• Journal of Korean Neurosurgical Society
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• 제58권6호
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• pp.578-581
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• 2015

A rigid spino-pelvic fixation to anchor long constructs is crucial to maintain the stability of long fusion in spinal deformity surgery. Besides obtaining immediate stability and proper biomechanical strength of constructs, the S2 alar-iliac (S2AI) screws have some more advantages. Four Korean fresh-frozen human cadavers were procured. Free hand S2AI screw placement is performed using anatomic landmarks. The starting point of the S2AI screw is located at the midpoint between the S1 and S2 foramen and 2 mm medial to the lateral sacral crest. Gearshift was advanced from the desired starting point toward the sacro-iliac joint directing approximately $20^{\circ}$ angulation caudally in sagittal plane and $30^{\circ}$ angulation horizontally in the coronal plane connecting the posterior superior iliac spine (PSIS). We made a S2AI screw trajectory through the cancellous channel using the gearshift. We measured caudal angle in the sagittal plane and horizontal angle in the coronal plane. A total of eight S2AI screws were inserted in four cadavers. All screws inserted into the iliac crest were evaluated by C-arm and naked eye examination by two spine surgeons. Among 8 S2AI screws, all screws were accurately placed (100%). The average caudal angle in the sagittal plane was $17.3{\pm}5.4^{\circ}$. The average horizontal angle in the coronal plane connecting the PSIS was $32.0{\pm}1.8^{\circ}$. The placement of S2AI screws using the free hand technique without any radiographic guidance appears to an acceptable method of insertion without more radiation or time consuming.

• 한국운동역학회지
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• 제30권1호
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• pp.73-81
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• 2020

Objective: The purpose of this study is to analyze the effects of aquatic walking exercise on gait and balance parameters of elderly women. Method: 15 elderly people were recruited for this study (age: 73.20±5.19 yrs, height: 153.87±3.36 cm, mass: 60.33±5.73 kg). All variables were measured using Gaitview AFA-50. The variables were the heel contact time ratio, gait angle, and M/P change ratio for gait patterns and ENV, REC, RMS, Total Length, TLC, Sway velocity, and Length/ENV for balance abilities. A paired t-test and the Wilcoxon signed-rank test were carried out to verify the differences in the test scores after participating in the water walking program. The significance level for all statistical analyses was set to α=.05. Results: As for the changes in their walking function after the exercise, heel contact time ratio (p<.01) showed a statistical significance, while gait angle and M/P change ratio did not reveal statistically significant differences. In the test of balance ability on both feet and with eyes opened, statistical significance was found in ENV, REC, RMS, TLC (p<.01), and sway velocity (p<.05), while the test with eyes closed showed statistical significance in length/ENV as well as ENV, REC, RMS, sway velocity (p<.01) TLC, and total length (p<.05). As for the single-leg stance balance ability, ENV and REC revealed statistically significant differences. Conclusion: These results show that water walking is effective for improving the function of the ankle flexor muscles, providing stability to the ankle joint during walking and helping efficient walk. In addition, it is also expected to help prevent falls due to loss of balance by improving the stability of lower extremity muscles and trunk.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• 제41권3호
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• pp.156-164
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• 2015

Bilateral sagittal split ramus osteotomy is considered a standard technique in mandibular orthognathic surgeries to reduce unexpected bilateral stress in the temporomandibular joints. Unilateral sagittal split ramus osteotomy (USSO) was recently introduced to correct facial asymmetry caused by asymmetric mandibular prognathism and has shown favorable outcomes. If unilateral surgery could guarantee long-term postoperative stability as well as favorable results, operation time and the incidence of postoperative complications could be reduced compared to those in bilateral surgery. This report highlights three consecutive cases with long-term follow-up in which USSO was used to correct asymmetric mandibular prognathism. Long-term postoperative changes in the condylar contour and ramus and condylar head length were analyzed using routine radiography and computed tomography. In addition, prior USSO studies were reviewed to outline clear criteria for applying this technique. In conclusion, patients showing functional-type asymmetry with predicted unilateral mandibular movement of less than 7 mm can be considered suitable candidates for USSO-based correction of asymmetric mandibular prognathism with or without maxillary arch surgeries.

