• Title/Summary/Keyword: Neck Muscles

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Anterior Approach to the Infratemporal Fossa in Cases of Posterior Wall Invasion of Maxillary Cancer (상악동 후벽을 침습한 상악암의 절제를 위한 측두하와의 전방 접근법)

  • Choi Eun-Chang;Yoon Joo-Heon;Kim Young-Ho;Hong Won-Pyo
    • Korean Journal of Head & Neck Oncology
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    • v.10 no.2
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    • pp.128-136
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    • 1994
  • Maxillary cancer is usually detected late, and the majority of patients have advanced($T_3\;or\;T_4$) diseases at the first diagnosis. It invades outside the maxillary antrum, superiorly the orbit, ethmoid sinus and the anterior cranial base, anteriorly the facial skin. If the cancer extends through the posterior antral wall, the pterygoid plates, pterygoid muscles and infratemporal fossa are to be involved that make the conventional maxillectomy impossible to remove all the involved structures in infratemporal fossa completely. So, more extensive surgical apprdoach is necessary. We report surgical experience using infratemporal fossa approach(lateral facial approach) in four cases of maxillary cancer and one case of hard palate cancer which extends through the posterior antral wall and involving pterygoid muscles, pterygoid plates and temporalis muscle.

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Assessment of Isometric Muscle Strength of Shoulder Girdle: A Reliability Study (어깨와 견갑대 근육의 등척성 근력 평가)

  • Hong, Wan-Sung;Kim, Gi-Won
    • The Journal of Korean Physical Therapy
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    • v.19 no.6
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    • pp.17-22
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    • 2007
  • Purpose: To evaluate the quantitative isometric muscle strength of shoulder girdle and the test reliability using by the equipment, named 'IsoTrack', selected by authors in the former studies. Methods: Thirty healthy subjects (9 men, 21 women) were recruited in two sessions, one for intratester and intertester reliability tests and the other quantitative isometric muscle strength tests. The neck flexion, extension and scapular elevation muscle strength was measured using a force measuring device as IsoTract. Results: Intraclass correlation coefficients for intratester reliability of the all subjects ranging between 0.96 and 0.97. For intertester reliability, the ICC and Pearson correlation correspond to 0.84 and 0.78. We gauged muscle strength of shoulder girdle muscles based on it and indicated quantified isometric muscle strength of women and men in left and right side. Conclusion: We concluded that there were high reiliability of isometric muscle strength of neck and shoulder girdle. Also, we gauged muscle strength of shoulder girdle muscles based on it and indicated quantified isometric muscle strength in left and right side in women and men. So this findings may assist in the measure of whole body muscle strength.

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Analysis of Muscle Activation related to Postural Stability according to Different Frequency of Whole Body Vibration during Quiet Standing (중립 선 자세에서의 전신진동 주파수에 따른 자세 안정근의 근활성 분석)

  • Seo, Hye-Jung;Kim, Joong-Hwi
    • The Journal of Korean Physical Therapy
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    • v.25 no.5
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    • pp.316-321
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    • 2013
  • Purpose: The aimed of this study was to investigate muscle activation related to postural stability according to different frequency of whole body vibration during quiet standing, to identify the most effective training conditions that cause the highest neuromuscular responses, and to evaluate the difference of EMG activation according to the anatomical position of the muscle - proximal or distal from the vibration platform. Methods: Eighteen healthy subjects voluntarily participated in this single-group, repeated-measures study in which EMG data from upper trapezius, rectus abdominalis, external oblique abdominalis, elector spinae, gluteus maximus, rectus femoris, semitendinosus, and gastrocnemius were collected over different frequencies (0-5-10-15-20-25Hz) for each subject during quiet standing. Results: We observed a statistically significant difference in the mean values of %RVC of muscular activation according to different frequencies of whole body vibration during quiet standing in all muscles (p<0.05). Conclusion: Our results indicate that lower frequencies of vibration result in low muscular activation, and higher frequencies elicit high muscular activation. However, the most effective training condition that caused the highest activation was 20 Hz. In addition, the proximally located lower extremity muscles (GCM, RF, ST, GM) showed higher activation than the distally located trunk and neck muscles (ES, EO, RA, UT) together with increasing frequency.

Localized Myositis Ossificans of the Temporal and Lateral Pterygoid Muscles- A Case Report for Open Limitation (측두근과 외측 익돌근에서 발생된 국한성 화골성 근염 : 개구제한을 주소로 내원한 환자의 증례보고)

  • Han, Won-Jeong
    • Journal of Oral Medicine and Pain
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    • v.37 no.4
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    • pp.227-231
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    • 2012
  • Localized myositis ossificans is a disease with the main feature of formation of heterotropic bone and fibrous tissue involving muscle. It also called traumatic myositis ossificans. Myositis ossificans is likely to occur in the femoral region or brachium but, rarely in the head and neck including the masticatory muscles. It arises from traumatic episodes caused by prolonged mouth opening, surgical procedure, local anesthesia injection. The main clinical feature is the mouth open limitation. The diagnosis of myositis ossificans is usually based on the patient's history, clinical symptoms and on imaging finding. We present the case of patient with localized myositis ossificans of the temporal and lateral pterygoid muscles.

