• Journal of The Korean Society of Integrative Medicine
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• v.8 no.2
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• pp.41-51
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• 2020

Purpose : The purpose of this study was to determine the effect of scapulothoracic exercise and thoracic mobilization on shoulder pain and function in individulas with shoulder partial- thickness rotator cuff tear. Methods : Forty-five subjects were recruited and randomly divided into 3 groups of 15 subjects each : Scapulothoracic exercise with Thoracic mobilization (STwTM), Scapulothoracic exercise (ST), and Thoracic mobilization (TM) groups. All subjects were assessed for pain and disability of shoulder, thoracic angle base on the Shoulder Pain and Disability Index (SPADI) and Thoracic kyphosis assessment (TKA) using Baseline Bubble Inclinometer. All groups performed 50 minutes of the intervention twice a week for a total of six weeks. These tests were evaluated Three times : prior to the start of the intervention, after three weeks and, after six weeks had passed. Results : The SPADI score showed that pain and dysfunction in the STwTM group decreased compared to those in the other two groups. The TKA score showed a decrease over time in the ST, TM, and STwTM groups, in increasing order. However, the TKA score decreased significantly in the STwTM group compared to that in the oher two groups. Conclusion : ST and TM are effective in improving pain and dysfunction in patients. However, STwTM may be more effective for patients.

• The Journal of Korean Physical Therapy
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• v.23 no.2
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• pp.7-15
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• 2011

Purpose: We investigated the relationship between the muscle activity and kinematic variables of the upper extremity during a push-up task on stable and unstable surfaces. Methods: We recruited 15 healthy subjects. Subjects completed the push-up task on stable and unstable surfaces. Surface electromyograms were recorded from the serratus anterior, upper trapezius, latissimus dorsi, infraspinatus to monitor changes in muscle activity. Markers for kinematic changes of elbow flexion, shoulder extension, shoulder retraction and scapular adduction were attached at C7, the T7 spinous process, both acromions, the scapula superior and inferior angle, the humerus lateral epicondyle, and the ulnar styloid process. Correlation coefficients between muscle activity and kinematic variables were analyzed by SPSS for Windows, version 15.0. Results: On the unstable surface, elbow flexion and shoulder extension increased with increasing muscle activity of serratus anterior, upper trapezius and infraspinatus. On the stable surface, shoulder retraction decreased with increasing muscle activity of serratus anterior and infraspinatus. Scapular adduction decreased with all types of increasing muscle activity, regardless of the support surface. Conclusion: Correlations between muscle activity and kinematic variables were observed on stable and unstable surfaces during a push-up task, while correlations between right and left variables were not clear. These finding suggest that it may be used to develop a rehabilitation program which could be effective in improving shoulder function in patients with shoulder problems.

• Journal of Korea Multimedia Society
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• v.24 no.8
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• pp.1035-1043
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• 2021

The shoulder is less stable than other joints, making it easier to onset of various shoulder disorders. In addition, limited range of motion and pain in the shoulder due to shoulder disorders restricts daily life and social activities. The problem with exercise therapy can be reduced in exercise effect by causing boredom through simple repetition of motion, thus reducing the patient's willingness to participate. Therefore, this paper aims to provide a treatment method that can induce active participation of patients by developing devices capable of passive, active, and resistance exercise and serious game contents using them. Furthermore, sEMG was used to verify whether the rotational exercise in the horizontal and vertical using serious game contents helps the shoulder movement actually. The measured sEMG signal was classified as 5 phases according to the angle of rotation and calculated the mean integrated EMG. The mean integrated EMG for the experimental results was higher in all phases when rotational was performed compared to those when both horizontal and vertical rotational exercise remained initial posture, indicating an increase in muscle activity.

