• 대한통합의학회지
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• 제7권4호
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• pp.265-272
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• 2019

Purpose : Excessive computer use frequently results in musculoskeletal disorders of the neck and shoulder such as forward head posture (FHP). The purpose of this study was to investigate effects of neck and shoulder exercise program on spino-pelvic alignment and the correlation between change in head and neck posture and spino-pelvic alignment in FHP. Methods : The study included 44 participants with FHP. The participants performed the exercise for correction of FHP 2-3 times a week for 4 weeks. We examined whole spine X-ray images in the lateral standing position with both arms crossed. We measured anterior head translation distance (AHT), craniovertebral angle (CVA), cervical lordosis (CL), thoracic kyphosis (TK), lumbosacral lordosis (LSL), sacral slope (SS), pelvic tilt (PT), and pelvic incidence (PI) of the subjects. The association between change in AHT and each spino-pelvic parameter was also subjected to Pearson's correlation coefficient analysis. Results : There were statistically significant differences before and after exercise in the parameters of AHT, CVA, and SS (p<.05). Significant negative correlation was observed between the change in AHT and CVA (r=-.768, p<.001), and CL (r=-.388, p<.05). There was significant positive correlation between the change in AHT and SS (r=.328, p<.05), and PI (r=.333, p<.05). However, no significant correlation was observed in change in AHT with that of TK, LSL, and PT. Conclusion : Based on the above results, we conclude that there is a relationship between change in AHT, which is a parameter associated with forward displacement of the head, and that of CVA, CL, SS, and PI after exercise in cases of FHP.

• 패션비즈니스
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• 제26권3호
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• pp.116-137
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• 2022

The purpose of this study was to develop jacket patterns that could fit well for women in their 20s with turtle neck syndrome body shape and to present a pattern drafting method. As a research method, an educational pattern was chosen through a preliminary experiment. Fit problems of the educational pattern were derived by wearing it on a virtual model with a turtle neck syndrome body type for each neck angle. Based on the three types of experimental patterns developed by supplementing these problems, a development pattern drafting method was developed for each neck angle. Three development patterns were compared and evaluated with the educational pattern using 3D virtual fitting. Fit problems of the educational pattern included: 1) insufficient ease amounts for hip, hem, bicep, elbow, and sleeve hem circumference; 2) horizontal items could not be leveled due to insufficient back length; 3) the shoulder line went backwards; and 4) the front center line did not form a vertical line. To solve these problems, an experimental pattern was developed by increasing the insufficient ease amount, increasing the insufficient back length, and correcting the position of the shoulder line. Measurements that differed in the pattern drafting method of the three types of development patterns by neck angle were positions of back center line and back neck point, front length, and front neck width. Through appearance evaluation of the development pattern and educational pattern by neck angle, the development pattern was highly evaluated, indicating that problems of the educational pattern were improved.

• 패션비즈니스
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• 제25권3호
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• pp.144-158
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• 2021

The purpose of this study is to develop a bodice block suitable for women in their 20s with turtle neck syndrome. The problem of turtle neck syndrome body type was derived through the evaluation of bodice blocks. First, the length of the front bodice was longer and the length of the back bodice was shorter. Second, the front neck point, back neck point, and the shoulder line were not in place. Third, the side neck was pushed up. Fourth, the length of armhole was long and it floated. Fifth, the front hem was attached to the body and the back hem was away from the body. A finally developed pattern was designed by developing four test patterns to solve the problem that appeared in a selected bodice pattern, and a t-test was conducted to determine the difference in the appearance evaluation by virtual clothing between the two patterns, bodice block and the development pattern. According to the result, the fit was not good from the side body because the position of the side neck point was not in a place due to the characteristics of the body shape of turtle neck syndrome, but the problems of the anterior neck position, the position of the back neck point, the shoulder line position, and the armhole shape were improved in the developed pattern.