A Study on Cosmetic Acupuncture Through Anatomy and Physiology Interpretation (해부생리학 해석을 통한 미용침의 연구)

  • Kim, Min-Sik
    • Korean Journal of Acupuncture
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    • v.30 no.3
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    • pp.171-177
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    • 2013
  • Objectives : The purpose of this study is to investigate the mechanism of Cosmetic Acupuncture through reinterpretation of anatomy and physiology. Methods : The causes of wrinkle increases and rapid aging of facial skin were studied and the theoretical system of Cosmetic Acupuncture treatment was analyzed through anatomy and physiology reinterpretation. Results and Conclusions : An increase in wrinkles and rapid aging of facial skin is caused by xerosis. Skin condition represents the condition of subcutaneous muscle. The reason why skin becomes easily dry is the heat produced by craniofacial part. Craniofacial part always generates lot of physiological fever because of the muscles. This physiological fever is produced from the muscles that are responsible for maintaining skull suture, controlling the movement of temporomandibular joint, maintaining head and neck posture. Controlling this fever is the crux of Cosmetic Acupuncture mechanism. These muscles correspond to Foot Taeyang meridian-muscle, Foot Soyang meridian-muscle and Foot Yangmyung meridian-muscle. Cosmetic Acupuncture is effective for preventing facial skin from aging and wrinkle increase by mechanical stimulus on facial muscles, and for controlling craniofacial part meridian-muscle system producing the heat.

Life-Threatening Necrotizing Fasciitis of the Posterior Neck

  • Choi, Ji-An;Kwak, Jung-Ha;Yoon, Chung-Min
    • Journal of Trauma and Injury
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    • v.33 no.4
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    • pp.260-263
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    • 2020
  • Necrotizing fasciitis is an infection of the subcutaneous tissue that results in destruction of the fascia and is disproportionately common in patients with chronic liver disease or diabetes. Necrotizing fasciitis of the head and neck is rare, but has a high fatality rate. A 50-year-old man with a past medical history of diabetes reported a chief complaint of a wound in the posterior neck due to trauma. The wound had grown and was accompanied by pus and redness, and the patient had a fever. When the patient was referred to department of plastic & reconstructive surgery, the sternocleidomastoid muscle, semispinalis capitis muscle, splenius capitis muscle, and trapezius muscles were exposed, and the size of the defect was about 25×20 cm. Dead tissue resection was performed before negative-pressure wound therapy, followed by a split-thickness skin graft (STSG). After a 2-week course of aseptic dressing post-STSG, the patient recovered completely. No postoperative complications were observed for 1 year. Necrotizing fasciitis is a life-threatening, rapidly spreading infection, requiring early diagnosis and active surgical treatment. In addition, broad-spectrum antibiotics are required due to the variety of types of causative bacteria. Broad necrotizing fasciitis of the posterior neck is rare, but can quickly progress into a life-threatening stage.

The Effect of Fascia Relaxation and Mobilization of the Hyoid on the Range of Motion, Pain, and Deviation of the Hyoid in Neck Pain

  • Lee, Byung-jin;Yoon, Tae-lim
    • Physical Therapy Korea
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    • v.27 no.1
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    • pp.70-77
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    • 2020
  • Background: Neck pain can be caused by any structure in the neck, such as intervertebral discs, ligaments, muscles, facet joints, dura mater, and nerve roots. The hyoid bone is a structure that is also related to head and neck posture, neck movement and pain, but there are no studies on hyoid deviation, neck pain, and range of motion (ROM). Objects: The purpose of this study was to investigate the effect of fascia relaxation and mobilization of the hyoid bone on the ROM, pain, and lateral deviation of the hyoid bone. Methods: Twenty-five patients with neck pain identified by the lateral motion test (10 males [35.13 ± 7.67 years, 172.69 ± 3.90 cm, 78.77 ± 6.96 kg] and 15 females [35.13 ± 10.05 years, 161.11 ± 4.09 cm, 52.59 ± 2.98 kg]) was chosen randomly. Baseline values for pain, neck ROM, and lateral deviation in the hyoid bone were recorded using a visual analogue scale (VAS), goniometer, and tape measure. Then, each patient was treated with hyoid fascia relaxation and mobilization, and all results were recorded after intervention. Comparison of the results before and after intervention was analyzed using paird t-test (p < 0.05). Results: Right rotation, extension, VAS, and rotational asymmetry statistically significant differences (p < 0.05). Right rotation and extension increased ROM, rotational asymmetry ratio and VAS decreased. However, there was no significant difference in flexion, left rotation, center point (p > 0.05). Conclusion: Fascia relaxation and hyoid mobilization could improve the ROM of cervical extension, asymmetry of the cervical rotation and neck pain.

