• Journal of Korean Physical Therapy Science
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• 제20권1호
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• pp.43-49
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• 2013

Background and purpose : The shoulder joints permit the greatest mobility of any joint area carries out the important function of stabilization for hand use. Research has now shown that grip strength has proven to be a reliable indicator for quality of life at an older age. The purpose of this study was to investigate the effects of testing posture and shoulder position on grip strength for repetitive gripping task. Methods : Forty(20male, 20female) college adult volunteers with no known shoulder dysfunction participated subject in two testing posture(sitting and standing) and three positions with shoulder flexion: (1) shoulder $0^{\circ}$ flexion (2) shoulder $90^{\circ}$ flexion (3) shoulder $180^{\circ}$ flexion. The paired t-test was used to determine any significant difference in grip strength between the testing posture and shoulder position. Results : The higher grip strength gained in the sitting with the shoulder $180^{\circ}$ flexion and the higher grip strength gained in the standing with the shoulder $180^{\circ}$ flexion. The second experiment showed that the grip strength was significant for sitting, standing position of shoulder $0^{\circ}$ flexion( p<0.05). Grip strength goes up as increase height and weight. Conclusion : These findings demonstrate that the theory does not fit with, because of the influence of gravity, a measure from the shoulder joint is the most high, $0^{\circ}$. And sitting posture and stance in the grip of a difference when compared SIT $0^{\circ}$ and standing position $0^{\circ}$ significant difference in indicated but, $90^{\circ}$ and $180^{\circ}$ in the sitting position and stance in the grip of the difference was not significant difference. To demonstrate the universality of this study's results, future studies should have a larger and more subject as well as a more even distribution of male and female subject. Therefore future research is needed to refine the definition and identify optimal methods of measuring this grip strength.

• Physical Therapy Korea
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• 제23권4호
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• pp.38-46
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• 2016

Background: Shoulder stabilization commonly involves two components: the glenohumeral stabilization exercise (GSE) and scapular stabilization exercise (SSE). Despite the fact that the shoulder stabilization has advantageous merit, to our knowledge, only a few studies have compared the superior of the GSE and the SSE. Objects: The purpose of this study was to assess the effects of GSE in patients with nonspecific shoulder pain. Methods: Thirty subjects with nonspecific shoulder pain were randomly divided into an experimental group and control group, each with 15 patients. The experimental group used an GSE, whereas the control group did SSE. All subjects were measured in shoulder stability, scapular symmetric alignment, pain, muscle power, and range of motion before and after the intervention. Results: GSE resulted in significantly better shoulder stability (p=.046, from $8.67{\pm}7.54$ score to $13.93{\pm}9.40$) in the experimental group compared with SSE in the control group. However, no significant effects were observed for scapular symmetric alignment including the angles of inferior scapular distance (p=.829) and inferior scapular height difference (p=.735), pain (p=.113), muscle power including shoulder flexion (p=.723) and abduction (p=.897) and range of motion including shoulder flexion (p=.853) and abduction (p=.472). Conclusion: These findings suggest that GSE may be more effective in increasing the shoulder stability than the SSE in patients with nonspecific shoulder pain, probably through a centralization effect on the shoulder mechanism.

• The Journal of Korean Medicine
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• 제18권1호
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• pp.25-39
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• 1997

Shoulder hand syndrome is characterized by pain, vasomotor instability, and tenderness, mainly in the distal upper extremity. The pathophysiologic mechanism of this syndrome is not yet proved. The purpose of this study is to evaluate the usefulness of thermographic imaging on shoulder hand syndrome after stroke for early diagnosis and its clinical pattern analysis including acupuncture and electroacupuncture therapy. This study was performed from June to September in 1996 on 46 stroke patients who were admitted at Oriental hospital of Kyung Hee Medical Center. The study group were 23 patients with shoulder hand syndrome. The control group were 23 patients without shoulder hand syndrome. Skin temperatures on the both upper extremities were measured by Digital Infrared Thermographic Imaging(D.I.T.I.) before the study and 3 weeks later again. The results were as follows; 1. The shoulder hand syndrome group were significantly more restricted in shoulder passive range of motion than the control group. 2. The shoulder hand syndrome group showed significant temperature difference of both dorsal hands. 3. The electroacupunture therapy group were significantly more improved on the temperature difference of both dorsal hands than acupuncture therapy group in 3 weeks later. 4. Both posterior arms showed the biggest temperature difference from 11 to 30 days in shoulder hand syndrome group. 5. The lesser passive ROM(range of motion) of shoulder group showed significantly increased temperature difference of both hands. The above results show that measurement of shoulder passive range of motion and D.I.T.I. is a useful method for early diagnosis on shoulder hand syndrome and its clinical pattern analysis including evaluation of acupuncture and electroacupuncture therapy. Continuous study will be needed for more clinical application and evaluation on shoulder hand syndrome.

