• 국제물리치료학회지
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• 제10권3호
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• pp.1840-1848
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• 2019

Background : There is lack of studies on the effects of the bag-carrying style on the shoulder muscles and body alignment in adults with rounded shoulder posture (RSP). Objective: The purpose of this study was to investigate the effects of various bag-carrying styles on muscle tone, muscle stiffness and spinal alignment in 20 adults with RSP as they were walking on a treadmill. Design : Crossover Study Design. Methods: A subject performed treadmill walking for 15 minutes at a speed of 4 ㎞/ｈ while carrying three different types of bags: a backpack, a cross bag, and a shoulder bag. Results : The results showed that the main effect of timing was observed in the muscle tone for all the variables and in muscle stiffness only for the upper and lower trapezius muscles. As for the main effect of timing, the muscle tone of the upper trapezius and the pectoralis major significantly increased in all conditions, while the muscle tone of the lower trapezius significantly decreased in all conditions. The muscle stiffness of the upper trapezius significantly increased in all conditions, while the muscle stiffness of the lower trapezius significantly decreased in all conditions. As for the spinal alignment, the dimple distance data values significantly decreased for the cross-bag style. Conclusions : This study demonstrated that walking with a heavy bag, regardless of the bag-carrying style, increased muscle stiffness around the shoulders in adults with rounded shoulder posture, and walking with a cross-bag also induced changes in spinal alignment.

• 대한물리의학회지
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• 제12권3호
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• pp.43-47
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• 2017

PURPOSE: The purpose of this study was to identify the effects of physical therapy plus Kinesio taping (KT) on muscle tone and stiffness in patients with shoulder pain. METHODS: This study included 22 participants who were divided into the experimental group (n=11) who underwent a routine physical therapy with KT and the control group (n=11) who received the same physical therapy only. The physical therapy consisted of heat application and electrical stimulation. Heat was applied for 10 minutes and electrical stimulation was conducted for 20 minutes. Intervention was provided over a 1-week period, and frequency for muscle tone and stiffness was measured to determine changes in shoulder muscle status. The muscles were supraspinatus and deltoid. Measurements were taken before, after 1day, 3day and after 1 week to identify time-dependent effects of intervention. RESULTS: The effects of the intervention were significant in both groups, and effects were greater in the experimental group. Changes in muscle tone and stiffness were statistically significant in both groups and at varying time points (p<.05). CONCLUSION: Based on the improved muscle performance found in this study, KT is considered an effective intervention strategy for patients with shoulder pain when it is combined with conventional physical therapy.

• 대한관절경학회지
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• 제8권1호
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• pp.45-50
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• 2004

목적: 강직이 동반된 충돌 증후군으로 진단된 환자에서 수술적 가료를 시행하고 강직이 없는 충돌 증후군 환자의 치료 결과와의 차이를 알아보고자 한다. 대상 및 방법: 강직을 동반하지 않은 충돌 증후군 76 례와 강직을 동반한 충돌 증후군 환자군 24례를 대상으로 하였으며 수술은 강직이 없는 충돌 증후군은 견봉하 감압술 및 점액낭 부분 절제술을 시행하였으며, 강직이 있는 경우는 수동적 조작술을 추가하였다. 추시기간은 평균 32개월 이었다. 결과: 강직군이 비강직군에 비하여 술 전의 통증이 심하였으며, American Shoulder and Elbow Society의 기능 점수(ASES 점수)도 나빴다(p<0.05). 술 후 통증 및 ASES 기능 평가는 양군에서 모두 향상되었다(p<0.05). 양군의 술 후 결과를 비교할 때 통증과 ASES 점수는 양군간의 차이가 없었으나(p>0.05), 양호이상의 결과는 강직군에서 67%였으며, 비강직군에서80%이었다. 만족도는 강직군은 83%, 비강직군은 93%이었다. 당뇨병이 있었던 환자의 만족군는 강직군이 47%, 비강직군이 81%이었다. 강직군의 환자 7명중 4명(57%)이, 비강직군의 환자 11명중 9명(81%)이 수술에 만족하였다. 술 후 전방거상 및 90도 외전에서의 외회전, 내회전은 강직군과 비강직군에 차이가 없었다. 외회전은 강직군에서 적은 운동 범위를 보였다(p<0.05).결론: 강직을 동반한 충돌 증후군 환자군에서 견봉하 감압술과 수동적 조작술을 이용한 수술을 시행할 때 통증 감소 및 환자의 만족도, 외회전를 제외한 관절 운동 범위 증가는 강직이 없는 충돌 증후군 환자와 유사하게 기대할 수있다. 하지만 당뇨와 강직이 동반된 충돌 증후군은 술후 치료 결과가 기대에 못 미치므로 수술여부에 신중을 기하여야 한다.

• Clinics in Shoulder and Elbow
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• 제23권2호
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• pp.109-117
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• 2020

Repair of the rotator cuff tear is a joint-tightening procedure that can worsen joint stiffness. This paradoxical phenomenon complicates treatment of rotator cuff tear with joint stiffness. As a result, there is controversy about how and when to treat joint stiffness. As many treatments have been published, this review discusses the latest findings on treatment of rotator cuff tear with joint stiffness.

