• Title/Summary/Keyword: Abduction

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One Case of Paralytic Strabismus (마비성 사시환자 1례)

  • Lee, Kyu-jin;Kim, Hae-jung
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.17 no.3
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    • pp.120-125
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    • 2004
  • Strabismus is a misalignment of eye, and which devided paralytic and non-paralytic strabismus. Paralytic strabismus is generally a neurological problem, especially 3rd, 4th or 6th nerve. The abducent nerve was most common affected. Paralytic strabismus are treated based on the theory of Oriental medicine with herbal medicine bal-san(發散) and gue-pung(祛風) effects and acupuncture around the eyes and etc. Authors experienced one case of the strabismus of abducent nerve palsy, 35-year-old male, showed disorder abduction of Lt. eye, diplopia and dizziness. Disorder abduction of Lt. eye, diplopia and dizziness and cervical pain improved under the treatment of acupuncture and herbal medicine Thus further clinical study and treatment principle should be made to raise the recovery rate for paralytic strabismus and it's effectiveness of Oriental medical treatment should be informed.

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Manual Therapy of Musculoskeletal Diseases(Shoulder-Horizontal Adduction and Abduction) (근골격계 질환의 치료(어깨-수평모음과 벌림))

  • Kim, Do-Gwan;Sin, Seong-Yun;Lee, Hyeon-Chang;Lee, Yang-Won;Park, Gi-Hong
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 2016.05a
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    • pp.138-139
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    • 2016
  • This paper check over the shoulder disorder derived from musculoskeletal disorder. Particularly, it performing a manual measurement for horizontal adduction and horizontal abduction of shoulder. Here, if the value is lower than the reference value, It presents a reasonable manual therapies.

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Effects of External Load and Upper Extremity Postures on Perceived Discomfort (지각 불편도에 대한 외부 부하, 상지 자세의 영향)

  • Kee, Do-Hyung
    • Journal of the Korean Society of Safety
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    • v.17 no.4
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    • pp.178-183
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    • 2002
  • The purpose of this study was to quantitatively investigate the effects of external load upper extremity posture on perceived discomfort. An experiment was conducted for measuring discomfort scores depending upon external loads and upper extremity postures, in which the free modules and numeric estimate method of the magnitude estimation was adopted as a tool for obtaining discomfort ratings. The upper extremity postures were controlled by wrist flexion/extension, elbow foexion, shoulder flexion, and shoulder adduction/abduction. The results showed that all experimental variables except shoulder adduction/abduction were significant at ${\alpha}$=0.01 or 0.05. The effect of external load was very much larger than that of upper extremity postures. Therefore, it is recommended that a new posture classification scheme taking effect of external load to into consideration be developed for quantifying postural load.

Three Cases of Frozen Shoulder Treated with Hominis Placenta Pharmacopuncture and Chuna Manual Therapy (자하거 약침과 추나 요법으로 호전된 동결견 치험 3례)

  • Minhee Kim;Soohyung Jeon
    • The Journal of Korean Medicine
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    • v.44 no.1
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    • pp.117-127
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    • 2023
  • Objectives: The purpose of this study is to report the effect of hominis placenta pharmacopuncture and chuna manual therapy in patients with frozen shoulder. Methods: Frozen shoulder was treated with hominis placenta pharmacopuncture and chuna manual therapy, and the overall shoulder pain was measured by visual analog scale (VAS), and the range of motion (ROM) of shoulder movement was evaluated by measuring passive abduction and external rotation and active hand to shoulder blade test. Results: After the treatment, overall shoulder pain was reduced, and ROM of passive abduction and external rotation was increased. Conclusions: The above results show that hominis placenta pharmacopuncture and chuna manual therapy can be used as an effective treatment for frozen shoulder.

