• 제목/요약/키워드: unstable

검색결과 4,523건 처리시간 0.032초

Effectiveness of Dual-Maneuver Using K-Wire and Dingman Elevator for the Reduction of Unstable Zygomatic Arch Fracture

  • Yoon, Hyungwoo;Kim, Jiye;Chung, Seum;Chung, Yoon-Kyu
    • 대한두개안면성형외과학회지
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    • 제15권2호
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    • pp.59-62
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    • 2014
  • Background: The zygoma is the most prominent portion of the face. Almost all simple zygomatic arch fractures are treated in a closed fashion with a Dingman elevator. However, the open approach should be considered for unstable zygomatic arch fractures. The coronal approach for a zygomatic arch fracture has complications. In this study, we introduce our method to reduce a special type of unstable zygomatic fracture. Methods: We retrospectively reviewed zygomatic arch view and facial bone computed tomography scans of 424 patients who visited the Wonju Severance Christian Hospital from 2007 to 2010 with zygomaticomaxillary fractures, among whom 15 patients met the inclusion criteria. Results: We used a Dingman elevator and K-wire simultaneously to manage this type of zygomatic arch fracture. Simple medial rotation force usually collapses the posterior fractured segment, and the fracture becomes unstable. Thus, the posterior fracture segment must be concurrently elevated with a Dingman elevator through Keen's approach with rotation force applied through the K-wire. All fractures were reduced without any instability using this method. Conclusion: We were able to reduce unstable and difficult zygomatic arch fractures without an open incision or any external fixation device.

절점 강성을 고려한 공간 구조물의 비선형 불안정 거동에 관한 연구 (A Study of Nonlinear Unstable Phenomenon of Framed Space Structures Considering Joint Rigidity)

  • 손수덕;김승덕;황경주;강문명
    • 한국공간구조학회논문집
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    • 제3권1호
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    • pp.87-97
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    • 2003
  • The structural system that discreterized from continuous shells is frequently used to make a large space structures. As well these structures show the unstable phenomena when a load level over the limit load, and snap-through and bifurcation are most well known of it. For the collapse mechanism, rise-span ratio, element stiffness and load mode are main factor, which it give an effect to unstable behavior. In our real situation, most structures have semi-rigid joint that has middle characteristic between pin and rigid joint. So the knowledge of semi-rigid joint is very important problem of stable large space structure. And the instability phenemena of framed space structures show a strong non-linearity and very sensitive behavior according to the joint rigidity For this reason In this study, we are investigating to unstable problem of framed structure with semi-rigidity and to grasp the nonlinear instability behavior that make the fundamental collapse mechanism of the large space frame structures with semi-rigid joint, by proposed the numerical analysis method. Using the incremental stiffness matrix in chapter 2, we study instability of space structures.

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Effect of Jumping Exercise on Supporting Surface on Ankle Muscle Thickness, Proprioception and Balance in Adults with Functional Ankle Instability

  • Park, Chibok;Kim, Byeonggeun
    • 국제물리치료학회지
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    • 제10권2호
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    • pp.1756-1762
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    • 2019
  • Background: Functional ankle instability (FAI) indicating a decrease in muscle strength, proprioception, neuromuscular control, balance and postural control function. Objective: To investigate the effect of jumping exercise on the supporting surface on the ankle muscle thickness, proprioceptive sensation, and balance in adults with FAI. Design: Randomized Controlled Trial. Methods: Twenty young people with FAI were randomly assigned to the unstable supporting surface jump group (N=10) and the stable supporting surface jump group (N=10). The intervention was conducted three times a week for eight weeks, and for 30 minutes per session. Trampoline was used as an unstable support surface and the stable support surface was carried out on a regular floor. The thickness of the tibialis anterior muscle and medial gastrocnemius muscle was measured by ultrasonography, and the proprioception of dorsiflexion and plantarflexion was measured using an electrogoniometer. The dynamic balance was also measured with a balance meter. Results: The the muscle thickness of the medial gastrocnemius muscle was significantly higher in the stable supporting surface jump group than in the unstable supporting surface jump group (p<.05). Furthermore, the plantar flexion proprioception and dynamic balance were significantly improved in the unstable supporting surface jump group than in the stable supporting surface jump group in the intergroup comparison (p<.05). Conclusions: The conclusion has been reached in this study that the jumping exercise on the unstable supporting surface could be a more effective in improving FAI than the regular surface.

