• The Journal of Korean Physical Therapy
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• v.10 no.2
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• pp.77-86
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• 1998

The shoulder joint permit ate greatest mobility of any joint area carries out the importment function of stabilization for hand use. So handgrip activity is important to evaluate while assessing shoulder load in manual work. There was an association between static handgrip and shoulder muscle activity. The purpose of this study was to find out the changes of the hand grip strength according to shouter an81e. One hundred (50 female, 50 male) college adult volunteers with no known shoulder dysfunction participated subject in three positions with elbow extension: (1) shoulder $0^{\circ}$ flexion (2) shoulder $90^{\circ}C$ flexion (3)shoulder $180^{\circ}C$ flexion. The paired t-test was used to determine the different in grip strength between right and left hand at shouter position change. All, there was significiant for all three position by right and left shoulder (p<0.001). In mon, the ANOVA results revealed not a significiant F-ratio fer all three position by right and left hand. In woman, revealed significiant (p<0.05).

• Physical Therapy Rehabilitation Science
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• v.8 no.3
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• pp.152-157
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• 2019

Objective: We aimed to investigate differences of range of motion in measuring shoulder internal rotation (IR) and external rotation (ER) resulting from posture change in manual scapular stabilization in prone, hook-lying, sitting, and standing positions in healthy young adults. Design: Cross-sectional study. Methods: This study included healthy young adults who agreed to participate after a thorough explanation about the study purpose and methods. A clinometer was used to measure shoulder rotation. Measurements of shoulder rotation according to postural change were performed in prone, hook-lying, sitting, and standing positions. The repeated measures analysis of variance was used to compare between-group differences in postural change. Results: The lower the posture, the greater the average value of IR angle. In contrast, the higher the posture, the greater the average value of the external rotation angle. In active and passive IR with posture change, there was difference in average value but with no statistical significance. In active and passive ER, there was a statistically significant difference between prone and sitting, prone and standing, hook-lying and sitting, hook-lying and standing, and sitting and standing position (p<0.05). Conclusions: Our findings suggest that postural change should be considered in order to increase the strength or range of motion of the internal and external rotation of the patient's shoulder joint.

• Journal of Korean Physical Therapy Science
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• v.20 no.1
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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.

• Korean Journal of Applied Biomechanics
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• v.14 no.1
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• pp.1-12
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• 2004

The purpose of this study is to provide training materials for practical use by investigating the kinematical variables of the successful landing by the type of the salto backward such as Tuck, Pike. For this study, the subjects are 4 male national gymnasts using 3-dimensional cinematographic method. Based on the results of this study, the conclusions are drawn as follows. 1. In flight phase, Tuck and Pike show fast extension after completing minimum angle of hip joint passing through the peak. It is very important factor to control body with gaining time before landing while decreasing the velocity of flight rotaion. 2. In Landing phase, the angles of each joint for successful landing are shown as $92deg{\sim}100deg$ for knee angle, $52deg{\sim}57deg$ for hip angle, and $56deg{\sim}70deg$ for shoulder angle. 3. Tuck and Pike dramatically decrease the height of COG, and horizontal/vertical velocity of COG from TD to LD. Also, it is shown that the knee angle, the hip angle and the shoulder angle decrease drastically. On the other hand, the angular velocity of trunk rotation shows negative direction and due to this, the angle of trunk rotation is shown as re-flexion.

• Journal of radiological science and technology
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• v.31 no.2
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• pp.109-114
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• 2008

There is a standard shoulder oblique method (Grashey method) available to view the shoulder joint. This method projects AP view of the shoulder joint so that the Humerus head's subuxation or joint degeneration can be easily visualized. However, in this view, the patients, with supine or sitting or erect position, have to keep their body obliquely. Whereas, the patients who are not well or operated, usually feel very uncomfortable to keep their body in this position and hence, we need other persons' help and much efforts will be needed to get the good quality shoulder joint view. Therefore, we thought of examining a method which shows the joint well by angling the tube to Medio-Lateral direction and without keeping the patients' one side upward in supine position. For this study, total 15 subjects with no history of neurological or psychiatric illness, were recruited for examinations. They consisted of 9 males and 6 females. Statistic group analysis was performed with ANOVA test. Scores of the evaluation of the experts were $1.10{\pm}0.54$ at $25^{\circ}$, $2.50{\pm}0.50$ at 30^{\circ}$, $2.85{\pm}0.36$ at $35^{\circ}$ and $2.33{\pm}0.47$ at $40^{\circ}$, respectively, and they were significant(p<0.05, Table 1). Joint space of the Humerus head and Scapula were well distinguished at $35^{\circ}$, $30^{\circ}$ and $40^{\circ}$ with the almost same score. However, the degree of distortion at $40^{\circ}$ was more severe than that at $30^{\circ}$. Ultimately, $30-35^{\circ}$ views were shown to yield good quality shoulder oblique images. In conclusion, this method may be very useful for the patients who are uncomfortable and for the emergency patients. In order to get similar or comparable view, the same X-tube angle is recommended to be used before and after the operation. Therefore, we hope that this new angled method seems to be efficient.

