• Title/Summary/Keyword: 어깨 기능장애

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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.

The Effect of Scapular Stabilization Exercise and Thoracic Joint Mobilization on the Scapular Function in Adults with Scapular Dysfunction (어깨뼈 안정화운동과 등뼈관절가동술이 어깨뼈 기능이상이 있는 성인의 어깨 기능에 미치는 영향)

  • Lee, Sang-Bin
    • Journal of Industrial Convergence
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    • v.19 no.3
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    • pp.83-90
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    • 2021
  • The purpose of this study was to investigate the effect of scapular stabilization exercise and thoracic joint mobilization on scapular position, scapular motion and shoulder pain and disability index(SPADI) in adults with scapular dysfunction. A total 42 subjects were divided into a scapular stabilization exercise group(A, n=14), a thoracic joint mobilization group(B, n=14) and scapular stabilization exercise with thoracic joint mobilization group(C, n=14) and performed exercise and joint mobilization three times per week for four weeks, total 12 times. As for changes in scapular position among the groups, group C showed statistically significant increase(p<.05). In changes of scapular motion among the groups, group C showed statically significant improvement in shoulder abduction 45° and 90° both(p<.05), In changes of SPADI among the groups, group C were showed statistically significant improvement(p<.05). In conclusion, scapular stabilization exercise and thoracic joint mobilization were effective on improving scapular position, movement and SPADI score in adults with scapular dysfunction.

The Effects of the Action Observation and Visual Feedback Convergence Exercise on the Alignment, Pain and Function of Forward Head Posture and Round Shoulder Posture (동작관찰과 시각적 되먹임 융합 운동이 머리전방자세와 둥근어깨의 정렬, 통증과 기능에 미치는 영향)

  • Kang, Hyo Jeong;Yang, Hoe Song
    • Journal of the Korea Convergence Society
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    • v.9 no.12
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    • pp.123-128
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    • 2018
  • The aim of this study was to determine the effects of the action observation and visual feedback on the alignment, pain and function of forward head posture(FHP) and round shoulder(RS). A total of 24 participants with FHP and RSP were randomly assigned to general exercise(GE, n=8), action observation(AO, n=8), and visual feedback(VF, n=8). All subjects were exercised three times a week for four weeks. The groups were assessed for craniovertebral angle(CVA), round shoulder posture(RSP), visual analog scale(VAS), and neck disability index(NDI) before and after exercise, There was a significant difference in CVA in the GE, AO and RSP, VAS and NDI were significantly different in all groups. AO was more effective than GE, VF for VAS. The results of this study suggest that action observation may be effective to improve the FHP and RS.

The Effect of Scapulothoracic Exercise and Thoracic Mobilization on Shoulder Pain and Function in Shoulder Partial Thickness Rotator Cuff Tear (어깨가슴운동과 등뼈가동운동이 어깨돌림근띠 파열을 가진 환자들의 통증과 기능장애에 미치는 영향)

  • Kim, Donghyeon;Kim, Myungchul
    • Journal of The Korean Society of Integrative Medicine
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    • v.8 no.2
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    • pp.41-51
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    • 2020
  • Purpose : The purpose of this study was to determine the effect of scapulothoracic exercise and thoracic mobilization on shoulder pain and function in individulas with shoulder partial- thickness rotator cuff tear. Methods : Forty-five subjects were recruited and randomly divided into 3 groups of 15 subjects each : Scapulothoracic exercise with Thoracic mobilization (STwTM), Scapulothoracic exercise (ST), and Thoracic mobilization (TM) groups. All subjects were assessed for pain and disability of shoulder, thoracic angle base on the Shoulder Pain and Disability Index (SPADI) and Thoracic kyphosis assessment (TKA) using Baseline Bubble Inclinometer. All groups performed 50 minutes of the intervention twice a week for a total of six weeks. These tests were evaluated Three times : prior to the start of the intervention, after three weeks and, after six weeks had passed. Results : The SPADI score showed that pain and dysfunction in the STwTM group decreased compared to those in the other two groups. The TKA score showed a decrease over time in the ST, TM, and STwTM groups, in increasing order. However, the TKA score decreased significantly in the STwTM group compared to that in the oher two groups. Conclusion : ST and TM are effective in improving pain and dysfunction in patients. However, STwTM may be more effective for patients.

