• Title/Summary/Keyword: neck and shoulder

Search Result 607, Processing Time 0.029 seconds

Long-Term Clinical and Radiologic Outcomes of Minimally Invasive Posterior Cervical Foraminotomy

  • Kwon, Young-Joon
    • Journal of Korean Neurosurgical Society
    • /
    • v.56 no.3
    • /
    • pp.224-229
    • /
    • 2014
  • Objective : To report long-term clinical and radiological outcomes of minimally invasive posterior cervical foraminotomy (MI-PCF) performed in patients with unilateral single-level cervical radiculopathy. Methods : Of forty-six patients who underwent MI-PCF for unilateral single-level radiculopathy between 2005 and 2013, 33 patients were included in the study, with a mean follow-up of 32.7 months. Patients were regularly followed for clinical and radiological assessment. Clinical outcome was measured by visual analogue scale (VAS) for the neck/shoulder and arm, and the neck disability index (NDI). Radiological outcome was measured by focal/global angulation and disc height index (DHI). Outcomes after MI-PCF were evaluated as changes of clinical and radiological parameters from the baseline. Mixed effect model with random patients' effect was used to test for differences in the clinical and radiological parameters repeat measures. Results : There were no complications and all patients had an uneventful recovery during the early postoperative period. VAS scores for neck/shoulder and arm improved significantly in the early postoperative period (3 months) and were maintained with time (p<0.001). NDI improved significantly post-operatively and tended to decrease gradually during the follow-up period (p<0.001). There were no statistically significant changes in focal and global angulation at follow-up. Percent DHIs of the upper adjacent or operated disc were maintained without significant changes with time. During the follow-up, same site recurrence was not noted and adjacent segment disease requiring additional surgery occurred in two patients (6%) on the contra-lateral side. Conclusion : MI-PCF provides long-term pain relief and functional restoration, accompanied by good long-term radiological outcome.

Development of Sports Brassiere Pattern Using 3D Shaping Technology (3차원 쉐이핑 기술을 활용한 스포츠 브래지어 개발)

  • Kim, Soyoung
    • Fashion & Textile Research Journal
    • /
    • v.21 no.4
    • /
    • pp.480-487
    • /
    • 2019
  • This study used 3D technology to develop a multi-functional sports brassiere with increased comfort and fit that can be worn as a base layer during exercise or as underwear. A 75A size industrial lingerie figure was used to develop a standard pattern. 3D tools for scanning and pattern making, such as Vivid 910, Geomagic Design X, 2C-AN and Yuka CAD were used. The sports brassiere was designed as a tank top style with dual structure and linings attached to a pad utilized with a sport brassiere mold cup. 3D outer and lining's pattern was differently developed in consideration of the body's curvature with pad's shape and structure. Shoulder and neck part reduction rates were adjusted to increase the neck areas fit that considered the nude pattern's structure due to uncomfortableness felt by wearers who were uncomfortable with the neck areas fit on existing brand products. The reduction rate was also set differently on each part. For example, the reduction rate on outer side panel was set strongly to increase the breast's volume. Two products, developed by a 3D sports brassiere and previously released product, were worn on 8 subjects in their 20's to evaluate fit, comfort, and purchase preferences. The evaluation proved that newly developed 3D products were superior to comparative products. The results of the clothing pressure measurement indicate that the newly developed sports brassiere's front part had less pressure on upper bust and shoulder areas compared to comparative products as well as showed less pressure on the back side, which shows improved wearing comfort compared to comparative products.

The ergonomic analysis on dental hygienists' scaling treatment posture based on two dimensional motion (치과위생사 스켈링 시술자세의 2D에 의한 인간공학적 분석)

