• Title/Summary/Keyword: tear strength

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Physical Therapy Following Arthroscopic Rotator Cuff Repair with Graft Augmentation: A Case Report with Magnetic Resonance Imaging

  • Kim, Hyun-Joong;Lee, Seungwon
    • Physical Therapy Rehabilitation Science
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    • v.10 no.4
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    • pp.463-469
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    • 2021
  • Objective: If non-surgical treatment fails, arthroscopic rotator cuff repair (ARCR) is recommended, and ARCR considers graft augmentation in consideration of size, direction, and re-tear. It is reported to have potential benefits by improving the healing rate as it can fill the gaps that have been left behind. The purpose of this study is to investigate the effect of structural changes observed after ARCR on muscle action through magnetic resonance imaging and to investigate the effect of appropriate physical therapy required for graft augmentation in the general ARCR rehabilitation protocol. Case presentation: A 47-year-old male hospitalized for postoperative rehabilitation following ARCR participated in a 5-week physical therapy intervention. The postoperative day was 6 months, but due to shooting pain and shoulder dysfunction,and the movement of the shoulder was compensatory motion, not normal motion. Physical agents, manual therapy, and supervised exercise for 110 minutes per session were performed 3 times a week, and pain intensity, range of motion, function, and strength were evaluated. Results: As a result of the study, the patient showed positive improvement in pain intensity, range of motion, function, and strength. In addition, normal scapulohumeral rhythm movement was observed. Conclusions: According to the results of this case, appropriate physical therapy according to the compensatory motion shown in the structural changes after ARCR can positively improve the pain intensity, range of motion, function, and strength of ARCR patients.

Effects of Passive Scapular Stabilization on Upper Extremity Muscle Strength in Patients With Rotator Cuff Repair

  • Won-jeong Jeong;Duk-hyun An;Jae-seop Oh
    • Physical Therapy Korea
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    • v.30 no.1
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    • pp.41-49
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    • 2023
  • Background: Scapular dyskinesis may cause not only rotator cuff (RC) tear but also weakness of the upper extremity, studies on scapular dyskinesis that may occur after RC repair is still lacking. Objects: To determine whether scapular dsykinesis was present in patients after arthroscopic RC repair and to investigate the influence of passive scapular stabilization on upper extremity strength. Methods: A total of 30 patients after RC repair participated in this study. To compare the scapula of the arthroscopic RC repair shoulder and the contralateral shoulder, the winged scapula (WS) was measured using a scapulometer and scapular dyskinesis was also classified by type. Fixed instruments for muscle strength measurements were used to measure upper extremity muscle strength differences depending on passive scapular stabilization position or natural scapular position. A chi-square test, an independent t-test and a 2-way mixed measures analysis of variance (ANOVA) was used as statistical analysis. In analyses, p < 0.05 was deemed to be statistically significant. Results: Postoperative shoulder had a significant association with scapular dyskinesis and the WS compared to the contralateral shoulder (F = 0.052, p < 0.01). Postoperative shoulder, muscle strength in the shoulder abduction (p < 0.01), elbow flexion (p < 0.01) and forearm supination (p < 0.05) were significantly greater in the scapular stabilization position than in the scapular natural position. Conclusion: Patients underwent arthroscopic RC repair had a significant association with scapular dyskinesis and muscle strength was improved by a passive scapular stabilization position, therefore scapular stabilization is important in rehabilitation program.

The Results of Arthroscopic Double-Row Rotator Cuff Repairs with Combined Knot-tying and Knotless Suture Anchors (매듭 결속과 비매듭 봉합나사를 이용한 관절경적 이열 회전근개 봉합술의 결과)

