• Title/Summary/Keyword: Mechanical Intervention

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Long-term Follow-up of Cutaneous Hypersensitivity in Rats with a Spinal Cord Contusion

  • Jung, Ji-In;Kim, June-Sun;Hong, Seung-Kil;Yoon, Young-Wook
    • The Korean Journal of Physiology and Pharmacology
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    • v.12 no.6
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    • pp.299-306
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    • 2008
  • Sometimes, spinal cord injury (SCI) results in various chronic neuropathic pain syndromes that occur diffusely below the level of the injury. It has been reported that behavioral signs of neuropathic pain are expressed in the animal models of contusive SCI. However, the observation period is relatively short considering the natural course of pain in human SCI patients. Therefore, this study was undertaken to examine the time course of mechanical and cold allodynia in the hindpaw after a spinal cord contusion in rats for a long period of time (30 weeks). The hindpaw withdrawal threshold to mechanical stimulation was applied to the plantar surface of the hindpaw, and the withdrawal frequency to the application of acetone was measured before and after a spinal contusion. The spinal cord contusion was produced by dropping a 10 g weight from a 6.25 and 12.5 mm height using a NYU impactor. After the injury, rats showed a decreased withdrawal threshold to von Frey stimulation, indicating the development of mechanical allodynia which persisted for 30 weeks. The withdrawal threshold between the two experimental groups was similar. The response frequencies to acetone increased after the SCI, but they were developed slowly. Cold allodynia persisted for 30 weeks in 12.5 mm group. The sham animals did not show any significant behavioral changes. These results provide behavioral evidence to indicate that the below-level pain was well developed and maintained in the contusion model for a long time, suggesting a model suitable for pain research, especially in the late stage of SCI or for long term effects of analgesic intervention.

The Effect of the Chest Physiotherapy in Brain Injury Patients (뇌손상 환자에게 적용한 흉부물리요법의 비교연구)

  • Hong, Hae-Sook;Choi, Young-Jin
    • Journal of Korean Biological Nursing Science
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    • v.6 no.2
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    • pp.19-30
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    • 2004
  • The purpose of this study was to compare chest percussion with chest vibration in brain injury patients. 30 patients in SICU of one general hospital in T city were randomely divided by 3 groups and the arterial oxygen tension(PaO2) and the retained secretion were measured. The chest vibration was done among the first group, the chest vibration by hand after the chest percussion was done among the second group and the mechanical chest vibration after the chest percussion was done among the third group. The data was analyzed using SPSS 7.0(5% significance) and the results are below. 1) It was adopted the hypothesis that the amount of retained secretion of endotracheal suction after stopping the actions among the first, second and the third groups is different from each other.(F=41.62, p=0.00) 2) It was rejected the hypothesis that the arterial oxygen tension(PaO2)s are different from each other among the first, second and third group.(F=1.22, p=0.31) The amount of the retained secretion after chest percussion, chest vibration by hand or mechanical chest vibration was significantly different from each other. Therefore, chest physiotherapy could be regarded as the effective nursing intervention for the unconscieus patients who have the inappropriate airway cleaness and it was more effective to be together than to be alone.

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Research Findings and Implications for Physical Therapy of Spasticity (강직의 최선 지견과 물리치료와의 관련성)

  • Kim, Jong-Man;Choi, Houng-Sik
    • Physical Therapy Korea
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    • v.2 no.2
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    • pp.73-84
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    • 1995
  • Spasticity has been defined as a motor disorder characterised by a velocity-dependent increase in tonic stretch reflexes with exaggerated tendon jerks resulting in hyperexcitability of the stretch reflexes as one component of the upper motor neuron syndrome. Weakness and loss of dexterity, however, are considered to be more disabling to the patient than changes in muscle tone. The discussion includes the important role that alterations in the physiology of motor units, notably changes in firing rates and muscle fiber atrophy, play in the manifestation of muscle weakness. This paper considers both the neural and mechanical components of spasticity and discusses, in terms of clinical intervention, the implications arising from recent research. Investigations suggest that the resistance to passive movement in individuals with spasticity is due not only to neural mechanisms but also to changes in mechanical properties of muscle. The emphasis is on training the individual to gain control over the muscles required for different tasks, and on preventing secondary and adaptive soft tissue changes and ineffective adaptive motor behaviours.

