• Title/Summary/Keyword: transverse joint

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3-Dimensional Gait analysis and the relationship between lower limb alignment and knee adduction moment in elderly healthy women (3차원적 동작 분석기를 이용한 건강한 여자 노인의 하지 정렬 상태와 슬관절 내전 모멘트의 상관 관계에 관한 연구)

  • Cho, You-Mi;Lee, Wan-Hee
    • Journal of Korean Physical Therapy Science
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    • v.10 no.1
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    • pp.90-101
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    • 2003
  • Gait analysis can provide a better understanding of how the alignment of the lower limb and foot can contribute to force observed at the knee. Anatomic and mechanical factors that affect loading in the knee pint can contribute to pathologic change seen at the knee in degenerative pint disease and should be considered in treatment plan. The purpose of this study is to present the gait analysis data and to determine whether there is any relationships between alignment of the lower limb, foot progression angle and knee pint moments in elderly healthy women with 3-dimensional motion analyzer. The results were as follows; 1. Cadence showed 114.8 steps/min, gait speed showed 1.05 m/s, time per a stride showed 1.06 sec, time per a step showed 0.53 sec, single-supporting phase was 0.41 sec, double-supporting phase was 0.24 sec, stride length was 1.04 m, Step length was 0.56 m. 2. According to the parameters of kinematics, the maximal knee flexion angle through swing phase showed left $46.82^{\circ}$, right $40.19^{\circ}$ and the maximal knee extension angle showed left $-1.32^{\circ}$, right $2.01^{\circ}$. knee varus showed left $26.90^{\circ}$, right $30.93^{\circ}$. 3. Moment, one of kinetic parameters of knee pint the maximal flexion moment showed left 0.363. Nm/kg, right 0.464 Nm/kg and maximal extension moment showed left 0.389 Nm/kg, right 0.463 Nm/kg. The maximal. adduction moment showed left 0.332 Nm/kg, right 0.379 Nm/kg and the maximal internal rotatory moment showed left 0.13 Nm/kg, right 0.140 Nm/kg. 4. On sagittal plane, the maximal power of knee joint showed left 0.571 J/kg, right 0.629 J/kg. On coronal plane, the maximal power of knee joint showed left 0.11 J/kg, right 0.12 J/kg. On transverse plane, the maximal power of knee joint showed left 0.058 J/kg, right 0.072 J/kg. 5. The subject who had varus alignment of the lower extremity had statistically higher in knee adduction moment in mid stance phase. 6. The subject who had large foot progression angle had statistically lower in knee adduction moment in late stance phase. A relationship was observed between the alignment of the lower extremity and the adduction moment of the knee joint during stance phase. Hence, we need some research to figure, out the change of adduction moment according to the sort of knee joint osteoarthritis and the normal geriatrics as well. And we also require more effective, specific therapeutic program by making use of those background of researches.

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Inferolateral Entry Point for C2 Pedicle Screw Fixation in High Cervical Lesions

  • Lee, Kwang-Ho;Kang, Dong-Ho;Lee, Chul-Hee;Hwang, Soo-Hyun;Park, In-Sung;Jung, Jin-Myung
    • Journal of Korean Neurosurgical Society
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    • v.50 no.4
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    • pp.341-347
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    • 2011
  • Objective : The purpose of this retrospective study was to evaluate the efficacy and safety of atlantoaxial stabilization using a new entry point for C2 pedicle screw fixation. Methods : Data were collected from 44 patients undergoing posterior C1 lateral mass screw and C2 screw fixation. The 20 cases were approached by the Harms entry point, 21 by the inferolateral point, and three by pars screw. The new inferolateral entry point of the C2 pedicle was located about 3-5 mm medial to the lateral border of the C2 lateral mass and 5-7 mm superior to the inferior border of the C2-3 facet joint. The screw was inserted at an angle $30^{\circ}$ to $45^{\circ}$ toward the midline in the transverse plane and $40^{\circ}$ to $50^{\circ}$ cephalad in the sagittal plane. Patients received followed-up with clinical examinations, radiographs and/or CT scans. Results : There were 28 males and 16 females. No neurological deterioration or vertebral artery injuries were observed. Five cases showed malpositioned screws (2.84%), with four of the screws showing cortical breaches of the transverse foramen. There were no clinical consequences for these five patients. One screw in the C1 lateral mass had a medial cortical breach. None of the screws were malpositioned in patients treated using the new entry point. There was a significant relationship between two group (p=0.036). Conclusion : Posterior C1-2 screw fixation can be performed safely using the new inferolateral entry point for C2 pedicle screw fixation for the treatment of high cervical lesions.

