• Title/Summary/Keyword: Trigger Point

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Effects of mechanical intervention on cutaneous sensory change and pressure pain threshold in the same spinal segment of myofascial pain

  • Kim, Do Hyung;Lee, Su-Hyun;Lee, Byoung Hee
    • Physical Therapy Rehabilitation Science
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    • v.8 no.1
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    • pp.15-21
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    • 2019
  • Objective: The purpose of this study was to identify whether cutaneous sensory (CS) changes induced by mechanical intervention (MI) increases the trigger point threshold of the same spinal segment as well as to investigate the relationship between the amounts of change in CS pressure pain thresholds (PPT). Design: Randomized controlled trial. Methods: Thirty-nine persons with myofacial pain (MFP) were recruited in this experiment. The subjects consisted of 20 men and 19 women (age 20-39). MI was applied on the subjects using the Graston technique for 5 minutes to induce CS changes. The CS changes were measured with sensory tests by using the Von Frey Filament, and PPT changes were estimated by using the pressure threshold meter. For the observation of sensory and PPT changes with time, the test was conducted for 15 minutes including a pre, post, and after intervention session. Results: CS threshold increased significantly when MI was applied (p<0.001). On the same spinal segment, changes in the right infraspinatus PPT was observed (p<0.001) but the PPT changes in other muscles were not significantly different. Furthermore, the control group CS and PPT were not significantly different. In addition, regression analysis showed that the CS changes have a larger impact on PPT in the same spinal segment (p<0.001). Conclusions: CS changes induced by MI make to change PPT on the same spinal segment. In other words, it is possible to identify PPT changes following CS changes except for the muscle which belongs to a different spinal segment. Therefore, application of MI is necessary for the CS changes in the same spinal segment. Furthermore, it can be useful in the clinical fields as a method of providing pain control and increasing the PPT.

On the local stability condition in the planar beam finite element

  • Planinc, Igor;Saje, Miran;Cas, Bojan
    • Structural Engineering and Mechanics
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    • v.12 no.5
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    • pp.507-526
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    • 2001
  • In standard finite element algorithms, the local stability conditions are not accounted for in the formulation of the tangent stiffness matrix. As a result, the loss of the local stability is not adequately related to the onset of the global instability. The phenomenon typically arises with material-type localizations, such as shear bands and plastic hinges. This paper addresses the problem in the context of the planar, finite-strain, rate-independent, materially non-linear beam theory, although the proposed technology is in principle not limited to beam structures. A weak formulation of Reissner's finite-strain beam theory is first presented, where the pseudocurvature of the deformed axis is the only unknown function. We further derive the local stability conditions for the large deformation case, and suggest various possible combinations of the interpolation and numerical integration schemes that trigger the simultaneous loss of the local and global instabilities of a statically determined beam. For practical applications, we advice on a procedure that uses a special numerical integration rule, where interpolation nodes and integration points are equal in number, but not in locations, except for the point of the local instability, where the interpolation node and the integration point coalesce. Provided that the point of instability is an end-point of the beam-a condition often met in engineering practice-the procedure simplifies substantially; one of such algorithms uses the combination of the Lagrangian interpolation and Lobatto's integration. The present paper uses the Galerkin finite element discretization, but a conceptually similar technology could be extended to other discretization methods.

A Novel Approach to the Treatment of Shoulder Pain (오십견 치료에 대한 새로운 지견)

  • Choi, Joong-Rieb
    • The Korean Journal of Pain
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    • v.4 no.2
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    • pp.168-178
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    • 1991
  • It has been generally known that shoulder pains are attributed to the degenerative changes around the shoulder joint. However, many patients who complain of pain or limited range of motion of the shoulder have no definite pathology on X-ray or laboratory examinations. I examined 134 patients with shoulder pain and found the fact that compression of the axillary nerve, which leads to contraction of the deltold muscle or teres minor muscle, resulted in pain and limited range of motion in many cases. Accordingly, relieving the compression of the axillary nerve by laser stimulation or local anesthetic infiltration on the identified trigger point, anti-inflammatory medication, muscle relaxant together with ordinary physical therapy was found to be very effective in the treatment of shoulder pain.

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Back and Chest Pain Related to Scalenus Medius Muscle (중사각근과 관련된 배부통과 흉통에 관한 연구)

  • Choe, Joong-Rieb
    • The Korean Journal of Pain
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    • v.5 no.1
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    • pp.63-68
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    • 1992
  • One hundred and four patients who complained of chest pain or back pain in the region between scapular were studied. In most cases, anatomical location of pain was in the rhomboid or serratus anterior muscle. Hyperactivity of dorsal scapular nerve or long thoracic nerve which innervate those muscles was thought to be responsible for the pain. The hyperactivity of the nerves may be due to the spasm of the scalenus medius muscle which the nerves meet during their course to the rhomboid or serratus anterior muscles. Therefore, spasmolytic treatment including trigger point injection, physical therapy, laser therapy, or NSAIDs may be effective for the treatment of chest pain or back pain.

