• 제목/요약/키워드: neck and shoulder

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전신조정술 발목관절치료가 어깨와 목에 미치는 영향 (The effects of GCM ankle joint therapy on Shoulder and Neck)

  • 형인혁;안목;배성수;문상은;채정병
    • The Journal of Korean Physical Therapy
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    • 제15권4호
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    • pp.479-487
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    • 2003
  • Tje purpose of this study is to understand body as a whole concept through examining effects of distant shoulder and neck with GCM ankle joint therapy. The twenty three subject with ankle joint therapy and comparison groups without ankle joint therapy were authorized the score of before and after therapy by correspondence T-test using pump lines and tapes as instruments. The results are as follows. 1. The test group had change of shoulder in measurement 1, 2, 3 and were regarded statistically 1st measurement on left, 2nd on right.(p<.05) 2. The test group had change of neck in measurement 1, 2, 3 and were regarded statistically 2nd on left on right.(p<.05) 3. In the comparison group the comparison of shoulder height was not regarded statistically all at 1, 2 comparison on left and regarded statistically all at 1, 2 comparison on right.(p<.05) 4. In the comparison group the comparison of neck height was not regarded statistically both left and right at 1, 2 comparison.(p<.05)

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두경부암 환자의 방사선 치료시 자체 제작한 고정용구 (Shoulder Retractor)에 대한 유용성 평가 (Evaluation of Manufactured Device for Radiation therapy in Head and Neck Cancer)

  • 김태준;진선식;김동현;김동욱;정원규;김경태
    • 대한방사선치료학회지
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    • 제26권1호
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    • pp.99-105
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    • 2014
  • 목 적 : 본 연구에서는 두경부 암 환자의 방사선 치료 시 Neck node lower region까지 Target이 위치한 환자의 경우 기존의 상품화 된 두 가지 고정용구와 자체개발한 Shoulder Retractor의 유용성을 비교 평가하고자 한다. 대상 및 방법 : 본원에서 치료한 두경부암 환자 6명을 대상으로 사용한 고정용구의 종류에 따라 각각 2명씩 분류하여 좌, 우 Shoulder 위치변화와 Set up의 정확성을 OBI를 이용한 2D/2D 영상정합 위치보정 후 좌표 분석을 통해 비교하여 유용성을 확인해 보았다. 결 과 : 고정용구 종류에 따른 영상정합 위치보정 값(OBI A-P상 좌, 우 Shoulder 위치변화값)에 대한 평균값과 표준편차는 A그룹에서는 RT.Shoulder $1.07mm{\pm}3.99mm$, LT.Shoulder $-4.35mm{\pm}2.09mm$이고, B그룹에서는 RT.Shoulder $-0.37{\pm}5.91mm$, LT.Shoulder $1.26{\pm}5.28mm$, C그룹에서는 RT.Shoulder $-0.63{\pm}2.44mm$, LT.Shoulder $0.25mm{\pm}1.61mm$으로 나타났다. SET UP의 영상유도좌표 분석에서는 평균 및 표준편차 값이 A그룹에서 Vrt $-2.06{\pm}2.68mm$, Lat $-1.11{\pm}8.15mm$, Lng $0.34{\pm}3.78mm$, Rot $0.51{\pm}0.77^{\circ}$이고, B그룹에서 Vrt은 $-1.18{\pm}1.82mm$, Lat $-0.94{\pm}2.13mm$, Lng $-0.67{\pm}1.98mm$, Rot $0.91{\pm}1.04^{\circ}$이고, C그룹에서 Vrt은 $0.12{\pm}2.18mm$, Lat에서 $-0.79{\pm}1.62mm$, Lng에서 $-0.79{\pm}2.64mm$, Rot $0{\pm}0.49^{\circ}$으로 나타났다. 결 론 : 자체개발한 고정용구는 좌,우 Shoulder의 위치변화에 대한 재현성을 유지시킴에 있어 유용함을 알수있었고, 환자 변위요소(환자가 잡은 줄을 놓치는 현상과 발 끝의 위치와 모양에 따라 잡은줄이 한쪽으로 치우치는 현상)와 환자의 체중 변화로 인한 환자 자세의 고정문제를 줄임으로써 Set up의 오차를 줄이고 환자의 재현성을 유지시키는데 도움이 될 것으로 사료된다.

