• 제목/요약/키워드: Tension type joint

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Comparison of the effects of temporomandibular joint and cervical vertebra treatment on pain and functional improvement in persons with tension-type headaches

  • Kwon, Junghyun;Yu, Wonjong
    • Physical Therapy Rehabilitation Science
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    • 제8권4호
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    • pp.202-209
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    • 2019
  • Objective: The purpose of this study was to evaluate the effects of temporomandibular joint and cervical vertebra treatment in persons with tension-type headaches on pain, tenderness, and functional improvement. Design: Three-group pretest-posttest design. Methods: Subjects with tension-type headaches were divided into the temporomandibular joint and cervical vertebra treatment group (n=11), temporomandibular joint treatment group (n=11), and cervical vertebra treatment group (n=11), and pre- and post-evaluation was performed. The temporomandibular joint treatment group underwent compression massage and joint ply of the muscles around the temporomandibular joint. The cervical vertebra group received deep tendon massage and Myofascial Release of the cervical muscles. The temporomandibular joint and cervical vertebra treatment group performed both types of treatment. Treatment was performed for 50 minutes, three times a week for 4 weeks. Measurement tools included the Korean version of the short form-McGill Pain Questionnaire (SF-MPQ, K), Headache Impact test-6 (HIT-6), Neck Disability Index (NDI), and the Digital Algometer FPX25. Results: The groups showed significant differences in SF-MPQ, HIT-6 test, NDI, and Alogometer FPX25 test scores before and after intervention (p<0.05). The differences between the groups were most significant in the group that received treatment of the temporomandibular joint and cervical vertebra (p<0.05). Conclusions: In this study, the treatment of the temporomandibular joint and cervical vertebra was shown to be effective for improving pain, quality of life, and cervical vertebra in persons with tension-type headaches. This data may be helpful in identifying treatment techniques for tension-type headaches in the future.

Effects of treatment of temporomandibular disorders on headache, quality of life, and neck function in patients with tension-type headaches: a randomized controlled study

  • Choi, Wonjae;Woo, Jungmuk;Lee, Sangbong;Lee, Seungwon
    • Physical Therapy Rehabilitation Science
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    • 제9권4호
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    • pp.215-221
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    • 2020
  • Objective: Tension-type headaches usually occur with temporomandibular disorder, which increases the risk of the chronic tension-type headaches. This study was conducted to investigate the effect of additional temporalmandibular therapy compared to cerivcal joint therapy for tension-type headaches with pericranial tenderness. Design: Randomized controlled trial. Methods: Forty-one patients with chronic tension-type headaches and pericranial tenderness were randomized into the 3 groups, such as the temporomandibular joint therapy group (TMJT group, n=14), cervical manual therapy group (CMT group, n=14) and conservative therapy group (CT group, n=13). All patients were assessed at baseline and after each intervention during the three sessions. The participants in the TMJT group received the temporomadibular joint treatment and cervical manual therapy for 30 minutes, once a week, for 3 weeks. The participants in the CMT group received the cervical manual therapy, and those in the CT group received modalities during same time period. The outcome measurements used were the intensity of headaches measured on the Visual Analogue Scale (VAS), quality of life measured with the Headache Impact Test (HIT-6), and function of the cervical spine using the Neck Diability Index (NDI). Results: The TMJT group that received temporomandibular joint treatment and cervical manual therapy showed a significant decrease in VAS, HIT-6, and NDI compared with the other 2 groups (p<0.05). Conclusions: This study suggected that temporomandibular joint treatment combined with cervical manual therapy was more effective for the chronic tension-type headaches with pericranial tenderness than the usual cervical therapy alone.

Fatigue Design of Various Type Spot Welded Lap Joints Using the Maximum Stress

  • Jung, Wonseok;Bae, Dongho;Sohn, Ilseon
    • Journal of Mechanical Science and Technology
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    • 제18권1호
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    • pp.106-113
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    • 2004
  • Recently, a new issue in designing spot welded structures such as automobile and train car bodies is to predict an economical fatigue design criterion. One of the most typical and traditional methods is to use a ΔP-N$\sub$f/ curve. However, since the fatigue data on the ΔP-N$\sub$f/ curve vary according to the welding conditions, materials, geometry of joint and fatigue loading conditions, it is necessary to perform the additional fatigue tests for determining a new fatigue design criterion of spot-welded lap joint having specific dimension and geometry. In this study, the stress distributions around spot welds of various spot welded lap joints such as in-plane bending type (IB type), tension shea. type (TS type) and cross tension type (CT type) were numerically analyzed. Using these results, the ΔP-N$\sub$f/ curves Previously obtained from the fatigue tests for each type were rearranged into the Δ$\sigma$-N$\sub$f/ relations with the maximum stresses at the nugget edge of the spot weld.

