• Geomechanics and Engineering
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• 제28권4호
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• pp.359-374
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• 2022

Geology conditions are crucial in decision-making during the planning and design phase of a tunnel project. Estimation of the geology conditions of road tunnels is subject to significant uncertainties. In this work, the effectiveness of a novel regression method in estimating geological or geotechnical parameters of road tunnel projects was explored. This method, called Gaussian process regression (GPR), formulates the learning of the regressor within a Bayesian framework. The GPR model was trained with data of old tunnel projects. To verify its feasibility, the GPR technique was applied to a road tunnel to predict the state of three geological/geomechanical parameters of Rock Mass Rating (RMR), Rock Structure Rating (RSR) and Q-value. Finally, in order to validate the GPR approach, the forecasted results were compared to the field-observed results. From this comparison, it was concluded that, the GPR is presented very good predictions. The R-squared values between the predicted results of the GPR vs. field-observed results for the RMR, RSR and Q-value were obtained equal to 0.8581, 0.8148 and 0.8788, respectively.

• 한국구조물진단유지관리공학회 논문집
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• 제12권6호
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• pp.193-204
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• 2008

본 논문은 연약지반에서 복수의 신규터널 시공을 모사하기 위해 실시된 모형실험 과정 및 결과에 대해 기술한다. 새로운 터널이 기존터널에 근접하여 시공될 때 기존터널의 거동을 조사하기 위해 1/50의 상사율로 모형실험이 실시되었다. 모형 터널은 압밀된 Speswhite Kaolin 점토에 시공되었으며, 오거 형상 굴착기와 실드로 구성된 터널굴착 장비가 사용되었다. 기존터널의 거동 계측을 위해 스트레인 게이지와 변형계가 사용되었다. 모형시험 분석 결과는 영국 Old Street 런던 지하철 Northern Line 확장공사 현장계측 결과와 비교되었다. 또한, 모형시험 결과는 동일한 실험기구 및 실험방법이 사용된 별도의 모형실험에서 계측된 지반변형 데이터와도 비교되었다.

• 대한정형도수물리치료학회지
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• 제16권2호
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• pp.48-52
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• 2010

Object: The aim of this study is to descrive the effect of neurodynamic technique and self management exercise for carpal tunnel syndrome patients(CTS) Method: 13 patients with CTS participated in this study. They were from 18 to 70 years old and mean age was 25.3. In the evalutaion, gripping with grip dynamometer, strength of gripping with precision pinchmeter, pain level with visual analogue scale. All measurement of each subject were measure at pre- treatment and post treatment(after 1week) and post treattment(after 2 weeks) stage. The physical therapy program consisted of neurodynamic technique and self management exercise. SPSS 12.0 program was used to compile result. Result: The grip, pinch, VAS-P were significantly difference between pre-treatment and post treatment(after 2weeks)(p<.05) Conclusion: This study suggest that 3weeks neurodynamic technique and self management exercise improved grip and pinch strength and decrease pain score.

• Journal of Korean Neurosurgical Society
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• 제41권5호
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• pp.333-335
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• 2007

A 56-year-old woman presented with the numbness and pain in the left hand in the 1st, 2nd and 3rd finger area that developed suddenly 7 days prior to admission. In nerve conduction velocity test, the deterioration of nerve conduction velocity as well as the reduction of the potential amplitude were detected. After diagnosis of carpal tunnel syndrome, the open median nerve release was performed. Nonetheless, the preoperative symptoms did not change. The magnetic resonance images [MRI] of brain revealed a cerebral infarction in sensoricortical area of parietal lobe. The patient was referred to the department of neurology, and after conservative treatment, her symptoms were improved.

• 대한족부족관절학회지
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• 제11권2호
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• pp.192-197
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• 2007

Purpose: The purpose of this study is to present our clinical results after surgical treatment in tarsal tunnel syndrome due to space occupying lesions. Material and Methods: We performed surgical decompression for tarsal tunnel syndrome in 20 patients from July 2004 to February 2007. Out of them, thirteen cases were due to space occupying lesions around the tarsal tunnel. The average age at operation was 51.3 years old and the duration from symptom onset to surgery was 16.5 months. The operation included removal of space occupying lesions and tarsal tunnel decompression. The clinical parameters were pain visual analogue scale (VAS), AOFAS scale, and subjective satisfaction. Results: The ganglion cysts were the most frequent causes (ten cases) and synovial chondromatosis in 1 case, neurofibroma in 1 case, talocalcaneal coalition in 1 case. The average follow-up duration was 14.5 months. The AOFAS scale showed significant improvement from 77.8 to 92.7. The average VAS decreased from 6.4 to 2.2. Seven out of thirteen patients were satisfied with the results. The excellent results were shown in six patients, the good results in one patient, the fair result in three patients and the unsatisfactory results in three patients. Conclusion: Favorable results could be obtained in patients with known etiology. But not all cases with surgical decompression of space occupying lesions showed satisfactory results. We assume that the clinical results were related to the multiple factors, not only well performed surgery but also age, size lesions and duration of symptoms, ect.

