• 제목/요약/키워드: neck-shoulder pain

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작업성 근골격계질환의 VDT 증후군에 관한 고찰 (A Review on VDT Syndrome of Work-Related Musculoskeletal Disorders)

  • 양영애;허진강;김현희;이규창;이주상;정신호;안창식;심재훈
    • 대한물리치료과학회지
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    • 제11권4호
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    • pp.20-28
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    • 2004
  • The studys purpose were the effects of work posture, treatment method and prevention for Video Display Terminal(VDT) workers in Work-Related Musculoskeletal Disorders(WMSD) The results were as follows: 1. The prevalence rate of VDT workers in WMSD was $20{\sim}40%$. The complaint was mostly shoulder, neck, and hack area pain 2. VDT worker used to forward flexed posture and then affect of increase of muscle fatigue and pain 3. When exercise therapy PT and ADL training, were used workers decrease in pain, muscle strength, balance training, endurance strength and relief of psychiatricIn conclusion, VDT worker need good health and posture to rest and exercise with time space and treatment. It is best to prevent WMSD. VDT workers need health management by itself and systemic rehabilitation program by speciality therapist.

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지주막하강에 투여한 Morphine으로 인한 소양감에 대한 임상적 고찰 (A Clinical Study on Pruritus Due to Intrathecal Morphine)

  • 정찬종;백승완;김인세;정규섭
    • The Korean Journal of Pain
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    • 제1권1호
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    • pp.91-97
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    • 1988
  • Herein is a review of eigthy six surgical cases from March to August, 1986 which recieved tetracaine hydrochloride spinal anesthesia. In an attempt to relieve postoperative pain, 0.5 mg morphine sulfate was administrated into the lumbar subarachnoid space. Pruritus, a side effect of intraspinal morphine, was explored in detail. The results were as follows : 1) The incidence of pruritus was 67.4%, 65.5% in man and 71.0% in woman. 2) The time of onset of pruritus was between 30 and 120 minutes with an average of 79.1 minutes. 3) Pruritus primary occurred on the face(87.9%), especially on the nasal, perinasal and periocular areas. Other sites included the scalp, neck, chest, abdomen, shoulder, hip, thigh, flank, and whole body. 4) The severity of pruritus was classified as mild and moderate, but 4 cases(6.9%) were regarded as severe and were treated with naloxone. 5) The duration of pruritus was from 15 minutes to 19 hours with an average of 4.7 hours. 6) There was no significant difference in the prevention of pruritus between the group recieving diphenhydramine and the one which received normal saline.

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폐경기 증상 경험 유무에 따른 중년여성의 의복 구매 요인 및 만족도 조사 (Survey on Clothing Worn by Middle-aged Women Undergoing Menopause and Their Satisfaction with Garments According to Menopausal Symptoms)

  • 박순지;김혜진
    • 한국의류학회지
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    • 제36권11호
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    • pp.1186-1196
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    • 2012
  • This study investigated the garments of middle-aged women undergoing menopause and their satisfaction with them. Data were collected through a survey of 288 middle-aged women and analyzed using SPSS 17.0. As a result (in terms of degree of symptoms) backache, arthralgia, muscular pain and heat sensation were indicated as significantly more outstanding in the menopause group rather than the menopausal transition group. As a countermeasure to physiological symptoms, a change of temperature (warming or cooling) was applied for backache and arthralgia as well as taking medicine for stomachaches and muscular pain. Body parts suffering from heat sensations were the face, back neck, chest center, waist and hip. Body parts suffering from arthralgia and muscular pain were the shoulder and hip joints. The most significant purchasing factor for menopausal women was the fit of outerwear and antibiosis in underwear; however, women not undergoing menopause selected comfortableness when moving as the most important factor. In terms of body shaping and thermoregulation function, the satisfaction degree in underwear was significantly different between the two groups. Menopausal women wanted functional underwear that provided functions such as thermoregulation, absorption of secretions, and antibiosis.

