• 한국방사선학회논문지
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• 제7권4호
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• pp.271-275
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• 2013

어깨뼈 검사는 일상생활, 스포츠 활동 시에 어깨관절의 후측부나, 후외측부에 강한 외력이 가해서 발생하는 직접외상에 의한 경우와 상완부에 주로 외전, 신전, 외회전력이 가해져 어깨관절 탈구 등 병변의 유무를 관찰하는데 유용하게 사용되고 있다. 본 연구의 목적은 어깨관절 후전사방향촬영(shoulder PA oblique projection, scapula Y-view)의 촬영각도에 따른 영상의 왜곡을 방지하고 방사선학적 진단에 가장 유용한 촬영 각도를 알아보고자 하였다. 어깨뼈체부와 봉우리(acromion) 및 부리돌기(coracoid process)는 Y자를 이루게 되는데 $10^{\circ}$에서는 어깨뼈와 봉우리사이의 각도가 협착되어 나타나고, $20^{\circ}{\sim}25^{\circ}$에서는 Y자에 위팔뼈머리가 겹쳐 보이며, 어깨관절과의 위치도 적절해 보였다. $35^{\circ}$에서는 위팔뼈머리가 Y자에 겹쳐 보이지만, 위팔뼈머리와 어깨관절이 왜곡되어 보였다. 환자체위는 $45^{\circ}$ 거상시킬 때 가장 적합한 측면상을 관찰되며, 봉우리(acromion) 및 부리돌기(coracoid process)도 Y 자를 이루었다.

• Clinics in Shoulder and Elbow
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• 제26권2호
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• pp.148-155
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• 2023

Background: Although visual examination and palpation are used to assess shoulder motion in clinical practice, there is no consensus on shoulder motion under dynamic and static conditions. This study aimed to compare shoulder joint motion under dynamic and static conditions. Methods: The dominant arm of 14 healthy adult males was investigated. Electromagnetic sensors attached to the scapular, thorax, and humerus were used to measure three-dimensional shoulder joint motion under dynamic and static elevation conditions and compare scapular upward rotation and glenohumeral joint elevation in different elevation planes and angles. Results: At 120° of elevation in the scapular and coronal planes, the scapular upward rotation angle was higher in the static condition and the glenohumeral joint elevation angle was higher in the dynamic condition (P<0.05). In scapular plane and coronal plane elevation 90°-120°, the angular change in scapular upward rotation was higher in the static condition and the angular change in scapulohumeral joint elevation was higher in the dynamic condition (P<0.05). No differences were found in shoulder joint motion in the sagittal plane elevation between the dynamic and static conditions. No interaction effects were found between elevation condition and elevation angle in all elevation planes. Conclusions: Differences in shoulder joint motion should be noted when assessing shoulder joint motion in different dynamic and static conditions.

• 대한물리치료과학회지
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• 제29권4호
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• pp.1-16
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• 2022

Background: This study was conducted to examine the correlation of VDT, posture and shoulder function among each group divided by according to the neck pain disorder index (NDI) scores for female patients with neck pain. Design: Cross-sectional study. Methods: Fifty adult women with neck pain voluntarily participated in this study and the neck pain disorder index questionnaire, VDT syndrome assessment tool questionnaire, craniovertebral angle, thoracic kyphosis angle, round shoulder posture, pectoralis minor length, shoulder joint hypermobility, and serratus anterior strength tests were conducted respectively. Subjects were divided into two groups where 21 subjects were allocated to the mild pain group whom have rated below 14 points on the NDI scores, and 29 subjects were in the severe pain group, whom have rated above 15 on the NDI score. Results: The study found that in the mean difference between variables in each group, VDT syndrome showed a higher mean score in the severe pain group than the mild pain group (p<0.05). In the group correlation and regression analysis, the mild pain group showed a significant negative correlation between the craniovertebral angle and round shoulder posture (r=-0.467, p<0.05), and the round shoulder posture for craniovertebral angle was shown to have significant positive influence (B=10.162, p<0.05). The severe pain group showed that the NDI and the VDT syndrome had a significant amount of correlation (r=0.520, p<0.01), the VDT syndrome showed significant positive influence (B=0.330, p<0.05), and the craniovertebral angle showed significant negative influence (B=-0.809, p<0.05). It was also shown that shoulder joint hypermobility had a significant negative correlation with the serratus anterior strength (r=-0.437, p<0.01), and that serratus anterior strength had a significant negative influence on shoulder joint hypermobility (B=-4.175, p<0.05). Conclusion: This study is of clinical significance in that it presented variables that should be considered depending on the degree of neck pain in treating patients with neck pain and that it presented patients with not only posture but also the function of the shoulder joint as factors to consider.

