• Title/Summary/Keyword: SHOULDER

Search Result 5,259, Processing Time 0.029 seconds

Biceps long head tendon revisited: a case report of split tendon arising from single origin

  • Kim, Kyung-Cheon;Rhee, Kwang-Jin;Shin, Hyun-Dae;Byun, Ki-Yong
    • The Academic Congress of Korean Shoulder and Elbow Society
    • /
    • 2008.03a
    • /
    • pp.165-165
    • /
    • 2008
  • A 27-year-old, right-hand-dominant woman with a posttraumatic anterior shoulder dislocation 3 months earlier after traYc accident presented because of pain and limited range of motion in the right shoulder. On physical examination, the patient had negative instability tests and a sulcus sign. On arthroscopic examination, a bifurcate long biceps tendon with two limbs was observed about 1 cm distal to the origin in the supraglenoid tubercle. We found no evidence of a tear in the long biceps tendon on probing, and the margin of each limb was smooth and round. Although this anatomic variant may be benign, its presence might be associated with other shoulder pathology. It is interesting to speculate whether the aberrant biceps anatomy in our patient contributed to transfer of injury at dislocation to the rotator cuff rather than to the classic anterior-inferior capsulolabral complex. In addition, recognition of the described anatomic variant on arthroscopy can aid the shoulder surgeon in focusing treatment on the actual pathology.

  • PDF

Effects of the Aroma Massage on Shoulder Pain, Depression, Sleep Disturbance in Hemiparesis Patients (아로마 마사지가 편마비 환자의 견통, 우울 및 수면장애에 미치는 효과)

  • Jung, Hyang-Mi;Jeon, Young-Sun
    • The Korean Journal of Rehabilitation Nursing
    • /
    • v.7 no.2
    • /
    • pp.231-237
    • /
    • 2004
  • Purpose: The purpose of this study is to find out the effects of the aroma massage on shoulder pain, depression, and sleep disturbance in hemiparesis patients. Method: The research design was a nonequivalent control group nonsynchronized design. The data was collected from July 1 to August 31, 2003 at D medical Center in Busan. The subjects were 37 patients that they were assigned to two groups, nineteen subjects in the experimental group and seventeen subjects in the control group. The oil made from a blend of lavendar, clarysage, bergamot at a ratio 3:1:2 used for relieving shoulder pain, depression, sleep disturbance. The instruments used for this study were Visual Analogue Scale(VAS) for shoulder pain, Zung' depression scale, 4 score's scale for sleep disturbance. The data were analyzed using SPSS and hypotheses were examined with ANCOVA. Results: Shoulder pain, depression, and sleep disturbance were significantly lower in the experimental group compared than the control group. Conclusion: The aroma massage using selected essential oils is an effective intervention for relieving shoulder pain, depression, sleep disturbance in hemiparesis patients. However differences between aroma massage and massage were not clear, further study needs to be done.

  • PDF

Comparison of Distance of Subacromial Space Using Ultrasonographic Measurement on Arm Positions of Shoulder Injured Patients (견부손상환자의 팔의 자세에 따른 초음파 영상을 이용한 견봉하공간 거리의 비교)

  • Jee, Eun-Mi;Kim, Suhn-Yeop;Park, Ji-Whan
    • Journal of the Korean Society of Physical Medicine
    • /
    • v.6 no.4
    • /
    • pp.397-406
    • /
    • 2011
  • Purpose : Recently ultrasound images has been used to measure the subacromial space with a linear measurement of the acromiohumeral distance. The purpose of this study was to comparison of distance of subacromial space using ultrasonographic measurement on arm positions of shoulder injured patients. Methods : The subjects were 30 shoulder injured patients (19 males and 11 females). Ultrasonography was performed to measure subacromial space during each shoulder resting position, $45^{\circ}$ abduction, internal rotation with $45^{\circ}$ abduction and external rotation with $45^{\circ}$ abduction. Results : Subacromial space was a significantly difference between injured arm and normal arm at shoulder resting position. At $45^{\circ}$ abduction, subacromial space was narrowing significantly between injured arm and normal arm. At external rotation with $45^{\circ}$ abduction, subacromial space were wider in normal arm than in injured arm but it was not significantly. Intra-observer reliability for ultrasonography measurement of subacromial distance was excellent (.96~.99). Conclusion : These results identified that positions of injured shoulder was related to subacromion space.

