• Title/Summary/Keyword: Recovery angle

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Single Stage Circumferential Cervical Surgery (Selective Anterior Cervical Corpectomy with Fusion and Laminoplasty) for Multilevel Ossification of the Posterior Longitudinal Ligament with Spinal Cord Ischemia on MRI

  • Son, Seong;Lee, Sang-Gu;Yoo, Chan-Jong;Park, Chan-Woo;Kim, Woo-Kyung
    • Journal of Korean Neurosurgical Society
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    • v.48 no.4
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    • pp.335-341
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    • 2010
  • Objective : Anterior cervical corpectomy with fusion (ACF) or laminoplasty may be associated with substantial number of complications for treating multilevel cervical ossification of the posterior longitudinal ligament (OPLL) with significant cord compression. For more safe decompression and stabilization in multilevel cervical OPLL with prominent cord compression, we propose circumferential cervical surgery (selective ACF and laminoplasty) based on our favorable experience. Methods : Twelve patients with cervical myelopathy underwent circumferential cervical surgery and all patients showed multilevel OPLL with Signal change of the spinal cord on magnetic resonance imaging (MRI). A retrospective review of clinical, radiological. and surgical data was conducted. Results : There were 9 men and 3 women with mean age of 56.7 years and a mean follow up period of 15.6 months. The average corpectomy level was 1.16 and laminoplasty level was 4.58. The average Japanese Orthopedic Association score for recovery was 5.1 points and good clinical results were obtained in 11 patients (92%) (p < 0.05). The average space available for the cord improved from 58.2% to 87.9% and the average Cobb's angle changed from 7.63 to 12.27 at 6 months after operation without failure of fusion (p < 0.05). Average operation time was 8.36 hours, with an estimated blood loss of 760 mL and duration of bed rest of 2.0 days. There were no incidences of significant surgical complications, including wound infection. Conclusion : Although the current study examined a small sample with relatively short-term follow-up periods, our study results demonstrate that circumferential cervical surgery is considered favorable for safety and effectiveness in multilevel OPLL with prominent cord compression.

The Effect of Patellar Inferior Gliding on Knee Flexion Range of Motion in Individuals With Rectus Femoris Tightness

  • Kim, Jun-hee;Kim, Moon-hwan;Jeon, In-cheol;Hwang, Ui-jae;Kwon, Oh-yun
    • Physical Therapy Korea
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    • v.23 no.4
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    • pp.1-8
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    • 2016
  • Background: Various methods are used for recovery of knee flexion range of motion (ROM) due to a tightened rectus femoris muscle (RFM) or limited inferior glide of the patella. Stretching methods are common interventions for restoring the tightened RFM length. Also patellar inferior gliding (PIG) technique can recover tightened RFM length too. However, effect of applying the PIG to passive knee flexion (PKF) has not been studied. Objects: The purpose of this study was to investigate the effect of combining PIG with RFM stretching for improving knee flexion ROM in subjects with RFM tightness. Methods: Twenty-six subjects with RFM tightness were recruited. Two different methods of knee stretching were tested: 1) PKF during modified Thomas test (MTT) and 2) PKF with PIG during MTT. The passive stretching forces was controlled by hand-held dynamometer. The knee flexion ROM angle was measured by a MTT with ImageJ software. Differences between the conditions with and without PIG were identified with a paired t-test. Results: The knee flexion ROM was significantly greater for PKF with PIG ($114.44{\pm}9.33$) than for PKF alone ($108.97{\pm}9.42$) (p<.001). Conclusion: A combination of passive knee flexion exercise and PIG can be more effective than PKF in increasing knee flexion ROM in individuals with RFM tightness.

