• Title/Summary/Keyword: Shoulder function

Search Result 484, Processing Time 0.028 seconds

Evaluation of Rotator Cuff Repair Using Korean Shoulder Scoring System

  • Shin, Sang-Jin;Lee, Juyeob;Ko, Young-Won;Park, Min-Gyue
    • Clinics in Shoulder and Elbow
    • /
    • v.18 no.4
    • /
    • pp.206-210
    • /
    • 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.

The Diabetic Frozen Shoulder: Arthroscopic Release (당뇨병성 동 견관절의 관절경 하 박리술)

  • Han Chang-Whan;Kim Jin-Young;Kim Weon-Yoo;Sung Jin-Hyung;Yoo Jae-Duk;Rho Sang-Hyun
    • Clinics in Shoulder and Elbow
    • /
    • v.2 no.1
    • /
    • pp.74-83
    • /
    • 1999
  • In diabetics, the frozen shoulder has been difficult to treat. They tend to respond poorly to manipulation. In this report we present the rationale and results of arthroscopic selective capsular release for those patients. Nine patients, who were diabetics, developed frozen shoulders which failed to respond to conservative management. They had persistent pain, stiffness, and limited function. An arthroscopic release was performed by progressively releasing the anterior structures from superior to inferior. Postoperatively physiotherapy was carried out daily to maintain the range of movement. At a follow up of 12 to 37 months the patients were assessed using the American Shoulder Society scheme. In addition, the patients were assessed preoperatively and postoperatively on four criteria: pain, external rotation, abduction and function. We found that the patients were statistically significantly improved in all four categories. Three of the nine patients had no pain, full range of motion compared with the opposite side and full function. There was one poor result of no improvement. The remaining five patients had improved but still had residual abnormalities. We consider arthroscopic release to be an effective treatment for the resistant diabetic frozen shoulder.

  • PDF

Design of Shoulder Height for Ball Bearing using Contact Analysis (접촉해석을 이용한 볼 베어링의 Shoulder Height 설계)

  • Kim, Tae-Wan;Yoon, Ki-Chan;Cho, Yong-Joo
    • Tribology and Lubricants
    • /
    • v.24 no.5
    • /
    • pp.228-233
    • /
    • 2008
  • In this study, the methodology for determination of shoulder height in the internal shape design of ball bearing using 3D contact analysis is proposed. The static analysis of a ball bearing was performed to calculate the distribution of applied contact load and angles among the rolling elements. From each rolling element loads and the contact geometry between ball and inner/outer raceway, 3D contact analyses using influence function are conducted. These methodology is applied to HDD ball bearing. A critical axial load and a critical shoulder height which are not affected by edge are calculated. The proposed methodology may be applied to other rolling element bearing for the purpose of reducing the material cost and improving the efficiency of the bearing design process.

The Estimation of the Demand Function of Pork Cuts (돼지고기 부위별 수요함수 추정 - 수도권 소비자를 중심으로 -)

  • Nam, Kuk-Hyun;Choe, Young-Chan
    • Journal of Agricultural Extension & Community Development
    • /
    • v.23 no.1
    • /
    • pp.27-37
    • /
    • 2016
  • This paper estimated the demand function of the cuts of pork by using the consumer panel and the weather data from the Korea Meteorological Administration with a log-log model and AIDS model. The results show that the price elasticity of demand for cuts of pork is high in the sequence of arm shoulder, leg, special cuts, tenderloin, blade shoulder. In contrast, spare rib, belly and loin are classified as low price elasticity of demand. The income elasticities of demand for leg and blade shoulder are 11% and 7.6% respectively. The loin is classified as inferior goods, because demand decreases when income increases. The results also demonstrate show that the demand increases highly in the sequence of loin, arm shoulder, spare rib, belly if housewife is older, and the demand of belly increases when family number increases. Belly substitutes every cut except spare rib, and tenderloin substitutes special cuts. Spare rib, on the other hand, does not substitute other cuts. In addition, job status, family member, husband job, purchasing place, consumer characteristic, eating-out times, purchasing time, and weather are statistically significant.

The Smovey Exercise is the Effect of Range of Motion, Pain, Function, Muscle Strength of the Shoulder with Women Breast Cancer (Smovey 운동이 유방암 절제술을 한 여성의 견관절 관절가동범 위, 통증, 기능수준, 근력에 미치는 영향)

  • Lee, Min-ji;Jeong, Seong-gwan;Kim, Yong-jin
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
    • /
    • v.24 no.1
    • /
    • pp.47-55
    • /
    • 2018
  • Background: The Purpose of this study was investigate the Smovey exercise is the effect of range of motion, pain, function, muscle strength of th shoulder with women breast cancer. Methods: This study was carried out with a total 24 breast cancer survivors. By drawing lots women a breast cancer Smovey exercise group (BS, n=11), a breast cancer general therapy group (BG, n=10). Outcomes such as the range of motion(ROM), visual analogue scale(VAS), the shoulder pain and disability index (SI), the muscle strength (MS) were measured pre- and post-intervention for both groups. Results: A significant increase was found ROM, Pain, functional disability level and MS within the two groups (p<.05). There were ROM, pain, functional disability level and MS post test then invention were significant between the two groups (p<.05). Conclusions: Applying Smovey exercise treatment to breast cancer patients proved to have a positive effect.