• The Journal of Korean Physical Therapy
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• 제14권4호
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• pp.266-273
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• 2002

Carpal Tunnel Syndrome(CTS) is a common entrapment neuropathy of the median nerve at the wrist. An Electrophysiologic study has been widely used for the diagnosis of carpal tunnel syndrome. The subjects of this study were 48 cases (88 hands) with clinically suspected carpal tunnel syndrome who underwent electrodiagnostic examination from Jan 1, 2001 to Sep 30, 2001, The results were as follows: 1. Among 48 persons with a clinically suspected carpal tunnel syndrome, 40 patients were female 83.33$\%$ and the patients who are above 60 years old were 37.50$\%$. 2. Electrodiagnostic results were 22 cases (45.84$\%$) with bilateral carpal tunnel syndrome and 10 cases (20.83$\%$) with normal. 3. Physical findings consisted of tingling sensation in 48.86$\%$ of the involved hands, positive Phalen's Sign in 20.46$\%$ of them, thenar atrophy in 15.91$\%$ of them, and weakness in 14.77$\%$ of them. 4. Electrophysiologic studies showed a decreased sensory conduction velocity in 20 cases (22.73$\%$) of total hands, a prolonged latency in 3 cases (3.41$\%$) of them, abnormal sensory and motor fiber in 33 cases (37.50$\%$) of them, and normal in 27 cases (30.68$\%$) of them. Considering above results, we had better make a diagnosis precisely the patients with clinically suspected carpal tunnel syndrome through subjective symtoms, physical examinations, and electrophysiologic studies.

• Journal of Korean Neurosurgical Society
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• 제48권4호
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• pp.380-382
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• 2010

The authors present an extremely rare case of a pseudoaneurysm of the ulnar artery as a complication of a two-portal endoscopic carpal tunnel release (ECTR). A 70-year-old man with chronic renal failure and on maintenance hemodialysis with a left arteriovenous fistula presented with paresthesia of his right hand. A clinical diagnosis of right carpal tunnel syndrome was confirmed by ultrasonography and an electro physiologic study. He underwent two-portal ECTR, and the paresthesia was much improved. However, he presented to us one month after operation with severe pain, a tender mass distal to the right wrist crease and more aggravation of the paresthesia in the ulnar nerve distribution. Doppler ultrasound was performed and revealed a hypo echoic lesion 20 mm in diameter in the right palm, with arterial Doppler flow inside connected to the palmar segment of the ulnar artery. An ulnar artery pseudoaneurysm was diagnosed and treated by ultrasound-guided percutaneous thrombin injection. Transverse color Doppler ultrasound image showed complete thrombosis of the pseudoaneurysm and flow cessation after a total injection of 500 units of thrombin. The symptoms were also improved.

• The Korean Journal of Pain
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• 제22권1호
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• pp.65-67
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• 2009

Tarsal tunnel syndrome is often misdiagnosed it shares clinical features with other diseases of the lower extremity such as lumbar radiculopathy and arthritis. Failure to diagnose and treat neuropathies effectively can cause permanent neuropathic pain. We report a case of a ganglion cyst detected early using ultrasonography and MRI in a 51-year-old man who complained of rapidly aggravating pain, numbness and paresthesia on the great toe and the first metatarsal area in the sole, symptoms that resembled tarsal tunnel syndrome. Surgical treatment could be performed early with no permanent sequelae. We could also avoid repeated steroid injections or prescription medications.

• Archives of Plastic Surgery
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• 제49권6호
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• pp.750-754
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• 2022

Trigger wrist, characterized by a clicking or snapping sensation around the wrist joint during finger or wrist motion, and bifid or trifid median nerve, which occurs in carpal tunnel syndrome along with anatomical variation of median nerve, are rare conditions. We report the case of a patient with a thickened tendon caused by severe tenosynovitis and flexor tendon subluxation to the hamate hook due to bowing of the flexor retinaculum, thereby resulting in trigger wrist as well as an anatomical median nerve variation (bifid median nerve in the right wrist and trifid median nerve in the left wrist). A 59-year-old housewife visited our hospital with bilateral fingertip numbness, tingling sensation, and aggravated severe night cramping that began 2 months ago. She also complained about trigger wrist during small finger flexion. Based on magnetic resonance imaging, ultrasonography, and nerve conduction study, trifid median nerve and bilateral severe median nerve neuropathy of the wrist were diagnosed; therefore, transverse carpal tunnel release and exploration under wide-awake anesthesia were planned. Intraoperative findings showed trifid and bifid median nerves in left and right wrists, respectively. Additionally, bowing of flexor retinaculum and severe flexor tendon tenosynovitis were observed. Tenosynovitis with thickened flexor sheath resulted in subluxation of the small finger flexor tendon above the hamate hook. After transverse carpal ligament release with antebrachial fascia release and tenosynovectomy, subluxation of the flexor tendon was resolved. At 6 months postoperatively, the tingling and dullness in fingertips also resolved, and no trigger wrist or any other complications were noted.

• 지질공학
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• 제19권3호
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• pp.401-408
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• 2009

단양과 가곡을 잇는 기존 구국도 59호선에는 35개소의 절토사면이 존재한다. 본 구간은 도로선형이 복잡하고, 폭이 협소하며, 2002년과 2006년 집중강우의 영향으로 절토사면 붕괴, 산사태, 도로침하 현상이 발생되는 등 위험성이 높아 신설국도를 계획하게 되었다. 2006년 12월 신설국도 공사 중 터널입구부사면이 붕괴되었으며, 상부에 존재하는 군도의 중앙선을 따라 인장균열이 발생되었다. 붕괴원인 파악 및 대책공법 제시를 위해서 면밀한 현장조사 및 인장균열에 대한 모니터링을 실시하였고, 스테레오투영망 해석, 한계평형해석, 유한차분해석을 수행하였다.