• 대한통합의학회지
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• 제11권4호
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• pp.213-220
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• 2023

Purpose : The purpose of this study is to investigate the effect of each lower trapezius muscle exercise performed according to the abduction position (Y type - shoulder joint abduction 145 °, T type - shoulder joint abduction 90 °, and MPC type - shoulder joint 45 ° abduction) of the shoulder joint on the muscle activity of the round shoulder and lower trapezius muscle. Methods : This study was conducted on 31 adult men and women. Through random assignment, they were assigned to the Y group, T group, and MPC group. A 4-week intervention was performed for each group of 31 subjects who participated in the experiment, and shoulder height and lower trapezius muscle activity were measured before and after the intervention. Shoulder height measurement is a test to measure rounded shoulder posture. When the value is low, it means that rounded shoulder posture is improved. The muscle activity of the lower trapezius muscle was measured using the %MVIC method, and when the value is high, it means that the lower trapezius muscle is active. All measured data were verified using dependent t-tests for before and after comparisons and one-way analysis of variance for comparisons between groups. Results : The results of this study showed a significant decrease after intervention only in shoulder height. Muscle activity of the lower trapezius muscle decreased after intervention, but did not show a significant difference. Both variables showed no significant differences between groups. Conclusion : The results of this study show that three lower trapezius muscle exercises were performed on subjects in rounded shoulder posture. All three groups showed a significant decrease in the shoulder height value, a method of measuring rounded shoulder posture, and no significant differences between groups could be confirmed. Therefore, all three exercises can be considered effective in reducing shoulder posture.

• 복식문화연구
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• 제17권2호
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• pp.203-215
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• 2009

The purpose of this study was to investigate current garment sizes of women's formal jackets, targeting plus-size women in online shopping malls, and to identify effective size information involved in online apparel purchase behaviors to overcome the short comings of current garment sizes from the perspectives of consumers. Basic 88 size formal jackets from the seven companies found on the 22 websites were collected and analyzed. The data were collected from March to October 2007, and analyzed using SPSS 14.0. The results were summarized as follows. First, there was no website using standard garment size labeling with 'bust-hip-height' set up by KS K 0051 among the 22 websites. Instead, all 22 websites used garment size labeling with figures such as 88, 99, 100, 110, and 120 or with letters such as L, XL, and XXL. The websites presented no body size, but listed garment size. Furthermore, the size information was presented differently, ranging from three items of bust circumference, upper arm length, and jacket length to six items of shoulder width, bust circumference, waist circumference, sleeve width, sleeve length, and jacket length. In addition, no website presented basic information for hip circumference, despite the jacket length covering the hips. Second, a total of 85.7% the websites listed bust circumferences in 88 garment sizes collected as 100cm. Shoulder widths were presented as 39cm or 37cm. Sleeve circumferences were addressed the same, 36cm, in all websites. Third, comparing the differences between guidance sizes and measurement sizes, only 28.5% of the web sites posted guidance sizes of shoulder widths the same as those of the measurement sizes. All web sites presented guidance sizes of bust circumstances as 1 to 5cm smaller than those of the measurement sizes.

• 복식문화연구
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• 제29권6호
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• pp.881-903
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• 2021

This study aimed to analyze adult men's body sizes and shapes and suggest size specifications to provide preliminary data to academia and industries. A total of 814 adult men aged 30-44 were selected from the 7th Size Korea data, and 55 direct upper body measurement and calculation items were analyzed using SPSS 25.0. In individual Individual differences, thickness, circumference, and width were high, and height and length were low. Height above the waist base line and shoulder dimension decreased in early 40s age group, while height below the waist base line declined as age increased. In addition, buttocks shape changes were found in early 40s age group. According to factor analysis, 'upper body and upper-extremity horizontal size', 'torso height and upper extremity length', 'shoulder dimension', 'upper body length' and 'shoulder angle' were derived. Using clustering analysis, four different body types were classified: i) big abdomen with flat chest, ii) slender with big, raised shoulders, iii) dwarfish with small, droopy shoulders, and iv) obese with large shoulders. 'Slender with big, raised shoulders' was a typical body shape among men aged 30-44. In older participants, the 'big abdomen with flat chest' ratio was low, while 'obese with large shoulders' was more common. This study proposed size specifications by body type considering the above characteristics.