The physical and emotional health of South Korean mothers of preterm infants in the early postpartum period: a descriptive correlational study

  • Park, Jiyun;Bang, Kyung-Sook
    • Child Health Nursing Research
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    • 제28권2호
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    • pp.103-111
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    • 2022
  • Purpose: This study investigated the physical and emotional health of South Korean mothers of preterm infants in the early postpartum period. Methods: In this descriptive correlational study, the participants included 91 mothers of preterm infants who were admitted to the neonatal intensive care unit of a tertiary hospital in South Korea. Physical health status was measured using a self-reported questionnaire, postpartum depression using the Edinburgh Postnatal Depression Scale, anxiety using the State-Trait Anxiety Inventory, and guilt using a 4-item scale. Results: Fatigue had the highest score among mothers' physical health problems, followed by shoulder pain, nipple pain, neck pain. The average postpartum depression score was 11.02 points, and 44% of women had postpartum depression with a score of 12 or above. Postpartum depression significantly was correlated with physical health (r=.35, p=.001), anxiety (r=.84, p<.001), and guilt (r=.75, p<.001) and was significantly higher for women with multiple births, and preterm infants who required ventilator and antibiotic treatment. Anxiety also showed a significant difference according to preterm infants' condition. Conclusion: The significant correlations between postpartum depression and physical health, anxiety, and guilt indicate a need for nursing interventions that provide integrated management of mothers' physical and emotional health.

강직성 척수염이 있는 경수 손상 환자에서 발생한 지연성 척추주위 농양 (Delayed Postoperative Paravertebral Abscess in a Patient with Cervical Spinal Cord Injury Accompanied by Ankylosing Spondylitis)

  • 이건재;이장우
    • Clinical Pain
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    • 제20권2호
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    • pp.145-149
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    • 2021
  • Ankylosing spondylitis (AS) is a chronic inflammatory disease presenting progressive spinal stiffness and sacroiliitis. Cervical spine fracture combined with AS should be treated with operation, but it is closely related with increased rates of surgical site infection, which are associated with an elevated erythrocyte sedimentation rate and elevated C-reactive protein. We report a case of delayed postoperative infection appeared in cervical paravertebral space, which was masked by laboratory findings and clinical characteristics represented in this rheumatic disease. A 53-year-old man who had medical history of AS got operation after cervical spine fracture. During hospitalization, he experienced aching pain originating from left posterior neck to shoulder, which was revealed out to be delayed postoperative infection, diagnostically obscured by elevated values of inflammatory markers. This case emphasizes detailed evaluation considering symptoms and comorbidity of the patient should be performed to apply proper management.

여대생의 다리길이 차이와 생활습관 자세 및 통증 (Leg Length Inequality, Habitual Posture, and Pain in Women's College Students)

  • 권성복;이여진;한혜자;조경숙;임난영;이은희;손행미;박영숙;김주현;강현숙
    • 근관절건강학회지
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    • 제19권1호
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    • pp.27-36
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    • 2012
  • Purpose: The purpose of this study was to investigate the leg length Inequality, habitual posture, and pain in women's college students. Methods: The subjects were 281 students, in 8 women's college in Korea. The tapelines were used for measuring leg length Inequality and questionnaires were used for measuring habitual posture, and pain. The data were collected between August and October 2010 and analyzed using SPSSWIN 11.5. length Inequality(<1 cm). The subjects of 2.8% were the length differences of above 2cm. The worst habitual posture were leaning habits. Especially, the habits of crossing her legs were significantly different to leg length Inequality(F=3.342, $p$=.037). The subjects of 84% were felt a severe pain on the upper body such as waist, back, scapula, neck or shoulder. But there is no difference between pain and leg length Inequality. Habitual posture are related to pain(r=.212, $p$=.001). Conclusion: To protect the severe health problem of musculoskeletal system, this study results will be give aid to health education in women's college students.