• 대한전자공학회논문지
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• 제25권10호
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• pp.1173-1182
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• 1988

보행로보트에 있어서 다리의 기구적 특성은 안정도, 에너지 효율 및 걷는 영역 등에 영향을 준다. 보행로보트 중에서 안정도 여유가 비교적 큰 사각보행로보트는 보폭이 크다. 그리고 수직운동과 수평운동이 서로 분리되어 있는 팬토그래프 구조의 다리를 갖는 보행로보트는 기구적인 복잡성으로 인하여 움직임을 예상하기가 어렵게 된다. 따라서, 보행로보트의 3차원적인 이동을 해석하기 위하여 그래픽스를 이용한 방법이 중요하게 쓰일 수 있다. 본 논문에서는 서로 다른 조인트 구동방식을 갖는 세 개의 사각보행로보트를 모델링하고, 각각에 대하여 몸의 중심으로 표시된 경로로써 작업지시를 하여 걷는 모습을 애니메이션 함으로써 그 기구적인 특성을 해석할 수 있게 하였다. 그리고 회전걸음이나 옆걸음을 위하여 다리 제어를 하였고, 조인트의 이동에 대한 정보를 위하여 Sun-3 시스템에서의 윈도우를 이용하였다.

• 한국정밀공학회지
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• 제30권4호
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• pp.368-374
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• 2013

Maintenance works for current high-rise buildings significantly depend on human labor, unlike other construction processes that are gradually being automated. Herein, this paper proposes robotic building maintenance system using motion control, in specific, reducing a system jerk which is directly subjected to improve the process performance and economic feasibility. The sensor for detecting straight and curvature section of the building facade, moreover rail-joint segment can be detected and be utilized for reducing jerk of the system. Analysis of the proposed system error caused by excessive vibration, e.g. jerk motion is introduced. To enhance the stability and safety of the system, herein, the strategy is proposed for enhancing the performance of the system based on anti-jerk motion control algorithm which comes out increasing the stability and sustainability of the integrated system, as well.

• 대한관절경학회지
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• 제2권2호
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• pp.129-134
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• 1998

The arthroscopic ACL reconstruction using the bone-patellar tendon-bone has been considered as the gold standard in the treatment of the ACL insufficiency. There are many reports about the good functional outcome and the restored stability of the knee joint. But there are a few reports showing whether this surgery has good results in the patients' satisfaction. The purpose of this study is to evaluate the patients' satisfaction in this surgery. Authors analysed 32 cases who had taken the ACL reconstruction from Jannuary, 1989 to June, 1997. The average follow-up was 40 months. At the last follow-up, 32 patients reported the patients' satisfaction degrees(four degrees; very satisfied, generally satisfied, improved, no change or aggravated), KT-1000 arthrometer test, Vastus atrophy(thigh circumference), and three kinds of the knee scores(Lysholm, HSS, IKDC). Among the 32 cases, 12 cases (37.5%) were very satisfied, 17 cases(53.1%) were generally satisfied and 3 cases(9.4%) were improved. No case showed no change or aggravated. The satisfaction degree in this surgery had little relation with the age, operation time, follow-up period, combination of meniscectomy, but had significant relations with anteroposterior stability evaluated by KT-1000, thigh circumference measurements and the functional scoring of the knee(Lysholm, HSS, IKDC scores).

• 대한정형도수물리치료학회지
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• 제12권2호
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• pp.52-65
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• 2006

Sling exercises therapy can speak as appliable comprehensive exercises therapy technique efficiently in general exercise field for injured worker's rehabilitation process and health improvement patient or athlete, injury or disease that have pain or dysfunction to neuromuscular system using that shake. At 1990 an early stage, because physical therapist and doctors of medical treatment developed country norway of north europe cooperate sling exercises therapy's concept trend spreading worldwide establishing theory newly based on scientific basic be. Musculoskeletal system, old man and young child's nervous system injurer's treatment and exercise and industry worker's rehabilitation process, athlete's rehabilitation etc. several fields introduced in early 2000s to Korea apply. Sling exercises therapy neuromuscular system disease continuous abatement as general concept of active exercise and treatment that use sling exercises equipment by purpose know can. This review article wishes to introduce about neuromuscular activation, "Neurac" technique that can speak as step developed more concept based on application principle etc, of basic sling exercises effort's change by suspension point's change that is concept, stability exercises principle, open kinetic chain exercises and closed kinetic chain exercises. Arranged about Plateau potential's characteristic and working mechanism and Neurac technique's application method that can say as Neurac technique's neuro-physiologic base, and presented treatment method of lumbar part disease and cervical part, shoulder joint part disease to application example. Because plateau potential forward player that induce using Neurac technique in part muscles that act role that keep spine surrounding stability in this article keeps muscle's contraction continuously, between global and local muscles, presented several study findings that can cause affirmative change in insufficient muscle adjustment state such as imbalance of muscles' action order. Expect that case studies that use this Neurac technique here after consist continuously.

