• Title/Summary/Keyword: reposition

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Visuomotor Coordination Deficits of Ipsilateral Upper Limb in Stroke Patients with Shoulder Pain

  • Son, Sung-Min;Kim, Kyoung;Lee, Na-Kyung
    • The Journal of Korean Physical Therapy
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    • v.26 no.3
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    • pp.163-168
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    • 2014
  • Purpose: The purpose of this study was to investigate whether ipsilateral shoulder pain affects the sensorimotor function of the same side shoulder in patients with stroke. Methods: Thirty stroke patients, who were divided into the ipsilateral shoulder pain group (n=15) and the ipsilateral shoulder non-pain group (n=15). Subjects were evaluated on performance of a tracking task, joint reposition test and 9-Hole pegboard test for sensorimotor functions, and Fugl-Meyer test and Motricity Index for functional ability of the contralateral side. Results: In comparison of the two groups, significant differences in performance on functional ability, including the Fugl-Meyer test(both upper and lower limb) and Motricity Index(only lower limb) were observed (p<0.05). With regard to sensorimotor functions, the ipsilateral shoulder pain group were observed significantly poor scores on the Accuracy Index, joint reposition score and 9-Hole pegboard test, when compared with the ipsilateral shoulder non-pain group (p<0.05). Conclusion: We found that ipsilateral shoulder pain could impede accurate performance of a movement and result in deteriorated proprioception of the ipsilateral shoulder. Therefore, careful evaluation and appropriate therapeutic intervention are essential for stroke patients who suffer from ipsilateral shoulder pain.

Effect of MWM and Taping on Balance and Jump Performance in Soccer Player with Functional Ankle Instability (기능적 발목 불안정성 축구 선수에 대한 움직임을 동반한 가동술과 테이핑 적용이 균형과 점프 수행력에 미치는 영향)

  • jeong, Yong-Sik;Jeong, Yeon-Woo;Yang, Seong-hwa
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.22 no.1
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    • pp.43-49
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    • 2016
  • Background: The purpose of this study was to investigate the effects on balance and Jump performance in soccer player with functional ankle instability of Movement with mobilization (MWM) and taping. Methods: In 30 male college soccer player with functional ankle instability subjects of this study randomization, fibular reposition taping (FRT) group (n=10), kinesio taping (KT) group (n=10), control group (n=10) that included in the MWM and taping was classified group.Before and after intervention, measured in surface area ellipse and countermovement jump with arm swing. Results: Showed a significant balance and jump performance from the FRT group and KT group compared to the control group. Showed a significant improvement in balance from the FRT group compared to the KT group. Conclusions: MMW and taping showed the increased balance and Jump performance in soccer player with functional ankle instability.

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The Effect of Vision and Proprioception on Lumbar Movement Accuracy (시각과 고유수용성 감각이 요부 운동의 정확도에 미치는 영향)

  • Sim, Hyun-Po;Yoon, Hong-Il;Youn, I-Na
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.13 no.2
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    • pp.31-44
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    • 2007
  • The purposes of this study were to examine the normal lumbar proprioception and identify the effect of vision and proprioception on lumbar movement accuracy through measuring a reposition error in visual and non-visual conditions and to provide the basic data for use of vision when rehabilitation program is applied. The subjects of this study were 39 healthy university students who have average physical activity level. They were measured the ability to reproduce the target position(50% of maximal range of motion) of flexion, extension, dominant and non-dominant side flexion in visual and non-visual conditions. Movement accuracy was assessed by reposition error(differences between intended and actual positions) that is calculated by the average of absolute value of 3 repeated measures at each directions. The data were analysed by paired samples t-test, independent samples t-test, and repeated measures ANOVA. The results were as follows : 1. Movement accuracy of flexion, extension, dominant side flexion, and non-dominant side flexion was increased in visual condition. 2. There were no differences in the lumbar movement accuracy between sexes in visual and non-visual conditions. 3. In non-visual condition, the movement in coronal plane(dominant and non dominant side flexion) is more accurate than that in sagittal plane(flexion and extension). 4. In non-visual condition, there were no differences in the lumbar movement accuracy between dominant and non-dominant side flexion. In conclusion, this study demonstrates that the movement is more accurate when the visual information input is available than proprioception is only available. When proprioception is decreased by injury or disease, it disturbs the control of posture and movement. In this case, human controls the posture and movement by using visual compensation. However it is impossible to prevent an injury or trauma because most of injuries occur in an unexpected situation. For this reason, it is important to improve the proprioception. Therefore, proprioceptive training or exercise which improve the ability to control of posture and movement is performed an appropriate control of permission or interception of the visual information input to prevent an excessive visual compensation.

