• Title/Summary/Keyword: joint opening

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Reliability of Quantifying Maximal Mouth Opening and Lateral Mandibular Shift in Individuals With and Without Temporomandibular Disorder Using Three-dimensional Ultrasound-based Motion Analysis

  • Oh, Jae-seop;Kim, Si-hyun;Kyung, Moon-su;Park, Kyue-nam
    • Physical Therapy Korea
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    • v.26 no.3
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    • pp.99-105
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    • 2019
  • Background: Although magnetic resonance imaging is accurate, it is expensive to measure the movement of temporomandibular joint. The three-dimensional (3D) motion analysis system is an inexpensive measurement tool. Objects: This study examined the reliability of quantifying the mouth opening and lateral mandibular shift and differences between individuals with and without temporomandibular disorder (TMD) using the hygienic method of surface markers on the skin with 3D ultrasound-based motion analysis. Methods: This study included 24 subjects (12 with and 12 without TMD). Temporomandibular joint motion during mouth opening was recorded using two surface markers with 3D ultrasound-based motion analysis. An intraclass correlation coefficient [ICC (3,k)] was used to confirm the intrarater reliability of quantifying kinematic temporomandibular joint motion, and an independent t-test was used to evaluate differences in maximal mouth opening and lateral mandibular shift between the two groups. Results: Assessment of mouth opening and lateral mandibular shift showed excellent test-retest reliability with low standard error of measurement. The lateral mandibular shift and opening-lateral mandibular shift ratio were significantly increased in the TMD group during maximum mouth opening (p<.05). However, no significant difference in maximal mouth opening was observed between the groups with and without TMD (p>.05). Conclusion: This hygienic and simple surface marker method can be used to quantify the mouth opening and lateral mandibular shift at the end-range of mouth opening. The TMD group showed an increased lateral mandibular shift movement at the end-range of mouth opening. The lateral mandibular shift movement can be regarded as a symptom in the diagnosis and treatment of TMD.

Numerical Study for Prediction of Rock Falls Around Jointed Limestone Underground Opening due to Blast Vibration (발파진동에 의한 절리암반 지하공동의 낙석발생 예측에 관한 수치해석적 연구)

  • Kim, Hyon-Soo;Kim, Seung-Kon;Cho, Sang-Ho
    • Explosives and Blasting
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    • v.34 no.3
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    • pp.10-16
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    • 2016
  • Recently, transition from open pit to underground mining in limestone mines is an increasing trend in Korea due to environmental issues such as noise, dust and vibrations caused by crushers and equipment. The severe damages in the surrounding rock mass of underground opening caused by explosive blasting may lead to rock fall hazards or casualties. It is well known that variables which mainly affect blast-induced rock falls in underground mining are: blast vibration level, joint orientation and distribution and shape of the cross sections of underground structures. In this study, UDEC program, which is a DEM code, is used to simulate blast vibration-induced rock fall in underground openings. Variation of joint space, joint angle and joint normal stiffness was considered to investigate the effect of joint characteristics on the blast vibration-induced rock fall in underground opening. Finally, jointed rock mass models considering blast-induced damage zone were examined to simulate the critical blast vibration value which may cause rock falls in underground opening.

The Effectiveness of Air Insoles in Improving Temporomandibular Disorders

  • Mi-Ae Sung;Su-Youn Ko;Dong-Kyu Kim
    • PNF and Movement
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    • v.21 no.3
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    • pp.273-280
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    • 2023
  • Objective: In patients with temporomandibular joint disorders, air insoles are used to investigate functionality and pain changes in the temporomandibular joint when walking in daily life. Intervention: Sixty-five patients with temporomandibular joint disorder were recruited: 34 as a control group who walked more than 7,000 steps a day in daily life, and 31 as an experimental group who were instructed to take at least 7,000 steps every day while wearing their air insoles. Measurements: To determine the effects of air insoles on temporomandibular joint pain, steady-state pain, maximum mouth opening, average pain, and the most severe pain were measured before and after the experiment. In addition, to evaluate functionality, the ability to open the mouth in a comfortable state, pain when opening the mouth, and the point of sound and maximum degree to which the mouth could be opened were evaluated before and after the experiment. Results: Pain, mouth openness, and sound points showed significant differences from the control group after the experiment, and the maximum mouth opening range showed no significant difference. Conclusion: When air insoles were used by patients with temporomandibular joint disorder, the functionality of the temporomandibular joint was improved and pain was decreased.

