• Journal of the Korea Academia-Industrial cooperation Society
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• v.21 no.2
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• pp.396-403
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• 2020

This study evaluated the effect of self thoracic mobilization exercise (STME) on shoulder pain, disability and shoulder function in patients with shoulder dysfunction. Thirty-two patients with shoulder dysfunction were randomly assigned to the STME group and the control group. The visual analog scale, shoulder dysfunction, and shoulder range of motion were evaluated before and after intervention. Sixteen STME intervention patients used a foam roller and quadripedal position flexion and extension. Sixteen controls received placebo effects using electrotherapy pads. The two groups performed 20 minutes for three times per week for four weeks. The STME group showed significant improvement in pain and dysfunction compared to that of the control group (p <0.05), and their range of motion of the shoulder was significantly improved in flextion, abduction, and external rotation compared to that of the placebo group (p <0.05). Therefore, STME is effective in resolving shoulder pain and dysfunction, and will be able to educate patients with shoulder pain in an easier approach and mediate social treatment costs.

• The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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• v.28 no.3
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• pp.33-40
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• 2022

Background: The cross-body and the sleeper stretches have been used to improve posterior shoulder tightness (PST). However, such stretching techniques may not always help achieve scapular stability and may even aggravate patient's symptoms. Therefore, a new stretching technique (passive glenohumeral internal rotation with bridging) was developed as a more effective method that may allow for greater scapular stability without aggravating the symptoms. Thus, this study aimed to examine and compare this novel stretching technique to determine its effect on the range of motion (ROM) and acromio-humeral distance (AHD) in patients with glenohumeral internal rotation deficits (GIRD) with posterior shoulder tightness. Methods: A total of 30 symptomatic patients with asymmetrical GIRD were randomly assigned to two groups: the novel stretching group (n=15) and the joint mobilization group (n=15). The intervention was conducted twice a week for a total of four weeks. The ROM of shoulder internal rotation was measured by a goniometer and the AHD was evaluated by an X-ray before and after the intervention. Results: Both the treatments improved ROM and AHD in patients with GIRD (p<.05). However, the improvements in internal rotation ROM and AHD in the novel stretching group were significantly greater than that of the subjects in the mobilization group. There was a significant difference between the two groups (p<.05). Conclusion: These results show that both novel stretching and joint mobilization improved ROM and AHD in patients with GIRD with PST. However, novel stretching was more effective than joint mobilization.

• PNF and Movement
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• v.21 no.3
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• pp.281-289
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• 2023

Purpose: This study investigated the effects of the non-elastic taping method for controlling internal hip joint rotation on internal and external hip rotator muscle activity in healthy people. Methods: In this study, 18 healthy volunteers were instructed to perform the small knee bending (SKB) test. All participants completed the test following two methods (using non-elastic taping and not using taping). Muscle activation during the two methods was measured using a surface electromyography (EMG) device. Surface EMG data were collected from the gluteus medius, gluteus maximus, and tensor fasciae femoris muscles while performing the SKB test with and without non-elastic taping. Results: Muscle activity in the gluteus maximus was significantly higher during the SKB test with non-elastic taping than during the conventional SKB test with taping (p < 0.05). Tensor fasciae latae muscle activity was lower during the SKB test with non-elastic taping than during the conventional SKB test (p < 0.05). Conclusion: The findings suggest that the non-elastic taping method for controlling internal hip joint rotation effectively activates the hip's external rotator muscles and minimizes unwanted internal rotator muscle use during the SKB test. Therefore, the non-elastic taping method for controlling internal hip joint rotation could be an effective intervention for those who cannot control the internal rotation of their hips.

• The Journal of the Korea Contents Association
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• v.13 no.2
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• pp.348-358
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• 2013

This study aimed to investigate the effect of a lap board that was developed to prevent musculoskeletal disorders caused by the use of a computer mouse. Study participants were 10 college students in their 20s who did not have any musculoskeletal symptoms. We analyzed the difference in upper limb movements, electromyographic activity, task performance, and subjective discomfort between 2 conditions: use of a mouse with the lap board and use of a mouse placed on a desk. Results of behavior analysis showed that there was a significant difference between the 2 conditions in terms of the average angle of shoulder flexion, shoulder internal rotation, and forearm pronation(p< 0.05). However, electromyographic activity, task performance, and subjective discomfort showed no significant differences between the 2 conditions. When subjects used the mouse with the lap board, their upper extremity was located much closer to the torso than when they used the mouse placed on the desk. Six of 10 participating students preferred the lap board. We expect that advanced research on prevention of musculoskeletal disorders due to the use of the computer mouse will be conducted in the near future.

• Physical Therapy Korea
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• v.27 no.1
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• pp.38-44
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• 2020

Background: Posterior shoulder tightness, which is a problem mainly seen in patients with shoulder impingement syndrome, disrupts the scapulohumeral rhythm between the humerus and scapulae. Objects: The aim of this study was to compare the effects of joint mobilization and stretching on shoulder muscle activity and internal rotation range of motion (ROM) of the glenohumeral joint in patients with impingement syndrome with posterior shoulder tightness. Methods: The research subjects included 22 in-patients with impingement syndrome with posterior shoulder tightness. They were randomly divided into two groups: one group (12 patients) was treated with joint mobilization and the other group (10 patients) was treated with stretching for the posterior shoulder tightness. Each treatment was performed five times a week for two weeks, and there were 15 sessions for each treatment. The ROM of the internal rotation and muscle activities of shoulder joint were evaluated pretest and posttest in each group. Electromyography data were collected from the upper, middle, and lower trapezius and serratus anterior during shoulder abduction of 90°, 120°, and 150°. Results: Both the joint mobilization and stretching groups showed significant decreases in muscle activity in the upper, middle, and lower trapezius on the posttest (p < 0.05). There was a significant difference in serratus anterior at 150° (p < 0.05), but there was no significant difference between group in post-hoc analysis (p > 0.025). The internal rotation ROM was significantly increased in the stretching group compared to that in the joint mobilization group (p < 0.025). Conclusion: This study found that both joint mobilization and stretching for posterior shoulder tightness were effective in muscle activity during arm abduction, also in order to increase internal rotation ROM of shoulder joint, stretching was effective in patients with impingement syndrome with posterior tightness.

• Journal of the Korea Convergence Society
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• v.11 no.9
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• pp.325-332
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• 2020

This study aimed to identify the difference of scapular movements between tennis players with and without shoulder impingement syndrome(SIS) and to verify the effect of kinesiology taping applied to scapular. A total of 15 players were categorized in SIS group(n=7) and control(CON) group(n=8). The scapular movements evaluated using 3-dimensional motion analysis in the 5 events of the flat first serve before and after the application of taping. The male of SIS group(-7.31±1.19° and -5.28±1.08°, respectively) had tilted scapular more anteriorly compared to CON group(-0.98±5.38° and -0.44±3.52°, respectively) at the maximally humeral external rotation and the impact(Z=-2.309, p=.021 and Z=-2.309, p=.021, respectively). The scapular(-8.11±2.57°) of female in SIS group tilted more anteriorly than that of CON(-0.97±3.31°) group at the maximally humeral external rotation(Z=-2.121, p=.034). But the scapular movements had no statistical differences between before and after the application of taping.