• 대한물리의학회지
• /
• 제8권4호
• /
• pp.601-608
• /
• 2013

PURPOSE: The purpose of this study was to investigate the effect of distance between trunk and desk on forward head posture and muscle activity of neck and shoulder muscles during computer work. METHODS: Twenty subjects who have healthy conditions were asked to perform computer work in two conditions (distance between trunk and desk was 0 and 15 cm). Forward head angle was analyzed with a SIMI motion analysis system. Surface electromyography recorded the upper trapezius and splenius capitis muscles. The significance of differences in distance between trunk and desk (0cm and 15cm) was tested by paired t-test. The alpha level was set at .05. RESULTS: The results showed that the change of forward head angle was significantly higher during the computer work when the distance between trunk and desk was 15cm than 0cm. The muscle activity of upper trapezius and splenius capitis was also significantly higher during the computer work when the distance between trunk and desk was 15cm than 0cm. CONCLUSION: Our study suggest that the distance between trunk and desk was should minimized for prevention of forward head posture during computer work.

• The Korean Journal of Pain
• /
• 제9권1호
• /
• pp.98-101
• /
• 1996

Background: Lumbar epidural steroid injection for relief of low back pain and sciatica has become a popular procedure. further, cervical epidural steroid injection with nerve block (CESNB) is known to be effective for the management of acute and chronic pain of neck, shoulder and arm. However, many anesthesiologists are not familiar with CESNB. Methods: Charts of 34 patients who had undergone 60 cervical epidural steroid injections over a three year period, 1993 to 1995, were reviewed. We studied the followings: initial visit and department, injected interspaces, personal characteristics, indications for injection and complications. Results: Patients' first visits were mainly to orthopaedics (11 patients) and neurosurgery (10 patients). Epidural injection sites were: C7-T1 interspace (29 patients) and C6-C7 interspace (6 patients). Mean age of patients were 50.1 years. range 21~73 years. There were twenty male and fourteen female patients. Complications varied from dizziness after CESNB (1 patient). loss of consciousness with transient apnea (2 patients), and local infection with suspicious meningitis (1 patient). Conclusion: We conclude from the above data that CESNB is a good, safe and conservative form of therapeutic procedure in the management of patients suffering from cervical radiculopathy, and neck and shoulder pain.

• 복식문화연구
• /
• 제9권5호
• /
• pp.770-782
• /
• 2001

The definite objects of this study are as follows; 1. The study presents the methods of the designing collar pattern and bodice pattern by each concrete object after comparing and analyzing the factors among the features which are in need of clothes designing. 2. The object of this study is to make body-suitable ready-made clothes by comparing and analyzing the methods of designing collar pattern and bodices pattern presented by each concrete objects and Bunka Pattern. The results of this study are as follows; 1 . The results of this study developed the body-suitable bodice pattern of bend-forward type, straight type and lean-back type Compared with the Bunka pattern by physical function test, this study was rated high in the aspects of the shape of neck and shoulder. 2. The collar pattern was designed according to each type. The front center rising point of straight type is 2.5cm, lean-back type is 3.0cm and bend-forward type is 1.5cm. Compared with the Bunka pattern by physical function test, this study is rated high in the aspects of the shape. To confirm the increase and change of the measure definitely, the complete examination of each subject is necessary. This developed and investigated pattern must be supplemented more by comparing and analyzing with other pattern and body types.

• Clinics in Shoulder and Elbow
• /
• 제3권1호
• /
• pp.20-25
• /
• 2000

Purpose : To evaluate functional results and study factors influencing results after humeral hemiarthroplasty for comminuted fractures of the proximal humerus. Materials and Methods: We reviewed 12 patients with average follow-up period of 23 months(12 to 42). The proximal humeral fractures consisted of one anatomical neck fracture, five three-part and six four-part fractures or fracture-dislocations. Constant score and Compito et al' evaluation system were used for clinical assessment. Statistical analysis was done with the Wilcoxon test. Results: Six cases of anatomical neck, three-part fractures or fracture-dislocations showed 61 points on the average Constant score and three unsatisfactory results on the Compito et al' evaluation; Six of four-part fractures or fracture-dislocations showed 51 points and three unsatisfactory results. There were 59(two unsatisfactory) for five non-associated dislocation and 53(four unsatistactory) for seven associated dislocation; 66(one unsatisfactory) for three under 60 years and 41(five unsatisfactory) for nine over 60 years; 67(two unsatisfactory) for seven tuberosity union and 41(four unsatisfactory) for five tuberosity non-union or resorption; 58(four unsatisfactory) for ten early operation within two weeks and 43(all unsatisfactory) for two delayed operation; and 18(unsatisfactory) for one case of a accompanied rotator cuff tear. Conclusion: We concluded that tuberosity union was important factor influencing the results. Also, we thought that age, timing of operation and accompanied rotator cuff tear could be influenced to results.

• Tuberculosis and Respiratory Diseases
• /
• 제70권1호
• /
• pp.63-68
• /
• 2011

Multiple symmetrical lipomatosis (MSL), also called Madelung's disease, is a rare disorder of unknown etiology and characterized by abnormal accumulation of large subcutaneous fatty masses in neck, shoulder, and upper trunk. MSL has known to predominantly affect middle-aged men with a history of alcoholism. Although the clinical course of MSL is considered to be slowly progressive, in advanced stage, fatty masses in the neck may compress the upper aerodigestive tract, resulting in dyspnea and dysphagia. The treatment of MSL is surgical resection, but radical excision is very difficult and recurrence after surgery is frequent. We report the case of 55-year-old man with long lasting MSL, which caused severe airway obstruction. This patient was admitted with progressive dyspnea and massive accumulation of fat around the vocal cord that was detected on a neck CT scan. This abnormal fatty infiltration in supraglottic region caused upper airway obstruction.

