• Title/Summary/Keyword: stiffness of joint

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Effects of Electromagnetic Acupuncture Combined with Integrative Korean Medicine Treatment on Pain and Dysfunction in a Patient with Knee Osteoarthritis: A Case Report

  • Jihun Kim;Taewook Lee;Sookwang An;Geun Hyeong, An;Yoona Oh;Gi Young Yang
    • Journal of Acupuncture Research
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    • v.41 no.2
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    • pp.129-134
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    • 2024
  • Knee osteoarthritis (KOA) is a prevalent degenerative joint disease causing significant pain and dysfunction. This case report presents the use of electromagnetic acupuncture utilizing a Whata 153 device generating a magnetic field to enhance acupuncture stimulation for the treatment of KOA. A 69-year-old female diagnosed with KOA experienced a reduction in pain (numerical rating scale score from 7 to 4), improved gait, and decreased stiffness and swelling after daily electromagnetic acupuncture treatments during hospitalization. In addition, the Korean Western Ontario and McMaster Universities Osteoarthritis Index scoreimproved from 20 to 14, and the patient rated her overall improvement as "significantly improved" on the patient's global impression of change scale. Although these findings suggest potential benefits of electromagnetic acupuncture for KOA, the case report design limits its generalizability. More controlled trials are warranted to confirm the efficacy and safety of electromagnetic acupuncture as a treatment of KOA.

Classic Floating Elbow in Adults: A Case Series

  • Cho, Chul-Hyun;Min, Kyung-Keun
    • Clinics in Shoulder and Elbow
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    • v.18 no.1
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    • pp.8-12
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    • 2015
  • Background: The aim of this study was to assess demographics, clinical outcomes, and complications of classic floating elbow in adults. Methods: Six patients with ipsilateral diaphyseal fractures of the humerus, radius, and ulna were reviewed retrospectively. All patients were treated operatively and available for follow-up at a minimum of 1 year after surgery. The average age of the patients was 45.2 years (22-64 years) and the average follow-up period was 37.0 months (14-103 months). They were evaluated with postoperative outcome measures, including a visual analog scale (VAS) for pain, Mayo elbow performance score (MEPS), and American Shoulder and Elbow Surgeons (ASES) shoulder score. Residual complications were also evaluated. Results: Five patients (83.3%) had open fracture, and 4 patients (66.7%) presented with associated nerve injury. All fractures were united within postoperative 4 months, except 1 delayed union. The average VAS pain score, MEPS, and ASES shoulder score at the final follow-up examination was 2.5, 79.8, and 67.5 respectively. Three patients including 2 cases of joint stiffness with incomplete recovery from nerve injury and 1 case of complex regional pain syndrome had poor clinical outcome. Conclusions: Although the classic floating elbow is rare, these injuries potentially have associated problems such as open fracture or nerve injury. The presence of residual neurological symptoms predispose to poorer clinical outcomes.

A Case Study of Arthropathy of Wrist Resulting from Loose body (관절내 유리체로 인한 관절장애 치험 1례)

  • Kim, Kyung-Sun;Kim, Hyun-Ho;Kim, Eun-Yi;Lim, Eun-Chul;Sun, Young-Jae
    • Journal of Sasang Constitutional Medicine
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    • v.16 no.2
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    • pp.134-138
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    • 2004
  • 1. Objectives In general, arthropathy is treated with conservative method or only observed. Recently, I have effectively treated one patient with chronic arthropathy caused by loose body using constitutional method. So, I would like to report about this case. 2. Methods Consulting her Sungjeong(性情), Chehyungkisang(體形氣像) and QSCC II, I diagnosed her as Taeumin and treated her with Taeumjowi-tang(太陰調胃湯) plus jejo etc. 3. Results After treatment she felt her symtoms-pain, edema, stiffness of joint improved. 4. Conclusions This paper describes the process of management and changes of symptoms. I hope this paper useful to rehabilitatable treatment for arthropathy through Sasang Constitutional Medicine.

