• 제목/요약/키워드: neck-shoulder pain

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The profile of musculoskeletal pain and its associations with sleep quality and depression during the COVID-19 in Turkey

  • Karatel, Merve;Bulut, Zeynep Irem;Sari, Erkin Oguz;Pelin, Zerrin;Yakut, Yavuz
    • The Korean Journal of Pain
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    • 제35권1호
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    • pp.78-85
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    • 2022
  • Background: The current pandemic has affected people's health multidimensionally. This study aims to investigate musculoskeletal pain, sleep quality, depression levels, and their relationships in individuals belonging to different age groups during COVID-19 in Turkey. Methods: A web-based self-administered survey that consisted of demographic questions, The Beck Depression Inventory (BDI), Pittsburgh Sleep Quality Index (PSQI), and scores of musculoskeletal pain was sent to participants. Pearson correlation analysis was used for determining the statistical relationship between variables. Results: The study includes 1,778 participants. The highest percentage for mild, moderate, and severe pain was in the head (49.8%), back (15.5%), and head (11.5%), respectively. The PSQI-total had shown a weak correlation with pain levels in all body parts. The highest correlation for sleep quality and pain levels was between the PSQI-5 and lower back pain. There was a weak correlation between PSQI-2 and the BDI score, and a moderate correlation between the PSQI-1, PSQI-5, PSQI-7, PSQI-total, and BDI score. Pain in all body parts showed a weak correlation with depression level. Conclusions: This study showed that musculoskeletal pain was varied in body parts with different intensities according to age groups in Turkey during the pandemic. The most common pain was in the head, back, and lower back. Headache was found correlated with the parameters of sleep quality. Pain of the head, neck, back, lower back, and shoulder were correlated with sleep latency. Sleep quality was associated with depression and musculoskeletal pain, while musculoskeletal pain was correlated with depression.

8주간의 척추 안정화 운동 프로그램이 만성 경부통 환자의 NDI, 균형 능력 및 자세 변화에 미치는 영향 (The effects of 8-week spinal stabilization exercise program on NDI, postural balance and body shape change in patients with chronic neck pain)

  • 김주은;하성;김원문
    • 한국산학기술학회논문지
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    • 제21권12호
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    • pp.43-51
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    • 2020
  • 이 연구는 8주간의 척추 안정화 운동프로그램이 경부 장애 지수, 균형 능력 및 자세 변화에 어떠한 영향을 주는지를 알아보는 것이다. 운동 프로그램은 8주간 주 3회 척추 안정화 운동을 시행하였으며, 총 60분으로 구성하였다. 연구의 대상자는 6개월간 경부통을 호소하는 만성 경부통 환자 16명을 대상으로 운동 집단(n=8명)과 통제 집단(n=8명)으로 분류하여 운동 프로그램 사전, 사후의 결과를 관찰하여 다음과 같은 결과를 도출하였다. 경부 장애 지수는 시기, 집단, 상호작용에서 유의차가 나타났다(p<.05). 균형 능력은 집단 및 시기 간에서 유의한 상호작용 효과가 나타났다(p<.05). 자세 변화는 골반 경사각에서 시기, 상호작용에서 유의차가 나타났고(p<.05), 경부 및 어깨 위치각은 집단, 시기, 집단, 상호작용 모두 유의차가 나타났다(p<.05). 이상의 결과 척추 안정화 운동이 만성 경부통 환자에게 경부 장애 지수, 균형 능력 변화, 자세 변화에서 유의하게 개선된 결과를 나타내었다. 추후 연구에서는 방사선 영상을 통한 척추 구조 변화에 대한 구체적인 변화를 분석하여 척추 안정화 운동의 타당성을 높이는 연구가 필요할 것으로 사료된다.

