• 제목/요약/키워드: Posterior stability

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Skeletal Stability after Orthognathic Surgery in Severe Skeletal Class III Malocclusion Patients according to Changes in Anteroposterior Discrepancy and Occlusal Planes (골격성 III급 부정교합 환자에서 하악골의 이동량과 교합평면의 변화에 따른 술 후 안정성)

  • Lee, Jung-Han;Kim, Sung-Hee;Baek, Young-Jae;Ahn, Kyung-Yong;Hwang, Dae-Seok;Kim, Yong-Deok;Kim, Uk-Kyu
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.34 no.6
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    • pp.404-412
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    • 2012
  • Purpose: The purpose of this study was to evaluate postsurgical facial hard tissue stability after orthognathic surgery with/without posterior impaction in skeletal class III malocclusion patients, and to evaluate the horizontal relapse tendency, according to changes in anteroposterior discrepancy and occlusal planes. Methods: Ninety patients, who had undergone orthognathic surgery in Pusan National University Dental Hospital, were enrolled in this study. Three main groups were classified as follows: Thirty patients underwent mandibular setback bilateral sagittal split ramus osteotomy (BSSRO) only (BSSRO group, BG); another thirty patients underwent mandibular setback BSSRO and Le Fort I osteotomy with posterior impaction (posterior impaction group, PG); and another thirty patients underwent mandibular setback BSSRO and Le Fort I osteotomy without posterior impaction (non-posterior impaction group, NPG). Preoperative (T0), immediate postoperative (T1) and six-month follow-up period (T2) lateral cephalograms were taken, and various parameters were measured. The analyses were done by linear and angular measurements between T0-T1 and T1-T2, to evaluate postsurgical facial hard tissue stability. Results: Mean horizontal relapse rates were distributed from 11.81% to 19.08%, and there were significant postsurgical changes (0.52 mm~2.44 mm) at the B point in all 3 groups. But, there were no statistical differences on relapse rate among BG, PG and NPG patients. Conclusion: In this study, the postsurgical stabilities of BSSRO and Le Fort I osteotomy with/without posterior impaction in skeletal class III malocclusion patients were acceptable. There were no significant statistical differences in mandibular stability according to changes in anteroposterior discrepancy and occlusal planes.

Effects of Gastrocnemius Muscle Length on the Dynamic Balance and Antero-posterior Pressure Distribution of Foot (장딴지근 길이가 동적 균형 및 발바닥의 앞뒤 압력 분포에 미치는 영향)

  • Lee, Won-Hwee
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.6
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    • pp.150-157
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    • 2019
  • The purpose of this study was investigate the effect of gastrocnemius(GCM) muscle length on the dynamic balance and antero-posterior pressure distribution of foot. Thirty subjects were recruited and each subject was classified with control experimental and control group according to GCM muscle length. The experimental group included subjects with shortness of GCM muscle length, the control group included subjects with normal length of GCM. The dynamic balance and antero-posterior pressure distribution of foot were measured by Biorescue equipment. To evaluate dynamic balance, we collected data of limit of stability in antero-posterior direction. We analyzed the data by using independent t-test. The alpha level was set 0.05. The results showed that the dynamic balance and antero-posterior pressure distribution of foot were significantly different between two groups (p<0.05). This study suggests that the shortness of GCM affects anterior limited of stability in dynamic balance and anterior pressure distribution of foot. Therefore, it is important to maintain optimal GCM muscle length for normal balance ability and prevention of musculoskeletal disease.

A Biomechanical Comparison among Three Surgical Methods in Bilateral Subaxial Cervical Facet Dislocation

  • Byun, Jae-Sung;Kim, Sung-Min;Choi, Sun-Kil;Lim, T. Jesse;Kim, Daniel H.
    • Journal of Korean Neurosurgical Society
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    • v.37 no.2
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    • pp.89-95
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    • 2005
  • Objective: The biomechanical stabilities between the anterior plate fixation after anterior discectomy and fusion (ACDFP) and the posterior transpedicular fixation after ACDF(ACDFTP) have not been compared using human cadaver in bilateral cervical facet dislocation. The purpose of this study is to compare the stability of ACDFP, a posterior wiring procedure after ACDFP(ACDFPW), and ACDFTP for treatment of bilateral cervical facet dislocation. Methods: Ten human spines (C3-T1) were tested in the following sequence: the intact state, after ACDFP(Group 1), ACDFPW(Group 2), and ACDFTP(Group 3). Intervertebral motions were measured by a video-based motion capture system. The range of motion(ROM) and neutral zone(NZ) were compared for each loading mode to a maximum of 2.0Nm. Results: ROMs for Group 1 were below that of the intact spine in all loading modes, with statistical significance in flexion and extension, but NZs were decreased in flexion and extension and slightly increased in bending and axial rotation without significances. Group 2 produced additional stability in axial rotation of ROM and in flexion of NZ than Group 1 with significance. Group 3 provided better stability than Group 1 in bending and axial rotation, and better stability than Group 2 in bending of both ROM and NZ. There was no significant difference in extension modes for the three Groups. Conclusion: ACDFTP(Group 3) demonstrates the most effective stabilization followed by ACDFPW(Group 2), and ACDFP(Group 1). ACDFP provides sufficient strength in most loading modes, ACDFP can provide an effective stabilization for bilateral cervical facet dislocation with a brace.

