• 제목/요약/키워드: Shoulder ROM Exercise

검색결과 82건 처리시간 0.027초

에어로빅 댄스가 유방절제술 여성의 운동시기별 신체기능 변화에 미치는 효과 (Changes on the Physical Functionnings for Women with Mastectomy over the Period of Aerobic Dance)

  • 소향숙;윤정한;문재동
    • 종양간호연구
    • /
    • 제2권1호
    • /
    • pp.17-26
    • /
    • 2002
  • Purpose: This study was conducted to evaluate the effects of aerobic dance on physical functionnings of women with mastectomy. The study was single group pre- & post-test time series design. The aerobic dance program was performed three times a week for eight weeks, 45${\sim}$60 minutes per session. Method: The research variables used in the study were the period(seconds) of exercise that was taken for target heart rate, activity systolic pressure, range of motion of shoulder joint in affected side, and flexibility for physical functionnings. The data were analyzed with repeated measure ANOVA and Bonferroni multiple comparisons. Results: Over the period of aerobic dance, the degree of all the research variables were changed significantly, and also differed significantly every 2 to 4 weeks. The period(seconds) of exercise that was taken for target heart rate (p <.000), systolic pressure in exercise(p =.019), range of motions of shoulder joint on the affected side(flexion, abduction, over-adduction, over-extension, external & internal rotation), and flexibility(sit & reach, back & reach) (p= .003; p=.001; p(.001; p<.001; p= .014; p<.001; p=.036; p<.001) were differed significantly respectively. Conclusion: The results suggest that the aerobic dance program for women with mastectomy can improve and recover cardiopulmonary endurance and ROM of shoulder joint and that the period of exercise had to be performed over six to eight weeks and three times a week at least.

  • PDF

Physical Therapy for Esophageal Cancer Patient With Long Thoracic Neuropathy After Esophagectomy: A Case Report

  • Do, Junghwa;Lim, One-bin;Kim, Ja-young;Jeon, Jae Yong;Cho, Young-ki
    • 한국전문물리치료학회지
    • /
    • 제27권3호
    • /
    • pp.220-226
    • /
    • 2020
  • Esophageal cancer is a representative cancer that occur physical deterioration but, physical problems after surgery were not well reported. The purpose of this study is to report on the long thoracic neuropathy after surgery, and to identify the symptoms and effects of physical therapy after esophageal cancer surgery. This is a case of a 61-year-old man who showed winging of the scapula with long thoracic nerve injury on the results of electromyography after an esophageal cancer surgery. Physical therapy programs were implemented 8 sessions during hospitalization. The quality of life, fatigue, shoulder range of motion (ROM), numeric rating scale (NRS), 6-minute walk test, and 30-second chair stand test were assessed. The quality of life, fatigue, shoulder ROM, NRS (pain), 6-minute walk test, and 30-second chair stand test were improved. However, the esophageal-specific symptom was not different after physical therapy program. As esophageal cancer suffers from physical difficulties after surgery, physical therapy programs are thought to be helpful.

New Fixation Method Using Two Crossing Screws and Locking Plate for Cubitus Varus Deformity in Young Adult Elbow: Case Report

  • Kim, Byoung Jin;Seol, Jong Hwan;Kim, Myung Sun
    • Clinics in Shoulder and Elbow
    • /
    • 제19권1호
    • /
    • pp.43-47
    • /
    • 2016
  • Many types of osteotomy have been proposed for the treatment of cubitus varus deformity of the elbow, and various methods for fixation of the osteotomy site have also been described. However, no method has been perfect. We treated two cases of cubitus varus elbow deformity with step-cut osteotomy using a new fixation method with two crossing screws and an anatomically designed locking plate. Active assisted elbow range of motion (ROM) exercise was permitted at postoperative 3 days, after removal of the drainage. Preoperative and postoperative humerus-elbow-wrist angles and ranges of motion of the two patients were compared. At 3 months followup, each patient had recovered the preoperative elbow ROM, and achieved the complete bony union of the osteotomy site and proper correction of the cubitus varus deformity. In addition, the appropriate remodeling of the lateral bony protrusion was observed. Therefore, we introduce a new fixation method for achievement of stable fixation allowing immediate postoperative elbow motion after corrective osteotomy for cubitus varus deformity in young adults.