Comparison of the effects of muscle stretching exercises and cupping therapy on pain thresholds, cervical range of motion and angle: a cross-over study

  • Yim, Jongeun;Park, Junhyuck;Kim, Hongseop;Woo, Juyeon;Joo, Soyeong;Lee, Sumin;Song, Jewon
    • Physical Therapy Rehabilitation Science
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    • 제6권2호
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    • pp.83-89
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    • 2017
  • Objective: Computers and smartphones have become a necessity for modern people, and the use of these things in an inappropriate position has increased the number of people who complain about neck problems. The purpose of this study was to compare the changes of cervical angle, range of motion (ROM) and pain threshold according to the McKenzie stretching and dry cupping therapy. Design: Cross-over design. Methods: We included 12 male and 6 female college students in their twenties, and conducted a pre- and post-test to evaluate the changes of each variable after the application of the McKenzie stretching and dry cupping therapy. Results: Neither the cervical spine angle nor the turtle neck angle showed any change in both the McKenzie stretching and the dry cupping treatment. In the McKenzie stretching, the pain threshold decreased, and the ROM of the cervical spine increased in all directions but there was no significant difference. The pain threshold was increased in the dry cupping treatment, and the ROM of the cervical spine was significantly increased in all directions (p<0.05). Comparisons of the McKenzie stretching and cupping treatment showed that the cupping treatment produced significantly greater pain thresholds and improvements in ROM of the cervical spine than the McKenzie stretching technique (p<0.05). Conclusions: Cupping treatment is more effective in improving ROM of the cervical spine and pain thresholds than the McKenzie stretching technique. In the future, cupping treatment will be one of the treatment options for pain and ROM impairments of the cervical spine.

치과위생사의 스켈링 작업 시 발현되는 두경부 및 견부 주위 근육들의 표면 근전도를 이용한 특성 분석 (Analysis Characteristic the Using Surface Electromyography of Head Neck and Around of Shoulder Muscles Express Scaling Working of the Dental Hygienist)

  • 전은숙;남건우;하미숙
    • 치위생과학회지
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    • 제12권4호
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    • pp.437-442
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    • 2012
  • 이 연구는 20명의 치위생과 학생들을 대상으로 스켈링 실습 시 발현되는 근육들의 활성도와 통증부위를 파악하여 치과위생사의 작업자세에 따른 기초자료를 제시하고자 연구를 실시하였다. 스켈링 시 근활성도의 측정은 free EMG를 이용하였고, 근골격계 통증부위를 알아보기 위해 Nordicstyle 설문지를 이용하여 측정된 연구결과는 다음과 같다. 1. 자세에 따른 스켈링 시 통증의 발현은 팔꿈치, 등, 다리, 무릎, 발목/발은 그룹간에 차이가 없는 것으로 나타났으나 목, 어깨, 손목/손, 허리에서는 자세에 따라 통증의 정도 차이가 높게 나타났다. 2. 자세에 따른 근활성도를 측정한 결과 올바른 자세를 가진 그룹에서는 시간의 경과에 따라 상승모근과 상완요골근에서 변화를 보였고, 나쁜 자세를 가진 그룹에서는 후두부근, 상승모근, 상완요골근에서 근활성도가 높게 나타났다. 3. 근활성도에서 두 군간의 변화양상은 좋은 자세로 스켈링을 실시한 그룹에서는 낮은 근활성도를 보였으나, 나쁜자세로 스켈링을 실시한 그룹에서는 근활성도가 과하게 증가되었다. 따라서 올바른 자세를 유지하며 스켈링을 실시하는 것이 근육의 활성을 효과적으로 사용하는데 도움이 되었음을 알수 있었고, 앞으로 임상에서 근무하는 치과위생사를 대상으로 연구를 실시하여 직무 효율성을 높이는 것이 필요하리라 생각된다.

