• 대한인간공학회지
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• 제34권1호
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• pp.11-18
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• 2015

Objective: The aim of this study was to understand the effects of phone weight on the typing performance and muscle recruitment in the neck and upper extremity while typing a text message with dominant hand. The iPhone4 and iPhone5 were compared due to their 28-gram differences in weight. Background: Too much use of a cellular phone can lead the musculoskeletal disorders in the upper extremity. Phone makers tend to make their new models bigger, lighter, faster and smarter. Method: Fourteen healthy volunteers without any history of neuromuscular disorders or ongoing pain who used their smartphone more than one year were recruited. A 112g phone (iPhone5) and a 142g phone (iPhone4) were used for typing the lyric of the Korean national anthem with their dominant hand. Typing duration, the typing error, the perceived fatigue, and preference was investigated. Muscle recruitment and the resting gap of neck (middle trapezius and levator scapula), shoulder (infraspinatus and mid deltoid), elbow (biceps brachii and brachioradialis), thumb (extensor and abductor policis brevis) were collected using surface electromyography. Typing error was counted and typing speed was calculated in characters per min. The data were analyzed using a paired t-test and chi-square (${\chi}^2$) analysis for the effects of phone weight on the typing performance parameters and muscle recruitment. Results: Typing text message with iPhone5 took longer but had less muscle recruitment in brachioradialis, and extensor policis brevis muscles. Lighter weight of iPhone5 made biceps brachii to rest less without increasing the mean %EMG. Conclusion/Application: Findings of this study can be valuable information for phone designers to develop more productive device and for smartphone users to prevent the musculoskeletal disorders in the upper extremities.

• 대한한방내과학회지
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• 제43권2호
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• pp.130-143
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• 2022

Objective: This case report presents the effects of traditional Korean medical treatment for a patient with symptoms of the upper burner due to Beçhet's disease. Methods: A 42-year-old male patient was treated with traditional Korean herbal medicine (herbal formulas and patent medicines), acupuncture, and cupping therapy. Neck, ocular, and right wrist pain and xerostomia were assessed daily with a numeric rating scale (NRS) and grading assessment tool for subjective symptoms. Results: For a total of 20 days over two hospitalizations, the patient's neck pain was relieved from NRS 4 to 1, the ocular pain from NRS 5 to 1, the right wrist pain from NRS 7 to 1, and the xerostomia from grade 8 to 1. Conclusion: These results show that Beçhet's disease symptoms of the upper burner can be relieved with traditional Korean medical treatment, although additional well-designed studies are required to confirm these findings.

• 대한정형도수물리치료학회지
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• 제29권1호
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• pp.81-93
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• 2023

Purpose: The current case study focuses on identifying the effects of manual therapy and home self-therapeutic exercise including on mouth opening and pain relief in patients with continuous neck pain with myofascial temporomandibular disorders (TMDs) accompanied by headache induced by masticatory myalgia Subjects: The study participant was a 27-year-old woman who was treated a year ago for pain related to TMDs accompanied by a headache. Methods: Manual therapy of the cervical spine with upper cervical spine posterior-to-anterior mobilization (C1~C2), upper cervical spine flexion mobilization (C0~C2), upper cervical spine lateral flexion mobilization (C0~C1), upper cervical spine thrust manual therapy (C1~C2) and manual therapy of the temporomandibular joint and muscles with transverse medial accessory temporomandibular joint mobilization, manual therapies for the temporal, the masseter, and medial pterygoid muscles were performed twice a week for about 30 minutes for 4 weeks. This protocol included 3 sessions in total. The home self-therapeutic exercise was to be performed two to three times a day. Results: The values more improved MMO increased to 41.4 mm, left masseter muscle PPT to 2.9 kgf/cm², right masseter muscle PPT to 3.1 kgf/cm², KHIT-6 to 46 points, neck pain intensity (by NRS) to 2 points, headache frequency to per weeks, cervical kyphotic angle to -8.06%, and GCPS to grade 1 (low-intensity pain without pain-related disorder). Conclusion: Manual therapy and home self-therapeutic exercise can be helpful for mouth opening and pain relief in patients with myofascial TMDs accompanied by secondary headaches induced by masticatory myalgia.

