• Journal of agricultural medicine and community health
• /
• v.33 no.1
• /
• pp.1-10
• /
• 2008

일개 농촌 마을에서 농한기를 활용하여 시행된 근골격계 질환 예방사업을 소개하고 주요 사업결과를 분석하여 농업인의 건강증진을 위한 기초자료로 활용하고자 본 연구를 수행하였다. 2006년 12월 5일부터 2007년 1월 26일까지 사곳리 마을회관을 12회 방문하여 4번의 기초교육과 5번의 심화교육 등 9번의 근력 및 유연성 강화교육을 실시하였다. 교육 전(사전평가), 기초교육과 심화교육 사이(중간평가), 교육 후(최종평가) 등 3회에 걸쳐 의사 2인에 의한 근골격계 질환 평가, 시각통증척도에 의한 근골격계 통증 평가, 생활체육 전문가 3인에 의한 좌우의 악력, 배근력, 하지근력, 몸통, 어깨, 하지, 무릎유연성 측정을 통한 근골격계 근력 및 유연성 평가, 설문지를 사용한 어깨, 허리, 무릎의 기능 평가를 실시하였다. 총 12회의 일정 중 1회 이상 참석한 농업인은 총 57명이었으며 남자가 20명(35.1%), 여자가 37명(64.9%)이었으며 평균 연령은 60.7(±8.1)세였다. 근골격계 질환 검진에서 한 번 이상의 검진을 받았던 43명중 32명(74%)이 한 가지 이상의 근골격계 질환을 가지고 있었으며, 퇴행성관절염이 26명(60.5%), 근막통 증후군이 19명(44.2%), 허리디스크가 10명(23.3%)이었다.목어깨, 허리, 무릎다리의 통증정도는 1차, 2차 평가 간, 2차, 3차 평가 간, 1차, 3차 평가 간의 비교에서 모두 감소하는 경향을 보였으며 3차 평가에서 1차 평가에 비해 목어깨, 허리, 무릎다리 모두 유의한 통증의 감소를 보였다(p<0.05). 근골격계의 기능을 1차, 2차 평가 간, 2차, 3차 평가 간, 1차, 3차 평가 간 비교한 결과 모두 기능점수가 우수하게 변화했으나 통계적으로 유의하지 않았다. 근력 및 유연성 정도는 좌우의 악력, 배근력, 하지근력, 몸통, 어깨, 하지, 무릎유연성을 측정하였으며 1차 평가에 비해 3차 평가에서 모든 항목에서 근력 및 유연성 정도가 통계적으로 유의하게 증가하였다(p<0.05).연구대상자의 수가 적었고, 농한기에 의한 근골격계 질환의 개선 효과를 배제할 수는 없었지만 이번연구를 통하여 일부 농업인에서 근골격계 질환 관리 프로그램 실시 후 근골격계 질환의 단기적인 개선효과를 볼 수 있었다. 근골격계 질환의 중장기적인 개선효과를 기대할 수 있는 추가적인 연구와 농번기를 통한 관리 프로그램에 대한 추가적인 연구가 필요하다.

• Journal of the Korea Academia-Industrial cooperation Society
• /
• v.20 no.7
• /
• pp.380-386
• /
• 2019

Shoulder joint pain is a very common musculoskeletal disorder, in which about 20 percent of adults experience it more than once in their lives. In this study, an objective assessment was made that subacromial space was increased by pectoralis minor stretching exercise, which has a positive effect on impingement syndrome and shoulder pain. Also, This study examined the effects on pectoralis minor length(PML) and acromio-humeral distance(AHD) following pectoralis minor self-stretching exercise in normal adults. In this study, a total of 30 subjects were recruited and randomly divided into a self-stretching exercise group(n=15) and manual stretching exercise group(n=15) to compare the immediate effects of treatment. Studies have shown that both groups have significantly increased both PML and AHD within the group(p<.05). There was no statistically significant difference in the comparison between the groups(p>.05). The results suggest that self-stretching exercise can be recommended as a treatment method for impingement syndrome and prevention of shoulder disease.