The Effect of Convergent Aquatic Exercise on Shoulder and Pulmonary Function and Quality of Life in Breast Cancer Patients (융복합적 수중운동이 유방암 환자의 어깨 기능, 폐기능과 삶의 질에 미치는 영향)

  • Kang, Yang-Hoon;Yoon, Jong-Hyuk
    • Journal of Digital Convergence
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    • v.19 no.10
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    • pp.349-355
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    • 2021
  • This study applied aquatic and land-based exercises to breast cancer patients for comparative analysis and elucidation of their effects on the rehabilitation of cancer patients. Participants included 40 breast cancer patients who were divided into two groups: 20 participants in the experimental group using aquatic exercise and 20 participants in the control group using land-based exercise. After the addition of aquatic or land-based exercises five times per week for eight weeks, differences in each group's shoulder and pulmonary functions as well as their quality of life were compared and analyzed. The results showed a statistically significant difference (p<.001) for shoulder dysfunction, with the experimental group showing a greater improvement than the comparison group. Statistically significant differences (p<.05 and p<.001, respectively) were also observed for forced vital capacity (FVC) and forced expiratory volume in one second (FEV1), with the experimental group showing greater improvements. Finally, a statistically significant difference (p<.001) was observed for change in the quality of life, with greater improvements in the experimental group than in the control group. The results of further research in this field are expected to indicate the most efficient method for the recovery and management of physical, psychological, and social health impacts of breast cancer on patients. Furthermore, the research aims to provide fundamental resources for breast cancer rehabilitation in South Korea by conducting studies on patients with lung cancer or colorectal cancer and the application of various aquatic exercise methods.

The Effect of Theratainment Swiss Ball Exercise on the Upper Limb Function, Pain and disability, Daily Activities of a Patient with Axillary Nerve Injury: Single Subject (테라테인먼트 스위스 볼 운동이 겨드랑신경 손상 환자의 상지기능, 통증 및 장애, 일상생활활동에 미치는 영향 : 개별대상연구)

  • Son, Bo-Young;Bang, Yo-Soon
    • Journal of Korea Entertainment Industry Association
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    • v.14 no.3
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    • pp.431-442
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    • 2020
  • This study examined the effect of the theratainment swiss ball exercise on the upper limb function, pain, and daily activities of a patient with axillary nerve injury. The research duration was from November 5th, 2019 to February 25th, 2020. The research subject was a 23-year-old female patient living in the metropolitan city of G in South Korea, and the A-B-A' type of single-subject experimental research design was used. In this study, repeated training was provided to the patient in the form of exercises employing different directions and gradually increased weights. The training increased the structural stability and mobility of the shoulder and was effective for pain relief as it strengthened shoulder function. The training helped the subject improve her posture change adaptability and reaction ability in different environments and ultimately enabled her to increase and maximize her performance of independent daily activities. This study thus demonstrated the positive effect of the Swiss ball exercise on the upper limb function, pain and disability, daily activities of a patient with axillary nerve injury and confirmed the potential of the exercise as an intervention method. Continued investigation to develop and test the effect of the Swiss ball exercise will be required for it to be used professionally as a therapeutic approach by occupational therapists in treating a variety of patients.

Functional Evaluation of Spinal Accessory Nerve and Shoulder after Neck Dissection (경부청소술 후 어깨 및 척수 부신경의 기능평가)

  • Tae Kyung;Han Jang-Hee;Park In-Beom;Jeong Jin-Hyeok;Lee Hyung-Seok;Choi Ki-Sub
    • Korean Journal of Head & Neck Oncology
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    • v.20 no.2
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    • pp.161-166
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    • 2004
  • Objective: The aim of this study is to evaluate shoulder function and preoperative and postoperative electrophysiological changes related to the spinal accessory nerve with reference to neck dissection technique. Materials and Methods: We evaluated shoulder function by pain, strength and range of motion in a total of 35 neck dissection cases of 29 patients with head and neck cancer or thyroid papillary cancer. Electrophysiologic studies were performed before surgery, after third postoperative weeks and 6 months respectively. The results of each test according to the types of neck dissection were compared. Results: Clinical parameters of shoulder function and electrophysiologic study showed deterioration in early postoperative periods and improvements in late postoperative periods when the spinal accessory nerve was spared and permanent nerve damage was observed in radical neck dissection. There were correlations between the clinical parameters and electrophysiologic studies. Conclusion: The shoulder function after spinal accessory nerve sparing procedure is better than the function after nerve sacrificing procedure.

