Background: Neck discomfort and movement limitations are common musculoskeletal problems among modern people. While cervical and thoracic joint mobilization are widely used interventions for cervical dysfunction, research comparing their immediate effectiveness in adults with asymmetrical cervical rotation is limited. Objectives: To compare the immediate effects of cervical versus thoracic joint mobilization in adults with adults with asymmetrical cervical rotation and discomfort. Design: Randomized controlled trial. Methods: Thirty adults with left-right differences in cervical rotation of more than 5 degrees were randomly assigned to a cervical mobilization group (CMG, n=15) or thoracic mobilization group (TMG, n=15). Both groups received Grade III mobilization for 15 minutes. Range of motion (ROM), pain (VAS), and neck disability index (NDI) were measured before and after intervention. Results: Both groups showed significant increases in ROM after intervention (P<.001). Within-group analysis revealed that the TMG showed significant pain reduction (P<.01) and significant reduction in left-right rotation asymmetry (P<.001), while the CMG showed improvement in ROM but no significant changes in asymmetry or pain (P>.05). Neither group showed significant changes in NDI. Between-group comparisons showed no significant differences in any outcome measures. Conclusion: Both cervical and thoracic joint mobilization increased cervical range of motion in adults with asymmetrical cervical rotation discomfort. The TMG demonstrated significant within-group improvements in left-right rotation asymmetry and pain reduction, suggesting potential clinical benefits of thoracic mobilization for certain aspects of cervical dysfunction.

본 연구는 외부 환경 조건에 따른 줄눈 콘크리트 포장의 상·하부 상대습도 차이를 분석하기 위해 실험 데이터를 활용 한 유한요소해석을 수행하였다. 실험은 300mm × 260mm × 2000mm 크기의 콘크리트 시편을 대상으로 진행되었으며, Strain gauge를 이용해 상·하부 변형률을 측정하고, LVDT 센서를 통해 상단부 연직 변위를 기록하였다. 항온항습기를 이용해 온도를 25°C로 유지한 상태에서 상대습도를 65%, 35%, 35% + 풍속(약 4 m/s)의 세 가지 조건으로 설정하여 실 험을 진행하였다. 구조해석은 ABAQUS를 이용하여 수행하였으며, 하부 상대습도를 100%로 고정한 상태에서 상부 상대습도를 도출하는 방법을 적용하였다. 직접적인 상대습도 도출 시 곡률을 일정하다고 가정해야 하는 문제가 발생하여, 응력해석을 기반으 로 등가선형온도차(ΔT)를 적용하는 방식을 채택하였다. ABAQUS에서 깊이 260mm에 대해 선형 ΔT 값을 부여하여 열 변형을 유도하고, 이를 실험값과 비교하여 조정한 후 최종적으로 ΔT 값을 상대습도로 변환하였다. 그 결과, 시간에 따른 상부 상대습도의 변화를 도출할 수 있었으며, 외부 환경 조건(습도 및 풍속)에 따른 상대습도 변화 경향을 확인하였다. 본 연구 결과는 향후 수분 확산 해석 연구 및 국내 환경을 반영한 JCP 상대습도 변화 모델 개발에 기초 자료로 활용될 것으로 기대된다.

A 34-year-old male patient presented with a gradual facial asymmetry and occasional discomfort in the right temporomandibular joint (TMJ). Initial evaluation, including panoramic radiography, suggested facial asymmetry secondary to condylar elongation. However, computerized tomography and magnetic resonance imaging demonstrated the existence of a condylar mass and multiple calcified lesions within the right TMJ. The patient did not recognize any occlusal changes, but it was suspected that the occlusion had changed based on the cast analysis. The patient underwent a condylectomy and mass excision, which confirmed the diagnosis of osteochondroma with concurrent synovial chondromatosis. Approximately three weeks of postoperative physical therapy were required to achieve stable occlusion. This case is notable for two reasons. First, the simultaneous occurrence of osteochondroma and synovial chondromatosis is extremely rare. Second, the gradual occlusal changes associated with TMJ lesions can go undetected, increasing the chance of misdiagnosis.

