• Title/Summary/Keyword: Upper opening

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APPLICATION OF A MANDIBULAR MANIPULATION TO THE PATIENTS WITH CLOSED LOCK (하악골 수조작술에 의한 폐구성 과두걸림 환자의 치료)

  • Kim, Jin-Hwan;Kim, Hui-Jung
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.22 no.1
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    • pp.76-82
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    • 2000
  • In general, treatment of the patients with closed lock divides into a conservative and a surgical treatment. Surgical treatment has been often applied in case that occlusal splint therapy was not effective on the patient with closed lock. In recent, some clinicians reported good results with mandibular manipulation. Three patients complained limitation of month opening-(mean mouth opening was 22.3mm) and TMJ pain. Articular discs were displaced anteriorly on MRI. Two patients didn't improve the symptoms with long term occlusal splint therapy. We applied mandibular manipulation after injection with 2% lidocaine into the upper joint space of the affected TMJ and directly inserted occlusal splint to all patients. At the follow-up check, mean mouth opening was 41.7mm. TMJ pain decreased, condyle and disc relationship was improved functionally on MRI.

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Use of Orthopedic Manual Physical Therapy and Home Self-Therapeutic Exercise to Manage Myofascial Temporomandibular Disorder Accompanied by Headache: Case Study (두통을 동반한 근막성 턱관절 장애 환자의 관리를 위한 정형도수치료기법과 가정 자가-치료적 운동의 적용: 사례연구)

  • In-su Lee;Suhn-yeop Kim
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.29 no.1
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    • pp.81-93
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    • 2023
  • Purpose: The current case study focuses on identifying the effects of manual therapy and home self-therapeutic exercise including on mouth opening and pain relief in patients with continuous neck pain with myofascial temporomandibular disorders (TMDs) accompanied by headache induced by masticatory myalgia Subjects: The study participant was a 27-year-old woman who was treated a year ago for pain related to TMDs accompanied by a headache. Methods: Manual therapy of the cervical spine with upper cervical spine posterior-to-anterior mobilization (C1~C2), upper cervical spine flexion mobilization (C0~C2), upper cervical spine lateral flexion mobilization (C0~C1), upper cervical spine thrust manual therapy (C1~C2) and manual therapy of the temporomandibular joint and muscles with transverse medial accessory temporomandibular joint mobilization, manual therapies for the temporal, the masseter, and medial pterygoid muscles were performed twice a week for about 30 minutes for 4 weeks. This protocol included 3 sessions in total. The home self-therapeutic exercise was to be performed two to three times a day. Results: The values more improved MMO increased to 41.4 mm, left masseter muscle PPT to 2.9 kgf/cm2, right masseter muscle PPT to 3.1 kgf/cm2, KHIT-6 to 46 points, neck pain intensity (by NRS) to 2 points, headache frequency to per weeks, cervical kyphotic angle to -8.06%, and GCPS to grade 1 (low-intensity pain without pain-related disorder). Conclusion: Manual therapy and home self-therapeutic exercise can be helpful for mouth opening and pain relief in patients with myofascial TMDs accompanied by secondary headaches induced by masticatory myalgia.

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CLINICAL STUDY OF ARTHROCENTESIS-CASES OF CLOSED LOCK (CLOSED LOCK증례에 대한 악관절 세정술의 임상적 연구)

  • Hyun, Young-Ok;Kang, Chang-Hee;Noh, Yang-Ho;Chun, Young-Doo;Lee, Hee-Won
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.23 no.1
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    • pp.70-76
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    • 2001
  • Purpose : To evaluate the efficacy of arthrocentesis for treatment of closed lock. Material : 42 patients were diagnosed to closed lock by physical, radiographic examriation and undergone arthrocentesis. All patients have a pain and mouth opening limitation on affected site. Method : Arthrocentesis was done under conscious sedation and local infiltration anesthesia, normal saline and some steroid was injected on upper compartment of tempormandibular joint. After pumping and lavage, manual reduction procedure of anterially displaced disc was done. All the patients wear an anterior repositioning splint just after arthrocentesis. The result of arthrocentesis was assessed by pain and difference of mouth opening. Result : Difference of mouth opening after arthrocentesis was improved to 18.85mm and pain was gradually decreased. All patients were worn stabilization type splint after mean 1.84 months. 6 patients had relapse of mouth opening limitation so done arthrocentesis again and delivered good results.