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Real-Time Haptic Rendering of Slowly Deformable Bodies Based on Two Dimensional Visual Information for Telemanipulation (원격조작을 위한 2차원 영상정보에 기반한 저속 변형체의 실시간 햅틱 렌더링)

  • Kim, Jung-Sik;Kim, Young-Jin;Kim, Jung
    • Transactions of the Korean Society of Mechanical Engineers A
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    • v.31 no.8
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    • pp.855-861
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    • 2007
  • Haptic rendering is a process providing force feedback during interactions between a user and a virtual object. This paper presents a real-time haptic rendering technique for deformable objects based on visual information of intervention between a tool and a real object in a remote place. A user can feel the artificial reaction force through a haptic device in real-time when a slave system exerts manipulation tasks on a deformable object. The models of the deformable object and the manipulator are created from the captured image obtained with a CCD camera and the recognition of objects is achieved using image processing techniques. The force at a rate of 1 kHz for stable haptic interaction is deduced using extrapolation of forces at a low update rate. The rendering algorithm developed was tested and validated on a test platform consisting of a one-dimensional indentation device and an off-the shelf force feedback device. This software system can be used in a cellular manipulation system providing artificial force feedback to enhance a success rate of operations.

Comparison of Dynamic Characteristics of Methane/Air and Propane/Air Premixed Flames with Ultrasonic Standing Wave (정상초음파가 개재하는 메탄/공기 및 프로판/공기 예혼합화염의 동역학적 특성 비교)

  • Kim, Min Cheol;Bae, Dae Seok;Kim, Jeong Soo
    • Journal of the Korean Society of Propulsion Engineers
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    • v.21 no.4
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    • pp.44-51
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    • 2017
  • An experimental results on the dynamic characteristics of hydrocarbon/air premixed flames with ultrasonic standing waves are presented and compared. Images of the propagating flames were acquired by using a high-speed camera, and the flame behavior of methane/air and propane/air premixed flame were closely scrutinized through the image post-processing. At the fuel-lean conditions, the flame propagation velocity increased due to the intervention of the ultrasonic standing wave and vice versa at the fuel-rich conditions.

Physically-based Haptic Rendering of a Deformable Object Using Two Dimensional Visual Information for Teleoperation (원격조작을 위한 이차원 영상정보를 이용한 변형체의 물리적 모델 기반 햅틱 렌더링)

  • Kim, Jung-Sik;Kim, Jung
    • 한국HCI학회:학술대회논문집
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    • 2008.02c
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    • pp.19-24
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    • 2008
  • This paper presents a physically-based haptic rendering algorithm for a deformable object based on visual information about the intervention between a tool and a real object in a remote place. The physically-based model of a deformable object is created from the mechanical properties of the object and the captured image obtained with a CCD camera. When a slave system exerts manipulation tasks on a deformable object, the reaction force for haptic rendering is computed using boundary element method. Snakes algorithm is used to obtain the geometry information of a deformable object. The proposed haptic rendering algorithm can provide haptic feedback to a user without using a force transducer in a teleoperation system.

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What Happens without Treating Chronic Lateral Ankle Instability (외측 발목 불안정성을 치료하지 않으면 어떻게 되는가)

  • Woo, Seung Hun;Chung, Hyung-Jin
    • Journal of Korean Foot and Ankle Society
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    • v.25 no.1
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    • pp.6-9
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    • 2021
  • The term chronic lateral ankle instability (CLAI) embraces a spectrum of conditions that involve functional and mechanical instability, both in athletes and lower-demand patients. The hallmarks of CLAI are recurrent sprains, persistent pain, and repeated episodes of the ankle giving way. CLAI is the main complication of acute ankle sprains, which can cause discomfort in daily and sports activity. Approximately 10% to 30% of patients with acute ligament ruptures will develop chronic instability over the course of a year from the index injury. An accurate diagnostic approach and successful treatment plan should be established based on a comprehensive understanding of the concept of functional and mechanical instability. Unfortunately, the optimal modality for the management of CLAI is unclear. Even after conservative treatment or surgical intervention, it could result in degenerative changes to the ankle joint in the long term. Thus far, the incidence of ligamentous posttraumatic ankle osteoarthritis was reported to be 13% to 78%. The mean latency time between injury and osteoarthritis was at least 10 to 34.3 years. CLAI is an important pathological condition that can cause discomfort or dysfunction in daily activity in the short term, resulting in joint destruction in the long term. Therefore, it is important to understand the various complications that can occur when CLAI is not treated properly.

