• The Korean Journal of Pain
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• v.34 no.1
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• pp.72-81
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• 2021

Background: In the literature, there have been debates as to whether smartphone use has negative effects on physical and mental health. The present study investigated the extent to which smartphone addiction impacts on musculoskeletal pain prevalence among university students. Methods: The questionnaire consisted of three sections: demographic information, the Smartphone Addiction Scale (SAS), and the modified Nordic Musculoskeletal Questionnaire. Results: A total of 249 participants were included in this cross-sectional study. The body parts that were reported with highest prevalence of musculoskeletal pain were the upper back (70.3%), neck (65.9%), and wrists/hands (68.7%). The SAS scores were correlated with duration of smartphone use on a typical day (P = 0.001), duration of owning a smartphone (P = 0.027), and musculoskeletal pain prevalence in the neck (P = 0.001), wrists/hands (P = 0.001), shoulders (P = 0.025), and upper back (P = 0.023). The SAS score was significantly associated with prevalence of musculoskeletal pain in the neck (odd ratio [OR], 1.08; 95% confidence interval [CI], 0.98-1.10; P = 0.002), wrists/hands (OR, 1.07; 95% CI, 0.97-1.09; P = 0.001), and upper back (OR, 1.10; 95% CI, 0.98-1.11; P = 0.033). Conclusions: The findings indicated that the upper back, neck, and wrists/hands have a higher prevalence of musculoskeletal pain among smartphone users, particularly those with a smartphone addiction. Smartphone addiction scores were correlated with duration of smartphone use on a typical day, duration of owning smartphone, and musculoskeletal pain prevalence in the neck, wrists/hands, shoulders, and upper back.

• Journal of The Korean Society of Integrative Medicine
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• v.7 no.4
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• pp.301-309
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• 2019

Purpose : The purpose of this study was to provide an effective method of exercise therapy for patients with cervicogenic headache. Methods : The subjects were divided into the following two groups according to the intervention received: cervical stretch exercise (n=15, control group) cervix-stabilizing exercise (n=15, experimental group) tone (Hz) and stiffness (N/m) of the suboccipital and upper trapezius muscles were measured. T1 slope angle and neck tilt angle were measured. After the exercise program intervention, a greater amount of change in muscle tone and stiffness of suboccipital and upper trapezius muscles was found in the experimental group, as compared to the control group. Greater amount of change in posture was found in the experimental group, as compared to the control group (p<0.05). Results : After the exercise program intervention, a greater amount of change in muscle tone and stiffness of suboccipital and upper trapezius muscles was found in the experimental group, as compared to the control group. Greater amount of change in posture was found in the experimental group, as compared to the control group (p<0.05). Conclusion : The neck-stabilizing exercise were shown to be effective in decreasing the tone of the cervical muscles by stabilizing the cervical bone and improving muscle activity, and in improving the posture by decreasing muscle tone and stiffness.

• The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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• v.27 no.3
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• pp.69-78
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• 2021

Background: Approximately 30% of people suffer from chronic neck and shoulder pain. Chronic neck and shoulder pain arise due to the exposure to continuous low loading and monotonous work. This is a common musculoskeletal disorder in a society. As physical therapists, we should give appropriate treatment to these people. Methods: A total of 26 patients with chronic neck and shoulder myalgia were randomly allocated into two experimental groups. First, 13 patients received shoulder strength training, while the other 13 patients received cervical mobilization. Outcome measures included bilateral pressure pain threshold by using an algometer at upper trapezius, visual analogue scale (VAS) to express their pain scale, and muscle tension by using myoton pro device pre-intervention and after the final treatment. Results: The VAS and muscle tension in upper trapezius significantly decreased (p<.05) in both groups; however, no differences between two groups were observed (p>.05). The pressure pain threshold in upper trapezius significantly increased (p<.05) in both groups; yet, again, the differences between the groups did not reach statistical significance (p>.05). Conclusion: As methods of treatment, shoulder-specific strength training and cervical mobilization can be appropriate approaches to the treatment of neck and shoulder musculoskeletal disorder.

