• 제목/요약/키워드: SHOULDER

검색결과 5,238건 처리시간 0.052초

An Analysis of Various Factors Affecting Neck Pain and Dysfunction in Adults with Chronic Neck Pain Using Regression Analysis

  • Park, Seiyoun;Lee, Sangbin
    • 국제물리치료학회지
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    • 제10권4호
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    • pp.1907-1913
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    • 2019
  • Background: The prevalence of neck pain and neck dysfunction is high in general population. However, there is little literature on the relationship and factors affecting neck pain and neck dysfunction. Objective: To investigate the correlation between neck and shoulder pain, headaches, neck and shoulder dysfunction, and sleep quality in adults with chronic neck pain, and factors affecting neck pain and neck dysfunction. Design: Cross-sectional study Methods : The sample included 114 subjects, who had complained of chronic neck pain for more 12 weeks. We conducted a Pearson's correlation between neck and shoulder pain, headaches, neck and shoulder dysfunction and sleep quality and a regression analysis of the related variables, thereby analyzing factors affecting neck pain and neck dysfunction. Results : In the present study, in adults with chronic neck pain, neck pain was positively correlated with the Neck Disability Index (NDI), Shoulder Pain and Disability Index (SPADI)-Pain score, and SPADI-Total score (p<.05). The NDI was positively correlated with neck pain, SPADI-Pain score, and SPADI-Total score, as well as with Pittsburgh Sleep Qulity Index(PSQI-K) (p<.05). Among the factors affecting neck pain, shoulder disability as assessed by the SPADI was a significantly associated with neck pain, while shoulder pain and shoulder disability determined by the SPADI were identified as significant variables among the factors affecting neck disability. Conclusion : These results indicated that as neck pain worsened, shoulder pain and neck and shoulder dysfunction also increased, which suggested that shoulder disability affected neck pain. In addition, as the neck dysfunction increased, neck pain and shoulder pain and shoulder dysfunction increased, and sleep quality deteriorated, which suggested that shoulder pain and shoulder disability affected neck disability.

3D 인대의 어깨선 변인에 따른 2D 길원형의 변화 및 상호관계 분석 (Analysis of Changes to a 2D Bodice Sloper According to Shoulder Line Variables of a 3D Mannequin and Their Relationships)

  • 권은순;이예진
    • 한국의류학회지
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    • 제48권3호
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    • pp.563-575
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    • 2024
  • This study analyzed 2D bodice sloper changes according to combinations of the lateral neck and shoulder points of a 3D mannequin's shoulder lines. The relationship between the 3D shape and 2D pattern was analyzed. The shoulder line was set to a default of 1cm in front of or behind the lateral neck point, 1cm in front or behind the lateral shoulder point and 1cm vertically above the lateral neck or shoulder point. When the lateral neck point was moved backward, the front neck depth, front and back shoulder height, and shoulder length in the 3D shape increased, whereas the back neck's depth and width decreased. In the 2D pattern, the back shoulder height decreased. As the lateral shoulder point moved backward, all items of the 3D shape showed little change. However, the front shoulder height for the 2D pattern decreased. Consequently, the back shoulder height increased, and the lateral neck point was raised vertically by 1cm. Meanwhile, only the back neck depth and shoulder length decreased while all other items increased; however, in the 2D pattern, the front neck width and shoulder line showed no notable change. The shoulder point was raised vertically by 1cm, and the front and back shoulder heights of the 3D shape and 2D pattern were decreased.

Comparison of the Effects of Different Adduction Loads on EMG Activities of Selected Shoulder Muscles During Shoulder External Rotation Exercise in Healthy Young People

  • Peng, Cheng;Bae, Chang-Hwan;Choi, Eun-Hong;Kim, Myoung-Kwon
    • 대한물리의학회지
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    • 제14권2호
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    • pp.1-7
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    • 2019
  • PURPOSE: This study was conducted to investigate effects of shoulder adduction load on rotator cuff muscles, including the infraspinatus, during the external rotation exercise of shoulder. METHODS: This study investigated 16 healthy university students from Daegu University. Before the study started, all participants understood the content of this study. They signed an informed consent form. Five electrodes for surface electromyography (sEMG) were attached to their infraspinatus, middle deltoid, posterior deltoid, upper trapezius and pectoralis major. The participants then underwent the shoulder external rotation exercise with the shoulder adduction at three loads (0 mmHg, 20 mmHg and 40 mmHg) that were controlled using a stabilizer Pressure $Bio-feedback^{TM}$ device. The surface electrodes recorded the electromyographic data during the external rotation exercise of shoulder. RESULTS: The infraspinatus was most activated when the shoulder adduction pressure was 40 mmHg during the external rotation exercise of shoulder. The infraspinatus activation significantly increased when the shoulder adduction pressure intensity increased, while the middle deltoid activation and the posterior deltoid activation significantly decreased (p<.05). CONCLUSION: In conclusion, increases in shoulder adduction load intensity during shoulder external rotation exercises can have a positive effect on the infraspinatus, which consists of rotator cuff muscles, with minimal activity in the middle and posterior deltoid.