A Case Report on the Meniscal Tear due to Repetitive Foot-Switch Stepping (반복적으로 풋스위치를 밟는 작업에 의한 반월상 연골 손상 증례)

  • Yu, Sun-Hee;Lim, Hyun-Sul;Kim, Doo-Hie;Chae, Dong-Ju;Kang, Suk
    • Journal of Preventive Medicine and Public Health
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    • v.30 no.4 s.59
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    • pp.805-814
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    • 1997
  • Injuries to the menisci occur in a variety of ways, most commonly with a twist, pivot, squat, or valgus stress to the knee. Tear patterns are classified to longitudinal, horizontal, or transverse features according to the mechanism of injury. Work-related meniscal tear usually occurs with a repetitive usage of the foot, hence it can be classified as a cumulative traumatic disorder. We found a 47 year-old female worker who had been taking charge of repetitive foot-switch stepping for 8 years. She suffered from pain in the right knee since 5 months ago. Tenderness along the medial joint line of the right knee was observed and pain was aggravated with full flexion of the right knee. On magnetic resonance imaging, high signal intensity was observed at the posterior horn of the medial meniscus of the right knee. Degenerative longitudinal and transverse complex tear in the medial meniscus was observed on arthroscopy. Arthroscopic partial meniscectomy was performed. We surveyed the work process and the health status of co-workers. It turned out that the work process was compatible to injure the meniscus and nine out of fourteen co-worker(64.3%) complained pain of the knee. No other factors related to her meniscal tear could be found except for the situation at her work. Therefore, we conclude that meniscal tear is related to the repetitive stepping of foot switch.

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A Study on Usefulness of Planar Bone Scan and Bone SPECT in Diagnosis of Temporomandibular Joint Arthritides (측두하악관절의 관절염 진단에 있어서 골스캔과 단광자방출 전산화 단층촬영의 유용성에 관한 연구)

  • Kim, Chang-Yong;Ahn, Yong-Woo;Park, June-Sang;Ko, Myung-Yun
    • Journal of Oral Medicine and Pain
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    • v.30 no.1
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    • pp.107-119
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    • 2005
  • Temporomandibular joint arthritides is divided into osteoarthritis, osteoarthrosis and polyarthritis. Because the signs, symptoms and radiographical features of osteoarthritis and osteoarthrosis are similar without arthralgia, diffenential diagnosis is difficult. Also non-radiographically change in early Osteoarthritis leads to misdiagnose. Planar bone scan and SPECT are useful to detect bone change early. This study was carried out in order to make diagnostic criteria of planar bone scan and SPECT. Three hundred and four temporomandibular joints were examined with clinical examination, computerized tomograph, planar bone scan, and SPECT. The obtained results were as follows. 1. If temporomandibular joint simple uptake ratio of patient in twenties is over 1.397%, it's condition may be osteoarthritis. And simple uptake ratio over in thirties-fourties may mean osteoarthritis. 2. It may mean osteoarthritis of temporomandibular joint that the number of coronal and transverse SPECT frame with hot spot is over four. 3. Destructive stage may goes on, if simple uptake ratio is over 1.370% in tweenties and over 1.104% in thirties-fourties. 4. If the number of coronal SPECT frame with hot spot is over four, temporomandibular joint may be on destructive stage in tweenties, thirties-fourties. And if the number of transverse SPECT frame with hot spot is over three, it may be on destructive stage in all ages. 5. When patient complains subjective arthralgia and palpation arthralgia, bone change may be more active than each arthralgia. 6. Osteoarthritis may progress gradually worse in 4.5 anamnesis. And then it may be stable gradually and turn to osteoarthrosis.

A Study on Geoelectrical Structure of Jeju Island Using 3D MT Inversion of 2D Profile Data (2차원 MT 자료의 3차원 역산을 통한 제주도 지전기구조 연구)

  • Choi, Ji-Hyang;Kim, Hee-Joon;Nam, Myung-Jin;Lee, Tae-Jong;Han, Nu-Ree;Lee, Seong-Kon;Song, Yoon-Ho;Suh, Jung-Hee
    • Geophysics and Geophysical Exploration
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    • v.10 no.4
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    • pp.268-274
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    • 2007
  • Traditional two-dimensional (2D) interpretation of magnetotelluric (MT) data utilizes only transverse magnetic (TM)-mode data, because 2D inversion of transverse electric (TE)-mode data results in spurious features when 3D structures exist in the subsurface. The application of a 3D inversion algorithm to a single MT profile can reduce contamination due to off-profile anomalies and help us to incorporate TE-mode data in the interpretation. In this study, we conduct 2D and 3D inversions of MT data observed along two lines in Jeju Island. First, we invert apparent resistivities and phases in the TM and TE modes separately. Then, we perform 2D joint inversion of both TM- and TE-mode data and 3D inversion of both Zxy- and Zyx-mode data corresponding to TE- and TM-mode data in 2D. The resistivity images derived from all four data show that the geoelectrical structure in Jeju Island is a three-layered earth with the resistive-conductive-resistive stratigraphy within a depth of 5 km. The 3D inversion does not produce clear anomalies in the reconstructed profile image, while all of 2D do. This attributed to the possibility that 2D inversion results are distorted by exiting off-profile 3D anomalies in Jeju. With 3D inversion of 2D profile MT data, we can deduce more reliable results that are not seriously distorted by off-profile 3D anomalies.