Immediate Effects of Combined Stretching Exercise and Therapeutic Ultrasound on the Muscles Around the Neck in Tension-type Headache Patients (치료적 초음파를 결합한 뻗침운동이 긴장성 두통 환자의 목주변 근육에 미치는 즉각적인 효과)

  • Heo, Jae-Won;Park, Sam-Heon
    • Journal of muscle and joint health
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    • v.29 no.1
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    • pp.11-17
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    • 2022
  • Purpose: This study aimed to provide objective and basic data for an effective treatment method by examining changes in the mechanical properties of muscles and the degree of tenderness when a combination of stretching exercise and ultrasound therapy is applied to patients with tension headaches. Methods: The participants were classified into two groups based on the intervention received: the therapeutic ultrasound combined with suboccipital stretching (n=15, experimental group) and infrared combined with suboccipital stretching (n=15, control group) groups. The intragroup differences in mechanical muscle properties and modified total tenderness score were compared and analyzed. Results: The comparison and analyses of the changes in muscle tone and stiffness revealed statistically significant intragroup decreases in the upper trapezius and suboccipitalis in the experimental group. Similarly, the comparison and analyses of the changes in muscle stiffness revealed statistically significant intragroup decreases in the upper trapezius in the control group. Conclusion: Therapeutic ultrasound combined with suboccipitalis stretching effectively increased the flexibility of the muscles around the cervical vertebrae and reduced muscle tension and stiffness in tension-type headache patients

Effectiveness of Anchoring with Balloon Guide Catheter and Stent Retriever in Difficult Mechanical Thrombectomy for Large Vessel Occlusion

  • Yi, Ho Jun;Kim, Bum-Tae;Shin, Dong-Sung
    • Journal of Korean Neurosurgical Society
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    • v.65 no.4
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    • pp.514-522
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    • 2022
  • Objective : A distal navigation of a large bore aspiration catheter during mechanical thrombectomy (MT) is important. However, delivering a large bore aspiration catheter is difficult to a tortuous or atherosclerotic artery. We report the experience of anchoring with balloon guide catheter (BGC) and stent retriever to facilitate the passage of an aspiration catheter in MT. Methods : When navigating an aspiration catheter failed with a conventional co-axial microcatheter delivery, an anchoring technique was used. Two types of anchoring technique were applied to facilitate distal navigation of a large bore aspiration catheter during MT. First, a passage of aspiration catheter was attempted with a proximal BGC anchoring technique. If this technique also failed, another anchoring technique with distal stent retriever was tried. Consecutive patients who underwent MT with an anchoring technique were identified. Details of procedure, radiologic outcomes, and safety variables were evaluated. Results : A total of 67 patients underwent MT with an anchoring technique. Initial trial of aspiration catheter passage with proximal BGC anchoring technique was successful for 35 patients (52.2%) and the second trial with distal stent retriever anchoring was successful for 32 patients (47.8%). Overall, navigation of a large bore aspiration catheter was successful for all patients (100%) without any procedure related complications. Conclusion : Our study showed the usefulness of anchoring technique with proximal BGC and distal stent retriever during MT, especially in those with an unfavorable anatomical structure. This technique could be an alternative option for delivering an of aspiration catheter to a distal location.

Sequence Planning of Machining Features using STEP AP224 (STEP AP224를 이용한 특징 형상의 가공 순서 계획)

  • 강무진
    • Korean Journal of Computational Design and Engineering
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    • v.9 no.2
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    • pp.175-182
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    • 2004
  • As a bridge between design and manufacturing, process planning is to generate a sequenced set of instructions to manufacture the specified part. Automatic interpretation of manufacturing information incorporated in the design documentation such as CAD file has been a knotty subject for manufacturing engineers since no current data exchange format for product data provides a perfect interface between heterogeneous systems. The recent neutral data exchange format STEp, standard for the exchange of product model data, includes not only geometry but also technical and managerial information. STEP AP(Application Protocol) 224 is specifically dedicated to the mechanical product definition for process planning using machining features. Given a design information in STEP AP 224 format, process planning can be made without human intervention. This paper describes a method to determine the sequence of machining features by using the machining features and the manufacturing information expressed in STEP AP224.