• Journal of the Korean Society of Physical Medicine
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• v.12 no.4
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• pp.19-28
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• 2017

PURPOSE: The purpose of this study was to describe the Proprioceptive Neuromuscular Facilitation (PNF) Intervention strategy applied International Classification of Functioning, Disability and Health (ICF) Tool about strength, range of motion, scapular stability, pain and function of shoulder for patients with adhesive capsulitis. METHODS: The data was collected by patient with adhesive capsulitis. The patient was a 50-year-old male diagnosed with right shoulder with adhesive capsulitis. We applied the PNF Intervention strategy applied ICF Tool to patient with adhesive capsulitis. PNF interventions were consisting of such as combination of isotonic and stabilizing reversal technique and various positions. PNF interventions were applied, such as those aiming at decreasing pain and disability and increasing range of motion and function for the four weeks. Parameters of result were collected for strength, range of motion, scapular stability, pain and function of shoulder using the hand held dynamometer, goniometer, lateral scapula slide test, and shoulder pain and disability index, respectively. RESULTS: Clinical benefits were observed the patient with adhesive capsulitis for strength, range of motion, scapular stability, pain, and function of shoulder. The patient with adhesive capsulitis improved strength, range of motion, scapular stability, pain, and function of shoulder. CONCLUSION: Patient reported improved strength, range of motion, scapular stability, pain, and function of shoulder after intervention.

• Journal of the Korea Convergence Society
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• v.11 no.5
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• pp.81-86
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• 2020

The Purpose of this study is analysis characteristic of grasping power with each different shoulder horizontal angle. Twenty female university students with no shoulder dysfuction participated subject in three different positions of shoulder horizontal flexion with standing posture, shoulder 0° flexion, elbow 90° flexion, forearm 90° pronation, different positions is followed : shoulder 0° horizontal adduction shoulder 40° horizontal adduction, shoulder 40° horizontal abduction. The One-way repeated ANOVA test was used to determine the different in grip strength on three shoulder horizontal positions. On the average, in the hand grip strength, the horizontal neutral position is higher than horizontal adduction position with significant value. In particular, shoulder horizontal aduction was measured lowest grip strength between three positions.

• Journal of International Academy of Physical Therapy Research
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• v.2 no.1
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• pp.229-236
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• 2011

The purpose of this study was to comparatively analyze the active stability of shoulder joints according to the frequency of overhead motions, such as serving and spiking, engaged in by female professional volleyball athletes who play different positions, and to provide the results as the basic data for developing exercise programs to prevent shoulder joint injuries. The subjects of this study were 50 Korean female professional volleyball players and positions were as follows: left and right attackers, centers, setters, and liberos. The external rotation and internal rotation muscle strength and muscle strength ratios of the dominant and non-dominant arms of all subjects were measured using Biodex. The results of this study are as follows: Frist, no significant differences were found in the internal and external rotation muscle strength of the dominant and non-dominant arms between positions. Second, for the shoulder joint muscle strength ratio of the dominant arm, by position, the setter showed significantly greater stability compared to the other positions. Third, for the shoulder joint muscle strength ratio of the non-dominant arm, by position, no significant difference in stability between positions was found. Fourth, it was found that the dominant arm had significantly greater instability of the shoulder joint than the non-dominant arm for attackers and centers, but no significant difference was found for setters and liberos. This study comparatively analyzed the muscle strength ratios of the external/internal rotations and dominant/non-dominant arms, which can determine the stability of the shoulder joints between female professional volleyball playing positions that engage in jumps and spikes using only the dominant hand and positions that do not.

• The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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• v.27 no.3
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• pp.69-78
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• 2021

Background: Approximately 30% of people suffer from chronic neck and shoulder pain. Chronic neck and shoulder pain arise due to the exposure to continuous low loading and monotonous work. This is a common musculoskeletal disorder in a society. As physical therapists, we should give appropriate treatment to these people. Methods: A total of 26 patients with chronic neck and shoulder myalgia were randomly allocated into two experimental groups. First, 13 patients received shoulder strength training, while the other 13 patients received cervical mobilization. Outcome measures included bilateral pressure pain threshold by using an algometer at upper trapezius, visual analogue scale (VAS) to express their pain scale, and muscle tension by using myoton pro device pre-intervention and after the final treatment. Results: The VAS and muscle tension in upper trapezius significantly decreased (p<.05) in both groups; however, no differences between two groups were observed (p>.05). The pressure pain threshold in upper trapezius significantly increased (p<.05) in both groups; yet, again, the differences between the groups did not reach statistical significance (p>.05). Conclusion: As methods of treatment, shoulder-specific strength training and cervical mobilization can be appropriate approaches to the treatment of neck and shoulder musculoskeletal disorder.

