• Title/Summary/Keyword: joint stability

Search Result 893, Processing Time 0.03 seconds

Seismic fragility analysis of a cemented Sand-gravel dam considering two failure modes

  • Mahmoodi, Khadije;Noorzad, Ali;Mahboubi, Ahmad
    • Computers and Concrete
    • /
    • v.26 no.6
    • /
    • pp.483-495
    • /
    • 2020
  • Dams are vital infrastructures that are expected to maintain their stability during seismic excitations. Accordingly, cemented material dams are an emerging type, which are being increasingly used around the world owing to benefiting from advantages of both earth-fill and concrete gravity dams, which should be designed safely when subjected to strong ground motion. In the present paper, the seismic performance of a cemented sand and gravel (CSG) dam is assessed using incremental dynamic analysis (IDA) method by accounting for two failure modes of tension cracking and base joint sliding considering the dam-reservoir-foundation interactions. To take the seismic uncertainties into account, the dam is analyzed under a suite of ground motion records and then, the effect of friction angle for base sliding as well as deformability of the foundation are investigated on the response of dam. To carry out the analyses, the Cindere dam in Turkey is selected as a case study, and various limit states corresponding to seismic performance levels of the dam are determined aiming to estimate the seismic fragilities. Based on the results, sliding of the Cindere dam could be serious under the maximum credible earthquake (MCE). Besides, dam faces are mostly to be cracked under such level of intensity. Moreover, the results indicate that as friction angle increases, probability of sliding between dam and foundation is reduced whereas, increases tensile cracking. Lastly, it is observed that foundation stiffening increases the probability of dam sliding but, reduces the tensile damage in the dam body.

Analysis of Geological Factors for Risk Assessment in Deep Rock Excavation in South Korea (한국의 대심도 암반 굴착 위험도 산정을 위한 인자 분석)

  • Ihm, Myeong Hyeok;Lee, Hana
    • Tunnel and Underground Space
    • /
    • v.31 no.4
    • /
    • pp.211-220
    • /
    • 2021
  • Tunnel collapse often occurs during deep underground tunneling (> 40 m depth) in South Korea. Natural cavities as well as water supply pipes, sewer pipes, electric power cables, artificial cavities created by subway construction are complexly distributed in the artificial ground in the shallow depths of the urban area. For deep tunnel excavation, it is necessary to understand the properties of the ground which is characterized by porous elements and various geological structures, and their influence on the stability of the ground. This study analyzed geological factors for risk assessment in deep excavation in South Korea based on domestic and overseas case study. As a result, a total of 7 categories and 38 factors were derived. Factors with high weights were fault and fault clay, differential stress, rock type, groundwater and mud inrush, uniaxial compressive strength, cross-sectional area of tunnel, overburden thickness, karst and valley terrain, fold, limestone alternation, fluctuation of groundwater table, tunnel depth, dyke, RQD, joint characteristics, anisotropy, rockburst and so forth.

Effects of Flossing Band Exercise on Range of Motion, Vertical Jump in Taekwondo Demonstration Athletes with Functional Ankle Instability

  • Lee, Jin-Wook;Byun, Yong-Hyun
    • Journal of the Korea Society of Computer and Information
    • /
    • v.27 no.1
    • /
    • pp.97-105
    • /
    • 2022
  • The purpose of this study was to analyze the effects of flossing band exercise on the range of motion and vertical jump for taekwondo demonstration athletes with ankle functional instability. The subjects of this study were 21 male Taekwondo Demonstration Team athletes enrolled at D University. They were divided into functional ankle instability group(FAIG, n=7), mild ankle instability group(MAIG, n=7), and ankle stability group(ASG, n=7). All groups performed a acute flossing band exercise program. The results of this study are as follows; dorsi flexion(p<.01), inversion(p<.01), eversion(p<.05) and vertical jump(p<.01) were significantly increased in the FAIG. Flossing band exercise of Taekwondo demonstration team with FAI increased joint range of motion and vertical jump. Therefore, it was confirmed that it could be an intervention that can improve performance and reduce the risk of ankle injury.