• The Academic Congress of Korean Shoulder and Elbow Society
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• 대한견주관절학회 1997년도 학술대회
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• pp.38-48
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• 1997

• Clinics in Shoulder and Elbow
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• 제26권3호
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• pp.219-219
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• 2023

• Journal of The Korean Society of Integrative Medicine
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• 제11권4호
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• pp.213-220
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• 2023

Purpose : The purpose of this study is to investigate the effect of each lower trapezius muscle exercise performed according to the abduction position (Y type - shoulder joint abduction 145 °, T type - shoulder joint abduction 90 °, and MPC type - shoulder joint 45 ° abduction) of the shoulder joint on the muscle activity of the round shoulder and lower trapezius muscle. Methods : This study was conducted on 31 adult men and women. Through random assignment, they were assigned to the Y group, T group, and MPC group. A 4-week intervention was performed for each group of 31 subjects who participated in the experiment, and shoulder height and lower trapezius muscle activity were measured before and after the intervention. Shoulder height measurement is a test to measure rounded shoulder posture. When the value is low, it means that rounded shoulder posture is improved. The muscle activity of the lower trapezius muscle was measured using the %MVIC method, and when the value is high, it means that the lower trapezius muscle is active. All measured data were verified using dependent t-tests for before and after comparisons and one-way analysis of variance for comparisons between groups. Results : The results of this study showed a significant decrease after intervention only in shoulder height. Muscle activity of the lower trapezius muscle decreased after intervention, but did not show a significant difference. Both variables showed no significant differences between groups. Conclusion : The results of this study show that three lower trapezius muscle exercises were performed on subjects in rounded shoulder posture. All three groups showed a significant decrease in the shoulder height value, a method of measuring rounded shoulder posture, and no significant differences between groups could be confirmed. Therefore, all three exercises can be considered effective in reducing shoulder posture.

• The Academic Congress of Korean Shoulder and Elbow Society
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• 대한견주관절학회 2009년도 제17차 학술대회
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• pp.49-51
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• 2009

• The Academic Congress of Korean Shoulder and Elbow Society
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• 대한견주관절학회 1995년도 Symposium and Workshop
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• pp.9-13
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• 1995

1. The static restraints are improtant in maintaining balance between shoulder mobility and stability. But the shoulder musculature plays the vital role in moving the joint and providing stability. 2. Study of the dynamic restraints continues and study of the combined effect of the static and dynamic restraints is demanded.

• Clinics in Shoulder and Elbow
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• 제18권4호
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• pp.206-210
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• 2015

Background: Assessment of the clinical outcomes after rotator cuff repair is essential for their effectiveness on treatment. The Korean Shoulder and Elbow Society devised the Korean Shoulder Scoring System (KSS) for patients with rotator cuff disorder. The purpose of this study was to evaluate the availability of the KSS for assessment of clinical outcomes in patients after arthroscopic rotator cuff repair, and for comparison with other appraisal scoring systems. Methods: A total of 130 patients with partial-thickness or full-thickness rotator cuff tear who underwent arthroscopic repair using a single row or double row suture bridge technique were enrolled. The average follow-up period was 25.9 months. All patients were classified according to various factors. Comparison within corresponding categories was performed, and the correlation between the KSS and other shoulder assessment methods including University of California Los Angeles (UCLA), Constant and American Shoulder and Elbow Surgeons (ASES) score was analyzed. Results: Total score of the KSS response had increased from 59.6 preoperatively to 88.96 at last follow-up. All KSS domains, including function, pain, satisfaction, range of motion, and muscle power had improved up to 24 months postoperatively. Statistical significance was observed mainly in preoperative measurements with number and size of torn tendons, and greater than or equal to grade 3 of fatty infiltration. The KSS was best correlated with the UCLA scoring system in both preoperative (r=0.785) and postoperative (r=0.951) measurements. Conclusions: The KSS was highly reliable and valid as a discriminative instrument, and it showed strong correlation with ASES and UCLA scoring systems.

• Physical Therapy Korea
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• 제17권1호
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• pp.1-8
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• 2010

The purpose of this study was to compare EMG activity for pectoralis major muscle during shoulder movement with various abduction angle and rotation position in supine position. Fifteen healthy subjects were recruited for this study. All subjects performed shoulder horizontal adduction holding a 2 kg dumbbell in shoulder abduction $40^{\circ}C$, $70^{\circ}C$, $90^{\circ}C$, $130^{\circ}C$, $160^{\circ}C$ with shoulder neutral, internal rotation (IR), and external rotation (ER). Surface EMG activity was recorded from pectoralis major clavicle part and pectoralis major sternum part for 5 seconds and EMG activity was normalized to the value of maximal voluntary isometric contraction (%MVIC). Dependent variables were examined with 3 (Neutral, IR, ER) ${\times}$ 5 ($40^{\circ}C$, $70^{\circ}C$, $90^{\circ}C$, $130^{\circ}C$, $160^{\circ}C$) analysis of variance with repeated measures. The EMG activity of pectoralis major muscle was significantly different between shoulder abduction angles and between shoulder rotation positions (p<.05). The highest value of EMG activity of pectoralis major clavicle part among shoulder abduction angles was in $70^{\circ}C$ and, $90^{\circ}C$ in that order. The highest value of EMG activity of pectoralis major sternum part among shoulder abduction angles was in $130^{\circ}C$ and, $90^{\circ}C$ in that order. According to the rotation degree, shoulder ER showed the highest value and IR showed the lowest value in both muscle parts. These results suggest that shoulder abduction $70^{\circ}C$, $90^{\circ}C$, $130^{\circ}C$ will be effective during manual muscle testing (MMT) and strengthening exercise for pectoralis major muscle. It is also supposed that shoulder ER is the efficient posture for strengthening of pectoralis major muscle.