• Physical Therapy Korea
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• v.24 no.1
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• pp.19-29
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• 2017

Background: Patients after rotator cuff (RC) surgery experienced pain, weakness and limited of motion of the shoulder. Physical therapists have used heat therapy, electrotherapy, range of motion (ROM) exercise and other methods to treat patients after RC surgery. In addition, functional taping is also used to support joint movement and to increase shoulder joint stability. Objects: The purpose of this study was to determine the initial effects of functional taping using non-elastic tape on pain, strength and ROM of the shoulder following RC surgery. Methods: Forty-eight patients with who underwent RC surgery volunteered for this study. The subjects were randomly divided into an experimental group (EG, $n_1=25$) and a control group (CG, $n_2=23$). First, non-allergic tape was applied to the shoulder to prevent skin irritation. The EG applied functional taping using non-elastic tape and the CG applied sham taping using elastic tape. Assessment tools included the shoulder pain and disability index for functional activity score, visual analog scale for level of pain, shoulder muscle strength, hand grip strength and ROM testing. Results: Pain score in the both group significantly decreased (p<.05), and change in pain score of in the EG increased significantly than in the CG (p<.05). Shoulder strength and ROM in the both group significantly increased (p<.05). Especially external rotation and extension of the shoulder ROM in the EG increased significantly more than in the CG (p<.05), but the rate of change in the two groups showed no significant difference. Conclusion: These results suggest that functional taping using non-elastic tape was initially effective in decreasing pain score level in patients with RC surgery.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.20 no.6
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• pp.239-244
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• 2019

The purpose of this study was to determine the correlation between upper limb muscle power and bat swing speed in elementary school baseball players. This study subjects were 32 subjects. Upper extremity muscle strength was measured in the Both Shoulder joints extensor flexor abductor adductor, Both elbow joints extensor flexor and bat swing speed. The correlation between upper extremity muscle strength and bat swing speed was analyzed using pearson's correlation analysis. There was a significant correlation between dominant upper extremity muscle strength and bat swing speed in the order of shoulder adductor, shoulder abductor, elbow flexor, and shoulder flexor and in correlation between non-dominant upper extremity muscle strength and bat swing speed in the order of shoulder adductor, elbow flexor, shoulder abductor, shoulder extensor, elbow extensor, and shoulder flexor. From these results, it can be seen that the stronger the upper extremity muscle strength, the bat swing speed is the more positive correlation.

• Physical Therapy Korea
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• v.24 no.3
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• pp.21-29
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• 2017

Background: The measurement of the strength of the shoulder muscles is an important element of the overall assessment of patients with various shoulder disorders. However, the clinical utilization of this measurement is dependent on its reproducibility. Objects: To explore the reproducibility of the measurements derived from testing of the isokinetic strength of shoulder muscles in patients with tendinitis of the rotator cuff. Methods: A total of 20 patients with tendinitis of the rotator cuff participated in this study and were assessed twice in 1 week. Isokinetic testing was performed concentrically for shoulder flexors, abductors, and external rotators and eccentrically for the shoulder extensors, adductors, and internal rotators. The relative and absolute reproducibility of the peak torque (PT) and ratios were assessed using intra-class correlation coefficients (ICC), standard error of measurement (SEM), and minimal clinically important difference (MCID), respectively. Results: Overall, high to excellent ICC, clinically acceptable SEM and MCID values were obtained for the PT (ICC: .83-.95, SEM: 1.2%-9%, MCID: 3.4%-25%) and ratios (ICC: .85-.93, SEM: 5.1%-10%, MCID: 14.2%-27.6%). Conclusion: These findings suggest that isokinetic tests may be effectively utilized for the determination of shoulder strength profiles and appropriate position are recommended to perform test without pain in patients with tendinitis of the rotator cuff.

• Physical Therapy Korea
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• v.26 no.3
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• pp.11-22
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• 2019