목덜미와 어깨의 통증에 관한 연구 (Studies on the Neck and Shoulder Pain)

  • 최중립
    • The Korean Journal of Pain
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    • 제5권2호
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    • pp.239-248
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    • 1992
  • Two hundred sisty five patients who complained of neck pain with stiffness and pain of the suprascapular area were studied. In most cases the anatomical locations of pain were in the levator scapulae muscles or trapezius muscles. Hyperactivity of dorsal scapular nerve or spinal accessory nerve which innervate those muscles was thought to be responsible for these pains. The hyperactivity of the nerves may be due to the spasm of the sternocleidomastoid muscle and the scalenus medius muscle which the nerves meet during their courses to the levator scapulae or trapezius muscles. Therefore, spasmolytic treatment on the scalenus medius provided effective relief for neck or shoulder pain.

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신문화식과 세꼴리식 여성복 원형 비교 (A comparison of women's pattern between the Bunka and the Secoli)

  • 최영림;김희은
    • 한국의류학회지
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    • 제27권11호
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    • pp.1190-1197
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    • 2003
  • The purpose of this study is to compare and analyze methods of women's apparel prototypes and provide for some useful fundamental data to improve the apparel prototype suitable for Korean women. Two different drafting methods, the Bunka pattern of Japan Bunka Women's University and the Secoli pattern of Italy istituto carlo secoli, an italian pattern drafting institute, were selected. The result and discussion are as follows; In the calculation formula, the Bunka was shown more comfort at arm-hole part, because of it's lower arm-hole depth, wider arm-hole width and lower cap height in comparison with the Secoli. At the shoulder angle, the Bunka is inclined more in front shoulder than the back shoulder, whereas the Secoli is inclined more in back shoulder than the front shoulder. It could explain that the Bunka is suitable for bendforward type and the Secoli is suitable for lean-back type. In the sensory test, the one-piece pattern of the Secoli with 4cm ease was highly estimated in ease. It seems young women's preference to body conscious clothes which reflected in many new elastic fabrics. At the bust point to neck, the Bunka was highly estimated, compared with the Secoli. It seems like to be caused that for the bust point to neck formula, the Bunka used bust girth, the Secoli used stature which has low correlation with the bust point to neck.

치료적 마사지와 맥켄지 운동이 만성 경부통 환자의 통증과 관절가동범위에 미치는 영향: 단일사례연구 (The Effect of Therapeutic Massage and Mckenzie Exercise on Pain and Range of Motion in Chronic Neck Pain Patient: a Case Study)

  • 이성진;오환희;채지수;권남일;박도연;권효주;정은정
    • 대한물리치료과학회지
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    • 제24권2호
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    • pp.61-70
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    • 2017
  • Purpose : The purpose of this study was to examine the effect of therapeutic massage and Mckenzie exercise on pain and range of motion in chronic neck pain patient: a case study. Method : A Twenty-year old female subject with chronic neck pain was selected, she received therapeutic massage and Mckenzie exercise for 30 minutes a day, three days a week for five weeks. Pain was measured visual analog scale(VAS), neck disability index(NDI) and the Copenhagen neck functional disability scale (CNFDS). Range of motion was measured using a goniometer(shoulder joint) and the CROM Deluxe(cervical range of motion instrument). Result : VAS, NDI and CNFDS were decreased 3 score, 4 score and 6 score(respectively) than before the training. The range of motion was increased in shoulder joint and neck movement than before the training. Conclusion : The massage and Mckenzie exercise increased range of motion in shoulder joint and neck movement, and decreased neck pain in chronic neck pain patient. Additional research on therapeutic massage and Mckenzie exercise for improving pain and range of motion is need.

