• 제목/요약/키워드: ROM of shoulder

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폐엽절제술 후 견배부 통증을 호소한 폐암환자 치험 1례 (A Clinical Case Report of a Lung Cancer Patient with Shoulder Pain after Lobectomy)

  • 최규희;방지현;김재환;정승기;정희재
    • 대한암한의학회지
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    • 제15권1호
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    • pp.79-87
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    • 2010
  • Objectives : Quality of life(QoL) in patients with lung cancer usually goes down after pneumoectomy, and the pain is the most common cause. Uncontrolled postoperative pain can restrict the movements of shoulders resulting in frozen shoulder. This case report is to report the effect of herb medicine, Ohjuksan on a 49-year-old female lung cancer patient with shoulder pain after lobectomy. Methods : The patient was treated with Ohjuksan for 10 days. The patient's symptoms were assessed by range of motion(ROM) of shoulder, Visual analogue scale(VAS) of shoulder pain and abdominal diagnosis. Results & Conclusions : The patient showed improvement of ROM, VAS and abdominal diagnosis. As the shoulder pain is relieved from VAS6 to VAS3, ROM of abduction, adduction and internal rotation were increased. Also discomfort of abdomen was disapeared to a certain degree. This suggests that herb medicine, Ohjuksan is effective for treating postoperative pain of shoulder for a Lung cancer patient.

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Arthroscopy in the Resistant Frozen Shoulder

  • 이용걸;임창부
    • 대한견주관절학회:학술대회논문집
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    • 대한견주관절학회 1995년도 Symposium and Workshop
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    • pp.51-55
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    • 1995
  • . arthroscopic release in treatment of refractory PS increased ROM pain relief . further evaluation with long terms follow up and more critical scientific study to clarify knowledge about the refractory frozen shoulder would be requested

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유방암 절제술 환자의 관절가동술과 전기자극을 융합한 중재가 어깨 가쪽돌림과 통증에 미치는 영향 (The Effect of Joint Mobilization with Electrotherapy interventions on External Rotation and Pain in Mastectomy Patients)

  • 김태현;조균희;박신준
    • 융합정보논문지
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    • 제10권5호
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    • pp.188-197
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    • 2020
  • 본 연구는 관절가동술 후 두 가지 유형의 전기치료 방법을 각각 적용하였을 때 유방암 환자의 어깨 가쪽돌림 가동범위와 통증에 미치는 효과를 알아보기 위해 실시하였다. 유방절제술을 시행한 유방암 환자 30명을 STMG (관절가동술+비침습적 무통증 신호 전기치료) 15명과 TENMG (관절가동술+경피신경전기자극) 15명으로 나누었다. 중재는 4주간 주 3회, 1회당 1시간씩 실시하였다. 측정은 어깨 가쪽 돌림 관절가동범위(Range of motion, ROM), 통증(Visual analog scale)을 측정하였다. 중재 전·후 두 군 모두 어깨 가쪽돌림 관절가동범위, 통증에서 유의한 차이가 있었다(p<.05). STMG는 어깨 가쪽 돌림 관절가동범위를 제외하고 TENMG보다 통증 감소에서 더욱 효과적이었다(p<.05). 유방암 절제술 환자의 통증을 경감시키기 위해서는 STMG이 TENMG보다 더욱 효과가 있다는 것을 확인할 수 있었다. 다양한 차이를 확인하기 위해 대조군을 더하고, 더 많은 대상자가 필요할 것으로 사료된다.

약침을 활용한 한방치료로 호전된 회전근개 파열 수술 후 견비통 환자에 대한 치험 1례 (1 Case of Shoulder Pain Treated with Oriental Treatment Including Pharmacopuncture in Rotator Cuff Surgery)

  • 정재엽;김정희;송춘호;장경전;김철홍;윤현민
    • Journal of Acupuncture Research
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    • 제29권6호
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    • pp.119-125
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    • 2012
  • Objectives : Rotator cuff tear is a common disease that causes shoulder pain and disability. Sometimes surgical treatment is demanded and appropriate rehabilitation is also needed to provide functional recovery. This report is intended to estimate the effect of oriental treatment for the patients in rotator cuff surgery rehabilitation period. Methods : From 29th October, 2012 to 13th November, 2012, One male patient who received rotator cuff surgery was treated with acupuncture, pharmacopuncture and herbal medication. NRS and ROM were evaluated to demonstrate the effect of treatment. Results : The patient showed the improvement in shoulder pain and ROM. Conclusion : Oriental treatments such as acupuncture, pharmacopuncture, herbal medication can be effective for relieving pain and increasing ROM in rotator cuff surgery rehabilitation period.