Descriptive Study for Sonographic Morphology of the 1st Facet of Subscapularis Footprint (견갑하건 부착부의 제1부착면에 대한 초음파 소견의 기술적 연구)

  • Sohn, Hoon-Sang;Wi, Chan Kuk;Shon, Min Soo
    • Journal of the Korean Orthopaedic Association
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    • v.54 no.4
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    • pp.343-352
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    • 2019
  • Purpose: The purpose of this study was to document the sonographic morphology of the subscapularis footprint, particularly the 1st facet, of the non-pathologic subscapularis tendon and footprint, and analyze the correlation between the size of the 1st facet and the demographic variables. Materials and Methods: Between March 2015 and December 2017, retrospectively data analysis was performed for the ultrasound (US) scans of 115 consecutive shoulder (mean age 53.4 years, range 23-74 years) with non-pathologic subscapularis tendon and footprint. The sonographic findings of the 1st facet of the subscapularis footprint was a very unique, flat, broad, and plane angle in the upward direction, which were distinguished from the other facets. On US, the transverse (medio-lateral) and longitudinal (superior-inferior) length of the 1st facet on axis of the humerus shaft were recorded. The demographic variables, including age, site, body height, weight, body mass index (BMI), and arm length, were reviewed. Results: On US, the mean transverse length of the 1st facet was 12.75 mm (range 10.54-14.50 mm, standard deviation [SD] 0.712) and the mean longitudinal length was 12.22 mm (range 9.20-13.30 mm, SD 0.888). The transverse and longitudinal length of the size of the 1st facet were significantly greater in males than in females (p<0.001, p=0.001). Of the demographic data (body height, weight, BMI, arm length) that showed a significant positive linear correlation, the correlation with body height (transverse r=0.749, p<0.001; longitudinal r=0.642, p<0.001) showed the strongest relationship, and the correlation with the BMI was weakly related. The relationships between the size of the 1st facet to site/age were not statistically significant or appeared to have no linear correlation. Conclusion: The structural and morphologic features of the 1st facet of the subscapularis footprint on the US were identified. This will provide anatomic knowledge of an US examination for subscapularis tendon pathology.

Early Age Behavior of Thin Bonded Continuously Reinforced Concrete Overlay on Aged Jointed Plain Concrete Pavement (노후 줄눈 콘크리트 포장 보수를 위한 얇은 연속 철근 콘크리트 덧씌우기 포장의 초기거동 평가)

  • Ryu, Sung-Woo;Nam, Jung-Hee;Kim, Ki-Heun;Cho, Yoon-Ho
    • International Journal of Highway Engineering
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    • v.11 no.2
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    • pp.121-132
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    • 2009
  • Thin bonded continuously reinforced concrete overlay(CRCO) was constructed on He existing jointed plain concrete pavement(HCP) surface at Seo-Hae-Ahn express highway in South Korea in order to evaluate its applicability and performance. Two sections of road were considered for this evaluation. In the first section, the concrete overlayer was placed and cut down to the existing layer to form transverse joints while CRCO was constructed on top of the existing layer in the second section. Early strength concrete(Type III) was utilized for both overlay sections. The depth of milling and the thickness of overlaid layer were 5 cm and 10 cm, respectively. Several vibrating wire gauges(VWG) were installed to evaluate the performance of CRCO with respect to curling, delamination, and crack propagation. As a result of the strength test, it was found that strength of the material reaches the design criteria within 1-3 days. Analysis with vibrating wire gauge(VWG) showed CRCO effectively restricts joint movement. High adhesive strength also was observed from the material regardless of length of aging. Meanwhile, transverse cracks were observed on the middle of the section where JPCP overlay was applied whereas arbitrarily cracks in transverse direction were observed on the section where CRCP was applied.