• Archives of Plastic Surgery
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• v.49 no.3
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• pp.440-443
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• 2022

Spinal accessory nerve (SAN) palsy is typically a result of posterior triangle surgery and can present with partial or complete paralysis of the trapezius muscle and severe shoulder dysfunction. We share an atypical case of a patient who presented with SAN palsy following an injury sustained playing competitive volleyball. A 19-year-old right hand dominant competitive volleyball player presented with right shoulder weakness, dyskinesia, and pain. She injured the right shoulder during a volleyball game 2 years prior when diving routinely for a ball. On physical examination she had weakness of shoulder shrug and a pronounced shift of the scapula when abducting or forward flexing her shoulder greater than 90 degrees. Manual stabilization of the scapula eliminated this shift, so we performed scapulopexy to stabilize the inferior angle of the scapula. At 6 months postoperative, she had full active range of motion of the shoulder. SAN palsy can occur following what would seem to be a routine volleyball maneuver. This could be due to a combination of muscle hypertrophy from intensive volleyball training and stretch sustained while diving for a ball. Despite delayed presentation and complete atrophy of the trapezius, a satisfactory outcome was achieved with scapulopexy.

• Korean Journal of Applied Biomechanics
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• v.20 no.3
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• pp.311-318
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• 2010

This study examined the double piked dismount among the landing techniques of parallel bars based on three-dimensional motion analysis. Four male national gymnasts were the subjects. This study was performed to provide quantitative data highlighting players strengths and weaknesses to enable more stable landing technique. The variables analyzed were the position and velocity of center of gravity(CG) and angles of shoulder joints, hip joints, and trunk. The results are as follows: S1 secured the height of flight with fast vertical rise. After the easy spin in the air, he conducted a stable landing maintaining a proper hip joints angle. S2, S3, and S4, however, began the backward somersault already before leaving the bars, so they moved backward greatly making it more difficult to achieve a higher flight path. As a result, they couldn't control the velocity of their backward movement at landing. For a stable landing, they have to maintain the negative shoulder angle when rising, minimize both antero-posterioror side-to-side movements by doing a strong tap using hip joints, to secure the height of flight before the somersault. Results also show that at the descent, they should conduct rapid spinning by increasing their shoulder and hip joints to the maximum while controlling their velocity.

• Journal of radiological science and technology
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• v.31 no.2
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• pp.109-114
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• 2008

There is a standard shoulder oblique method (Grashey method) available to view the shoulder joint. This method projects AP view of the shoulder joint so that the Humerus head's subuxation or joint degeneration can be easily visualized. However, in this view, the patients, with supine or sitting or erect position, have to keep their body obliquely. Whereas, the patients who are not well or operated, usually feel very uncomfortable to keep their body in this position and hence, we need other persons' help and much efforts will be needed to get the good quality shoulder joint view. Therefore, we thought of examining a method which shows the joint well by angling the tube to Medio-Lateral direction and without keeping the patients' one side upward in supine position. For this study, total 15 subjects with no history of neurological or psychiatric illness, were recruited for examinations. They consisted of 9 males and 6 females. Statistic group analysis was performed with ANOVA test. Scores of the evaluation of the experts were $1.10{\pm}0.54$ at $25^{\circ}$, $2.50{\pm}0.50$ at 30^{\circ}$, $2.85{\pm}0.36$ at $35^{\circ}$ and $2.33{\pm}0.47$ at $40^{\circ}$, respectively, and they were significant(p<0.05, Table 1). Joint space of the Humerus head and Scapula were well distinguished at $35^{\circ}$, $30^{\circ}$ and $40^{\circ}$ with the almost same score. However, the degree of distortion at $40^{\circ}$ was more severe than that at $30^{\circ}$. Ultimately, $30-35^{\circ}$ views were shown to yield good quality shoulder oblique images. In conclusion, this method may be very useful for the patients who are uncomfortable and for the emergency patients. In order to get similar or comparable view, the same X-tube angle is recommended to be used before and after the operation. Therefore, we hope that this new angled method seems to be efficient.