A Case Report of Tetanus Patient Showing Trismus and Dysphagia as Early Symptoms

  • Jang, Seo-Hee;Byun, Jin-Seok;Jung, Jae-Kwang;Choi, Jae-Kap
    • Journal of Oral Medicine and Pain
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    • 제45권3호
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    • pp.79-82
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    • 2020
  • Tetanus is a fatal disease caused by the infection Clostridium tetani found in animal feces and soil. It is a vaccine-preventable disease and rarely occurs in developed countries. However, approximately 30 cases still occur annually in South Korea. Tetanus, commonly called lockjaw, cause contraction of the masseter muscles in the early stage, resulting in trismus as the first symptom. As it progresses, spasm extends to various muscles in the face, neck, shoulder, and back, leading to distorted facial expression, dysphagia, backward arching of the body, dyspnea, and even death. Early diagnosis of tetanus is critical because it can quickly become fatal if left untreated. We present a case of trismus caused by tetanus and emphasize the importance of early diagnosis of acute trismus.

DFM 원리를 이용한 휴대용 Deep Friction Massager${(R)}$ 치료기기 모형개발에 관한 연구 (A Study on New Invention Model of Handy Deep Friction Massager${(R)}$ by Using DFM)

  • 박지환
    • 대한정형도수물리치료학회지
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    • 제10권1호
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    • pp.57-65
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    • 2004
  • The main purpose of this article is to make a handy Deep Friction Massager by using DFM in based on Dr. Cyriax's manual medicine. Also this study's aimed to heal soft tissue lesions - low back pain, neck pain, tennis elbow, golfer's elbow, frozen shoulder, myofibrosis etc. - which has resolved adhesion scar tissue problem in soft tissue. The results of this study were as followings ; 1. Deep friction massager has a effect not only massage but also healing, because it is broken the physiologic bridge of scar tissue in soft tissue. 2. It is possible to reduce the fatigue and effort of therapists during the deep friction massage. 3. Deep friction massager is made of handy form, so it is very convenient of using and application to patients.

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Takayasu`s arteritis의 수술치험 1례 (Surgical Treatment of Takayasu`s Arteritis; Report of One Case)

  • 전희재
    • Journal of Chest Surgery
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    • 제26권6호
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    • pp.496-500
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    • 1993
  • Takaysu`s arteritis is an arteritis of unknown etiology involving larger elastic arteries. The end stage pathologic feature is vascular obstructive change and the resulting clinical manifestations are local ischemic symptoms such as syncope, visual disturbance, claudication of extremities, hypertension, and angina. Recently we have experienced one case of Takayasu`s arteritis involving aortic arch, left common carotid artery and left subclavian artery. The patient was 27 year-old female and she was admitted because of headache and neck pain. Aortogram revealed fusiform dilatation of left common carotid artery with focal narrowing on it`s distal portion. The patient underwent surgical resection and replacement of Dacron tube graft between distal and proximal left common carotid artery. 3 months after operation, she was readmitted because of shoulder pain and headache. Aortogram revealed focal narrowing of proximal left common carotid artery and total obstruction of left subclavian artery which caused subclavian steel syndrome. Aorto-left common carotid and aorto-left subclavian bypass graft replacement were done.

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어업인의 건강 문제 및 업무 연관성 특성 분석 (Analysis of Health Problems and Work-Relatedness of Fishermen)

  • 정이훈
    • 한국안전학회지
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    • 제38권6호
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    • pp.16-25
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    • 2023
  • This study investigated health problems and work-relatedness for fishermen. In total, 121 fishermen (103 males and 18 females) were extracted from the data of the 6th Korean Working Conditions Survey. Two groups (Symptomatic and Asymptomatic) were statistically compared in terms of health problems and exposure to hazards. The most common health problems identified for fishermen were muscular pain in the shoulder, neck, and upper limbs (73.6%), backache (71.1%), muscular pain in the lower limbs (58.7%), overall fatigue (33.9%), headaches or eyestrain (22.3%), and anxiety (8.3%). These health problems were found to be related to the working conditions of the fishermen (low temperatures, tiring or painful postures, stance, sitting position, repetitive hand or arm placement, and the experience of stress). This study's findings may help us better understand the characteristics of the health problems and work-relatedness of fishermen and could be helpful for improving fishermen's overall health and safety.

