• Title/Summary/Keyword: 어깨 가쪽돌림

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Abnormalities of Medial and Lateral Rotation of Shoulder (어깨에서 팔의 안쪽 돌림과 가쪽 돌림 이상)

  • Oh, Suk-Kyong;Shin, Seong-Yoon
    • Proceedings of the Korean Society of Computer Information Conference
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    • 2020.01a
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    • pp.245-246
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    • 2020
  • 본 논문에서는 어깨에서 팔의 돌림을 측정한다. 우선 안쪽 돌림과 가쪽 돌림에 대하여 각도를 측정하도록 한다. 측정에서 이상 유무와 관련된 증상을 파악한다. 그리고 이런 증상을 예방하는 방법까지 제시한다. 어깨에서 팔의 안쪽돌림과 가쪽 돌림의 돌림각은 70°~90°가 보통이다. 돌림각이 보통에 미달이거나 고통을 느끼면 어깨에 이상이 발생한 것이다.

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Medial Rotation and Lateral Rotation in Shoulders (어깨의 안쪽돌림과 가쪽돌림)

  • Shin, Seong-Yoon;Lee, Hyun-Chang
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 2017.10a
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    • pp.127-128
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    • 2017
  • Firstly, medial rotation and lateral rotation is when moving a hand inward and outward, while raising a hand with the elbow parallelizing to body, while the shoulder aligning with the body. We would like to identify treatments when either medial rotation or lateral rotation causes pain, or when the rotation lacks of measurement angle, when measured.

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The Effect of Joint Mobilization with Electrotherapy interventions on External Rotation and Pain in Mastectomy Patients (유방암 절제술 환자의 관절가동술과 전기자극을 융합한 중재가 어깨 가쪽돌림과 통증에 미치는 영향)

  • Kim, Tae-Hyun;Cho, Kyun-Hee;Park, Shin-Jun
    • Journal of Convergence for Information Technology
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    • v.10 no.5
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    • pp.188-197
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    • 2020
  • This study was to investigate the effects of joint mobilization with two different electrotherapy methods on shoulder external rotation range of motion and pain in mastectomy patients. Thirty mastectomy patients were divided into STMG (joint mobilization+pain scrambler therapy, n=15) and TENMG (joint mobilization+transcutaneous electrical nerve stimulation, n=15). The measurements were performed shoulder external rotation range of motion (ROM), pain (VAS). In both groups, there was a significant difference in the shoulder external rotation ROM, pain after intervention (p <.05). STMG was more decrease in VAS score than TENMG (p <.05). There was no significant difference in shoulder external rotation ROM between the two groups. In order to decrease the pain of mastectomy patients, it was confirmed that STMG was more effective than TENMG.. It is thought that a control group is added to confirm various differences, and more subjects are needed.

Measurement and Treatment of Abnormalities of Medial and Lateral Rotation of Upper Limb in Shoulder

  • Shin, Kwang-Seong;Eum, Kyeong-Bae;Shin, Seong-Yoon
    • Journal of the Korea Society of Computer and Information
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    • v.25 no.1
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    • pp.109-115
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    • 2020
  • The shoulder refers to the area connecting the human torso and arms, and plays a key role in moving both arms. In particular, it plays the most important role in sending both hands behind the head or away from our bodies. In this paper, we measure the angles of the medial and lateral rotations of the arm from the shoulder, identify the symptoms associated with abnormalities, and propose ways to prevent these symptoms. The angle of medial rotation and lateral rotation of the upper limb in the shoulder is generally 70° ~ 90°. If the angle falls below the reference value or feels pain, something is wrong with the shoulder. In addition, a total of 100 people (50 men and 50 women each) were tested to determine patients with abnormalities.