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Behavior of High Strength Reinforced Concrete Wide Beam-Column Joint with Slab (슬래브가 있는 고강도 철근 콘크리트 넓은 보-기둥 접합부의 거동)

  • 최종인;안종문;신성우;박성식;이범식;양지수
    • Proceedings of the Korea Concrete Institute Conference
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    • 2002.05a
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    • pp.493-498
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    • 2002
  • An experimental investigation was conducted to study the behavior of high-strength RC wide beam-column joints with slab subjected to reversed cyclic loads under constant axial load. Six half scale interior wide beam-column assemblies representing a portion of a frame subjected to simulated seismic loading were tested, including three specimens without slab and three specimens with slab. The primary variables were compressive strength of concrete( $f_{ck}$ =240, 500kgf/c $m^2$), the ratio of the column-to-beam flexural capacity( $M_{r}$=2$\Sigma$ $M_{c}$$\Sigma$ $M_{b}$ ; 0.77-2.26), extended length of the column concrete($\ell$$_{d}$ ; 0, 9.6, 30cm), ratio of the column-to-beam width(b/H ; 1.54, 1.67). Test results are shown that (1) the behavior of specimen using high-strength concrete satisfied the required minimum ductile capacity according to increase the compressive strength, (2). In the design of the wide beam-column joints, one should be consider the effects of slab stiffness which is ignored in the current design code and practice.ice.e.e.

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Nonlinear Finite Element Analysis on the Transmission of Column Loads through Slab-Column Connections

  • Lee, Joo-Ha;Yoon, Young-Soo;Sohn, Yu-Shin;Lee, Seung-Hoon
    • Proceedings of the Korea Concrete Institute Conference
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    • 2006.05a
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    • pp.466-469
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    • 2006
  • This paper presents the structural characteristics of slab-column connections by using nonlinear finite element analysis. FEA considering material non-linearity was performed to investigate average column strain, failure mode, principal stress distribution, and steel yielding conditions for various slab-column members. In addition, to investigate alternative methods for improving the strength of interior column-slab joints, some specimens were provided with different reinforcing types of high-strength concrete puddling, high-strength column longitudinal steels, dowel bars, and high-strength concrete core. To make certain of the reliability of the analytical program, analysis results for concrete material model developed and two specimens with and without puddling were compared with experimental results. It was found that providing the alternative reinforcing methods in the slab-column joint results in a significant improvement in performance. This includes an increase in the axial compressive strength, greater loading stiffness, and ductility.

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Flexural Behavior of Continuous Composite Bridges with Precast Concrete Decks

  • Chung, Chul-Hun
    • Journal of the Korea Concrete Institute
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    • v.15 no.4
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    • pp.625-633
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    • 2003
  • For the construction of open-topped steel box girder bridges, prefabricated concrete slab could offer several advantages over cast-in-situ deck including good quality control, fast construction, and elimination of the formwork for concrete slab casting. However, precast decks without reinforcements at transverse joints between precast slabs should be designed to prevent the initiation of cracking at the joints, because the performance of the joint is especially crucial for the integrity of a structural system. Several prestressing methods are available to introduce proper compression at the joints, such as internal tendons, external tendons and support lowering after shear connection. In this paper, experimental results from a continuous composite bridge model with precast decks are presented. Internal tendons and external tendons were used to prevent cracking at the joints. Judging from the tests, precast decks in negative moment regions have the whole contribution to the flexural stiffness of composite section under service loads if appropriate prestressing is introduced. The validity of the calculation of a cracking load fur serviceability was presented by comparing an observed cracking load and the calculated value. Flexural behavior of the continuous composite beam with external prestressing before and after cracking was discussed by using the deflection and strain data.

Study on Effective Use of Aged Chestnut Woods as Furniture Materials (가구재로써 노령 밤나무재의 효율적 이용에 관한 연구)

  • Moon Sun-Ok;Kim Chul-Hwan;Kim Jong-Gab
    • Journal of the Korea Furniture Society
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    • v.15 no.2
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    • pp.53-62
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    • 2004
  • This study explored the development of wood furniture made of aged Castanea crenata Sieb. et Zucc, which has been largely planted in the southern area since 1960s and has hardly been used as furniture materials. First, the physical properties of the chestnut wood including specific gravity, stiffness, and shrinkage were compared with Zelkova serrata, Acer palmatum Thunb., Fagus crenata var. multinevis, Quercus, Tagayasan, Prunus serrulata var. spontanea, Juglans sinenis, Pteronrpus santalinus, Diospyros ebenum, and Fraxinus rhynchophylla, which have largely been used in manufacturing furniture. The chestnut wood had appropliate physical properties for wood furniture like other furniture woods. A piece of small table 50 cm in width, 50 cm in length and 60 cm in height by the chestnut tree was created for a current interior space. Since the diameter of the chestnut tree planted since 1960s is below around 30 cm, the top plate of the table had to be put together by an end-joint technique using a small strip. Finally, it is expected that this study will create a greate motivation for furniture designers, furniture studios and furniture companies in Korea to use the woods from the aged chestnut tree in developing furniture in the future.

