95% CI, 19.0%-30.0%) to 69.4% (95% CI, 57.3%-79.5%). The applicability of these tests was very high, while overall studies showed a medium risk of bias. Elbow full range of motion test, elbow extension test, and elbow extension and point tenderness test appear to be useful in the presence of a negative test to exclude fracture in a majority of cases. The specificity of all tests, however, does not allow us to draw useful conclusions because there was a great variability of results obtained.

• Journal of the Korean Geotechnical Society
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• v.23 no.6
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• pp.115-126
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• 2007

The tilting-train is very attractive to the railroad users in the world because it runs with high speed in curved track using pre-existing infrastructure. The tilting-train has a unique allowable speed and mechanism expecially in curved track. Therefore, it should be evaluated in terms of the stability of the train operation and roadbed. In this study, when the tilting-train is being operated with the allowable speed, the behavior of the roadbed is evaluated by examining the settlement and bearing capacity of the roadbed. Additionally, the stability of the roadbed is estimated in the condition of soft roadbed influenced by the weather effects and cyclic train loading. The numerical results show that the roadbed settlements satisfy the allowable settlement when Young's moduli of the upper roadbed and in-situ soil are more than $2,300t/m^2\;and\;3,300t/m^2$, respectively, in the continuous welded rail (CWR) and $3,800t/m^2\;and\;4,600t/m^2$, respectively, in the rail joint.