Comparison of the Effects of Closed Kinetic Chain Exercise and Open Kinetic Chain Exercise According to the Shoulder Flexion Angle on Muscle Activation of Serratus Anterior and Upper Trapezius Muscles During Scapular Protraction

  • Park, Ju-jung;Chon, Seung-chul
    • Physical Therapy Korea
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    • v.24 no.4
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    • pp.11-19
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    • 2017
  • Background: Methods for exercising serratus anterior (SA) and upper trapezius (UT) muscles are important for the recovery of patients with various shoulder disorders, yet the efficacy of closed or open kinetic chain exercises have not yet been evaluated. Objects: The purpose of this study was to compare the activation of the SA and UT muscles during scapular protraction considering both closed and open kinetic chain exercises. Methods: Thirty subjects were randomly divided into experimental groups (closed kinetic chain exercise) and control groups (open kinetic chain exercise) in which scapular protraction was performed at $90^{\circ}$ or $125^{\circ}$ shoulder flexion. Electromyographic activity data were collected from the SA and UT muscles per position and exercise method. Results: Separate mixed 2-way analysis of variance showed significant differences in the activation of the SA (F1,28=6.447, p=.017) and the UT (F1,28=35.450, p=.001) muscles between the groups at $90^{\circ}$ and $125^{\circ}$ shoulder flexion. Also, the SA/UT ratio measures at $90^{\circ}$ and $125^{\circ}$ shoulder flexion significantly differed between the groups (F1,28=15.457, p=.001). That is, the closed chain exercise was more effective than open chain exercise for strengthening the SA muscle and controlling the UT muscle, $125^{\circ}$ of shoulder joint was more effective than $90^{\circ}$. Conclusion: The findings suggest that scapular protraction with shoulder $125^{\circ}$ flexion at the closed kinetic chain exercise may be more effective in increasing SA muscle activation and decreasing UT muscle activation as well as increasing the SA/UT ratio than open kinetic chain exercise.

A Study of Efficient Floor Planning and Facility Improvement for Physical Therapy Room of Domestic Long-term Hospitals (국내 요양병원의 물리치료실의 효율적 평면계획 및 시설개선에 관한 연구)

  • Chung, Kwang-Ho
    • Journal of The Korean Digital Architecture Interior Association
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    • v.11 no.4
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    • pp.5-11
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    • 2011
  • The present study investigated the actual conditions of physical therapy rooms at long-term hospitals in Korea and conducted a comparative analysis to develop an efficient floor plan and facility improvement measures. 1. At hospitals surveyed, physical therapy services were used at a high frequency but they did not have enough space for rehab treatment and long paths of patient flow were found to make patient management inconvenient. Therefore, physical therapy units should be conveniently located both in terms of distance and direction so as to be accessible from patient rooms or wards. The space should be organized in a concentrated layout for efficiency of physical therapy, and floor planning for therapy units should ensure the best possible viewing angle to therapists. 2. With regard to the disease characteristics of patients, many physical therapy rooms were in difficult circumstances because of poor facilities, so they need to secure skilled personnel, supplement apparatuses and equipment and have rooms for functional recovery, hydrotherapy and operation treatment. In addition, each of the curtained or partitioned areas for treatment should be set up with consideration for the amount of space taken up by medical equipment. The area under each bed should be designed for patient convenience so that it can be used as storage space for patient's belongings and shoes. 3. Patients complained about the lack of physical therapy space, resting places or exercise areas and demanded the expansion of rehab programs and facilities. Physical therapy facilities need to be improved for patient privacy and effective natural ventilation. 4. At most of the long-term hospitals surveyed, physical therapy units were found to have small areas and treatment equipment and devices were insufficient compared to the number of patients. Therefore, it is required to secure more space (at least 138.24 sq. meters per 100 beds) and improve facilities for better physical therapy services.

The Effects of Shoulder Stabilization and Thoracic Extensor Exercises Combined with Deep Neck Flexor Exercise on Posture and Pressure Pain Threshold of Physical Therapist and Occupational Therapist with Turtle Neck Syndrome (심부목굽힘근운동을 겸한 견부안정화운동과 흉부신전운동이 거북목증후군을 가진 물리치료사와 작업치료사의 자세와 압통역치에 미치는 영향)