Immediate Effect of Serratus Posterior Inferior Muscle Direction Taping on Thoracolumbar Junction Rotation Angle During One Arm Lifting in the Quadruped Position

  • Kim, Nu-ri;Ahn, Sun-hee;Gwak, Gyeong-tae;Yoo, Hwa-ik;Kwon, Oh-yun
    • Physical Therapy Korea
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    • v.28 no.3
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    • pp.227-234
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    • 2021
  • Background: The serratus posterior inferior (SPI) muscle originates from the spinous process of T11-L2 and inserts at the lower border of the 9-12th ribs. This muscle is involved in thoracolumbar rotation and stability. Several positions can be used to improve trunk stability; the quadruped position is a good position for easily maintaining a neutral spine. In particular, during one arm lifting, various muscles act to maintain a neutral trunk position, and the SPI is one of these muscles. If trunk stability is weakened, uncontrolled trunk rotation may occur at this time. Tape can be used to increase trunk stability. There have been no studies on the effect of taping applied to the SPI muscle on thoracolumbar junction (TLJ) stability. Objects: This study compared the TLJ rotation angle between three different conditions (without taping, transverse taping, and SPI muscle direction taping). Methods: Thirty subjects were recruited to the study (18 males and 12 females). The TLJ rotation angle was measured during one arm lifting in a quadruped position (ALQP). Two taping methods (transverse and SPI muscle direction taping) were applied, and the TLJ rotation angle was measured in the same movement. Results: SPI muscle direction taping significantly reduced TLJ rotation compared to that without taping (p < 0.001) and with transverse taping (p < 0.001). There was a significant difference in the TLJ rotation angle between transverse taping and SPI muscle direction taping (p < 0.017). Conclusion: SPI muscle direction taping reduces the TLJ rotation angle during ALQP. Therefore, SPI muscle direction taping is one method to improve TLJ stability and reduce uncontrolled TLJ rotation during ALQP.

Effect of Induced Leg Length Discrepancy on the Limitation of Stability and Static Postural Balance (유도된 다리길이 차이가 안정성한계와 정적 자세균형에 미치는 영향)

  • Han, Jin-Tae
    • PNF and Movement
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    • v.16 no.2
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    • pp.267-273
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    • 2018
  • Purpose: Leg length discrepancy (LLD) is one of the risk factors for postural imbalance. This study aimed to investigate the effect of induced leg length discrepancy on the limitation of stability (LOS) and static postural balance. Methods: Thirteen adults (males, 7; females 6) participated in this study. The LOS and static postural balance [sway length, sway area, and sway velocity of center of gravity (COG) displacement] were measured by the balance trainer system. The subjects were asked to move the COG for the anterior, posterior, and left and right directions maximally and to keep standing on the platform with and without induced LLD for 30 s in the open and closed eyes conditions, respectively. The LLD was artificially induced to 2 cm using insole. Wilcoxon test was used to compare the LOS and the static postural balance between with and without induced LLD. Results: The anterior and posterior LOS significantly decreased in induced LLD (p<0.05), and the left and right LOS were not significantly different between with and without LLD (p>0.05). Sway length, sway area, and sway velocity of the COG displacement significantly decreased in induced LLD (p<0.05). Conclusion: This study suggests that induced LLD could decease the antero-posterior LOS and increased the static postural balance. Therefore, the LLD could disturb the postural balance.

The Effect of Changes in Young Women's Static Balance after Performing Walking Task with Different Carrying Bag Positions (젊은 성인 여성의 휴대 가방 위치가 보행 후 정적 균형 변화에 미치는 영향)

  • Kim, Jin-Seop;Kim, Kyoung;Jun, Deok-Hoon
    • Journal of the Korean Society of Physical Medicine
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    • v.6 no.1
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    • pp.51-58
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    • 2011
  • Purpose : This study was designed to identify the effects of carrying bag positions (None, left hand, right hand, left shoulder, right shoulder) on static balance. Methods : Fourteen healthy adult females participated in the this study. The exclusion criteria were orthopedic or neurologic disease, predominant left side. Measurements were performed initial effects. Results were evaluated by OSI, APSI, and MLSI in the biodex stability system. Results : There are among the three assessments (overall stability index(OSI), antero-posterior stability index (APSI), medio-lateral stability index(MLSI) significants difference for the carrying bags positions (None bag, left hand, right hand, left shoulder, right shoulder)(p<.05). The post-hoc test revealed a significant difference between none bag and both left hand and left shoulder in the OSI, APSI, MLSI (p<.05). Also, comparing the carrying positions significant difference between right hand and both left hand and left shoulder in the MLSI (p<.05). Conclusion : The results suggest that none dominant side with carrying bag improve more imbalance than none bag and right hand of dominant with carrying bag improve more balance than non dominant side. When comparing the four carrying bag conditions, right hand was more effective than another conditions in static balance.