• Journal of the Korean Society of Clothing and Textiles
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• v.32 no.10
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• pp.1584-1594
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• 2008

This study was to research the characteristics of the body shape of Korean woman farmers by the major crops. Four hundred ninety-five Korean woman farmers from 9 different area such as Kumi, Damyang, Iksan, Injae, Chungju, Choongju, Haman, Whasung, and Whasoon volunteered for this study. Their major crops were the rice, the pepper, the water melon, the strawberry, the wild rocambole, the sweet persimmon, the grapes, the mushroom, and the chrysanthemums. Twelve body angles were measured from archived the somatotype photographs of the front, the side, and the back. Questionnaires of SF-36 and the farmer's symptom, and the farm-work related movements were surveyed. The results were as follows; 1. Farmers had lower health levels in physical role limit, pain, vitality, and physical function than other occupational workers. 2. Most farmers acted the high-risk ergonomics motions when they worked in the farm. 3. There were significantly different on the both shoulder angles, the hip tangential line slope, the hip breadth angel, in frontal ankle-knee angle, the bending back angle, the dropping breast slope, the abdominis media angle, under the abdominis media angle, the glutea angle, under the glutea angle, and the sideward knee angle(p<.05). 4. Farmers cultivating the low plants such as the water melon, the strawberry, and the wild rocambole showed more banded vertebralis and side knee angles. Farmers cultivating the red pepper showed the dropping the left shoulder and O shape legs. Farmers cultivating the fruit trees such as the sweet persimmon and the grapes showed the less banded side knee angles than other farmer groups. 5. On comparing the same age, farmers showed the older's body shape in earlier and much more than the old living in the city.

• Journal of the Ergonomics Society of Korea
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• v.25 no.3
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• pp.17-24
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• 2006

In this paper, we propose a stress analysis on foot by lifting task attitudes. Maximum force and peak pressure were measured on 8 body regions by Pedar system in order to analysis the stress which is affected by task style and angle on foot when Manual Materials Handling task. As for the peak pressure of the whole foot as to the task height during the lifting task, the height from Knuckle to Shoulder was the least in the peak pressure. Also, as for the maximum force and the peak pressure of the whole foot as to the task angle during the lifting task, it could be seen that the more an angle increases, the stress influencing on a foot jumps. As for the maximum force and the peak pressure by foot region as to the task height in case of the lifting task, the height from Knuckle to Shoulder is indicated the smallest value in the maximum force and the peak pressure, thus there is necessary to attain the work design that considered this. Also, as for the maximum force by foot region as to the task angle in case of the lifting task, 0° tasking is indicated to be least, thus there is necessity to be attained the tasking design in a bid to prevent the existence of an angle. The results of this paper are thought to be helpful to the suitable work design, to the prevention of musculoskeletal disorders related to the lower limbs, and to the design of ergonomic safety shoes.

• The Academic Congress of Korean Shoulder and Elbow Society
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• 2008.03a
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• pp.179-179
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• 2008

For a partial tear of the subscapularis tendon, the presenting technique requires only the anterior portal for preparing the footprint and suture management, as well as the subclavian portal for placing the suture anchor and suture hook without inserting a cannula. It provides both a good angle for anchor placement and sufficient space for managing the upper portion of a subscapularis tendon tear. A spinal needle was inserted through the subclavian portal in order to identify the appropriate angle for placing the suture anchor. A 3-mm incision was made for the subclavian portal and a biosuture anchor was placed on the footprint portion of the subscapularis tendon. In order to avoid crowding, each limb of both strands of the biosuture anchor were passed through the tendon- posteromedial side first, and anterolateral side second, using a switching technique with suture hook embedded with no.1 PDS. A suture tie was applied in a reverse sequence (the lateral strand first and the medial strand second) through the anterior cannula using a sliding technique.

• International Journal of Safety
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• v.4 no.1
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• pp.27-31
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• 2005

This study presents the relationship between the height of the chair and the force of deltoid muscle for pianist. The subject simulated playing the piano on the three different heights of the chairs. Digital camera was used to determine the angle of the joint of shoulder and elbow for 2-dimensional static link segment modeling in the sagittal plane. The deltoid, biceps and triceps muscles were considered to determine the muscle load. The results, compared to the force of deltoid muscle, are that the downward position of the higher chair produces significantly large force than the other two lower chairs. It can be caused by hunched shoulder with decreasing deltoid angle. In case of the upward position caused by the lower chair, even though the smallest force of deltoid presented, it was increased the force of elbow.