• 제목/요약/키워드: TM Joint

검색결과 58건 처리시간 0.035초

반복적 개구운동과 두부자세의 변화가 악관절진동에 미치는 영향 (Effect of Repetitive Opening Movement and Head Posture on the Vibration of the Temporomandibular Joint)

  • 곽동근;한경수;김종영
    • Journal of Oral Medicine and Pain
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    • 제25권1호
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    • pp.87-97
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    • 2000
  • This study was performed to investigate the effects of repetitive mandibular opening movement and change of head posture on the vibration of temporomandibular(TM) joint. For this study, 23 patients with internal derangement of TM joint were selected. All they had clinically noticeable TM joint sound. Observation of the joint vibration were performed in four head postures, namely, natural head posture (NHP), forward head posture(FHP), upward head posture(UHP), and downward head posture(DHP). For recording of joint sound vibration, Sonopak of Biopak system(Bioresearch Inc., Milwaukee, USA) was used, The author could take results related to integral higher than 300Hz, integral lower than 300Hz, ratio of integral higher than 300Hz to integral lower than 300Hz, total integral which was sum of higher and lower integral, peak amplitude, and peak frequency in each opening movement, which was carried out three times in each head posture. Integral means amount of vibration. The data obtained were analysed by SPSS windows program and the results of this study were as follows : 1. In NHP, total integral in right TM joint was 5O.3Hz in the first opening, 67.9Hz in the second opening, and 74.0Hz in the third opening movement, bur there was no significant increase of total integral with repetitive opening movement. This finding was similar in left TM joint. Integral lower than 300Hz were higher than integral higher than 300Hz in almost every opening movement. 2. There was no significant difference of total integral between right and left side of TM joint, but there was a tendency of higher total integral in right TM joint than that in left TM joint except for results in DHP. 3. Peak amplitude in NHP ranged from 2.0 to 4.7, and peak frequency in NHP were 101.4-170.0Hz. And there was no consistent findings related to increase or decrease of these value according to repetitive opening in each head posture. 4. Change of head posture did not result any difference in integral, peak amplitude, and peak frequency. In conclusion, change of head posture and repetitive mandibular opening movement did not make any significant effect on the vibration of temporo-mandibular joint, especially, on total integral, peak amplitude, and peak frequency.

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대입열 EH36-TM강의 Tandem EGW 용접부 미세조직 및 기계적 성질 (Mechanical Properties and Microstructures of High Heat Input Welded Tandem EGW Joint in EH36-TM Steel)

  • 정홍철;박영환;안영호;이종봉
    • Journal of Welding and Joining
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    • 제25권1호
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    • pp.57-62
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    • 2007
  • In the coarse grained HAZ of conventional TiN steel, most TiN particles are dissolved and austenite grain growth easily occurrs during high heat input welding. To avoid this difficulty, thermal stability of TiN particles is improved by increasing nitrogen content in EH36-TM steel. Increased thermal stability of TiN particle is helpful for preventing austenite grain growth by the pinning effect. In this study, the mechanical properties and microstructures of high heat input welded Tandem EGW joint in EH36-TM steel with high nitrogen content were investigated. The austenite grain size in simulated HAZ of the steel at $1400^{\circ}C$ was much smaller than that of conventional TiN steel. Even for high heat input welding, the microstructure of coarse grained HAZ consisted of fine ferrite and pearlite and the mechanical properties of the joint were sufficient to meet all the requirements specified in classification rule.

소프트 골프 클럽을 이용한 골프 스윙 동작과 인체 작용 하중 분석 (Analysis of Golf Swing Motion and Applied Loads on the Human Body Using Soft-$Golf^{TM}$ Club)

  • 곽기영;소하주;김성현;김남균;김동욱
    • 비파괴검사학회지
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    • 제31권5호
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    • pp.472-478
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    • 2011
  • 본 연구의 목적은 소프트 골프 용구가 인체에 미치는 역학적 효과를 분석하는 것이다. 이를 위해 골프 스윙 동작을 캡처하여 스윙 모델을 생성하였고 시뮬레이션을 통해 손목, 팔꿈치, 어깨, 허리 관절의 토크를 도출하였다. 총 5명이 실험에 참여하였고 아연 합금 헤드의 소프트 골프 클럽과 기존 아이언 7번 클럽을 사용하였으며, 클럽당 5번씩 스윙을 수행하였다. 3대의 포지션 센서, 적외선 발광마커와 힘판을 사용하여 골프 스윙 동작을 캡처하였다. 인체 모델 생성 및 동역학 해석 프로그램을 통해 스윙 모델을 생성하여 시뮬레이션 하였고 관절의 토크를 도출하였다. 결과로 소프트 골프 클럽을 이용한 스윙에서 손목 관절 토크는 기존 골프 클럽을 이용한 스윙의 48.83 % 수준이며, 팔꿈치는 61.10 %, 어깨는 74.74 %, 허리는 102.46 %이다. 따라서 소프트 골프 클럽을 이용하여 스윙할 때, 기존 골프 클럽을 이용할 때보다 작은 힘으로 스윙 동작을 수행할 수 있기 때문에 관절에 부하가 적을 것이며, 관절 부상의 감소에 기여할 것이다.

