• 사상체질의학회지
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• 제29권4호
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• pp.336-346
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• 2017

Objectives The purpose of this study is to investigate the characteristics of low back pain and shoulder arm pain patients according to the Sasang Constitution. Method We classified Seventy-nine participants by their Sasang Constitution. We investigated various aspects of the participant's pain such as the location of pain, diseases and Syndrome Differentiation etc. then intended to confirm relationship the Sasang Constitution and these research items through the statistics analysis. Results The numbers of lower back pain patients was statistically higher in Soyangin group than any other groups and the number of shoulder arm pain patients was statistically higher in Taeeumin group or Eumin group (Taeeumin group and Soeumin group) than Soyangin group. The number of diabetes patients and obesity patients was statistically higher in Taeeumin lower back pain patients, and that of obesity patients was statistically higher in Taeeumin shoulder arm pain patients than any other groups. The numbers of shoulder arm pain patients due to blood stasis and lower back pain patients due to kidney deficiency were statistically higher in Soyangin group than any other groups. The numbers of shoulder arm pain patients due to phlegm fluid retention and lower back pain patients due to phlegm fluid retention were statistically higher in Taeeumin group than any other groups. Conculsions The characteristics of lower back pain and shoulder arm pain could be different according to Sasang constitution.

• 동의생리병리학회지
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• 제25권1호
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• pp.8-18
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• 2011

To have effective treatment for shoulder arm pain, we searched the cause, symptom, etiology, classification of the pain areas, acupuncture points, and muscles along the meridians, and acquired the following results. Shoulder-pain is mainly divided into the malfunction of viscera and entrails, damage due to the weakness of essence and qi, abnormal status of muscle function, change of joints, disease in the nerve and vessel, and the internal injury due to seven modes of emotions. Pain of shoulder joints are pain in the local area of shoulder joints, referred pain of shoulder, neck, and shoulder-arm, numbnes and swelling of muscle, and muslce weakness. Shoulder-arm pain is classified as four types of pain: shoulder-joint pain, shoulder-back pain, shoulder-chest pain, and shoulder-arm-elbow pain. And shoulder-arm-elbow pain is again divided into the shoulder-blade pain, shoulder-arm pain, shoulder-elbow pain. The related meridians on shoulder pain are the three yin meridians of hand, Kidney Meridian, Conception Meridian, three yang meridians of hand, Bladder Meridian, Governor Meridian Acupuncture points for shoulder pain are in the acupuncture points of the 10 meridians and a-shi points. Thre related meridian muscles on shoulder-pain are the three yin and yang meridians of hand, and their related muscles are the ones that are connected with the front, back, and chest side muscles of shoulder joints, and the ones that are connected with the front and back side muscles of arm.

• 대한물리치료과학회지
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• 제18권3호
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• pp.63-69
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• 2011

Purpose : The purpose of study is activation of lumbar multifidus muscle by needle EMG during shoulder flexion in chronic low back pain patients. The subject were consisted of 10 women patients with chronic low back pain and healthy asymtomatic subject 10 women. Methods : 10 women patients with chronic low back pain and healthy asymptomatic subject 10 women is voluntary participated for the research. Subjects were positioned in standing. The needle EMG were measured activation of multifidus. Needle electrode was used to 28 gauge. The shoulder flexion movement used to activate the multifidus was then measured. Results : Results of the analysis showed that asymptomatic subjects had significantly larger multifidus muscle activation compared with CLBP subjects during shoulder flexion. Conclusion : This study will be used as multifidus measurement method of patient with chronic LBP. The multifidus muscle in chronic LBP patient clinical significance. Most of chronic LBP patients have multifidus contraction pattern. Therefore chronic LBP patients necessary multifidus activation measurement with needle EMG.

