• Title/Summary/Keyword: Shoulder flexion

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Ergonomic Studies of Arm Shapes and Sleeves : Arm length depending on Arm movements (상지 형태와 의복소매에 관한 인간 공학적 연구(제2보) - 동작에 의한 상지 길이 변화 -)

  • Jo, Gyeong-Ae
    • Journal of the Ergonomics Society of Korea
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    • v.18 no.1
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    • pp.91-108
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    • 1999
  • In our previous work using a motion analyzer and 3-dimensional sonic digitizer, the arm shapes for 23 women in their early twenties were classified into three characteristic types. In order to design sleeves, suitable for arm movements for the three characteristic arm shapes, a relationship between arm length variation and shoulder/elbow angles has been investigated for four cases of arm movements (flexion, extension, adduction and abduction). Each arm movement can be characterized by the changes in shoulder angle and the changes in elbow angle at the maximal shoulder angle. In all the four cases of arm movements, the changes of shoulder length and cap height are largest at the maximal shoulder angle. These changes were little affected by changes in elbow angle. The changes in the lower arm length and the difference between cap height and upper arm length are the largest at the maximal elbow angle of the maximal shoulder angle. There is a linear relationship between cap height and shoulder angle during arm movements; thus, in designing sleeves the cap height can be determined from the regression of cap height vs. shoulder angle.

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The Effects of the Range of Motion of Joint with Vibratory Stimulation of the Patients of Adhesive Capsulitis of the Shoulder (진동적용이 견관절 유착성관절낭염 환자의 관절가동범위에 미치는 영향)

  • Choi, Woohyuk;Lee, Jinhwan;Min, Dongki;Choi, Junhhee;Shin, Sohong
    • The Journal of the Convergence on Culture Technology
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    • v.1 no.2
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    • pp.77-83
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    • 2015
  • The purpose of this study is to prove the increase of range of motion of shoulder joint in the patients with shoulder adhesive capsulitis by applying the vibratory stimulation. In terms of subjects of the study, the experimental group 15(4 male, 11 female)and the control group 15(5 male, 10 female) were divided. The measurement of the shoulder range of motion was taken by measuring the degrees of flexion, abduction, and external rotation with a goniometer from pre treatment to one to four weeks. The results were as follows : In the experimental group and control group, there was the statistical significance in the range of motion of the shoulder flexion, abduction, and external rotation during four weeks. In summary, the vibratory stimulation are effective interventions for improving shoulder adhesive capsulitis, patient's range of motion of shoulder joint.

A Comparison of Shoulder Stabilizer Muscle Activities of Therapeutic Climbing and Isometric Exercise in Patients with Shoulder Impingement Syndrome

  • Kim, Eun-Jung;Kim, Se-Hun
    • The Journal of Korean Physical Therapy
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    • v.28 no.2
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    • pp.88-94
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    • 2016
  • Purpose: The purpose of this study was to compare therapeutic climbing exercise and general isometric exercise in patients with shoulder impingement syndrome. Methods: Among 20 adults, study subjects were arbitrarily classified into an experimental group of 10 and a control group of 10. The control group performed general isometric exercise (ISE) and the experimental group performed therapeutic climbing exercise (TC) (3 sets, 3 times per week for 8 weeks). To evaluate the effects of exercise, subjects were evaluated using a Disabilities of the arm, shoulder and hand score (DASH), a goniometer for range of motion, and shoulder activity measured serratus anterior, upper trapezius, and lower trapezius. Independent and paired t-test were used for comparison of the effect between groups. Results: DASH scores showed a significant decrease in both groups after 8 weeks of treatment (p<0.001) and significant difference was observed between the TC groups (p<0.01). Flexion and abduction were significantly increased after 8 weeks of treatment in the ISE group (p<0.001) and flexion, abduction, external and internal rotation were significantly increased after 8 weeks of treatment in the TC group (p<0.001). Serratus anterior and lower trapezius activity were significantly increased after 8 weeks of treatment (p<0.001) and upper trapezius activity was not significantly increased after 8 weeks of treatment in the ISE group (p>0.05). Serratus anterior, lower trapezius, and upper trapezius activity were significantly increased after 8 weeks of treatment in the TC group (p<0.001). Conclusion: Scapular stabilizing exercise using a therapeutic climbing exercise increases range of motion and decreases DASH, and increases activity of shoulder muscles in patients with impingement syndrome.