Decision-Making and Principle of Management in Periprosthetic Femoral Fracture after Total Hip Arthroplasty (고관절 치환술 후 삽입물의 안정성 판단과 대퇴 삽입물 주위 골절의 치료 원칙)

  • Kim, Beom-Soo;Lee, Kyung-Jae;Min, Byung-Woo
    • Journal of the Korean Orthopaedic Association
    • /
    • v.56 no.3
    • /
    • pp.200-207
    • /
    • 2021
  • Periprosthetic femoral fractures remain as one of the most challenging complications following total hip arthroplasty. A thorough clinical and radiographic evaluation, precise classification, and understanding of modern management principles are essential to obtain optimal results for these fractures. The Vancouver classification system is a simple, effective, and reproducible method for the planning treatments of these injuries. The fractures associated with a stable femoral stem can be treated effectively with osteosynthesis, but periprosthetic femoral fractures associated with a loose stem require revision arthroplasty. This paper describes the principle of the treatment of patients with periprosthetic femoral fractures and how to assess the stability of the femoral stem.

Comparison of Gluteus Maximus, Hamstring and Multifidus Muscle Activities During Bridge Exercises According to Three Different Hip Abduction Angles (3개의 서로 다른 엉덩관절 벌림 각도에 따른 교각 운동 중 큰볼기근, 뒤넙다리근, 뭇갈래근의 근활성도 비교)

  • Choi, Ji-Seok;Jang, Tae-Jin;Jeon, In-Cheol
    • Physical Therapy Korea
    • /
    • v.29 no.1
    • /
    • pp.11-18
    • /
    • 2022
  • Background: Muscle activities of gluteus maximus (GM) and hamstring (HAM) have important roles in the stability and mobility of the hip joint during various functional activities including bridge and prone hip extension exercises. Objects: The purpose of this study is to investigate muscle activities of GM, multifidus (MF) and HAM during three different bridge exercises in healthy individuals. Methods: Twenty healthy subjects were participated. Electromyography device was used to measure muscle activities of GM, MF and HAM. Each subject was asked to perform three different bridge exercises with hip abduction (0°, 15°, 30°) in random order. One-way repeated measures analysis of the variance and a Bonferroni post hoc test were used. Statistical significance was set at α = 0.01. Results: The muscle activity of GM was significantly different among three conditions (hip abduction 0°, 15°, 30°) (adjusted p-value [Padj] < 0.01). The muscle activity of GM was significantly greater during bridge exercise with hip abduction 30° compared to 0° and 15° (Padj < 0.01). There was no significant difference in the muscle activity of MF and HAM muscle (Padj > 0.01). The ratio of muscle activity (ratio = GM/HAM) during bridge exercise with hip abduction 30° was significant greater compared to the hip abduction angles 0° and 15° (Padj < 0.01). Conclusion: Bridge exercise with hip abduction 30° can be recommended to selectively facilitate the muscle activity of GM and improve the ratio of muscle activity between GM and HAM.

Evaluation of Efficacy for Menopausal Syndrome with Natural Dyed Apparel (천연염색의류의 갱년기 증후군에 대한 효능 평가)