• 한국직업건강간호학회지
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• 제15권1호
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• pp.14-29
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• 2006

Purpose: The purposes of this study were to survey the extent of pain and discomfort in the musculoskeletal system among visiting housekeepers, above all concerning neck, shoulder, back, wrist, knee, and arm pain and to find possible relations between symptoms and various working conditions. Method: A questionnaire was answered by 174 woman visiting housekeepers living in Kyeonggi-do and Seoul from December 1, 2003 to February 30, 2004. The symptoms of musculoskeletal system were coded by the pain index which illustrates the extent of the symptoms, and analyzed in view of NIOSH guideline and Kim, et. al.'s notion. Result: 1. As to the complaint rate of subjective musculoskeletal symptoms by body region, the figure was the highest for shoulder with 78.2%, followed by back with 66.7%, knee 53.6%, neck 56.3%, wrist 40.2%, and arm 29.2%, respectively. The logistic analysis showed shoulder pain and arm pain have no relation with working and health conditions, and back pain was significantly related to current health condition. In same way, knee pain and wrist pain were found to be mainly related to marital status. 2. Following the NIOSH guideline, the positive rate of subjective musculoskeletal symptoms was found out in following order: shoulder 69.5%, back 59.2%, knee 54%, neck 46%, wrist 32.8%, and arm 25.3%. To investigate the main cause of each disease, the symptoms were classified by pain index, where the value of more than 3 comes to the NIOSH case, and analyzed in term of complaint rate using discrete logistical method : shoulder pain was highly related to the housekeeping time after work, back pain was to current health condition and the heavy weight carrying and neck, wrist, arm pain were commonly related to the ordinary health condition. For knee pain, working speed was a main cause. 3. In view of Kim et. al.'s standard, where the pain index is over 7, the positive rate was showed in order slightly different from previous analyses : shoulder 33.3%. knee 29.9%, back 28.2%, neck 17.2%, wrist 17.2%, and 16.7%. From the logistical analysis, insufficient rest was shown as the main cause of shoulder, back, arm and wrist pain. For neck pain, ordinary health condition was mainly related. In case of knee pain, any apparent relation is not found. Conclusion: According to the logistic regression analysis of musculoskeletal system, there was strong suggestion that the less insufficient physical rest, the more significant disorder complaint. This means that the most musculoskeletal symptom among the visiting housekeepers can be prevented and cured by sufficient physical resting.

• Journal of Acupuncture Research
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• 제36권1호
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• pp.45-49
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• 2019

The purpose of this study was to describe the treatment of the clinical symptoms of syringomyelia using Korean medicine. A patient with syringomyelia complained of back and shoulder pain, numbness of the upper right limb, headaches and dyspnea. He was treated with herbal medicine, acupuncture, moxibustion, and physical therapy. The Visual analog scale (VAS) was used to score sensory symptoms (pain, numbness) and Modified Borg scale (mBorg) was used to score dyspnea. After the treatment, his symptoms were relieved. The patient's chief complaint was back and shoulder pain which was reduced greatly from a VAS score of 6 between 1-2. The results in this study may contribute to the development of the Korean medicine field of syringomyelia in the future.

• 한국치위생학회지
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• 제19권5호
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• pp.665-676
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• 2019

Objectives: The purpose of the study was to analyze the association between indirect vision skills and neck, shoulder, and back pain in dental hygienists. Methods: This cross-sectional study included 85 dental hygienists working full-time at dental clinics. A survey was performed for musculoskeletal symptoms in the neck, shoulders, and back of the subjects. The O'Connor tweezer dexterity test was performed using a mirror to evaluate their indirect vision skills. For statistical analyses, the t-test and one-way analysis of variance were performed. Results: The neck was the most common region of musculoskeletal pain (89.4%). The most intense pain was experienced in the neck (70.6%) and right shoulder (60.0%). Neck pain (20.0%) caused the most interference with clinical practice. Indirect vision skills were lower in the group with severe pain in the left shoulder or with high interference in work due to the left shoulder pain (p=0.026 and p= 0.017, respectively) or right shoulder pain (p=0.004). Conclusions: In this study, neck pain was a major musculoskeletal symptom among dental hygienists, and poor indirect vision skills were associated with the development of shoulder pain. Therefore, to prevent such musculoskeletal symptoms, dental hygienists should become proficient in indirect visualization, which enables a balanced and neutral posture.