Moebius syndrome - About Pathogenesis, Clinical manifestations, Diagnosis, and Treatment of Moebius - (뫼비우스 증후군 - 발병기전, 임상양상, 진단 및 치료 - )

  • Seung Ho Yu
    • Journal of Convergence Korean Medicine
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    • v.1 no.1
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    • pp.5-15
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    • 2021
  • Objectives: To review the concept of Moebius syndrome. Methods: Literature search was done to study definition, epidemiology, pathophysiology, clinical feature, and treatment of Moebius syndrome. Pubmed, RISS, Google scholarship and uptodate scholastic were used in the research. Search words were 'Moebius syndrome', 'treatment of Moebius syndrome'. Only English and Korean studies were assessed. Results: Moebius syndrome is rare disease characterized by nonprogressive congenital uni- or bi-lateral facial (VII cranial nerve) and abducens (VI cranial nerve) palsy. This facial palsy is found across the world, and its incidence is approximately 1 per 250,000. Moebius is diagnosed by clinical features. Facial palsy, eye abduction problem, limb deformities, global cerebral nerve impairment can be shown. Rehabilitation, smile surgery, and acupuncture can be used to treat this. Conclusion: Moebius syndrome's epidemiology, pathogenesis, treatment is still not fully revealed. It is known to be a congenital disease which didn't have exact treatment except surgery. But, it needs further study about exact treatment, diagnosis, and pathogenesis.

Comparison of Supraspinatus Muscle Architecture During Three Different Shoulder Strengthening Exercises Using Ultrasonography

  • Moon, Il-young;Lim, One-bin;Cynn, Heon-seock;Yi, Chung-hwi
    • Physical Therapy Korea
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    • v.23 no.2
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    • pp.84-92
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    • 2016
  • Background: Strengthening the supraspinatus is an important aspect of a rehabilitation program for subacromial impingement and tendinopathy. Many authors recommended empty-can (EC), full-can (FC), and prone full-can (PFC) exercises to strengthen the supraspinatus. However, no ultrasonography study has yet investigated supraspinatus muscle architecture (muscle thickness; MT, pennation angle; PA, fiber bundle length; FBL) in relation to supraspinatus strengthening exercises. Objects: The purpose of this study was to compare the architecture (MT, PA, and FBL) of the supraspinatus muscle during three different types of exercises (EC, FC, and PFC) using diagnostic ultrasound. Methods: Participants performed three different exercises: (A) EC; the arm was maintained at $60^{\circ}$ abduction with full internal rotation in the sitting position, (B) FC; the arm was maintained at $60^{\circ}$ abduction with full external rotation in the sitting position, and (C) PFC; the arm was maintained at $60^{\circ}$ abduction with full external rotation in the prone position. Ultrasonography was used to measure the MT, PA and FBL of the supraspinatus. One-way repeated analysis of variance with Bonferroni's post-hoc test was used to compare between the three exercises and the initial position of each exercise. Results: Compared with each initial position, the FC exercise showed the greatest mean difference in muscle architecture properties and the PFC exercise showed the least mean difference. Conclusion: The findings suggest that the FC exercise position may have an advantage in increasing the amount of contractile tissue or producing muscle power and the PFC exercise position may be useful in a rehabilitation program because it offers the advantage of maintaining the muscle architecture properties.

Workload Evaluation of Various Shoulder Posture by using Muscle Force, Fatigue and Psychophysical Workload

