• Journal of The Korean Society of Integrative Medicine
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• v.5 no.4
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• pp.1-9
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• 2017

Purpose : This study was conducted among 195 adults in their 20s. To analyze the impact of the slope types of the scapulae on the plantar surface of the foot, the average pressure (AP), the maximum pressure (MP), the average of local distribution values, and the average movement of the center of pressure (COP) of the different slope types of the scapulae were compared. Method : The anterior-posterior slopes of the scapulae were measured by comparing the slopes of the left and right sides of the scapulae based on the differences in the height and the slope of the coracoid process and the angulus inferior scapulae. Those whose left side of the scapulae had an anterior slope were categorized as type 1, and those whose right side of the scapulae had an anterior slope, as type 2. The average plantar pressure, the center of plantar pressure, the maximum plantar pressure, and local distribution values were analyzed using a plantar pressure analyzer of the FSA. Result : In terms of the AP of the left and right feet, there was no statistically significant difference both in types 1 and 2 on the left and right feet. The comparison results of the MP and the average of local distribution values of the two slope types of the scapulae showed that there was no statistically significant difference on the X-axis both in types 1 and 2 on the left and right feet, but that there was a large statistically significant difference on the Y-axis both in types 1 and 2. That is, the MP of the right foot of the left anterior slope type was located more on the hindfoot than that of the right anterior slope type, and the MP of the left foot of the left anterior slope type was located more on the hindfoot than that of right anterior slope type. Conclusion : This study can be used as fundamental data to predict differences in the location and size of the COP and changes in plantar pressure distribution depending on the slope types of the scapulae, and control the distribution for therapeutic purposes.

• The Korean Journal of Pain
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• v.5 no.2
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• pp.239-248
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• 1992

Two hundred sisty five patients who complained of neck pain with stiffness and pain of the suprascapular area were studied. In most cases the anatomical locations of pain were in the levator scapulae muscles or trapezius muscles. Hyperactivity of dorsal scapular nerve or spinal accessory nerve which innervate those muscles was thought to be responsible for these pains. The hyperactivity of the nerves may be due to the spasm of the sternocleidomastoid muscle and the scalenus medius muscle which the nerves meet during their courses to the levator scapulae or trapezius muscles. Therefore, spasmolytic treatment on the scalenus medius provided effective relief for neck or shoulder pain.

• International Journal of Human Ecology
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• v.14 no.1
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• pp.41-55
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• 2013

The purpose of this study was to analyze human upper body surface changes at the shoulder and back area. The body surface data were analyzed in terms of muscle and bone displacement in dynamic postures. Body surface data were collected with a 3D body scanner. The body surface was scanned at the static and four baseball batting postures. The body surface dimensions over the deltoids, scapulae and trapezius were measured. The results show that the vertical measurements of the deltoids increased by 20%. The horizontal measurements of the axilla of the back increased. The surface of the trapezius was elongated by over 10%, and the lower back musculature was elongated by about 50%. The results of this study showed that changes in back body surface caused by upper arm movements. It was influenced by the deltoid articulated with the humeri and the scapulae and trapezius. These body surface changes caused by muscle activities and ranges of motion can be used to design functional clothing.

• The Academic Congress of Korean Shoulder and Elbow Society
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• 2008.03a
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• pp.21-22
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• 2008

• Journal of The Korean Society of Integrative Medicine
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• v.3 no.3
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• pp.1-8
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• 2015

Purpose : The purpose of this study was to find out the effect of shoulder exercise program for improving forward head posture. Method : Subjects were divided into two groups. The experimental group(15 people) participated in strength exercise and stretching exercise, three times every week, during 4 weeks. And the control group(the other 15 people) didn't participate in exercises. Exercise program was composed of strength exercise of middle and lower trapezius and stretching exercise of levator scapulae and upper trapezius. And then we measured cervical alignment with GPS and muscular activity by EMG. Result : The results of this study were as follows; 1. After the intervention, experimental group was significantly decreased in cervical alignment than control group(p<.05). 2. After the intervention, experimental group was significantly increased in middle lower trapezius musclar activity than control group(p<.05). Conclusion : Strength exercise of middle and lower trapezius and stretching exercise of levator scapulae and upper trapezius were considered a efficient for improving forward head posture.

• The Journal of the Korean bone and joint tumor society
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• v.12 no.2
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• pp.118-125
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• 2006

Purpose: We report elastofibroma which is a rare fibrous lesion that most commonly occurs in the between subscapularis and thoracic cage. Materials and Methods: Four patients include one man and three women, the average age was 70 years and the average follow up period was six months. Two patients had on left side, two patients had on both sides. Main symptom was palpable mass. One patient complained mild pain, two complained scapular snapping. Results: All four masses removed with marginal or wide margin. Average mass size was 9.7${\times}$7.2${\times}$3.8 cm. Preoperative symptoms disappeared after surgery. All of the patients have returned to their daily living and showed no recurrence. There was no serious complication such as limitation of shoulder motion and winged scapula. Conclusion: Elastofibroma scapulae can be diagnosed through patient's age, tumor location and radiological finding without preoperative biopsy. When patient is symptomless, observation is enough without surgical operation. Surgical operation considered for relieve of symptoms of pain and snapping.