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A Study on Ventilation and Heat Transfer Coefficient of Passive Ventilation Skin (패시브환기외피의 통기성능 및 열관류율에 대한 연구)

  • Lee, Tae-Cheol;Son, Yu-Nam;Yoon, Seong-Hwan
    • Korean Journal of Air-Conditioning and Refrigeration Engineering
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    • v.24 no.9
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    • pp.679-684
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    • 2012
  • This paper aims to evaluate performances of ventilation and insulation of 6types PVS(Passive ventilation skin) by numerical simulation. The results are as follows. 1) The result of Performance of ventilation by pressure difference, it was shown that the amount of ventilation changed bigger under 1Pa and amount of ventilation increased according to increase opening area (${\alpha}A$). Although same opening area of PVS, it can predict that pressure differences cause ventilation differences. 2) In case of same opening area of PVS, however, it was changed the amount of ventilation each types of PVS that is distinguished opening area by flow coefficient. 3) Dynamic U-value that represents performance of insulation PVS was similar change upper ${\alpha}A40\;cm^2/m^2$, great change in casse of 0.1 Pa pressure difference. In case of ${\alpha}A10\;cm^2/m^2$, it was changed bigger under 0.3 Pa pressure difference, ${\alpha}A20\;cm^2/m^2$ of PVS was changed under 0.2 Pa pressure difference.

The Opening Efficiency of Anchovy Boat Seine (권현망어구의 전개성능)

  • An, Yeong-Su;Jang, Chung-Sik;Lee, Ju-Hui
    • Journal of the Korean Society of Fisheries and Ocean Technology
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    • v.33 no.2
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    • pp.118-131
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    • 1997
  • An opening efficiency experiment of anchovy boat seine has been carried out using a half size of the ordinary seine to reduce the size of the seine net and to improve the fishing efficiency from field operation. The intervals of towing boats were set at 100, 200 and 300m, and the towing speed, at 0.6, 0.9, and 1.2k't by possible combinations of them. The vertical openings of wing net, inside wing net, bagnet and flapper as well as the spreads of the seine net and the towing tension of the warp were measured, to find out efficient fishing gear and method of the anchovy boat seine. The results obtained are as follows : 1. The vertical opening of the inside wing net ranged from 8.7m to 12.0m at the normal current and from 7.0m to 10.0m at the counter current, and that of the wing net, from 8.4m to 19.8m at the normal current and from 4.9m to 16.3m at the counter current. The vertical opening of the wing net and inside wing net decreased as the towing speed and intervals of the boats increase, from 66% to 16% and from 32% to 18% of the normal opening, respectively. 2. The vertical opening of the fore of bag net ranged from 7.9m to 12.8m at the normal current and from 7.4m to 9.7m at the counter current, and that of the flapper, from 3.4m to 5.1m at the normal current and from 4.4m to 5.1m at the counter current, and that of the flapper, from 3.4m to 5.1m at the normal current and from 4.4m to 5.1m at the counter current. The vertical opening of the bag net was from 98% to 57% of the normal opening and the flapper showed a circular shape and it rose up to the upper layer with a slower towing speed. 3. The vertical opening of the end of the bag net ranged from 7.1m to 9.3m at the normal current and from 7.4m to 8.8m at the counter current. The end of the bag net rose up to the upper layer, This phenomenon was more apparent as the towing speed and the interval of the boats increase. 4. The towing tension of the experimental nets increased from 648kg to 2,716kg at the normal current and from 1,050kg to 6,010kg at the counter current with increasing towing speed. 5. The net depth of the anchovy seine was stable with the higher towing speed and the wider interval of the boats, but it was unstable by rising up to the upper layer with the lower towing speed and the narrower interval of towing boats.