  • Ku, Jung-Hoei;Lee, Choon-Key;Cho, Hyung-Lae;Choi, Seung-Hyun
    • Journal of the Korean Arthroscopy Society
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    • v.12 no.3
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    • pp.172-179
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    • 2008
  • Purpose: To evaluate the functional and structural results of arthroscopic double-row repair using combined knot-tying and knotless suture anchors in rotator cuff tears. Materials and Methods: From March 2006 to June 2007, twenty-one patients (15 males, 6 females; mean age 55.6 years; range 48 to 67) were included who underwent arthroscopic double-row repair for full-thickness tears of the rotator cuff following conservative treatment for a mean of 6.5 months (range 3 to 11). The tear size was carefully inspected arthroscopically and we found 2 small, 13 medium and 6 large-sized rotator cuff tears, with a mean tear size of 2.5cm(range 1.8 to 3.2). The repair constructs were consisted of horizontal mattress sutures using conventional knot-tying suture anchors medially and simple suture at the same level of medial row stitch with Bioknotless RC anchors (DePuy Mitek, Norwood, MA) as lateral row. Clinical and functional evaluations were made according to the range of motion, the ASES, UCLA scale and the isokinetic strength testing. Postoperative cuff integrity was determined through magnetic resonance imaging. The mean follow-up was 15 months (range 13 to 24). Results: The average clinical outcome scores and strength were all improved significantly at the time of the final follow-up (p < 0.01). Nineteen patients (90%) were satisfied with the result of the treatment. In 17 of 21 patients (81%) were judged to reveal healed tendon on magnetic resonance imaging at a mean of 7 months postoperatively. There were no significant functional differences according to the preoperative tear size (p<0.01), but large-sized tear shows less favorable structural results in 3 out of 6 cases(50%). Conclusion: Our results document the usefulness and variability of arthroscopic double-row rotator cuff repairs comparable to the results of the other types of double-row repairs.

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Effect of 1,6-Hexamethylenediamine Content on the Properties/Adhesive Strength of EVA/Itaconated EPDM Blend Foams (I) (헥사메텔렌 디아민이 EVA/Itaconated EPDM 블렌드 발포체의 물성 및 접착강도에 미치는 영향 (I))

  • Jung, Hyun-Ji;Lee, Young-Hee;Kim, Jung-Soo;Lee, Dong-Jin;Kim, Sung Yeol
    • Textile Coloration and Finishing
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    • v.30 no.2
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    • pp.107-116
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    • 2018
  • Simplification of the manufacturing process in shoe making is essential to improve productivity and reduce production costs. To improve the adhesion of EVA foam used as a midsole, EVA/itaconated EPDM(EPDM-g-IA)(80/20wt%) blend was prepared using Torque Rheometer-Plasti-Corder, and 1,6-hexamethylenediamine/crosslinking agent/foaming agent/additive were mixed, followed by amidation reaction and foaming to prepare EVA/EPDM-g-IA foam for shoe midsole. In this study, we investigate the effect of the content of 1,6-hexamethylenediamine(0, 0.5, 1.0, 2.0, 3.0) on the mechanical properties, water-contact angle and adhesion of EVA/itaconated EPDM foam. As the content of 1,6-hexamethylenediamine increased, mechanical properties such as tensile strength, tear strength, tensile elastic modulus, hardness, and water-contact angle were lowered, but elongation at break and compression set(%) were increased. Both normal type and non-UV type adhesive strength increased with increasing diamine content. In particular, it was found that the adhesion strength of the non-UV type adhesion increased sharply with increasing diamine content. As a result, an adherend rupture occurs in a foam sample having a content of 1,6-hexamethylenediamine of 3phr. From this, it can be seen that the EVA/itaconated EPDM foam for shoe midsoles, which can be used for non-UV adhesion without primer and UV treatments, have been developed.

The Properties and Production of Hand-Made Paper Made from Various Plant Fibers (식물섬유 수초지의 제조와 물성에 대한 연구)