• 한방재활의학과학회지
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• 제18권1호
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• pp.163-172
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• 2008

Objectives : This study was performed to evaluate the effects of thoracic vertebral region's Du mai(督脈) and Jia ji xue(夾脊穴) intervention on active range of motion(ROM) restricted shoulder pain. Methods : 1. Measurement : The unpleasantness of pain was measured by visual analogue scale(VAS), and ROM was measured by using Goniometer and scratch test. 2. Intervention : Use Acupuncture and bee venom injection in thoracic vertebral region's Du mai(督脈) and Jia ji xue(夾脊穴) that display main tender points. Results : The pain and ROM were improved after thoracic vertebral region intervention. Conclusion : Thoracic vertebral region intervention was effective to active ROM restricted shoulder pain, to reduce the pain and to improve ROM. And this study shows that active ROM restricted shoulder pain and thoracic vertebral region's tender points are connected to each other. Also, region that suggest main tender points previews region of thoracic vertebrae 5-8.

• 대한인간공학회지
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• 제15권2호
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• pp.15-24
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• 1996

To generate workspace analytically using the robot kinematics, data on range of human joints motion, especially range of two degrees of freedom motion, are needed. However, these data have not been investigated up to now. Therefore, in this research, we are to investigate an interaction effect of motions with two degrees of freedom occurred simultaneously at the shoulder, virtual hip(L5/S1) and hip joints, respectively, for 47 young male students. When motion with two degrees of freedom occurred at a joint such as shoulder, virtual hip and hip joints, it was found from the results of ANOVA that the action of a degree of freedom motion may either decrease or increase the effective functioning of the other degree of freedom motion. In other words, the shoulder flexion was decreased as the shoulder was adducted or abducted to $60^{\circ}C$TEX>or abducted from $60^{\circ}C$TEX>to maximum degree of abduction, while the shoulder flexion increased as the joint was abducted from $60^{\circ}C$TEX> to $60^{\circ}C$TEX> The flexion was decreased as the virtual hip was bent laterally at the virtual hip joint, and also did as the hip was adducted or abducted from the neutral position. It is expected that workspace can be generated more precisely based the data on the range of two degrees of joint motion measured in this study.

• The Journal of Korean Physical Therapy
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• 제23권1호
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• pp.29-35
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• 2011

Purpose: The purpose of this study was to identify the effect of neck exercises on neck-shoulder posture and pain of high school students with neck disorders. Methods: Twenty seven subjects were randomly assigned to one of 3 groups a craniocervical flexion training group (CCFT), a neck strengthening exercise group (ST), and a basic stretching exercise group (CG). CCFT and ST exercised five times a week for eight weeks under the researcher's guidance. The control group performed basic stretching exercises. Diagnostic radiologic equipment was used for the measurement of neck-shoulder posture. Neck disability index, and numeric rating scales were used. Results: The CCFT showed a significant pre-post treatment difference on measures of neck flexion angle and forward shoulder angle changes compared to the ST and CG groups (p<0.05). The CCFT group also showed a significantly greater improvement on the neck disability index and numeric rating scales changes than the ST and CG groups (p<0.01). Conclusion: Because CCFT decreases neck flexion angle, forward shoulder angle, neck disability index, and pain in the forward head posture, it is useful for treating patients with neck disorders.

• 대한통합의학회지
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• 제10권4호
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• pp.199-207
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• 2022

Purpose : The purpose of this study is to investigate the effect of shoulder stabilization exercise accompanied by application of a pelvic compression belt on the muscle activity, pain and function of the muscles around the shoulder in subjects with round shoulders. Methods : For the study method, 28 students who were enrolled in K University with a distance of 1 cm or more between the clavicle of the peak and the outer ear path were selected through GPS 400 global postural analysis system measurement. The subjects were randomly assigned to 14 participants in the group wearing a pelvic compression belt and 14 patients in the group not wearing a pelvic compression belt. In all subjects, the muscle activities of the middle trapezius, lower trapezius, and serratus anterior muscles and the shoulder pain disorder index (SPADI) were measured. The intervention was performed 3 times a week for 4 weeks, and the applied intervention was push-up plus and modified prone cobra exercise. The muscle activities of the middle trapezius, lower trapezius, and serratus anterior muscles and SPADI score were compared using dependent t test before and after intervention. Results : In this study, both groups showed that the muscle activity of the middle trapezius, lower trapezius, and serratus anterior significantly increased after the intervention compared to before the intervention. On the other hand, SPADI showed no significant difference. Conclusion : The results of this study showed that muscle activity in the peri-shoulder joint was increased after push-up plus and modified prone cobra exercise in both groups, regardless of whether pelvic compression was applied or not. Therefore, it was found that shoulder stabilization exercise using the pelvic compression belt also contributed to the enhancement of muscle activity in the joints around the shoulder.