Early loading on a maxillary posterior single implant with deepened threads: a case report (깊은 나사선을 갖는 임플란트를 이용한 상악 구치부 조기 하중: 증례보고)

  • Han, Chang-Hoon;Kim, Hyun-Seung;Park, Sang-Won;Yun, Kwi-Dug;Joo, Han-Sung;Lim, Hyun-Pil
    • Journal of Dental Rehabilitation and Applied Science
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    • v.30 no.3
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    • pp.253-258
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    • 2014
  • This case report shows an early loading at the maxillary posterior area with the wide diameter implant which has a deepened threads after removal of failed implant. Implant Stability Quotient (ISQ) value has represented favorable result for one year. This clinical report describes the potential of early loading on a maxillary posterior single implant with deepened threads.

Effects of Material Position on Postural Stability during Manual Material Handling Tasks (인력물자취급작업시 작업 대상물의 위치가 신체자세동요에 미치는 영향)

  • Park, Jae-Gyu;Park, Seong-Ha
    • Journal of the Ergonomics Society of Korea
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    • v.23 no.4
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    • pp.1-8
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    • 2004
  • The objective of this study is to identify the effects of material position and physical fatigue on postural stability. Ten male subjects participated in this study. After bicycling exercises, their centers of pressure (COPs) were measured under four material handling positions and four excercise levels. The measured COPs were then utilized to calculate postural sway length in each experimental condition. Subjects' postural stability was quantified using the sway length. Results showed that the effect of different material handling position was significant on the postural sway length in both the posterior-anterior axis and the medio-lateral axis. Results also showed that the postural sway length was increased as physical fatigue accumulated, significantly in subject's posterior-anterior axis. The results imply that bearing a material on the back or front with both hands appeared to cause least sway length and instability.

A study on the placing cage stability using FEM (FEM을 이용한 Cage 삽입 시 안정성에 관한 연구)

  • Park, Ki-Hoon;Park, Jeong-Ho;Cho, Woo-Seok;Kim, Hyun-Soo
    • Proceedings of the KSME Conference
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    • 2003.11a
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    • pp.1364-1367
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    • 2003
  • These days, spinal interbody arthrodesis using fusion cage is very popular. The cage used for the spinal interbody arthrodesis is mainly inserted from the posterior of the spine. Accordingly, there could possibly occur damages at posterior and results in instability of structure. Moreover, one or two cages are inserted depending on the patients. In this study, it is attempted to evaluate the stability quantitatively by comparing two cases where one and two cages are inserted. For this purpose, a very fine 3-dimensional finite element model of vertebra is generated from the MRI data. From this vertebra model, two models are made: one with one cage and the other with two cages. Finally, finite element analys is performed for these two models and both of the mechanical behaviors are examined In addition, the effect on the stability is evaluated and compared quantitatively.

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A STUDY ON DIMENSIONAL STABILITY OF IMPRESSION MATERIALS FOLLOWING IMMERSION DISINFECTION (수종 인상재의 침지 소독이 경석고 모형의 크기 안정성에 미치는 영향에 관한 연구)

  • Song, Ki-Yong;Yang, Jae-Ho;Lee, Sun-Hyung;Chung, Hun-Young
    • The Journal of Korean Academy of Prosthodontics
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    • v.37 no.4
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    • pp.506-515
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    • 1999
  • Dental practice can produce and spread some infectious diseases from patients to dentist, dental assistant, and dental labors. One possible method for preventing these cross-contamination is to immerse dental impression in chemical disinfectants. So for many investigators studied on the dimensional changes of dental impressions and on the surface qualities of stone casts made from impression following immersion in disinfectants. This study was proposed to evaluate some popular impression disinfectant combination from the point of dimensional stability. Impression was taken from dental arch-shaped metal model. Irreversible hydrocolloid and 3 elastomers(polyvinyl siloxane, polysulfide, polyether) were immersed in 3 disinfectants (2% glutaraldehyde, 1% povidone-iodine, 0.5% sodium hypochlorite) for 10 minutes and measured both cross-arch and anterior-posterior distance under stereo microscope to evaluate dimensional change. The results obtained were as follows: 1. Dimensional changes of irreversible hydrocolloid impression was statistically different in cross-arch and anterior-posterior distance when immersed in 2% glutaraldehyde solution and in anterior-posterior distance when immersed in 0.5% sodium hypochlorite solution from control group (p<0.05). 2. Dimensional changes of polyvinyl siloxane and polysulfide impression were not statistically different from control group (p>0.05). 3. Dimensional changes of polyether impression was statistically different in cross-arch distance when immersed in 0.5% sodium hypochlorite solution and in anterior-posterior distance when immersed in 1% povidone-iodine solution from control group (p<0.05). 4. In all cases, dimensional changes were less than 0.1% from the original dimension and concluded clinically acceptable.

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