Internal Oblique and Transversus Abdominis Muscle Fatigue Induced by Slumped Sitting Posture after 1 Hour of Sitting in Office Workers

  • Waongenngarm, Pooriput;Rajaratnam, Bala S.;Janwantanakul, Prawit
    • Safety and Health at Work
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    • 제7권1호
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    • pp.49-54
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    • 2016
  • Background: Prolonged sitting leads to low back discomfort and lumbopelvic muscle fatigue. This study examined the characteristics of body perceived discomfort and trunk muscle fatigue during 1 hour of sitting in three postures in office workers. Methods: Thirty workers sat for 1 hour in one of three sitting postures (i.e., upright, slumped, and forward leaning postures). Body discomfort was assessed using the Body Perceived Discomfort scale at the beginning and after 1 hour of sitting. Electromyographic (EMG) signals were recorded from superficial lumbar multifidus, iliocostalis lumborum pars thoracis, internal oblique (IO)/transversus abdominis (TrA), and rectus abdominis muscles during 1 hour of sitting. The median frequency (MDF) of the EMG power spectrum was calculated. Results: Regardless of the sitting posture, the Body Perceived Discomfort scores in the neck, shoulder, upper back, low back, and buttock significantly increased after 1 hour of sitting compared with baseline values ($t_{(9)}=-11.97$ to -2.69, p < 0.05). The MDF value of the EMG signal of rectus abdominis, iliocostalis lumborum pars thoracis, and multifidus muscles was unchanged over time in all three sitting postures. Only the right and left IO/TrA in the slumped sitting posture was significantly associated with decreased MDF over time (p = 0.019 to 0.041). Conclusion: Prolonged sitting led to increased body discomfort in the neck, shoulder, upper back, low back, and buttock. No sign of trunk muscle fatigue was detected over 1 hour of sitting in the upright and forward leaning postures. Prolonged slumped sitting may relate to IO/TrA muscle fatigue, which may compromise the stability of the spine, making it susceptible to injury.

Psychosocial Factors and Musculoskeletal Pain Among Rural Hand-woven Carpet Weavers in Iran

  • Chaman, Reza;Aliyari, Roqayeh;Sadeghian, Farideh;Shoaa, Javad Vatani;Masoudi, Mahmood;Zahedi, Shiva;Bakhshi, Mohammad A.
    • Safety and Health at Work
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    • 제6권2호
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    • pp.120-127
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    • 2015
  • Background: Musculoskeletal pain (MSP) is a common and disabling problem among carpet weavers and is linked to physical and psychosocial factors of work. This study aimed to determine the prevalence of MSP, its psychosocial risk factors, and association of pain in each pair of anatomical sites among carpet weavers. Methods: A cross-sectional study was performed among 546 hand-woven carpet weavers in rural small-scale workshops of Iran. Data were collected by using parts of a standardized CUPID (Cultural and Psychosocial Influences on Disability) questionnaire focused on MSP in 10 body sites, including the low-back, neck, both right and left shoulders, elbows, wrists/hands, individual, physical and psychosocial risk factors. Statistical analysis was performed applying logistic regression models. Results: Prevalence of MSP in at least one body sitewas 51.7% over the past month. The most common sites were low back and right shoulder pain 27.4% and 20.1%, respectively. A significant difference was found between the mean number of painful anatomical sites and the level of education, age, physical loading at work, time pressure, lack of support, and job dissatisfaction. In pairwise comparisons, strongest association was found between pain in each bilateral anatomical site (odds ratio = 11.6-35.3; p < 0.001). Conclusion: In home-based workshops of carpet weaving, psychosocial factors and physical loading were associated with MSP. This finding is consistent with studies conducted among other jobs. Considering the preventive programs, the same amount of attention should be paid to psychosocial risk factors and physical loading. Also, further longitudinal studies are needed to investigate the relationship of psychological factors.