• 패션비즈니스
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• 제6권6호
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• pp.34-42
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• 2002

Anthropometric studies and multicultural research on body changes are fundamental and important data for domestic apparel industry and for globalization of women's clothing marketing. The objective of this study is to compare the general body measurements and shoulder angles of Korean and U. S. elderly women to supply basic data for the apparel design. The anthropometric data was collected including both direct and indirect measurements of 272 women over the age of 55 in Korean (subject = 123) and the U.S (subject = 149). The statistical methods used for the analysis of measurement data are the factor and cluster analysis respectively. The results of the factor analysis indicated that 5 factors can be extracted in Korean and 4 factors can be extracted in the U. S. from 15 body measurements to explain the variance. The results of cluster analysis by shoulder slope angle and forward displacement of the shoulder of Korean and the U. S. women classified them in three groups, cluster 1, cluster 2 and cluster 3 respectively.

• Clinics in Shoulder and Elbow
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• 제23권2호
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• pp.105-108
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• 2020

Stress fractures of the acromion and scapular spine are well-known complications following reverse total shoulder arthroplasty. However, these fractures in patients with massive rotator cuff tear or cuff tear arthropathy are extremely rare, and the pathogenesis, clinical features, diagnosis, and treatment of these fractures are poorly understood. We report a case of bilateral stress fracture of the posterior angle of the acromion in a patient with massive rotator cuff tear and discuss the pathogenesis, clinical manifestation, and treatment with a review of the literature.

• 한국정보통신학회:학술대회논문집
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• 한국정보통신학회 2016년도 춘계학술대회
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• pp.118-119
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• 2016

본 논문에서는 팔을 반듯이 위로 올렸을 때 통증이 발생하는 어깨 질환에 대한 도수치료법(Manual Therapy)을 제시한다. 실험에서는 도수진단(Manual Diagnosis)을 위하여 팔을 반듯이 위로 올릴 때 팔의 각도를 입력하고, 이상이 발생할 시 진단 및 치료법까지 시스템에서 제시한다.

• Clinics in Shoulder and Elbow
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• 제3권2호
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• pp.87-94
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• 2000

Purpose : The purpose of this study was to evaluate the activity of the biceps brachii muscle in the vulnerable abduction and external rotation position of the shoulder in patients with anterior instability. Materials and Methods: This experimental study include a prospective analysis of the electromyographic(EMG) data on a group of patients with traumatic unilateral anterior instability of the shoulder. The EMG data of unstable shoulders was compared with those of opposite shoulders as control. The optimal sample size for the case-control study was calculated using an nQuery Advisor program(nQuery Adviser 3.0, Statisticl solutions Ltd., Ireland). The EMG analyses were conducted in 76 shoulders in 38 patients who had a traumatic anterior instability in one shoulder. The EMG records were obtained at different position of shoulder, which included 0° , 45° , 90° and 120° of shoulder abduction. In each angle of shoulder abduction, the arms were placed in an external rotation as tolerated by the anterior apprehension. The paired-sample T test was used to compare the difference of the root mean square(RMS) voltages between the stable and unstable shoulders in each degree of arm position. Results : The RMS voltage of the biceps muscle was significantly greater in the unstable shoulder than opposite stable shoulder in all position of the arm(p<0.001). The RMS voltage of the biceps was maximal at 90° and 120° of external rotation in the unstable shoulder(p<0.05). The RMS voltage of the supraspinatus muscle revealed no differences in any of the test conditions(p=0.904, 0.506, 0.119 and 0.781 in 0° , 45° , 90° and 120° , respectively) Conclusion: In the vulnerable abduction and external rotation position, the biceps muscle plays an active compensatory role in the unstable shoulder while not in the stable shoulder.

• 한국전문물리치료학회지
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• 제26권3호
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• pp.11-22
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• 2019

Background: Sling exercises are frequently used for the rehabilitation process of patients with shoulder joint injuries, but research on the significant frequency intensity and appropriate treatment duration for sling exercises with local vibration stimulation is lacking. Objects: The aim of this study was to investigate the effects of sling exercise with vibration on shoulder range of motion (ROM), muscle strength, pain, and dysfunction in patients with a medical diagnosis of shoulder joint injury. Methods: Twenty-two patients were randomly assigned to the experiment and control groups. Six sling exercises with and without 50 Hz vibrations were applied in the experiment and control groups, respectively. Each exercise consisted of 3 sets of 5 repetitions performed for 6 weeks. The assessment tools used included shoulder joint range of motion, muscle strength, pain level, and shoulder pain and disability index for functional disability. We conducted re-evaluations before and 3 and 6 weeks after intervention. The changes in the measurement variables were analyzed and compared between the two groups. Results: The ROM of the external rotation of the shoulder joint had a significant interaction between the group and the measurement point (F=3.652, p<.05). In both groups, we found a significant increase in external rotation angle between the measurement points (p<.05). The flexor strength of the shoulder joint significant interaction between the group and the measurement point (F=4.247, p<.05). Both the experiment (p<.01) and control groups (p<.05) showed a significant increase in shoulder flexor strength at the measurement points. After 6 weeks of the interventions, both the groups showed significantly improved VAS (p<.01), SPADI (p<.01), and orthopedic tests (p<.01). However, there was no significant difference between the group and the measurement point in terms of the clinical outcomes observed. Conclusion: The sling exercise with local vibration of 50 Hz affected the external rotation of the shoulder range of motion and improved shoulder flexor strength in the patients with shoulder injuries. Therefore, we propose the use of the sling exercise intervention with vibration in the exercise rehabilitation of patients with shoulder joint injuries.

