• 제목/요약/키워드: neck and shoulder

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악관절 내장증의 증상 중 연관통의 악관절 수술 후 변화 (CHANGES OF REFERRED SYMPTOMS FOLLOWING SURGICAL TREATMENT IN PATIENTS DIAGNOSED AS TMJ INTERNAL DERANGEMENT)

  • 김형곤;박광호;허종기;윤현중;김기영;남광현
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제21권1호
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    • pp.48-53
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    • 1999
  • Purpose: The aim of this study was to investigate the improvement of referred symptoms of TMJ internal derangement after open surgery of TMJ. Materials and Methods: The present study focused referred symptoms such as headache, neck pain, shoulder pain and evaluated the incidences and changes in their improvement at 1, 3, 6, 12 months after surgery in 118 patients who had TMJ internal derangement and received meniscoplasty(or meniscorrhaphy) and eminectomy at TMJ clinic of Yonsei University, Yongdong Severance Hospital, between 1992 and 1997. Results: One hundred eighteen patients(102 females, 16 males) with mean age of 29.6 years(range, 14 to 74) were included in this study and the mean follow-up period was 19.5 months(range, 12 to 60). The incidences of headache, neck pain, shoulder pain among the surgically treated TMJ internal derangement patients were 66.9%, 28.8%, 28.0% before surgery. Thirty-two preoperative severe(+++) headache patients were all improved their headache at 1, 3, 6 months after surgery, but slight relapse(9.4%) was found at 12 months after surgery. The clearance rate of preoperative neck and shoulder pain were 91.2% and 90.9% at 1 month after surgery and all of these groups had no pain at 12 months after surgery. Conclusions: Referred symptoms of TMJ internal derangement such as headache, neck pain, shoulder pain were dramatically improved after surgical treatment of TMJ.

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The Effectiveness of Infrared Thermography in Patients with Whiplash Injury

  • Lee, Young Seo;Paeng, Sung Hwa;Farhadi, Hooman F.;Lee, Won Hee;Kim, Sung Tae;Lee, Kun Su
    • Journal of Korean Neurosurgical Society
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    • 제57권4호
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    • pp.283-288
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    • 2015
  • Objective : This study aims to visualize the subjective symptoms before and after the treatment of whiplash injury using infrared (IR) thermography. Methods : IR thermography was performed for 42 patients who were diagnosed with whiplash injury. There were 19 male and 23 female patients. The mean age was 43.12 years. Thermal differences (${\Delta}T$) in the neck and shoulder and changes in the thermal differences (${\Delta}dT$) before and after treatment were analyzed. Pain after injury was evaluated using visual analogue scale (VAS) before and after treatment (${\Delta}VAS$). The correlations between ${\Delta}dT$ and ${\Delta}VAS$ results before and after the treatment were examined. We used Digital Infrared Thermal Imaging equipment of Dorex company for IR thermography. Results : The skin temperature of the neck and shoulder immediately after injury showed $1-2^{\circ}C$ hyperthermia than normal. After two weeks, the skin temperature was normal range. ${\Delta}T$ after immediately injuy was higher than normal value, but it was gradually near the normal value after two weeks. ${\Delta}dT$ before and after treatment were statistically significant (p<0.05). VAS of the neck and shoulder significantly reduced after 2 week (p=0.001). Also, there was significant correlation between ${\Delta}dT$ and reduced ${\Delta}VAS$ (the neck; r=0.412, p<0.007) (the shoulder; r=0.648, p<0.000). Conclusion : The skin temperature of sites with whiplash injury is immediately hyperthermia and gradually decreased after two weeks, finally it got close to normal temperature. These were highly correlated with reduced VAS. IR thermography can be a reliable tool to visualize the symptoms of whiplash injury and the effectiveness of treatment in clinical settings.