네발기기 자세에서 실시하는 안정화 운동 시 지지면 불안정성이 체간 근육 활성도에 미치는 영향 (The Effect of Trunk Muscles Activity on the Unstable Surface during Stabilization Exercises in Four-point Kneeling)

  • 구봉오;정영훈;김수민
    • PNF and Movement
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    • 제9권3호
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    • pp.1-9
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    • 2011
  • Purpose : The purpose of this study was to find the effects of the transverse abdominis/internal abdominal oblique (TrA/IO), multifidus (MF) muscles while stabilization exercise was performed in a four-point kneeling position on the unstable surface. Methods : Twenty healthy adults volunteered to participate in this study. Each subject was instructed regarding maximum voluntary isometric contractions (MVIC) and stabilization exercise in four-point kneeling on the unstable surface. While MVIC and stabilization exercise of individual muscles were being performed, activation of the muscles was measured using surface electromyography (EMG). Activation of the muscles while performing stabilization exercise in four-point kneeling on the unstable surface was normalized to a percentages of the MVIC. Results : TrA/IO, MF muscles showed no significant differences among the surfaces. Conclusion : Activation of the trunk muscles while performing stabilization exercise in four-point kneeling does not effect on the surface.

Effects of Semi-Squat Exercise on Joint Position Sense and Balance to the Types of Support Surface in Hemiplegic Patients

  • Oh, Juyeong;Kim, Joong Hwi
    • The Journal of Korean Physical Therapy
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    • 제34권5호
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    • pp.242-247
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    • 2022
  • Purpose: This study investigates the effect of 60° semi-squat exercises according to three different types of support surfaces. The effects were examined on joint position sense and balancing ability using stable and unstable surfaces in patients afflicted with post-stroke hemiplegia. Methods: Subjects were instructed to perform three sets of 60° semi-squat exercises according to the characteristics of the support surface conditions. The three ground states were bilateral stable surface (BSS), nonaffected side unstable surface (NUS), and bilateral unstable surface (BUS). The joint position sense, characteristics of body sway, and dynamic balance were analyzed according to floor conditions before and after the experiment. A balance-pad (50 cm W×41 cm L×6 cm H; Alcan Airex AG, Sins, Switzerland) was used for the unstable floor. Results: The 60° semi-squat exercises applied to hemiplegic patients showed the highest statistical significance in joint position sense in the NUS group, and Timed Up and Go test (TUG) in the BUS group (p<0.05). Conclusion: Functional training using an unstable surface can be applied as a meaningful intervention method for improving the balance and joint position sense of stroke patients.

Effect of an Unstable Surface Exercise Program using Kettlebells on the Ankle's Muscle Activity and Balance in Middle and High School Baseball Players