Smovey 운동이 유방암 절제술을 한 여성의 견관절 관절가동범 위, 통증, 기능수준, 근력에 미치는 영향 (The Smovey Exercise is the Effect of Range of Motion, Pain, Function, Muscle Strength of the Shoulder with Women Breast Cancer)

  • 이민지;정성관;김용진
    • 대한정형도수물리치료학회지
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    • 제24권1호
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    • pp.47-55
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    • 2018
  • Background: The Purpose of this study was investigate the Smovey exercise is the effect of range of motion, pain, function, muscle strength of th shoulder with women breast cancer. Methods: This study was carried out with a total 24 breast cancer survivors. By drawing lots women a breast cancer Smovey exercise group (BS, n=11), a breast cancer general therapy group (BG, n=10). Outcomes such as the range of motion(ROM), visual analogue scale(VAS), the shoulder pain and disability index (SI), the muscle strength (MS) were measured pre- and post-intervention for both groups. Results: A significant increase was found ROM, Pain, functional disability level and MS within the two groups (p<.05). There were ROM, pain, functional disability level and MS post test then invention were significant between the two groups (p<.05). Conclusions: Applying Smovey exercise treatment to breast cancer patients proved to have a positive effect.

어깨관절통을 주소로 한 베체트병 환자의 매선요법과 침치료 병행효과: 증례보고 (Effect of Needle-embedding & Acupuncture Therapy on Shoulder Pain in Behcet Disease Patient: A Case Report)

  • 이승민;지영승;전주현;김정호;김영일
    • Journal of Acupuncture Research
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    • 제30권4호
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    • pp.219-224
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    • 2013
  • Objectives : The object of this study is to observe the effect of needle-embedding and acupuncture therapy on shoulder pain in Behcet disease. Methods : Needle-embedding therapy and acupuncture therapy was used to treat shoulder pain. We evaluated the patient through visual analog scale(VAS) and shoulder range of movement(ROM). Results : After weekly four times of needle-embedding therapy and daily acupuncture therapy, patient's VAS was decreased to 4 and ROM of shoulder was also improved. Conclusions : Needle-embedding and acupuncture therapy could be effective to decrease shoulder pain and improve movement of shoulder in Behcet disease patient.

프로리그 여자 배구 선수들의 어깨 관절 회전 기능에 대한 연구 (Isokinetic Performance and Shoulder Mobility in Pro League Woman Volleyball Players)

  • 이병권;한동욱;강경희
    • 한국운동역학회지
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    • 제17권4호
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    • pp.45-55
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    • 2007
  • We investigated the biomechanics and characteristics of shoulder rotator muscles for professional woman volleyball players. The purpose of this study was to analyze the isokinetic peak torque and range of motion for shoulder joint rotation. We measured the strength and ROM of the internal rotation(IR) and external rotation(ER) of shoulders joint for nine professional woman Volleyball players and nine University students with Biodex and Simi-motion. 1. We measured peak torques for the shoulder joint rotator at angular velocities of 60/s and 180/s. It was found that the peak torques were significantly different between the two groups and also between the hands used. 2. At angular velocity of 60/s, IR/ER ratio of the shoulder joint was significantly different depending on the groups and the hands in use. There was a significant difference for 'Dominant side' at angular velocity of 180/s, but no significant difference for 'Non-dominant side' and the controls group. 3. Regarding the ROM of rotation of the shoulder joint group, IR was significantly different between the groups and the hands in use. 4. IR/ER ratio of the shoulder joint for Dominant side was quite different between the groups.

Korean Medical Treatment Including Miniscalpel Acupuncture for Patients After Rotator Cuff Tear Surgery: A Report of Two Cases