Kinematic analysis of scapular movements during flat first serve depending on tape application (테니스 플랫서브시 키네시올로지 테이핑 적용에 따른 어깨뼈의 운동학적 분석)

  • Kim, Taegyu;Choi, Hokyung
    • Journal of the Korea Convergence Society
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    • v.11 no.9
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    • pp.325-332
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    • 2020
  • This study aimed to identify the difference of scapular movements between tennis players with and without shoulder impingement syndrome(SIS) and to verify the effect of kinesiology taping applied to scapular. A total of 15 players were categorized in SIS group(n=7) and control(CON) group(n=8). The scapular movements evaluated using 3-dimensional motion analysis in the 5 events of the flat first serve before and after the application of taping. The male of SIS group(-7.31±1.19° and -5.28±1.08°, respectively) had tilted scapular more anteriorly compared to CON group(-0.98±5.38° and -0.44±3.52°, respectively) at the maximally humeral external rotation and the impact(Z=-2.309, p=.021 and Z=-2.309, p=.021, respectively). The scapular(-8.11±2.57°) of female in SIS group tilted more anteriorly than that of CON(-0.97±3.31°) group at the maximally humeral external rotation(Z=-2.121, p=.034). But the scapular movements had no statistical differences between before and after the application of taping.

The Effect of Self Thoracic Mobilization Exercise on Shoulder Pain and Function (자가 등 가동운동이 어깨 통증 및 기능에 미치는 효과)

  • Lee, Eun Sang
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.21 no.2
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    • pp.396-403
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    • 2020
  • This study evaluated the effect of self thoracic mobilization exercise (STME) on shoulder pain, disability and shoulder function in patients with shoulder dysfunction. Thirty-two patients with shoulder dysfunction were randomly assigned to the STME group and the control group. The visual analog scale, shoulder dysfunction, and shoulder range of motion were evaluated before and after intervention. Sixteen STME intervention patients used a foam roller and quadripedal position flexion and extension. Sixteen controls received placebo effects using electrotherapy pads. The two groups performed 20 minutes for three times per week for four weeks. The STME group showed significant improvement in pain and dysfunction compared to that of the control group (p <0.05), and their range of motion of the shoulder was significantly improved in flextion, abduction, and external rotation compared to that of the placebo group (p <0.05). Therefore, STME is effective in resolving shoulder pain and dysfunction, and will be able to educate patients with shoulder pain in an easier approach and mediate social treatment costs.

Comparison of Infraspinatus and Posterior Deltoid Muscle Activities According to Exercise Methods and Forearm Positions During Shoulder External Rotation Exercises (어깨 가쪽돌림 운동 시 운동방법과 아래팔의 자세에 따른 가시아래근과 뒤어깨세모근의 근활성도 비교)

  • Son, Myeong-gi;Kim, Suhn-yeop
    • Physical Therapy Korea
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    • v.29 no.2
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    • pp.106-116
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    • 2022
  • Background: Shoulder external rotation exercises are commonly used to improve the stabilizing ability of the infraspinatus. However, during exercise, excessive activation of the posterior deltoid compared to the infraspinatus causes the humeral head to move anteriorly in an abnormal position. Many researchers have emphasized selective activation of the infraspinatus during shoulder external rotation exercise. Objects: This study aims to delineate the optimal exercise method for selective activation of infraspinatus by investigating the muscle activities of the infraspinatus and posterior deltoid according to the four shoulder exercise methods and two forearm positions. Methods: Thirty healthy individuals participated in this study. The participants were instructed to perform shoulder external rotation exercises following four exercise methods: sitting external rotation (SIER); standing external rotation at 90° abduction (STER); prone external rotation at 90° abduction (PRER); side-lying external rotation (SLER), and two forearm positions (neutral, supinated). The electromyography (EMG) signal amplitude was measured during each exercise. Surface EMG signals were recorded from the posterior deltoid, infraspinatus, and biceps brachii. Results: EMG results of the infraspinatus and posterior deltoid in PRER, were significantly higher than that of the other exercises (p < 0.01). The EMG ratio (infraspinatus/posterior deltoid) in SIER was significantly higher than that of the other exercises. EMG activation of the posterior deltoid in SIER, PRER, and SLER was significantly higher in neutral than in supinated (p < 0.01). Furthermore, the EMG of the infraspinatus in SIER was significantly higher in neutral than in supinated (p < 0.01). The EMG ratio (infraspinatus/ posterior deltoid) in SIER was significantly higher in neutral than in supinated (p < 0.05.) Contrarily EMG ratios in PRER and SLER were significantly higher in supinated than in neutral (p < 0.05). Conclusion: The results show that clinicians should consider these exercise methods and forearm positions when planning shoulder external rotation exercises for optimal shoulder rehabilitation.

