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Effect of Meridian Muscle Release and the Graston Technique on Pain and Functional Movement in Patients with Myofascial Pain Syndrome of the Shoulder Joint (경근 이완 기법과 그라스톤 기법이 어깨 관절 근막 통증 증후군 환자의 통증 및 기능 향상에 미치는 효과)

  • Heo, Hyo-Ryung;Jang, Ho-Young;Kim, Dong-Hoon;Kim, Ho-Young;Lee, Suk-Min
    • Journal of the Korean Society of Physical Medicine
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    • v.15 no.1
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    • pp.85-94
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    • 2020
  • PURPOSE: This study examined the effects of the meridian muscle release technique on the pain and functional movement of patients with myofascial pain syndrome (MPS) of the shoulder joint. METHODS: The subjects of this study included 45 patients with MPS of the shoulder joint. The subjects were divided randomly into the following groups; the meridian muscle release technique group (n=15), the Graston technique group (n=15), and the control group (n=15). Both the meridian muscle release group and the Graston technique group received conventional therapy for 35 minutes initially and were then treated using the meridian muscle releases technique and Graston technique for 10 minutes, respectively. The control group received only conventional therapy for 35 minutes. All three groups underwent treatments three times a week for four weeks. Each subject was evaluated randomly using the VAS, PPT, SPADI and ROM both before and after treatment. RESULTS: The Graston technique group showed a significantly more substantial increase in functional movement (p<.05) than the meridian muscle release technique and control groups. The meridian muscle release technique group had significantly less pain (p<.05) compared to the Graston technique and control groups. CONCLUSION: These findings suggest that the meridian muscle release technique can be useful for decreasing pain and increasing the functional movement of patients with MPS of the shoulder joint.

Toxic Assessment on Effluents of Argo/Industrial Wastewater Treatment Plants in Jeonnam using Chemical and Biological Method (전남 농공단지 폐수처리장 방류수의 화학적/생물학적 독성평가)

  • Lee, Moon-Hee;Choi, Ik-Chang;Han, Sang-Kuk
    • Journal of the Korean Society of Marine Environment & Safety
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    • v.14 no.4
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    • pp.267-273
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    • 2008
  • The purpose of this study is to investigate the distributive property of organic pollutants in effluents of argo/industrial wastewater treatment plants in Jeonnam using simultaneous analysis method of 310 chemicals. The numerous organic pollutants were detected in four sampling sites and the major chemicals were pesticides, CH type chemicals such as polycyclic compounds, CHO type chemicals such as phthalates, and CHO(N) type chemical such as aromatic amines. Moreover, 17 kinds of endocrine disrupters which include diethylptbalate were detected in each sampling sites. TU (Toxic unit) indicated cytotoxicity of samples using XTT assay, it appeared highly at A point(27.2) and D point(24.4). Also, the results from the correlation between total concentration of pollutants and TU did not correspond to the results of chemical and biological analysis.

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Kinematic and EMG Analysis of Sit-to-Stand With Changes of Pelvic Tilting (골반 자세 변화에 따른 일어서기동작의 운동형상학적 분석과 근전도 연구)

  • Choi, Jong-Duk;Kwon, Oh-Yun;Yi, Chung-Hwi;Kim, Jong-Man;Kim, Jin-Kyung
    • Physical Therapy Korea
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    • v.10 no.2
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    • pp.99-110
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    • 2003
  • The purpose of this study was to analyze the effects of three different pelvic tilts on sit-to-stand ativities and to suggest a new therapeutic approach for movement reeducation in patients who have difficulty with sit-to-stand activities. The three different pelvic tilts were: (1) comfortable pelvic tilt sit-to-stand (CPT STS), (2) posterior pelvic tilt sit-to-stand (PPT STS) and (3) anterior pelvic tilt sit-to-stand (APT STS). To analyze the kinematic component of STS, a motion analysis system (Zebris) was applied to the ankle, knee, hip joint, and thigh-off area. Also, to determine the onset time of muscle contraction, surface electrodes were placed to the rectus femoris muscle (RF), the vastus lateralis muscle (VL), the biceps femoris muscle (BF), the tibialis anterior muscle (TA), the gastrocnemius muscle (GCM), and the soleus muscle (SOL). One-way repeated ANOVA was used for the statistical analysis. First, significant differences were found in kinematic variables for the hip, knee, ankle joint, and thigh-off among the three activities. Second, there was significant difference in muscle activation pattern in TA. VL. and BF among three activities. In conclusion, the findings of this study suggest the following evaluative and therapeutic approach for STS activity: (1) Changes in knee and ankle joints should be prioritized and recruitment order differences in VL and RF can be generated to accomplish abnormal STS activity. (2) APT STS can be introduced for movement efficiency and functional advantage when abnormal STS is treated.