Joint Characteristics in Layered Rocks (층상 암석에서 절리의 특성 연구)

  • Chang, Tae-Woo
    • The Journal of Engineering Geology
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    • v.19 no.2
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    • pp.145-152
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    • 2009
  • Joints are planar tensile opening-mode fractures whose relative motion, as the fracture propagates, is perpendicular to bedding plane and occur in a systematic manner to form a joint set. This paper discusses the mechanical control of joint propagation, the relationship between join spacing and layer thickness, the join saturation, the frequency distribution of join spacing, the joint density, the cross joint, and the development mechanism of joint from a lot of recent joint studies in sedimentary rocks.

Bony ankylosis of temporomandibular joint (측두하악관절에 발생된 골성 강직)

  • Lee Byeong-Do;Yoon Young-Nam;Um Ki-Doo;Ra Jong-Ill;Lee Wan
    • Imaging Science in Dentistry
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    • v.32 no.2
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    • pp.113-118
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    • 2002
  • Ankylosis of joint is defined as limited movement due to infection, trauma, or surgical procedure. A 59-year-old female with a chief complaint of limited movements during mouth opening had a positive history of trauma to her right TMJ area about 5 years ago. From that time, progressive mouth opening limitation and intermittent pain have occurred. At the time of admission the patient showed mandibular deviation to the right side during mouth opening, with a maximum opening limited to 5 mm. On plain radiographs, right condylar enlargement and joint space reduction by newly formed bony tissues were observed. CT scans showed right condylar enlargement, cortical sclerosis, and thickening of the condyle, articular fossa and articular eminence.

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Shear failure and mechanical behavior of flawed specimens containing opening and joints

  • Zhang, Yuanchao;Jiang, Yujing;Shi, Xinshuai;Yin, Qian;Chen, Miao
    • Geomechanics and Engineering
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    • v.23 no.6
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    • pp.587-600
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    • 2020
  • Shear-induced instability of jointed rock mass has greatly threatened the safety of underground openings. To better understand the failure mechanism of surrounding rock mass under shear, the flawed specimens containing a circular opening and two open joints are prepared and used to conduct direct shear tests. Both experimental and numerical results show that joint inclination (β) has a significant effect on the shear strength, dilation, cracking behavior and stress distribution around flaws. The maximum shear strength, occurring at β=30°, usually corresponds to a unifrom stress state around joint and an intense energy release. However, a larger joint inclination, such as β=90°~150°, will cause a more uneven stress distribution and a stronger stress concentration, thus a lower shear strength. The stress distribution around opening changes little with joint inclination, while the magnitude varys much. Both compression and tension around opening will be greatly enhanced by the 30°-joints. In addition, a higher normal stress tends to enhance the compression and suppress the tension around flaws, resulting in an earlier generation and a larger proportion of shear cracks.

A Simple Control Method for Opening a Door with Mobile Manipulator

  • Kang, Ju-Hyun;Hwang, Chang-Soon;Park, Gwi-Tae
    • 제어로봇시스템학회:학술대회논문집
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    • 2003.10a
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    • pp.1593-1597
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    • 2003
  • The home service robot supports human beings by performing various kinds of works at home. This paper presents a simple control method for opening a door from the viewpoint of the mobile manipulation. The simulation shows various results of path planning and motion planning for opening a door. The joint trajectories were generated by the simulation system. In general, a six-axis force/torque sensor at an end-effector is needed in order to maintain the static equilibrium of the manipulator. But we show another method. From three components of applied forces which was directly obtained by the three-axis force sensor and three components of applied forces which was indirectly estimated by the joint-torque sensors, all of joint torques that will exactly balance forces at the end-effector in the static situation can be found. It is more practical method than using a six-axis force sensor in a wrist. Experimental results have shown that the opening a door can be realized more effectively from the suggested control method of mobile manipulation.

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Local anesthesia of the temporomandibular joint to reduce pain during mouth opening for dental treatment in a patient with spinal muscular atrophy

  • Chi, Seong In;Kim, Hyun Jeong;Seo, Kwang-Suk;Lee, Jong Ho;Chang, Juhea
    • Journal of Dental Anesthesia and Pain Medicine
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    • v.16 no.2
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    • pp.137-140
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    • 2016
  • Spinal muscular atrophy (SMA) is an autosomal recessive, severe neuromuscular disorder in which degeneration of alpha motor neurons in the spine progressively weakens and ultimately paralyzes the proximal muscles. It occurs in one per 6,000-10,000 infants, and is a genetic disorder with the second-highest mortality rate worldwide. An 18-year-old male patient with SMA was referred for general anesthesia for difficulty in performing dental treatment due to limited mouth opening caused by temporomandibular joint (TMJ) pain. However, the patient had a high risk of general anesthesia complications, so TMJ pain during mouth opening was reduced through local anesthesia of the TMJ. Fortunately, the anesthesia was successful in reducing pain during mouth opening, enabling the patient to receive dental treatment with an adequate mouth opening.