• Physical Therapy Korea
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• v.24 no.3
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• pp.30-39
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• 2017

Background: Scapular posterior tilt (SPT) is important in the prevention of abnormal scapular movement and pain during elevation of the arm. However, previous studies have overlooked increased upper trapezius (UT) muscle activity interrupting the normal force couple of scapular motion and compensation of levator scapulae (LS) muscle activated simultaneously with UT during SPT exercise. Objects: The purpose of this study was to compare the effects of modified SPT with depression exercise versus SPT exercise on serratus anterior (SA), lower trapezius (LT), UT, and LS muscle activities and the clavicular tilt angle, in subjects with rounded shoulder posture (RSP) and myofascial pain in the UT muscle region. Methods: Eighteen subjects with RSP were recruited and randomly allocated to 2 groups; 9 in the SPT group and 9 in the SPT with depression group. All subjects met the specific RSP criteria and had myofascial pain of UT region. Depending on the allocated group, subjects performed the assigned SPT exercise and EMG data were recorded during the each exercise. Clavicular tilt angle was defined as the angle between the line joining the medial and lateral end of the clavicle and a horizontal line. Results: The SA muscle activity was significantly greater in SPT with depression than with SPT exercise (p<.05). The UT, LS muscle activity and the clavicular tilt angle was significantly lower in SPT with depression than with SPT exercise (p<.05). Conclusion: These findings were insightful because the potential risk of pain from overactivation of the UT and LS was considered, in contrast with SPT exercise. SPT with depression exercise can be implemented as an effective method to facilitate scapular muscle activity for stability and to prevent myofascial pain in the neck and shoulder.

• PNF and Movement
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• v.18 no.3
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• pp.403-414
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• 2020

Purpose: This study examined how performing chin tuck exercises in supine, sitting, and standing positions affects changes in the muscle activity of the neck and shoulder. Methods: Seventeen men and three women with forward head posture participated in the study. The subjects performed the chin tuck exercise using a pressure biofeedback unit. After determining the ideal order for performing the chin tuck exercise in supine, sitting, and standing positions through randomized controlled trials, muscle activity was measured in the dominant-side sternocleidomastoid, scalenus anterior, upper trapezius, and levator scapulae. Muscle activity was measured three times in each muscle for each position, and the average of the three measurements was used for analysis. Results: In this study, the chin tuck exercise performed in a supine position reduced muscle activity of the sternocleidomastoid, scalenus anterior, upper trapezius, and levator scapulae significantly more than performing the exercise in either sitting or standing positions (p < 0.05). No significant difference in muscle activity was observed when the exercise was performed in a sitting position versus a standing position (p < 0.05). Conclusion: Performing a chin tuck exercise in a supine position is more effective for stabilizing the neck and shoulder than performing it in a sitting or standing position, as it reduces excessive tension and fatigue in the neck and shoulder.

• 제어로봇시스템학회:학술대회논문집
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• 2003.10a
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• pp.1485-1488
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• 2003

This paper proposes a wireless EMG-based human-computer interface (HCI) for persons with disabilities. For the HCI, four interaction commands are defined by combining three elevation motions of shoulders such as left, right and both elevations. The motions are recognized by comparing EMG signals on the Levator scapulae muscles with double thresholds. A real-time EMG processing hardware is implemented for acquiring EMG signals and recognizing the motions. To achieve real-time processing, filters such as high- and low-pass filter and band-pass and -rejection filter, and a full rectifier and a mean absolute value circuit are embedded on a board with a high speed microprocessor. The recognized results are transferred to a wireless client system such as a mobile robot via a Bluetooth module. From experimental results using the implemented real-time EMG processing hardware, the proposed wireless EMG-based HCI is feasible for the disabled.

• Proceedings of the IEEK Conference
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• 2003.07c
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• pp.2729-2732
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• 2003

This paper proposes a real-time method to recognize shoulder elevation motions by comparing EMG signals on the Levator scapulae muscles with double threshold values. To achieve real-time, we implement a EMG signal processing hareware embedded band-rejection filter, low-pass filter, full rectifier and moving average circuits. And a high speed microprocessor is used for implementing the double thresholds method. The available shoulder motions for the human-computer interface are elevation of left, right and both shoulders. From experimental results we show that the proposed real-time processing hardware and double thresholds method are useful for the real-time EMG-based human-computer interface.