• Korean Journal of Head & Neck Oncology
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• v.15 no.2
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• pp.162-165
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• 1999

Background and Objectives: Multiple primary tumors of the upper aerodigestive tract are not unusual. We examined head and neck cancer patients to discover the presence of second primary cancer in their upper gastrointestinal tract, using esophagogastroscopy. Materials and Methods: Endoscopic examination of the upper gastrointestinal tract was performed on 51 patients whose head and neck cancers were treated at department of therapeutic radiology from August 1996 to April 1999. Two of all patients had been studied by barium swallowing study. In 51 patients, twenty-four had a primary tumor in the larynx, 8 in the oropharynx, 6 in the nasopharynx, 6 in the oral cavity, 6 in the hypopharynx, and 1 in the nasal cavity. Endoscopically pathologic lesions were biopsied. In control group, endoscopy was performed on 1097 patients who didn't complain any symptoms. Results: Endoscopy showed early malignant lesions in 4 cases(7.7%). Histology of esophageal cancers showed squamous cell carcinoma. Malignant lesions of stomach in 2 cases were histologically identified as adenocarcinoma. Two esophageal cancers occurred in patients whose primary lesions had oropharynx and hypopharynx. Two cases of gastric cancer were also accompanied by oropharynx and hypopharynx. The incidence of second primary cancer was 2 in oropharynx and 2 in hypopharynx. In all cases, second primary cancers were found simultaneously. In control group, 9(0.8%) of 1097 patients were confirmed as early esophageal and gastric cancers. Conclusion: The majority of esophageal and gastric cancer detected by endoscopy were early stage in both head and neck cancer and control group. The incidence of esophageal and gastric cancer of head and neck cancer patients was 10 times as high as that of control group. Although followup period was short, all second primary cancers were detected simultaneously. We would recommend that endoscopic evaluation be included in the workup and followup of all patients with newly diagnosed head and neck cancer.

• The Journal of Korean Physical Therapy
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• v.30 no.6
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• pp.218-223
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• 2018

Purpose: The purpose of this study was to evaluate the impact of active vibration exercise on the neck pain, disability index, and muscle activity of patients with forward head posture. Methods: A total of 24 patients were randomly assigned to an experimental group or a control group (n=12 each). The experimental group performed active vibration exercise using a flexi-bar for 20 minutes a day, five times a week for four weeks. The study measured patient neck pain using a visual analog scale, neck pain related disability using the neck disability index, and muscle activity using electromyography. Results: The intragroup comparison showed significant differences in the visual analog scale score, neck disability index score and upper trapezius, lower trapezius and serratus anterior muscle activity values among patients in the experimental group. The intergroup comparison showed that differences in the visual analog scale score, neck disability index score and upper trapezius, lower trapezius and serratus anterior muscle activity values in the control group. Conclusion: This study showed that active vibration exercise was effective in improving the neck pain, disability index, and muscle activity of patients with forward head posture.

• Physical Therapy Rehabilitation Science
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• v.10 no.2
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• pp.116-123
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• 2021

Objective: The purpose of this study was to investigate the effects of myofascial decompressiontherapy using moving suction on body temperature, pain, neck disability index, and cervical rotation for young adult with nonspecific neck pain. Design: Two-group pretest-posttest design. Methods: The subjects were randomly assigned 22 patients with chronic cervical pain who met the study conditions to the experimental group (n=11) and the control group (n=11). In the experimental group, the myofascial decompressiontherapy (MDT) was performed for 10 minutes using moving suction withnegative 15 mmHg pressure from the insertion to the origin of the upper trapezius muscle, while the control group without negative pressure. In order to investigate the effects of the intervention, an infrared thermometer, a visual analogue scale, neck disability index, and goniometer were used. Results: As a result of comparing the pre- and post- changes in each group according to the intervention, skin temperature, pain, neck disability index, and cervical rotation in both the experimental and control groups were significantly improved (p<0.05). Comparison of pre- and post- changes between the experimental and control groups showed significant differences for pain and cervical rotation (p<0.05), but no significant difference was found in the body temperature and neck disability index. Conclusions: Based on the results, MDT using moving suction was effective in reducing pain and increasing of cervical rotation for young adult with nonspecific neck pain.