  • Jung, You-Sun
    • Journal of Korean society of Dental Hygiene
    • /
    • v.3 no.1
    • /
    • pp.73-87
    • /
    • 2003
  • This study was performed on 17 female dental hygienists to find an appropriate method to reduce the hygienists' body discomfort while scaling, and provide a foundation to educate them how 10 posture during the process. To assess the arm abduction, elbow flexion, neck flexion, trunk flexion and trunk lateral bending through Video 2D(two dimensional motion) analysis and assessing the risk through the Action level of RULA(rapid upper limb assessment) checklist, an ergonomic analysis method. Correlation analyses on the posture angles and on body discomfort were performed. ANOVA analysis on scaling treatment position and the scaling treatment region of patients was also performed. The results are as following. 1. 20 analysis while scaling, arm abduction was $40{\sim}79.9^{\circ}$, elbow flexion $20{\sim}110^{\circ}$, neck flexion $50{\sim}100^{\circ}$, trunk flexion $60{\sim}80^{\circ}$, and trunk lateral bending $5{\sim}19.9^{\circ}$. 2. The Action level of RULA was 2. 3 resulted from scores 4 and 5 of group A which includes upper arm, lower ann, wrist, and scores 2 and 4 of group B which includes neck, trunk, legs. It means that the scaling treatment posture causes a high incidence rate of musculoskeletal that an additional investigation and improvement should be followed without hesitation. 3. There were significant differences among the maxilla right, maxilla anterior, maxilla left, mandible left, mandible anterior, and mandible right of a patient of the right and left upper arm, lower arm, neck, trunk, group A, group B, final RULA score while scaling treatment. 4. There were significant differences among the time position of 8, 9, 10, 11, 12, 13 of the right and left upper arm, lower arm, neck, trunk, group A, group B, final RULA score while scaling treatment, 5. As for the body discomfort, neck, right shoulder, left shoulder, right back, right wrist etc. were listed on top. As a conclusion, performing the time position of 12 which shows low right and left final RULA scores is better than the time position of 8 and 10 which show high final RULA scores to reduce the body discomfort while scaling treatment.

  • PDF

Effects of Slump Sitting Posture on the Masticatory, Neck, Shoulder, and Trunk Muscles Associated With Work-Related Musculoskeletal Disorders

  • Yoo, Won-Gyu;Yi, Chung-Hwi;Kim, Han-Sung;Kim, Min-Hee;Myeong, Seong-Shik;Choi, Hyun-Ho
    • Physical Therapy Korea
    • /
    • v.13 no.4
    • /
    • pp.39-46
    • /
    • 2006
  • The purpose of this study was to determine the effects of slump sitting postures on the masticatory, neck, shoulder, and trunk muscles associated with work-related musculoskeletal disorders (WRMD). Eleven healthy adults (age, $23.3{\pm}2.7$ yrs; height, $174.0{\pm}4.1$ cm; weight, $61.4{\pm}6.6$ kg) participated in this study. The participants were free of injury history and neurologic deficits in the masticatory, neck muscles and upper extremities at the time of participation. The subjects were asked to perform erect and slump sitting postures under the guidance of physical therapists. The surface electromyography (EMG) was recorded from the anterior temporalis, masseter, upper trapezius, serratus anterior, middle trapezius, L3 paraspinal, external abdominal oblique, gluteus maximus muscles of 11 adults as they performed visual terminal display work, which are known as the weakened and tightened muscles owing to WRMD. The recorded signals were averaged and normalized to the mean amplitude of the EMG signal obtained during submaximal reference voluntary contractions. The results of study were as follows: The masseter, upper trapezius, serratus anterior, middle trapezius, L3 paraspinal, external abdominal oblique muscles significantly differed in the slump sitting posture (p<.05). The muscle activities of the serratus anterior, middle trapezius muscle, and external abdominal oblique were significantly lower and that of the masseter, upper trapezius, L3 paraspinal muscles were significantly higher. Further research is needed to assess the motor control problems and the function of the deep muscles in posture stability of patients with WRMD.

  • PDF

A Lower Level of Physically Demanding Work Is Associated with Excellent Work Ability in Men and Women with Neck Pain in Different Age Groups

  • Oliv, Stefan;Noor, Adnan;Gustafsson, Ewa;Hagberg, Mats
    • Safety and Health at Work
    • /
    • v.8 no.4
    • /
    • pp.356-363
    • /
    • 2017
  • Background: The aim of this study was to investigate which physical and psychosocial work demands were associated with excellent work ability in individuals with neck pain, and to investigate age and sex differences in these associations. Methods: The study sample was obtained from the Statistics Sweden cross-sectional Work Environment survey and consisted of workers who reported neck pain after work (N = 3,212). Results: The findings showed an association between excellent work ability and self-reported low exposure to lifting, twisted work posture, working with hands in shoulder level or higher, and leaning forward without support and combination of exposures containing these work demands. Low exposure to seated work and high demands showed a reversed association. The associations were present mainly among older workers and were generally stronger for men than for women. Conclusion: This study indicates that a lower level of physically demanding work is an important element to maintain excellent work ability, especially for the older worker with neck pain.