거북목을 가진 사람에게 메켄지 폄운동과 어깨안정화운동이 앞쪽머리자세에 미치는 영향 (Effect of Shoulder stabilization exercise and McKenzie Exercise on Forward Head Posture)

  • 이준철
    • 문화기술의 융합
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    • 제5권4호
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    • pp.227-235
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    • 2019
  • 본 연구의 목적은 거북목을 가진 사람에게 메켄지 폄운동과 어깨안정화운동이 앞쪽머리자세에 미치는 영향에 대해 알아보는 것이다. 연구대상자는 30명의 거북목을 가진 평범하고 건강한 사람들로 이루어져 있다. 대상자는 어깨안정화운동과 메켄지 폄운동으로 나누어(인원=30, 남자 15명, 여자 15명) 무작위로 나누어 6주 동안 실시되었다. 본 연구는 마름근, 아래등세모근의 운동프로그램과 깊은목굽힘근, 위등세모근, 어깨올림근의 신장프로그램을 통한 목뼈의 머리척추각(Cervical Vertebra Angle) 값과 각 근육별 근전도의 차이를 알아보았다. 앞쪽머리자세와 경우에는 목과 등근육의 활성도가 감소하고 피로도는 증가함을 보였다. 이러한 결과는 목과 머리의 불안정한 상태를 안정시키기 위해서는 위등세모근, 깊은목굽힘근, 어깨올림근의 신장과 마름근, 아래등세모근의 운동을 통해 거북목의 개선에 긍정적인 변화를 줄 것으로 보인다. 이러한 근육들의 불균형한 수축과 과도한 긴장으로 근육의 경직과 피로가 누적되며 이러한 상태가 계속 유지되게 되면 만성화상태가 되어 근육의 불균형으로 인해 통증을 유발할 수 있으며, 피로의 누적으로 인하여 자극에 대한 반응과 근력을 약화시켜서 목 디스크가 발생할 확률이 높아질 것으로 사료된다.

발목관절 가동술이 목과 어깨의 자세에 미치는 영향 (The Effect of Ankle Mobilization on Neck and Shoulder Position)

  • 형인혁;안목;김형수;김은영;이해정;배성수
    • The Journal of Korean Physical Therapy
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    • 제16권4호
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    • pp.264-282
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    • 2004
  • The purpose of the study was to investigate the effectiveness of ankle mobilization on neck and shoulder position. One hundred volunteers, aged between 18 and 26 years (mean age 22), were recruited and each subject was divided into four mobilization groups by their body type, which is based on the concept from 'general coordinative manipulation' and a control group. Ankle mobilization was applied based on their body type and no mobilization was applied on those of the control group. The positions of shoulders and neck were measured in comfortable standing posture. All measurements were taken before and after ankle mobilization from each subject in mobilization groups and those of control group was measured twice between ten minutes by a different tester on three different occasions. Twenty subjects were in each group basis of their body type and a control. In the position of neck and shoulder, all subjects regardless group showed significantly changed their neck

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엠파이어 스타일 시대[1789-1820] 스펜서 재킷 제작에 관한 연구 (A Study on Draping and Making up of Spencer Jacket in the Empire Style(1789-1820))

  • 최미경;조진숙;최진희
    • 복식
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    • 제56권4호
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    • pp.48-64
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    • 2006
  • The purpose of the study was to demonstrate how to recreate spencer jacket in the empire style in an attempt to apply this historic style to theatrical costumes and other high fashion items in modern times. The study was carried out through 2 steps. (1)Block patterns of spencer jacket of its basic design were developed through draping based on the design characteristics mentioned above. (2)Spencer jackets of three designs, which were the typical designs of each category have been made of velvet to find out more specific structural characteristics. The structural characteristics of Spencer jacket in draping were as follows: (1)Jacket length position was suitable 9cm below body's bust line and neckline should be enlarged front & side neck point 2cm, back neck point 1.5cm. (2)Cut out the front bodice after CF line moved 1cm outwards and bust dart amount should not exceed 2-3cm. Shoulder point moved inwards. (3)Side back grain line was parallel to princess line of the back bodice. Add 0.5cm ease to the under arm of the front and side bark bodice, it was good for the activity of arm. (4)Armhole line was trued as maintaining to across back width 14-15cm at least. Shoulder line was to connect from the point 2cm depart shoulder point along armhole line to point 2cm side neck point along neck line. (5)Sleeve length was suitable 70cm, cut out the bias direction to move forwards the grain line from shoulder point. Puff position was good from the 2cm depart shoulder point to shoulder line.

