• Title/Summary/Keyword: 어깨 관절

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An Analysis of Shoulder Joint Torque and Muscle Pattern Duing Tennis Serve by Isokinetic Motions on Isomed 2000 (Isomed 2000을 이용한 고등학교 테니스 선수 서브동작의 어깨관절 회전력과 근동원 양상 분석)

  • Kim, Sung-Sup;Kim, Eui-Hwan;Sung, Young-Ho;Kim, Tae-Whan;Chung, Jae-Wook
    • Korean Journal of Applied Biomechanics
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    • v.17 no.1
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    • pp.61-68
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    • 2007
  • The purpose of this study was to analyze the shoulder joint torque and muscle pattern performing as Tennis serve by Isokinetic motions on Isomed 2000. The subject, who was 5 males Korean national high school tennis players. By analyzing the flexion/extension of the shoulder, the peak torque of the internal/external rotation motion(at 60,180 and 300 degree/sec) at peak torque degree, the weight, peak torque, and power. combined with the timing of the electrode of the attached trapezius and posterior deltoid at the three part. From the data analysis & discussion the following conclusions were drawn. When doing a shoulder extension, the peak torque can be widely seen at 60degree per second. However the degree may be different depending on angular velocity. When doing an internal rotation at 90degree abduction, peak torque per weight was seen at 60degree per second. The degree of peak torque was at 31.6-44.2 and peak power was faster when angular velocity was increased. The aspect of muscle pattern was seen more at the internal rotation in the 90degree abduction rather than the shoulder extension. However the angular velocity was not influenced by muscle mobilization(in order of anterior deltoid, posterior deltoid and trapezius. To properly apply the above conclusion, when tennis players serve it is better the elbow be impacted by the extension. when doing isokinetic motion it is better to increase angular velocity and improve muscle power. also the anterior deltoid amongst the shoulder muscle should be improved to develop serve speed.

The Comparison of Muscle Activity in 4 Sections of Rectus Abdominis by The Distance of The Shoulder Width and The Angle of The Elbow Joint in The Position of Push-Up (푸시 업 자세 시 팔굽관절 각도와 어깨넓이 간격에 따른 구획별 4 배 곧은근 근활성도 비교)

  • Moon, Kyo Hoon;Kim, Kyung Hun
    • Journal of Korean Physical Therapy Science
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    • v.24 no.1
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    • pp.14-21
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    • 2017
  • Background; This study was to investigate effects of distance of muscle activity of 4 sections of rectus abdominis(RS-RA, LS-RA, RI-RA, LI-RA) by the shoulder width(x0.5, x1.0, x1.5) and the angle of the elbow joint($0^{\circ}$, $45^{\circ}$, $90^{\circ}$) Method : This study was conducted on 20 healthy male and 20 female adult. respectively, elbow joints were maintained at $0^{\circ}$, $45^{\circ}$, and $90^{\circ}$ flex postures on The shoulder width is 0.5, 1.0, and 1.5 times. at the same time 4 sections of rectus abdominis were measured using EMG with maintaining isometric contraction of the rectus abdominis for 5 seconds. Results; The results were as follows: First, muscle activity of 4 sections of rectus abdominis(RS-RA, LS-RA, RI-RA, LI-RA) by angle of the elbow joint($0^{\circ}$, $45^{\circ}$, $90^{\circ}$) was a statistically significant(p<0.05), Second, muscle activity of 4 sections of rectus abdominis(RS-RA, LS-RA, RI-RA, LI-RA) by the shoulder width(x0.5, x1.0, x1.5) was a statistically non-significant Conclusion; It was found to be most effective to perform arm posture with rectus abdominis muscle strength exercise.