흉쇄유돌근의 통증치료가 측두하악관절의 운동제한에 미치는 효과 (The Effect of Temporomandibular Joint Movement Restriction on Treatment of Sternocleidomastoid Muscle Pain)

  • 엄기매;배영숙
    • The Journal of Korean Physical Therapy
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    • 제19권5호
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    • pp.43-49
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    • 2007
  • Purpose: The purpose of this study was to the effects of temporomandibular joint movement restriction on treatment of SCM muscle pain. Methods: The Subjects(n=20) were males(n=7) and females(n=13) that had SCM muscle pain and movement restriction at one side oftemporomandibular joint. The massage and Taping performed on the SCM muscle during 4 weeks. The measured items of SCM pain were pressure-pain scale, DITI. The measured items of temporomandibular joint movement restriction were VAS, ROM, deviation. Results: SCM muscle of pressure-pain scale is lower in ipsilateral than counterlateral, But temperature is higher in ipsilateral than counterlateral. Pressure-pain scale was statistical significance (p<0.05). After studying, the pain and temperature of SCM muscle was decreased and statistical significance(p<0.05). After studying, VAS of Temporomandibular joint was decreased, ROM was increased, deviation was decreased. All of measured items of Before and after studying found a statistical significance(p<0.05). Conclusion: This study showed that SCM muscle pain related TM joint pain and movement restriction. The patient with TM joint movement restriction that may take effect on reducing SCM muscle pain.

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2족 보행시 중족지절관절 초기접지기 배측굴곡의 능동적 통제를 위한 Leg Stiffness Artificial Tendon Actuator($LeSATA^{TM}$)의 설계변수 확립 : (1) Lagrangian 방정식 및 Impulsive Constraint 적용법 구현 (Establishment of Design Variable of Leg Stiffness Artificial Tendon Actuator ($LeSATA^{TM}$) for Actual Control in Dorsiflexion of Metatarsophalangeal Joint at the Initial Contact while the Bi-pedal Human Walking : (1) Realization of Lagrangian Equation and Impulsive Constraint)

  • 김철웅;한기봉;어은경
    • 한국정밀공학회:학술대회논문집
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    • 한국정밀공학회 2010년도 추계학술대회 논문집
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    • pp.651-652
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    • 2010
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수동운동이 측두하악관절 가동범위 증가에 미치는 효과 (The Effect of Passive Movement on Range of Motion in Temporomandibular Joint)

  • 이효정;송주영
    • The Journal of Korean Physical Therapy
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    • 제19권4호
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    • pp.43-51
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    • 2007
  • Purpose: The purpose of this study was to determine the effects on improvement of the range of motion in the TM joint. Methods: 26 subjects who have TM joint limitation were divided to passive movement group(n=13, $21.3{\pm}2.95$ years) and active movement group(n=13, $20.62{\pm}1.39$ years). All of the subjects were treated 5 to 10 minutes per one time, five times once a week for 4 weeks by the physical therapist. The open bite and cross bite were investigated at before, during(2 wks) and treatment(4 wks). Results: In order to assure the statistical significance of the result, a Repeated measures ANOVA were applied at the 0.05 level of the significance. There was a significant difference in terms of the rates of open bite mean change in within-open bite effects among pre-test, post-test 2weeks and post-test 4weeks in each group(P=0.029). There was no significant difference in the rates of mean change in between-open bite effects(P=0.441) but interactions between two types of effects(P=0.025) were statistical significance among pre-test, post-test 2 weeks and post-test 4 weeks in each group. There was no significant difference in the rates of mean change in within-close bite effects(P=0.112), between-cross bite(P=0.179) and interactions between the two types of effects(P=0.098) among pre-test, post-test 2 weeks and post-test 4 weeks in each group. Conclusion: The results of this study showed that passive movement and active movement were effect on increase of TM joint ROM about open bite and cross bite.

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측두하악 관절잡음의 진동 분석 (Vibration Analysis of the Temporomandibular Joint Sounds)