  • Lee, Hye-Ja;Lim, Hee-Jung;Bae, Hyun-Young;Mo, Tae-Wha;Yoo, Hye-Ja;Han, Young-Sook
    • Journal of the Korean Society of Clothing and Textiles
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    • v.32 no.9
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    • pp.1366-1375
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    • 2008
  • This studies were carried out in order to develope environmentally-friendly fiber materials and substitute resources of Paper mulberry. Various plant fibers such as New Zealand flax, Indian mallow, Kuzu vine and Yucca were used as raw materials of hand-made papers. We rotted these 4 kinds of plant fibers and removed non-cellulose. After rotting, the pulping rate(%) and the length of fibers in pulps were measured. The physical characteristics of papers made of various plants fiber were investigated and the probabilities of practical use were considered. The results were as follow: The non-cellulose contents of plant fibers were $30{\sim}40%$ and those contents must be lower down to 8% to be able to manufacture the hand made papers. The lignin in pulps were removed almost and the hemicellulose were partially removed to reach up to appropriate level of the pulp rates and fiber lengths. The more hemicellulose removed, the finer fiber thickness were and rapidly the lower Hanji tensile strength were. But the tear strength of these plants of hand-made papers do not decreased so much as tensile strength. So the property of 4 types of plant fibers might be of great advantages to make hand-made papers. Both tensile and tear strengths of Hanji of New Zealand flax, Indian mallow, Kuzu vine and Yucca were higher than Paper mulberry hand-made paper. When 30% of mulberry paper were mixed, the mixing effect showed maximum. Because of the functions of all plant fiber hand-made papers showed better than those of Paper mulberry hand-made paper, 4 types of plant fibers could be substitute Paper mulberry.

A Study on the Basic Physical Properties of Water-Soluble Rubber Asphalt-based Coating Waterproofing for Exterior Application (수용성 고무 아스팔트계 도막방수재의 실외 적용을 위한 기본 물성 연구)

  • Kang, Hyo-Jin;Youn, Sung-Hwan;Oh, Sang-Keun
    • Journal of the Korean Recycled Construction Resources Institute
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    • v.8 no.4
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    • pp.553-561
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    • 2020
  • Water-soluble rubber asphalt-based waterproofing material, which is one of the waterproofing materials for building structures, is mainly used indoors (toilet, kitchen, balcony, etc.). In general, asphalt-based materials are used for non-exposed installation, rather than as exposed type as they do not deviate from their usual basic black pigmentation, and water-soluble rubber asphalt-based coating waterproofing materials are basically limited to indoors because of their low physical properties. Accordingly, in order to improve the tensile and elongation properties, a silane coupling agent, an inorganic filler, and a processor oil w ere added to improve the physical properties, and accordingly, the basic physical properties of the outdoor coating waterproofing material quality standard were analyzed. As a result, the water-soluble rubber asphalt coating waterproofing material compared with the exposure quality standard showed a result that exceeded the basic physical property quality standard of silicone rubber in all items under test evaluation, but the tensile strength and tear strength of the first class of urethane rubber were chloroprene. It was found that the performance compared to the quality standards of rubber-based tear strength was about 34.2% to about 40.8%.

A Study on the Materials Characteristics of SM570TMC Plates (SM570TMC 강재의 재료특성에 관한 연구)

  • Im, Sung Woo;Kim, Yo Suk;Chang, In Hwa
    • Journal of Korean Society of Steel Construction
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    • v.17 no.3 s.76
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    • pp.365-373
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    • 2005
  • There is increasing need for high-strength steel especially for the high-rise steel building structure. High- strength steels, however, may have mechanical properties that are significantly different from those of the conventional steels.The application of high-strength steels to building structures should be reviewed as to whether inelastic behavior equivalent to that of conventional steels can be attained or not. In this study, SM570TMC steel, which was developed recently in Korea, was tested to evaluate mechanical properties and welding characteristics for use as a structural steel. Yield phenomenon of SM570TMC steel, which is continuous yielding, is quite different from that of conventional steel. The distributions of yield strength of SM570TMC steel were uniform regardless of thickness, while the minimum yield strength was 440MPa. Also, the flat distributions of hardness in z-direction were found to comprise one of the important properties. Results of the charpy impact tests at -5oC revealed toughness values of SM570TMC steel, which were higher than those of equivalent as rolled steel. Carbon equivalent(Ceq) values of SM570TMC steel, which were related to welding performance, were lower than those of equivalent as rolled steel.