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Comparison of surgical approach and outcome for the treatment of cystic lesion on lower jaw

  • Oh, Suseok;Park, Joon-Hyung;Paeng, Jun-Young;Kim, Chang-Soo;Hong, Jongrak
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.38 no.5
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    • pp.276-283
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    • 2012
  • Objectives: Curettage and enucleation are two of the most common procedures performed in oral and maxillofacial surgery units. To access a cystic lesion, the buccal cortical plate is removed. The no reposition (NR) group underwent surgery without repositioning the buccal cortical plate. The reposition (R) group underwent surgery with a repositioning of the buccal cortical plate. This study compared the two surgical procedures in terms of bone healing and complications. Materials and Methods: Patients who underwent curettage and enucleation surgery were enrolled in this study. Panoramic radiographs of the patients in both the NR group (n=26) and R group (n=34) were taken at the baseline and at 6, 12 and 24 months after surgery. The radiolucent area was calculated to evaluate bony healing in each radiograph. The complications were analyzed through a review of the medical records. Results: The correlation between bony healing and surgical approach was not significant in the 6th, 12th, and 24th month (P<0.05). The complication rate was not associated with gender, graft material, bone graft and drain insertion (P<0.05). On the other hand, the R group had a higher complication rate (35.3%) than the NR group (0%). The difference in the mean lesion size between the NR group ($37,024{\pm}3,617$ pixel) and R group ($92,863{\pm}15,931$ pixel) was significant (independent t test, P=0.004). Conclusion: Although the reposition method is chosen when the lesion size is large, it is associated with more complications. Indeed, infection, discomfort and recurrence of the lesion were the most common complications in the R group. Furthermore, the R method does not have a strong point in terms of bone healing compared to the NR method. Therefore, the R method cannot be considered an ideal approach and should be used in limited cases.

Brand Repositioning with Core Identity in Vietnam (베트남 시장에서 코어 아이덴티티를 이용한 브랜드 리포지셔닝 전략에 관한 연구)

  • Kang, Inwon;Park, Chanwook
    • Knowledge Management Research
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    • v.9 no.4
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    • pp.77-89
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    • 2008
  • Vietnam is very attractive market to Korean firm. Because of changing consumer needs, competitive actions, or any other changes in Vietnam marketing environment over time, managers may need to reposition their brands through new marketing communication campaigns. For repositioning, core identity can be an important strategic objective for market managers. Using data from Vietnam, this research aims to determine core identity and to make repositioning plan with it and find considerable results.

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Statistical study of Mandibular condylar process fractures (하악골 관절 과두돌기 골절의 임상적 연구)

  • Lee, Hee-Chul;Kang, Shin-Ik;Kho, Young-Kyu
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.11 no.1
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    • pp.287-296
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    • 1989
  • Fractures of the mandibular condyle are among the most frequently occuring facial bone fractures. Anatomical structures around the joint inhibit the ideal reposition of the fragments, so variable treatment modalities have been tried selectivly. There can be functional disturbances postoperatively, and normalization of joint function must be considered primarily in treatment planning. Secondly, the possible joint ankylosis and facial deformity following developmental disturbance of facial skeleton must be considered. The authors reviewed 73 patients treated in Dept. of Oral and Maxillofacial Surgery. Inje College of medicine Pusan Paik Hospital from 1981 to 1987. Also literatures were reviewed, and we obtained some reference points concerning the selection of the treatment modality and prevention of the possible complication.

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Development of a Garlic Clove Planter for Film Mulching (I) - Analysis of Shape of Planted Soil Holes and Planted Positions of a Garlic - (필름 멀칭 적응형 마늘 파종기 개발(I) -토양 혈공 형상 및 마늘의 파종자세 분석-)

  • Choi, Cuck-Kyu;Park, Seok-Ho;Kang, Tae-Gyoung;Kwak, Tae-Yong;Kim, Young-Joo
    • Journal of Biosystems Engineering
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    • v.33 no.4
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    • pp.217-223
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    • 2008
  • In this study, a garlic clove planter which is capable of planting holes in soil and planting a clove at the same time was designed and tested for film mulched beds. Planting characteristics of the planter were measured through field experiment. Some characteristics were analyzed with multibody dynamic simulation software. Simulation was performed on opening time of the planting hopper. Measured characteristics were position, angle, and reposition amount of garlic in sowing hole. Experiment results showed that the planted position of garlic in planting was 23.0 mm from the hole wall. The reposition amount of garlic was varied with its position and angle when the planted garlic was pressed by an angled compaction wheel. In case of type II position, the position movement of garlic was larger than type I. Average position movement of type II was 11.5 mm at $20^{\circ}$ of compaction wheel angle. These data suggest that cutting diameter of film opening must be larger than 33 mm to provide enough space for garlic sprouting. Also, simulation results showed that the maximum opening time of the planting hopper was 0.26 second.

