• 제목/요약/키워드: abduction

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Inferior Capsular Shift Procedure using Splitting Subscapularis and Capsule for Instability of the Shoulder (견관절 불안정성의 견갑하근 및 관절 낭 수평 분할을 이용한 하방 관절 낭 이동술)

  • Park Jin-Young;Lim Soo-Taek;Yoo Moon-Jib;Lyu Suk-Joo
    • Journal of Korean Orthopaedic Sports Medicine
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    • v.1 no.1
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    • pp.102-107
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    • 2002
  • Purpose: The aim of this retrospective study were to report the short-term results of inferior capsular shift procedure using splitting subscapularis and capsule for the patients who had shoulder instability and were apt to recur after arthroscopic stabilization procedure. Materials & Methods : Fifteen cases of instability of the shoulder were included with an average follow-up of 2 years (range: 1$\~$3 years). There were 13 men and 2 women with an average age of 27years. Multidirectional instability was found in 4 cases, voluntary instability in 3 cases, bony Bankarte lesion in 2 cases and 6 cases were contact sportmen. Thirteen shoulders underwent the inferior capsular shifts and Bankart repairs and 2 shoulders without Bankart lesion underwent the inferior capsular shift only. Average 19 mm of shift (range: 10$\~$25 mm) was done. Results : Fourteen patients showed good and excellent results with one subluxation and one positive apprehension test. Postoperative ranges of motions did not change in forward elevation, external rotation at side and external rotation at 90$^{\circ}$ abduction (p>0.05). Conclusion : Inferior capsular shift procedure using splitting subscapularis and capsule can be helpful in shoulder instability patients who were high-risk group of recurrence with arthroscopic procedure.

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Kinematical Analysis of Side Kick Motion in Taekwon Aerobics (태권에어로빅스 옆차기동작의 운동학적 분석)

  • Yoo, Sil
    • Korean Journal of Applied Biomechanics
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    • v.18 no.3
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    • pp.33-42
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    • 2008
  • The purpose of this study was to analyze kinematic variables during Side kick motion in Taekwon Aerobics. The subjects of this study were the 7 skilled and 7 unskilled female college students. A QTM and an Auto Track were used to acquire raw data. The sampling rates camera was 100 Hz. The parameters were calculated and analyzed with Visual3D and SPSS 12.0. The results were as following; 1. In the elapsed time, there was no significance difference statically between a skilled and unskilled group. 2. In the cases of knee angle, there was significant difference statically at Maximum Knee Flexion2(p=0.046, F=4.925). 3. In the cases of knee angular velocity, there was significant difference statically at Maximum Knee Flexion1(p=0.031, F=5.940). 4. In the flexion/extension of hip angle, there was significant difference statically at Maximum Knee Flexion2(p=0.012, F=8.668). 5. In the abduction/adduction of hip angular velocity, there was significant difference statically at Minimum Knee Flexion (p=0.019, F=7.324). 6. In the external rotation/internal rotation of hip angular velocity, there was significant difference statically Minimum Knee Flexion(p=0.005, F=11.87).

Rotational Motion of Shoulder in Normal Volunteer and SLAP Lesions (정상 성인과 SLAP 병변이 있는 환자의 견관절 회전운동)