The Analysis on the Torso Type Dress Form Developed Through the 3-D Virtual Body Modeling of the Korean Female Fashion Models (국내 여성 패션모델의 3차원 가상인체 모델링을 통한 토르소형 인대 개발과 그 특성 분석)

  • Park, Gin Ah
    • Journal of the Korean Society of Costume
    • /
    • v.65 no.2
    • /
    • pp.157-175
    • /
    • 2015
  • The study was aimed to develop a torso-type dress form representing body features of the female fashion models in Korea. To fulfill this purpose, 5 female fashion models aged between 20 and 26 having the average body measurements of professional fashion models in Korea were selected and their 3-D whole body scanned data were analysed. The 3-D whole body scanning method enabled to generate a virtual female fashion model within the CAD system by measuring the subjects' body shapes and sizes. In addition, the virtual model's body data led the development of a standard female fashion model dress form for the efficient fashion show preparation. In order to manufacture the real dress form for female fashion models, 3-D printing technology was adopted. The consequent results are as follows: (1) the body measurements (unit: cm) of the developed dress form were: biacromion length, 36.0, bust point to bust point, 16.6, front/back interscye lengths, 32.0/33.0, neck point to breast point, 26.0, neck point to breast point to waist line, 41.5, waist front/back lengths, 34.5/38.5, waist to hip length, 24.0, bust circumference, 85.0, underbust circumference, 75.0, waist circumference, 65.0, hip circumference, 92.0. (2) the body measurements differences between the developed and existing dress forms were highlighted with the body measurements of neck point to breast point and waist to hip length. (3) the body shape features of the developed dress form showed that bust, shoulder blade, shoulder slope, abdomen and back waist line to hip line parts were more realistically manufactured.

Men′s Bodice Pattern Making Method using 3-D Body Scan Data (3차원 인체 스캔 데이터를 활용한 남성용 바디스 원형 설계 방법 연구)

  • 서동애;천종숙
    • The Research Journal of the Costume Culture
    • /
    • v.12 no.2
    • /
    • pp.290-299
    • /
    • 2004
  • The purpose of this study is to testify the pattern making method to develop the men's basic bodice pattern using 3-dimensional body scan data. The experimental patterns were made by adding wearing ease on flattened body scan data and tracing the outlines of it. The experimental bodice pattern were composed of front, back, and side panels. To compare the difference between the experimental pattern and traditional pattern, two pattern making methods were compared. Two sets of basic bodice patterns were made for each of the 10 male subjects: a set of pattern was made by experimental method and the other set was made by Bunka pattern making method. The experimental and traditional patterns were measured at 13 dimensions. The results show that there was a difference between the experimental patterns and traditional patterns at the front length, back length, front width, front neck width, back neck width, and back neck depth. The fit was also compared for both patterns. The results of the fit test show that the experimental patterns were superior to the traditional patterns at the fit of neck, shoulder, and armhole. The experimental pattern making method was expected to be useful for mass customization.

  • PDF

Five Cases of Frozen Shoulder Patients Treated by Acupotomy Combined with Oriental Medical Treatments (침도시술 및 한방요법을 병행한 동결견 환자 5명의 증례보고)

  • Yuk, Dong-Il;Song, In;Ko, Min-Kyung;Sung, In-Su;Kim, Min-Jung;Lee, Jin-Woo;Oh, Young-Seon;Jo, Jeong-Hyo;Kang, Wee-Chang;Hong, Kwon-Eui
    • Journal of Acupuncture Research
    • /
    • v.29 no.5
    • /
    • pp.167-176
    • /
    • 2012
  • Objectives : The purpose of this study is to report the effect of acupotomy in patients with frozen shoulder. Methods : From January 1st, 2011 to March 31st, 2012, five patients who were diagnosed as frozen shoulder and admitted to Daejeon Oriental Hospital. We have treated frozen shoulder with acupotomy combined with oriental medical treatments. Then the patients were asked Numeric rating scale(NRS) and neck disability index(NDI) before and after acupotomy, and global assesment after acupotomy. Results : There were significant decreased NRS and NDI in this study. ROM, global assesment also significantly imporved in this study. Conclusions : In this study, acupotomy have an effect on frozen shoulder.

