• 대한물리의학회지
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• 제18권4호
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• pp.1-17
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• 2023

PURPOSE: The purpose of this study was to compare how the shoulder height and respiratory function are affected by applying shoulder stabilization exercises and core stabilization exercises that are effective for strengthening the trunk muscles and postural stability for adults with a round shoulder posture (RSP). METHODS: The participants were 28 young adults with RSP. They were assigned randomly to two groups: shoulder stabilization exercise and core stabilization exercise. They performed the exercises for 30 minutes twice a week for four weeks. They measured the shoulder height and respiratory function before and after exercise. RESULTS: No significant difference in shoulder height was found between the groups. A significant decrease in shoulder height was found in the shoulder stabilization exercise group after exercise. The core stabilization exercise group showed a significant decrease after exercise. In respiratory function, no significant difference was found between the groups. The forced vital capacity (FVC) and forced expiratory volume in one second (FEV₁) were increased significantly in the shoulder stabilization exercise group before and after exercise. The FEV₁, FEV₁/FVC, and peak expiratory flow were significantly higher in the shoulder stabilization exercise group after exercise than in the core stabilization exercise group. CONCLUSION: Shoulder stabilization exercise and core stabilization exercise improved the postural alignment and pulmonary function, and the exercises could be helpful in shoulder rehabilitation as well as the clinical part of the treatment of rounded shoulder posture.

• 대한간호학회지
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• 제31권3호
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• pp.454-466
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• 2001

Purpose: The purpose of this study was to determine the effects of exercise program on cardiopulmonary functions and shoulder joint functioning in breast cancer patients who under- went radiation therapy after surgery. Method: Subjects in the experimental group(N=12) participated in an exercise program for eight weeks. The Exercise program consisted of shoulder stretching, arm weight training, and walking on treadmill. Maximal oxygen uptake (v2max), maximal running time, shoulder joint range of motion, and shoulder functional assessment were determined before and after the exercise program. Baseline sociodemographic and medical data were compared between experimental group and control group using the Fisher's exact test and Mann- Whitney U test. For effects of the exercise program, repeated measures ANOVA were used. Result: 1) Following the exercise program for eight weeks, both v$\alpha$ max and maximal running time tended to increase in experimental group comparing with the control group. 2) Shoulder abduction, extension and flexion of the operated upper extremity in the experimental group comparing with control significantly increased after the exercise program(p<0.05). 3) Shoulder flexion of the normal upper extremity in the experimental group comparing with control significantly increased after the exercise program(p<0.05). Conclusion: The results suggest that the exercise program for breast cancer patients undergoing radiation therapy after breast surgery can improve shoulder functions and increase cardiopulmonary functions, which are maximal oxygen uptake and maximal running time.

• International journal of advanced smart convergence
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• 제11권4호
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• pp.129-140
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• 2022

The purpose of this study to improve the shoulder wheel that is used frequently during shoulder circumduction exercise in a park, to link the shoulder wheel to a game application comprising various shoulder circumduction exercise and shoulder ROM exercise, and to enjoy the game during the exercises. A step motor was added to the shoulder wheel, and the rotating speed and rotating angle, and rotating direction can be controlled. The shoulder height, different for different people, can be controlled as well, so that any user can use this device. The developed application content includes the game elements, to enjoy the repetitive and boring exercise with fun and interest, and the control to adjust the degree of difficulty. This was to help users heighten their desire to rehabilitate by inducing active participation during repetitive shoulder rehabilitation exercise because the game vests users with intrinsic motivation and immersion. If the shoulder wheel and application contents proposed in this study are used, shoulder diseases can be prevented in advance by performing muscle strengthening exercises required in an aging society. This study is expected to contribute to the field of research related to serious games and rehabilitation.

• 대한물리의학회지
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• 제10권3호
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• pp.81-86
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• 2015

PURPOSE: Bridge exercises are broadly used to develop trunk co-activation patterns that promote spine stability. This study was to analyze the trunk muscle activity during bridge exercise with various shoulder support surface(stable, sling, Swiss ball). METHODS: The subjects were 20 healthy subjects in their twenties. Subjects were performed bridge exercise on 4 different shoulder support surfaces using stable and labile instruments. 1) Bridge exercise on a stable surface. 2) Bridge exercise with their shoulder on a stable bench. 3) Bridge exercise with their shoulder on a sling. 4) Bridge exercise with their shoulder on a Swiss ball. Rectus abdominis, erector spinae, internal oblique, external oblique muscle activities were measured using electromyography. RESULTS: There were significant differences in RA, EO muscles between performing each of the 4 exercises(p<.05). RA and EO was recorded the highest activity during the bridge exercise with their shoulder on a sling. The lowest activity was recorded during conventional supine bridge on a stable surface. There were no differences found for the EO/RA and IO/RA ratio. The EO/RA and IO/RA ratio was the highest in the bridge exercise with their shoulders resting on a stable bench. CONCLUSION: These findings suggest that change of shoulder support surface during bridge exercise may be useful for enhancing the trunk stability.

• 동의생리병리학회지
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• 제20권1호
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• pp.52-57
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• 2006

Gigong exercise is simple form's game for health care. Gigong exercise is the training method in mind and body, and it prevent or cure the disease by becoming larger the human's nature-healing power This syudy intends to identify the effective processing channel of the Doin Gigong Exercise for the reduction of shoulder-arm pain. The processing channel of the Doin Gigong Exercise for the reduction of shoulder-arm pain cinsist of warming, main, finishing exercise. The warming exercise start breathing and concentrate upon shoulder-arm exercise. The upper and lower sides join-hands exercise give help smoothly the Gi-circulation of human body in every direction. The finishing exercise consist of experience to Gi with the object of maintaining human comfortable condition. As mentioned above, the Doin Gigong exercise is effective intervention for the reduction of shoulder-arm pain.