  • 정다운;정재현;강동완
    • 대한치과의사협회지
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    • 제46권4호
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    • pp.232-242
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    • 2008
  • 관절잡음의 발생은 측두하악 관절의 구조적, 기능적 이상의 징후로 여겨져왔다. 이러한 관절잡음을 평가하는데 electrovibratography가 비침습적이고 신뢰할만한 방법으로 제시되어 왔으며 이를 통해 관절잡음의 진동수와 진폭 및 전체 에너지 양상을 숫자화하고 도식화 하는 것이 가능하게 되었다. 기존의 연구에서 여러 가지 관절잡음의 양적, 질적 분석이 시도되어 왔다. 이번 연구의 목적은 관절 잡음이 도식화되어 나타나는 frequency spectrum pattern을 integral>300Hz/<300Hz ratio와 함께 분석하는 것이다. 본 실험에서는 Joint Vibration AnalysisTM를 사용하여 측두하악 관절 장애의 증상이 없는 10명의 대조군과 관절 잡음과 동통이 있으나 개구제한을 보이지 않는 정복성 관절원판 변위의 범주에 있는 20명의 실험군에서 관절진동을 분석하였으며 관절진동 기록 시에 Jaw tracker를 함께 사용하여 개폐구시 관절잡음 발생의 위치를 감별하고 치아접촉음을 배제하여 관절잡음을 분석하였다. 그 후 실험군을 frequency spectrum pattern에 따라 4가지 하위 그룹으로 나누어 분석하였다. 실험 결과 실험군과 대조군의 하위 그룹 1에서 유사한 frequency spectrum pattern과 ratio범위를 보였으며 실험군의 하위 그룹 2,3,4 에서는 더 불규칙한 에너지 양상을 보이는 frequency spectrum pattern과 더 큰 ratio가 관찰 되었다. 이번 연구를 통해 Joint Vibration AnalysisTM가 악관절 진동의 특성을 감별하는데 유용함을 알 수 있었고 Joint Vibration AnalysisTM를 이용한 지속적인 진동 분석이 환자 교육뿐 아니라 성공적인 턱관절 기능이상의 진단과 치료에 유용할 것으로 사료된다.

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잡기 동작에서 손가락 동작의 상관관계 분석 (Correlation analysis of finger movements in dynamic hand grasping)

  • 류태범;윤명환
    • 대한인간공학회지
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    • 제20권3호
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    • pp.11-25
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    • 2001
  • AS human movements have the inherent property of anticipating target and can be coordinated to realize a given schedule, finger movements have stereotyped patterns during hand grasping. Finger movements have been studied in the past to find out the coordination pattern of hand joint angular movement. These studies analyzed only a few finger joints for a limited number of hand postures. This study investigated fourteen joint angles during eight hand-grasping motions to analyze the angular correlations between finger joints and to suggest motion factors which represent hand grasping. Hand grasping motions including forward arm motion were examined in ten healthy volunteers. Eight objects were used to represent real hand grasping tasks. $CyberGlove^{TM}$ and $Fasreack^{TM}$ measured hand joint angles and wrist origin. Joint angle correlations between PIJ(proximal interphalangeal joint) and MPJ(metacarpophalangeal joint) at one finger, between neighboring PIJs and MPJs were four factors related to the fast phase of hand grasping motions and eight factors related to the slow phase of hand grasping motions.

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악관절 동통 환자에서 Bone SPECT의 유용성 (Utility of Bone SPECT in Temporomandibular Joint Pain)

  • 양동헌;성미숙;이정휘;정수교;신경섭
    • 대한핵의학회지
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    • 제31권3호
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    • pp.388-394
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    • 1997
  • 악관절 동통은 여러 가지 원인에 의해 발생하는 것으로서 동통을 호소하는 환자에서 Bone SPECT의 유용성을 알아보았다. 악관절 동통을 호소하여 Bone SPECT를 시행한 34명을 대상으로 하였으며 모든 환자에서 단순 촬영, planar 골스캔, Bone SPECT를 시행하였다. Bone SPECT에서 동위원소의 섭취 증가 정도에 따라 3가지로 분류하였다. Grade 0은 정상, Grade I은 후두골과 비슷한 섭취 증가, Grade II는 상악동과 비슷한 섭취 증가가 있는 것으로 정하여 각각 섭취 증가 정도에 따라 환자의 임상 증상과 치료 방법을 비교 분석했다. 34예중 27예 (80%)에서 악관절 Bone SPECT 시행시 섭취 증가가 있었고, 이중 21예 (78%)에서 하악과두에 섭취 증가가 있었고 나머지 6예 (22%)에서 하악궁과 상악궁에 섭취가 있었는데 이들은 치주질환으로 확인되었다. 총 34예중 Grade 0인 7예 (20%)에서는 관절 잡음이 3예 있었고 4예에서 약물 치료로 증상이 호전되었고 나머지 3예에서 치료 없이 증상이 호전되었다. Grade I 인 4예(12%)에서는 관절잡음이 3예 있었고 모두 약뭍 치료로 증상이 호전되었다. Grade II 23예(68%)중 관절 잡음은 7예 있었고 14예에서 약물치료 및 관절천자와 같은 감압술을 병행하여 증상이 호전되었다. 6예에서는 치주 치료로 증상이 호전되었다. 총 34예중 평면 골스캔에서는 11예(32%)에서 섭취 증가가 있었다. 단순 촬영에서는 16예(47%)에서 관절내강 협소 혹은 팽대, 골리란, 관절운동 제한 등이 관찰되었다. one SPECT는 악관절 동통 환자에서 유용하게 사용할 수 있는 진단적 방법이며, 치료방법을 결정하는 데 도움이 되었다. 동위원소 섭취 증가가 많을 수록 환자 치료에 보다 적극적인 치료를 필요로 하였으나 임상 증상과 동위원소 섭취증가는 밀접한 관계는 없었다.

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