A Case Report of PNF Strategy Applied ICF Tool on Upper Extremity Function for Patient Adhesive Capsulitis (유착성 관절낭염 환자의 상지 기능에 대한 ICF Tool을 적용한 PNF 중재전략의 증례보고)

  • Kang, Tae-Woo;Kim, Tae-Yoon
    • Journal of the Korean Society of Physical Medicine
    • /
    • v.12 no.4
    • /
    • pp.19-28
    • /
    • 2017
  • PURPOSE: The purpose of this study was to describe the Proprioceptive Neuromuscular Facilitation (PNF) Intervention strategy applied International Classification of Functioning, Disability and Health (ICF) Tool about strength, range of motion, scapular stability, pain and function of shoulder for patients with adhesive capsulitis. METHODS: The data was collected by patient with adhesive capsulitis. The patient was a 50-year-old male diagnosed with right shoulder with adhesive capsulitis. We applied the PNF Intervention strategy applied ICF Tool to patient with adhesive capsulitis. PNF interventions were consisting of such as combination of isotonic and stabilizing reversal technique and various positions. PNF interventions were applied, such as those aiming at decreasing pain and disability and increasing range of motion and function for the four weeks. Parameters of result were collected for strength, range of motion, scapular stability, pain and function of shoulder using the hand held dynamometer, goniometer, lateral scapula slide test, and shoulder pain and disability index, respectively. RESULTS: Clinical benefits were observed the patient with adhesive capsulitis for strength, range of motion, scapular stability, pain, and function of shoulder. The patient with adhesive capsulitis improved strength, range of motion, scapular stability, pain, and function of shoulder. CONCLUSION: Patient reported improved strength, range of motion, scapular stability, pain, and function of shoulder after intervention.

Effects of Isometric Upper Limb Contraction on Trunk and Leg Muscles During Sit-to-stand Activity in Healthy Elderly Females

  • Jang, Eun-Mi;Oh, Jae-Seop;Kim, Mi-Hyun
    • Journal of the Korean Society of Physical Medicine
    • /
    • v.12 no.1
    • /
    • pp.61-66
    • /
    • 2017
  • PURPOSE: The purpose of this study was to investigate the effects of isometric upper limb contraction on the trunk and lower extremity muscles during the sit-to-stand activity in elderly females. METHODS: Eighteen healthy elderly females performed three directional isometric upper extremity contractions (flexion, extension, and horizontal abduction movements) using an elastic band during sit-to-stand activity. Electromyography signals were collected from the internal oblique, erector spinae, rectus femoris, and biceps femoris muscles. RESULTS: Internal oblique activity was greater in bilateral shoulder flexion and bilateral shoulder horizontal abduction than in neutral position (p<.05). Erector spinae and rectus femoris muscle activities in bilateral shoulder flexion was greater than in neutral position and bilateral shoulder extension (p<.05). Biceps femoris activity was significantly greater in bilateral shoulder flexion than in bilateral shoulder extension and horizontal abduction, and in neutral position compared to bilateral shoulder extension (p<.05). CONCLUSION: These results suggest that incorporating isometric upper limb contraction may be beneficial for enhancing the contribution of trunk and lower extremity muscle activities to trunk stabilization during sit-to-stand activity. Therefore, isometric upper limb contraction during sit-to-stand tasks, especially in flexion, may be used to elicit contraction of the lumbopelvic region muscles within a tolerable range, for developing endurance and strength in the elderly.

Research Trends on the Acupuncture Treatment of Shoulder Impingement Syndrome (어깨 충돌증후군의 침치료에 관한 연구 동향)

  • Yoon, Kwang Sik
    • Journal of Physiology & Pathology in Korean Medicine
    • /
    • v.32 no.5
    • /
    • pp.315-320
    • /
    • 2018
  • The purpose of this study is to investigate reasearch trend of acupuncture treatment on shoulder impingement syndrome. This study investigated the recent studies about acupuncture treatment for shoulder impingement syndrome via searching Korean and foreign electronic databases(Research Information Services, National Digital Science Library, Oriental Medicine Advanced Searching Integated Services, PubMed, China National Knowledge Infrastructure). The search term was searched by combining 'shoulder impingement sydrome', 'subacrominal pain', 'acupuncture', 'needle therapy', and was limited to the articles published from 2005 to 2017. 14 studies were found to be analyzed according to the type of study, the number of cases, the type of treatment, the instruments for assessment and published year. 14 studies were published since 2005, 6 case reports, 8 randomized controlled trials. In the treatment of shoulder impingement syndrome, treatments such as acupuncture, acupotomy, pharmacopuncture, laser acupuncture, combined treatment of exercise and rehabilitation were performed. Visual analogue scale(VAS), range of motion(ROM) and various questionnaires were used as primary assessments. In each study, acupuncture treatment was reported to have a significant effect in the pain, range of motion and disability of shoulder impingement syndrome. In order to ensure objective evidence on acupuncture treatment, large scale case reports and randomized controlled trials should be continued.

The Effect of Functional Electrical Stimulation on Shoulder Subluxation in Hemiplegic Patient (기능적 전기자극이 편마비환자의 견관절아탈구에 미치는 효과 - 단일 사례연구 -)

  • Kim, Yong-Kwon;Cha, Jung-Jin;Kim, Sang-Soo
    • Journal of Korean Physical Therapy Science
    • /
    • v.8 no.1
    • /
    • pp.859-867
    • /
    • 2001
  • The purpose of this single subject care study was to evaluate the effectiveness of a functional electrical stimulation(FES) treatment program designed to prevent glenohumeral pint stretching and subsequent subluxation and shoulder pain in hemiplegic patients. The subject was a 43-year-old male who had left side hemiparesis with shoulder pain and subluxation on affected side. He received conventional physical therapy and additional FES therapy where two flaccid shoulder muscles, supraspinatus and posterior deltoid. were induced to contract repetitively up to 20 minutes for 2 weeks. As a result. the patient showed improvements in hemiplegic arm function, reduction in subluxation(as indicated by Jig test) and range of motion(SLROM). But it was difficult to generalize. We concluded that the FES program was effective in reducing the severity of shoulder subluxation and pain. Further study must be evaluated its statistical significance.