• Clinics in Shoulder and Elbow
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• v.20 no.2
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• pp.95-99
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• 2017

Background: The purpose of this study was to investigate the clinical and radiological outcomes of locking plate fixation with fibular strut allograft to manage unstable osteoporotic proximal humerus fractures. Methods: We retrospectively reviewed 15 patients who underwent open reduction and locking plate fixation with fibular strut allograft for osteoporotic proximal humerus fracture between July 2011 and June 2015. For functional evaluation, we evaluated visual analogue scale (VAS) pain score, American Shoulder and Elbow Surgeons (ASES) score, University of California Los Angeles (UCLA) shoulder score, and active range of motion. For radiological evaluation, shoulder true anteroposterior (AP) and AP in $20^{\circ}$ external rotation, as well as the axillary view were taken at two weeks, six weeks, three months, six months, and one year. And the neck-shaft angle was measured on the AP view in $20^{\circ}$ external rotation view. Results: At the one-year follow-up, mean VAS pain score and all shoulder scores, including ASES score and UCLA shoulder score, exhibited satisfactory clinical outcomes. All patients obtained bone union between three and six months post-procedure. Moreover, the mean immediate postoperative neck-shaft angle was $138^{\circ}{\pm}4^{\circ}$, and at one-year follow-up, the neck shaft angle was $137^{\circ}{\pm}5^{\circ}$. There was no significant difference between the preoperative and postoperative values (p=0.105). Conclusions: For the unstable two-part and three-part osteoporotic proximal humerus fractures with medial calcar comminution, the use of fibular strut allograft with locking plate fixation was effective in maintaining the initial status of reduction and exhibiting the satisfactory functional and radiological outcomes.

• PNF and Movement
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• v.10 no.1
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• pp.9-17
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• 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.

• Physical Therapy Korea
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• v.11 no.1
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• pp.45-52
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• 2004

Altered scapular kinematics in the scapular joint is commonly believed to be a factor contributing to trunk posture. The purpose of this study was to analyze the muscle activity with several changes of the shoulder angle. Tests were performed on 10 male subjects by repeated measures. Each subject was measured while sitting in both erect and slouched trunk positions. In each sitting posture, a three-dimensional motion analysis measurement was used to measure thoracic angle and shoulder abduction angle. Measurements were taken with the shoulder abdcution angle at $0^{\circ}$, $30^{\circ}$, $60^{\circ}$, $90^{\circ}$, $120^{\circ}$, and $150^{\circ}$. By using surface Electromyography (EMG) electrodes, we recorded the activity of the upper trapezius, middle trapezius, lower trapezius, middle deltoid, and serratus anterior muscle while the subject held a 4 kg weight at each angle. The mean of root mean square (RMS) of EMG activity was calculated. The middle trapezius, lower trapezius, and middle deltoid muscle activity showed significantly higher results but serratus anterior muscle activity showed significantly lower results (p<.05). With the shoulder angle increased, the muscle activity was also significantly increased (p<.05). In conclusion, the thoracic spine posture significantly affects the scapular muscle during scapular plane abduction, and the slouched posture is associated with increased trapezius muscle activity and with decreased serratus anterior muscle activity.

• Journal of Korean Physical Therapy Science
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• v.24 no.1
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• pp.14-21
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• 2017

Background; This study was to investigate effects of distance of muscle activity of 4 sections of rectus abdominis(RS-RA, LS-RA, RI-RA, LI-RA) by the shoulder width(x0.5, x1.0, x1.5) and the angle of the elbow joint($0^{\circ}$, $45^{\circ}$, $90^{\circ}$) Method : This study was conducted on 20 healthy male and 20 female adult. respectively, elbow joints were maintained at $0^{\circ}$, $45^{\circ}$, and $90^{\circ}$ flex postures on The shoulder width is 0.5, 1.0, and 1.5 times. at the same time 4 sections of rectus abdominis were measured using EMG with maintaining isometric contraction of the rectus abdominis for 5 seconds. Results; The results were as follows: First, muscle activity of 4 sections of rectus abdominis(RS-RA, LS-RA, RI-RA, LI-RA) by angle of the elbow joint($0^{\circ}$, $45^{\circ}$, $90^{\circ}$) was a statistically significant(p<0.05), Second, muscle activity of 4 sections of rectus abdominis(RS-RA, LS-RA, RI-RA, LI-RA) by the shoulder width(x0.5, x1.0, x1.5) was a statistically non-significant Conclusion; It was found to be most effective to perform arm posture with rectus abdominis muscle strength exercise.

• Korean Journal of Applied Biomechanics
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• v.15 no.1
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• pp.221-235
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• 2005

The purpose of this study was to analyse badminton players' drop-shots, in order' to make players understand the principles of drop-shot motion in badminton. Three dimensional analysis was used to measure movements such as the time required per section, the change of center of gravity, joint angle and speed, and joint speed. The results of this study revealed as follows: (1) top players are faster than amateurs in the total time required per section; (2) top players moved more in the x-axis and z-axis, while amateurs moved more in the y-axis; (3) the inclination of amateurs was greater than that of top players in all phases; (4) amateurs showed larger angle on the shoulder joints than top players in the first phase, while top players showed larger angle on the shoulder joint than amateurs in the second and third phase. Amateurs' angle was larger on angle joint in the first phase than top players' ones, while top players' angle was larger in the third phase than amateurs; (5) the speed of racket head of top players was faster than that of amateurs; and the velocity of the center of gravity of amateurs was greater than that of the top players. The findings of this study were that gravity decreases during impact and then the velocity increases to perform the follow-through and making the swing fast by increasing the speed of the racket head is most important.