• PNF and Movement
• /
• 제19권1호
• /
• pp.19-29
• /
• 2021

Purpose: This study aimed to compare the effects of a four-week scapular stabilization exercise program using the PNF technique on scapular symmetry and range of flexion motion (ROM), pain, function, and quality of life (QOL) in post-mastectomy women with breast cancer. Methods: This study included 20 women divided into an experimental group (n = 10) and a control group (n = 10). All patients performed complex decongestive physiotherapy for 40 min daily, five times per week for four weeks. The experimental group performed the extra scapular stabilizing exercise program using the PNF technique for 50 min daily, five times per week for four weeks. Scapular symmetry, shoulder flexion ROM, pain and function, and QOL were subsequently assessed. For ROM measurement, the range of shoulder flexion was measured using a clinometer smart phone application; the pain of the shoulder was measured using the visual analogue scale (VAS); the scapular position was measured using a lateral scapular slide test (LSST); the level of pain and functional activity was measured using the Shoulder Pain and Disability Index (SPADI); and the QOL was measured using Functional Assessment of Cancer Therapy-Breast. Results: There were significant differences in shoulder flexion ROM, VAS, SPADI, and LSST 0˚ and 45˚ when the experimental group was compared with the control group (p < 0.05). After the intervention, there was an improved within-group change in the ROM, SPADI, LSST, and QOL in both the experimental and control groups. Conclusion: These findings suggest that a scapular stabilization exercise program using the PNF technique may be used as a possible treatment option for post-mastectomy women with breast cancer that aims to improve scapular position, shoulder ROM and function, and QOL.

• 복식문화연구
• /
• 제6권2호
• /
• pp.141-152
• /
• 1998

In the result of classification body types for 100 adult women by direct measurements and antropometric measurements, the mean of weight is bigger than he mean of weight of 97'. So modern 20's women is more than than 94'. In the result of factor analysis, 5 factors were extracted (horizontal sizes, vertical sizes, and degree of shoulder) from exponent sizes of the antropometric measurements item, and another 5 factors were extracted (thick of body, horizontal form of the torso, silhouette of the torso, and size of abdomen) from direct measurements item. The body types are classified into 4 types by cluster analysis in the result of direct measurement item, and another body types are classified into 5 types by antropometric measurement item, it was classified into the horizontal size and the shape and silhouette of torso, and by direct measurement item, it was only classified into the vertical and horizontal size. So for the patternmaking of clothing, it is more adoptable the classification of body by antropometric measurement item than direct measurement item.

• Clinics in Shoulder and Elbow
• /
• 제18권4호
• /
• pp.237-241
• /
• 2015

Background: We investigated the effectiveness of pain management and the adverse events of intravenous (IV) patient-controlled analgesia (PCA) after orthopedic surgery. Methods: From September 2014 and August 2015, we performed a retrospective analysis of 77 patients who underwent orthopedic surgery of the shoulder or the elbow in our hospital. The composition of the intravenous PCA administered to the patients was as follows: 250 mg of dexketoprofen trametamol, 70 mg of oxycodone, and 0.6 mg of ramosetron, which were made up to 79 ml of normal saline. We evaluated and statistically analyzed the difference in the visual analogue scale (VAS) scores for pain at immediate postoperation, at 24 hours of PCA, at 72 hours of PCA, and after discontinuation of PCA and in the incidence of adverse events. Results: We found that VAS score decreased for 3 postoperative days and that with discontinuation of IV PCA a meaningful change in VAS score was no longer seen. Of the 77 patients, 22 presented with adverse events (28.6%). We terminated IV PCA temporarily in the 21 patients who presented with adverse events; we terminated analgesia permanently in one patient (1.2%). Consequently, 76 of 77 patients carried out IV PCA till the designated period. Conclusions: Intravenous PCA after orthopedic surgery of the shoulder or the elbow may be accompanied with adverse events. Careful assessment of the patient and treatment of the adverse outcomes are key to a successful maintenance of PCA and to a successful management of postoperative pain.

• 대한물리의학회지
• /
• 제11권4호
• /
• pp.1-9
• /
• 2016

PURPOSE: The aim of this study was to examine the effects of abdominal breathing and thoracic expansion exercises on craniovertebral and cranial rotation angles in patients with rotator cuff injury. METHODS: This study enrolled 19 patients with rotator cuff injury, and ten and nine of the patients were randomly placed in abdominal breathing and thoracic expansion exercise groups, respectively. After pain treatment in each group, breathing exercise was conducted thrice a week for four weeks. The patients were recorded by using a digital camera and Image J (version 1.46, National Institutes of Health, USA), an angle measurement program, was used to analyze changes in the craniovertebral angle, cranial rotation angle, and sagittal shoulder posture. RESULTS: Statistically significant differences in the craniovertebral angle were found in both the abdominal breathing and thoracic expansion exercise groups (p<.05). A significant difference in cranial rotation angle was found in the thoracic expansion exercise group only (p<.05). No statistically significant differences in sagittal shoulder posture were found in both groups (p>.05). CONCLUSION: Although abdominal breathing and thoracic expansion exercises did not effectively change sagittal shoulder posture, the exercises were effective in improving craniovertebral and cranial rotation angles. Therefore, abdominal breathing and thoracic expansion exercises are suggested as effective exercise programs for forward head posture.