• 대한인간공학회지
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• 제25권4호
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• pp.35-40
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• 2006

The purpose of this study was to investigate the relationships between weights of backpack and back and shoulder pains of elementary school students in Korea. A cross-sectional sample of 278 boys and 233 girls aged between 7 and 12 years were analyzed for this study. 49.1% of the participated children reported their backpacks were felt heavy, and the weights of their backpack were grater than 13.3% of their body weight. About 65.4% of students carried greater than 10% of their body weights. The weight of the backpack showed significant positive relationship with shoulder pain but not with their back pain. The results of this study suggested that overweighed backpack could cause the musculoskeletal pain to the elementary school students. Therefore, an effective backpack safety program for parents and students is necessary to educate them how to prevent possible musculosketal pain related to the weight of backpack within the perspective of the ergonomical approach.

• Journal of Korean Biological Nursing Science
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• 제14권4호
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• pp.268-274
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• 2012

Purpose: The purpose of this study was to examine the effects of self stretching on shoulder pain and should flexibility of nurses. Methods: Forty two nurses who work in a university hospital participated in the study; an intervention (n=22) and a control group (n=20). The nurses of intervention group carried out a 4-week self stretching program. All participants completed 1 item NRS scale for pain intensity and 1 item 4-Likert scale for pain intensity. Both shoulder flexibilities of the nurses were measured by back and reach test. All measurements were done at baseline, 2 week, 4 week during the program and 2 week following the program. The data was analyzed by frequency, percentage, ${\chi}^2$-test, t test, Repeated measures ANOVA using SPSS 12.0. Results: There were significant differences in the pain intensity (p<.001) and frequencies(p<.001) between two groups. Also, Left and right shoulder flexibilities of the intervention group significantly increased than those of the control group (p<.001 and p=.002 respectively). Conclusion: The results showed that self stretching reduce the intensity and frequency of shoulder pain and increase both shoulder flexibilities. Thus, self stretching is recommended as an intervention to improve shoulder function of hospital nurses.

• The Korean Journal of Pain
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• 제20권2호
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• pp.230-234
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• 2007

A diagnosis of shoulder pain is varied and difficult to make. The initial onset of liver cancer is difficult to detect and patients typically do not complain of symptoms as most tumors are asymptomatic. If the symptoms of the patients develop, the first symptom is usually pain that extends from the abdomen to the back and shoulder. A suprascapular nerve block is used in the treatment of the referred shoulder pain due to a metastatic hepatoma, but the effectiveness of the treatment has been limited because of its short duration. Recently, the advent of pulsed radiofrequency (PRF) lesioning has proved a successful treatment for chronic refractory pain involving the peripheral nerves. We experienced a case of a 66-year-old male patient complaining of referred right shoulder pain due to metastatic liver cancer, which was relieved after PRF lesioning of the suprascapular nerve.

• 한국치위생학회지
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• 제9권2호
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• pp.45-56
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• 2009

The purposes of this study were to investigate the relationships between the degree of physical pain and the knowledge and preventive actions of musculoskeletal diseases among dental hygiene students with a potential risk of contracting those diseases and thus to help them prevent them. A survey was taken among 207 sophomores and juniors specializing in dental hygiene at S1 and S2, Gyeonggi Province in the area of physical pain, knowledge of musculoskeletal diseases, and preventive actions against them. The findings were as follows: 1. The mean scores of the sophomore in the knowledge of musculoskeletal diseases were $6.20{\pm}2.21$, and those of the juniors were $6.72{\pm}2.29$. The mean scores of the sophomores and juniors in the preventive actions against musculoskeletal diseases were $22.50{\pm}2.37$ and $22.29{\pm}3.01$, respectively. 2. The subjects displayed severe physical pain in the lower back, shoulder, and neck in the descending order and medium physical pain in the neck, shoulder, and lower back in the descending order. 3. The higher level knowledge of musculoskeletal diseases they had, the less physical pain they felt. And there were significant differences among the shoulder, lower back, hip, ankle, and foot. 4. There were relationships between physical pain and the preventive actions against musculoskeletal diseases in "placing the hands at the height of the elbows during treatment", "reducing such positions as bending and extending during treatment", "narrowing the distance with the patient", "taking regular breaks during treatment for recovery", "trying not to incline the neck, back, arm, and wrist as much as possible", and "trying to keep the torso in the neutral position." 5. As for the education about musculoskeletal diseases, 74 sophomores(88.10%) and 102 juniors(89.74%) answered they received no such education. The results suggest that there should be some instructions to help dental hygiene students practice the preventive actions against musculoskeletal diseases and further prevention programs against those diseases.