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Brown-Sequard Syndrome Produced by Cervical Disc Herniation : Manual and Exercise Therapy after Operation-Case Studies (경추 추간판탈출증에 의한 브라운-시쿼드 증후군 : 수술 후 도수치료와 운동치료 효과-사례연구)

  • Kim, Myung-Joon
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.15 no.1
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    • pp.79-85
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    • 2009
  • 목적 : 브라운시쿼드는 대부분 척추손상과 수질외 척추 종양에서 주로 나타난다. 드물게 경추 디스크가 브라운시쿼드의 원인이 된다. 경추디스크에 의한 브라운시쿼드 증세의 수술후 물리치료 및 도수치료 결과를 보고하기 위함이다. 방법 : 50세 남자로써 브라운시쿼드 증세로 진단을 받고 수술후 좌측 팔과 다리에 운동신경에 의한 마비증세가 있었으며(팔>다리), 우측으로 감각과 온도감각이 저하된 경우이다(팔>다리). 측정방법은 통증지수(VAS), 근력(Distal PowerTracII$^{TM}$ test), 지구력(Ergometer) 측정과 심리상태(설문)를 치료전과 후를 비교하였다. 물리치료에서는 기능적 전기자극 치료와 도수치료 및 운동치료 방법을 실시하였다. 도수치료는 통증완화와 근력강화를 위한 MET, MFR, Mobilization 등을 실시하였으며, 운동은 슬링시스템 등을 이용한 운동과 견관절의 불안정을 위해 안정화운동을 실시하였다. 결과 : 이 케이스는 수술후 이상 징후가 척수압박으로 인하여 보다 넓게 통증이 나타났으며, 운동 및 감각신경이 둔해지고 온도에 대한 감각이 반대편 결손으로 나타났으며, 좌측 어깨, 팔 견갑부의 근육 마비와 우측의 감각이 떨어진 현상이 나타났다. 물리치료 후 단기목표와 장기목표에 있어서 통증과 운동 및 감각 기능이 회복되어 각각 팔 통증에서는 VAS 8 ${\rightarrow}$ 1, 상지 하지의 운동기능은 Trace ${\rightarrow}$ Good 로 평가 회복되었으며, 근력측정에서 모두 유의한 차이를 보였다. 모든 치료과정 결과에서 심리적 상태의 설문에서도 높은 점수를 얻어 긍정적 신뢰가 높아 진 것으로 나타났다. 검사결과 다리의 근력이 증가는 걷기 운동 및 에르고메터의 지구력 및 균형이 레벨1의 10분 수행능력이 레벨 20에서 30분 수행능력으로 향상되어 일상적인 활동이 가능해졌다. 결론 : 예상하지 못했던 수술 후유증(side effects)에 대한 치료과정이 환자의 심리에 심각한 부정적인 생각이 신체의 기능과 감정의 손상에 영향을 미치기 때문에 체계적이고 장기적인 치료 과정에서 기능적 향상과 더불어 정신적인 심리의 정서 안정이 매우 필요하다고 사료된다.

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Muscle Strength Measurement using Shoulder and Upper Joint for Korean Young-aged (우리나라 청년층의 어깨 및 상지관절을 이용한 근력 측정)

  • Yoon, Hoon-Yong;Kim, Eun-Sik
    • Journal of the Ergonomics Society of Korea
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    • v.28 no.3
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    • pp.125-134
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    • 2009
  • The muscle strengths in various postures are used in our daily life with or without our recognition. Also, many works are still performed with strengths, although mechanization and automation have been fairly accomplished at the industry site. Since the late seventies, various body measurements have been conducted periodically in Korea, however, muscle strengths have not been measured actively. For this reason, the muscle strength data have been hardly accumulated. The aims of this study are to learn more about the physical strength of young-aged Koreans and to provide basic information for designing equipments, tools and facilities in the work site and daily life. The muscle strengths that are related to shoulder and upper limbs joints, which are used frequently, are measured in this study. Eighteen muscle strengths, from seven different movements such as elbow flexion, elbow extension, shoulder abduction(seated), shoulder adduction(seated), shoulder rotation(internal and external), lifting a tray, and turning a key(inward and outward) were measured. For every movement, the muscle strengths for both hands were measured. In each measurement, five seconds averaged value and peak value were collected. Comparing the average value, the strength of shoulder adduction was the strongest for male and female, while strength of turning a key inward with left hand was the weakest for male and female. Strengths of preferred hand in elbow extension, shoulder abduction, shoulder external rotation, lifting a tray, and turning a key were stronger than those of non-preferred hand for both male and female. Rohrer's index considerably had an effect on muscle strength. The results of this study can provide some basic information not only in designing the equipment and facilities in work site or daily life, but also in selection, training and management of workers.