• 한국산업보건학회지
• /
• 제8권1호
• /
• pp.36-49
• /
• 1998

The purpose of this study is to investigate the relationship between the work postures and upper extremity cumulative trauma disorders(CTDs) in female medical insurance bill reviewers(n=448). This study included diagnosis for CTDs, anthropometry and job analysis (workstations and posture). The characteristics of subject were 33.6 years of average age and 8.7 years of average work duration. The results were as fallows. Ergonomic conditions of workstation were unsuitable compared with anthropometry result. The height of work surface(79.5 cm) and chair(43.0 cm)were high. work space was small, and legs space under the table was limited. Work postures were awkward compared with recommended neutral postures. Neck flexion($21.0-36.0^{\circ}$), elbow elevation, shoulder abduction ($46.0-47.0^{\circ}$). wrist radial and ulnar deviation, forearm supination and pronation, and wrist repeated motion(12.7-21.5 freq./min) were analyzed as hazardous risk factors by job analysis. The prevalence of CTDs was 32.8 % by medical diagnosis. The prevalence rate of CTDs in hazardous work posture group was significantly greater than safe work posture group both neck-shoulder (relative prevalence = 5.2, p<0.001) and wrist-hand (relative prevalence = 2.5, p<0.05).

• 한국직업건강간호학회지
• /
• 제13권1호
• /
• pp.19-29
• /
• 2004

Purpose: This study was conducted at small-to-medium-sized manufacture enterprises less than 300 employees. Method: For 167 workers in 12 small-to-medium-sized manufacture, we examined the self-recording questionnaires about general characteristics, health characteristics, occupational characteristics and subjective musculoskeletal symptoms designed by NIOSH. Result: Related factors of upper limb musculoskeletal symptoms were found in using of the PC except work, the speed control at working and inappropriate positions for neck, and that using of the PC except work, the degree of intensity at working and the speed control at working for shoulder, and that the degree of intensity at working, the speed control at working, inappropriate positions and excessive workforce for arm/elbow, and that the degree of intensity at working, the speed control at working, inappropriate positions, excessive strong and vibration for hand/wrist/fingers. Conclusion: As a result of multiple logistic regression analysis, musculoskeletal symptoms of neck were influenced by use of the PC except work, household work, and the speed control at working, symptoms of shoulder by using of the PC of except work and the degree of intensity at working, symptoms of arm/elbow by the speed control at working, and symptoms of hand/wrist/fingers by the degree of intensity at work and excessive workforce.

• 성인간호학회지
• /
• 제16권2호
• /
• pp.202-210
• /
• 2004

Purpose: this study was to examine the differences of the level of pain, depression and self-efficacy according to the classifications of pain among chronic pain patients. Method: The data were collected by means of self-reported questionnaire from 164 patients with chronic pain visited in one university hospital and one local pain clinic in Busan, from October 7 to November 16, 2002. Analysis was done by ANOVA, and Scheffe test using SPSS program. Result: The subjects were divided into five classifications of chronic pain : 26.2% low back and extremity pain, 23.2% neck, shoulder and upper extremity pain, 19.5% postherpetic neuralgia, 15.9% complex regional pain syndrome and 15.2% peripheral neuralgia. There were significant differences in pain (p=.000), depression (p=.000) and self-efficacy (p=.003) according to the 5 kinds of chronic pain. With the results of the Scheffe test, the patients with peripheral neuralgia experienced pain and depression higher than those with the other kinds of chronic pain. The patients with neck, shoulder and upper extremity pain experienced self-efficacy higher than those with peripheral neuralgia. Conclusion: Chronic pain patients should be provided effective individualized intervention depending on the classifications of chronic pain. Therefore the development of interventions for pain management according to the classifications of pain in chronic pain patients is needed.

• 대한한의학회지
• /
• 제16권2호
• /
• pp.312-319
• /
• 1995

The purpose of this study was to know the difference of the effect between the E- A and the S-A. The 19 patients complaining the pain on the neck, shoulder and upper limb were chosen, divided and controled by two groups; One was the E-A group treated at upper limb meridian point, the other was the therapy group treated by S-A at the scalp and E-A at upper limb meridian point together. In 20 minutes after treatment, the change of plasma cortisol concentration was observed. The results were as follows: 1. In E-A group, there was no significant change of plasma cortisol concentration. 2. In S-A and E-A group, there was significant increase to plasma cortisol concentration. In conclusion, it seems that the increased stimulation by the treatment of S-A and E-A together has close relation with the plasma cortisol concentration. And the further study about the intensity of acupuncture stimulation and S-A is expected.

• 대한안전경영과학회지
• /
• 제15권4호
• /
• pp.89-96
• /
• 2013

The purpose of this study was to verify the relationship between fire fighter's musculoskeletal disorder related observable symptom and their absence from disease and accident. Online questionnaire was distributed with a total of 7,673 fire fighters, and statistical analysis was conducted to the collected data. The result shows that on a one year basis, patients with musculoskeletal disorder related observable symptom felt symptom in sequence of back, shoulder, neck, knee. The result verified that 12.9% of absence of disease and 5.9% of absence of accident experienced these symptoms. Both absence from disease and absence from accident showed body part symptoms related to neck and shoulder. This study ascertained the relationship between fire fighters' absence and their musculoskeletal disorder related observable symptom. The author hopes this study to be used as a basis of precautionary program for absence management.