• 대한정형도수물리치료학회지
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• 제22권2호
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• pp.57-63
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• 2016

Background: Instability due to ankle sprains will be accompanied by a problem of balance and pain change. Balance trainer is used to improve the ankle strength and balance ability. The purpose of this study was to evaluate the change of pain and postural balance ability in ankle joint after balance trainer application in patients with ankle sprain and instability. Methods: Twenty patients in K hospital in Incheon were enrolled. Balance trainer was applied to 10 subjects in the experimental group and 10 subjects in the Balance cushion under the same conditions as the experimental group to compare the pain and balance ability. Results: In the experimental group, there was a significant difference in the change of the pain variation. In the postural balance ability comparison, there was a significant difference in total and post - posterior comparison compared to the control, but there was no significant difference in the postural balance ability comparison. Conclusion: Pain and postural balance ability of patients with instability due to ankle sprain improved the pain and balance ability of the Balance trainer group compared to the Balance cushion training group.

• 한국지능시스템학회논문지
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• 제19권4호
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• pp.457-463
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• 2009

본 논문에서는 육족 보행 로봇의 새로운 힘 분배 알고리듬을 제안한다. 본 논문에서 고려하는 육족 보행 로봇은 다리 하나에 관절고착고장이 발생하여 내고장성 정적 세다리 걸음새로 보행한다. 제안되는 힘 분배 알고리듬의 핵심은 내고장성 걸음새가 가지는 안정여유도를 결정하는 지지 다리의 미끄러짐을 최소화시키는 것이다. 불연속적으로 움직이는 내고장성 세다리 걸음새는 정상 걸음새보다 안정도가 떨어진다는 약점이 있다. 본 논문에서 제안하는 힘 분배 알고리듬은 이러한 약점을 고려하여 내고장성 걸음새의 지지 다리가 세 개라는 성질과 Zero-Interaction Force 원리를 이용하여 최적화 기법을 쓰지 않고 대수적으로 모든 다리의 힘 성분을 구한다. 컴퓨터 시뮬레이션 사례 연구를 통해서 제안된 힘 분배 알고리듬과 기존 방법의 비교 분석을 실시하고 제안된 방법의 효용성을 입증한다.

• 터널과지하공간
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• 제29권6호
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• pp.425-438
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• 2019

본 연구에서는 일정한 방향의 층리가 발달한 퇴적암에 굴착된 지하철 병설터널을 모델링하여 축소모형 실험을 실시하였다. 연구대상 터널의 규격은 6.2 m×6.8 m이고 필러 폭은 4 m이다. 차원해석을 통해 현장암석에 적합한 모형재료를 선정하였고, 이를 사용하여 이방성 모형시험체를 제작하였으며 이축압축시험을 통해 터널의 파괴 및 변형거동을 알아보았다. 모형시험체에 하중을 증가시킴에 따라 필러의 중앙부에서 병설터널 사이를 가로지르는 최초의 균열이 발생하였고, 터널 천정부와 바닥부에서도 점차 파괴가 진행되었다. 필러부의 모든 균열은 기존의 층리면을 따라 발생하여 암반의 층리면이 필러 파괴의 주요 원인으로 나타났다. 또한, FLAC의 유비쿼터스 절리모델을 사용하여 실험 조건에 대한 수치해석을 실시함으로써 실험의 결과를 검증해 보았다. 여기서 얻어진 소성영역의 분포경향은 모형실험의 결과와 대체로 부합하여 실험의 신뢰성을 확인하였다.