  • Kim, Su Gyeong;Park, Eun Jin;Lim, Jae Eun;Do, Hyun Jeong;Kim, Jeong Yoon;Cho, Sung Woo;Yoon, Hyun Min;Kim, Cheol Hong
    • Journal of Acupuncture Research
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    • 제36권3호
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    • pp.166-171
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    • 2019
  • This study aimed to report the effect of Korean medical treatment including miniscalpel acupuncture on 2 patients who underwen tsurgery for rotator cuff tear. They were treated for almost 4 weeks at the Department of Acupuncture and Moxibustion, Dong-Eui University Korean Medicine Hospital. Visual analog scale (VAS), and range of movement (ROM) were used to evaluate treatment effects. In both patients, shoulder pain and restriction of shoulder joint movement improved after miniscalpel acupuncture treatment. In Case 1, shoulder pain decreased from a VAS score 8 to a VAS score 3, and ROM of the shoulder improved from flexion $100^{\circ}$ to $160^{\circ}$, extension $10^{\circ}$ to $30^{\circ}$, abduction $90^{\circ}$ to 1$30^{\circ}$, adduction $10^{\circ}$ to $40^{\circ}$, internal rotation $10^{\circ}$ to $50^{\circ}$, and external rotation $10^{\circ}$ to $50^{\circ}$. In Case 2, shoulder pain, which was rated a VAS score 8 at first-visit, disappeared, and ROM of the shoulder recovered to normal range. These results suggest miniscalpel acupuncture may contribute to the recovery process after rotator cuff tear surgery.

Immediate Effects of Soft Tissue Massage on Posterior Shoulder Muscle Tightness: A Preliminary Study

  • Choi, Sil-Ah;Lee, Ji-Hyun;Yoon, Tae-Lim;Cynn, Heon-Seock
    • 한국전문물리치료학회지
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    • 제19권4호
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    • pp.8-15
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    • 2012
  • Posterior shoulder muscle tightness is frequently observed in shoulder impingement syndrome because tightness in the posterior portion of the shoulder muscles can cause anterior and superior translation of the humeral head in relation to the glenoid fossa. The purpose of this study was to determine the immediate effects of soft tissue massage on acromiohumeral distance (AHD), anterior translation of the humeral head, and glenohumeral (GH) range of motion (ROM) in subjects with posterior shoulder muscle tightness. Twenty-seven subjects with greater than $10^{\circ}$ difference in the range of GH horizontal adduction between right and left sides were recruited. The range of GH horizontal adduction and internal rotation were measured by a digital inclinometer. The AHD and anterior translation of the humeral head were measured using ultrasonography. A paired t-test was used to compare AHD, anterior translation of the humeral head, and the range of GH horizontal adduction and internal rotation before and after soft tissue massage. The results showed that AHD increased significantly (p<.05) and the anterior translation of humeral head decreased slightly, but not significantly (p=.40) after the soft tissue massage. Furthermore, the ROM of horizontal adduction and internal rotation in the GH joint increased significantly after the soft tissue massage (p<.05). These findings indicate that soft tissue massage on posterior shoulder muscle tightness is an effective method to increase AHD and ROM in the horizontal adduction and internal rotation of the GH joint.

어깨관절 내적 충돌증후군을 가진 청소년기 야구선수들의 ROM, 근력, 기능수행정도에 미치는 운동과 도수치료를 혼합한 중재들의 효과 비교 (Comparison of Effects of Manual Therapy Interventions Combined with Exercise on Range of Motion, Muscle Strength, and Functional Performance in Adolescent Baseball Players with Internal Impingement of Shoulder Joint)

  • 추연기
    • 대한통합의학회지
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    • 제8권1호
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    • pp.101-111
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    • 2020
  • Purpose : The purpose of this study was to identify the comparison of the effects of manual therapy combined with exercise on range of motion (ROM), muscle strength, and functional performance in adolescent baseball players with internal impingement syndrome of the shoulder. Methods : The subjects were 30 patients diagnosed with impingement syndrome of the shoulder. Thirty subjects are randomly assigned to each 3 different groups; Group 1. (exercise group), Group 2. (exercise+mobilization; EMOB group), Group 3. (exercise+mobilization with movement; EMWM group). The interventions were performed three times a week for 4 weeks. The main outcome measures were goniometer, Biodex dynamometer, and Korean Kerlan Jobe shoulder-elbow (K-KJOC) scores. The ROM (external and internal rotation), muscle strength (external and internal rotation: 60 °/sec., 180 °/sec.), and functional performance were compared among the groups. Results : No significant difference was observed among the groups in the range of external rotation of the shoulder before and after the intervention, but the range of internal and total rotation was significantly increased in Group 2, 3 compared to Groups 1. Muscle strength of external and internal rotation (60 °/sec., 180 °/sec.) was not significantly different among Group 1, 2, 3, and functional performance was significantly increased in Group 2, 3 compared to Group 1. However, there was no significant difference between Group 2 and Group 3 in all measurements. Conclusion : An intervention with manual therapy such as EMOB and EMWM was more effective than exercise alone for rapid recovery from shoulder injury and improvement in functional performance. However, further efforts are needed to identify effects of specific interventions with manual therapy.