A Study on Implementation of Special-Purpose Manipulator for Home Service Robot (홈 서비스 로봇을 위한 전용 머니퓰레이터의 구현에 관한 연구)

  • Kim, Seung-Woo;Kim, Hi-Jun
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.12 no.11
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    • pp.5219-5226
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    • 2011
  • A specialized anthropomorphic robot manipulator which can be attached to the housemaid robot McBot II, is developed In this paper. This built-in type manipulator consists of both arms with 3 DOF (Degree of Freedom) each and both hands with 3 DOF each. The robotic arm is optimally designed to satisfy both the minimum mechanical size and the maximum workspace. Minimum mass and length are required for the built-in cooperated-arms system. But that makes the workspace so small. This paper proposes optimal design method to overcome the problem by using neck joint to move the arms horizontally forward/backward and waist joint to move them vertically up/down. The robotic hand, which has two fingers and a thumb, is also optimally designed in task-based concept. Finally, the good performance of the developed manipulator is confirmed through live test of tasks.

The Effects of Resistance Exercise on Muscle Function Parameters and Cytokine Concentration in Saliva in Breast Cancer Patients with Sarcopenia (저항성 운동형태가 근감소증 유방암 환자의 근기능 지표 및 타액 내 사이토카인에 미치는 영향)

  • Jang, Jae-Hoon;Hur, Sun
    • Journal of the Korea Convergence Society
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    • v.12 no.12
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    • pp.411-418
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    • 2021
  • The purpose of this study was to find out the effects of isomatric and isotonic exercise on the muscle function and cytokine which will prevent recurrence of breast cancer patients. A subjects were thirteen breast cancer patients and they were randomly assigned either isometric exercise group(n=10), isotonic exercises group(n=10) or a daily base care control group(n=10). Resistance exercise group did a exercise program with 60~70%RM for 60min, 3days per week during 8week. There were significantly difference between groups which were showing a increasing flexion, abduction, external rotation, IL-6 and IL-10 in isotonic exercise.

The Effects of Shoulder Mulligan Taping and Repeated Measurements on Wrist Flexor Muscle Activity and Grip Strength in Forward Head Posture (전방머리자세 대상자에게 어깨관절 멀리건테이핑 적용이 손목굽힘근의 근활성도와 파악력에 미치는 영향)

  • Oh, Kang-o;Park, Su-hyung;Kim, Dong-woo;Baek, Yong-hyeon;Choi, Su-hong
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.24 no.2
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    • pp.1-7
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    • 2018
  • Background: This study was carried out to investigate the effect of mulligan taping group and repeated measurement group on muscle activity and grip strength of adult with forward head posture. Methods: Thirty adults with forward head posture were randomly assigned to each of 15 mulligan taping and repeat measurement groups. The mulligan taping group measured the pre-test and post-test muscle activity and the grip strength three times and compared the mean values. The repeat group was repeatedly measured and measured before and after the experiment, The collected data were analyzed using SPSS statistical program. Results: There was no significant difference between mulligan taping group and repeated measurement group in changes of muscle activity. There was a significant difference between mulligan taping group and repeated measurement group in changes of grip strength. Conclusions: Mulligan taping was applied to an adult with forward head posture, there was no significant change in muscle activity of flexor carpi radialis and palmaris longus, but it seems to improve hand function by re-aligned of nearby muscles by maintaining scapular stability.

Effect of Jeonbuk Tri-Pull Taping and Proprioceptive Neuromuscular Facilitation Exercise on Shoulder Active Range of Motion, Pain, Subluxation, Upper Extremity Function and Activities of Daily Living in Patients with Stroke -A Case Study- (Jeonbuk Tri-Pull Taping과 고유수용성신경근촉진법 운동이 뇌졸중 환자의 어깨관절 가동범위, 통증, 아탈구, 팔 기능 및 일상생활수행능력에 미치는 영향 -사례연구-)