A Comparison of Shoulder Muscle Activities on Sitting Posture and Shoulder Angle

  • Park, Gyeong-ju;Park, Sun-young;Lee, Eun-jae;Jeong, Su-hyeon;Kim, Su-jin
    • 한국전문물리치료학회지
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    • 제25권1호
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    • pp.62-70
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    • 2018
  • Background: Sitting posture influences movements of scapulothoracic and glenohumeral joints and changes the shoulder muscle activities. The development and maintenance of correct sitting posture is important for the fundamental treatment of shoulder pain during rehabilitation. Objects: The purpose of this study was to investigate the effects of the sitting postures and the shoulder movements on shoulder muscle activities for both male and female. Methods: Twenty-eight subjects without shoulder-related diseases participated in this experiment. The subjects had randomly adopted three different sitting postures (upright posture, preferred posture, maximum slouched posture) and shoulder flexion angles in scapular plane ($30^{\circ}$, $90^{\circ}$, $120^{\circ}$). Surface electrodes were collected from upper trapezius (UT), anterior deltoid (AD), and posterior deltoid (PD) and the active shoulder range of motion was measured in each sitting posture and shoulder flexion angle. Results: The active range of motions of the shoulder external rotation and the flexion in the scapular plane decreased from the upright posture to the maximum slouched posture (p<.05, mixed-effect linear regression with random intercept, Tukey post-hoc analysis). All muscles showed the highest EMG activities at $120^{\circ}$ shoulder flexion with the maximum slouched posture and did not show the gender differences. Conclusion: Increased shoulder muscle activities may become the potential risk factor for the shoulder impairment and pain if people continuously maintain the maximum slouched posture. Therefore, an upright position is necessary during shoulder exercises, as well as in activities of daily living, including motions involving lifting the arms.

Shoulder MRArthography 검사 시 보조기구를 이용한 해부학적 회전 변화 영상에 대한 유용성 평가 (Evaluation of Effectiveness of Anatomical Rotation Change Image by Aid Tool in Shoulder MRArthrography)

  • 김형균;정재은;정홍문
    • 한국방사선학회논문지
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    • 제6권4호
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    • pp.299-303
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    • 2012
  • 자기공명 관절 조영술(Shoulder MR Arthrography)는 견관절(Shoulder joint) 의 복잡한 해부학적 구조에 관하여 정확한 영상평가를 진단하기 위해 시행 한다. 우리는 어께 상완골(Shoulder humerus) 의 다양한 position인 Neutral position, Internal rotation position, External rotation position 에 관하여 Shoulder joint의 해부학 적인 회전 변화가 견관절 자기공명(Shoulder MRI) 영상에 어떤 진단적 결과를 가져오는가에 대해 상호 비교 하였다. 또한 환자의 정확한 촬영자세 유지를 위해 촬영 보조기구를 만들었다. 이 보조기구는 Modeling 설계에 의해 우리가 직접 제작한 자기공명 견관절 조영술 보조 기구이다. 이 보조기구를 사용하여 촬영한 결과 다음과 같은 결론을 도출해 내었다. External rotation position 에 의한 Shoulder MRArthrography 검사가 Shoulder joint의 중요 해부학적 구조인 Biceps tendon, Supera-spiatus tendon, Sub-scapularis tendon, Labrum, Sub-acromial space 의 해부학적 평가에서 제일 적합하다는 진단적 평가를 얻었다.

의복설계를 위한 성인여성의 經部 및 肩部의 유형화 I (A Study on the Shapes of Women′s Neck and Shoulder in Dressmaking I)

  • 김희숙
    • 복식문화연구
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    • 제8권5호
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    • pp.668-680
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    • 2000
  • The study presents the general types and individual differences of the shape of the adult women's neck and shoulder in our country. It is based on the average value, the standard deviation, the maximum value, the standard deviation, the maximum value, the minimum value and c.v. measured from the women at the age of 19 through 64. The results of this study are as follows ; 1. The factors by factor analysis are five. The first is the size factors of the neck and shoulder. The second is shape factor of neck. The third is plane view and length factor of the neck. The fourth is the side view factor of the neck and shoulder. The fifth is the shape factor of shoulder. Therefore the shape of the neck and shoulder should be examined in the shape factors as well as in the size factors as well as in the size factors for the designing body-suitable clothes. 2. The factors of the concrete objects are the solid view of neck and shoulder, the cross-sectional view of neck line, side view of neck and shoulder and length of neck. The explainable measuring items for the factors are the difference of the length between lower neck round line and the 4㎝ above neck round line, the length of neck, the angle of inclination between fore neck and back neck, the angle of inclination of the side shoulder, the difference of the height between fore neck point and back neck point, the width of shoulder, the width of chest and the width of back. 3. The concrete objects of the neck and shoulder have five types ; Type Ⅰ is average type, Type Ⅱ is thick short neck and the drooping shoulder type, Type Ⅲ I is slender long neck and lean-back shoulder type, Type Ⅳ is thick and rising shoulder type and Type Ⅴ is slender and drooping shoulder type.