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Effect of temperature and moisture on curling of early age concrete slabs (재령 초기 콘크리트 슬래브의 컬링에 미치는 온도와 수분의 영향)

  • Sun, Ren-Juan;Nam, Young-Kug;Hong, Seung-Ho;Jeong, Jin-Hoon
    • International Journal of Highway Engineering
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    • v.10 no.1
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    • pp.105-115
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    • 2008
  • It is known that the long-term behavior and performance of jointed concrete pavement due to slab curling are affected by the environmental factors such as temperature, moisture, and so on. However, any relationships between the curling and its factors have not been defined clearly yet because of insufficient detailed investigation. The temperature, relative humidity, strain, vertical displacement of a concrete slab, and horizontal movement of its transverse joints were investigated by various sensors and devices instrumented in the slab of a concrete pavement section constructed for this study. The constraint of the curling by joint stiffness was investigated in addition to effect of the temperature and moisture on the early aged concrete slab by analyzing the field data measured for approximately 4days from concrete placement. The curling of the concrete slab showed 24hour cycles mainly because of the temperature effect, and the upward curling gradually increased because of the long-term effect of drying shrinkage of the concrete. The magnitude and variation of the curling were significantly affected by the joint stiffness which is comprised of aggregate interlocking and other factors. The effect of the variation of the seasonal joint stiffness varying with the temperature and long-term drying shrinkage on the slab curling will be investigated as a further study.

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Hysteretic Behavior and Seismic Resistant Capacity of Precast Concrete Beam-to-Column Connections (프리캐스트 콘크리트 보-기둥 접합부의 이력거동 및 내진성능)

  • Choi, Hyun-Ki;Choi, Yun-Cheul;Choi, Chang-Sik
    • Journal of the Earthquake Engineering Society of Korea
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    • v.14 no.4
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    • pp.61-71
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    • 2010
  • Five half-scale beam-to-column connections in a precast concrete frame were tested with cyclic loading that simulated earthquake-type motions. Five half -scale interior beam-column assemblies representing a portion of a frame subjected to simulated seismic loading were tested, including one monolithic specimen and four precast specimens. Variables included the detailing used at the joint to achieve a structural continuity of the beam reinforcement, and the type of special reinforcement in the connection (whether ECC or transverse reinforcement). The specimen design followed the strong-column-weak-beam concept. The beam reinforcement was purposely designed and detailed to develop plastic hinges at the beam and to impose large inelastic shear force demands into the joint. The joint performance was evaluated on the basis of connection strength, stiffness, energy dissipation, and drift capacity. From the test results, the plastic hinges at the beam controlled the specimen failure. In general, the performance of the beam-to-column connections was satisfactory. The joint strength was 1.15 times of that expected for monolithic reinforced concrete construction. The specimen behavior was ductile due to tensile deformability by ECC and the yielding steel plate, while the strength was nearly constant up to a drift of 3.5 percent.

Response of Brachial Muscles to Neck Rotation in the Decerebrate Cat (제뇌(除腦) 고양이의 경부(頸部) 회전자극에 대한 상완근(上腕筋)의 반응)

  • Lee, Dong-Sun;Park, Byung-Rim;Kim, Sang-Soo
    • The Korean Journal of Physiology
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    • v.24 no.1
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    • pp.103-113
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    • 1990
  • The role of cervical proprioceptors in the control of body posture was studied in bilaterally labyrinth-ectomized, decerebrate cats. The animals were suspended on hip pins with the neck extended horizontally. With this placement the EMG activities of extensor and flexor muscles of the upper extremities were observed by means of sinusoidal head rotator. The rotator can induce two kinds of neck movement: The one is 'pitch' which describes a rotatory neck motion to transverse axis of the body and mainly occurs at skull-C1 (atlantooccipital) joint and the other is 'roll', side-to-side relation of the neck to longitudinal axis, whose center is C1-C2 (atlanto-axial) joint. The following results were obtained. 1) Responses of EMG activity were closely dependent on the rotatory range of the neck. And the EMG activity was not changed during sustained neck torsion, eliciting a typical tonic neck reflex. 2) On pitching movement, the head-up rotation produced the excitation of bilateral triceps muscles, whereas the head-down rotation produced the inhibition. And the response of bilateral biceps muscles was the opposite to that of triceps. 3) On rolling movement, the side-up rotation of the head produced the excitation of ipsilateral triceps muscles and the inhibition of contralateral ones. And the response of biceps muscles was the opposite to that of triceps. 4) The minimum requirement of motion to evoke EMG activities in the upper extremities was $3.2^{\circ}{\sim}12.5^{\circ}$. These results have shown that the cervical proprioceptors produce tonic discharge on the upper brachial muscles, regulate the EMG activities of those muscles, and are very sensitive to neck rotation. And it can be stated that the cervical proprioceptors may play an important role in the control of body posture and movement.

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