• Journal of Korean Physical Therapy Science
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• v.24 no.2
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• pp.61-70
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• 2017

Purpose : The purpose of this study was to examine the effect of therapeutic massage and Mckenzie exercise on pain and range of motion in chronic neck pain patient: a case study. Method : A Twenty-year old female subject with chronic neck pain was selected, she received therapeutic massage and Mckenzie exercise for 30 minutes a day, three days a week for five weeks. Pain was measured visual analog scale(VAS), neck disability index(NDI) and the Copenhagen neck functional disability scale (CNFDS). Range of motion was measured using a goniometer(shoulder joint) and the CROM Deluxe(cervical range of motion instrument). Result : VAS, NDI and CNFDS were decreased 3 score, 4 score and 6 score(respectively) than before the training. The range of motion was increased in shoulder joint and neck movement than before the training. Conclusion : The massage and Mckenzie exercise increased range of motion in shoulder joint and neck movement, and decreased neck pain in chronic neck pain patient. Additional research on therapeutic massage and Mckenzie exercise for improving pain and range of motion is need.

• Journal of the Korean Academy of Clinical Electrophysiology
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• v.10 no.2
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• pp.23-29
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• 2012

Purpose : Purpose of this study was to investigate whether cervicothoracic posture was associated with scapula orientation and muscle activity during shoulder abduction. Methods : Cervicothoracic junction angle and thoracic kyphosis angle were measured in health twenty subjects. Then, scapular resting orientation and range of motion (upward/downward rotation, internal/external rotation) and muscle activity (upper trapezius, lower trapezius, serratus anterior) was determined using motion capture system and surface electromyography while subjects performed shoulder abduction. Results : Cervicothoracic junction angle was significantly associated with range of motion of scapular internal/external rotation during shoulder abduction. Thoracic kyphosis angle was significantly associated with scapular resting orientation of upward/downward rotation and average IEMG of lower trapezius. Conclusion : The result of this study shows that poor cervicothoracic posture is relationship with altered scapular kinematics cause of shoulder dysfunction. These findings suggested that cervicothoracic posture may be considered in occupation and exercise including arm elevation over head as well as used as predict factor to estimate shoulder dysfunction.

• Journal of the Korea Convergence Society
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• v.9 no.4
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• pp.409-421
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• 2018

The purpose of this study was to examine the effects of shoulder rehabilitation exercise convergence program. This study used a nonequivalent control group pretest-posttest design. A sample of 58 patients undergoing shoulder surgery, was included. The experimental group was given shoulder rehabilitation exercise convergence program including audiovisual education, shoulder rehabilitation exercise and exercise monitoring. The data were collected using a structured questionnaire and measured range of motion(ROM) of shoulder joint and were analyzed using descriptive statistics, ${\chi}^2-test$, t-test and ANCOVA. The experimental group reported significantly lower shoulder pain than control group(p<.001). Shoulder joint ROM and exercise self-efficacy were significantly higher in the experimental group than in the control group(p=.038; p<.001). This findings indicate that shoulder rehabilitation exercise convergence program can be an effective intervention for shoulder surgery patients. Continued development of convergence interventions for patients undergoing various conditions in practice, is suggested.

• Journal of Korean Institute of Industrial Engineers
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• v.23 no.1
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• pp.147-162
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• 1997

When designing workplaces or arranging controls on panel, devices and controls should be placed within the reach of operator's arm or foot to guarantee effective performances. Most of the existing research on the reach volume were based on measurements of a few subject's arm reach, and limited to Caucasian and Chinese populations. Furthermore, reach volume considering foot or trunk motion have not been investigated. Range of human joint motion and that of two degrees of freedom motion are needed to generate reach volume analytically using the sweeping algorithm. However, range of two degrees of freedom motion has not been measured up to now. Therefore, range of two degrees of freedom motion was measured in this research, where 47 college students were participated voluntarily as subjects. The results showed that the motion of one joint can be limited by the motion of another motion, that is to say, the shoulder flexion was decreased significantly when the shoulder was adducted or abducted. Second, new approximate algorithms generating reach volumes were suggested, in which range of two degrees of freedom motion was used as input data. Depending upon the body segment included such as trunk, arm and leg, three types of reach volume were provided, in which the human body was modeled as a multilink system based on the robot kinematics and the sweeping method was employed. Reach volume generated analytically in this study showed statistically reasonable results when compared with that obtained from direct measurement.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.21 no.2
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• pp.396-403
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• 2020

This study evaluated the effect of self thoracic mobilization exercise (STME) on shoulder pain, disability and shoulder function in patients with shoulder dysfunction. Thirty-two patients with shoulder dysfunction were randomly assigned to the STME group and the control group. The visual analog scale, shoulder dysfunction, and shoulder range of motion were evaluated before and after intervention. Sixteen STME intervention patients used a foam roller and quadripedal position flexion and extension. Sixteen controls received placebo effects using electrotherapy pads. The two groups performed 20 minutes for three times per week for four weeks. The STME group showed significant improvement in pain and dysfunction compared to that of the control group (p <0.05), and their range of motion of the shoulder was significantly improved in flextion, abduction, and external rotation compared to that of the placebo group (p <0.05). Therefore, STME is effective in resolving shoulder pain and dysfunction, and will be able to educate patients with shoulder pain in an easier approach and mediate social treatment costs.