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Combined Rotation and Advancement Flap Reconstruction for a Defect of the Upper Lip: 2 Cases

  • Lee, Jun-Sang;Oh, Suk-Joon;Jung, Sung-Won;Koh, Sung-Hoon
    • Archives of Plastic Surgery
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    • v.39 no.3
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    • pp.244-248
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    • 2012
  • Many types of upper lip reconstruction have been introduced to treat defects after a tumor excision or trauma. The authors treated two cases of upper lip defects. A 35-year-old woman presented with a squamous cell carcinoma of the left upper lip that had invaded the corner of the mouth. After resecting the tumor, the defect was $3.7{\times}3.5cm$ in size. A 52-year-old woman presented with a dog bite of the right upper lip. The defect measured $4.0{\times}2.2cm$ in size. The two cases were reconstructed by combined rotation and advancement of a cheek flap. This technique produced a good functional outcome that allowed for oral competence and created an opening of adequate size. A combination of rotation and an advancement flap can be used to treat upper lip defects in a single-stage procedure. This approach produces a good functional and cosmetic outcome.

Numerical investigation of a novel device for bubble generation to reduce ship drag

  • Zhang, Jun;Yang, Shuo;Liu, Jing
    • International Journal of Naval Architecture and Ocean Engineering
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    • v.10 no.5
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    • pp.629-643
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    • 2018
  • For a sailing ship, the frictional resistance exerted on the hull of ship is due to viscous effect of the fluid flow, which is proportional to the wetted area of the hull and moving speed of ship. This resistance can be reduced through air bubble lubrication to the hull. The traditional way of introducing air to the wetted hull consumes extra energy to retain stability of air layer or bubbles. It leads to lower reduction rate of the net frictional resistance. In the present paper, a novel air bubble lubrication technique proposed by Kumagai et al. (2014), the Winged Air Induction Pipe (WAIP) device with opening hole on the upper surface of the hydrofoil is numerically investigated. This device is able to naturally introduce air to be sandwiched between the wetted hull and water. Propulsion system efficiency can be therefore increased by employing the WAIP device to reduce frictional drag. In order to maximize the device performance and explore the underlying physics, parametric study is carried out numerically. Effects of submerged depth of the hydrofoil and properties of the opening holes on the upper surface of the hydrofoil are investigated. The results show that more holes are favourable to reduce frictional drag. 62.85% can be achieved by applying 4 number of holes.

The Effect of LI4, ST36 & LI4+ST36 acupuncture on Rat Jaw Opening Reflex by Upper Incisor Pulp Stimulation (족삼리(足三里), 합곡(合谷) 단일(單一) 및 배혈(配穴) 침자(鍼刺)가 상치통(上齒痛) 유발(誘發) 백서(白鼠)의 dEMG에 미치는 영향(影響))

  • Oh Chang-Rock;Cho Myung-Rae;Chae Woo-Seok;Na Chang-Su
    • Korean Journal of Acupuncture
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    • v.20 no.1
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    • pp.21-30
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    • 2003
  • Objectives : The pain was induced on upper and lower incisor of the rat based on the theory of 'connections of upper incisor pain with stomach meridian and lower incisor pain with large intestine meridian'. Such acupoints as LI4 and ST36 were used for alleviation of upper and lower incisor pain. Methods : The digastric myogram (dEMG) was utilized for the pain measurement. Results : The ST36 acupuncture after induction of upper incisor pain was gradually decreased or increased the dEMG. The LI4 acupuncture after induction of upper incisor pain was gradually decreased the dEMG. The ST36+LI4 acupuncture after induction of upper incisor pain was gradually decreased the dEMG. We knew this thing which the ST36+LI4 acupuncture decreased the dEMG most greatly and kept long compared to ST36 acupuncture, LI4 acupuncture. Conclusions : Acupuncture treatment at the loci of not only ST36 acupuncture but LI4 acupuncture were relieved the upper incisor pain. It was well suitable to the theory 'connections of upper incisor pain with stomach meridian' that ST36 acupuncture decreased the upper incisor pain. But there was not to decrease the dEMG for the ST36 acupuncture. We are considered as tracing study continuously about ST36 acupuncture. It was not suitable to the theory 'connections of upper incisor pain with stomach meridian' that LI4 acupuncture decreased the upper incisor pain. These results was considered as the function by the characteristic of the LI4 acupoint.