다양한 자세에 따른 턱 당기기 운동이 목과 어깨의 근활성도에 미치는 영향 (Effect of Chin Tuck Exercises on Various Postures and Muscle Activity of the Neck and Shoulder)

  • 안수홍;양주희;이수경;박진성;조재성
    • PNF and Movement
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    • 제18권3호
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    • pp.403-414
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    • 2020
  • Purpose: This study examined how performing chin tuck exercises in supine, sitting, and standing positions affects changes in the muscle activity of the neck and shoulder. Methods: Seventeen men and three women with forward head posture participated in the study. The subjects performed the chin tuck exercise using a pressure biofeedback unit. After determining the ideal order for performing the chin tuck exercise in supine, sitting, and standing positions through randomized controlled trials, muscle activity was measured in the dominant-side sternocleidomastoid, scalenus anterior, upper trapezius, and levator scapulae. Muscle activity was measured three times in each muscle for each position, and the average of the three measurements was used for analysis. Results: In this study, the chin tuck exercise performed in a supine position reduced muscle activity of the sternocleidomastoid, scalenus anterior, upper trapezius, and levator scapulae significantly more than performing the exercise in either sitting or standing positions (p < 0.05). No significant difference in muscle activity was observed when the exercise was performed in a sitting position versus a standing position (p < 0.05). Conclusion: Performing a chin tuck exercise in a supine position is more effective for stabilizing the neck and shoulder than performing it in a sitting or standing position, as it reduces excessive tension and fatigue in the neck and shoulder.

경부청소술을 시행한 환자를 대상으로 한 경부청소술 후 장애지수에 대한 한글화 버전 표준화 (Validation of the Korean Version of the Neck Dissection Impairment Index in Patients Who Underwent Neck Dissection)

  • 임원섭;이창욱;이윤세;조민우;정영호;최승호;김상윤;남순열
    • 대한두경부종양학회지
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    • 제37권2호
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    • pp.43-50
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    • 2021
  • Background/Objectives: Shoulder function is an important aspect of health related quality of life (QOL). Neck dissection impairment index (NDII) is a simple shoulder-specific questionnaire. This study aimed to evaluate the association between QOL and NDII in patients who underwent neck dissection to validate the Korean version of NDII. Materials & Methods: This study enrolled 74 patients with head and neck cancer who underwent neck dissection from December 2013 to April 2014. Patients completed questionnaires on QOL including the European Organization of Research and Treatment of Cancer 30-item Core QOL questionnaire (EORTC QLQ-C30) and NDII which was translated into Korean. Validity was evaluated by calculating the Pearson correlation coefficient between NDII and EORTC QLQ-C30. Results: We compared preoperative, postoperative within a week, 1st and 3rd months NDII scores. The total NDII scores were 14.7, 47.4, 33.7 and 34.3 each. Clinical variables including gender, site of primary tumor, performing revision neck dissection, radiotherapy and flap reconstruction were not significantly associated with NDII. However NDII mean score of patients who underwent unilateral neck dissection over 3 levels is most increased after operation. During all periods NDII scores were significantly associated with functioning score. Although other scores are lower correlation than function scores, global health status scores and symptom scores are also correlation with NDII. Conclusion: NDII was valid instrument and can be used not only in the clinical practice to assess shoulder dysfunction but also in the simple instrument to evaluate global QOL in Korea patients with having neck dissection.

파워 숄더 재킷의 디자인 및 패턴전개 방법 (Pattern Making Method and Design of Power Shoulder Jackets)