  • Dae Han Kang;Jae Woon Kim
    • Physical Therapy Rehabilitation Science
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    • 제11권4호
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    • pp.579-584
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    • 2022
  • Objective: To identify the effect of unstable surface kettlebell exercises on muscle activity and balance in middle and high school baseball players. Design: Randomized controlled trial. Methods: The participants were 29 middle and high school baseball players (Unstable surface kettlebell exercises group, USKE: 15; Stable surface kettlebell exercise group, SSKE: 14). The players in the USKE group performed kettlebell exercises for 60 mins on a stable surface thrice a week for 6 weeks, and the return rack was solidified on a stable surface in the same way as the experimental group. Before and after the experiment, the participant's muscle activity of the tibialis anterior and soleus was measured. In addition, the participant's balance was evaluated by measuring the distance moved from the foot's center of pressure (COP). The paired t-test was used to compare groups before and after the experiment. The independent t-test was conducted to assess differences in the degree of change between the two groups before and after the experiment. Results: Compared to the SSKE group, the USKE group showed significant differences in the muscle activity of the tibialis anterior and soleus and the balance with the eyes open and closed. Conclusions: The players in the USKE group showed a significant difference in muscle activity and balance than in those in the SSKE group. Thus, effectively including an unstable surface in the kettlebell exercise program will help improve physical function in athletes and people with musculoskeletal disorders.

불안정한 지지면에서의 벽 스쿼트 운동과 안정된 지지면에서의 브릿지 운동이 정상 성인의 자세에 미치는 영향 (The Influence of Unstable Wall Squat Exercise and Stable Bridge Exercise on Posture in Normal Adults)

  • 공원태
    • 대한정형도수물리치료학회지
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    • 제28권1호
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    • pp.1-7
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    • 2022
  • Purpose: The purpose of this study is to examine the unstable wall squat exercise and stable bridge exercise on posture in normal adults. Methods: The subjects of this study were 34 university students who were normal health adults, equally and randomly allocated to a unstable wall squat exercise group (male 7, female 10), an experimental group, and a stable bridge exercise group, a control group. Both did so for 30 minutes three times per week over a six-weeks period. Using Back Mapper, their trunk inclination (TIN), trunk imbalance (TIM), pelvic position (PPO), pelvic torsion (PTO), pelvic rotation (PRO) and the position of their scapula (PSA) were evaluated. Results: When the pre-test and post-test results of experimental group and control group were compared, statistically significant differences in TIN, PTO and PSA of experimental group were seen. Conclusion: Unstable wall squat exercise accompanied by abdominal drawing-in may be applied as a method to correct the posture in normal adults.

반응성 후류유동의 불안정성 해석 (Stability Analysis of Reacting Wakes)

  • 신동신;홍성제;박승호
    • 한국연소학회지
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    • 제2권1호
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    • pp.9-16
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    • 1997
  • This paper investigates the linear stability of wakes with special emphasis on the difference of velocity and density. Velocity and density profiles for laminar flows have gaussian profiles. Incompressible wakes have two generalized inflection points and two unstable modes-sinuous and varicose modes. Sinuous modes are more unstable than varicose modes irrespective of density variation, which shows wakes will be destabilized by sinuous modes. Large velocity difference and density difference leads to more unstable wakes due to large momentum difference.

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OSCILLATION OF SECOND ORDER UNSTABLE NEUTRAL DIFFERENCE EQUATIONS WITH CONTINUOUS ARGUMENTS

  • TIAN YU;ZHANG ZHENGUO;GE WEIGAO
    • Journal of applied mathematics & informatics
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    • 제20권1_2호
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    • pp.355-367
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    • 2006
  • In this paper, we consider the oscillation second order unstable neutral difference equations with continuous arguments $\Delta^2_{/tau}(\chi(t)-p\chi(t-\sigma))=f(t,\chi(g(t)))$ and obtain some criteria for the bounded solutions of this equation to be oscillatory.

Pseudospectra를 이용한 평행 평판 사이 유동에서 가장 불안정한 경우 (The most unstable case in plane Poiseuille flow on transition by using pseudospectra method)

  • 최상규;정명균
    • 대한기계학회:학술대회논문집
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    • 대한기계학회 2002년도 학술대회지
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    • pp.691-694
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    • 2002
  • The most unstable situation of laminar plane Poiseuille flow for transition to turbulence is investigated by using a pseudo-spectral method. A number of various disturbance modes are tested and it is found that the flow is the most unstable when it is disturbed by an oblique wave with an angle of $29.7^{\circ}$.

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