  • Park, Ji-Soo;Kim, Jung-Yong
    • Journal of the Ergonomics Society of Korea
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    • v.31 no.2
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    • pp.281-289
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    • 2012
  • Objective: The purpose of this study is to evaluate the potential risk of shoulder muscle at particular working postures in sitting. Background: The cause of shoulder pain needs to be specifically studied in relation with particular shoulder postures to prevent shoulder MSDs in workplace. Method: In this study MVC, fatigue and subjective workload were investigated depending on the change of shoulder posture. An experiment was designed to evaluate the six shoulder muscles at nine shoulder postures including the combination of 30(adduction), 0, 30(abduction) degrees and 60, 90, and 120 degrees of shoulder flexion. Surface electrodes were attached to the middle trapezius, inferior middle trapezius, anterior deltoid, posterior deltoid, serratus anterior and teres major. Thirteen subjects participated in the experiment. Dependent variables were RPE (rating of perceived exertion), MVC(maximum voluntary contraction) and MPF(mean power frequency) shift by EMG (electromyography). Results: The middle trapezius and inferior middle trapezius were not significantly fatigued at all postures. The decline of MPF slope was less than 10% at all postures. The anterior deltoid was significantly fatigued all postures. The decline of MPF slope was more than 10% at all postures. The posterior deltoid was significantly fatigued 30 degrees of adduction and 90 degrees of flexion. And, neutral and 30 degrees of abduction postures were fatigued more than 90 degrees of flexion. The serratus anterior was significantly fatigued except for 30 degrees of adduction and 60 degrees of flexion posture. The teres major was significantly fatigued except for neutral and 60 degrees of flexion, 30 degrees of abduction and 60 degrees of flexion posture. Conclusion: It was found that a certain muscle was fatigued fast at particular posture compared to other muscles, which would mean that a certain shoulder muscle at particular posture could be easily exposed to the risk of musculoskeletal disorders than other muscles. Application: It is expected that the result can be applied to design workplace using shoulder muscles.

Intra- and Inter-Rater Reliability of Measuring Passive Range of Shoulder Motion With Smartphone and Goniometer in Patients With Stroke (뇌졸중 환자의 수동적 어깨 관절 가동범위 측정에 관한 스마트폰과 측각기의 측정자내, 측정자간 신뢰도 연구)

  • Park, Il-Woo;Lim, One-Bin;Park, Kyue-Nam;Yi, Chung-Hwi
    • Physical Therapy Korea
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    • v.21 no.1
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    • pp.1-12
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    • 2014
  • The purpose of this study were to determine the intra-rater and inter-rater reliability of shoulder passive range of motion measurement using the "Clinometer + bubble level", a smartphone application and to compare with the intra-rater and inter-rater reliability of measurement using a goniometer. Twenty six patients with stroke were recruited for this study. Two raters measured the passive range of motion of four types of shoulder movements (forward flexion; FF, abduction; ABD, external rotation at $90^{\circ}$ abduction; ER90 and internal rotation at $90^{\circ}$ abduction; IR90) using a goniometer and a smartphone to determine within-day inter-rater reliability. A retest session was performed thirty minutes later to determine within-day intra-rater reliability. The reliability was assessed using intraclass correlation coefficients (ICC) and the standard error of measurement (SEM). The ICC (2,1) for the inter-rater reliabilities of the goniometer and smartphone were good in FF and ABD [ICC (2,1)=.75~.87] and excellent in ER90 [ICC (2,1)=.90~.95]. The intra-rater reliabilities for the goniometer and smartphone were good or more than good, with an ICC (3,1) value >.75, the exception was IR90 measured by rater 2 on the smartphone. These results suggest that smartphone could be used as an alternative method tool for measurement of passive shoulder range of motion in patients with stroke.

Exploring Scientific Reasoning in Elementary Science Classroom Discourses (초등 과학 수업 담화에서 나타나는 과학적 추론 탐색)

  • Lee, Sun-Kyung;Choi, Chui Im;Lee, Gyuho;Shin, Myeong-Kyeong;Song, Hojang
    • Journal of The Korean Association For Science Education
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    • v.33 no.1
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    • pp.181-192
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    • 2013
  • This study aims to explore scientific reasoning that students and their teachers constructed in elementary science classroom discourses in terms of basic reasoning types; deduction, induction, and abduction. For this research, data were collected from 13 classes of 4th grade science activities during a period of three months and analyzed three types of scientific reasoning in elementary school science discourses. We found that deduction (one discourse segment), induction (one discourse segment), and deduction-abduction (two discourse segments) were presented in the discourses. They showed that: first, scientific reasoning proceeded explicitly or implicitly in elementary science discourses; second, the students and their teachers have potentials to increase the quality of reasoning depending on their inter-subjectivity; and last, the students' background knowledge were very important in the development of their reasoning. Implication and remarks on science education and research were presented based on this results as well.