In this study, a performance evaluation was conducted on a composite elastic asphalt precast expansion joint developed to replace steel expansion joints that frequently suffer from various damages, such as blow-up owing to increased traffic volume and abnormal weather. Two types of elastic asphalt binders were prepared by mixing a latex-based modifier, and their basic properties and performance were evaluated. Elastic asphalt binders were mixed with 8–13 and 13–19 mm aggregates to prepare elastic asphalt joint mixtures, and their permanent deformation and adhesive performance were evaluated using Hamburg wheel-tracking and direct-shear tests. Elastic asphalt joint blocks and internal reinforcement for crack prevention were applied to produce the elastic composite expansion joints, and their performance was evaluated through contraction–extension tests to determine fatigue cracking, maximum load during contraction– extension, and repeated contraction–extension tests. As a result of the performance evaluation of the developed elastic asphalt binder, both the high- and low-temperature performances were improved, and the temperature sensitivity was superior to that of general asphalt binders, exhibiting high resistance to cracking. In addition, the joint block specimens manufactured by mixing the elastic asphalt binder with 13–19 mm aggregates exhibited excellent permanent deformation in the dynamic stability and Hamburg wheel-tracking tests, and they had higher adhesive performance than the method of repairing with rapid-hardening concrete materials at low and room temperatures, where significant contraction of the concrete joint occurs. We confirmed that when a compression spring-type reinforcement was applied, the compressive force for contraction decreased significantly compared with the unreinforced state, and the tensile force for extension increased, thereby reducing the stress applied to the mixture itself. The composite elastic asphalt precast expansion joint developed in this study is expected to have superior durability against cracks and secure continuity with the road surface through the tensile force dispersing effect using expansion reinforcement. Thus, it has better drivability than the existing steel expansion joint and can absorb shocks such as vibrations and noise applied to a structure.

Friction welding, which uses heat and plastic flow to join metals, is expanding across industries due to its ability to weld heterogeneous alloys and simple process. However, process research is essential for materials with complex geometries, and limited research has been conducted on friction welding between cast and sintered metals. This study analyzed the mechanical properties and microstructural evolution of the joint by controlling the rotational speed and friction pressure, which affect the removal of the heat-affected zone in friction welding of casted SCM440 and sintered F-05-140. Hardness mapping and microstructure observations with material transition were performed to investigate the correlation between phase behavior and welding conditions. These results are anticipated to reduce costs and improve the mechanical properties of key mobility components.

PURPOSES : This study investigated an appropriate saw-cut time frame for jointed concrete pavements. Rectangular slabs (400–500 × 500 × 150 mm) were prepared for saw-cutting tests, and experimental specimens were made using different mixes (type I cement, slag, Fly ash, high early strength cement, etc.) and temperature curing conditions (10, 20, and 25 ℃ as well as variable field conditions). METHODS : A prototype saw-cut device was manufactured to avoid unwarranted joint cutting using uncontrolled saw-cut equipment. The setting times were determined using Proctor penetration resistance (PR) and Ultrasonic pulse velocity (UPV) tests. The setting times were converted to setting maturities. To link the setting time of the concrete with the initiation time for saw cutting, successive parallel cuts were performed on the rectangular slabs for all mixes. A series of saw-cutting attempts were made between the final setting time and the time when the raveling index (denoted by R) exceeded a value of 2. Reconstructed images of the saw-cut segments were then analyzed using ImageJ, which is a commonly used, open-source software tool. RESULTS : Considering the PR and UPV settings, the final setting of the PR test was adopted as the basis for the correlation curve. The saw-cutting maturity at R = 2 was correlated with the setting maturity of each mix and curing condition. CONCLUSIONS : The relationship between the saw-cutting maturity and setting maturity was represented by a lower limit line, based on the test results of this study. The coefficient of determination (R2) for the test was 0.74, indicating that the proposed PR test at the final setting and image-based techniques provided an optimal method by which to determine the saw-cut initiation time. Another upper limit line can be introduced by using the HYPERPAV software tool for any concrete mix under diverse curing conditions..

