• 제목/요약/키워드: scapula

검색결과 239건 처리시간 0.024초

고유수용성 신경근 촉진법과 견갑골 움직임 (Proprioceptive Neuromuscular Facilitation and Scapular Movement)

  • 김재헌
    • PNF and Movement
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    • 제3권1호
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    • pp.47-53
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    • 2005
  • Purpose : To describes the important aspects of scapular movement and function used when applying PNF technique to the upper limb and scapular. Method : The scapular was a very important roles in the upper limb movement. This study summarizes the physiologic movement of scapular to the PNF upper extremity patterns or scapular patterns. Result : The shoulder joint has the most freedom of range of motion in the human body, composed of the glenohumeral joint, the subacromial joint, the acromioclavical joint, the sternoclavicular joint, the scapulothoracic joint, the costosternal joint, and the costovertebral joint. During upper limb movement, the scapular position change at the sternoclavicular joint and the acromioclavical joint. This concerted motion was characterized by scapulohumeral rhythm. In clinical situations, it is import to understand factors affect the scapulohumeral rhythm so that optimal evaluation and therapeutic intervention can be devised. Conclusions : The scapular movement depend on the proper and coordinated contraction of muscles. Physical therapists need to understand the normal scapular movement relationships of the scapulohumeral rhythm under different interventions for PNF techniques application.

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Acute Displaced Fracture of Lateral Acromion after Reverse Shoulder Arthroplasty: A Case Report and Surgical Technique

  • Cho, Chul-Hyun;Jung, Jae-Won;Lim, Young-Jae;Na, Sang-Soo;Kim, Du-Han
    • Clinics in Shoulder and Elbow
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    • 제22권2호
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    • pp.106-109
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    • 2019
  • Acromial fractures are well-documented complications subsequent to reverse shoulder arthroplasty (RSA), and most appear as stress fractures with no history of single trauma. To date, no study has reported the occurrence of acute displaced acromial fracture due to sudden strong deltoid contraction during heavy work. Displacement of the fracture results in a challenging surgery since it is difficult to obtain adequate fixation in thin and osteoporotic bones. We report a rare case of acute displaced acromial fracture after successful RSA treatment, using a novel technique of open reduction and internal fixation, applying two 4.5 mm cannulated screws and lateral clavicle precontoured plate.

Scapular muscle endurance, shoulder pain, and functionality in patients with rotator-cuff-related shoulder pain: a matched, case-control study

  • Ugur Sozlu;Selda Basar;Ulunay Kanatli
    • 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.

줄납자루, Acheilognathus yamatsutae (잉어과)의 골격 발달 (Osteological Development of Korean Striped Bitterling, Acheilognathus yamatsutae (Cyprinidae))

  • 송호복;손영목
    • 한국어류학회지
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    • 제17권1호
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    • pp.19-28
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    • 2005
  • 줄납자루, Acheilognathus yamatsutae (Cyprinidae)의 골격형성과 연골의 골화 과정에 대하여 연구한 결과는 다음과 같다. 전장 $6.82{\pm}0.08mm$ 에 부설골 (parasphenoid), 치골 (dentary), 익상골 (pterygoid), 각설골 (ceratohyal), 새궁(branchial arch) 등과 미골 (caudal skeleton)의 일부 등이 생성되었다. $7.76{\pm}0.09mm$에는 전두골 (frontal)과 두정골 (parietal)의 발달이 현저하였고, 주상악골 (maxillary)이 나타났으며, 흉대 (pectoral girdle)의 방사기골(proximal), 견갑골 (scapula), 오훼골 (coracoid)이 형성되었다. 또한 신경극 (neural spine)과 혈관극 (hemal spine)이 미추(caudal vertebrae)에 생성되기 시작하였다. $9.68{\pm}0.14mm$에 내장골 (vesceral skeleton)의 주새개골(opercle)과 새조골 (branchiostegals)이 나타났으며, 12.94 mm에는 흉대의 후측두골 (post temporal)이 생성되었다. 골격의 골화는 $9.68{\pm}0.14mm$를 전후하여 일어났으며, 부설골, 인두골 (pharyngeal bone), 치골, 전상악골(premaxillary), 주상악골, 주새개골 등과 늑골 (pleural rib), 신경극, 혈관극이 골화되었으며, 흉대의 의쇄골(cleithrum)과 상의쇄골 (supracleithrum) 그리고 미골의 미부봉상골 (urostyle)과 꼬리지느러미 (caudal fin)가 골화되었다. $11.52{\pm}0.13mm$에는 척추골이 생성되면서 골화되었고, $15.30{\pm}0.68mm$에 두부의 전두골, 전새개골(preopercle), 하새개골 (subopercle), 설악골 (hyomandibular)등이 경골화되었다. 본 종의 골격 형성과 골화는 다른 어종에 비하여 비교적 늦게 발달하였다.