고장력볼트 T-인장이음의 정적내력에 관한 실험적 연구 (An Experimental Study on the Static Load Capacity of T-Type Tension Joints with High Tension Bolt)

  • 이승용;최준혁;김경태
    • 한국강구조학회 논문집
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    • 제27권1호
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    • pp.53-61
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    • 2015
  • 인장이음은 고장력 볼트의 체결력과 모재 그리고 고장력 볼트의 내력을 직접적으로 활용하고, 볼트구멍의 가공수나 체결개소의 감소, 피로저항성 등에 있어 유리하며 때문에 역학적으로 매우 효율적인 연결이다. 이러한 인장이음은 교량의 거더와 가로보의 이음, 주탑의 수평이음, 보-기둥 연결부, 바닥판 단부 2차부재 연결부, 브라켓 등에 적용될 수 있다. 본 연구에서는 인장이음의 역학적 거동을 파악하기 위해서 T-인장이음에 대한 정적실험을 수행하였다. 시험변수는 고장력 볼트의 직경, 플렌지 두께 및 체결력 감소이며, 인장이음의 파괴양상과 내력, 플랜지 두께와 고장력 볼트의 직경의 영향, 체결력의 영향에 대해 분석하였다.

근육 이완 접근과 관절 가동 접근이 긴장성 두통을 가진 두부 전방 전위 자세 환자의 목의 움직임 및 일상생활 편안함에 미치는 영향 (Effects of Muscle Relaxation Approach and Joint Movement Approach on Neck Movement and Comfort of Daily Living in Patients with Tension-type Headache of Forward Head Posture)

  • 김인균;이상열
    • 한방재활의학과학회지
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    • 제29권1호
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    • pp.7-20
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    • 2019
  • Objectives The purpose of this study was to improve the comfort of daily life such as reduction of headache and increase of movement of neck by using muscle relaxation approach and joint movement approach for office worker with tension type headache of foward head posture sitting over 5 hours. Methods For this, 9 male and 15 female participated in the foward head posture with tension type headache. Each group consisted of 3 male and 5 female. Groups are divided into groups, such as muscle relaxation therapy, joint movement therapy, muscle relaxation and joint movement therapy. After intervention for each group for a month, we measured neck movement and head disability index and neck disability index 2 week. SPSS 23.0 (IBM Corp., Armonk, NY, USA) was used for data analysis. The one-way repeated analysis of variance (ANOVA), one-way ANOVA, compared t-test was used for statistical analysis. Results Three intervention groups have brought improvements in neck movement and daily life comfort. There is significant difference in the improvement of neck extension and change in neck disability index between 2 and 4 weeks in the joint movement approach compared to muscle relaxation approach, muscle relaxation and joint movement approach. Conclusions Office workers are exposed to tension type headache. However, muscle relaxation approach and joint movement approach can improve neck movement and daily life comfort.

집성재의 정거길이가 휨강도성능에 미치는 영향 (The Effect of Finger Length on Bending Strength Properties in Laminated Wood)

  • 홍병화;변희섭;김종만
    • 한국가구학회지
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    • 제11권2호
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    • pp.7-12
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    • 2000
  • This paper describes the bending strength properties of laminated woods which had three kinds of specimens according to finger length-12, 4.5 mm and butt joint and the acoustic emissions (AEs) generated during the test. 3-ply laminated wood beams were tension side layers (lower layers) composed of one middle lamina and two side-jointed laminae, with one butt joint ($_1BJ$), one finger joint (12mm, $_1FJ_{12}$) or one finger joint (4.5mm, $_1FJ_{4.5}$) in the middle lamina of tension side layer. And 3-ply laminated wood beams were tension side layers (lower layers) also composed of one lamina, with one butt joint (BJ), one finger joint (12mm, $FJ_{12}$) or one finger joint (4.5mm, $FJ_{4.5}$/) in tension side layer. Cryptomelia pieces were cut for butt and two finger types and glued with resorcinol-phenol resin adhesive. The results were as follows It was not effective in the bending modulus of elasicity (MOE) with IFJL type and had no difference from finger length. The bending modulus of rupture (MOR) of laminated wood beams including finger joint was the same values as that including butt feint and had no difference from finger length. It was effective in MOE with FJL type and had no difference from finger length. The effect of finger joint on MOR was much higher than that of butt joint but had no difference from finger length. The AE generation time of IFJL type was earlier than that of the control wood and the number of AE count was much more than that of the control wood. However, the AE generation time of FJL type was earlier than that of the control wood and the number of U count was much fewer than that of the control wood.