Strength Property Improvement of OCC-based Paper by Chemical and Mechanical Treatments (II) (골판지 고지의 물리화학적 처리에 의한 강도향상(제2보))

  • Lee, Jong-Hoon;Seo, Yung B.;Jeon, Yang;Lee, Hak-Lae;Shin, Jong-Ho
    • Journal of Korea Technical Association of The Pulp and Paper Industry
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    • v.32 no.2
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    • pp.1-7
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    • 2000
  • In the previous experiment, it was found that OCC pre-treatment with Hobart mixer at 20-25% consistency for 3 hrs or more followed by the application of the equal refining time, caused the increase of tensile strength, burst strength, compressive strength and tear resistance, compared to the no pre-treated. Four completely different fibers, which were Hw-BKP, Sw-BKP, White ledger, and OCC were selected for this experiment to investigate the effect of mechanical pre-treatment process on different fibers. From the experiment, it was found that the mechanical pre-treatment did not decrease fiber length at all, but decreased freeness, com-pared to the no pre-treated, when the same refining time was applied. WRVs of the pre-treated fibers were higher than the no pre-treated at the same freeness level. It was speculated that the mechanical pre-treatment induced only hydrophilic nature of fibers without damaging fiber length by delaminating fiber walls. The fiber surface area and the physical strength differences of handsheets will be discussed in the next publication.

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Strength property improvement of OCC-based paper by chemical and mechanical treatments (2) (골판지 고지의 물리화학적 처리에 의한 강도향상 (제2보))

  • Lee, Jong-Hoon;Seo, Yung B.;Jeon, Yang;Lee, Hak-Lae;Shin, Jong-Ho
    • Proceedings of the Korea Technical Association of the Pulp and Paper Industry Conference
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    • 2000.04a
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    • pp.69-69
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    • 2000
  • In the previous experiment, it was found that OCC pre-treatment with Hobat mixer at 20-25% consistency for 3 hrs or more followed by the application of the equal refining time, caused the increase of tensile strength, burst strength, compressive strength and tear resistance, compared to the no pre-treated. Four completely different fibers, which were Hw-BKP, Sw-BKP, White ledger, and OCC were selected for this experiment to investigate the effect of mechanical pre-treatment process on different fibers. From the experiment, it was found that the mechanical pre-treatment did not decrease fiber length at all, but decreased freeness, compared to the no pre-treated, when the same refining time was applied WRVs of the pre-treated fibers were higher than the no pre-treated at the same freeness level. It was speculated that the mechanical pre-treatment induced only hydrophilic nature of fibers without damaging fiber length by delaminating fiber walls. The fiber surface area and the physical strength differences of handsheets will be discussed in the next publication.

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The Immediate Effects of Functional Taping on Pain, Muscle Strength, and Range of Motion of the Shoulder After Surgery in Patients With Rotator Cuff Tears (기능적 테이핑이 어깨둘레근 수술 후 환자의 어깨관절 통증과 근력, 관절가동범위에 미치는 즉각적 영향)

  • Mun, Yu-ri;Kim, Suhn-yeop
    • Physical Therapy Korea
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    • v.24 no.1
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    • pp.19-29
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    • 2017
  • Background: Patients after rotator cuff (RC) surgery experienced pain, weakness and limited of motion of the shoulder. Physical therapists have used heat therapy, electrotherapy, range of motion (ROM) exercise and other methods to treat patients after RC surgery. In addition, functional taping is also used to support joint movement and to increase shoulder joint stability. Objects: The purpose of this study was to determine the initial effects of functional taping using non-elastic tape on pain, strength and ROM of the shoulder following RC surgery. Methods: Forty-eight patients with who underwent RC surgery volunteered for this study. The subjects were randomly divided into an experimental group (EG, $n_1=25$) and a control group (CG, $n_2=23$). First, non-allergic tape was applied to the shoulder to prevent skin irritation. The EG applied functional taping using non-elastic tape and the CG applied sham taping using elastic tape. Assessment tools included the shoulder pain and disability index for functional activity score, visual analog scale for level of pain, shoulder muscle strength, hand grip strength and ROM testing. Results: Pain score in the both group significantly decreased (p<.05), and change in pain score of in the EG increased significantly than in the CG (p<.05). Shoulder strength and ROM in the both group significantly increased (p<.05). Especially external rotation and extension of the shoulder ROM in the EG increased significantly more than in the CG (p<.05), but the rate of change in the two groups showed no significant difference. Conclusion: These results suggest that functional taping using non-elastic tape was initially effective in decreasing pain score level in patients with RC surgery.