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Chronic pelvic pain arising from dysfunctional stabilizing muscles of the hip joint and pelvis

  • Lee, Dae Wook;Lim, Chang Hun;Han, Jae Young;Kim, Woong Mo
    • The Korean Journal of Pain
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    • v.29 no.4
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    • pp.274-276
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    • 2016
  • Chronic pelvic pain in women is a very annoying condition that is responsible for substantial suffering and medical expense. But dealing with this pain can be tough, because there are numerous possible causes for the pelvic pain such as urologic, gynecologic, gastrointestinal, neurologic, or musculoskeletal problems. Of these, musculoskeletal problem may be a primary cause of chronic pelvic pain in patients with a preceding trauma to the low back, pelvis, or lower extremities. Here, we report the case of a 54-year-old female patient with severe chronic pelvic pain after a transcutaneous electrical nerve stimulation (TENS) accident that was successfully managed with image-guided trigger point injections on several pelvic stabilizing muscles.

A Study of D.C. Series Motor Control Circuit by Pulsewidth Modulated Chopper (PWM Chopper에 의한 직류직권전동기의 제어회로에 관한 연구)

  • 임달호;장호성
    • 전기의세계
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    • v.26 no.3
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    • pp.76-83
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    • 1977
  • The choice of control method and circuit must be decided after a broad inspection with the characteristics of load and control elements as well as that of electric and mechanical nature. In the present study, Pulse width modulated(PWM) SCR chopper was chosen and for the electric commutation, Jones' forced method was taken bacause of its having enough reverse bias energy. Objectives of experimentation by this system are; 1) the condition of SCR as a gate trigger pulse. 2) the observation of phenomena at the time of forced commutation 3) the experimentation on characteristics of speed control by PWM chopper. Above experimentation shows good characteristics, however, in the limit of narrow gap between the ON and OFF pulses, a complete control was not possible. So, that must be the point to be studied further alone with the harmonics influence.

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Stable Point Setting in Negative-Resistance Multivibrator Designs (부성저항 말티바이브레이터의 안정점 설정과 동작안정성)

  • 임인칠
    • Journal of the Korean Institute of Telematics and Electronics
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    • v.10 no.2
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    • pp.7-15
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    • 1973
  • The operation behaviors of negative-resistance multivibrators. are described. The oscillation phenomena in monostable and bistable mode negative-resistance circuits are analyzed by using a analog computer. It is presented that voltage-controlled negative -resistance switching circuits may be in oscillation state for a time or parmanently by adding the bias voltage or trigger pulse. The results show that the care must be taken for this fact in the constructions of negative resistance switching circuits.

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A new gas-solid reaction model for voloxidation process with spallation

  • Ryu, Je Ir;Woo, Seung Min
    • Nuclear Engineering and Technology
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    • v.50 no.1
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    • pp.145-150
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    • 2018
  • A new methodology, the crack-spallation model, has been developed to analyze gas-solid reactions dominated by crack growth inside of the solid reactant and spallation phenomena. The new model physically represents three processes of the reaction progress: (1) diffusion of gas reactant through pores; (2) growth of product particle in pores; and (3) crack and spallation of solid reactant. The validation of this method has been conducted by comparison of results obtained in an experiment for oxidation of $UO_2$ and the shrinking core model. The reaction progress evaluated by the crack-spallation model shows better agreement with the experimental data than that evaluated by the shrinking core model. To understand the trigger point during the reaction progress, a detailed analysis has been conducted. A parametric study also has been performed to determine mass diffusivities of the gas reactant and volume increase constants of the product particles. This method can be appropriately applied to the gas-solid reaction based on the crack and spallation phenomena such as the voloxidation process.

Selection and Allocation of Point Data with Wavelet Transform in Reverse Engineering (역공학에서 웨이브렛 변황을 이용한 점 데이터의 선택과 할당)

  • Ko, Tae-Jo;Kim, Hee-Sool
    • Journal of the Korean Society for Precision Engineering
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    • v.17 no.9
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    • pp.158-165
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    • 2000
  • Reverse engineering is reproducing products by directly extracting geometric information from physical objects such as clay model wooden mock-up etc. The fundamental work in the reverse engineering is to acquire the geometric data for modeling the objects. This research proposes a novel method for data acquisition aiming at unmanned fast and precise measurement. This is come true by the sensor fusion with CCD camera using structured light beam and touch trigger sensor. The vision system provides global information of the objects data. In this case the number of data and position allocation for touch sensor is critical in terms of the productivity since the number of vision data is very huge. So we applied wavelet transform to reduce the number of data and to allocate the position of the touch probe. The simulated and experimental results show this method is good enough for data reduction.

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Ultra-Fast Flash Observatory (UFFO) for early photon measurements from Gamma Ray Bursts

  • Park, Il H.
    • The Bulletin of The Korean Astronomical Society
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    • v.37 no.2
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    • pp.66-66
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    • 2012
  • We describe the space project of Ultra-Fast Flash Observatory (UFFO), which will observe early optical photons from gamma-ray bursts (GRBs) with a sub-second optical response, for the first time. The UFFO will probe the early optical rise of GRBs, opening a completely new frontier in GRB and transient studies, using a fast-response rotatable mirror system which redirects opitical path to telescope instead of slewing of telescopes or spacecraft. In our small UFFO-Pathfinder experiment, scheduled to launch aboard the Lomonosov satellite in June 2012, we use a motorized mirror in our Slewing Mirror Telescope instrument to achieve less than one second optical response after X-ray trigger. We describe the science and the mission of the UFFO project, including a serious version called UFFO-100 which will be launched in 2014. With our program of ultra-fast optical response GRB observatories, we aim to gain a deeper understanding of GRB mechanisms, and potentially open up the z>10 universe to study via GRB as point source emission probes.

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