• 임상이비인후과
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• 제29권2호
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• pp.182-189
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• 2018

Background and Objectives : There were few literatures about the relationship between upper airway disorders and cardiovascular risk factors such as hypertension, although an association between impaired lower respiratory function and cardiovascular alterations was often reported. Our purpose was to assess the relationships between chronic sinusitis and hypertension. Materials and Methods : Three hundred subjects with bilateral chronic sinusitis who underwent functional endoscopic sinus surgery between 2015and 2017 were evaluated. Six hundred forty subjects without any nasal diseases were enrolled as a control group. Blood pressure and body mass index (BMI) were measured using a standardized method, and subjects were asked about current use of any antihypertensive medication, history of diabetes, smoking and alcohol drinking habits.Sinusitis group was assessed by nasal endoscopic examination, paranasal sinus CT scan and allergy test. Results : Average systolic and diastolic blood pressures were statistically significantly higher in subjects with sinusitis than control group. Chronic rhinosinusitis was associated with a 1.415-fold (95% confidence interval 1.053-1.930) increased hazard of hypertension after multivariate adjustment. Conclusions : These results suggest that sinusitis is associated with high blood pressure. Therefore patients with sinusitis may need special attention for blood pressure control. Further studies need to be performed to elucidate the pathogenesis behind such associations.

• 대한물리의학회지
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• 제18권4호
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• pp.145-154
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• 2023

PURPOSE: This study was conducted to investigate the effect of the sling exercise wearing a neck orthosis on the craniovertebral angle, muscle tension, and headaches in adults with a forward head posture and tension headache. METHODS: In this single-blinded, randomized, controlled, comparative study, a total of 22 adults with forward head postures and tension headaches were randomly assigned to the experimental group (sling exercise wearing a neck orthosis, n = 11) or the control group (sling exercise without a neck orthosis, n = 11). All participants undertook the sling exercise program (3×/week for 4 weeks). The craniovertebral angle, muscle tension, and headache were measured before and after the 4-week training. RESULTS: Significant improvements were observed in the craniovertebral angle, muscle tension, and headache in the experimental group (p < .05). This group also showed a larger decrease in the muscle tension and headache (upper trapezius, -4.97 Hz vs -1.70 Hz, p < .05; splenius capitis, -5.44 Hz vs -2.54 Hz, p < .05; headache, -19.73 score vs -14.64 score, p < .05, respectively). CONCLUSION: The sling exercise wearing a neck orthosis could be an effective way to relieve the symptoms caused by a forward head posture. It could also be a more effective way of decreasing muscle tension and headaches than the sling exercise without wearing a neck orthosis.

• 대한임상전기생리학회지
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• 제6권1호
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• pp.103-114
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• 2008

The purpose of this study is to use standard and downward slope of the keyboards with taping to influence electromyography of upper trapezius. The effect of taping raise a medical criticism, but we do an experiment on two kind of keyboards with taping in order to decrease stress of shoulder. Subjects are in Seonam university whose are twelve healthy adults in their twenties. This experiment used two kind of keyboards. Standard keyboard's degree is $0^{\circ}$ and another keyboard's degree is $-7.5^{\circ}$. Application of Kinesio taping attached belly of upper trapezius tightly. Measurement of electromyography attached posterior of acromion process go by spinous process of 7th cervical vertebra and upper trapezius. Method of analysis used Repeated measure two-way ANOVA. Result of this experiment, both shoulder's muscle activity increased(p<.05) when used standard keyboard and downward keyboard with taping used. We compared muscle activity that used downward keyboard than standard keyboard. Statistically, it dosen't increase in neck and shoulder(p>.05). Therefore, using a keyboard with upper trapezius's taping in order to decrease muscle activity isn't influenced.