Bilateral Anterior Shoulder Instability (양측 견관절에 발생한 전방 불안정성)

  • Rhee Yong Girl;Cho Nam Su
    • Clinics in Shoulder and Elbow
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    • v.4 no.2
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    • pp.181-185
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    • 2001
  • Purpose: We reviewed the bilateral anterior shoulder instability to evaluate the final outcomes and influencing factors that had effect on the final outcomes. Materials and Methods: Sixteen patients of the bilateral shoulder instability underwent the operative treatment and 15 patients could be followed up average 29 months. There were Bankart lesions in 28 cases and 46% retracted markedly onto the medial side of the glenoid neck. Capsular redundancy could be seen in 50%, but the generalized ligamentous laxity in only two patients. We performed open Bankart repair in 21 cases and arthroscopic repair in 9 cases. Inferior capsular shift was performed in 12 cases of 15 cases in patients who was shown the capular redundancy. Results: The average increment of the forward flexion was 4° postoperatively but the average decrement of the external rotation was 6° postoperatively. After the inferior capsular shift surgery, there were significantly the decrement in external rotation by 13° even though the forward flexion was at the same level comparing with preoperative motion. There were 13 cases(43%) in excellent result, 14 cases(47%) in good and 3 case(l0%) in poor. Rowe score improved from 53 to 87.3 postoperatively. Conclusion : Re-establishing a proper capsular tensioning in a bilateral anterior shoulder instability is critical to ultimate success because there was a redundant laxity in a half and majority of them had marked retraction of an anteroinferior glenohumeral ligament complex. Especially, it should be considered that an unexpected limitation of external rotation could be occurred in the inferior capsular shift surgery.

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Debridement Arthroplasty for Post-Traumatic Stiff Elbow (후외상성 주관절 강직에서의 변연 관절 성형술)

  • Rhee Yong-Girl;Kim Hee-Seon;Chun Young-Soo;Cho Young-Lin
    • Clinics in Shoulder and Elbow
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    • v.1 no.2
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    • pp.242-249
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    • 1998
  • Stiffness of the elbow joint is relatively common after trauma, ectopic ossification, bum, postoperative scar, and etc. Mild flexion deformity can be reduced by use of active or passive motion exercise, dynamic sling, hinged distractor device, or turnbuckle orthosis. But these methods have disadvantages of difficulty in gaining acceptable range of motion only with stretching exercise, re-contracture after conservative managements and poor results that flexion contracture remained. The common described operative exposures for treatment of the stiff elbow are anterior, lateral, posterior, and medial approach. Through Anterior, lateral and medial approach each has not access to all compartments of the elbow. But, posterior approach has benefits that access to posterior, medial and lateral aspects of the elbow and as needed, fenestration to the olecranon fossa that produces a communication between the anterior and posterior compartments of the elbow are possible. From June 1991 through April 1997, 11 patients who had posttraumatic stiff elbow, were treated with debridement arthroplasty through the posterior approach. The purpose of this study are to introduce technique of the debridement arthroplasty and to evaluate final outcomes. With regarding to preoperative pain degree, mild degree matches to 3 cases, moderate to 3 cases, and severe to 2 cases. In preoperative motion, flexion was average 85° and extension was 30°. Postoperatively nine patients had got the complete relief of pain and two patients continued to have mild pain intermittentely. Postoperative flexion improved to 127° and extension to 2°, so that elbow flexion had improved by an average of 42° and elbow extension by 28°. On the objective scale all patients had good or excellent results and they all felt that they were improved by operation. Debridement arthroplasty is one of excellent procedures for the intractable stiff elbow if it is not unstable or it has not incongrous. But it need a meticulous operative technique and a well-programmed rehabilitation.

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The Relationship between Standing Posture Biomechanics and Physical Fitness in the Elderly (노인의 직립자세역학과 체력과의 관계)

  • Yi, Kyung-Ock;Choi, Kyoo-Jeong;Kim, Soyoung
    • Korean Journal of Applied Biomechanics
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    • v.24 no.3
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    • pp.259-267
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    • 2014
  • The purpose of this study was to find the relationship between standing posture biomechanics and physical fitness in the elderly. Physical fitness variables and postural variables for 227 (140 women and 87 men) elderly individuals were tested. Physical fitness tests (Korean Institute of Sports Science, 2012) included 3m sit, walk, and return, grip test, 30 second chair sit and stand, sit and reach, figure 8 walks, and 2 minute stationary march. Postural biomechanics variables included resting calcaneal stance position (RCSP), shoulder slope, pelvic slope, knee flexion angle, leg length difference, thoracic angle, and upper body slope. In statistical analysis, multiple regression was conducted by using stepwise selection method via SAS (version 9.2). Analysis for both men and women revealed significant relationships between physical fitness and age, upper body slope, knee flexion angle, leg length difference. Pelvic and thoracic angle were only related to figure 8 walking and sit and reach in women, while RCSP and shoulder slope had no relationship with any physical fitness variables.