Body Temperature Monitoring Using Subcutaneously Implanted Thermo-loggers from Holstein Steers

  • Lee, Y.;Bok, J.D.;Lee, H.J.;Lee, H.G.;Kim, D.;Lee, I.;Kang, S.K.;Choi, Y.J.
    • Asian-Australasian Journal of Animal Sciences
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    • 제29권2호
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    • pp.299-306
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    • 2016
  • Body temperature (BT) monitoring in cattle could be used to early detect fever from infectious disease or physiological events. Various ways to measure BT have been applied at different locations on cattle including rectum, reticulum, milk, subcutis and ear canal. In other to evaluate the temperature stability and reliability of subcutaneous temperature (ST) in highly fluctuating field conditions for continuous BT monitoring, long term ST profiles were collected and analyzed from cattle in autumn/winter and summer season by surgically implanted thermo-logger devices. Purposes of this study were to assess ST in the field condition as a reference BT and to determine any location effect of implantation on ST profile. In results, ST profile in cattle showed a clear circadian rhythm with daily lowest at 05:00 to 07:00 AM and highest around midnight and rather stable temperature readings (mean${\pm}$standard deviation [SD], $37.1^{\circ}C$ to $37.36^{\circ}C{\pm}0.91^{\circ}C$ to $1.02^{\circ}C$). STs are $1.39^{\circ}C$ to $1.65^{\circ}C$ lower than the rectal temperature and sometimes showed an irregular temperature drop below the normal physiologic one: 19.4% or 36.4% of 54,192 readings were below $36.5^{\circ}C$ or $37^{\circ}C$, respectively. Thus, for BT monitoring purposes in a fever-alarming-system, a correction algorithm is necessary to remove the influences of ambient temperature and animal resting behavior especially in winter time. One way to do this is simply discard outlier readings below $36.5^{\circ}C$ or $37^{\circ}C$ resulting in a much improved mean${\pm}$SD of $37.6^{\circ}C{\pm}0.64^{\circ}C$ or $37.8^{\circ}C{\pm}0.55^{\circ}C$, respectively. For location the upper scapula region seems the most reliable and convenient site for implantation of a thermo-sensor tag in terms of relatively low influence by ambient temperature and easy insertion compared to lower scapula or lateral neck.

Operative Management in a Patient with Scapulothoracic Bursitis

  • Son, Shin Ah;Lee, Deok Heon;Lee, Young Ok;Lee, Sang Cjeol;Kim, Kun Jik;Cho, Joon Yong
    • Journal of Chest Surgery
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    • 제46권6호
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    • pp.486-489
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    • 2013
  • Scapulothoracic bursitis, an uncommon lesion, has been reported to be a painful disorder of scapulothoracic articulation. The articulation may become inflamed secondary to trauma when overused because of sports or work that requires repetitive or constant movement of the scapula against the posterior chest wall. The bursitis usually appears as a growing mass at the scapulothoracic interface and is often confused with a soft tissue tumor. We report on a patient with scapulothoracic bursitis who underwent surgical excision.