A Study on the Use of Dong-Si Acupuncture Points at Movement System Impairment Syndrome of Shoulder and Cervical Spine (견(肩).경항부(頸項部) 동태손상증후군에서의 동씨침 혈위 활용 방안)

  • Youn, Woo Suck;Park, Young Jae;Park, Young Bae
    • Journal of Acupuncture Research
    • /
    • v.30 no.5
    • /
    • pp.1-9
    • /
    • 2013
  • Objectives : The purpose of this study was to present clinical utility of therapeutic exercise on the neck and shoulder parts based on the movement system impairment syndrome(MSIS) as Dong-Qi therapy of the Dong-Si Acupuncture and was to examine which Dong-Si acupoints were most effective and non-invasive when performing therapeutic exercise of the MSIS. Methods : Totally eight therapeutic exercises correspondent to eight neck and shoulder MSIS were summarized and tabulated from the Diagnosis and Treatment of Movement Impairment Syndrome and Movement System Impairment Syndromes Of The Extremities, Cervical and Thoracic Spines by Sahrmann SA. Together with the MSIS summaries, acupuncture points and Dong-Qi therapy were summarized and tabulated from Yangweijiequanji 1 and Yangweijiequanji 2 by Yangweijie. According to the posture and movement of the MSIS exercise, effective and non-invasive acupoints were selected. Thereafter, clinical pilot study which five normal volunteers participated in were performed to examine whether these acupoints resulted in any side effects of acupuncture therapy such as pain and distortion of the needle during the MSIS exercises. Results : Through clinical pilot study, ZhongZi, ZhongXian, ZhengJin, ZhengZong and MuLiu in a sitting position, and HuaGuYi, ZhongZi and ZhongXian in a supine position were finally determined as safe and non-invasive Dong-Si acupoints to treat cervical pain. In terms of shoulder pain, ZuQianJin, ZuWuJin, HuaGuEr and JianZhong in a supine position, SiHuaZhong, ZuQianJin, ZuWuJin, QuLing, JianZhong, ShenGuan and JiuLi in a standing position, and ZuQianJin, ZuWuJin, HuaGuEr, QuLing and JianZhong in a prone position were finally accepted as safe and non-invasive Dong-Si acupoints. Conclusion : It is concluded that Dong-Si acupoints can be safely and non-invasively used together with therapeutic exercises of the MSIS to treat cervical and shoulder pains.

Spindle cell lipoma of the posterior neck: A case report (목뒤부위에 발생한 방추세포 지방종의 치험례)

  • Park, Sun Hee;Yim, Young Min;Jung, Sung No;Kwon, Ho
    • Archives of Plastic Surgery
    • /
    • v.36 no.2
    • /
    • pp.233-236
    • /
    • 2009
  • Purpose: Spindle cell lipoma(SCL) is an uncommon subcutaneous soft tissue neoplasm that arises in the shoulder and posterior neck of older male patients. The imaging appearance of SCL is not pathognomonic and can display some features overlapping with liposarcoma. We report a case of SCL on the posterior neck. Method: The patient is a 50 - year - old man with a slowly enlarging subcutaneous mass on the right side of posterior neck. Computed tomographic imaging revealed a 7.0 cm sized, well - circumscribed, heterogenous and fatty mass with enhanced solid components. Whole body Fluorine - 18 Fluorodeoxyglucose Positron emission tomogram(FDG PET-CT) showed little increase of FDG uptake on the right posterior neck and there was no distant metastasis. Results: The mass was surgically removed. The resection margin was free of tumor on frozen biopsy. Histopathologic examination indicated spindle cell lipoma consisting of a mixture of mature adipocytes and uniform spindle cells within a matrix of mucinous material. Conclusion: Although CT image of solidtary mass in posterior neck is similar with the one of liposarcoma, we should consider that it may be a spindle cell lipoma if PET-CT and other systemic studies reveal no distant metastasis. And we should perform fine needle aspiration to differentiate SCL from malignant lesions.