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Submarine Discharge and Geochemical Characteristics of Groundwater in the Southeastern Coastal Aquifer off Busan, Korea (부산 남동지역 연안 대수층내 지하수의 지화학적 특성과 유출)

  • Yang, Han-Soeb;Hwang, Dong-Woon
    • Korean Journal of Fisheries and Aquatic Sciences
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    • v.40 no.3
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    • pp.167-177
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    • 2007
  • We measured the salinity, pH, and concentrations of $^{222}Rn$ and nutrients in groundwater in the southeastern coastal aquifer off Busan from March to September 2005 to evaluate its submarine discharge and geochemical characteristics. Salinity in coastal groundwater increased sharply at 20 m depth and exceeded 25 ppt below 40 m during the study period, indicating that a strong transition zone between fresh groundwater and seawater developed between 20 and 40 m depths. Fresh groundwater in the upper layer of this transition zone was characterized by high pH, $^{222}Rn$, dissolved inorganic nitrogen (DIN), and dissolved inorganic phosphorus (DIP) and low dissolved inorganic silicate (DSi) relative to seawater in the lower layer. In addition, the vertical profiles of the $^{222}Rn$, DIN, and DIP concentrations imply that a strong advective groundwater flow occurs along the interface of fresh groundwater and seawater near 20 m depth. The geochemical constituents in coastal groundwater also showed strong seasonal variation, with the highest concentrations in summer (June 2005) due to the changes of groundwater recharge and sea level. This implies that the input of terrestrial chemical species into the coastal ocean through submarine groundwater discharge (SGD) could change seasonally. To ascertain the seasonal variation of SGD and SGD-driven chemical species fluxes, and associated ecological responses in the coastal ocean, more extensive studies are necessary using various SGD tracers or seepage meters in the future.

An On-line GC Analysis of Odorous VOC and S Gas in Ambient Air from a Residential Area at Ansan City, Korea (공단인근 주택가를 대상으로 환경대기 중 휘발성유기화합물과 황계열 성분의 연속측정)

  • Kim, K.H.;Ju, D.W;Choi, Y.J.;Hong, Y.J.;Jeon, E.C.;Choi, C.R.;Koo, Y.S.
    • Journal of Korean Society for Atmospheric Environment
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    • v.22 no.6
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    • pp.929-939
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    • 2006
  • In this study, the concentrations of major odorous compounds including reduced sulfur compounds (DMS, $CS_2$, and DMDS) and aromatic VOC (benzene, toluene, xylene, etc.) were measured continuously using an on-line GC analytical system. Our measurements were made from a residential area of Ansan city during about two weeks period of October, 2004. The highest mean concentrations of reduced S and VOC were recorded as 56.9 ppt of DMS and 21.7 ppb of toluene, respectively. The results of this study generally show that the pollution levels for both types of chemicals are significant relative to previous measurement results reported from comparable sites, if the results are compared simply in terms of the magnitude of the measured concentration data. Moreover, when the relative importance of different compounds is compared in terms of the odor strength, it indicates that the contribution of reduced S compounds may be much more important than that of VOC in the study area.