국내에는 지형적인 조건 또는 그 외의 여러 제약에 따라 줄눈 콘크리트 포장(JCP)을 시공하는 경우가 많았다. JCP는 시공 이후 양생 제로 도포함에도 불구하고 시간이 지남에 따라 부등건조수축이 나타나, 운전자의 승차감과 안정성을 악화시킨다. 이를 해결하기 위해 포장설계 지침을 지속적으로 개정하고 있지만, 부등건조수축으로 인한 민원이 계속 발생하고 있는 실정이다. 본 연구에서는 JCP의 부등건조수축량에 영향을 줄 수 있는 변수를 설정하여 변수에 따른 거동 차이를 보고자 하였다. 3D 유한요소해 석 프로그램 ABAQUS를 이용하여 유한요소법을 통한 해석을 진행하였고, 모델링은 2차로 6 슬래브를 모형화하였다. JCP의 부등건조 수축량에 영향을 주는 슬래브 깊이별 온도변화가 포장설계에 따라 어떻게 변화하는지 고려하기 위하여, 그에 대한 변수로 하부층 종 류의 영향, 슬래브 두께의 영향, 주행차로 다웰바 추가 설치 유무의 영향, 줄눈 간격의 영향을 설정하였다. 기본적인 모델의 유한요소해석 부등건조수축량 결과와 위에서 설정한 변수를 적용하여 만든 모델에 대한 유한요소해석 부등건조수축 량 결과를 각각 도출하였고, 기본 모델 결과와 변수를 적용한 모델 결과를 비교하여 각각의 인자가 어느 정도의 영향을 미치는지 확 인해 보았다. 영향이 큰 인자들을 선별하여 복합적인 변수에 대한 영향을 보고자 하였고, 복합 변수를 적용한 모델의 유한요소해석 부등건조수축 량 결과와 기본 모델의 유항요소해석 부등건조수축량 결과를 비교하여 그 차이가 어느 정도인지 확인하였다. 이에 따라 앞으로 JCP구 간 부등건조수축에 대한 해결을 위해 중점을 두어야 할 인자를 파악할 수 있었으며, 결과를 현장에 적절하게 적용한다면 도로 주행성 과 안전성을 개선할 수 있을 것으로 판단된다. 유한요소해석 결과에 대한 신뢰도를 부여하기 위해 현장 데이터와도 비교 분석하였고, 계절에 따라 약간의 차이는 있었으나, 평균값 과는 유사하여 본 연구의 구조해석 모형이 다양한 조건에 따른 연직변위 발생함에 있어 비교하는데 유용하다고 판단하였다.

Background: The peroneus longus (PL) and peroneus brevis (PB) function as the primary muscles of eversion, a movement closely associated with tibial external rotation for ankle mortise stability. Ankle motion and tibial rotation vary based on different ankle and knee positions. Objects: This study aimed to investigate the PL, PB, and biceps femoris (BF) muscle activation and eversion strength during side-lying isometric eversion exercise based on different ankle positions (neutral [N] and plantarflexion [PF]) and knee positions (90° flexion [KF] and extension [KE]). Methods: Thirty healthy adults with an Ankle Joint Functional Assessment Tool score of ≥ 22 were recruited (mean age = 24.8 ± 3.1 years). Maximal isometric eversion strength and submaximal muscle activation of the PL, PB and BF were measured during isometric eversion exercise in side-lying. A 2 × 2 repeated measures analysis of variance was performed to investigate differences in muscle activation and strength. Results: The PL and PB muscle activation showed significant main effects with the knee and ankle positions (p < 0.05); activation was greater in the KE and PF positions than in the KF and N positions. The BF muscle activation showed a significant interaction effect with knee and ankle positions, which was greater in knee extension and ankle plantarflexed (KEPF) position than in knee flexion and ankle plantarflexed (KFPF) position (p < 0.05). Eversion strength showed a significant main effect only in ankle position (p < 0.05) and was greater in the N position than in the PF position. Conclusion: The results of this study indicate that the KEPF position can be recommended to facilitate contraction of the PL and PB during side-lying eversion exercise. Furthermore, the effects of the knee-ankle positions should be considered for measuring ankle eversion strength and implementing the isometric submaximal side-lying eversion exercise.

Background: Most patients with chronic stroke have difficulty walking, and various exercise methods are used clinically to improve the disability. Among them, various methods are being applied to improve walking through torso movement. Objectives: This study was conducted to determine the effect of Maitland vertebra joint mobilization exercise and Evjenth trunk muscle stretching exercise on the walking ability of patients with hemiparesis due to chronic stroke. Design: A randomized controlled trial. Methods: In this study, 30 chronic stroke patients with hemiplegia were divided into 15 patients in the Maitland vertebra joint mobilization group (MVJMG) and 15 in the Evjenth trunk muscle stretching exercise group (ETMSEG), and the intervention was conducted for 3 weeks, 5 times a week, 30 minutes a day. After the intervention, walking ability was measured using a gait analyzer. Results: In terms of walking ability, there was a significant increase in walking rate, walking speed, and stride length following the intervention in both the MVJMG and ETMSEG groups (P<.05). When comparing the difference in walking ability between the two groups, there was no significant difference in walking rate. Conclusion: The study found that both Maitland vertebra joint mobilization and Evjenth trunk muscle stretching exercises were effective for improving walking function in chronic stroke patients. However, there was no significant difference in effectiveness between the two interventions.