관절원판 유착을 동반한 악관절 내장증 환자의 수술후 증상의 변화 (Changes of the symptoms following surgical treatment of temporomandibular joint internal derangement with disc adhesion)

  • 김형곤;남광현;박광호;허종기;김일수;최희수
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제22권3호
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    • pp.294-300
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    • 2000
  • Purpose: The aim of this study was to find the clinical characteristics of the patients who had temporomandibular joint internal derangement(ID) with disc adhesion(adhesion group) compared to only disc displacement without disc adhesion, perforation, hyperemia, and so on(ID group). Materials and methods: Thirty seven joints were included in adhesion group and 54 joints in ID group of all 174 patients(174 joints) treated surgically and had been checked periodically over 12 months at TMJ clinic of Yongdong Severance Hospital, Yonsei University, between 1992 and 1997. Mouth opening range, pain during mouth opening and biting, headache, neck/shoulder pain and TMJ sound were checked his/her every visit before and after surgery. Results: The maximum mouth opening was improved significantly after postoperative 3 months in two groups(p<0.01), but adhesion group was less improved. Pain during mouth opening was improved significantly over 3 months after surgery in adhesion group(p<0.01), but in ID group 1 month after surgery. Biting pain was improved and maintained it after surgery and not significant difference between two groups. Headache and neck/shoulder pain were much improved after surgery(p<0.01), but slight relapse was found in adhesion group after 12 months. TMJ sound was more found in adhesion group after 1 month(p<0.05), but after 3 months, no significant difference was found between two groups. Conclusions: The postoperative results of adhesion group were worse than ID group. Therefore, it is considered more carefully to diagnose and treat in cases of internal derangement with adhesion.

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Work-related Musculoskeletal Pain and Health-related Quality of Life among Physical Therapists in Korea

  • Kim, Giwon;Lee, Kyunghee
    • The Journal of Korean Physical Therapy
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    • 제28권1호
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    • pp.39-45
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    • 2016
  • Purpose: Physical therapists are likely to be exposed to work-related musculoskeletal pain due to excessive repetitive tasks. This study was conducted to identify the relationship between work-related musculoskeletal pain and quality of life of physical therapists. Methods: A self-reported questionnaires was sent to 200 physical therapists at in Seoul and Kyoungido. The questionnaires was returned by 170 physical therapists. The questionnaire had included 4 items that coveringed demographic information, areas of musculoskeletal problems, pain rating scale, and WHOQOL-BREF. The analysis was completed using descriptive statistics, and differences between pain and demographic variables were identified using the chi-square test. The relationship between work-related musculoskeletal pain and quality of life was analyzed by t-test and Pearson's correlation. Results: The overall prevalence of work-related musculoskeletal pain was 76.8%. The most affected pain sites included the low back (48.8%), shoulder (45.,2%), hand and wrist (43.5%), and neck (33.3%). Pain ratings of subjects with pain was were moderate. There was a A significant difference for the subdomains of quality of life was observed between the subjects with musculoskeletal pain and those without pain. Weak negative correlations (r=-0.28) were observed between pain rating scale and QOL. Conclusion: These findings show that physical therapists appear to be at a higher risk for work-related musculoskeletal pain and physical domain of QOL. Therefore, Ffurther research is needed to investigate examine the effect of risk factors and ergonomics as physical load, general health status on prevalence of musculoskeletal pain.