• Clinics in Shoulder and Elbow
• /
• 제21권1호
• /
• pp.30-36
• /
• 2018

Background: The Korean Shoulder Scoring System (KSS) is a reliable and valid procedure for discriminative assessment of the clinical status of patients with rotator cuff tears. This study evaluates the correlation between the preoperative KSS and factors in patients with rotator cuff tears. Methods: From November 2009 to June 2016, 970 patients who underwent arthroscopic rotator cuff repair were retrospectively evaluated. A total of 490 patients met the study criteria. Preoperative factors included age, sex, symptom duration, mediolateral (ML) and anteroposterior (AP) tear size, acromiohumeral distance (AHD), tangent sign, tendon involvement (type I, supraspinatus; type II, supraspinatus and subscapularis; type III, supraspinatus and infraspinatus; type IV, all 3 tendons), fatty infiltration of rotator cuff muscles (group I, Goutallier stages 0 and 1; group II, Goutallier stages 2, 3, and 4), and KSS. Results: Old age, ML tear size, and AP tear size negatively correlated with the preoperative KSS (p<0.001). AHD showed a positive correlation with the preoperative KSS (p<0.001). A significantly inferior preoperative KSS was found in females and type III tendon involvement (p<0.001). For supraspinatus and infraspinatus, the preoperative KSS of group II fatty infiltration showed a significantly lower score than group I fatty infiltration (p<0.05). Conclusions: A relatively lower preoperative KSS was associated with old age, large tear size, narrow AHD, female, type III tendon involvement, and group II fatty infiltration of the supraspinatus and infraspinatus. Our study indicates that preoperative KSS can be a good measurement for the preoperative status of patients with rotator cuff tears.

• PNF and Movement
• /
• 제18권3호
• /
• pp.343-350
• /
• 2020

Purpose: The purpose of this study was to determine how a shoulder complex stabilization exercise affects ball control and ball speed in elementary school baseball players with an instable scapula. Methods: The subjects of the study were 16 baseball players attending S elementary school in Kwangju Metropolitan City. A shoulder complex stabilization exercise was conducted three times per week for one hour for four weeks. Then, the participants were divided into a scapular instability group or stability group based on their lateral scapular slide test scores. The measurement tool was measured using the target, the ball speed tester (PR1000-BC). All inspections were measured before and after the mediation period to examine the change in the subjects according to the mediation period. Results: As a result of measuring ball control, there was a statistically significant difference in the variation over time (p < 0.05), and there was no statistically significant difference in the interaction between time and group (p > 0.05). As a result of the test of effectiveness between subjects, there was no statistically significant difference found among the groups (p > 0.05). In terms of ball speed, there was no statistically significant difference found in the variation over time (p > 0.05) as well as in the interaction between time and group (p > 0.05). In terms of the effectiveness between subjects, there was no statistically significant difference found among the groups (p > 0.05). Conclusion: It was found that the shoulder complex stabilization exercise could improve ball control for elementary school baseball players. It is believed that this will help prevent and solve possible sport damages experienced during training or competitions, thereby helping athletes use training methods to improve their exercise capacity and continue their careers.

• 대한통합의학회지
• /
• 제10권4호
• /
• pp.219-228
• /
• 2022

Purpose : The purpose of this study was to suggest a more effective method by comparing the effects of changes in pain intensity, muscle strength, and athletic performance after applying a 6-week eccentric training program (ET-MWM) or concentric training program (CT-MWM) with MWM for high school baseball players with shoulder internal impingement (SII). Methods : A total of 75 participants were randomly assigned to each group and divided into two groups, "ET-MWM group (n=35)" and "CT-MWM group (n=32)" according to the intervention method. Pain intensity, muscle strength (external rotation, internal rotation), and athletic performance were first measured before the intervention, and after the intervention 3 times a week for a total of 6 weeks, both groups were re-measured in the same way. Visual analog scale (VAS) was used for pain intensity, biodex dynamometer for muscle strength (60 °/sec.), and Kerlan-Jobe orthopedic clinic shoulder & elbow score (K-KJOC) for athletic performance. Results : As a result of analyzing the homogeneity of the pre-intervention characteristics and initial measurement variables of the study subjects, there was no significant difference between the two groups in all variable values. Pain intensity (VAS) was significantly reduced in the ET-MWM group than in the CT-MWM group (p<.05). In addition, the maximum muscle strength of external rotation & internal rotation of the shoulder (60 °/sec.) and athletic performance (K-KJOC) were significantly increased in the ET-MWM group than in the CT-MWM group (p<.05). Conclusion : Compared with the CT-MWM training program, the ET-MWM training program reduced shoulder joint pain and further increased the muscle strength required for throwing motion in high school baseball players. As the result showed better athletic performance improvement, the ET-MWM training program can be clinically recommended as a more effective intervention.