• 대한통합의학회지
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• 제7권3호
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• pp.109-115
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• 2019

Purpose : The purpose of this study was to investigate the activity of muscles around the scapulothoracic muscles according to the angle of shoulder joint abduction in the prone position. Methods : The participants included 15 adult males who had not undergone orthopedic surgery and did not have shoulder joint impairments. We measured the muscle activity of the upper trapezius, middle trapezius, lower trapezius, and serratus anterior at $120^{\circ}$, $90^{\circ}$, and $60^{\circ}$ shoulder joint abduction angles. Results : There was a significant difference in the comparison of muscle activity in the upper trapezius, middle trapezius, and serratus anterior muscles according to the shoulder joint abduction angle (p<.05). The results of the post test showed that the upper trapezius was significantly different between $120^{\circ}$ and $60^{\circ}$ (p<.01), and the middle trapezius was significantly different between $90^{\circ}$ and $120^{\circ}$, and between $90^{\circ}$ and $60^{\circ}$ (p<.05). There was a significant difference in the serratus anterior between $120^{\circ}$ and $90^{\circ}$ (p<.01), and $120^{\circ}$ and $60^{\circ}$ (p<.01). Conclusion : The results of this study could be used to determine an effective shoulder joint abduction angle to reduce muscle activity of the upper trapezius and increase muscle activity of the middle trapezius, lower trapezius, and serratus anterior.

• 한국운동역학회지
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• 제17권3호
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• pp.115-124
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• 2007

The purpose of this study was to analyze the kinematics variables of upper limb joint during forehand stroke by swings patterns. Eight high school tennis players were chosen for the study, who have never been injured for last six months, in Busan. They performed horizontal swing and vertical swing that it was done each five consecutive trial in the condition of square, semi-open and open stance. It was filmed by 6 video camera and used with 3-dimensional motion analyzer system. The following kinematic variables were analyzed in relation to angle of joint(shoulder, elbow and wrist joint). The conclusion were as follow: 1. The angle of right shoulder joint represented all event that both swing were shown similar pattern in swing type and stance pattern. 2. All event in the angle of elbow joint had consistent with that except E2, horizontal and vertical swings in square stance. 3. All event in the angle of wrist joint was show to similar pattern except E2, horizontal and vertical swing in open stance.

• 한국운동역학회지
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• 제16권3호
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• pp.85-94
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• 2006

The purpose of this study was to analyze the kinematics variables of during forehand stroke by stance patterns. Eight high school tennis players were chosen for the study, who have never been injured for last six months, in Busan. They performed horizontal swing and vertical swing that it was done each five consecutive trial in the condition of square, open and semi-open stance. It was filmed by 6 video camera and used with 3-dimensional motion analyzer system. The following kinematic variables were analyzed in relation to angle of segment( shoulder, hip and knee joint). The conclusion were as follow: 1. The angle of hip joint represented at impact that horizontal swing was not significant difference by stance patterns but vertical swing was increased in open stance than square and semi-open stance. 2. The angle of both knee was not significant difference between all stance types and swing patterns. 3. The angle of shoulder, hip and knee joint rotation showed that open stance was increased than square and semi-open stance in all swing types and event.