• Journal of Acupuncture Research
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• 제17권3호
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• pp.188-198
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• 2000

Objectives : We perform this study for help to recovery of cervical syndrome by analyzing structural deviation and cervical curvature in upper cervical vertebrae and definiting functional change through cervical body heat change in cevical lesion which is estimated by DITI. Methods : From sep. 1st. 1998 to aug, 31th. 1999, I make an experiment with the 102 OPD patients of this hospital vertebral-joint center, which were judged as a cervical syndrome and confirmed in upper cervical deviation by motion palpation and then were taken cervical simple X-ray and cervical thermograpy. Results : In the classfication of upper cervical deviation, AS deviation took 98% and abnormal cervical curvature took 68%. in the Chief complain neck-shoulder pain took 78%. In the results of DITI, average value of all objects show $032{\pm}0.18$ as a meaning result. Conclusions : In medical treatment of cervical syndrome, this result shows necessity of keeping pace with remedy of upper cervical deviation and medical treatment of functional change and We can learn necessity of detailed assessment through continual clinical examination.

• Physical Therapy Rehabilitation Science
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• 제10권2호
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• pp.134-140
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• 2021

Objective: The purpose of this study was to investigate the alteration of upper cervical manipulation to autonomic nervous system (ANS) through the heart rate variability(HRV) analysis in young healthy individuals. Design: Two-group pretest-posttest design. Methods: Thirty four young healthy participants (17 males and 17 females) were randomized into the 2 groups, such as the upper cervical manipulation group (UCM group, n=17), neck stretching group (NS group, n=17). UCM group received a upper cervical manipulation, especially on the atlas, and NS group did stretch for both side of upper trapezius and levator scapular. For the UCM, Atlas mobility was checked by therapist and thrust was given once at the posterior arch of Atlas. HRV was measured before and after intervention to investigate ANS alteration. After the intervention, both groups were given 3 minutes break-time before measuring HRV. Results: The UCM group showed significant differences in ANS Activity, Stress Resistance, Stress index and Fatigue Index (p<0.05) while no differences in NS group with before and after intervention. There were significant differences in ANS Activity, Stress Resistance, and Fatigue Index between groups (p<0.05). Conclusions: This study suggected that upper cervical manipulationhas positive effects on the ANS activity, stress resistance, and fatigue index.

• 대한두경부종양학회지
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• 제22권1호
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• pp.55-57
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• 2006

Pilomatrixoma is an unusual benign cutaneous tumor, originating from precursor cells that normally differentiate into hair matrix cells. The majority of pilomatrixoma is seen in the first two decades of life, and they are extremely rare in older patients. Thus, pilomatrixoma is often not considered in the clinical differential diagnosis of solitary, firm nodules in older adults. Most present as firm, solid nodules in the head and neck region. We present two cases of a non-calcifying pilomatrixoma in older patients. One lesion arose from the upper neck in 54 year-old male and the other from the cavum concha of left ear in 35 year-old male.

• Imaging Science in Dentistry
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• 제30권1호
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• pp.87-91
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• 2000

Lymphangiomas are uncommon benign congenital tumors. Most occur in the head and neck and most lesions present by the age of 2 years. We present our experience with four patients who have lymphangiomas of the head and neck with tongue involvement. First case is a 7-year-old male who has the cystic lymphangioma of left submandibular area. Second a 22-year-old female has a lesion involving the border of right tongue. Third case is the lymphangioma which occurs in the right upper lip of a 6-year old male. The last patient is a 28-year old male who fell down and whose right face was swollen up. He had undergone an operation and been treated with steroid before. The characteristic appearances of imaging methods were described and all lesions best depicted on T2-weighted images. Our experience indicates that MRI is useful in the diagnosis and treatment planning of lymphangioma.