• Journal of the Korean Society of Physical Medicine
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• v.6 no.3
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• pp.341-351
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• 2011

Purpose : The purpose of this study was to determine the initial effects of deltoid inhibition taping to Pain, Function, Strength, ROM in shoulder impingement syndrome (SIS). Methods : This study is 28 patients(male 16, female 12) with shoulder impingement syndrome(SIS).The experimental group received deltoid inhibition taping and the control group had sham taping. Outcome variables measured degree of pain, disability, strength, and range of motion at pre-post intervention. The changes between pre-post interventions are analyzed by a repeated measure ANOVA test. Results : Pain and disability index significantly decreased (p<.05), and the rate of change in pain and disability level of the experimental group increased significantly more than control group (p<.05). Strength and range of motion significantly increased (p<.05), but the rate of change of the two groups showed no significant difference (p>.05). Conclusion : These results suggest that deltoid inhibition taping was initial effective in decreasing pain and disability in SIS patients.

• The Korean Journal of Pain
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• v.4 no.2
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• pp.168-178
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• 1991

It has been generally known that shoulder pains are attributed to the degenerative changes around the shoulder joint. However, many patients who complain of pain or limited range of motion of the shoulder have no definite pathology on X-ray or laboratory examinations. I examined 134 patients with shoulder pain and found the fact that compression of the axillary nerve, which leads to contraction of the deltold muscle or teres minor muscle, resulted in pain and limited range of motion in many cases. Accordingly, relieving the compression of the axillary nerve by laser stimulation or local anesthetic infiltration on the identified trigger point, anti-inflammatory medication, muscle relaxant together with ordinary physical therapy was found to be very effective in the treatment of shoulder pain.

• Journal of Korea Entertainment Industry Association
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• v.13 no.5
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• pp.239-246
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• 2019

This study aims to examine the correlation between pectoralis minor, shoulder mobility, and neck range of motion on rounded shoulder posture for Life-care increase in Women university student. The 80 female adults with rounded shoulder posture were selected for this study. Measurements of shoulder height were obtained by measuring the rounded shoulder posture using a caliper. To measure the length of pectoralis minor, a tape measure was used to measure from the point where the 4th rib and sternum meets to the inferior medial side of coracoid process. Shoulder mobility was measured by holding fists in both hands, then raising one side of the elbow until the palm on that side can be placed on the back, while lowering the other side of the elbow until the back of the hand on that side can be placed on the back. Neck range of motion was used to measure the neck movement including the flexion and the extension, lateral flexion to the right or to the left, and rotation to the right or to the left. The results of this study showed that there are significant negative correlations between pectoralis minor index, shoulder mobility, and neck range of motion in rounded shoulder posture(p<0.05). From these results, in female students with rounded shoulder, the lateral flexion of the neck to the left decreased as the left shoulder mobility increased, the neck extension decreased as the right pectoralis minor shortened, and the rotation of the neck to the left decreased as the left shoulder mobility increased.

• Clinics in Shoulder and Elbow
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• v.22 no.4
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• pp.190-194
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• 2019

Background: The duration of immobilization after arthroscopic rotator cuff repair and the optimal time to commence rehabilitation are still the subject of ongoing debates. This study was undertaken to evaluate the functional outcome and rotator cuff healing status after arthroscopic rotator cuff repair by comparing early and delayed rehabilitation. Methods: Totally, 76 patients with small, medium, and large sized rotator cuff tears underwent arthroscopic repair using the suturebridge technique. In early rehabilitation group, 38 patients commenced passive range of motion at postoperative day 2 whereas 38 patients assigned to the delayed rehabilitation group commenced passive range of motion at postoperative week 3. At the end of the study period, clinical and functional evaluations (Constant score, the University of California, Los Angeles [UCLA] shoulder score) were carried out, subsequent to measuring the range of motion, visual analogue scale for pain, and isokinetic dynamometer test. Rotator cuff healing was confirmed by magnetic resonance imaging at least 6 months after surgery. Results: No significant difference was obtained in range of motion and visual analogue scale between both groups. Functional outcomes showed similar improvements in the Constant score (early: 67.0-88.0; delayed: 66.9-91.0; p<0.001) and the UCLA shoulder score (early: 20.3-32.3; delayed: 20.4-32.4; p<0.001). Furthermore, rotator cuff healing showed no significant differences between the groups (range, 6-15 months; average, 10.4 months). Conclusions: Delayed passive rehabilitation does not bring about superior outcomes. Therefore, early rehabilitation would be useful to help patients resume their daily lives.

• Clinical Pain
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• v.18 no.2
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• pp.76-81
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• 2019

Objective: To examine (1) the degree of reduction of passive range of motion (PROM) on the affected side compared to that on the unaffected side and (2) the degree of increase in PROM following intra-articular corticosteroid injection (IACI) in patients with frozen shoulder. Method: The medical records of 120 patients with frozen shoulder were retrospectively reviewed. PROM of the unaffected and affected shoulder (flexion, extension, abduction, internal rotation, external rotation) was compared, and changes in PROM of the affected shoulder after a single IACI (triamcinolone 20 mg) were evaluated after 12 weeks. Results: At the time of diagnosis, PROM of the affected shoulder was most limited in external rotation, followed by internal rotation, abduction, extension, and flexion, compared to that of the unaffected shoulder. Compared to before IACI, PROM of external rotation demonstrated the greatest increase compared to all the other movements after IACI. Conclusion: Limitation in PROM of the frozen shoulder at the time of diagnosis was greatest for external rotation. Moreover, external rotation experienced the greatest improvement after IACI. Our findings should help to further clarify the clinical characteristics of frozen shoulder, aid in its diagnosis, and allow the prediction of the effects of IACI.