Background: Sling exercises are frequently used for the rehabilitation process of patients with shoulder joint injuries, but research on the significant frequency intensity and appropriate treatment duration for sling exercises with local vibration stimulation is lacking. Objects: The aim of this study was to investigate the effects of sling exercise with vibration on shoulder range of motion (ROM), muscle strength, pain, and dysfunction in patients with a medical diagnosis of shoulder joint injury. Methods: Twenty-two patients were randomly assigned to the experiment and control groups. Six sling exercises with and without 50 Hz vibrations were applied in the experiment and control groups, respectively. Each exercise consisted of 3 sets of 5 repetitions performed for 6 weeks. The assessment tools used included shoulder joint range of motion, muscle strength, pain level, and shoulder pain and disability index for functional disability. We conducted re-evaluations before and 3 and 6 weeks after intervention. The changes in the measurement variables were analyzed and compared between the two groups. Results: The ROM of the external rotation of the shoulder joint had a significant interaction between the group and the measurement point (F=3.652, p<.05). In both groups, we found a significant increase in external rotation angle between the measurement points (p<.05). The flexor strength of the shoulder joint significant interaction between the group and the measurement point (F=4.247, p<.05). Both the experiment (p<.01) and control groups (p<.05) showed a significant increase in shoulder flexor strength at the measurement points. After 6 weeks of the interventions, both the groups showed significantly improved VAS (p<.01), SPADI (p<.01), and orthopedic tests (p<.01). However, there was no significant difference between the group and the measurement point in terms of the clinical outcomes observed. Conclusion: The sling exercise with local vibration of 50 Hz affected the external rotation of the shoulder range of motion and improved shoulder flexor strength in the patients with shoulder injuries. Therefore, we propose the use of the sling exercise intervention with vibration in the exercise rehabilitation of patients with shoulder joint injuries.

• Journal of muscle and joint health
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• v.29 no.3
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• pp.141-150
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• 2022

Purpose: This study aimed to investigate the effects of rehabilitation programs with coaching exercise (CE) or home exercise (HE) on shoulder pain, muscle strength, and daily living functions (DLF) in patients with shoulder impingement syndrome. Methods: With quasi-experimental design, thirty patients (15 CE and 15 HE) participated in rehabilitation programs for 12 weeks. At first, data were collected for pain and DLF using questionnaires with testing muscle strength and range of motion. Then, subjects were allowed to receive training on rehabilitation with structured training materials. CE group visited sports center three times a week at P hospital and HE group did self-exercise at home. Data were analyzed using SPSS program. Results: After 12 weeks, both groups showed statistically significant changes in improving pain, muscle strength, and DLF. Compare to HE group, CE group showed a statistically significant improvement in shoulder pain (p=.021), muscle strength in internal rotation (p=.001) and abduction (p=.013) and DLF (p=.012). Conclusion: Rehabilitation programs for patients with shoulder impingement syndrome were effective to improve pain, muscle strength, and DLF. Although CE would bring the better effects, it is possible to apply HE through structured education to patients who are difficult to visit hospitals.

• Korean Journal of Applied Biomechanics
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• v.16 no.1
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• pp.81-88
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• 2006

Present study is to know the relation with throwing speed according to the uniform torque by the shoulder joint, over 20 persons of professional baseball, and were measured the uniform torque by the shoulder joint accordance with throwing speed between (A-low speed) and (B-high speed) of each group. In the present study, three components were measured, and analyzed with having an approximated output value appearing by changing angular velocity, and in $30^{\circ}/sec$, the maximum strength of muscles was measured, and in$210^{\circ}/sec$, the points of endurance strength of muscles were measured and analyzed, and the following result could be obtained. 1. In muscles strength (peak torque)of inner rotation, and outer rotation for respect to each speed of shoulder joint, though there did not appear outstanding difference between A group and B group in the $30^{\circ}/sec$, it showed that group B has priority in a little. Also in outer rotation by shoulder joint, though there appeared the same difference between A group and B group, B group is tended to be prior to A group in a little. 2 In the view of muscles strength (peak torque)of inner rotation, and outer rotation for respect to each speed of shoulder joint, though there did not appear outstanding difference between A group and B group in the $30^{\circ}/sec$, it showed that group B has priority in a little. Also in outer rotation by shoulder joint, though there appeared the same difference between A group and B group, B group is tended to be prior to A group in a little. 3. In the view of muscles strength(peak torque)of inner rotation, and outer rotation for respect to each speed of shoulder joint, though there did not appear outstanding difference between A group and B group in the $30^{\circ}/sec$, it showed that B group has priority in a little. Also in outer rotation by shoulder joint, though there appeared the same difference between A group and B group, B group is tended to be prior to A group in a little. 4. In the view of peak torque for respect to the weight accordance with each velocity of shoulder joint, there did not appear outstanding difference between A group and B group. In outer rotation by the shoulder joint, there was not appeared clear difference between A group and B group. 5. In the concern of the peak torque for respect to the weight accordance with each velocity of shoulder joint, there did not appear outstanding difference between A group and B group in $30^{\circ}/sec$. In outer rotation by the shoulder joint, there was not appeared clear difference between A group and B group. 6. In the concern of the peak torque for respect to the weight accordance with each velocity of shoulder joint, there did not appear outstanding difference between A group and B group in $210^{\circ}/sec$. In outer rotation by the shoulder joint, there was not appeared clear difference between A group and B group. As conclusion, there did not appear a correlation of uniform torque by shoulder joint versus the speed throwing by a pitcher of professional base ball.