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어깨의 능동 수축을 동반한 관절가동술이 부리돌기와 위팔뼈 머리 사이의 거리에 미치는 영향 (The Effect of Mobilization Combined with Shoulder Active Contraction of Depth between the Coracoid Process and Humeral Head)

  • 김선민;장상훈
    • 대한정형도수물리치료학회지
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    • 제29권2호
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    • pp.69-75
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    • 2023
  • Purpose: This study examined the distance between the coracoid process and the humeral head using an ultrasonography device when shoulder active contraction were applied according to the guided direction in the end range of shoulder mobilization. This study aims to provide essential data on treating shoulder disease patients. Methods: The subjects of this study were 20 adults with healthy shoulder joints. ultrasonography (US) equipment was used to examine shoulder joint mobilization under two conditions: (1) anteroposterior (AP) joint mobilization and (2) superoinferior (SI) joint mobilization. Shoulder active contraction was assessed in the end range. The distance between the coracoid process and the humeral head was measured. A linear probe was used for US; the frequency was set to 7.5MHz, and the US image display method was set to B-mode. The US measurement values were measured in (1) the starting position, (2) the end range position, and (3) the end range position of the shoulder active contraction, and the moving distance was drawn in a straight line through the US image. The distance was determined as the measurement value, and the average values were compared. Reults: The results were as follows: (1) the measured AP Joint mobilization increased by an average of .52cm from the end range of the joint mobilization with shoulder active contraction; (2) the measured SI Joint mobilization increased by an average of .49cm from the end range of the joint. Conclusion: When shoulder mobilization is applied, the distance between the coracoid process and the humeral head increases when muscle contraction occurs through shoulder active contraction in the end range, according to the therapist's guidance. Therefore, shoulder mobilization combined with shoulder active contraction is an effective treatment method for patients with shoulder injuries.

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Isolated Musculocutaneous Nerve Palsy after the Reverse Total Shoulder Arthroplasty

  • Kim, Sung-Guk;Choi, Chang-Hyuk
    • Clinics in Shoulder and Elbow
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    • 제19권2호
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    • pp.101-104
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    • 2016
  • Reverse total shoulder arthroplasty has been performed with promising results in rotator cuff tear arthropathy. However, the global complication of the reverse total shoulder arthroplasty is relatively higher than that of the conventional total shoulder arthroplasty. Neurologic complications after reverse total shoulder arthroplasty are rare but there are sometimes remaining sequelae. The cause of the neurologic complication is multifactorial, including arm traction, position and the design of the implant. Most cases of neurologic palsy following reverse total shoulder arthroplasty occur in the axillary nerve and the radial nerve. The authors report on a case of a 71-year-old man with isolated musculocutaneous nerve palsy after reveres total shoulder arthroplasty with related literature.

파워 숄더 재킷의 어깨 형태 변화에 따른 감성 이미지 (Sensibility image on power shoulder jacket according to the shoulder shape)

  • 이시백;어미경
    • 복식문화연구
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    • 제24권5호
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    • pp.617-625
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    • 2016
  • In women's clothing the shoulders are distorted and exaggerated. Consequently, the wearers' bodies are transformed and interpreted according to modern standards. We therefore refer to this aspect of women's clothing as the power shoulder. This study aims to analyze the differences in sensibility images on variations in the shoulder shape of power shoulder jackets. Nine samples were examined that involved combinations of three variations of the shoulder height and three variations of the shoulder width. The data was evaluated by 123 fashion design majors. Four factors were selected: attractiveness, personality, activity, and self-respect. Among these factors, attractiveness is the most important. The study results indicated that changes in shoulder height acted as a major effect that had an independent influence on all four factors. In contrast, changes in shoulder width acted as a major effect that had an independent influence on attractiveness, personality, and activity but not on self-respect. It also had an influence on the interaction effect of attractiveness, personality, activity, and self-respect. We anticipate that this study will help individual customers select clothing that is suitable for their preference and body shape because it is now possible for them to estimate images of power shoulder jackets.