Effects of Chiropractic Using Sacro Occipital Technique on Pain and Physical Function in Patients with Low Back Pain (천골후두골 테크닉을 이용한 카이로프랙틱이 만성 요통환자의 통증과 신체기능에 미치는 영향)

  • Jeong, Ji-Moon;Kim, Jaehee
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.14 no.9
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    • pp.4402-4411
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    • 2013
  • The aim of this study was to identify the effects of chiropractic treatment using Sacro Occipital Technique (SOT) on low back pain (LBP) and physical functions in patients with chronic LBP. Forty-five women with chronic LBP were randomly assigned to the Diversified Technique (DT), SOT or DT+SOT group and received chiropractic treatment two times a week for 8 weeks. LBP was measured using Visual Analogue Scale (VAS), Oswestry Disability Index (ODI), and Roland-Morris Disability Questionnaire (RMDQ) at baseline and after 4 and 8 weeks of treatment. Physical functions were evaluated using lumbar strength, flexibility, and body symmetries. After 4 and 8 weeks, VAS, ODI, and RMDQ were significantly decreased in all 3 groups (all p<.001). Lumbar strength, flexibility, and shoulder and pelvic balances were significantly improved in all 3 groups (all p<.05). In conclusion, our results suggest that SOT and DT both may be effective for reducing LBP and improving physical functions.

Risk Assessment and Intervention of Ergonomic Risk Factor in Beekeeping (치과위생사의 직무스트레스 그리고 작업자세와 상지의 증상여부 및 기능과의 관련성)

  • Kwon, Yu-jin;Kang, Yong Ju;Seo, Sung-Hyo;Kim, Bokyoung;Park, Ki-Soo
    • Journal of agricultural medicine and community health
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    • v.44 no.4
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    • pp.209-219
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    • 2019
  • Objectives: This study investigated musculoskeletal symptoms in upper limbs according to the working environment (job stress) of dental hygienists and examine their relationship with upper limb functions. Methods: The subjects include 198 dental hygienists in dental hospitals and dental clinics in Pusan and Gyeongnam. The questionnaire was consisted of general characteristics of the subjects, job stress, musculoskeletal symptoms in upper limbs and function (Disability Measurement Tool for Upper Extremity Disorders-11, DASH-11). Results: The study was analyzed their musculoskeletal symptoms in upper limbs according to their general characteristics and found that the symptoms occurred in the neck (39.4%), the shoulders (54.6%), elbows (14.7%), and the hands (50.0%). Job stress was associated with upper limb functions (DASH-11) (model 3, B=5.210, p=0.012) and repeated elbow bending and spreading posture was associated with DASH-11 (model 3, B=6.561, p=0.029). Elbow symptoms were associated with DASH-11 in the upper limbs (B=10.679, p=0.003). Conclusion: Dental hygienists are experiencing limitations of upper limb function due to job stress. In particular, even if the correction of their uncomfortable posture is significantly related to the job stress and upper limb function, in order to improve the upper limb function of the dental hygienist, efforts to reduce the job stress as well as the uncomfortable posture are necessary.

The Effect of Scapular Dynamic Taping on Pain, Disability, Upper Body Posture and Range of Motion in the Postoperative Shoulder (어깨뼈 다이나믹 테이핑이 어깨 수술 환자의 통증과 기능장애 수준, 상지 자세와 관절가동범위에 미치는 영향)

  • Park, Se-Jin;Kim, Suhn-Yeop
    • Journal of the Korean Society of Physical Medicine
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    • v.13 no.4
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    • pp.149-162
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    • 2018
  • PURPOSE: The aim of this study was to investigate the effect of scapular dynamic taping on pain, disability, upper body posture, and range of motion (ROM) in the postoperative shoulder. METHODS: Twenty-two patients who underwent acromioplasty and rotator cuff repair surgery volunteered for this study. The subjects were randomly divided into an experimental group (EG, n=11) and a control group (CG, n=11). For the EG, exercise therapy, manual therapy, and scapular dynamic taping were applied for 6 weeks; for the CG, only exercise therapy and manual therapy were applied for 6 weeks. Shoulder pain, disability, upper body posture, and ROM were evaluated at baseline, after 3 weeks of intervention, and after 6 weeks of intervention. Assessment tools included quadruple visual analog scale (QVAS) for level of pain; shoulder pain and disability index (SPADI) for functional disability level; forward head angle (FHA), forward shoulder angle (FSA), and pectoralis minor index (PMI) for upper body posture; and ROM testing. RESULTS: Significant differences were observed between the EG and CG in SPADI total scores; internal rotation and external rotation ROM of the glenohumeral joint ; FSA ; and PMI. All groups showed statistically significant improvement in QVAS; SPADI; flexion; abduction; external rotation and internal rotation ROM of the glenohumeral joint; FSA; and PMI. CONCLUSION: These results suggest that, for patients who have undergone acromioplasty and rotator cuff repair surgery, the addition of scapular dynamic taping during therapy is effective for improvement of shoulder disability level, ROM, and upper body posture.