  • Kim, Yong-jin;Lee, Seung-byung;Jeon, Bum-su;Jeong, Seong-gwan;Kim, Byeong-wan
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.23 no.1
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    • pp.43-51
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    • 2017
  • Background: This study was carried out to compare the effects of shoulder stabilization exercise and thoracic extension exercise including deep neck flexor exercise on posture and pain targeting physical therapists and occupational therapists with forward head posture. Methods: A total of 30 physical therapists and occupational therapists (15 males, 15 females), who are working in the nursing hospital at Daejeon, were randomly divided into a shoulder stabilization group (n=10), a thoracic extension exercise (n=10), and a control group (n=10), and 3 times were carried out for 8 weeks. Results: In the results of all measurements, 2 groups except for the control group showed a significant change in the recovery of forward head posture, and the should stabilization exercise group showed a relatively superior effect compared to the thoracic extension exercise group. Conclusions: These results of a study will be a basic data for the development of the forward head posture exercise therapy program.

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Echinostoma macrorchis in Lao PDR: Metacercariae in Cipangopaludina Snails and Adults from Experimentally Infected Animals

  • Sohn, Woon-Mok;Chai, Jong-Yil;Na, Byoung-Kuk;Yong, Tai-Soon;Eom, Keeseon S.;Park, Hansol;Min, Duk-Young;Rim, Han-Jong
    • Parasites, Hosts and Diseases
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    • v.51 no.2
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    • pp.191-196
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    • 2013
  • The echinostome metacercariae encysted in Cipangopaludina sp. snails that were purchased from a market in Vientiane Municipality, Lao PDR, were identified as Echinostoma macrorchis (Digenea: Echinostomatidae) through recovery of adult flukes after experimental infection to rats and a cat. The metacercariae were round, $113-128(121){\times}113-125(120){\mu}m$, having a thick cyst wall, a head collar armed with collar spines, and excretory granules. The adult flukes recovered from the rats and cat at day 14 and 30 post-infection, respectively, were elongated, ventrally curved, and $3.9-6.3{\times}0.7-1.1mm$ in size. The head collar was distinct, bearing 43-45 collar spines with 5 angle spines on each side. Two testes were large (as the name implies), tandem, and slightly constricted at the middle, with irregular margins. Eggs were operculated, ovoid to elliptical, and $88-95{\times}56-60{\mu}m$. In scanning electron microscopy, the head collar was prominent, with 43-45 collar spines. Scale-like tegumental spines were densely distributed on the ventral surface between the oral and ventral suckers. Sensory papillae were distributed mainly on the tegument around the 2 suckers. It is confirmed that E. macrorchis is distributed in Lao PDR using Cipangopaludina sp. snails as the second intermediate host.

AVO Analysis on Gas Hydrates in the Continental Margin off the South shetland Islands, Antarctica (남극 남쉐틀랜드 군도 대륙주변부의 가스수화물 AVO 반응분석)

  • Goo, Kyoung-Mo;Hong, Jong-Kuk;Jin, Young-Keun;Park, Min-Kyu;Nam, Sang-Heon;Lee, Jung-Mo
    • Journal of the Korean Geophysical Society
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    • v.9 no.4
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    • pp.417-426
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    • 2006
  • Geophysical survey has been conducted on the continental margin off the South Shetland Islands aboard R/V Onnuri of KORDI in 1992/1993. About 800-line km of 96-channel reflection data have been acquired. On the seismic section, BSR with strong reflectivity and negative polarity has been found at 700 ms below the sea bottom. BSR is considered as the base of gas hydrates and AVO analysis was performed to study physical properties along BSR. True amplitude recovery and surface consistence amplitude were applied to seismic data and angle gathers were obtained. AVO gradient and AVO intercept are calculated on every CDP gather. Section of AVO intercept show strong reflectivity and negative polarity on BSRs and stronger continuity of BSR than stacked section. Cross plot of P-G indicates that the lower layer below BSR is filled with free gas.