Effects of Thoracic Expansion and Diaphragm Breathing Exercises on Pain and Function in Patients with Rotator Cuff Repair (가슴우리팽창과 가로막 호흡운동이 돌림근띠 복원술 환자의 통증과 기능에 미치는 효과)

  • Myung-Soo Song;Beom-Ryong Kim
    • PNF and Movement
    • /
    • v.21 no.1
    • /
    • pp.95-105
    • /
    • 2023
  • Purpose: The study aims to determine the effect of a breathing exercise on shoulder pain, range of motion (ROM), and forward head posture in patients with rotator cuff repair. Methods: In total, 25 patients with rotator cuff repair were included in this study. The experimental group (n = 13) underwent a breathing exercise, while the control group (n = 12) received traditional physical therapy. The visual analogue scales (VASs) for pain, flexion and abduction ROM, and the craniovertebral angle (CVA) of both groups were recorded at both pre- and post-intervention. Paired t-tests were used to determine significant changes in the post-intervention compared with the pre-intervention period, and independent t-tests were used to analyze differences in dependent variables between the two groups. Results: After the two-week intervention, the experimental group experienced a significantly decreased VAS (p < 0.05) and significantly increased ROM and CVA (p < 0.05), while the control group experienced a significantly decreased VAS (p < 0.05). Further, the experimental group that underwent the breathing exercise showed greater improvements in flexion and abduction ROM and in the CVA than the control group (p < 0.05). Conclusion: The results suggested that a breathing exercise can reduce shoulder pain and enhance ROM and posture in patients with rotator cuff repair.

Physical Function and Fatigue in Mastectomy Patients (유방절제술 환자의 신체기능과 피로)

  • Yoo, Yang-Sook
    • Journal of Hospice and Palliative Care
    • /
    • v.6 no.2
    • /
    • pp.164-171
    • /
    • 2003
  • Purpose : The purpose of this study was to provide information for developing a rehabilitation intervention that improves adaptation and the quality of life after mastectomy by investigating the level of physical function and fatigue in mastectomy patients. Methods : The subjects were 63 patients selected from St. Mary's Kangnam hospital Data were collected from March to June, 2003. Physical function was measured by the range of motion of the shoulder joint, shoulder function, and physical symptoms. fatigue was measured by using the Brief Fatigue Inventory (BFI). Results : The range of motion on the affected side was significantly lower than that in the healthy side. Shoulder function score was highest in the item of 'pull on pants', and lowest in the item of 'back zipper'. Physical symptom score was highest in the item of 'numbness', and lowest in the item of 'Itching sensation'. The highest item interfered by fatigue was 'normal work (includes both work outside the home and daily chores)'. Conclusion : The result of this study suggests that effective rehabilitation intervention for mastectomy patients should be needed to improve physical function, and reduce fatigue.

  • PDF

The Impact of Shoulder Flexion Angle on Hand Grip Strength in Male and Female Undergraduate Students (견관절 굴곡 각도가 남·녀 대학생의 악력 변화에 미치는 영향)

  • Ha, Kyung-Jin;Kim, Dae-Kyeong;Hwang, Seon-Keon
    • PNF and Movement
    • /
    • v.10 no.1
    • /
    • pp.9-17
    • /
    • 2012
  • Purpose : This study's purpose is consideration about change of the hand grip strength according to different posture and shoulder flexion angle. The shoulder joint permits the greatest mobility and carries out the important function of stabilization for hand use. Hand grip activity is important to evaluate while assessing loads of shoulder in hand mobilities. Methods : Thirty(15 male, 15 female) college students with unknown shoulder dysfunction participated subject in five different positions of elbow extension with sitting and standing posture, different positions is followed : (1) shoulder $0^{\circ}$ flexion (2) shoulder $45^{\circ}$ flexion (3) shoulder $90^{\circ}$ flexion (4) shoulder $135^{\circ}$ flexion (5) shoulder $180^{\circ}$ flexion. Results : On the average, in the hand grip strength, the standing posture is higher than sitting posture. Sitting posture showed a most high level at the man's $0^{\circ}$ and woman's $135^{\circ}$. And standing posture showed a most high level at the man's $135^{\circ}$ and woman's $90^{\circ}$. Conclusion : The paired t-test was used to determine the different in grip strength between sitting and standing posture by shoulder angle change. There was no significant difference between the five position by sitting and standing posture. In man, correlation analysis revealed significant connection for all five position by sitting and standing posture. And in woman, correlation analysis revealed connection for all five position by sitting and standing posture.

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