견통을 주소로 한 경추부 신경근병변의 임상적 고찰 (A Clinical Study of Cervical Radiculopathy in Patients with Shoulder Pain)

  • 허영구
    • The Journal of Korean Physical Therapy
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    • 제6권1호
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    • pp.17-22
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    • 1994
  • The purpose of this study were to identify the correlation of shoulder pain to Cervical Pathology and effectiveness of Cervical treatment on the neck and shoulder. Sixty patients complaining of shoulder pain only without neck pain were evaluated by physical examination. Cervical X- rays and electrodiagnostic Study. The results were as follows: 1) Forty nine Cases were abnormal in plain Cervical spine X-ray with straightening of Cervical lordotic curve in 41 cases, Cervical spondybsis 16 cases and disc space narrowing in 4 cases. 2) Cervical radiculopathies were diagnosed 52 cases which showed abnormal spontaneous activities in needle. EMG : 26 cases in paraspinal muscles and 26 cases in both paraspinal and upper extremity muscles. 3) The results of treatment were excellent in 6 cases, good in 6 cases and fair in 32 cases. 4) Treatment side were effective with shoulder and conical in 36 cases.

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가사노동자의 근골격계질환 자각증상과 관련요인 (A Study on the Musculoskeletal Disorders among the Visiting Housekeeper)

  • 윤송이;최재욱;김해준;이은일
    • 한국직업건강간호학회지
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    • 제15권1호
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    • pp.14-29
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    • 2006
  • Purpose: The purposes of this study were to survey the extent of pain and discomfort in the musculoskeletal system among visiting housekeepers, above all concerning neck, shoulder, back, wrist, knee, and arm pain and to find possible relations between symptoms and various working conditions. Method: A questionnaire was answered by 174 woman visiting housekeepers living in Kyeonggi-do and Seoul from December 1, 2003 to February 30, 2004. The symptoms of musculoskeletal system were coded by the pain index which illustrates the extent of the symptoms, and analyzed in view of NIOSH guideline and Kim, et. al.'s notion. Result: 1. As to the complaint rate of subjective musculoskeletal symptoms by body region, the figure was the highest for shoulder with 78.2%, followed by back with 66.7%, knee 53.6%, neck 56.3%, wrist 40.2%, and arm 29.2%, respectively. The logistic analysis showed shoulder pain and arm pain have no relation with working and health conditions, and back pain was significantly related to current health condition. In same way, knee pain and wrist pain were found to be mainly related to marital status. 2. Following the NIOSH guideline, the positive rate of subjective musculoskeletal symptoms was found out in following order: shoulder 69.5%, back 59.2%, knee 54%, neck 46%, wrist 32.8%, and arm 25.3%. To investigate the main cause of each disease, the symptoms were classified by pain index, where the value of more than 3 comes to the NIOSH case, and analyzed in term of complaint rate using discrete logistical method : shoulder pain was highly related to the housekeeping time after work, back pain was to current health condition and the heavy weight carrying and neck, wrist, arm pain were commonly related to the ordinary health condition. For knee pain, working speed was a main cause. 3. In view of Kim et. al.'s standard, where the pain index is over 7, the positive rate was showed in order slightly different from previous analyses : shoulder 33.3%. knee 29.9%, back 28.2%, neck 17.2%, wrist 17.2%, and 16.7%. From the logistical analysis, insufficient rest was shown as the main cause of shoulder, back, arm and wrist pain. For neck pain, ordinary health condition was mainly related. In case of knee pain, any apparent relation is not found. Conclusion: According to the logistic regression analysis of musculoskeletal system, there was strong suggestion that the less insufficient physical rest, the more significant disorder complaint. This means that the most musculoskeletal symptom among the visiting housekeepers can be prevented and cured by sufficient physical resting.

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