• 한국의류학회지
• /
• 제33권8호
• /
• pp.1190-1202
• /
• 2009

A 3D body scan measurement (SM) is used as an alternative to physical measurements (PM) as the information for designing industrial products. This study compared the mean difference (MD) between SM and PM by gender and analyzed the causes of the difference. The data used in this study were the scan measurements and physical measurements of adults aged twenty to seventy years old of the fifth Size Korea survey. The results of this study are as follows: 1. The comparison of MD between men and women for all subjects: The measurement of the significant differences between men and women were height, neck base girth, chest girth, under-bust girth, waist girth, armscye girth, back length, and foot length. The causes of difference are the difference of body shape. 2. The comparison of MD between men and women by BMI groups: Many measurements had significant differences between men and women at normal weight and overweight but underweight. Some measurements had significant differences only at a specific BMI group because the body shape difference between men and women is revealed clearly in the group. The comparison of MD between men and women by age groups: The measurements that show significant difference at more than four age groups were neck girth, chest girth, under-bust girth, waist girth, armscye girth, and foot length. The height and abdomen girth had a significant difference in the age range of 20's and 30's. There were measurements that increase MD with an increase in age; under-bust girth and lateral shoulder length for women and lateral shoulder length for men. This comparison of MD between men and women provide the correct guidelines for the use of SM.

• Human Ecology Research
• /
• 제54권4호
• /
• pp.427-440
• /
• 2016

This study uses comparison tests of bodice basic patterns to research improvements in wearing evaluation methods based on differences in bodice basic patterns and body size. As study methods, we calculated body sizes for six types by selecting four types of bodice basic pattern and utilized bodice basic pattern size measurement tools. The study result are as follows. First, as the result of analyzing bodice basic patterns per each part and body size difference by bodice basic pattern size measurement tool, shoulder angle cover rate was J&K type 57.57%~68.41%, N type 53.13%~65.57%, L type 51.87%~63.73%, and H type 59.03%~68.20%. In the item of neck base circumference, it was J&K type 6.4~-16 mm, N type 10.7~-31.9 mm, L type -5.2~-13.4 mm, and H type -6.2~-15.4 mm. In the item of armscye circumference, it was J&K type -18.9~-59.4 mm, N type -15.2~-51.3 mm, L type -38.9~-52.7 mm, and H type -17~-42.2 mm. In the item of biacromion length, it was J&K type 23.2~-4.7 mm, N type 18.4~-10.4 mm, and H type 3.5~-5.7 mm. In the item of interscye back, it was J&K type and N type 17.6~-13.6 mm, L type 11.9~-13.6 mm, and H type 3.2~-11.8 mm. The item of interscye front was found in the sequences of study type and L type. Second, the Kruskal-Wallis test result (according to bodice basic pattern) indicated meaningful differences in items of shoulder angle cover rate, neck point to breast point, bust point-bust point, biacromion length and armscye circumference and H type had an overall higher rank.

• 대한통합의학회지
• /
• 제3권3호
• /
• pp.25-33
• /
• 2015

Purpose : The purpose of this study was to find out objective and scientific grounds on the effect of Spiral Balanced Taping(SBT) by examining physiological change according to pain reduction and understanding the relationship physiological change and pain. Method : 32 female students who was from 20 to 25 years old($22.06{\pm}1.13$). Regarding the range of pain, each 16 female students ranged in the right and the left. The subjects selected the most comfortable method of six taping methods related with trapezius. They were examined with four measurement methods(Visual Analogue Scale : VAS, Algometer, Digital Infrared Thermograph Imaging(DITI), and Cervical Range of motion : CROM) and measured before treatment, right after treatment, 30 minutes later after treatment and 60 minutes later after treatment. Result : According to the result of Repeated measure ANOVA, there was a significant difference with all four methods before and after treatment. In addition there was a significant difference in proportion to time. As a result of stepwise regression, VAS was the highest with Digital Infrared Thermograph Imaging(r2=0.136) and pressure pain threshold was the highest in the range of cervical motion. Conclusion : There was the effect of SBT to all four measurement method and it was effective with measuring VAS and DITI, or Algometer and CROM together.