• Journal of the Korean Society of Radiology
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• v.6 no.5
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• pp.383-388
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• 2012

This study attempted to make comparisons in the magnitude of the applied power depending on gender, gliding direction and gliding grade when gliding treatment grade II and III under the Kaltenborn-Evjenth Concept$^{(R)}$ are applied to the caudal, ventral and dorsal shoulder joint using the loading cell equipment. As a result of load difference depending on gender, men showed a significantly higher load than women for all of Caudal Grade II/III, Ventral Grade II/III and Dorsal Grade II/III (p<.05). As a result of comparisons for load difference depending on the treatment direction, the ventral and dorsal loads were significantly higher than the caudal load for all of Grade II and Grade III (p<.05). As a result of comparisons for load difference depending on treatment grade, the load was significantly higher in Grade III than Grade II for all of the caudal, ventral and dorsal side (p<.05). Given the aforesaid results, it could be confirmed that the magnitude of the applied force at the same grade could be different depending on the direction and gender, when gliding II/III are applied to the caudal, ventral and dorsal of glenohumeral joint.

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

• The Journal of Korean Physical Therapy
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• v.15 no.3
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• pp.126-152
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• 2003

The purpose of this study was to evaluate the value of passive caudal gliding mobilization of the glenohumeral joint on the range of motion (ROM) of active and passive abduction; to evaluate the value of pain relief through visual analogue scale (VAS); to evaluate the correlation between improvement of shoulder abduction and intra-articular movement measured by fluoroscopy in frozen shoulder patients. The subjects consisted of twenty-one patients with clinically diagnosed frozen shoulder (11 males, 10 females) between 40 and 63 years of age (mean age : 52.7 years). The traction and caudal gliding mobilization based on the convex-concave rule in the resting position and at end range of abduction was peformed for 15 minutes per day and was repeated 10 times during a 2 week period. The ROM of abduction was measured by goniometer and pain was measured by VAS. The intra-articular movement was measured by fluoroscope, Neurostar Plus TOP (Siemens, Germany). ROM measurements of each patient was acquired at pre-treatment, immediate post-treatment and 2 week post-treatment. Statistical analysis was performed using SPSS 10.0 for Windows software and data was analyzed using the paired-test and the pearson correlation. The results of this study are as follows: 1. There was a significant decrease of VAS between pre-treatment data and 2 week post-treatment data (P<.05) but no significant difference between pre-treatment and immediate post-treatment data (P>.05). 2. There was a significant increase in ROM of active and passive abduction in the pre-treatment data, immediate post-treatment data, and in 2 week post-treatment data (P<.05). 3. With regard to results of the joint play test, there was a significant difference in the grade of traction between pre-treatment data and immediate post-treatment data and between pre-treatment data and 2 week post-treatment data (P<.05). There was no significant difference between immediate post-treatment data and 2 week post-treatment data (P>.05). 4. With regard to results of the joint play test, there was a significant difference in the grade of caudal gliding between pre-treatment data and immediate post-treatment data and between pre-treatment data and 2 week post-treatment data (P<.05). There was no significant difference between immediate post-treatment data and 2 week post-treatment data (P>.05), 5. With regard to the results of fluoroscopic findings, there was a significant change of the glenohumeral joint space between pre-treatment data and immediate post-treatment data and between immediate post-treatment data and 2 week post-treatment data (P<.05). There was no significant change of the glenohumeral joint space between immediate post-treatment data and 2 week post-treatment data (P>.05). 6. With regard to the results of fluoroscopic findings, there was a significant change of acromiohumeral joint space between the three data (pre-treatment data, immediate post-treatment data, 2 week post-treatment data) (P<.05). 7. Mobility grade by joint play test was significantly increased and was correlated to improved ROM of active and passive abduction (P<.05). In this study of frozen shoulder, passive caudal gliding techniques of the glenohumeral joint results in statistically significant changes in active and passive abduction as well as in VAS. There is also a significant correlation between joint play test and ROM of abduction.