• 대한물리의학회지
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• 제11권2호
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• pp.71-76
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• 2016

PURPOSE: The purpose of this study was to compare isometric contraction of deltoid middle fiber between elastic band and light dumbbell on various shoulder abduction angle. And this study intends to examine the compare with isometric contraction on deltoid middle fiber in various abduction angle of shoulder joint. METHODS: The participants of this study were Korean healthy adult in their 20s (n=60). The 8 channel surface electromyography was used to measure activity of the deltoid middle fiber at isomeric contraction on various abduction angle: $0^{\circ}$, $30^{\circ}$, $60^{\circ}$, $90^{\circ}$, $120^{\circ}$ of shoulder joint using elastic band: red color Theraband and dumbbell: 2kg. The data used in the analysis of the present study was the root mean square. RESULTS: The deltoid middle fiber activation was not significantly different between elastic band and dumbbell at each abduction angle. The deltoid middle fiber activation significantly increased as more to increased shoulder abduction angle in elastic band and dumbbell. CONCLUSION: The elastic band and dumbbell was to provide the similarly load to the deltoid middle fiber isometric contraction on all of the shoulder abduction angle. The deltoid middle fiber activation increased as more to increased shoulder abduction angle in elastic band and dumbbell. These results may be an important reference in development of exercise on shoulder joint.

• 대한인간공학회지
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• 제15권1호
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• pp.39-52
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• 1996

This paper measured the range of arm joint motion for Korean 54 males in twenties. The range of the arm joint motion of the subjects was measured directly using Goniometer and protractor. The number of the static and the dynamic anthropometric variables are seven and thirteen, respectively. The anthropometric data are analyzed by basic statistical analysis (four group), correlation analysis and regression analysis using commercial SAS program. The results of analysis are compared with American students anthropometric data by Laubach(1978). Thin subjects have larger movement angle as wrist flexion, wrist abduction, elbow flexion, and elbow wupination and have smaller as wrist adduction and shoulder flexion. Fat subjects have larger movement angle as shoulder flexion and are smaller wrist abduction, elbow flexion, pronation, shoulder extension, shoulder adduction, shoulder abduction, and shoulder medial rotation Korean are more flexible than American in wrist and ranges of elbow flexion and elbow rotation. The shoulder movement is similar to that of American, but shoulder flexion is less flexible.

• PNF and Movement
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• 제11권2호
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• pp.67-75
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• 2013

Purpose : This study according to the angle at the shoulder joint abduction compare muscle activity by analyzing abduction in normal depending on the angle of the shoulder joint which muscles are activated exactly know what its purpose is. Methods : 15 students with a healthy shoulder abduction angles ($45^{\circ}$, $90^{\circ}$) according to the trapezius (upper, midder, lower), infrasupinatus, deltoid, pectoralis major, serratus anterior, latissimus dorsi muscle activity of the were analyzed. How the% MVIC EMG activity of each muscle EMG signals were standardized. Results : The mean age of the study subjects 23.6 years old, and is a key 175.6Cm, weight 70.66Kg respectively. $45^{\circ}$ non-load Pectoralis major, load Deltoid, $90^{\circ}$ non-load Deltoid, Latissimus dorsi load showed the most activity. Conclusion : The purpose of this study the muscle activity of the muscles in order to mobilize the comparison of the active muscles, but the experimenter with a range of individual differences that every time I was able to find the average. Based on these results will be helpful in future studies.

• 한국운동역학회지
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• 제13권3호
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• pp.311-325
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• 2003

A relation between the movement range of arms and arising moment has been studied to find out efficient movement range to minimize impact concerning arm landing in sports aerobics. Four male athletes who won top three in national-level sports aerobics competition were chosen for the experiment. They were allowed to jump in between two force platform so that the right hand and the right leg could land onto the front and rear force platform, respectively. The sampling frequency was 200 Hz. The main conclusions based on the analysis of the angle and joint moment parameters of wrist, elbow, and shoulder are as follows: 1. The wrist moment was small when its angle was small, indicating that the dorsi-flexion of the wrist joint offered a positive influence to reduce wrist moment. 2. The elbow angle increased as wrist angle decreased and vice versa. This means that the movement range of the wrist joint affects that of the elbow joint. The darsi-flexion of the wrist is the position to absorb the impact of the elbow effectively rather than to absorb the impact of the wrist itself. The impact is absorbed by the flexion of wrist joint rather than the wrist. 3. The degree of moment transfer of the shoulder joint, having absorbed the impact from the elbow and elbow joint, became dependent on the efficiency of the fore-joints impact absorption.