• Clinics in Shoulder and Elbow
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• 제25권4호
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• pp.274-281
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• 2022

Background: In the present study, the age- and sex-adjusted Constant score (CS) in a normal Indian population was calculated and any differences with other population cohorts assessed. Methods: The study participants were patients who visited the outpatient department for problems other than shoulder and healthy volunteers from the local population. Patients without shoulder pain/discomfort during activity were included in the study. Subjects with any problem that might affect shoulder function (e.g., cervical, thoracic spine, rib cage deformity, inflammatory arthritis) were excluded. Constant scoring of all participants was performed by trained senior residents under the supervision of the senior faculty. Shoulder range of movement and strength were measured following recommendations given by the research and Development Committee of the European Society for Shoulder and Elbow Surgery (2008). A fixed spring balance was used for strength measurement; one end was fixed on the floor and the other end tied with a strap to the wrist of the participant, arm in 90° abduction in scapular plane with palm facing down. Results: Among the 248 subjects (496 shoulders), the average age was 37 years (range, 18-78 years), 65.7% were males (326 shoulders) and 34.3% females (170 shoulders). The mean CS was 84.6±2.9 (males, 86.1±3.0; females, 81.8±2.9). CS decreased significantly after 50 years of age in males and 40 years of age in females (p<0.05). The mean CS was lower than in previous studies for both males and females. Heavy occupation workers had higher mean CS (p<0.05). A linear standardized equation was estimated for calculating the adjusted CS for any age. Conclusions: Mean CS and its change with age differed from previous studies among various population cohorts.

• 대한골대사학회지
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• 제25권4호
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• pp.243-249
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• 2018

Background: The aim of this study was to determine the accuracy and error range of hand grip strength measurement using various methods. Methods: Methods used for measurement of hand grip strength in 34 epidemiologic studies on sarcopenia were analyzed. Maximum grip strength was measured in a sitting position with the elbow flexed at 90 degrees, the shoulder in 0 degrees flexion, and the wrist in neutral position (0 degrees). Maximum grip strength in standing position was measured with the shoulder in 180 degrees flexion, the elbow fully extended, and the wrist in neutral position (0 degrees). Three measurements were taken on each side at 30 sec intervals. The uncertainty of measurement was calculated. Results: The combined uncertainty in sitting position on the right and left sides was 1.14% and 0.38%, respectively, and the combined uncertainty in standing position on the right and left sides was 0.35 and 1.20, respectively. The expanded uncertainty in sitting position on the right and left sides was 2.28 and 0.79, respectively, and the expanded uncertainty in standing position on the right and left sides was 0.71 and 2.41, respectively (k=2). Conclusions: Uncertainty of hand grip strength measurement was identified in this study, and a significant difference was observed between measurement. For more precise diagnosis of sarcopenia, dynamometers need to be corrected to overcome uncertainty.

• Clinics in Shoulder and Elbow
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• 제18권2호
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• pp.68-74
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• 2015

Background: The purpose of our study was to evaluate the functional and radiologic outcomes of additive augmentation sutures through rotator cuff for proximal humeral fractures stabilized locking plate in elderly patients. Methods: We enrolled 74 patients over the age of 60 years who received internal fixation using locking plates for proximal humeral fractures. Of these, 50 patients had additive augmentation sutures through rotator cuff. The mean age at the time of surgery was 72.1 years (range, 60-89 years), and the mean follow-up period was 17.5 months (range, 12-62 months). The humeral neck-shaft angle and humeral head height were used as radiological markers to assess the effect of additive augmentation sutures through rotator cuff. We allocated the patients who received additive augmentation sutures into group A and those who did not into group B. Results: At the final follow-up, the mean Korean Showlder Society score and Constant scores were $88.96{\pm}12.1$ and $86.6{\pm}11.9$, respectively, in group A and $86.21{\pm}11.8$ and $85.3{\pm}11.7$, respectively, in group B (p=0.368, 0.271). At the final follow-up, the mean loss in humeral neck-shaft angle from the time of immediate postoperative measurement was $1.6^{\circ}$ in group A and $4.8^{\circ}$ in group B, whereas the mean loss in humeral head height was 0.82 mm in group A and 0.52 mm in group B (p=0.029, 0.178). Conclusions: The surgical outcomes of internal fixation using locking plates for proximal humeral fractures were clinically and radiologically good in elderly patients over the age of 60 years without any observable complications. Further, the loss of humeral head shaft angle at the final follow-up from its initial postoperative measurement was significantly smaller in patients who received an additive augmentation suture than in those who did not. Thus, we conclude that augmentation sutures are a beneficial option for elderly patients that clinicians can consider at the time of surgical decision making.