A Study on the Clinical Factors Related to Vibration of Temporomandibular Joint (악관절진동의 임상적 관련요인에 관한 연구)

  • Kim, Jong-Young;Nam, Gheon-Woo;Han, Kyung-Soo
    • Journal of Oral Medicine and Pain
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    • v.24 no.1
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    • pp.37-47
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    • 1999
  • This study was performed to investigate the factors related to vibration of temporomandibular joint during mandibular opening movement. For this study, 144 patients with temporomandibular disorders were randomly selected. Angle's classification, lateral guidance pattern, range of maximal mouth opening, preferred chewing side, and affected side were investigated clinically. Mandibular torque rotational movement during opening was recorded with $BioEGN^{(R)}$ and vibration of temporomandibular joint during opening was recorded with $Sonopak^{(R)}$. After clinical diagnosis was made, visual analogue scale(VAS) was used for evaluation of clinical progress of the subject's chief complaints. The author calculated VAS treatment index(VAS Ti) from the record of VAS. The more VAS Ti was, the less remission of subjective symptom was, The data were analyzed with SAS/Stat program and the results of this study were as follows: 1. There were no significant difference in all the variables of joint vibration by age and sex. 2. Integral and peak amplitude in patients of Angle's class I were higher than those of class II or III patients. Integral in patients of group function was higher than that in patients of canine guidance or other types of lateral excursion. 3. As to Angle's classification or lateral guidance type, there were almost not significant difference between subgroup of same class or type and subgroup of different class or type on both sides. And there were also almost not difference between one side and the other side related to preferred chewing side or affected side. 4. Patients with disk displacement with reduction showed higher value of integral and peak amplitude than any other patients. 5. Joint vibration variables significantly correlated with VAS Ti of pain. with clinical range of mouth opening, and with ingredients of mandibular torque rotational movement.

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Comparison and Correlation on Muscle Thickness and Muscle Tone of Masseter Muscle and Sternocleidomastoid Muscle, Maximum Jaw Opening in Subjects With and Without Temporomandibular Joint Disorder (턱관절장애 유무에 따른 깨물근, 목빗근의 두께 및 근긴장도, 최대 입벌림 범위의 비교 및 상관성 연구)

  • Lee, Keunhyo;Chon, Seungchul
    • Journal of The Korean Society of Integrative Medicine
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    • v.8 no.3
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    • pp.93-101
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    • 2020
  • Purpose : Temporomandibular joint disorder (TMJD) is often accompanied by pain and limited range of motion of the jaw joint, which affect patients' quality of life and result in hypertrophy or hyperactivity of the muscles around the jaw joint. In this study, we compared the muscle thickness and tone of the masseter and sternocleidomastoid (SCM) muscles and the jaw range of motion in individuals with and without TMJD. Correlation comparison was performed on the results of the TMJD group. Methods : This study included 40 patients; 20 patients were assigned to an experimental group (TMJD group) and 20 to a control group (non-TMJD group). Ultrasonography, myotonometry, and measurements performed with digital Vernier calipers were used to determine the changes in muscle thickness, muscle tone, and maximum jaw opening, respectively. The independent t-test was used for intergroup comparison of data, and Pearson correlation coefficients were used to compare correlations in the TMJD group results. Results : We observed a significant intergroup difference in the masseter and SCM thickness during the relaxed and clenched phases (p<.05). A significant intergroup difference was also observed in maximum jaw opening (p<.05). With regard to muscle tone, we observed a significant intergroup difference in frequency (p=.011) and stiffness (p=.011) of the masseter, as well as in the frequency (p=.009) and stiffness (p=.026) of the SCM. We observed a moderate negative correlation (r=-.524) between maximum jaw opening and the frequency of the masseter. Additionally, we observed a moderately negative correlation between jaw opening and muscle stiffness (r=-.321). Conclusion : Planning exercise programs to treat patients with TMJD who present with pain should focus on efforts to reduce muscle thickness and achieve muscle relaxation (to reduce muscle tension) for improved jaw range of motion.