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Using Shoulder Straps Decreases Heart Rate Variability and Salivary Cortisol Concentration in Swedish Ambulance Personnel

  • Karlsson, Kare J.;Niemela, Patrik H.;Jonsson, Anders R.;Tornhage, Carl-Johan A.
    • Safety and Health at Work
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    • v.7 no.1
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    • pp.32-37
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    • 2016
  • Background: Previous research has shown that paramedics are exposed to risks in the form of injuries to the musculoskeletal system. In addition, there are studies showing that they are also at increased risk of cardiovascular disease, cancer, and psychiatric diseases, which can partly be explained by their constant exposure to stress. The aim of this study is to evaluate whether the use of shoulder straps decreases physical effort in the form of decreased heart rate and cortisol concentration. Methods: A stretcher with a dummy was carried by 20 participants for 400 m on two occasions, one with and one without the shoulder straps. Heart rate was monitored continuously and cortisol samples were taken at intervals of 0 minutes, 15 minutes, 30 minutes, 45 minutes, and 60 minutes. Each participant was her or his own control. Results: A significant decrease in heart rate and cortisol concentration was seen when shoulder straps were used. The median values for men (with shoulder straps) at 0 minutes was 78 bpm/21.1 nmol/L (heart rate/cortisol concentration), at 15 minutes was 85 bpm/16.9 nmol/L, and at 60 minutes was 76 bpm/15.7 nmol/L; for men without shoulder straps, these values were 78 bpm/21.9 nmol/L, 93 bpm/21.9 nmol/L, and 73 bpm/20.5 nmol/L. For women, the values were 85 bpm/23.3 nmol/L, 92 bpm/20.8 nmol/L, and 70 bpm/18.4 nmol/L and 84 bpm/32.4 nmol/L, 100 bpm/32.5 nmol/L, and 75 bpm/25.2 nmol/L, respectively. Conclusion: The use of shoulder straps decreases measurable physical stress and should therefore be implemented when heavy equipment or a stretcher needs to be carried. An easy way to ensure that staff use these or similar lifting aids is to provide them with personalized, well-adapted shoulder straps. Another better option would be to routinely sewn these straps into the staff's personal alarm jackets so they are always in place and ready to be used.

A Study on Shoulder Joint ROM of the Elderly (노인의 견관절 가동범위에 관한 연구)

  • Um, Ki-Mai;Yang, Yoon-Kwon
    • Journal of Korean Physical Therapy Science
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    • v.8 no.2
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    • pp.997-1003
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    • 2001
  • The purpose of this study is to know the average of pint range of motion and difference according to the aging for the elderly, This study consisted of elder male(n=75) and elder female(n=l09), The result of assessment and analysis in shoulder pint range of motion are as follows: 1) The average shoulder flexion pint range of motion in 60-69(from sixty to sixty-nine)years old are 163.04(Left-Male), 162.91(Right-Male), 158.74 (Left-Female), 158.74 (Right-Female). 70-79years old are 149.40(L-M), 152.38(R-M), 153,37(L-F), 153.37(R-F). 80-89 years old are 149.57(L-M), 147.93(R-M), 151.17(L-F), 150.33(R-F). There was no significant difference among group, 2) The average shoulder extension pint range of motion in 60-69years old are 48.15(L-M), 47.20(R-M), 45.16(L-F), 44.23(R-F), 70-79years old are 37.l1(L-M), 38.70(R-M), 35.17(L-F), 36.71(R-F), 80-89 years old are 34.46(L-M). 36.71(R-M), 33.90(L-F), 33.09(R-F). There was significant difference among group(p<.05). 3) The average shoulder abduction pint range of motion in 60-69years old are 164.22(L-M), 165.96(R-M), 159.34(L-F), 159.97(R-F), 70-79years old are 152.27(L-M), 155.05(R-M), 152.32(L-F), 53.66(R-F), 80-89 years old are 152.17(L-M), 153.76(R-M), 147.53(L-F), 147.37(R-F). There was significant difference in right shoulder abduction among group(p<05). 4) The average shoulder internal rotation pint range of motion in 60-69years old are 63.52(L-M), 65.70(R-M), 64.16(L-F), 64.61(R-F), 70-79years old are 64.50(L-M), 65.81(R-M) 61.10(L-F), 61.83(R-F). 80-89 years old are 61.60(L-M), 61.66(R-M), 57.53(L-F), 57.53(R-F). There was no significant difference among group. 5) The average shoulder external rotation pint range of motion in 60-69years old are 50.87(L-M), 50.22(R-M), 51.03(L-F), 50.42(R-F), 70-79years old are 50.91(L-M), 50.20(R-M) 48.37(L-F), 50.20(R-F). 80-89 years old are 46.83(L-M), 47.93(R-M), 43.43(L-F), 43.72(R-F).There was significant difference in left shoulder external rotation among group(p<.05).