Bankart 병변의 관절경적 복원술 후 한방 재활치료 프로토콜을 적용하여 호전된 증례 보고 (A Rehabilitation protocol for Arthroscopic Bankart repair in Korean Medicine : A Case Report)

  • 금지혜;백동기;이정한
    • 대한한의학회지
    • /
    • 제40권3호
    • /
    • pp.177-187
    • /
    • 2019
  • Objectives: The aim of this study was to report the clinical improvement of a patient who underwent arthroscopic Bankart repair using a rehabilitation protocol involving Korean medicine. Methods: The patient was treated with acupuncture, cupping, Korean Medicine, Chuna therapy, and Doin exercise therapy during the admission period. To estimate the patient's status, we used the Numeric Rating Scale (NRS), Pain Disability Index (PDI), assessments of the range of motion (ROM) and Muscle Manual Test (MMT) for the shoulder joint. Results: After administering the abovementioned treatments, we found that the patient's NRS, PDI, and ROM and MMT for the shoulder joint were improved. Conclusions: The rehabilitation protocol involving Korean medicine can be applied to and produce good results for patients who undergo arthroscopic repair for Bankart lesions. The limitation of the study was that the number of cases we studied was insufficient to prove the effectiveness. Hence, further studies are needed for designing the rehabilitation protocol involving Korean medicine.

닫힌사슬에서의 PNF 대각선 패턴을 이용한 몸통 전·후방 이동운동이 뇌졸중환자의 상지 기능 및 일상생활에 미치는 영향 -단일 사례 연구- (Effect of Forward-and-Backward Shift Trunk Exercise Using Proprioceptive Neuromuscular Facilitation Diagonal Pattern in Closed Kinematic Chain Exercises on Upper Limb Function and ADL in Stroke Patient -A Single-Subject Design-)

  • 박시은;문상현
    • PNF and Movement
    • /
    • 제15권3호
    • /
    • pp.237-246
    • /
    • 2017
  • Purpose: The purpose of this study was to investigate the effects of forward-and-backward shift trunk exercise using a proprioceptive neuromuscular facilitation (PNF) diagonal pattern in a closed kinematic chain exercise on the upper limb function and activity of daily living (ADL) in a stroke patient. Methods: One subject participated in this study. The study used a reversal A-B-A' design, where A and A' were the baseline period (no intervention), and B was the intervention period. The intervention was a forward-and-backward trunk shift exercise, using a PNF diagonal pattern on both a stand-on-hand position and a quadruped position of closed kinematic chain exercises, for 20 min per day for 2 weeks. The range of motion (ROM) of the shoulder joint was measured and a Fugl-Meyer assessment of upper extremity (FMA-UE) and a functional independence measure (FIM) were performed to measure upper limb function and activity of daily living (ADL). Results: ROMs of shoulder joint (flexion, extension, abduction, and external rotation) increased in the intervention phase. The FMA-UE score increased (from 28 to 36) in the intervention phase. The FIM score increased (from 20 to 25) in the intervention phase. These increases were maintained after intervention (Baseline II). Conclusion: These results suggest that forward-and-backward shift trunk exercises using a PNF diagonal pattern in a closed kinematic chain exercise have a positive effect on stroke patients' upper limb function and ADL ability.

체계적인 호흡운동 프로그램이 기흉환자의 회복에 미치는 효과 (The Effects of the Systematic Breathing Exercises Program on Recovery of Patients with Pneumothorax)

  • 김용례;박상연
    • 중환자간호학회지
    • /
    • 제5권2호
    • /
    • pp.28-36
    • /
    • 2012
  • Purpose: The purpose of this study was to examine the effects of the systematic breathing exercise program on recovery of patients with pneumothorax. Methods: An nonequivalent interrupted time-series control group posttest design was used. Participants were 40 inpatients (Experimental Group; 20, Control Group; 20) at the one University Hospital in U city. The systematic breathing exercise program including education on deep breathing exercise using incentive spirometry, Range of motion (ROM) exercise in shoulder joint, walking exercise and feedback were provided to the experimental group, while the control group carried out deep breathing exercise using incentive spirometry. The duration of chest tube insertion, duration of hospitalization, and frequency of analgesics use were measured. The data were analysed by a SPSS/WIN program. Results: The duration of chest tube insertion and duration of hospitalization in the experimental group were significantly shorter than the control group. However, there is no difference of the frequency of analgesics use between the experimental group and control group. Conclusion: The result showed that the systematic breathing exercise program was effective to improve recovery of patients with pneumothorax. This program can be applied in hospitals for patients with pneumothorax as one of the nursing intervention modalities.

