• Physical Therapy Rehabilitation Science
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• 제10권4호
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• pp.503-511
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• 2021

Objective: This study compared pain, muscle power (MP), muscle thickness (MT), and normalized position of the scapula (POS) between general physical therapy and general physical therapy with strengthening exercises of the lower trapezius in patients with rounded shoulder and chronic neck pain. Design: Randomized controlled trial. Methods: The participants were 30 patients of W hospital in Gangnamgu, Seoul, with rounded shoulders who were diagnosed with chronic neck pain. Rounded shoulder was defined as a distance between the surface and acromion of >1 inch in the supine position. The participants were assigned to an experimental group (n=15) and a control group (n=15). The experimental group completed four types of strengthening exercises program for 15 minutes, twice weekly, for a total of 5 weeks. Soft tissue mobilization (STM), cervical extension flexion rotation (CEFR), and physical modality were also performed in both groups. Results: The degree of pain was assessed using the numerical rating scale (NRS), MP was measured a handheld dynamometer, MT was measured by ultrasound, and POS was measured using a tapeline. Significant between-group differences were observed in VAS, MP, MP, and POS. Significant changes were observed in the experimental group for VAS, MP, MT, and POS. Conclusions: Based on the results of this study, it was indicated that lower trapezius strengthening exercises performed together with general physical therapy was significantly improved in pain, MP, MT, and POS in patients with rounded shoulder and chronic neck pain compared to when general physical therapy was performed alone.

• 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.

• 대한물리의학회지
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• 제15권4호
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• pp.87-99
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• 2020

PURPOSE: This study examines the therapeutic effect of functional adjustment procedure therapy (FAPT), by comparatively analyzing behavioral disorders due to shoulder pain and subjective pain intensity subsequent to therapy, in patients with shoulder pain. METHODS: The intervention was performed on 48 employee patients with shoulder pain, Patients were administered 16 sessions of FAPT for 8 weeks, twice a week for 30 minutes per session. This study applied the neck pain and disability scale (NPDS) as a measurement tool, and used the questionnaire to measure subjective pain intensity to investigate the difference before and after administering FAPT to employee patients with shoulder pain. RESULTS: Statistically significant difference was obtained between the mean difference in shoulder pain disorder, before and after FAPT. Assessing gender and age differences in the reduction effect of shoulder pain, showed significant difference in 8 of the 10 factors examined. Finally, examining the difference in the effect of reducing subjective shoulder pain by gender and age, we observed that gender-based disability reduction was significant for all 12 factors examined. CONCLUSION: Taken together, the results of this study, validate the therapeutic efficacy of FAPT for patients with shoulder pain. We believe that this data will provide basic information to understand the health conditions and psychological variables of patients with shoulder pain.

• 동의생리병리학회지
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• 제25권1호
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• pp.8-18
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• 2011

To have effective treatment for shoulder arm pain, we searched the cause, symptom, etiology, classification of the pain areas, acupuncture points, and muscles along the meridians, and acquired the following results. Shoulder-pain is mainly divided into the malfunction of viscera and entrails, damage due to the weakness of essence and qi, abnormal status of muscle function, change of joints, disease in the nerve and vessel, and the internal injury due to seven modes of emotions. Pain of shoulder joints are pain in the local area of shoulder joints, referred pain of shoulder, neck, and shoulder-arm, numbnes and swelling of muscle, and muslce weakness. Shoulder-arm pain is classified as four types of pain: shoulder-joint pain, shoulder-back pain, shoulder-chest pain, and shoulder-arm-elbow pain. And shoulder-arm-elbow pain is again divided into the shoulder-blade pain, shoulder-arm pain, shoulder-elbow pain. The related meridians on shoulder pain are the three yin meridians of hand, Kidney Meridian, Conception Meridian, three yang meridians of hand, Bladder Meridian, Governor Meridian Acupuncture points for shoulder pain are in the acupuncture points of the 10 meridians and a-shi points. Thre related meridian muscles on shoulder-pain are the three yin and yang meridians of hand, and their related muscles are the ones that are connected with the front, back, and chest side muscles of shoulder joints, and the ones that are connected with the front and back side muscles of arm.

• Journal of Acupuncture Research
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• 제28권4호
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• pp.9-18
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• 2011

Objectives : This study was performed to evaluate the effects of the acupuncture therapy in combination with Soyeom pharmacopuncture therapy on acute whiplash injury by traffic accident. And thermal change of posterior neck and shoulder was observed. Methods : The clinical study was conducted to 20 cases of acute whiplash injury patients who had been admitted in Dept. of Acupuncture and Moxibusion, Woosuk University Hospital from December 1, 2010 to May 31, 2011. The patients were randomly divided into two groups. In one group(test group), patients were treated with the acupuncture therapy in combination with Soyeom pharmacopuncture therapy. And in the other group(control group), patients were treated with acupuncture therapy only. To estimate the efficacy of treatments, visual analog scale(VAS), neck disability index(NDI) of posterior neck pain were checked. And also thermal change of posterior neck and shoulder was observed by digital infrared thermographic imaging(DITI). Results : Both group represented effective improvement in VAS and NDI of posterior neck pain. Especially, test group is more effective than control group in VAS comparison, statistically. In test group, temperature of posterior neck and shoulder was decreased after treatments. But there was no significant difference between two groups on thermographic change. Conclusions : Through this study, Soyeom pharmacopuncture therapy is considered to be effective for reducing pain in acute whiplash injury patients. And after Soyeom pharmacopuncture therapy, temperature of posterior neck and shoulder show a tendency to decrease.