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인장-전단하중을 받는 IB형 일점 Spot 용접이음재의 파괴역학적 피로강도 평가 (Fracture Mechanical Fatigue Strength Evaluation of IB-Type Spot Welded Lap Joint under Tension-Shear Load)

  • 손일선;정원석;이휘광;배동호
    • 한국자동차공학회논문집
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    • 제6권5호
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    • pp.20-27
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    • 1998
  • According as the member of the automobile body structure have been thinned their thickness and have become high strength, each part of the body structure has been put more severe stress condition. And, because fatigue strength of the spot welded lap joint is influenced by its geometrical and mechanical factors, welding condition and etc., there needs a quantitative and systematic evaluation method for them. In this study, by considering nugget edge of the spot weld part of the IB-type spot welded lap joint under tension-shear load to the ligament crack. fatigue strength of various IB-type spot welded lap joints was estimated with the stress intensity factor(S.I.F.) KIII which is fracture mechanical parameter. We could find that fatigue strength evaluation of the IB-type spot welded lap joints by KIII is more effective than the maximum principal stress ($\sigma$1max) at edge of the spot weld obtained from FEM analysis.

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고장력볼트 T-인장이음의 피로거동에 관한 실험적 연구 (An Experimental Study on the Fatigue Behavior of T-Type Tension Joints with High Tension Bolt)

  • 이승용;최준혁
    • 한국강구조학회 논문집
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    • 제28권6호
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    • pp.459-465
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    • 2016
  • 본 연구에서는 인장이음에 대한 반복하중의 영향을 파악하기 위하여 단순 인장이음을 대상으로 피로시험을 수행하였다. 인장이음의 볼트체결에 따른 축력과 작용하중에 의한 축력의 변화를 측정하였고 반복하중에 의한 볼트의 축력과 파괴양상, 이음의 피로강도를 조사하였다. 인장이음의 구조 상세 변수는 플랜지 두께와 고장력 볼트의 직경으로서 이들의 조합에 따라 볼트와 연결부의 강성이 달라지도록 하였다. 피로시험결과, 반복하중을 받는 인장이음의 파괴모드는 EC3에서 제시하고 있는 정적 파괴모드별 극한하중을 이용하여 평가될 수 있었다. 인장이음의 피로강도는 지레작용을 고려하지 않은 EC3(36)의 피로강도보다 상당히 안전측의 결과로 나타났다. 그러나, 지레작용에 의한 부가축력은 볼트 축력의 증가를 일으키기 때문에 피로강도에 대한 신중한 평가가 필요하다.

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

  • 허재원;박삼헌
    • 근관절건강학회지
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    • 제29권1호
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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

인장웨브재 형태에 따른 각형강관 갭K형 접합부의 거동 비교 (Comparison on the Behavior according to Shapes of Tension Web member in gap K-joints in Cold-formed Square Hollow Sections)

  • 정상민;배규웅;문태섭
    • 한국강구조학회 논문집
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    • 제17권5호통권78호
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    • pp.561-568
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    • 2005
  • 본 논문의 목적은 트러스 인장웨브재의 형상이 정방형 각형강관인 기존 연구(강관웨브형)와 고장력 강봉을 인장웨브재로 사용하기 위해 연결플레이트를 가지는(강봉웨브형) 냉간성형 각형강관 갭 K형 접합부의 거동 비교를 통하여 고장력 강봉 사용의 적정성을 알아보기 위한 것이다. 주관폭두께비가 33.3으로 동일한 강관웨브형 실험체 4개와 강봉웨브형 실험체 8개의 최대내력, 파괴모드, 초기강성, 연성율 등을 비교하였다. 비교 결과, 접합부의 내력은 강관웨브형에서는 압축지관의 선행파괴로 결정되었으며, 강봉웨브형에서는 인장측의 선행파괴로 결정되었다. 무차원화 내력은 동일 폭비에서 강관웨브형이 높게 나타났으며, 폭비 증가에 따른 내력증가현상도 강관웨브형에서 뚜렷하게 나타나고, 강봉웨브형은 일정한 경향이 나타나지 않은 반면에 인장과 압축폭비로 나누어 살펴보면 인장폭비 증가에 따라서는 선형적인 증가현상이 나타남을 알았다. 파괴모드는 강관웨브형의 경우에는 압축지관의 미소 국부좌굴과 인장웨브와 주관 접합면의 소성파괴가 나타났고, 강봉웨브형의 경우는 주관플랜지면 소성변형 후 연결플레이트 용접부위의 파단이 나타났다. 따라서, 강봉웨브형에서 연결 플레이트를 갖는 갭K형 접합부의 경우에는 강관웨브형에 비해 주관의 폭두께비를 낮게 할 필요가 있으며, 폭비도 인장지관과 압축지관과의 관계를 고려하여 결정하여야 할 것으로 판단된다.