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Buford Complex - A Case Report (Buford 복합체-1례 보고-)

  • Park Jin- Young;Seo Hyun-Seog;Yoo Moon-Jib
    • Clinics in Shoulder and Elbow
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    • v.2 no.1
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    • pp.84-87
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    • 1999
  • The Buford complex is unusual variant of the glenohumeral joint. This complex is distinguished by a cord-like middle glenohumeral ligament that oriented directly form the superior labrum at the base of the biceps tendon and crosses the subscapularis tendon to insert on the humerus. There is no anterior-superior labral tissue present between this attachment and the mid-glenoid notch. This anatomical variation may lead the surgeon to confuse this complex with a sublabral hole, pathologic labral detachment, Bankart lesion or SLAP lesion. We report a case of Buford complex which was found incidentally during the operation of impingement syndrome with stiffness and treated with subacromial decompression only.

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Comparison of Effects among Tai-Chi Exercise, Aquatic Exercise, and a Self-help Program for Patients with Knee Osteoarthritis (슬골관절염 환자를 위한 타이치운동, 수중운동과 자조관리프로그램의 효과비교)

  • Lee Hea-Young
    • Journal of Korean Academy of Nursing
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    • v.36 no.3
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    • pp.571-580
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    • 2006
  • Purpose: This study was to compare the effects among Tai-Chi exercise, aquatic Exercise, and a self-help program for knee osteoarthritis patients on symptoms of arthritis, muscle strength, balance, and difficulty of performing activities. Method: There were 50 final subjects50. A non-equivalent pretest-posttest design was used. The collected data was analyzed using SPSS for Window. One-way ANOVA and Scheffe's multiple comparison test were used 8weeks after each program. Result: There were significant differences in joint pain(p=.000), stillness (p=.001), knee extensor peak torque(p=.006), knee flexor(p=.002), and difficult of performing activity (p=.000), but there was no significant difference in balance(p=.648). The Tai-Chi group was significantly different from the self-help group for knee extensor peak torque, knee flexor and stiffness on Scheffe's multiple comparison tests. In addition, the Tai Chi group or aquatic group were significantly different from the self-help group for difficulty of performing activities(p<0.05). Conclusion: There are significant differences in the effects of the nursing intervention among the three groups. The Tai Chi group and aquatic group were significantly different from the self-help group. However, it seems that Tai-chi exercise may be more suitable than aquatic exercise in osteoarthritis exercise programs. Further studies with a longitudinal study are necessary to confirm the longer exercise period.

Improving the linear flexibility distribution model to simultaneously account for gravity and lateral loads

  • Habibi, AliReza;Izadpanah, Mehdi
    • Computers and Concrete
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    • v.20 no.1
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    • pp.11-22
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    • 2017
  • There are two methods to model the plastification of members comprising lumped and distributed plasticity. When a reinforced concrete member experiences inelastic deformations, cracks tend to spread from the joint interface resulting in a curvature distribution; therefore, the lumped plasticity methods assuming plasticity is concentrated at a zero-length plastic hinge section at the ends of the elements, cannot model the actual behavior of reinforced concrete members. Some spread plasticity models including uniform, linear and recently power have been developed to take extended inelastic zone into account. In the aforementioned models, the extended inelastic zones in proximity of critical sections assumed close to connections are considered. Although the mentioned assumption is proper for the buildings simply imposed lateral loads, it is not appropriate for the gravity load effects. The gravity load effects can influence the inelastic zones in structural elements; therefore, the plasticity models presenting the flexibility distribution along the member merely based on lateral loads apart from the gravity load effects can bring about incorrect stiffness matrix for structure. In this study, the linear flexibility distribution model is improved to account for the distributed plasticity of members subjected to both gravity and lateral load effects. To do so, a new model in which, each member is taken as one structural element into account is proposed. Some numerical examples from previous studies are assessed and outcomes confirm the accuracy of proposed model. Also comparing the results of the proposed model with other spread plasticity models illustrates glaring error produced due to neglecting the gravity load effects.