In this study, the SBC system, a new mechanical joint method, was developed to improve the constructability of precast concrete (PC) beam-column connections. The reliability of the finite element analysis model was verified through the comparison of experimental results and FEM analysis results. Recently, the intermediate moment frame, a seismic force resistance system, has served as a ramen structure that resists seismic force through beams and columns and has few load-bearing walls, so it is increasingly being applied to PC warehouses and PC factories with high loads and long spans. However, looking at the existing PC beam-column anchorage details, the wire, strand, and lower main bar are overlapped with the anchorage rebar at the end, so they do not satisfy the joint and anchorage requirements for reinforcing bars (KDS 41 17 00 9.3). Therefore, a mechanical joint method (SBC) was developed to meet the relevant standards and improve constructability. Tensile and bending experiments were conducted to examine structural performance, and a finite element analysis model was created. The load-displacement curve and failure pattern confirmed that both the experimental and analysis results were similar, and it was verified that a reliable finite element analysis model was built. In addition, bending tests showed that the larger the thickness of the bolt joint surface of the SBC, the better its structural performance. It was also determined that the system could improve energy dissipation ability and ductility through buckling and yielding occurring in the SBC.

Background: Limitations of shoulder range of motion (ROM), particularly shoulder internal rotation (SIR), are commonly associated with musculoskeletal disorders in both the general population and athletes. The limitation can result in connective tissue lesions such as superior labrum tears and symptoms such as rotator cuff tears and shoulder impingement syndrome. Maintaining the center of rotation of the glenohumeral joint during SIR can be challenging due to the compensatory scapulothoracic movement and anterior displacement of the humeral head. Therefore, observing the path of the instantaneous center of rotation (PICR) using the olecranon as a marker during SIR may provide valuable insights into understanding the dynamics of the shoulder joint. Objects: The aim of the study was to compare the displacement of the olecranon to measure the rotation control of the humeral head during SIR in individuals with and without restricted SIR ROM. Methods: Twenty-four participants with and without restricted SIR ROM participated in this study. The displacement of olecranon was measured during the shoulder internal rotation control test (SIRCT) using a Kinovea (ver. 0.8.15, Kinovea), the 2-dimensional marker tracking analysis system. An independent t-test was used to compare the horizontal and vertical displacement of the olecranon marker between individuals with and without restricted SIR ROM. The statistical significance was set at p < 0.05. Results: Vertical displacement of the olecranon was significantly greater in the restricted SIR group than in the control group (p < 0.05). However, no significant difference was observed in the horizontal displacement of the olecranon (p > 0.05). Conclusion: The findings of this study indicated that individuals with restricted SIR ROM had significantly greater vertical displacement of the olecranon. The results suggest that the limitation of SIR ROM may lead to difficulty in rotation control of the humeral head.

PURPOSES : High temperatures induce excessive expansion in pavements, thus causing the closure of contraction joints between expansion joints. This results in the integration of slabs within the expansion joints into a unified slab. Compressive forces are generated owing to the friction that ensues between the unified slab and lower base layer. As the integrated slab expands and exceeds the allowable width of the expansion joint, the end restraint generates an additional compressive force. The escalating force, which reaches a critical threshold, induces buckling, thus compromising stability and causing blow-up incidents, which poses a significant hazard to road users. The unpredictable nature of blow-up incidents render their accurate prediction challenging because the compressive force within the slab must be predicted and the threshold for blow-up occurrence must be determined. METHODS : In this study, a GWNU blow-up model was developed to predict both the compressive force and period of blow-up incidents in jointed concrete pavements. The climate conditions, pavement structure, materials, and expansion joints were considered in this model. In the first stage of the model, the time at which the integrated slab expanded and surpassed the allowable width of the expansion joint was determined, and the compressive force was calculated. Subsequently, the compressive force within the integrated slab, considering both the end restraints and friction, was predicted. A large-scale blow-up test was performed to measure the blow-up force based on changes in the geometric imperfections. The measured blow-up force was adopted as the blow-up occurrence threshold, and the point at which the predicted compressive force within the slab exceeded the blow-up force was identified as the blow-up occurrence time. RESULTS : Using the GWNU blow-up model, the blow-up occurrence on the Seohean Expressway in Korea is predicted in the presence or absence of the alkali-silica reaction (ASR). Analysis is conducted using the expansion joint spacing and width as variables. As the expansion joint spacing increases, blow-up occurs sooner, and as the width increases, only the expansion joint life decreases. When applying an expansion joint spacing of 300 m and a width of 100 mm under an ASR with 99.9% TTPG reliability, the sum of the expansion joint life and blow-up occurrence time is 16 years. CONCLUSIONS : In the case of jointed concrete pavements where ASR occurred, installing an expansion joint spacing of 300 m and a width of 100 mm does not satisfy the design life of 20 years, and the expansion joint width minimally affect the blow-up occurrence time. To prevent blow-up incidents, a spacing of less than 300 m for the expansion joint is recommended. Based on the analysis results, the blow-up occurrence time and location can be predicted from the characteristics of the installed expansion joint, through which blow-up incidents can be prevented via preliminary maintenance.