Long-Term Clinical and Radiologic Outcomes of Minimally Invasive Posterior Cervical Foraminotomy

  • Kwon, Young-Joon
    • Journal of Korean Neurosurgical Society
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    • 제56권3호
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    • pp.224-229
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    • 2014
  • Objective : To report long-term clinical and radiological outcomes of minimally invasive posterior cervical foraminotomy (MI-PCF) performed in patients with unilateral single-level cervical radiculopathy. Methods : Of forty-six patients who underwent MI-PCF for unilateral single-level radiculopathy between 2005 and 2013, 33 patients were included in the study, with a mean follow-up of 32.7 months. Patients were regularly followed for clinical and radiological assessment. Clinical outcome was measured by visual analogue scale (VAS) for the neck/shoulder and arm, and the neck disability index (NDI). Radiological outcome was measured by focal/global angulation and disc height index (DHI). Outcomes after MI-PCF were evaluated as changes of clinical and radiological parameters from the baseline. Mixed effect model with random patients' effect was used to test for differences in the clinical and radiological parameters repeat measures. Results : There were no complications and all patients had an uneventful recovery during the early postoperative period. VAS scores for neck/shoulder and arm improved significantly in the early postoperative period (3 months) and were maintained with time (p<0.001). NDI improved significantly post-operatively and tended to decrease gradually during the follow-up period (p<0.001). There were no statistically significant changes in focal and global angulation at follow-up. Percent DHIs of the upper adjacent or operated disc were maintained without significant changes with time. During the follow-up, same site recurrence was not noted and adjacent segment disease requiring additional surgery occurred in two patients (6%) on the contra-lateral side. Conclusion : MI-PCF provides long-term pain relief and functional restoration, accompanied by good long-term radiological outcome.

청소년기(靑少年期)에서 척추체형(脊椎體形)과 자각증(自覺症)과의 임상적(臨床的) 고찰(考察) (A Clinical Study of Spine Distortion and Self-conscious Pain in High School Students)

  • 김장현
    • 대한한방소아과학회지
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    • 제16권2호
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    • pp.171-185
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    • 2002
  • Objectives : The purpose of this study was to investigate the spine distortion and self-conscious pain in high school students. Method : Using the phase-shifting moire developed by KAIST(Korea Advanced Institute of Science and Technology) we measured the back surface distortion, and using questionnaire investigation, we investigated the self-conscious pain in 30 high school students(17 boy students and 13 girl students). Results : This study show that low back pain was most cases, and next headache, upper back pain, abdominal pain, neck pain, shoulder pain, leg pain, chest pain and gluteal pain. The ratio of each self-conscious pain was 90.0%, 86.7%, 83.3%, 83.3%, 80.0%, 76.7%, 66.7%, 33.3%, 33.3%, 30.0%. In remainder value of left and right shoulder, above of 3.0 were three students., above 2.0 to bellow 3.0 were 10 students, bellow 2.0 were 17 students. In remainder value of left and right gluteal, above of 2.0 was one students, above 1.0 to bellow 2.0 were 18 students, bellow 1.0 were 10 students. In remainder value of cervical vertical line to left and right axillae, above 4.0 was 1 student, above 3.0 to bellow 2.0 were 2 students, above 2.0 to bellow 3.0 were 3 students, above 1.0 to bellow 2.0 were 16 students, bellow 1.0 were 7 students. In remainder value of gluteal vertical line to left and right axillae, above 6.0 was 1 student, above 5.0 to bellow 6.0 were 7 students, above 4.0 to bellow 5.0 were 3 students, above 3.0 to bellow 4.0 were 2 students, above 2.0 to bellow 3.0 were 5 students, above 1.0 to bellow 2.0 were 7 students, bellow 1.0 were 5 students. In remainder value of cervical vertical line to gluteal vertical line, above 40 was 1 student, above 3.0 to bellow 4.0 were 4 students, above 3.0 to bellow 3.0 were 6 students, above 1.0 to bellow 2.0 were 8 students, bellow 1.0 were 11 students. Conclusion : It is suggested that the significant correlation exist between the spinal distortion and self-conscious pain. And we can find many cases as spinal distortion in high school students also. We have to study further more about juvenile postural distortion and it's prevention.

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