  • PDF

소도구를 이용한 등뼈 자가 관절 가동성 운동이 만성 목통증 환자의 통증, 관절가동범위, 기능장애에 미치는 영향 (The Effects of Thoracic Spine Self-mobilization Exercise Using a Tool on Pain, Range of Motion, and Dysfunction of Chronic Neck Pain Patients)

  • 김수진;김선엽;이민지
    • 한국전문물리치료학회지
    • /
    • 제27권1호
    • /
    • pp.1-10
    • /
    • 2020
  • Background: Thoracic spine self-mobilization exercise is commonly used to manage patients with neck pain. However, no previous studies have investigated the effects of thoracic spine self-mobilization exercise alone in patients with chronic neck pain. Objects: The purpose of this study was to investigate the effects of thoracic self-mobilization using a tool on cervical range of motion (ROM), disability level, upper body posture, pain and fear-avoidance beliefs questionnaire (FABQ) in patients with chronic neck pain. Methods: The subjects were 49 patients (21 males, 28 females) with chronic neck pain. The subjects were randomly divided into an experimental group (EG, n = 23) and control group (CG, n = 26). For the EG, thoracic self-mobilization was applied. We placed a tool (made with 2 tennis balls) under 3 different vertebral levels (T1-4, T5-8, T9-12) of the thoracic spine and the subjects performed crunches, which included thoracic flexion and extension in supine position. Five times × 3 sets for each levels, twice a week, for 4 weeks. Cervical pain, disability, upper body posture, FABQ results, and ROM were evaluated at baseline, after 4 weeks of intervention, and at 8 weeks of follow-up. Assessments included the quadruple visual analogue scale (QVAS); Northwick Park neck pain questionnaire (NPQ); craniovertebral angles (CVA), forward shoulder angle (FSA) and kyphosis angle (KA) measurements for upper body posture; FABQ and cervical ROM testing. Results: The EG showed a statistically significant improvement after intervention in the QVAS (-51.16%); NPQ (-53.46%); flexion (20.95%), extension (25.32%), left rotation (14.04%), and right rotation (25.32%) in the ROM of the cervical joint; KA (-7.14%); CVA (9.82%); and FSA (-4.12%). Conclusion: These results suggest that, for patients with chronic neck pain, thoracic self-mobilization exercise using a tool (tennis balls) is effective to improve neck pain, disability level, the ROM, and upper body posture.

유착성 관절낭염에 대한 침 및 신경차단술 처치의 임상적 관찰 (Clinical Observation of Acupuncture and Nerve Block Treatment for Adhesive Capsulitis Patients)

  • 남동우;임사비나;김종인;김건식;이두익;이재동;이윤호;최도영
    • Journal of Acupuncture Research
    • /
    • 제24권4호
    • /
    • pp.143-155
    • /
    • 2007
  • Objectives: To observe the effect of acupuncture and nerve block combination treatment on adhesive capsulitis patients. Methods : 59 voluntary patients were randomly assigned to acupuncture treatment group(E group, n=22), nerve block treatment group(W group, n=17) and acupuncture and nerve block combination treatment group(EW group, n=20). The E group received acupuncture treatment on LI15, $TE_{14}$, $GB_{21}$ and Master Dong's acupuncture points, Shin-gwan and Gyun-joong, twice a week for 4 weeks. The W group received suprascapular nerve block, subacromial injection and trigger point injection, twice a week for 4 weeks. The EW group received the same treatment as the W group and after 5minutes of rest, successively received the treatment identical to that of E group. All three groups were instructed to practice groups were instructed to practice self exercise during their daily lives. Evaluations were made before treatment and after 1, 2, 3 and 4week treatment. Constant Shoulder Assessment(CSA), Shoulder Pain and Disability Index(SPADI), Range of Motion(ROM), the patient's treatment satisfaction measured by Visual Analogue Scale(VAS) and Digital Infrared Thermographic Imaging(DITI) were used as assessment tools. The obtained data were analyzed and compared. Results : The E group showed significant improvement(p<0.05) on CSA, SPADI, VAS and DITI. As for ROM, Adduction and Extension improved significantly(p<0.05). The W group showed significant improvement(p<0.05) on CSA, SPADI, VAS and DITI. As for ROM, Abduction and Extension improved significantly. The EW group showed significant improvement(p<0.05) on CSA, SPADI and VAS. As for ROM, Adduction, Abduction, Extension and Flexion improved significantly. The improvement of CSA, VAS and Abduction ROM in the EW group was significantly(p<0.05) superior compared to the groups treated with single type of treatment. Conclusion : It is suggested that acupuncture and nerve block combination treatment for adhesive capsulitis patients is more effective than the two single treatments. Through further studies, the acupuncture and nerve block combination treatment model may be developed into East-West Collaboration Model in treating adhesive capsulitis.