• 대한견주관절학회:학술대회논문집
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• 대한견주관절학회 2003년도 연수강좌
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• pp.144-151
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• 2003

• 대한견주관절학회:학술대회논문집
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• 대한견주관절학회 2004년도 학술대회
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• pp.31-33
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• 2004

• Clinics in Shoulder and Elbow
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• 제18권3호
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• pp.120-127
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• 2015

Background: We prospectively compared the response to blind and ultrasound-guided glenohumeral injection of corticosteroids for treatment of shoulder stiffness. Methods: A total of 77 patients with shoulder stiffness between April 2008 and March 2012 were recruited. Patients were randomized to receive either a blind (group 1, n=39) or ultrasound-guided (group 2, n=38) glenohumeral injection of 40 mg triamcinolone. The clinical outcomes and shoulder range of motion (ROM) before injection, at 3, 6, and 12 months after injection and at the last follow-up were assessed. The same rehabilitation program was applied in both groups during the follow-up period. Results: There was no significant difference in demographic data on age, sex, ROM, and symptom duration before injection between groups (p>0.05). There were no significant differences in ROM including forward flexion, external rotation at the side, external rotation at $90^{\circ}$ abduction, and internal rotation, visual analogue scale for pain and functional outcomes including American Shoulder and Elbow Surgeons score, Simple Shoulder test between the two groups at any time point (p>0.05). Conclusions: Based on the current data, the result of ultrasound-guided glenohumeral injection was not superior to that of blind injection in the treatment of shoulder stiffness. We suggest that ultrasound-guided glenohumeral injection could be performed according to the patient's compliance and the surgeon's preference. Once familiar with the non-imaging-guided glenohumeral injection, it is an efficient and reliable method for the experienced surgeon. Ultrasound could be performed according to the surgeon's preference.

• Clinics in Shoulder and Elbow
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• 제20권3호
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• pp.117-125
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• 2017

Background: To compare the clinical outcomes of arthroscopic capsular release in patients with and without inferior capsular release for shoulder stiffness. Methods: Between January 2010 and December 2015, 39 patients who underwent arthroscopic capsular release for shoulder stiffness were enrolled and randomized into two groups. In group I, 19 patients underwent arthroscopic capsular release of the rotator interval and anterior capsule. In group II, 20 patients underwent arthroscopic capsular release of the anterior to inferior capsule, including the rotator interval. The American Shoulder and Elbow Surgeons score, Constant scoring system, Simple Shoulder Test, visual analogue scale for pain, and range of motion (ROM) were used for evaluation before surgery, at 3, 6, and 12 months after surgery and on the last follow-up. Results: Preoperative demographic data revealed no significant differences (p>0.05). The average follow-up was 16.07 months. Both groups showed significantly increased ROM at the last follow-up compared with preoperative (p<0.05). At the last follow-up, no statistical differences were found (p>0.05) between groups I and II in functional scores and ROM (forward flexion, p=0.91; side external rotation, p=0.17; abduction external rotation, p=0.72; internal rotation, p=0.61). But we found that group II gained more flexion compared to group I at 3 months and 6 months (p<0.05) after the surgery. Conclusions: Both techniques of capsular release are effective for stiffness shoulder. However, the extended inferior capsular release shows superiority in forward flexion over anterior capsular release alone during 6 months of follows-up (level of evidence: Level I, therapeutic randomized controlled trial).

• 대한견주관절학회:학술대회논문집
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• 대한견주관절학회 2000년도 학술대회
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• pp.27-27
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• 2000

• Clinics in Shoulder and Elbow
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• 제26권4호
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• pp.390-396
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• 2023

Background: The subacromial (SA) space is a commonly used injection site for treatment of impingement syndrome. For shoulder stiffness, glenohumeral (GH) injections are commonly performed. However, in cases of impingement syndrome with mild shoulder stiffness, the optimal site of steroid injection has yet to be identified. Methods: This prospective, randomized study compared the short-term outcomes of ultrasound-guided GH and SA steroid injections in patients who were diagnosed with impingement syndrome and mild stiffness. Each group comprised 24 patients who received either a GH or SA injection of 40 mg of triamcinolone. Range of motion and clinical scores were assessed before and 3, 7, and 13 weeks after the injection. Results: GH and SA injections significantly improved the range of motion and clinical scores after 13 weeks of follow-up. Notably, targeting the GH joint resulted in an earlier gain of forward elevation, external rotation, and internal rotation in 3 weeks (P<0.001, P=0.012, and P=0.002, respectively) and of internal rotation and a Constant-Murley score in 7 weeks (P<0.001 and P=0.046). Subsequent measurements were similar between the groups and showed a steady improvement in all ranges of motion and clinical scores. Conclusions: GH injections may be more favorable than SA injections for treatment of impingement syndrome with mild stiffness, especially in improving the range of motion in the early period. However, the procedures showed similar outcomes after 3 months. Level of evidence: I.