• 한국전문물리치료학회지
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• 제25권3호
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• pp.39-50
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• 2018

Background: High string instrument (violin, viola) players are at high risk for developing musculoskeletal problems. In particular, a higher prevalence of shoulder problems has been reported. However, evidence of the effectiveness of therapeutic exercise for musicians with this condition is lacking until now. Objects: This case series study investigated the effect of a specific exercise program on shoulder pain, dysfunction, and posture of professional orchestral high string musicians. Methods: Five professional orchestral high string players with shoulder pain participated in this study. A six-week specific exercise program focus on scapular stability for shoulder pain consisted of scapular muscle exercise. Physical examinations for pain and dysfunction, posture were performed, were identified among all subjects before starting the exercise program. Results: The results revealed that shoulder pain decreased by 67.86% and the effect of pain on instrument play decreased by 63.33%. The shoulder pain and disability Index and the performing arts module-quick disability of the arm, shoulder and hand scale decreased by 71.72% and 51.61% respectively. The exercise program improved function and posture. Conclusion: A specific exercise program for high string players was effective in managing shoulder pain. This case series is intended to provide empirical data on the effectiveness of an exercise program aimed at assessing the effect of exercise on pain, dysfunction, and posture of professional orchestra musicians associated with specific instrument groups.

• 대한물리의학회지
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• 제14권2호
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• pp.1-7
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• 2019

PURPOSE: This study was conducted to investigate effects of shoulder adduction load on rotator cuff muscles, including the infraspinatus, during the external rotation exercise of shoulder. METHODS: This study investigated 16 healthy university students from Daegu University. Before the study started, all participants understood the content of this study. They signed an informed consent form. Five electrodes for surface electromyography (sEMG) were attached to their infraspinatus, middle deltoid, posterior deltoid, upper trapezius and pectoralis major. The participants then underwent the shoulder external rotation exercise with the shoulder adduction at three loads (0 mmHg, 20 mmHg and 40 mmHg) that were controlled using a stabilizer Pressure $Bio-feedback^{TM}$ device. The surface electrodes recorded the electromyographic data during the external rotation exercise of shoulder. RESULTS: The infraspinatus was most activated when the shoulder adduction pressure was 40 mmHg during the external rotation exercise of shoulder. The infraspinatus activation significantly increased when the shoulder adduction pressure intensity increased, while the middle deltoid activation and the posterior deltoid activation significantly decreased (p<.05). CONCLUSION: In conclusion, increases in shoulder adduction load intensity during shoulder external rotation exercises can have a positive effect on the infraspinatus, which consists of rotator cuff muscles, with minimal activity in the middle and posterior deltoid.

• 한국융합학회논문지
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• 제9권4호
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• pp.409-421
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• 2018

본 연구목적은 어깨재활운동 융합프로그램의 효과를 확인하기 위함이다. 비동등성 대조군 전후설계에 따라 어깨수술환자 58명을 연구대상으로 하였다. 실험군에게는 동영상교육, 어깨재활운동 및 운동모니터링으로 구성한 어깨재활운동 융합프로그램을 적용하였다. 자료는 구조화된 질문지와 어깨관절운동범위를 측정하여 수집하였으며 기술통계, ${\chi}^2-test$, t-test 및 ANCOVA로 분석하였다. 연구결과 실험군의 어깨통증은 대조군보다 유의하게 낮았으며(p<.001), 어깨관절운동범위와 운동자기효능감은 대조군보다 유의하게 높았다(p=.038; p<.001). 그러므로 어깨재활운동 융합프로그램은 어깨수술환자를 위한 효과적인 재활중재로 활용될 수 있으며 다양한 임상실무영역에서 지속적인 융합중재개발의 확장이 요구된다.

• PNF and Movement
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• 제12권1호
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• pp.33-37
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• 2014

Purpose: In this research, the properties of the shoulder joint were measured through eccentric resistive exercise with the patients who have rotator cuff tear of shoulder joints as the targets. Methods: 23 patients who have pain due to the rupture of rotator cuff on shoulder joints were selected and divided into Exercise group (12) and Control group (11). Two groups executed exercise for 30 minutes 3 days a week. Exercise group had executed eccentric resistive exercise, and the Control group executed Complex exercise. Results: In external rotation $180^{\circ}/s$, $240^{\circ}/s$, the Exercise group showed to be an average of 8% higher than the Control group. For Internal rotation $90^{\circ}/s$, $180^{\circ}/s$, $240^{\circ}/s$ the Exercise group showed to be an average of 30% higher that the Control group. Conclusion: To lessen the rupture of rotator cuff on shoulder joints, muscles strengthening is very important across various methods of eccentric exercise programs which are external/internal rotators of the shoulder joint needed for throwing. This is effective in preventing injury and improving rotation.

• PNF and Movement
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• 제11권2호
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• pp.87-93
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• 2013

Purpose : The purpose of this study was to investigate the effects of closed chain breathing exercise on thorax circumference increase and ROM of shoulder rotation for cervical vertebral cord injury patient's. Methods : 12 cervical vertebral cord injury patients volunteer to participate in this study. closed chain breathing exercise group of 4 subjects performed exercise three time a week. The deep breathing exercise group and general exercise group of 4 subjects performed exercise three time a week. We analyaed the descriptive statistics and $3{\times}2$ repeated measures ANOVA by SPSS 12.0 for window. Results : In comparison of rotation of shoulder ROM between pre and post value, the increase of rotation ROM of shoulder was significant in the closed chain breathing exercise group(p<.05). Conclusion : The closed chain breathing exercise helped to increased rotation ROM of shoulder.