Effect of Hyperbaric Oxygen Therapy on the Pain, Range of Motion and Muscle Fatigue Recovery of Delayed Onset Muscle Soreness (고압산소치료가 지연성근육통의 통증, 관절운동범위 및 근피로 회복에 미치는 영향)

  • Kim, Deok Jo;Choi, Won Jye;Son, Kyung Hyun
    • Journal of Korean Physical Therapy Science
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    • v.26 no.2
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    • pp.51-60
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    • 2019
  • Background: The purpose of this study was to investigate the effects of HBOT (hyperbaric oxygen therapy) on the pain, ROM (range of motion) and muscle fatigue recovery of DOMS (delayed onset muscle soreness). Design: Randomized Controlled Trial. Methods: Twenty-six subjects who are student in their 20s at a university participated in this study, these subjects were assigned into two groups, a control group (n=12) and an experiment group (n=14). The subjects in experimental group were intervened by HBOT (40 minutes, 1.3 ATA), while ones on control group weren't by any intervention after induced DOMS. Results: First, in the comparison of VAS (visual analog scale), there were significant variations with the period (p<0.001), interaction of period (p<0.05) and group (p<0.05). In the comparison of PPT (pressure pain threshold), there were significant variations with the period (p<0.001) and interaction of period (p<0.05). Second, in the comparison of ROM, there were significant variations with the period (p<0.001), interaction of period (p<0.001) and group (p<0.01). Third, in the comparison of CK (creatine kinase) and LDH (lactate dehydrogenase), there no signigicant variations with all measure variables. Conclusion: The above results indicated that HBOT were effective to decrease the pain and improve the ROM in DOMS. Also the statistical significant variations of blood factors of muscle fatigue were not found in this.

Embryonic Development of Fertilized Eggs of Convict Grouper (Hyporthodus septemfasciatus) ♀×Giant Grouper (Epinephelus lanceolatus) ♂ (능성어 (Hyporthodus septemfasciatus) ♀×대왕바리 (Epinephelus lanceolatus) ♂ 수정란의 난발생)

  • Noh, Choong Hwan;Yoon, Nak Jin
    • Korean Journal of Ichthyology
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    • v.31 no.1
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    • pp.23-29
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    • 2019
  • The embryonic development and hatchability of the artificially fertilized eggs of convict grouper (Hyporthodus septemfasciatus) ♀${\times}$giant grouper (Epinephelus lanceolatus) ♂ (CGGG) were compared to those of the maternal pure species (convict grouper ♀${\times}$♂, CG) to establish a novel grouper hybrid for aquaculture industry. The fertilized eggs were divided into nine 5-L beakers (3,000~5,000 eggs/beaker) filled with UV sterilized seawater and incubated at a temperature range of $23.5{\sim}24.8^{\circ}C$ (32.1~32.8 psu). The percentages of fertilization and hatching of CGGG were $69.4{\pm}1.5%$ and $59.0{\pm}5.1%$, respectively and were significantly lower than those of CG (p<0.05). The CGGG proceeded normal embryonic development similar to that of CG, but showed an irregular cleavage, immature embryonic body and spinal deformity in hatched larvae. The incubation time from fertilization to hatching of CGGG was 31 hrs, which was approximately 2 hrs slower than that of CG. Our study provided the possibility of mass production of grouper hybrid CGGG larvae.

Regulations on Wearing Personal Protective Equipment by Hazardous Chemical Handlers and Their Implementation (유해화학물질 취급자의 개인보호구 착용에 대한 규정과 그 이행정도)

  • Han, Don-Hee;Park, Min Soo;Cho, Yong-Sung;Lee, Chungsoo
    • Journal of Environmental Health Sciences
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    • v.47 no.1
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    • pp.101-109
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    • 2021
  • Objectives: The objectives of this study are to introduce the development process of work situations and types in the revised regulations on wearing personal protective equipment (PPE) for hazardous chemical handlers, analyze the implementation of the regulations, and then provide basic data for future education strategies. Methods: The development process of work situations for regulation was explained through a flowchart by year. In 2018, a survey of 30 chemical managers and 201 managers and handlers was conducted based on recognition of work situations and the related regulations. In 2019, 91 chemical managers and 204 handlers were surveyed to find the degree of compliance with regulations, direction for improvement of understanding the regulations, and training methods. Results: Only 78.0% of chemical managers and 66.7% of handlers said they were aware of the regulations (p<0.05). Just 79.0% of handlers knowing the regulations said they would wear PPE in compliance with these regulations. Therefore, the best way to make workers wear proper PPE in accordance with regulations is to strengthen the promotion of education on regulations. In order to improve the quality of education, 51.7% of managers and 33.3% of handlers cited educational content (video, ppt, etc.) as the top priority. Conclusion: This study suggested that more educational opportunities should be provided and educational content should be developed in order for workers handling hazardous chemicals to wear PPE as prescribed in regulations.