  • Kim, Beom-Ryong;Kang, Tae-Woo
    • PNF and Movement
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    • v.17 no.2
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    • pp.167-175
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    • 2019
  • Purpose: This study aims to determine the effect of Jeonbuk tri-pull taping and proprioceptive neuromuscular facilitation (PNF) exercise on the shoulder's active range of motion, pain, subluxation, upper extremity function, and activities of daily living in patients with stroke. Methods: In this study, Jeonbuk tri-pull taping and PNF exercise were applied to three patients with stroke and subluxation. The tape was removed and new tape applied for two days every Monday, Wednesday, and Friday over six consecutive weeks. PNF exercise was applied five times a week for six weeks. To measure the range of motion, a smart phone clinometer application was used, and the degree of pain was measured using a visual analogue scale (VAS). A jig measuring method was employed to measure the distance of subluxation. The Fugl-Meyer Assessment (FMA) was used to evaluate arm function, and the modified Barthel Index (MBI) was employed to evaluate the activities of daily living. Results: The shoulder's active range of motion was improved in the patients compared to the range of pre-tests, and the pain and subluxation distance were reduced compared to those of pre-tests. Arm function and activities of daily living were increased compared to those of pre-tests. Conclusion: The study results verified that Jeonbuk tri-pull taping and PNF exercise are useful when applied to patients with subluxation and stroke.

Effects of Extra Thoracic Mobilization Exercises on Shoulder Range of motion, Pain, and Disability Index in Patients with Rotator Cuff Repair (추가적인 등 가동 운동이 돌림근띠 복원술 환자의 어깨 관절가동범위와 통증 및 장애 지수에 미치는 영향)

  • Kim, Beom-Ryong;Song, Gui-Bin;Kang, Tae-Woo
    • PNF and Movement
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    • v.20 no.2
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    • pp.223-233
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    • 2022
  • Purpose: The study aimed to determine the effect of extra thoracic mobilization exercises on shoulder pain and function in patients who had undergone rotator cuff repair. Methods: Following the recording of baseline measurements, 20 subjects who had undergone rotator cuff repair were randomized into two groups: the experimental group (n = 10), which did thoracic mobilization exercises, and the control group (n = 10), which received traditional physical therapy. Each group participated in the intervention five times per week for two weeks. The pain (using the visual analogue scales [VAS]), the flexion and abduction range of motion (ROM), and the shoulder pain and disability index (SPADI) scores of both groups were recorded pre- and post-intervention. Paired t-tests were used to determine whether post-intervention scores were significantly different from pre-intervention scores, and independent t-tests were used to analyze differences in the dependent variables between the two groups. Results: After the two-week intervention, both groups experienced significantly decreased VAS and SPADI scores (p < 0.05) and significantly increased flexion and abduction ROM (p < 0.05). The experimental group that undertook the thoracic mobilization exercises showed greater improvements in pain, flexion and abduction ROM, and the SPADI than the control group (p < 0.05). Conclusion: These results suggest that thoracic mobilization exercises reduce shoulder pain and disability and enhance function in patients who have undergone rotator cuff repair.

The Effect of Mobilization Combined with Shoulder Active Contraction of Depth between the Coracoid Process and Humeral Head (어깨의 능동 수축을 동반한 관절가동술이 부리돌기와 위팔뼈 머리 사이의 거리에 미치는 영향)

  • Sun-min Kim;Sang-hun Jang
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.29 no.2
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    • pp.69-75
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    • 2023
  • Purpose: This study examined the distance between the coracoid process and the humeral head using an ultrasonography device when shoulder active contraction were applied according to the guided direction in the end range of shoulder mobilization. This study aims to provide essential data on treating shoulder disease patients. Methods: The subjects of this study were 20 adults with healthy shoulder joints. ultrasonography (US) equipment was used to examine shoulder joint mobilization under two conditions: (1) anteroposterior (AP) joint mobilization and (2) superoinferior (SI) joint mobilization. Shoulder active contraction was assessed in the end range. The distance between the coracoid process and the humeral head was measured. A linear probe was used for US; the frequency was set to 7.5MHz, and the US image display method was set to B-mode. The US measurement values were measured in (1) the starting position, (2) the end range position, and (3) the end range position of the shoulder active contraction, and the moving distance was drawn in a straight line through the US image. The distance was determined as the measurement value, and the average values were compared. Reults: The results were as follows: (1) the measured AP Joint mobilization increased by an average of .52cm from the end range of the joint mobilization with shoulder active contraction; (2) the measured SI Joint mobilization increased by an average of .49cm from the end range of the joint. Conclusion: When shoulder mobilization is applied, the distance between the coracoid process and the humeral head increases when muscle contraction occurs through shoulder active contraction in the end range, according to the therapist's guidance. Therefore, shoulder mobilization combined with shoulder active contraction is an effective treatment method for patients with shoulder injuries.

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