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A Study on the Fluid Flow According to the Opening Angle of a Butterfly Valve with High Control Performance (고제어 성능을 가진 버터플라이밸브의 개도각에 따른 유체유동에 대한 연구)

  • Yu, Seong-Hun;Park, Sang-Hee;Hwang, Jeong-Gyu;Yang, Hee-Jo
    • Journal of the Korean Society of Industry Convergence
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    • v.24 no.5
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    • pp.617-623
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    • 2021
  • The objective of this study is to simulate valve flow coefficient and flow characteristics such as velocity and pressure distribution for butterfly valve. The size of the valve used in this study is 125A. The range of the valve opening angle was α=15°~70°, and it was changed by 5°. At the range of α=15°~30°, the valve flow coefficient K𝜐 gradually increased, and after α=30°, it increased rapidly. In the range of α=20°~70°, the pressure change in the -2.9cm~+2.9cm region in the pipe greatly depended on the opening angle and the position within the pipe. However, after +2.9cm, the pressure at the rear end of the valve was shown to depend only on the opening angle. At α=20°, Vortex shedding occurred for the first time at time t=0.25sec and continuously occurred in rear end of the valve over time. After α=45°, in the flow pattern at the rear end of the valve, the upward flow at the lower end of the valve and the flow at the upper end met each other to form a mixed flow. This flow phenomenon was shown to form a more intense mixed flow in the rear end region as the opening angle increased. Vortex flow occurred for the first time at α=15°, and the opening angle increased, the occurrence and disappearance of this flow phenomenon occurred periodically according to the certain flow region. The pattern of the pressure distribution in the region at the rear end of the valve showed a tendency to agree well with the results of the vorticity distribution.

The Impact of Double-Skin Façades on Indoor Airflow in Naturally Ventilated Tall Office Buildings

  • Yohan, Kim;Mahjoub M. Elnimeiri;Raymond J. Clark
    • International Journal of High-Rise Buildings
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    • v.12 no.2
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    • pp.129-136
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    • 2023
  • Natural ventilation has proven to be an effective passive strategy in improving energy efficiency and providing healthy environments. However, such a strategy has not been commonly adopted to tall office buildings that traditionally rely on single-skin façades (SSFs), due to the high wind pressure that creates excessive air velocities and occupant discomfort at upper floors. Double-skin façades (DSFs) can provide an opportunity to facilitate natural ventilation in tall office buildings, as the fundamental components such as the additional skin and openings create a buffer to regulate the direct impact of wind pressure and the airflow around the buildings. This study investigates the impact of modified multi-story type DSFs on indoor airflow in a 60-story, 780-foot (238 m) naturally ventilated tall office building under isothermal conditions. Thus, the performance of wind effect related components was assessed based on the criteria (e.g., air velocity and airflow distribution), particularly with respect to opening size. Computational fluid dynamics (CFD) was utilized to simulate outdoor airflow around the tall office building, and indoor airflow at multiple heights in case of various DSF opening configurations. The simulation results indicate that the outer skin opening is the more influential parameter than the inner skin opening on the indoor airflow behavior. On the other hand, the variations of inner skin opening size help improve the indoor airflow with respect to the desired air velocity and airflow distribution. Despite some vortexes observed in the indoor spaces, cross ventilation can occur as positive pressure on the windward side and negative pressure on the other sides generate productive pressure differential. The results also demonstrate that DSFs with smaller openings suitably reduce not only the impact of wind pressure, but also the concentration of high air velocity near the windows on the windward side, compared to SSFs. Further insight on indoor airflow behaviors depending on DSF opening configurations leads to a better understanding of the DSF design strategies for effective natural ventilation in tall office buildings.