• Journal of the Korean Society of Radiology
• /
• v.16 no.7
• /
• pp.961-968
• /
• 2022

Rotator cuff tears are a leading cause of shoulder pain in adults. Due to the increase in social activities, the number of patients complaining of shoulder pain is increasing, and interest in shoulder diseases is also increasing. With the development of ultrasound equipment, the sensitivity and specificity of diagnosis are high, and it is used to diagnose rotator cuff tears in musculoskeletal disease. Ultrasound is recognized as a complementary method to MRI examination in rotator cuff tears. Therefore, this study aimed to find out the diagnostic usefulness of ultrasound and MRI examinations in the diagnosis of shoulder rotator cuff tears.A retrospective analysis was performed on 262 patients who were diagnosed with final rotator cuff damage by arthroscopy after completing ultrasound and MRI examinations. Sensitivity, feature, positive predictive value, image predictive value, and touch were disassembled for the test results. In addition, the degree of clavicular tear was scored and recorded in 5 stages. Ultrasound examination was similar to MRI examination results for both full-thickness and partial tears, and there was no statistically significant difference. Partial tear test results showed higher positive predictive value and accuracy than MRI test. In conclusion, ultrasound can be fully utilized as a screening test for rotator cuff disease, and it is thought that it will be selected and used clinically according to the patient's constitution and situation.

• Clinics in Shoulder and Elbow
• /
• v.15 no.1
• /
• pp.52-64
• /
• 2012

Acute traumatic shoulder injuries related to motor vehicle accidents and industrial accident has shown a steep increase recently. In regard to the causal relationship and the previous illness, the rotator cuff tear and SLAP lesion are the mostly debated among shoulder injuries related to trauma. Both the possibility of spontaneous occurrence related to their degenerative etiology and the discordance between the extent of injury and the symptom of the rotator cuff tear and SLAP lesion, make it difficult and obscure to estimate the extent of involvement of accident. Therefore, the Insurance Committee of Korean Shoulder and Elbow Society performed a questionnaire for the shoulder specialists to investigate their criteria about deciding the treatment modalities and SLAP lesion and reviewed literatures regarding the causal relationship between the accident and the rotator cuff tear and SLAP lesion. The committee recommended the diagnostic criteria to judge contribution of the accident on traumatic shoulder injuries, and to offer a guideline for disabilities.

• Journal of the Korea Convergence Society
• /
• v.8 no.7
• /
• pp.349-356
• /
• 2017

The purpose of this study is to provide guidelines for effective osteoarthritis passive aquatic rehabilitation program and form of exercise prescription through passive aquatic rehabilitation exercise for 24 weeks for women with osteoarthritis. The subjects of this study were the passive aquatic rehabilitation group (CG, n = 10) and the control group (AREG, n = 10) among the subjects who had been diagnosed with osteoarthritis by the K orthopedic surgeon and visited the hospital more than 3 times were selected. The results of this study showed that the change of shoulder height in the group was significantly different in passive aquatic rehabilitation exercise group (p <.001). There were significant differences in passive aquatic rehabilitation exercise group (p <.001) between the groups with inhaled sacpula patterns. Changes in the pelvis patterns inferior pattern of the left and right pelvis patterns in the group were significantly different in passive aquatic rehabilitation exercise group (p <.001).

• Journal of the Korea Convergence Society
• /
• v.11 no.9
• /
• pp.277-285
• /
• 2020

The purpose of this study was to evaluate the effects of wearing Head-Mounted Display (HMD) on the cervical range of motion (CROM), neck muscle thickness, and pain in healthy young adults. The HMD group(male=16, female=7) was asked to perform sitting comfortably in a backless chair with hands on their knees with the HMD was worn on their heads to watch the video for 30 minutes. The control group(male=15, female=8) was asked to sit in the same posture as the HMD group for 30 minutes. CROM, neck muscle thickness, and pressure pain threshold (PPT) of both the upper trapezius and levator scapulae were measured before and after intervention. CROM and PPT of the upper trapezius and levator scapulae in the HMD group were significantly decreased and the thickness of the muscles in the HMD group were significantly increased more than in the pre-test (p<.05). There was no significant difference in CROM, muscle thickness, and PPT in the control group. Wearing HMD for a long time can cause a decrease in CROM and PPT and an increase in muscle thickness, and there is a risk of developing musculoskeletal disorders in the neck and shoulder. Therefore, this study recommends maintaining the correct posture of the neck and shoulder and using HMD only for an appropriate time.