The Effect of Thoracic Joint Mobilization on Pain, Proprioception and Static Balance in Patients With Chronic Low Back Pain (흉추 관절가동술이 만성요통환자의 통증, 고유수용감각 및 균형수준에 미치는 효과)

  • Yang, Jin-mo;Kim, Suhn-yeop
    • Physical Therapy Korea
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    • v.22 no.3
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    • pp.1-11
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    • 2015
  • The purpose of this study was to investigate the effect of lumbar stabilization training and additional thoracic mobilization on pain, proprioception and static balance in patients with chronic low back pain. The subjects of this study were 48 chronic low back pain patients who were randomly allocated to an experimental group 1 ($n_1=16$, lumbar stabilization and thoracic mobilization, thoracic hypomobility), experimental group 2 ($n_2=16$, lumbar stabilization and thoracic mobilization, thoracic normal mobility), and a control group ($n_3=16$, lumbar stabilization, thoracic hypomobility) after a thoracic mobility test. Both experimental groups underwent lumbar stabilization training and additional thoracic mobilization. The control group underwent only lumbar stabilization training. The intervention was performed 3 times per week, 30 minutes each time, for a total of 6 weeks. Thoraco-lumbar joint reposition error was measured using an electrogoniometer and static balance ability was measured using the Tetrax posture analysis system. Subjects' pain level was measured using a 100 mm visual analogue scale. Statistical analyses were performed using a one-way analysis of variance and a paired t-test. Post-hoc testing was carried out with a Bonferroni test. The pain level was significantly lower in both experimental groups compared to the control group. Both experimental groups showed significant reductions in joint reposition error angle (flexion, extension, and side bending) compared to the control group. The static balance level was significantly lower in both experimental groups than in the control group. In summary, lumbar stabilization exercises and additional thoracic mobilization significantly improved the pain level, proprioception, and static balance in patients with chronic low back pain.

Analysis of Intrarater and Interrater Reliability of Trunk Repositioning Error Test using a Portable Digital Inclinometer (디지털경사계를 사용한 체간재위치오류 검사의 신뢰도 분석)

  • Chang, Woo-Nam;Lee, Kyoung-Bo;Yeom, Jun-Woo;Hwang, Byong-Yong
    • The Journal of Korean Physical Therapy
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    • v.25 no.4
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    • pp.210-216
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    • 2013
  • Purpose: A cost effective tool for the clinical measurement of trunk reposition sense is clearly needed. This study was to analyze intrarater and interrater Reliability of trunk repositioning error (TRE) test which assesses trunk position sense using a portable digital inclinometer. Methods: Twenty four normal healthy subjects were recruited. TRE was measured using a portable digital inclinometer. A digital inclinometer (Acumar-ACU360; Lafayetter Instrument) with precision to $1^{\circ}$ was placed on skin over the spinous process from first to second thoracic vertebra (T1-T2) and secured with double-sided tape. TRE test during sitting forward and lateral flexion movement was assessed. When they reached a point approximately 50% of full trunk flexion range, the examiner instructed the subjects to stop and told them. This was the target position that they should try to reproduce exactly. Each subject performed six trials. Results: ICC (2,1) for intrarater reliability (with-day and between-day) of TRE test in sagittal and frontal plane of movement was 0.75 and 0.78 (excellent reliability). Interrater reliability was 0.66 in sagittal and 0.64, frontal plane (fair to good reliability). However, there were poor correlations between an average of TRE test in sagittal and frontal plane. Conclusion: TRE test using a portable digital inclinometer demonstrated good to excellent reliability. The device may be a cost effective clinical measurement for trunk reposition sense measurement.

Effects of Sensoriomotor Functions on the Ipsilateral Upper Limb According to Cane Usage in Stroke Patients: A Preliminary Study

  • Son, Sung-Min;Kwon, Jung-Won;Kim, Chung-Sun
    • The Journal of Korean Physical Therapy
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    • v.23 no.3
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    • pp.7-12
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    • 2011
  • Purpose: The cane is one of the most popular assistive devices for stroke patients. Clinical complaints of sensorimotor functions on the ipsilateral upper limb were appealed in stroke patients who had used a cane for a long period. Therefore, we investigated whether cane usage for a long-term period affected sensoriomotor dysfunctions on the non-affected upper limb, in terms of pain presence, shoulder joint sense, a nine-hole pegboard test, and a tracking task. Methods: We recruited 12 stroke patients, who were divided into the cane-using (CU) group or the non-cane using (NCU) group, according to cane usage experience. We evaluated joint position sense for the integrity of proprioceptive reposition sense in the shoulder joint, used a nine-hole pegboard test for upper limb dexterity evaluation, and a tracking task for visuomotor coordination. Results: Four patients in the CU group had complained of shoulder pain none did in the NCU group. In addition, the CU group showed more reposition errors on the shoulder joint than the NCU group did. In addition, the CU group had more difficulty in proprioceptive sense perception and in performance of the nine-hole pegboard teat and tracking task, compared with the NCU group. Conclusion: Our findings suggest that cane usage for a long period in stroke patients could give rise to trigger joint pain and decrease proprioceptive sense. In addition, complex motor performance in the ipsilateral upper limb could deteriorate. In stroke patients who had used acane for long period, careful observation and proper intervention will be necessary.