• Maxillofacial Plastic and Reconstructive Surgery
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• 제21권1호
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• pp.48-53
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• 1999

Purpose: The aim of this study was to investigate the improvement of referred symptoms of TMJ internal derangement after open surgery of TMJ. Materials and Methods: The present study focused referred symptoms such as headache, neck pain, shoulder pain and evaluated the incidences and changes in their improvement at 1, 3, 6, 12 months after surgery in 118 patients who had TMJ internal derangement and received meniscoplasty(or meniscorrhaphy) and eminectomy at TMJ clinic of Yonsei University, Yongdong Severance Hospital, between 1992 and 1997. Results: One hundred eighteen patients(102 females, 16 males) with mean age of 29.6 years(range, 14 to 74) were included in this study and the mean follow-up period was 19.5 months(range, 12 to 60). The incidences of headache, neck pain, shoulder pain among the surgically treated TMJ internal derangement patients were 66.9%, 28.8%, 28.0% before surgery. Thirty-two preoperative severe(+++) headache patients were all improved their headache at 1, 3, 6 months after surgery, but slight relapse(9.4%) was found at 12 months after surgery. The clearance rate of preoperative neck and shoulder pain were 91.2% and 90.9% at 1 month after surgery and all of these groups had no pain at 12 months after surgery. Conclusions: Referred symptoms of TMJ internal derangement such as headache, neck pain, shoulder pain were dramatically improved after surgical treatment of TMJ.

• 한국전문물리치료학회지
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• 제21권4호
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• pp.9-14
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• 2014

Violinists tend to position the neck asymmetrically to hold the violin between the chin and the left shoulder. Asymmetrical neck posture may induce unilateral neck pain. Previous studies have suggested that individuals with unilateral neck pain exhibit reduced muscle strength of the lower trapezius, but no study has investigated violinists with unilateral neck pain. To this end, we recruited 18 violinists with unilateral neck pain for the present study in which the side on which neck pain was experienced, pain duration, and intensity were recorded. Lower trapezius strength was measured bilaterally in each subject using a handheld dynamometer. Significant differences in lower trapezius strength were evident between the ipsilateral and contralateral sides of neck pain (p<.05). No significant association between neck pain intensity or duration, and the extent of a deficit in lower trapezius strength, was evident (both p>.05). The association between the sides of weakened lower trapezius strength and neck pain was significant (p<.05). In conclusion, violinists with unilateral neck pain exhibited significantly less lower trapezius strength on the ipsilateral compared to the contralateral side of the pain. Unilateral neck pain more frequently involved the left side of the neck, which is used to stabilize the violin during playing. Thus, our study suggests that a possible relationship exists between muscle weakness in the lower trapezius and neck pain.

• Journal of Korean Dental Science
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• 제5권2호
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• pp.68-76
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• 2012

Purpose: The headache is a symptom that various somatic or non-somatic disorders gives an effect to head and neck system. The neck and the shoulder pain is a common muscle pain that can not control and bothers the patient after chronic state. The headache and the neck and the shoulder muscle pain are treated with various conventional treatment methods. But, there are cases that symptoms did not resolve or increased in some clinical cases. And generally, the result of temporomandibular disorders (TMD) treatment is good. But, despite of a normal treatment was performed for TMD, there are cases that TMD symptoms did not resolved in clinical cases. In template clinic of Soonchunhyang University Bucheon Hospital, co-operative neurophysiologic treatment of Department of Neurosurgery and Dentistry are done for patients, who had head and neck pain or atypical symptoms that did not treated with various conventional treatment method such as surgery or medication etc. Materials and Methods: Four hundred fifty one patients who have treated in the template clinic, Soonchunhyang University Bucheon Hospital, from January of 2006 to December of 2008 were subjected in this study. Result: Overall average age was 31.9 years old. Ratio of numbers is 74.3% in female and 25.7% in male. The success rate of treatment in TMD symptom was 89.9%, in headache was 88.8%, in muscle pain was 81.6%. Statistically significance of differences visual analogue scale evaluation between before and after had been treated patients who have over average grade headache was calculated by paired t-test. P<0.05 was considered significant. Conclusion: We suggest the template appliance can be attempted for cases whose headache, the neck and the shoulder muscle pain and TMD are not resolved with various conventional treatment methods.

• Clinics in Shoulder and Elbow
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• 제27권1호
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• pp.52-58
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• 2024

Background: Deficiency in scapular muscle endurance (SME) is a risk factor for rotator-cuff-related shoulder pain (RCRSP). However, the exact relationship among SME, pain, and functionality remains unclear. This study aims to compare SME, pain, and functionality in RCRSP patients to those in age-sex-matched healthy controls. Methods: Twenty-three patients with RCRSP and 23 age-sex matched healthy controls were included in the study. SME was measured using a 1-kg dynamometer. Self-reported pain level was assessed using a visual analog scale. The Functional Impairment Test-Hand, Neck, Shoulder, and Arm (FIT-HaNSA) was also used to assess functional impairment. Results: The control group had higher SME and total FIT-HaNSA scores than the patient group (P<0.05). There was a statistically significant and positive correlation between SME and FIT-HaNSA scores in both groups (P<0.05). Conclusions: SME was affected by RCRSP. Pain and functional impairment were correlated with low SME.

• 대한정형도수물리치료학회지
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• 제7권1호
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• pp.67-75
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• 2001

The purpose of this study was to investigate the influence of cervical pain and radiating pain after cervical traction for patients with cervical pain. This evaluation was made 81 persons who cervical pain or radiating pain. The result of this study were as following ; 1. There were statistically significant decrease in cervical pain and radiating pain after cervical traction. 2. A type group(only neck pain ; n=5) and B type group(neck to elbow radiating pain ; n=11), there were pain decreased but there were not significant difference (p>0.05), C type group(neck to shoulder radiating pain group ; n = 14) and D type group(neck to hand radiating pain group ; n = 50), there were pain decreased before test then after test by VAS and significant difference(p<0.05).