• Clinics in Shoulder and Elbow
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• 제10권1호
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• pp.136-139
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• 2007

견관절경 수술로 많은 질환을 치료할 수 있으며 개방 술식에 비하여 많은 장점을 가지고 있다. 드물게 견관절 수술 후 세척액이 관절외 연부조직으로 유출되어 목과 인두에 부종을 유발하는 기도합병증이 보고되고 있다. 이 논문은 관절경하 회전근 개 봉합 수술 후 치명적으로 발생했던 기도 폐쇄를 보고하고자 한다. 결론적으로 이러한 위험한 합병증을 예방하기 위해서는 마취된 환자의 경우 불편감을 호소할 수 없으므로 술자들의 경부 부종 상태를 주기적으로 점검하여야 할 것이다.

• PNF and Movement
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• 제20권3호
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• pp.391-397
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• 2022

Purpose: Recently, as a result of the use of smart devices, the incidence of musculoskeletal diseases in areas such as the neck and shoulders has increased. A common effect is rounded shoulder posture, which badly affects the movement and posture of the scapula, causing musculoskeletal disease. Therefore, in this study, we investigated the effects of three shoulder brace products on rounded shoulder posture. Methods: A total of 12 subjects comprising men and women in their 20s with round shoulder posture participated in this study. Three shoulder brace designs were selected, and the height change of the shoulder acromion in the lying state before and after wearing the braces was measured. Effectiveness verification was analyzed using the Mann-Whitney U test. Results: The results confirmed that the different shoulder brace designs had different effects on round shoulder posture. Conclusion: Currently, numerous designs of shoulder braces are being sold, but their effects have not been verified. In the future, more diverse designs of shoulder braces should be studied, and effective shoulder brace designs should be developed and used.

• 대한인간공학회지
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• 제18권2호
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• pp.11-24
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• 1999

The purpose of this study was to obtain the basic data for sound wear design. The objects' of this study were 331 women's university students. The eight items were the shoulder length, shoulder slope, height, weight, chest girth, neck girth, back length, and back shoulder width. The shoulder length and slopes were measured, compared with the right, the left, and other items. The results were as follows; The difference between the right and left shoulder length did not nearly appear. The mean of the right shoulder slopes was $21.3^{\circ}$, and that of the left was $21.9^{\circ}$. According to increase of the age, the right and left shoulder slope tends to be higher. The maximum distribution was $20.7^{\circ}$. According to increase of the age, the maximum distribution tends to be higher. The left compared with the right shoulder length, the right shoulder length of 90.3% objects' was longer than that of the left. The right and left shoulder length of 4.2% objects' were same. The left shoulder length of 5.4% objects' was longer than that of the right. The left compared with the right shoulder slopes, the right shoulder slopes of 12.7% objects' were higher than those of the left. The both size of 20.5% objects' were equal. The left slopes of 66.8% objects' was higher than those of the right.

• 대한통합의학회지
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• 제5권2호
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• pp.83-90
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• 2017

Purpose : The purpose of this study was to investigate the correlation between shoulder gradient, range of motion of the neck, and subjective pain level of the potential risk group of smart-phone addiction. Methods : The subjects of this study were 90 women's who had potential risk of smart-phone addiction. VAS was used to measure subjectively pain intensity. Global Postural System was used to measure forward head posture. CROM was used to measure flexion, extension, lateral flexion of cervical range of motion. Results : The results of this study showed that was significant positive correlation between the both shoulder gradient, and cervical range of motion(p<.05). Statistically significant negative correlation between the VAS and left lateral flexion(p<.05). Conclusions : The difference between the gradient of both shoulders increased with the use of smart-phone addiction, and the cervical left lateral flexion decreased as the pain increased. This suggests that recognition on decrease of using smart phone and postural correction is necessary.