  • Seo, Tae Soon;Jang, Eun Jin;Kim, Jeong Ja;Kim, Hee Sook;Koo, Jin Suk
    • The Korea Journal of Herbology
    • /
    • v.32 no.6
    • /
    • pp.31-39
    • /
    • 2017
  • Objectives : Menopausal symptoms are characteristic symptoms which are occur in women before and after menopause. In Western medicine, hormone therapies are mainly used but patients show reluctance because they exhibit serious side effects. In Oriental medicine, there are also limits to the treatment. So I tried to find a new easily accessible treatment. I performed the experiments to verify the effect of natural dyed apparel with Indigo and Schisandra fruit. Methods : This experiment was performed on 30 women who were experiencing menopausal symptoms. We checked the participant's general condition through questionnaire and physical condition with inbody test and made natural-dyed living suit style dresses. We asked the women to wear the apparel for four weeks. They checked for changes in symptoms weekly with kupperman's index. Results : The main symptoms of participants are sweating, hot flushes, joint pain. After wearing of the apparel, there were decreased hot flushes, sleep improvement, psychological stability etc. According to the kupperman's index, patients with mild symptoms were 13.3% at first week to start the experiment but four weeks later, patients with mild symptoms were increased to 50%. On the other hand, patients with severe symptoms were decreased 33.3% to 6.7%. In the test results, there was a significant decrease in 1, 2 and 3 weeks, there was a decrease in 4 weeks but no significance in the figure Conclusion : Natural dyed apprel with Indigo and Schisandra fruit was effective on treating women who were experiencing menopausal symptoms.

Differences in the Gait Pattern and Muscle Activity of the Lower Extremities during Forward and Backward Walking on Sand

  • Kwon, Chae-Won;Yun, Seong Ho;Kwon, Jung-Won
    • The Journal of Korean Physical Therapy
    • /
    • v.34 no.1
    • /
    • pp.45-50
    • /
    • 2022
  • Purpose: The purpose of this study was to compare the spatiotemporal and kinematic gait parameters and muscle activity of the lower extremities between forward walking on sand (FWS) and backward walking on sand (BWS) in normal adults. Methods: This study was conducted on 13 healthy adults. Subjects performed FWS and BWS and the spatiotemporal and kinematic gait parameters of stride time, stride length, velocity, cadence, step length, stance, swing, double support, and hip range of motion (ROM), knee ROM were measured by a wearable inertial measurement unit system. In addition, the muscle activity of the rectus femoris (RF), biceps femoris (BF), tibialis anterior (TA), and gastrocnemius (GA) was measured. Results: The stride length, stride velocity, cadence, and step length in the BWS were significantly lower than FWS (p<0.05), and stride time was significantly greater (p<0.05). However, there was no significant difference in the ratio of stance, swing, and double support between the two (p>0.05). The kinematic gait parameters, including hip and knee joint range of motion in BWS, were significantly lower than FWS (p<0.05). The muscle activity of the RF in BWS was significantly higher than FWS (p<0.05), but the muscle activity of the BF, TA, GA did not show any significant differences between the two movements (p>0.05). Conclusion: A strategy to increase stability by changing the gait parameters is used in BWS, and this study confirmed that BWS was a safe and effective movement to increase RF muscle activity without straining the joints. Therefore, BWS can be recommended for effective activation of the RF.

Percutaneous Screw Fixation in a Displaced Pubic Fracture: Technical Note (전위성 치골 골절의 경피적 고정술: 술기보고)

  • Kong, Gyu Min;Kim, Seung Chul
    • Journal of the Korean Orthopaedic Association
    • /
    • v.56 no.4
    • /
    • pp.361-365
    • /
    • 2021
  • Pelvic fractures are high-energy injuries, often accompanied by damage to the adjacent tissues and organs. For patients with pelvic trauma, active treatment is required early in the injury, because mortality can increase if appropriate treatment is not provided. In most cases, however, minimally invasive surgery is considered because extensive surgery cannot be performed due to the patient's condition. Percutaneous fixation of the pubis has been introduced because it can be applied easily to achieve the stability of the anterior part of the pelvis. Although many studies introduced percutaneous fixation of pubic bone fractures, most describe screw fixation for nondisplaced fractures. When treating displaced fractures with percutaneous screw fixation, it is difficult for the guide pin or drill bit to avoid the joint surface. Using a bent guide pin could allow easy insertion of the cannulated screw while avoiding the articular surface.