  • Shin, Dong-Eun;Song, Sang-Jun;Park, Hyung-Kun;Kim, Jae-Hyung;Nam, Ki-Shik;Kim, Jae-Hwa
    • Journal of the Korean Arthroscopy Society
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    • v.8 no.2
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    • pp.115-118
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    • 2004
  • Purpose: The purpose of this study is to measure the internal and external rotation of shoulder and compare with normal volunteer and patients diagnosed as SLAP lesion. Materials and Methods: Thirty-eight cases (group 1) who had SLAP lesions at shoulder arthroscopy and fourty young volunteers(group 2) were analyzed retrogradely with medical record, intra-operative arthroscopic photo & video for SLAP lesions and the ROM of shoulder Under the interscalene anesthesia, the range of motion of internal rotation and external rotation were measured on flxed scapula and 90 degree abduction of shoulder, and the same method for group 2. We analyzed the results with two sample T-test and Wisconsin signed ranks test. Results: There was a significant difference between group 1 and group 2 for the ROM of shoulder. (IR; p<0.001,ER; p<0.001).For the group 1, internal and external rotation with the arm abducted 90 averaged 50 and 64 degrees and for the group 2, internal and external rotation averaged 77 and 90 degrees with significant difference(IR; p<0.001,ER; p<0.001).Conclusion: The range of motion of shoulder, especially internal and external rotation significantly decreased in SLAP lesions. Our results suggest that a limited rotational motion of shoulder closely related with SLAP lesion.

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Medial Retracted Large Rotator Cuff Tears (내측으로 퇴축된 대범위 회전근 개 파열)

  • Ko, Sang-Hun;Cha, Jae-Ryong;Kim, Tae-Won
    • Journal of the Korean Arthroscopy Society
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    • v.13 no.3
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    • pp.212-219
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    • 2009
  • Medially retracted large-sized rotator cuff tears includes large-sized tears, massive tears and irreparable tears. Generally arthroscopic repair or open repair of rotator cuff tears is used in reparable tears. However, arthroscopic repair requires long period practice and endurance. In irreparable tears, arthroscopic debridement, partial repair, latissimus dorsi transfer and retrograde arthroplasty can be the option. Arthoscopic debridement gives temporal relief who experienced improvement in pain and increase in range of motion after subacromial local anesthetic injection. Also arthroscopic partial repair gives good results in irreparable cases, especially in suprascapular nerve traction neurapraxia. Tendon transfer can be used in mild to moderate muscle weakness in shoulder abduction for long term treatment. Pectoralis major transfer can be used in anterosupeior tears and latissimus dorsi transfer can be used in posterosuperior tears. Reverse shoulder prosthesis is used in extreamly weakened shoulder pseudoparalysis. The authors discussed the method of arthroscopic repair in irreparable tears. The debridement, partial repair, and tendon transfer could be used in medially retracted large-sized rotator cuff tears.

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The Effects of Proprioceptive Neuromuscular Facilitation (PNF) Using Elastic Bands on Edema, Range of Motion, and Pain in Post-Mastectomy Patients with Upper Limb Lymphedema: Differences between Open-Hand and Closed-Hand Grips (탄력밴드를 이용한 PNF 운동이 유방암 절제술에 속발한 상지 림프부종 환자의 부종, 관절가동범위 및 통증에 미치는 영향 -열린 홀딩과 닫힌 홀딩의 차이-)

  • Jo, Ye-Jin;Lee, Sang-Yeol
    • PNF and Movement
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    • v.18 no.1
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    • pp.1-10
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    • 2020
  • Purpose: This study was conducted to examine the effects of a PNF intervention using elastic bands on edema, range of motion (ROM), and pain in post-mastectomy patients with upper limb lymphedema, according to their hand grip type. Methods: The subjects were 14 female patients who were at Stage II lymphedema after undergoing mastectomy for Stage II breast cancer. They were randomly divided into an experimental group (n =7) and a control group (n = 7). Both groups participated in a treatment program four times (one time under the therapist's instructions and three times as self-exercise) a week for 4 weeks. Both groups repeated an upper limb PNF pattern exercise for 30 min using elastic bands after receiving a manual lymph drainage treatment for 1 hour. Here, subjects in the experimental group performed the PNF exercise with an open-hand grip by putting their hands into the loops of elastic bands and keeping their fingers spread out. Subjects in the control group performed the PNF exercise with a closed-hand grip by holding the loops of elastic bands with their fingers. In both groups, the subjects' edema, ROM, and pain levels were measured before the intervention and 2, 3 and 4 weeks after the intervention. Results: As a result of the experiment, both groups demonstrated edema reductions, ROM increases, and pain reductions in four areas of the upper limbs. Notably, the experimental group exhibited larger ROM increases in flexion, extension, and abduction as well as greater edema and pain reductions than the control group. In particular, the most significant effects were found in the elbow of the four upper limb areas for edema reductions and in extension for ROM increases. Conclusion: The present study indicates that exercise therapy-based approaches using elastic bands in post-mastectomy patients with upper limb lymphedema can have different effects depending on the type of hand grip (open or closed), which is the body's most distal part. Therefore, these approaches should be based on the conditions of the distal parts of the patient's body for their effective applications in clinical practice.

