Background and Objectives: Anterior capsulotomy is routinely performed in hip arthroscopy to improve joint visualization; however, this can partly or completely disrupt the stabilizing ligaments of the hip. This study aimed to report the effects of conventional and extensive arthroscopic capsulotomies on hip stability. Materials and Methods: Eight freshly frozen cadaveric pelvises were used in this study. The range of motion and translation were measured and compared among different capsular conditions utilized in hip arthroscopy, with a special interest in the iliofemoral ligament (IFL) and zona orbicularis (ZO). The conditions included intact capsule, interportal capsulotomy, T-capsulotomy, complete IFL disruption, and complete IFL and ZO disruption. Internal rotation at three flexion planes (−10°, 0°, and 30°) and external rotation at six flexion planes (−10°, 0°, 30°, 60°, 90°, and 110°) were measured with corresponding femoral head translation distance at the application of 2.5 Nm torque. Results: As compared to an intact capsule, a significant increase in external rotation was observed after interportal capsulotomy from −10° to 60° and after T-capsulotomy from −10° to 110° flexion. A significant translation was observed only with a T-capsulotomy, which ranged from 1.9 to 2.3 mm across the flexion angles. Compared with conventional interportal capsulotomy, disruption of the entire IFL resulted in a significant increase in external rotation in all flexion planes, and significant translation was accompanied by disruption of the ZO. Conclusions: Interportal capsulotomy can result in an increase in range of motion, and T-capsulotomy can lead to significant translation. Partial or complete tears of the IFL and ZO can result in further external rotation and translation.
Purpose: Enhancement of musical perception has a positive impact on the emotional stability, quality of life, and aural rehabilitation in individuals with hearing loss. In Korea, however, there are a few test batteries available for properly assessing their abilities to perceive music. The purpose of this study was to develop a evaluation material for the music perception ability, Assessment of Music Perception (AMP) considering the Korean culture and emotion.Methods: A total of 15 normal hearing adults (33.1 ± 11.4 years) were recruited. They performed the AMP which includes eight sub-tests: pitch, melody, rhythm, timbre, and harmony perception test, emotional reaction test, Music listening Attitudes and Satisfaction Questionnaire (MASQ), and Mismatch negativity (MMN).Results: The average percentage of correct answer was 94.0% ± 6.1% in pitch perception test, 94.0% ± 7.1% in melody perception test, 99.3% ± 1.8% in rhythm perception test, 78.9% ± 41.8% in timbre perception test, 96.7% ± 10.4% in emotional reaction test, 85.7% ± 14.1% in harmony perception test. The area of the negative waveform for MMN was 275.27 ± 225.65 μV·ms with the intensity of 70 dBnHL.Conclusion: Considering high scores of a instrument, a developed AMP could be applied for evaluating the music perception ability. However, a little bit of correction for each factor of materials is recommended for comprehensive AMP material. In the future, the music perception ability of the hearing impaired should be evaluated utilizing AMP.
Purpose: The ability of music perception should be improved for the hearing impaired by music training. The music training should be systematically conducted from each musical element to overall music listening based on analytic and synthetic approaches. This study aimed to develop the music rehabilitation program (MRP) to improve the music perception of the hearing-impaired.Methods: Fifteen cochlear implant (CI) users (34.5 ± 11.6 years) participated. The MRP consisted the musical elements such as pitch, melody, rhythm and timbre, and musical emotional training considering Korean culture. The MRP was conducted twice per week through self-directed home training for 2 months. The assessment of music perception (AMP) was tested before and after performing the MRP.Results: The results of AMP subtests were significantly different between pre- and post-MRP with 61.1% and 83.8% for the pitch perception test, 72.8% and 87.8% for the timbre perception test with Korean musical instruments, 48.0% and 59.3% with Western musical instruments, and 55.9% and 71.1% in the harmony perception test. However, there was no significant differences in the melody, rhythm and emotional reaction tests. According to the MRP effectiveness questionnaire, 80% of participants have changed their interests after training for listening to music.Conclusion: Although there were differences among elements of music training, the overall music perception ability was improved after conducting MRP (p < 0.001). In conclusion, providing a systematic music training program such as MRP could expand the range of music experience and improve the ability for music listening and for CI users.
Purpose: The music rehabilitation program (MRP) promotes auditory, language, cognitive, and motor development of the brain. The significance of MRP was studied through mismatch negativity (MMN) and Music Listening Attitude and Satisfaction Questionnaire for hearing loss (MASQ_H). Methods: Fifteen adult cochlear implant (CI) users (34.5 years; standard deviation, ± 11.6) participated. MMN was tested before and after MRP training at the stimulus intensity level of 70 and 100 dB hearing loss (HL). In addition, MASQ_H was utilized. Results: For the pre- and post-tests of MMN, the average amplitudes of the waveforms were -2.48 ± 1.95 µV and -6.11 ± 4.21 µV and the areas were 208.16 ± 211.59 µV·ms and 527.87 ± 360.42 µV·ms with the significant difference when the stimulus level was presented at 70 dB HL. For MASQ_H, 90.9% of the participants responded that they felt satisfied with listening to music using CI or hearing aid. When asked about the musical factors that were improved in the music listening, the ‘pitch perception’ and ‘timbre perception’ were responded showing increased satisfaction rates. Conclusion: This study confirmed that MRP improved language processing by facilitating auditory processing, cognitive ability, and neural plasticity of the central auditory system through the increased amplitude and area of MMN after MRP application. Furthermore, providing a systematic music training such as MRP could change the music listening attitudes and satisfaction of the CI users’. The active implementation of music rehabilitation is strongly suggested.
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