• 한국전문물리치료학회지
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• 제24권4호
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• pp.11-19
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• 2017

Background: Methods for exercising serratus anterior (SA) and upper trapezius (UT) muscles are important for the recovery of patients with various shoulder disorders, yet the efficacy of closed or open kinetic chain exercises have not yet been evaluated. Objects: The purpose of this study was to compare the activation of the SA and UT muscles during scapular protraction considering both closed and open kinetic chain exercises. Methods: Thirty subjects were randomly divided into experimental groups (closed kinetic chain exercise) and control groups (open kinetic chain exercise) in which scapular protraction was performed at $90^{\circ}$ or $125^{\circ}$ shoulder flexion. Electromyographic activity data were collected from the SA and UT muscles per position and exercise method. Results: Separate mixed 2-way analysis of variance showed significant differences in the activation of the SA (F1,28=6.447, p=.017) and the UT (F1,28=35.450, p=.001) muscles between the groups at $90^{\circ}$ and $125^{\circ}$ shoulder flexion. Also, the SA/UT ratio measures at $90^{\circ}$ and $125^{\circ}$ shoulder flexion significantly differed between the groups (F1,28=15.457, p=.001). That is, the closed chain exercise was more effective than open chain exercise for strengthening the SA muscle and controlling the UT muscle, $125^{\circ}$ of shoulder joint was more effective than $90^{\circ}$. Conclusion: The findings suggest that scapular protraction with shoulder $125^{\circ}$ flexion at the closed kinetic chain exercise may be more effective in increasing SA muscle activation and decreasing UT muscle activation as well as increasing the SA/UT ratio than open kinetic chain exercise.

• PNF and Movement
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• 제14권2호
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• pp.131-137
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• 2016

Purpose: The purpose of this study was to compare muscle activities in the frontal plane and scapular plane of the middle fiber and lower fiber of the trapezius muscle at different shoulder abduction angles. Methods: Twenty male and female students in their 20s participated in this study. Each subject maintained shoulder abduction at $75^{\circ}$, $90^{\circ}$, $125^{\circ}$, and $160^{\circ}$ in a standing position and repeated motions three times each in the frontal plane and the scapular plane. While maintaining the motions for 10 seconds in each posture, surface electromyography (EMG) was used to measure muscle activity of the middle fiber and lower fiber of the trapezius muscle. The collected EMG data were normalized using maximal voluntary isometric contraction (MVIC). Differences in muscle activity of the middle fiber and lower fiber of the trapezius muscles according to the angles at each plane were statistically processed using repeated measured analysis of variance, and an independent t-test was used to examine the differences between the two planes at each angle. Results: Muscle activity of the middle and lower trapezius during shoulder abduction in the frontal plane and scapular plane significantly increased as the angles increased (p<.05). However, muscle activity of the middle trapezius was significantly lower in the scapular plane than in the frontal plane for all shoulder abduction angles (p<.05). Conclusion: The results of this study suggest that during shoulder abduction, angles should be different according to the goals, and for training during an acute phase or early phase for functional recovery, it is more efficient to perform the training in the scapular plane than in the frontal plane.

• 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.

• 대한물리치료과학회지
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• 제31권1호
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• pp.33-45
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• 2024

Background: This study aimed to investigate the effect of elastic band-resistive exercise using audio-visual medium on pain, proprioception, and motor function in adults with chronic neck and shoulder pain. Design: One group pretest-posttest follow-up experimental design. Method: Twenty adult women with neck and shoulder pain voluntarily participated in this study. Elastic band-resistive exercise using audio-visual medium including cervical flexion and extension, shoulder external rotation, and scapular retraction-protraction motions was conducted 5 times a week for 3 weeks. The Numerical Rating Scale, pressure threshold tool, CROM goniometer, and Image J software were used to assess subjective pain level, tenderness threshold (pain), joint position sense error (proprioception), joint range of motion, and postural alignment (motor function), respectively. Result:: The pain intensity and threshold and joint position sense error showed significant decreases after the intervention, whereas the joint range of motion angle revealed significant increases. The postural alignment including forward head posture and rounded shoulder revealed significant improvements after the intervention. Conclusions: Therefore, we suggest that elastic band-resistive exercise through audio-visual medium would be helpful in preventing and managing pain and physical dysfunction in individuals with chronic neck and shoulder pain, and then it would support the development of health management-related online education content.

• 대한인간공학회지
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• 제25권2호
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• pp.147-154
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• 2006

This study was conducted to evaluate the effect intentional contraction of abdominal muscles during lifting above shoulder on the muscles activities of the lower trunk and on the degree of lumbar extension. Fifteen healthy adult males were selected as test subjects. A 5kg weight was raised to the shoulder level, 20cm, and 40cm above the shoulder level. EMG activities of all muscles except the rectus abdominis were significantly greater when subjects were asked to contract their abdominal muscles intentionally during lifting(p<0.05). Degree of lumbar extension also significantly decreased with intentional abdominal contraction during the lifting. Also, degree of lumbar extension significantly increased with increase in lifting height(p<0.05). The results of this study show that intentional contraction of abdominal muscles during lifting above shoulder increases the EMG activities of external abdominis oblique, internal abdominis oblique, and erector spinae.