Reconsideration of the Linguistic Category of Mediation in Language: a Comparative Approach between French and Korean (언어의 '매개작용' 범주 고찰: 프랑스어와 한국어 비교 연구)

  • Suh, Jungyeon
    • Cross-Cultural Studies
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    • v.46
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    • pp.297-325
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    • 2017
  • In this paper, I would like to reconsider the evidential category (or the mediation category) in languages with language specific values, especially in Korean and French evidentials. We tried to analyze how the evidentials are represented in both languages including their linguistic markers (grammatical, lexical or discursive) and their semantic meanings. According to the precedent studies from the general linguistic point of view, we would like to reconsider the semantic meanings of both languages' grammatical markers, the so-called Korean retrospective marker '-te-' and French conditionals in the framework of the enunciative operation theory suggested by $Descl{\acute{e}}s$ & $Guentch{\acute{e}}va$ (2000), which proposed to classify the type of discourse by the language-independent description tools conceived after the enunciation theory suggested by Bally (1965), Benveniste (1956), Culioli (1973). Through this approach, we would like to contribute to establishing the linguistic basis not only for the general linguistic research to determine the invariant meaning of linguistic evidentials and their system, but also for the applied linguistics to the language engineering field.

Evolution of Exercise Performance and Medical Assessments in U-12 Youth Football Players (U-12 유소년 축구선수의 운동수행력 및 의학적 평가)

  • Seo, Sang-Won;Lee, Ho-Seong
    • 한국체육학회지인문사회과학편
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    • v.56 no.5
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    • pp.665-677
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    • 2017
  • This study aimed to examine the evolution of exercise performance and medical assessments in U-12 youth football players. Participants were recruited from an youth football players (YFG, n=15; $11.2{\pm}0.9yrs$) and normal youth (CON, n=15; $11.5{\pm}0.6yrs$). Both groups were tested for exercise performance (health related physical fitness, skill related physical fitness, functional movement screen; FMS and Y-balance) and medical assessments (lower extremity alignment, range of motion; ROM and manual muscle test; MMT). YFG showed a positive effects on pacer in health related physical fitness, 50-m run and Single-leg standing with eyes closed in skill related physical fitness, active straight leg raise and rotary stability in FMS, non-dominant composite score in Y-balance, respectively compared to CON. However, YFG showed a negative effects on Q-angle of dominant and non-dominant in lower extremity alignment, dorsiflexion of non-dominant, plantarflexion of dominant and non-dominan in ROM, hip extension and abduction, knee flexion and extension of dominant, knee flexion and extension of non-dominant in MMT, respectively compared to CON. These results indicated that U-12 youth football players have shown excellent exercise performance, but medical assessments has proved negative effects.

The Effects of Joint Mobilization with Combined Exercise Therapy of Sling on Post-traumatic Adhesive Capsulitis Patient: A Case Report (외상 후 유착성 견관절낭염 환자에서 관절가동술을 병행한 슬링 운동치료의 효과 : 단일사례연구)