Not just sensitization: sympathetic mechanisms contribute to expand experimental referred pain

  • Domenech-Garcia, Victor;Peiroten, Alberto Rubio;Imaz, Miren Lecea;Palsson, Thorvaldur Skuli;Herrero, Pablo;Bellosta-Lopez, Pablo
    • The Korean Journal of Pain
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    • v.35 no.3
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    • pp.240-249
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    • 2022
  • Background: Widespread pain partially depends upon sensitization of central pain mechanisms. However, mechanisms controlling pain distribution are not completely known. The present study sought to assess skin temperature variations in the area of experimentally-induced pain and potential sex differences. Methods: Pressure-pain thresholds (PPTs) were measured on the right infraspinatus muscle. At the end of Day 0, all participants performed an eccentric exercise of the shoulder external rotators to induce muscle soreness 24 hours after. On Day 1, participants indicated on a body chart the area of pain induced by 60 seconds of suprathreshold pressure stimulation (STPS; PPT + 20%) on the right infraspinatus muscle. Skin temperature variations in the area of referred pain were recorded with an infrared thermography camera, immediately before and after the STPS. Results: Twenty healthy, pain-free individuals (10 females) participated. On Day 0, the pre-STPS temperature was higher than the post-STPS temperature on the arm (P = 0.001) and forearm (P = 0.003). On Day 1, the pre-STPS temperature was higher than the post-STPS temperature on the shoulder (P = 0.015), arm (P = 0.001), and forearm (P = 0.010). On Day 0, the temperature decrease after STPS in females was greater than in males on the forearm (P = 0.039). On Day 1, a greater temperature decrease was found amongst females compared with males at the shoulder (P = 0.018), arm (P = 0.046), and forearm (P = 0.005). Conclusions: These findings indicate that sympathetic vasomotor responses contribute to expand pressure-induced referred pain, especially among females.

Changes of Phytoplankton Community with Inflow of Sea Water in Gyoungpo Lake; Comparison between 1998 and 2012 (해수 유입량 변동으로 인한 경포호 식물플랑크톤 군집의 변화; 1998년과 2012년도의 비교)

  • Lee, Eun Joo;Lee, Kyu Song
    • Korean Journal of Ecology and Environment
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    • v.47 no.spc
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    • pp.48-56
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    • 2014
  • Weekly changes of water environments and phytoplankton community with the salinity gradients were investigated at Gyoungpo Lake from April to November in 1998 and 2012. Underwater crossam in Gyoungpo Lake was removed in 2004. Thereafter, average salinity of Gyoungpo lake increased from 7.5 ppt in 1998 to 20 ppt in 2012. A total of 99 and 80 species of phytoplankton was observed from the sampled in 1998 and 2012, respectively. The number of common species during the 2 separate years was 40. Transparency, SS, $NO_3-N$ concentration and N/P ratio in 2012 were lower than those in 1998. During the period of water shortage (April, May) of 2012 transparency decreased due to decreased salinity and increased SS and Chl. a. Correlation coefficients between species and community scores of DCA ordination based on data matrix of the phytoplankton revealed larger variation among sampling seasons in 1998 than in 2012. The increase of seawater influx and conversion rates following the removal of the underwater crossbeam might explain such a differential variation. Gymnodium sp., Peridinium sp., Prorocentrum sp., Nitzschia longissima, Schroederia setigera, Lyngbya sp., Asterococcus limneticus, Asterococcus superbus and Cyclotella meneghiniana were found to well adapt at the high salinities in 2012. Comparatively, Asterrionella formosa, Nitzschia frustulum, Chlorella ellipsoidea, Scenedesmus bijuga and Scenedesmus ellipsoideus were observed at lower salinities in 1998. Two quite contrasting phytoplankton communities were found in the two seasons of a year, spring with limited precipitation and summer, the flood season.