기존 교량을 일체식 교대 교량과 같이 거동할 수 있도록 교대 흉벽과 상부슬래브를 일체화하는 흉 벽 일체식 교대 교량 공법에 관한 것으로, 교대 흉벽은 뒤채움 토사의 토압을 주요 하중으로 설계되기 때문에 배면부에는 휨보강 철근이 배치되지만 흉벽 일체화에 따른 흉벽 전면부에 온도팽창에 저항하 기에 부족한 철근량을 가지게 된다. 본 실험 연구는 일체화된 흉벽 구조체의 단차부 전면에 부착-정 착방식으로 제작된 FRP 보강체를 사용하여 휨 실험을 수행하고 이를 비교 분석하였다.

우리나라에서 공용중인 시설물은 총 172,111개로 집계되고 있으며, 그 중 교량은 34,199개로 사회 기반시설 중 가장 많은 비중을 차지한다. 이러한 교량은 공용하중, 온도, 습도 등에 의해 거더간 신축 량이 발생하게 되고 신축량 발생으로 인한 유간거리에 대해 차량의 통행 안정성 및 주행성 확보를 위 한 신축이음장치를 설치하게 된다. 신축이음장치를 설치하여 차량의 통행 안정성 및 주행성을 확보할 수 있지만 누수 및 퇴적물 낙하 등을 직접적으로 방지하지 못하여 고무지수재를 별도로 설치하게 된 다. 하지만 이러한 고무지수재는 다양한 원인에 의해 쉽게 손상이 발생한다. 손상된 고무지수재를 통 해 거더의 부식, 교량하부 인명사고 등 다양한 2차 피해가 발생할 수 있다. 피해방지를 위한 교량의 유지관리를 지속적으로 수행하고 있지만 고무지수재 특성상 지속적인 교체가 불가피한 실정이다. 따라 서 본 연구에서는 기존 신축이음장치에 활용되는 고무지수재의 문제점을 해결하기 위하여 초탄성 형 상기억합금을 활용한 새로운 지수재 개발 연구를 수행하였다. 이에 대해 초탄성 형상기억합금 지수재 와 고무지수재에 대한 유한요소해석을 수행하고 비교 및 분석하였으며, 하중 제거 후 원형으로 복원되 는 효과를 통해 지속 사용 가능한 지수재 연구를 검증하였다.

본 연구에서는 3D 프린팅 기술과 인체공학 순설계를 이용하여 턱관절 자기공명영상 동적 턱관절 검사 보조기구를 개발하고자 하였다. 3D 프린팅 기술 재료는 3D 프린터(Sindo, 3DWOX1, Korea), 3D 모델러 프로그램(Fusion 360, autodesk, USA), PLA(polylactic Acid) 필라멘트 소재를 이용하였고, 영상 검사는 3.0T 자기공명영상 장비 (Magnetom Vida, Siemens, Germany)를 사용하였다. 개발 방법은 성인 30명(남:13명, 여:17명, 평균나이 22.9±2.0세)의 안면뼈 CT(computed tomography) 검사의 단면 영상을 역학적으로 실측하여 상/하악궁의 형상을 모델링하였다. 모델링된 파일은 FDM(fused deposition modeling) 방식으로 3D 프린팅하였다. 출력된 보조기구는 자화 감수성 인공물 실험, 동적 영상 비교, 만족도 평가로 성능을 평가하였다. 그 결과, 자화감수성 인공물 발생은 개발된 개구 보조 장비와 비교하여 모든 영상에서 유의한 차이가 없었다. 동적 비교 영상에서는 TSE 기법이 모든 평가 법에서 가장 우수한 영상 품질을 보였다. 만족도 평가에서는 피검자는 평균 4.3점, 방사선사는 평균 4.4점으로 높은 만족도를 보였다. 결론적으로 인공물 발생이 없는 환자 맞춤형 보조기구에 개구의 동적 기능이 탑재된 보조기구 를 개발하였다.