• 패션비즈니스
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• 제25권3호
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• pp.71-89
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• 2021

The purpose of this study was to design posture braces for rounded shoulders by examining characteristics of incorrect postures of rounded shoulders. The review of information in literature on rounded shoulder postures, correction exercise methods, and posture correction devices, has prompted this study to determine the design and material of a proper posture brace for rounded shoulders. In order to develop the pattern of a posture brace for rounded shoulders for women, the study carried out a comfort evaluation of the braces based on the 2D patterns through drafting method by utilizing the body measurements and relational formulae associated with the major body measurement such as bust circumference and on the 3D patterns of the brace which were obtained from 3D human model of women in their early 20s in Korea. Differences in angles were noted when 2D and 3D patterns of shoulder posture braces were compared. The side neck point was relocated farther outside in the 3D pattern to allow additional flexibility in the back-neck area, and the shoulder band was lowered by 14.8°, increasing armhole area comfort. The upper hemline of the front panel was found to rotate upward at an angle of 22.0° as the underarm point of the 3D pattern moved upwards than the underarm point of the 2D pattern, which enhanced comfort in the abdomen area. The 3D designs of shoulder posture brace was preferred in this study, as they significantly improved comfort while conducting fit evaluation compared to the 2D patterns of shoulder posture brace.

• 한국융합학회논문지
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• 제12권11호
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• pp.135-142
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• 2021

본 연구는 스마트폰을 장시간 사용으로 VDT증후군(Visual Display Terminal Syndrome)을 가진 20대 성인들을 대상으로 체외충격파 치료(ESWT)를 통해 목-어깨의 근육의 복합적 통증지수에 미치는 영향을 알아보고자 한다. VDT증후군으로 목-어깨통증을 가지고 있는 대상자 20명을 무작위로 분류해서 실험군 10명과 대조군 10명으로 나눠서 실험에 참여하였다. 실험대상자들은 4주간, 주 5일간 실시하였다. 실험군은 1회 5 Hz, 2.0 bar의 강도로 체외충격파치료를 2000회씩 실시하였고, 대조군은 1회 30분간 자가신장운동을 실시하였다. 실험대상자들은 실험전과 실험후에 VAS와 PPT로 목-어깨통증을 측정하여 비교하였다. 자료분석은 SPSS win 18.0으로 실험전과 실험후에 실험군과 대조군의 결과값을 분석하기 위해 독립비교를 실시하였다. 실험 후 실험군이 목-어깨근육의 VAS, PPT에서 많이 감소하였다. 하지만 대조군은 큰 차이가 없었다. 이런 결과를 통해 체외충격파 치료는 치료전보다 치료후에 통증감소가 나타났지만 자가신장운동은 치료후 통증감소의 차이가 없었다. 앞으로도 VDT증후군의 원인으로 목-어깨통증을 감소시킬 수 있는 다양한 치료법으로 이용될 것으로 사료된다.

• The Journal of Korean Physical Therapy
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• 제22권4호
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• pp.91-96
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• 2010

Purpose: Among computer users, the awkward posture and workstation setups of workers contribute to work-related upper limb musculoskeletal disorders. The purpose of this study was to evaluate the efficacy of a traditional physical therapy and ergonomic intervention by physical therapists in 4 computer users. Methods: After checking Visual Analogue Scores (VAS), four subjects who were treated by physical therapy for neck and shoulder problems related to VDT syndrome were enrolled in the study. All subjects spent at least 40 hours per week at a computer workstation. All subjects had pain and ergonomic states evaluated using methods such as VAS, Neck Disability Index (NDI), Workstyle short form, Rapid Upper Limb Assessment (RULA), and OSHA VDT checklist (Occupational Safety and Health Administration video display terminal) before a physical therapy + ergonomic intervention. Participants were re-evaluated 1 month later. Results: Participants showed more improvement of their neck pain after being treated with a physical therapy plus ergonomic intervention than when treatment consisted only of physical therapy. Improvements in RULA, Workstyle short form, and OSHA VDT checklist also were achieved. Conclusion: This case study suggests the importance of examining the work habits and work-related postures of subjects who complain of neck and shoulder pain that is exacerbated by computer use. Personalized ergonomic interventions and physical therapy can lead to improvement of patients with VDT syndrome.