  • Kwon, Won-An;Kim, Youn-Joung;Kwon, Hye-Mi;Kim, En-Ji;Park, Woo-Kyung;Shin, Hye-Won;Oh, Joung-Ik;Woo, Joung-Hee;Lee, Da-Hye;Lee, En-young;Jung, En-Ju;Jung, Jae-Young;Jung, Hyun-Kyung;Choi, Bo-Young;Heo, Eun-Young;Lee, Jae-Hong
    • PNF and Movement
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    • v.10 no.2
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    • pp.9-16
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    • 2012
  • 본 연구는 43세 남성 환자의 관절가동술과 슬링을 이용한 유착성 관절낭염 환자의 치료사례를 조사하여 그 과정과 결과를 알아보고자 하였다. 어깨통증장애지수(shoulder pain and disability index) 측정과 어깨관절의 굽힘(flexion), 벌림(abduction), 바깥돌림(external rotation), 안쪽돌림(internal rotation)에 대한 관절가동범위를 측정하여 비교하였으며 견관절 주위에 비스테로이드 소염진통 주사 1회, 약물치료를 병행하며 주 3회 8주간 보존적인 물리치료인 온습포(hot pack)와 간섭파(ICT), 관절가동술, 그리고 슬링을 이용한 운동치료를 실시하였다. 결과는 관절가동술과 슬링운동치료의 적용이 유착성 관절낭염 환자의 통증을 줄이고 관절가동범위를 증진시키는데 효과가 있는 것으로 판단된다.

Against Skepticism: Doubt and Belief in C. S. Peirce and Michael Polanyi (찰스 S. 퍼스와 마이클 폴라니의 회의론과 믿음(belief)에 대한 비교 연구)

  • Kim, Dong Ju
    • 기호학연구
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    • no.54
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    • pp.7-36
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    • 2018
  • Michael Polanyi's idea of tacit knowledge came from the realization that scientific objectivity and critical philosophy had become too restrictive for philosophy, especially in the realm of meaning, which is beyond positivistic proof and contains more non-critical elements than critical ones. In social life, people still share certain kinds of knowledge and beliefs which they obtain without making or learning those explicitly. Contemplating the role and significance of tacit knowledge, he called for a post-critical philosophy that integrates the realm of meaning and thereby appreciates the intertwined nature of tacit and explicit knowledge. Polanyi's position towards skepticism and doubt shows similarities with Charles S. Peirce's thinking about the relationship between belief and doubt. Although Peirce's semeiotics stands firmly in the tradition of critical philosophy, he affirms that doubt cannot be a constant state of mind and only belief can form a basis for a specific way of life. Polanyi's approach differs from Peirce's by focusing on the impossibility of scientific knowledge based solely on principles and precision, and his emphasis on the crucial role of the community of scientists. Nevertheless, the deeper implications of Peirce's contemplations on belief and doubt have myriad ramifications on the philosophy of science as well as the sociology of science.

The Effect of Scapular Stabilization Exercise and Thoracic Joint Mobilization on the Scapular Function in Adults with Scapular Dysfunction (어깨뼈 안정화운동과 등뼈관절가동술이 어깨뼈 기능이상이 있는 성인의 어깨 기능에 미치는 영향)

  • Lee, Sang-Bin
    • Journal of Industrial Convergence
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    • v.19 no.3
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    • pp.83-90
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    • 2021
  • The purpose of this study was to investigate the effect of scapular stabilization exercise and thoracic joint mobilization on scapular position, scapular motion and shoulder pain and disability index(SPADI) in adults with scapular dysfunction. A total 42 subjects were divided into a scapular stabilization exercise group(A, n=14), a thoracic joint mobilization group(B, n=14) and scapular stabilization exercise with thoracic joint mobilization group(C, n=14) and performed exercise and joint mobilization three times per week for four weeks, total 12 times. As for changes in scapular position among the groups, group C showed statistically significant increase(p<.05). In changes of scapular motion among the groups, group C showed statically significant improvement in shoulder abduction 45° and 90° both(p<.05), In changes of SPADI among the groups, group C were showed statistically significant improvement(p<.05). In conclusion, scapular stabilization exercise and thoracic joint mobilization were effective on improving scapular position, movement and SPADI score in adults with scapular dysfunction.