• Journal of the Korean Society of Clothing and Textiles
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• v.39 no.6
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• pp.826-837
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• 2015

This study analyzes the shapes of the adjustment of a Napoleon Collar which combines a stand collar with an upper collar. It established experimental conditions for fixing the conditions of Napoleon Collar components (lapel width, stand collar size and upper collar size) as well as varied the shape of the neckline, the length of the curve of a stand collar and the size of the drawing space at the center back. It produced 22 test clothes of muslin, which were dressed on dress form No. 8. The results indicate that: 1. Neckline shape determines the amount of stand and fall. Less curved neckline stands higher against the neck and a more curved neckline is laid lower onto the body. 2. A shorter curve length of a stand collar allows a longer roll line to fall farther away from the neck with more space between the neck and collar. However, the longer the depth of curve of a stand collar creates a shorter roll line that stands high against neck and closer to neck without any space between the neck and collar with a collar line matching the neck of the dress form. 3. The smaller the drawing space at the center back creates a shorter the style line of the upper collar. However, a narrower back width of the collar creates a bigger drawing space at the center back with a longer the style line and a more naturally placed back width of the collar. 4. A Napoleon Collar creates a longer depth of curve for a stand collar and a smaller drawing space at the center back that is tightly and stably stuck to the neck.

• Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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• v.33 no.1
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• pp.37-41
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• 2022

Airway foreign body aspiration in children can lead to accidental death, due to the foreign body itself or the removal procedure. Depending on its location, removal of the foreign body can be challenging. Here, we present a case of successful removal of a foreign body from the left upper lobar bronchus via ventilating bronchoscopy with a rigid bronchoscope and Fogarty arterial embolectomy catheter. Tracheobronchial foreign bodies in locations that are difficult to reach with forceps, due to an acute angle or the small diameter of the pediatric bronchial tree, can be effectively removed with a Fogarty arterial embolectomy catheter.

• Journal of the Korean Home Economics Association
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• v.34 no.3
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• pp.219-232
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• 1996

This study is intended to find changing of upper body shape according to the increase of age of elderly women, to extract the factors which form the upper body shapes and to classify the upper body shapes and grasp the characteristics of each body type. The subject were 225 elderly women aged 55-79 years old. Data were analyzed by the multivariate method, especially factor and cluster analysis. The results are as follows: 1. The items of stature, weight and width and circumference of upper body decreased according to the increase of age. And, in the length items except the side neck point - the nipple point length decreased significantly. There were significant difference of upper body shape between age groups according to each group. 2. The shape of elderly women's upper body is determined the main 6 factors(the obesity of upper body, the shape of shoulder, the length of back side of upper body, the length of front side of upper body and the size of vertical direction between stature and arm and front neck width). 3. Elderly women have 4 types of upper body shapes, which are distributed evenly. The body type of Elderly woman changes from long and fat type to small and slim, type according to the increase of age.

• Journal of the Korean Society of Clothing and Textiles
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• v.21 no.6
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• pp.977-987
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• 1997

The present study was designed to see what the local cooling of different body regions especially head and neck, hands and feet effect physiological responses in cold environment. Four male subjects wore garments covering whole body except face and rested for 20 min and then they rested for 40 min with uncovered head, neck, hands and feet, respectively in a cold environment(10$\pm$1$^{\circ}C$, 50$\pm$5%R.H.) 1. Rectal temperature increased when hands and feet were exposed to cold environment respectively, and when head and neck, hands and feet were exposed to cold environment together. 2. Exposed skin temperatures fell in cold environment. And hands temperature was lower than any other exposed skin temperatures. The hands temperature was significantly lower when head was exposed than when head was covered. And the feet temperature were significantly lower when hands were exposed than when hands were covered. 3. Mean skin temperature was the lowest when head and neck, hands and feet were exposed simultaneously, In conclusion, skin temperatures of extremities were decreased due to exposure to the cold environment. Especially upper extremities were lower than lower extremities by exposed parts of the body. It seemed that the extremities played the role of cold receptors but head and neck didn't. And there were large heat losses from the unprotected head and neck. In cold environment of 1$0^{\circ}C$ , thus, it is suggested for the purpose of thermoregulatory responses that head and neck would be covered and extremities would be exposed, especially upper extremities.