Analysis of the Activity of the Supraspinatus and Infraspinatus Muscles during Lateral Rotation of the Shoulder according to the Posture Change of the Forearm (아래팔의 자세 변화에 따른 어깨 가쪽돌림 시 가시위근과 가시아래근의 근활성도 분석)

  • Ju-Ri Eom;Dong-Rour LEE;Min-Hyung Rhee
    • PNF and Movement
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    • v.21 no.1
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    • pp.139-146
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    • 2023
  • Purpose: The aim of this study is to provide basic information to create an efficient training program to improve shoulder stability and function in patients with injuries and in patients having undergone surgery of the supraspinatus and infraspinatus muscles, which have a relatively high incidence of injury in shoulder joint disease. Further, independent activities of the supraspinatus and infraspinatus muscles were investigated according to forearm rotation and the neutral and lateral rotation postures. Methods: The activities of the supraspinatus and infraspinatus muscles were measured using surface electromyography in 22 healthy adults in Busan, and isokinetic muscle strength measurement equipment was used to measure muscle strength during shoulder lateral rotation. The subjects performed lateral rotation of the shoulder in three different forearm postures (neutral, supine, prone) to measure shoulder muscle activity and lateral rotation strength. Results: The independent activity ratio (% Isolation) of the supraspinatus and infraspinatus muscles during lateral rotation of the shoulder joint demonstrated a significant difference (p<0.05) according to the change in forearm posture. Conclusion: The supraspinatus muscle showed independent activity ranging from highest to lowest in the order of pronation, neutral, and supination of the forearm, while the independent activity of the infraspinatus muscle ranged from highest to lowest in the order of neutral, supination, and pronation of the forearm. Therefore, the most active forearm positions for the supraspinatus and infraspinatus muscles are pronation and neutral, respectively.

Effect of Shoulder External Rotation on EMG Activity of the Scapular Upward Rotators during Arm Elevation (어깨관절 가쪽돌림이 팔을 올리는 동안 어깨뼈 위쪽돌림근의 근활성도에 미치는 영향)

  • Jung, Do-Young;Weon, Jong-Hyuck
    • Journal of the Korean Society of Physical Medicine
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    • v.10 no.4
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    • pp.113-121
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    • 2015
  • PURPOSE: The purpose of this study was to determine the effect of shoulder external rotation on muscle activities of the scapular upward rotators during arm elevation. METHODS: Nineteen healthy subjects with no medical history of shoulder pain or upper extremity disorders were recruited for this study. Electromyography (EMG) was used to measure the muscle activities of the serratus anterior (SA), upper trapezius (UP), lower trapezius (LT) and infraspinatus (IS) muscles during arm elevation. The EMG activities were recorded while the subjects performed $90^{\circ}$ arm elevation with three different arm positions; palm down (PD), neutral position (NP), and palm up (PU). While seated in a chair, the subject was asked to raise the upper extremity in the sagittal plane in random order. Subjects performed $90^{\circ}$ arm elevations in three trials at each arm position. The mean EMG activity normalized by the maximal voluntary isometric contraction was analyzed across three arm positions. Repeated measures one-way ANOVA and the post hoc Bonferroni tests were used to determine the differences in muscle activities among the three arm positions. RESULTS: The EMG activities of the SA and IS were significantly greater in the PU condition than in the other conditions during arm elevation. No significant difference was noted between the NP and PD conditions during arm elevation. CONCLUSION: These results suggest that shoulder external rotation (palm up position) can be used to activate the SA. Therefore, we recommend a scapular protraction exercise in the palm up position for strengthening the SA.