  • PDF

Kinematic Comparisons of Kettlebell Two-Arm Swings by Skill Level

  • Back, Chang-Yei;Joo, Ji-Yong;Kim, Young-Kwan
    • 한국운동역학회지
    • /
    • 제26권1호
    • /
    • pp.39-50
    • /
    • 2016
  • Objective: The purposes of this study were to compare the kinematics of a two-arm kettlebell swing between experts and beginners and to identify the correct postures and biomechanical key points in an attempt to prevent sports injuries induced by a kettlebell swing. Methods: Four experts (height, $169.7{\pm}1.5cm$; weight, $70.5{\pm}1.8kg$; age, $32.0{\pm}1.0years$) licensed to teach kettlebell exercises and three beginners (height, $173.7{\pm}4.1cm$; weight, $78.3{\pm}3.8kg$; age, $30.0{\pm}1.4years$) with no kettlebell exercise experience participated in this study. Each participant performed 15 repetitions of a two-arm kettlebell swing using a 16-kg weight. Joint angles, angular velocities, and peak angular velocity sequences were calculated and compared between the two groups. Results: Large ranges of motion (ROM) of the pelvic angle and hip joints were detected in the experts, while beginners showed greater ROM of the shoulder joint. Peak angular velocity magnitudes and sequences were significantly different between the two groups. Experts lifted the kettlebell upward using the hip joints, pelvis, and shoulder joints (proximal to distal order) sequentially and lowered it using the reverse order of peak angular velocities from the shoulder to hip joints. Conclusion: Mobility of the pelvic segment and hip joint are required, while stability of the other joints is needed to produce appropriate two-arm kettlebell swings. The activation and coordination of the gluteal and hamstring muscles are key points in kettlebell exercises.

배구선수들의 극하근 근위축이 어깨 관절 회전근력과 운동범위에 미치는 영향 (The Effect of Atrophy of the Inpraspinatus on Strength and ROM in Shoulder Joint of Male Volleyball Players)

  • 이병권
    • 한국운동역학회지
    • /
    • 제19권3호
    • /
    • pp.549-555
    • /
    • 2009
  • 본 연구의 목적은 극하근 근위축이 배구선수들의 등속성 최대토크와 운동범위에 어떠한 영향을 미치는지 알아보고자, 극하근의 근위축 소견이 있는 선수 3명, 근위축 소견이 없는 선수 5명을 대상으로 등속성 근력측정기기인 Biodex와 동작분석기기 Simi-Motion을 이용하여 측정분석 하였다. 본 연구의 결과, 극하근의 근위축이 있는 그룹과 없는 그룹 사이에 어깨 관절의 외회전 등속성 최대토크, 내회전에 대한 외회전 등속성 최대토크 비율 그리고 내회전 회전 운동범위가 유의한 차이가 있는 것으로 나타났다. 배구선수들의 극하근의 근위축을 예방하기 위해서는 어깨 관절의 기능을 고려한 외회전근의 근력강화 훈련이 중점적으로 시행되어야 하며, 이와 더불어 어깨 관절 후부 조직에 대한 유연성 훈련도 병행되어야 할 것으로 사료된다.