Dynamic three-dimensional shoulder kinematics in patients with massive rotator cuff tears: a comparison of patients with and without subscapularis tears

  • Yuji Yamada;Yoshihiro Kai;Noriyuki Kida;Hitoshi Koda;Minoru Takeshima;Kenji Hoshi;Kazuyoshi Gamada;Toru Morihara
    • Clinics in Shoulder and Elbow
    • /
    • v.25 no.4
    • /
    • pp.265-273
    • /
    • 2022
  • Background: Massive rotator cuff tears (MRCTs) with subscapularis (SSC) tears cause severe shoulder dysfunction. In the present study, the influence of SSC tears on three-dimensional (3D) shoulder kinematics during scapular plane abduction in patients with MRCTs was examined. Methods: This study included 15 patients who were divided into two groups: supraspinatus (SSP) and infraspinatus (ISP) tears with SSC tear (torn SSC group: 10 shoulders) or without SSC tear (intact SSC group: 5 shoulders). Single-plane fluoroscopic images during scapular plane elevation and computed tomography (CT)-derived 3D bone models were matched to the fluoroscopic images using two-dimensional (2D)/3D registration techniques. Changes in 3D kinematic results were compared. Results: The humeral head center at the beginning of arm elevation was significantly higher in the torn SSC group than in the intact SSC group (1.8±3.4 mm vs. -1.1±1.6 mm, p<0.05). In the torn SSC group, the center of the humeral head migrated superiorly, then significantly downward at 60° arm elevation (p<0.05). In the intact SSC group, significant difference was not observed in the superior-inferior translation of the humeral head between the elevation angles. Conclusions: In cases of MRCTs with a torn SSC, the center of the humeral head showed a superior translation at the initial phase of scapular plane abduction followed by inferior translation. These findings indicate the SSC muscle plays an important role in determining the dynamic stability of the glenohumeral joint in a superior-inferior direction in patients with MRCTs.

Clinical and radiologic study of total knee replacement arthroplasty using Doujet GF bone cement (liquid-powder bone cement containing gentamicin) (Doujet GF 골 시멘트를 사용한 인공 슬관절치환술의 임상적, 방사선적 고찰)

  • Sungwook Choi;Seong-meen Yoon;Joseph Y. Rho;In-seok Son
    • Journal of Medicine and Life Science
    • /
    • v.20 no.2
    • /
    • pp.60-66
    • /
    • 2023
  • Gentamicin-loaded bone cement used in total joint arthroplasty is indispensable, as it provides stability by directly binding the surfaces of implants and bones. Depending on multiple factors, including the material of the bone cement used, common complications, such as aseptic loosening, osteolysis, and infection can occur postoperatively. In clinical practice, Doujet bone cement is easy to handle (pre-packed all-in-one system), and has shown low failure rates and non-inferior results compared with similar available products. We conducted a retrospective comparative study to analyze the clinical and radiological results of each bone cement group to establish the safety and usefulness of Doujet bone cement. From July 2020 to July 2022, we enrolled 198 patients in this study after an average follow-up period of 37 months (range, 6-48 months). In 99 patents, Doujet® bone cement (Injecta, Gunpo, Korea) was used for total knee arthroplasty (TKA), while Refobacin® bone cement (Biomet, Warsaw, IN, USA) was used in 99 patients. The average range of motion (ROM) of the knee increased by 2.4° (from 127.0° preoperatively to 129.4° postoperatively) in the Doujet group, and by 0.1° (from 128.7° to 128.8°) in the Refobacin group (P=0.701). The Western Ontario and McMaster Universities (WOMAC) osteoarthritis index scores decreased from 44.1 to 7.8 in the Doujet group, and from 44.2 to 6.3 in the Refobacin group (P=0.162). Complications, such as osteolysis or post-operative wound infection, did not occur in more than two cases in both groups. The WOMAC and ROM of the knee in both groups had no clinical differences. Both Doujet and Refobacin similarly showed low complication rates after TKA.