Variations in Stroke Patients' Muscle Activity during Head Rotation in Non-Paretic-Side Weight Bearing

  • Lee, Kwan-Sub;Choe, Han-Seong;Lee, Byung-Joo
    • The Journal of Korean Physical Therapy
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    • v.27 no.3
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    • pp.159-163
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    • 2015
  • Purpose: This study aimed to determine the interaction among the neck, trunk, and lower extremities on the non-paretic side in head rotation along with non-paretic-side weight shifting of stroke patients. To compare stroke patients' ability to control posture through muscle activity variation related to pertubation during head rotation along with the non-paretic limb. Methods: We tested 15 hemiplegic patients and 15 normal individuals. Each group's muscle activity was measured by electromyography in neutral head position and head rotation position. We compared each group's resu lt based on measured values in patients' non-paretic neck muscles, trunk muscles, and lower limbs muscles activation. Results: The study showed that muscle activity increased in the sternocleidomastoid muscle (102.26%, 53.00%), splenius capitis muscle (97.93%, 54.93%), erector spinae muscle (241.00%, 127.60%), external oblique abdominal muscle (256.66%, 152.00%), and internal oblique abdominal muscle (252.80%, 152.6%), peroneus longus muscle (117.53%, 137.13%) and gastrocnemius muscle (119.06%, 137.20%), while the results for the sternocleidomastoid muscle, splenius capitis muscle, erector spinae muscle, external oblique abdominal muscle, internal oblique abdominal muscle, peroneus longus muscle, and gastrocnemius muscle showed a statistically significant difference (p<0.05). Conclusion: It is hard for stroke patients to engage in normal movement control under suggested conditions because of the insufficient movement against gravity on the stroke patient's non-paretic side and impaired cooperative patterns. To solve these problems, patients need their bodies to improve through effective movement, resulting in advanced control of their effective and functional activity.

Prevalence of Sarcocystis infections in the slaughtered cattle in Cheju (제주지역(濟州地域) 도축우(屠畜牛)의 주육포자충(住肉胞子蟲) 감염실태조사(感染實態調査))

  • Yang, Jae-hyun;Kang, Young-bai;Wee, Sung-hwan;Lee, Seung-taek;Kim, Kong-sik
    • Korean Journal of Veterinary Research
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    • v.30 no.4
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    • pp.507-510
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    • 1990
  • A preliminary survey of Sarcocystis species in the slaughtered cattle in Cheju was undertaken during May through October 1989, using digested diagnostic technique for the heart, the esophagus and the dorsal muscles of the neck specimens digested in 0.5% trypsin solution. The results obtained were summarized as follows. 1. The overall infection rate of Sarcocystis in a total of 218 slaughtered cattle was as high as 36.7% with the highest frequencies in the esophagus muscles(21. 6%), followed by in the dorsal muscles of the neck(19.1%) and in the heart rnuscles(17.9%). 2. Age difference was noticed as 64.3% in the cattle older than five years in comparison with 41.7%, 34.4%, in the group of two to four years and in the group of younger than two years respectively. 3. It was also noticed that the prevalence in the Brahman cross breed was higher(40.0%) than in any other breeds. 4. Regional distribution of Sarcocystis infections was observed as 75.0% in south-east area, 50.0% 44.7%, 35.0%, 32.0% and 20.6% in the areas of Seogwipo city, north-west, south-west, Cheju city and northeast area respectively. 5. According to the type of rearing the infection rate in the ranch type farm was noticed with and in the stock farms(36.2%).

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The Effect of Visual Feedback of Head Angles With Using a Mobile Posture-Aware System on Craniocervical Angle and Neck and Shoulder Muscles Fatigue During Watching the Smartphone

  • Kim, Su Jeong;Jeong, So Yeon;Yoon, Tae Lim
    • The Journal of Korean Physical Therapy
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    • v.30 no.2
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    • pp.47-53
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    • 2018
  • Purpose: To find the effect of visual feedback of head angle with using a mobile posture-aware system on craniocervical angle and neck and shoulder muscles fatigue for preventing or decreasing the forward head posture. Methods: Twenty-four healthy young adults in Chungbuk to participate in this study. The subjects started to watch a movie clip for 10 minutes with visual feedback in $0^{\circ}$, $30^{\circ}$, and $60^{\circ}$ of head angles. During the task, surface electromyography (EMG) was used to collect data from the upper trapezius (UT), sternocleidomasetoid muscle (SCM), cervical erecter spinae (CES) during watching the smartphone. Craniocervical angles were measured using a sagittal-view photograph of the subject in a sitting posture. A one-way repeated analysis of variance with a significant level of 0.05 used for statistical analysis. Results: Craniocervical angle with $0^{\circ}$ visual feedback was significantly greater than $30^{\circ}$ and $60^{\circ}$. Craniocervical angle with $30^{\circ}$ visual feedback was significantly greater than $60^{\circ}$. In addition, MDF of UT muscles in $0^{\circ}$ and $30^{\circ}$ of visual feedback was significantly greater than $60^{\circ}$. Conclusion: We concluded that $0^{\circ}$ visual feedback of head angle with using a mobile posture-aware system would be beneficial to prevent or decrease forward head posture during watching a smartphone. We also could recommend using of $30^{\circ}$ visual feedback in case of caring UT muscle fatigue primarily.