• Tuberculosis and Respiratory Diseases
• /
• v.49 no.2
• /
• pp.162-168
• /
• 2000

Background : Joint symptoms frequently occur in the course of antituberculous chemotherapy and tend to be ignored and overlooked, but in some cases, they are often very troublesome in obstructing ordinary life. Joint symptoms that develop during antituberculous chemotherapy need to be understood, but there are few materials describing them systematically. Method : This study enrolled 33 patients with tuberculosis treated with first line antituberculous agents for more than 6months. In the course of treatment, joint symptoms not associated with specific cause, such as preexisting joint disease or trauma, were investigated and compared with thæe of the asymptomatic group. We confirmed the incidence of joint symptoms and factors associated with them. Results : Nineteen of 33 patients (58%) had joint symptoms. Joint symptoms developed 1.9$\pm$1.4 months after the beginning of chemotherapy and lasted for 3.6$\pm$2.5months. In 18 of 19 symptomatic patients, multiple joints were involved: shoulder (10 patients, 53%), knee (10, 53%), finger (6, 32 %). Joint symptoms were expressed as pain (19 patiens, 100%), stiffness (7, 37%) and/or swelling (3, 16%). Fourteen patients (74%) took analgesics to relieve their symptoms and in 2 patients, antituberculous agents were discontinued because of the severity of their symptoms. The symptoms seem to be caused by agents other than pyrazinamide, but it was very difficult to identify the definite causative agent. In age, sex, underlying disease and serum uric acid level, no significant differences were noted between the two groups. Conclusions : Although joint symptoms are common during antituberculous chemotherapy, their development is difficult to predict. Because some joint symptoms can become very bothersome, the physician should pay close attention to these symptoms.

• Journal of the Korea Convergence Society
• /
• v.9 no.11
• /
• pp.465-477
• /
• 2018

The purpose of this study is to analyze the effect of three - week high altitude ski training on the myocardial performance of cross - country skiers and to provide basic data for the future improvement of cross - country skiers'. The subjects were 6 cross - country skiing male college athletes. To investigate the effects of periodic and high altitude training on cross - country skiers, a general linear model ANOVA with repeated measure And analyzed using the Paired Samples t-test. In high altitude ski training for 3 weeks, the body composition did not change but the isokinetic muscular function of the shoulder joint, hip joint, knee joint, and ankle joint was decreased. Therefore, further study is needed if it is considered that continuous strength training should be performed during the ski training period such as SP period.

• Journal of the Korean Society of Radiology
• /
• v.6 no.5
• /
• pp.427-433
• /
• 2012

This study aimed at identifying changes in the acromiohumeral distance (AHD) and arm when the caudal gliding gradeII and III of Kaltenborn-Evjenth Concept$^{(R)}$ are applied to the right glenohumeral joint. The humeral head moved down about 5mm from the initial position when the gliding gradeII was applied, and about 8mm from the initial position when the gliding gradeIII was applied. Although men showed a higher acromiohumeral distance per grade than women in comparisons by gender for the acromiohumeral distance, there was no significant difference in statistics. The Abduction angle improved about $10^{\circ}$ from the initial angle when the gliding gradeII was applied, and about $12^{\circ}$ from the initial angle when the gliding gradeIII was applied. Although women showed the abduction angle greater than men for every grade in comparisons by gender for the abduction angle, there was no significant difference in statistics. Based on the aforesaid findings, the extent of kinematic changes in the humeral head could be identified when the gliding grades were applied. Accordingly, it is considered that more scientific evidence based treatments could be expected if influences on the surrounding structures by these changes could be learned through more studies in the future.

• Journal of the Korea Academia-Industrial cooperation Society
• /
• v.14 no.11
• /
• pp.5689-5697
• /
• 2013

The purpose of this study was to determine the effects of scapular taping on muscle activities of the scapular rotators and anterior deltoid, ROM, shoulder pain, proprioception in subacute stroke patients. Twenty-eight patients were randomly assigned to an experimental and control groups of fourteen patients respectively. Muscle activity of upper and lower trapezius, serratus anterior, anterior deltoid was measured using surface electromyography. Visual analog scale was used for shoulder pain. Electro-Goniometry was used for shoulder elevation ROM. Assessment board was used for shoulder elevation proprioception. The muscle activity of the lower trapezius and serratus anterior increased significantly after scapular tape application (p<0.05). The AROM and PROM in the shoulder elevation significantly increased after scapular tape application (p<0.05). The VAS in the shoulder no significantly decreased after scapular tape application (p>0.05). The proprioception in the shoulder no significantly increased after scapular tape application (p>0.05). The results of this study suggest that scapular taping can be used an additional therapy for increasing muscle activity of lower trapezius and serratus anterior and ROM during shoulder elevation in subacute stroke patients.