  • 박상희;이은혜
    • 한국콘텐츠학회논문지
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    • 제13권7호
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    • pp.131-140
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    • 2013
  • 여성복에 있어서 09/10년 시즌에 가장 주목할 만한 특징은 파워 숄더 룩이다. 파워 숄더 룩은 단순히 패션니스타들에서만이 아니라 당당히 스트리트 패션의 하나로 자리 잡았으며 파워 숄더 룩의 50%이상을 차지하는 재킷이 여성복의 핵심 아이템의 하나로 부활하면서 재킷의 어깨 각도는 0도에서 30도 이상까지 다양하게 나타난다. 다양한 어깨 각도 중 10도, 15도, 20도의 형태가 70%이상을 차지하고 있으며 패턴의 형태는 몸판의 어깨선을 자연스럽게 올리고 확장한 어깨변형 패턴, 어깨선과 함께 소매산 부분을 절개한 소매산 변형 패턴, 몸판과 소매가 연결된 패턴이 주를 이루고 있다. 파워 숄더 패턴 전개는 어깨 각도가 높아질수록 각이 시작되는 점이 목옆점에 가깝게 하고 어깨끝점이 확장되어야 소매의 외관형태가 편안하고 피트성이 좋아진다. 어깨 변형의 경우 앞뒤 진동선의 시작점인 어깨점과 소매산의 정점 부분의 선이 완만하게 이어지도록 S라인형태를 유지하는 것이 가장 중요하며 소매산의 ease분량이 일반 재킷 소매보다 많아야 파워 숄더 실루엣이 자연스럽게 연출된다. 소매변형 패턴은 중심쪽 소매의 소매산 높이는 기본소매 소매산높이의 1.5cm를 외곽 소매분량으로 처리한 것을 고려하여 소매산 높이를 설정하고 어깨 각이 커질수록 외곽소매의 소매산 폭을 크게 함으로서 소매의 어깨점이 목옆점 방향으로 휘지 않고 각이 선 파워 숄더가 완성된다. 소매변형과 소매와 몸판연결 패턴의 경우 어깨점과 상완이 연결되는 부분에 충분한 여유가 필요하며 어깨각도도 다른 형태에 비해 상대적으로 낮아 보인다. 이와 같이 파워 숄더 재킷 패턴은 패턴 제작시 디자인적인 요소를 충분히 감안한 패턴 설계와 함께 소매의 달림선 위치, 어깨너비, 어개 높이 확장량, 소매통의 여유량 등을 고려하여 제작하는 것이 바람직하다.

퍼프슬리브 블라우스의 어깨길이와 퍼프량의 변화(變化)에 따른 시각적(視覺的) 효과(效果) (The Visual Effects by Variation of the Shoulder Length and Puff Volume in Puff Sleeve Blouse)

  • 구미란;이정순
    • 패션비즈니스
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    • 제11권4호
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    • pp.82-91
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    • 2007
  • The purpose of this study is to evaluate the differences of visual effects by variations in the shoulder length and puff volume of the puff sleeve blouse. The stimuli are 21 samples: 3 variations of the shoulder length and 7 variations of the puff volume. The data has been obtained from 40 fashion design majors. The data has analyzed by Frequency, Factor Analysis, ANOVA, Scheffe's test and MCA method. The result of the study are as follows. The visual effects by the shoulder length and puff volume are composed of 4 factors : the width of the upper body, the shape of the breast part, the shape of the neck part and the shape of the upper arm. In these factors, the width of the upper body is estimated by most important factor. In view of the visual effects by variation of the shoulder length, the shorter shoulder length goes, the more positive visual image comes in the shape of the breast part. In comparison of the differences of visual effects by the 7 variations of puff volume, the arm looks thin and long when the puff volume goes enough and the breast part has a better visual assesment in case the puff volume goes poor. In the interaction effects between the shoulder length and puff volume, the shoulder length have significant differences in the shape of the breast part, the shape of the neck part and the shape of the upper arm and puff volume has significant difference in the width of the upper body.

60대 여성 체형별 목 부위 피트존 분석 (Analysis of Neck Fit-zone according to Body Type for Females in Their 60s)

  • 박선희;홍경희;이예진
    • 한국의류산업학회지
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    • 제20권4호
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    • pp.429-438
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    • 2018
  • This study analyzed the fit-zone of the neck for females in their 60s. We considered the standard body types of females in their 60s and the four body types from the sixth Size Korea. The results of the study were as follows. We could not determine a pattern formula for the neck based on the changes in the body type of females in their 60s. However, the position of the lateral neck point generally showed a significant difference from that of females in their 20s. In the case of the shoulder angle, the point of the shoulder was angled slightly towards the back in all body types. It was also found that the curve of the neck circumference for both the collar and the bodice should have been smoother than what was shown on the 3D shape. The larger the height difference between the point of the back of the neck and the lateral neck point in the 3D shape, the smoother the design should be at the curve of the circumference at the front of the neck. A larger curvature in the front radius of the 3D shape increased the difference in the shape of the curve between the collar and the basic pattern of the bodice. Hence, a more careful design is required for these parts of the pattern. In addition, the more the front neck is bent, the smoother the circumference curve should be in the pattern design at the front of the neck and the collar.