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Comparison of Virtual Clothing Simulation by Placement of Lateral Neck Point and Shoulder Angles of Bodice Pattern (길원형의 목옆점 위치와 어깨각도 변화에 따른 가상착의 비교)

  • Park, Sunhee;Lee, Yejin
    • Journal of the Korean Society of Clothing and Textiles
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    • v.42 no.6
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    • pp.1002-1015
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    • 2018
  • In this study, we analyzed the results of virtual clothing simulation according to the difference in the lateral neck point as well as the front and back shoulder inclination angles of the bodice foundation. Lim's (2016) (S) and Lee's (1999) method (L) were selected as the different setting for the lateral neck point. S1, S2, L1 and L2 were developed by changing the shoulder inclination angles. The SND and LND were developed by removing the darts in the S and L, respectively; in addition, the SND1, SND2, LND1, and LND2 were developed with different shoulder inclination angles. The results of S and L were similar with only slight differences observed in the armhole shape. However, the results of SND and LND were very different. The patterns of the S series were similar to each other, but the patterns of the L series were different. In addition, the patterns of the SND and LND series could not find a similar trend.

A Study on the Analysis of Scaling Failure Cause in L-Shoulder Concrete Structure (L형측구 콘크리트 구조물의 표면박리파손 원인분석에 관한 연구)

  • Jeon, Sung Il;Nam, Jeong Hee;Ahn, Sang Hyeok;An, Ji Hwan
    • International Journal of Highway Engineering
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    • v.16 no.6
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    • pp.27-37
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    • 2014
  • PURPOSES : The purpose of this study is to verify the causes of surface scaling at L-shoulder concrete structure. METHODS : From the literature reviews, mechanisms of frost damage were studied and material properties including strength, air void, spacing factor and scaling resistance of L-shoulder concrete structure were analyzed using core specimens taken by real fields. RESULTS : The spacing factor of air void has relatively high correlation of surface conditions : lower spacing factor at good surfacing condition and vice versa. If the compressive strength is high, even thought spacing factor does not reach the threshold value of reasonable durability, the surface scaling resistance shows higher value. Based on these test results, the compressive strength also provide positive effect on the surface scaling resistance. CONCLUSIONS : The main causes of surface scaling of L-shoulder could be summarized as unsuitable aid void amount and poor quality of air void structure. Secondly, although the compressive strength is not the governing factor of durability, but it shows the positive effect on the surface scaling resistance.

Pulsed Radiofrequency Neuromodulation for Post-Stroke Shoulder Pain in Patients with Hemorrhagic Stroke

  • Doyoung Na;Mu Seung Park;Hyuk Jai Choi;Jinseo Yang;Yong-Jun Cho;Jin Pyeong Jeon
    • Journal of Korean Neurosurgical Society
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    • v.67 no.5
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    • pp.568-577
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    • 2024
  • Objective : Post-stroke shoulder pain (PSSP) is a common complication that limits the range of motion (ROM) of the shoulder, the patient's rehabilitation and in turn, affects the patients' quality of life (QoL). Several treatment modalities such as sling, positioning, strapping, functional electrical stimulation, and nerve block have been suggested in literatures, however none of the treatments had long-term effects for PSSP. In this study, the authors evaluated clinical efficacy of pulsed radiofrequency (PRF) neuromodulation on the suprascapular nerve for PSSP, and suggested it as a potential treatment with long-term effect. Methods : This retrospective case series was conducted at a single center, a private practice institution. From 2013 to 2021, 13 patients with PSSP underwent PRF neuromodulation of the suprascapular nerve. The primary outcome measure was the Visual analog scale (VAS) score. The secondary outcome measurements included the shoulder ROM, Disability assessment scale (DAS), modified Ashworth scale, modified Rankin scale (mRS), and EuroQol-5 dimension-3L questionnaire (EQ-5D-3L) scores. These parameters were evaluated before PRF modulation, immediately after PRF modulation, and every 3 months until the final follow-up visit. Results : Six men and seven women were enrolled, and all patients were followed-up for a minimum of 12 months. The mean VAS score was 7.07 points before PRF neuromodulation and 2.38 points immediately post-procedure. Shoulder ROM for abduction and flexion, DAS for pain, mRS, and EQ-5D-3L demonstrated marked improvement. No complications were reported. Conclusion : PRF neuromodulation of the suprascapular nerve is an effective modality in patients with PSSP, and has long-term effect of pain relief, improvement of QoL.