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Numerical Study on a Hydrogen Recirculation Ejector for Fuel Cell Vehicle (연료전지 수소재순환 이젝터 시스템에 관한 수치해석적 연구)

  • NamKoung, Hyuck-Joon;Moon, Jong-Hoon;Jang, Seock-Young;Hong, Chang-Oug;Lee, Kyoung-Hoon
    • 한국신재생에너지학회:학술대회논문집
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    • 2007.11a
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    • pp.156-160
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    • 2007
  • Ejector system is a device to transport a low-pressure secondary flow by using a high-pressure primary flow. Ejector system is, in general, composed of a primary nozzle, a mixing section, a casing part for suction of secondary flow and a diffuser. It can induce the secondary flow or affect the secondary chamber pressure by both shear stress and pressure drop which are generated in the primary jet boundary. Ejector system is simple in construction and has no moving parts, so it can not only compress and transport a massive capacity of fluid without trouble, but also has little need for maintenance. Ejectors are widely used in a range of applications such as a turbine-based combined-cycle propulsion system and a high altitude test facility for rocket engine, pressure recovery system, desalination plant and ejector ramjet etc. The primary interest of this study is to set up an applicable model and operating conditions for an ejector in the condition of sonic and subsonic, which can be extended to the hydrogen fuel cell vehicle. Experimental and theoretical investigation on the sonic and subsonic ejectors with a converging-diverging diffuser was carried out. Optimization technique and numerical simulation was adopted for an optimal geometry design and satisfying the required performance at design point of ejector for hydrogen recirculation. Also, some sonic and subsonic ejectors with the function of changing nozzle position were manufactured precisely and tested for the comparison with the calculation results.

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Optimizing Simulation of Wireless Networks Location for WiBRO Based on Wave Prediction Model (전파 예측 모델에 의한 와이브로 무선망 위치 선정의 최적화 시뮬레이션)

  • Roh, Su-Sung;Lee, Chil-Gee
    • The Journal of Korean Institute of Electromagnetic Engineering and Science
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    • v.19 no.5
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    • pp.587-596
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    • 2008
  • For Wireless internet service in Metropolitan area, optimum location selection for base station and cell planning are critical process in determining service coverage by accurate prediction of Wave Propagation Characteristics. Due to different kinds of characteristics in service area such as lay of land, natural feature and material, height and width of artificially made building, it has a great impact on the transmission and distance recovery of wireless network service. Therefore, these facts may cause substantial barriers in predicting & analyzing the expected level of service quality and providing it to subscribers. In this thesis, we have simulated the process to improve quality and coverage of the service by adjusting the location of Base station and the antenna angle that influence the service after the basic location of base station is selected according to the wave prediction model. Based on this simulations test, we have demonstrated the results in which subscribers would get higher quality of wireless internet service along with bigger coverage and the improved quality in the same service coverage area through optimization process of base station.

Performance Analysis on a Hydrogen Recirculation Ejector for Fuel Cell Vehicle (연료전지 수소재순환 이젝터 성능 해석)

  • NamKoung, Hyuck-Joon;Moon, Jong-Hoon;Jang, Seock-Young;Hong, Chang-Oug;Lee, Kyoung-Hoon
    • 한국전산유체공학회:학술대회논문집
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    • 2008.03b
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    • pp.256-259
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    • 2008
  • Ejector system is a device to transport a low-pressure secondary flow by using a high-pressure primary flow. Ejector system is, in general, composed of a primary nozzle, a mixing section, a casing part for suction of secondary flow and a diffuser. It can induce the secondary flow or affect the secondary chamber pressure by both shear stress and pressure drop which are generated in the primary jet boundary. Ejector system is simple in construction and has no moving parts, so it can not only compress and transport a massive capacity of fluid without trouble, but also has little need for maintenance. Ejectors are widely used in a range of applications such as a turbine-based combined-cycle propulsion system and a high altitude test facility for rocket engine, pressure recovery system, desalination plant and ejector ramjet etc. The primary interest of this study is to set up an applicable model and operating conditions for an ejector in the condition of sonic and subsonic, which can be extended to the hydrogen fuel cell vehicle. Experimental and theoretical investigation on the sonic and subsonic ejectors with a converging-diverging diffuser was carried out. Optimization technique and numerical simulation was adopted for an optimal geometry design and satisfying the required performance at design point of ejector for hydrogen recirculation. Also, some ejectors with a various of nozzle throat and mixing chamber diameter were manufactured precisely and tested for the comparison with the calculation results.

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