Searching of Biomechanical Determination Factor for Improving Club Head Speed during the Driver Swing in Male Golf Players (남자 골프선수의 드라이버 스윙 시 클럽 헤드 스피드 향상을 위한 운동역학적 결정요인 탐색)

  • Jae-Woo Lee;Young-Suk Kim;Jun-Sung Park
    • Korean Journal of Applied Biomechanics
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    • v.34 no.1
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    • pp.1-8
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    • 2024
  • Objective: The aim of this study was to identify the biomechanical determination factor for improving club head speed during the driver swing in male golf players. Method: Twenty-seven golf players were participated in this study. Eight motion capture cameras (250 Hz) and two force plates (2,000 Hz) were used to collect peak angular velocity and ground reaction force data. It was performed stepwise multiple linear regression analysis and alpha set at .05. Results: The peak plantar flexion angular velocity of the left ankle joint and the peak adduction angular velocity of the right shoulder joint were statistically significant. The peak plantar flexion angular velocity of the left ankle joint and the peak adduction angular velocity of the right shoulder during downswing. Conclusion: It is suggested that applying body conditioning training aimed at improving related body functions to increase maximum plantar flexion angular velocity in the left ankle joint will be effective in improving club head speed.

Human Arm Motion Tracking based on sEMG Signal Processing (표면 근전도 신호처리 기반 인간 팔 동작의 추종 알고리즘)

  • Choi, Young-Jin;Yu, Hyeon-Jae
    • Journal of Institute of Control, Robotics and Systems
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    • v.13 no.8
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    • pp.769-776
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    • 2007
  • This paper proposes the human arm motion tracking algorithm based on the signal processing for surface EMG (electromyogram) sensors attached on both upper arm and shoulder. The signals acquired by using surface EMG sensors are processed with choosing the maximum in a short period, taking the absolute value, and filtering noises out with a low-pass filter. The processed signals are directly used for the motion generation of virtual arm in real time simulator. The virtual arm of simulator has two degrees of freedom and complies with the flexion and extension motions of elbow and shoulder. Also, we show the validity of the suggested algorithms through the experiments.

Acute Ulnar Nerve Palsy after Outerbridge-Kashiwagi Procedure - A Case Report - (Outerbridge - Kashiwagi 술식 후 발생한 급성 척골 신경 마비 - 증례보고 -)

  • Jeon In-Ho;Min Woo-Kie;Oh Chang-Wug;Hwang In-Hwan;Kim Poong-Taek
    • Clinics in Shoulder and Elbow
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    • v.8 no.2
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    • pp.176-180
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    • 2005
  • The Outerbridge-Kashiwagi (O-K) procedure is one of popular procedures for the treatment of osteoarthritis of the elbow. Although reliable outcome has been reported in the literature, intraoperative and postoperative complications may occur. Acute postoperative neurologic complications are rarely reported in the literature. We report a case of acute complete ulnar neuropathy following O-K procedure in the elbow with longstanding flexion loss. Prophylactic ulnar nerve decompression during the O-K procedure should be considered in the elbows with osteoarthritis and prolonged severe flexion contracture.

The Effect of Cervical Kyongrak Massage on Shoulder Pain, Shoulder Exercise Range and Mood in the Elderly (경추 경락마사지가 노인의 어깨 통증과 어깨 운동 범위 및 기분상태에 미치는 효과)

  • Choi, Soon Ock;Kim, Sook Nam
    • Korean Journal of Adult Nursing
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    • v.16 no.4
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    • pp.658-667
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    • 2004
  • Purpose: This study was to identify the effect of Cervical Kyongrak Massage on Shoulder pain, shoulder Exercise Range and Mood in the elderly. Method: This study used a quasi-experimental pre-test and post-test design. Data were collected from 13 April to 30 June in 2003. There were 58 elderly subjects,(30 experimental group, 28 control group) in Pusan. The experimental group took Kyongrak Massage at Cervical Kyonghyul sites around neck and shoulder for 10 minutes daily during 5days. Result: In the experimental group, shoulder pain(t=-9.80, p=.000), shoulder exercise Range (Flexion t=3.10, p=.003; Abduction t=7.95, p=.000; External Rotation t=5.00, p=.000) and Mood(t=-9.80, p=.000) were significantly better than control group after Cervical Kyongrak Massage. Conclusion: These findings indicate that Cervical Kyongrak Massage may be an effective adjunct therapy for improving shoulder pain, shoulder exercise range and mood, and is considered as a independent and available nursing intervention for elderly.

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