상완골 경부 이분 골절에서 T형 금속판을 이용한 치료 (Treatment of Two-Part Fracture of Humerus Neck Using T Plate Fixation)

  • 남일현;안길영;윤호현;김재철;문기혁
    • Clinics in Shoulder and Elbow
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    • 제9권1호
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    • pp.34-41
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    • 2006
  • Purpose: This study is to analyze the result and complications of internal fixation with T-plate for two-part fracture of the neck of the humerus. Materials and Methods: The clinical results of fourteen patients who had been performed with this method mentioned above were reviewed. Their average age was 49.6. Postoperative mean follow up period was 24.1 months. Radiological evaluation was done by Kronberg's and shoulder function by Neer's. Results: By Kronberg evaluation, nine cases were good, two cases acceptable and three cases poor. By Neer's, mean score of shoulder function was 77.6 and 4 cases were excellent, one satisfactory, five unsatisfactory and four failure. The complications were the sfiff shoulder, loss of reduction and avascular necrosis of humeral head. Conclusion: In this study, there were differences according to the age. And we obtained an unsatisfactory result in patients over 50 years old. We consider that in patients over 50 years old, the differences were due to the muscle weakness through wide surgical approaches, postoperative implant loosening or the stiffness caused by poor rehabilitation.

둥근어깨를 가진 성인에게 위 등세모근 활성도 감소를 위한 중재가 둥근어깨자세, 위 등세모근 근활성도와 목기능장애지수에 미치는 영향 (Effect of Upper Trapezius Inhibition on Round Shoulder Posture, Upper Trapezius Muscle Activity and Neck Disability Index for Adults with Round Shoulders)

  • 최종욱;정용식;권오국
    • 대한정형도수물리치료학회지
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    • 제26권1호
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    • pp.9-18
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    • 2020
  • Background: The aim of this study is for the effects of upper trapezius (UT) inhibition on round shoulder posture (RSP) index, pectoralis minor index (PMI), UT activity and neck disability index (NDI) in adults with RSP. Methods: 30 male and female participants with RSP were included in this study. The participants were divided into two groups: experimental group (EG) and the control group (CG). the EG received UT inhibition 3 days a week for 5 weeks those in the CG did not receive UT inhibition. Results: RSP index, PMI, UT activity and NDI were measured again, There was a significant difference within the EG at pre- result and post-results. Conclusion: These results suggest that UT inhibition with an RSP program was effective in decreasing the RSP index, UT activity, and NDI in adults with RSP.

몽골 성인여성체형에 관한 연구 (A Study on Body Types of Mongolian Women)

  • 홍정민
    • 복식
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    • 제51권6호
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    • pp.167-176
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    • 2001
  • This study analyzes characterization and classification of body types of Mongolian women aged 18∼39 ages. The anthropometric measurements of the research subjects come up to a total of 23 items and are summarized as follows : 1. As the results of comparative analysis of the body measurements by age group, 16 items show a significant difference except shoulder height, thigh girth, neck base girth, back length shoulder length, sleeve length and weight. Both age group are considered to be of average weight but 25 to 39 age group were slightly greater than that of the 18 to 24 age group. 2. As the results of factor analysis, 4 factors such as the first factor on the obesity of body, the second factor on the vertical size of body, the third factor on the back length, the forth factor on the shoulder width and neck base girth were extracted. 3. As the results of classification based on the duster analysis, the body types were classified into 3 types in each age group. In each age group the most frequent body type is average stature and slightly thin type.

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