  • PDF

Isokinetic Evaluation Comparison of Shoulder Girdle Muscles in the Spinal Cord Injury Group and Normal Young Adults Group (척수 손상 환자와 정상 성인과의 견관절 주위근에 대한 등속성 근력 평가 비교)

  • Moon, Sung-Ki;Chae, Soo-Sung
    • Journal of Korean Physical Therapy Science
    • /
    • v.2 no.1
    • /
    • pp.367-373
    • /
    • 1995
  • The purpose of this studied was the comparison with shoulder girdle muscles of isokinetic evaluation in the spinal cord injury group, and adults normal group. Data was collected from 20 cases spinal cord injury from January 10. 1994 to February 10, 1995 in a Chungnam University hospital and adults normal group to 20 cases. The results were as follows; 1. Low speeds peak torque was higher spinal cord group than normal group shoulder girdle muscles of flexor, extensor, external rotator showed statistically significant in spinal cord injury group(p<0.05). Against normal groups shoulder girdle muscles of internal rotator showed statistically significant in normal group(p<0.05). 2. High speeds peak torque was higher spinal cord group than normal group shoulder girdle muscles of flexor, extensor, showed statistically significant in spinal cord injury group(p<0.05). 3. High speeds total work was higher spinal cord group than normal group shoulder girdle muscles of flexor, extensor, external rotator showed statistically significant in spinal cord injury group(p<0.05).(p<0.01). Against normal group shoulder girdle muscles of internal rotator showed statistically significant in normal group(p<0.05).

  • PDF

Case Report of Shoulder Impingement Syndrome with Acute Bursitis and Supraspinatus Tendinopathy (급성 점액낭염 및 극상근건염을 동반한 어깨충돌증후군 환자에 대한 증례보고)

  • Kim, Hyee-Kwon;Kim, Jeung-Shin;Nam, Sang-Soo;Kim, Yong-Suk;Bae, Ki-Tae
    • Journal of Acupuncture Research
    • /
    • v.22 no.5
    • /
    • pp.175-182
    • /
    • 2005
  • Objectives : There are little reports on treatment of shoulder impingement syndrome with acute bursitis and supraspinatus tendinopathy in traditional Korean Medicine. We suggest oriental treatment for pain relief and better movement of shoulder impingement. Methods : A -Shi Point, Sa-am acupuncture, ohjuksan-gamipang, seokyongtang-gamipang were used to treat shoulder pain. we evaluated the patient through VAS(Visual Analogue Scale) daily and Physical Examinations. Results : After 5 days of treatment, shoulder pain was decreased from VAS 7.5 to VAS 2 and After 3 weeks, the patient showed nearly full ROM(range of movement). Conclusion : In shoulder impingement syndrome, oriental treatment is good method for pain relief and better movement.

  • PDF

Differences in electric potential of meridian system(5) - Comparing electrical potentials of patients with shoulder lesions - (견비통 환자의 침 치료 전후 12경맥 전위측정 연구(5))

  • Nam, Bong-hyun;Choi, Hwan-soo
    • Journal of Acupuncture Research
    • /
    • v.19 no.6
    • /
    • pp.12-23
    • /
    • 2002
  • Objective : Assuming That the Characteristic of Meridian System Has been Similar to This of Electric Potentials in Human Body And that Measurements of Electric Potential at Well(井穴) and Sea(合穴) Points in Branches of the Twelve Meridians(WSBTM) Will Be Representative of Measurements of the Twelve Meridians, to Measure the Electric Potentials of 21 Patients with Shoulder Lesions, And Aching of Shoulder and Arm(肩臂痛)(ASA), to Be Differences in Electric Potentials of Patients Between Before And After Acupuncture Treatment, And Then to Find out the Characteristic of Meridian System in Patients with Shoulder Lesions. Methods : Electric Potentials of Well And Sea Points in the Meridians in Twenty one Patients with ASA Diagnosed by Both x-ray And Self View on Pain at Shoulder And Arm were Repeatedly Measured by Physiograph(PowerLab) at Before And after Acupuncture Treatment, Respectively. Measurements of Those Electrical Potentials Were Analyzed by Factor Analysis. Results : The Electric Potentials of WSBTM At the Left Side Before Acupuncture Treatment Were Divided Into Five Factors, But Those After Acupuncture Treatment Were Done Into Four Factors. On The Other Hand Those At the Right Side Before Acupuncture Treatment Were Divided Into Four Factors, The Number of Factors After Acupuncture Treatment Was Five. Conclusions : In Conclusions, The Number of Factors Before Acupuncture Treatment Are Different from Those After Acupuncture Treatment. In the Results The Effect of Acupuncture Treatment May be Reflected in Measurements of Electric Potential at WSBTM.

  • PDF