Dynamic Stabilization of the Scapula for Serratus Anterior Dysfunction: A Retrospective Study of Functional Outcome and Results

  • Chung, Soo Tai;Warner, Jon J.P.
    • Clinics in Shoulder and Elbow
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    • 제18권4호
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    • pp.229-236
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    • 2015
  • Background: Twenty-six patients (12 male and 14 female) with symptomatic scapular winging caused by serratus anterior dysfunction were managed by split pectoralis major tendon transfer (sternal head) with autogenous hamstring tendon augmentation from 1998 to 2006. Methods: Twenty-five patients showed positive results upon long thoracic nerve palsy on electromyography. The mean duration of symptoms until surgery was 48 months (range, 12-120 months). Four patients had non-traumatic etiologies and 22 patients had traumatic etiologies. On follow-up assessment for functional improvement, a Constant-Murley score was used. Twenty-one patients were completely evaluated, while five patients who had less than 12 months of follow-up were excluded. Results: Pain relief was achieved in 19 of the 21 patients, with 20 patients showing functional improvement. The pain scores improved from 6.0 preoperatively to 1.8 postoperatively. The mean active forward elevation improved from $108^{\circ}$ (range, $20^{\circ}-165^{\circ}$) preoperatively to $151^{\circ}$ (range, $125^{\circ}-170^{\circ}$) postoperatively. The mean Constant-Murley score improved from 57.7 (range, 21-86) preoperatively to 86.9 (range, 42-98) postoperatively. A recurrence developed in one patient. Of the 21 patients, ten had excellent results, six had good results, four had fair results, and one had poor results. Conclusions: Most patients with severe symptomatic scapular winging showed functional improvement and pain relief with resolution of scapular winging.

체표 변화에 기반한 심전도 모니터링 의류의 센싱 위치 연구 (A Study of Sensing Locations for ECG Monitoring Clothing based on the Skin Change rate)

  • 조하경;조상우
    • 한국의류산업학회지
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    • 제17권5호
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    • pp.844-853
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    • 2015
  • Recently, according to change of lifestyle and increase of concerning in health, needs of the smart clothing based on the vital sign monitoring have increased. Along with this trend, smart clothing for ECG monitoring has been studied various way as textile electrode, clothing design and so on. Smart clothing for ECG monitoring can become a comfortable system which enables continuous vital sign monitoring in daily use. But, smart clothing for ECG monitoring has a weakness on artifact during motion. One of the motion artifact caused by shifting of the electrode position was affected skin change by motion. The aim of this study was to suggest electrode locations for clothing of ECG monitoring to reduce of motion artifacts. Therefore, change of skin surface during the movement were measured and analyzed in order to find location to minimize motion artifacts in ECG monitoring clothing by 3D motion capture. For the experiment, the subjects consisted of 5 males and 5 females in their 20' with average physique. As a result, the optimal location for ECG monitoring was deducted under the bust line and scapula which have least motion artifact. These locations were abstracted to be least affected by movement in this research.

적외선체열촬영을 통한 편측 경항상지통환자의 임상적 고찰 (Analysis about DITI of the Patients having a Neck and Upper Extremity Pain on One Side)

  • 박민정;이경윤;조원영;박쾌환
    • Journal of Acupuncture Research
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    • 제21권2호
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    • pp.301-314
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    • 2004
  • Objectives : We studied to discover the patterns of DITI of the patients having a both neck and upper extremity pain on one side without any nerve root compression sign and the history of cervical disc herniation. Method : We selected 26 patients as an experimental group, who had visited for a both neck and upper extremity pain on one side without any nerve root compression sign, at the department of acupunture and moxibustion in Conmaul oriental medical hospital, during 2001. 01. - 2003. 09. And 31 normal adults were selected as a control group, not having any neck or arm pain and any history of cervical disease. We analyzed the segmental temperature statistically with t-test. Results & Conclusion : There was a significant change of temperatures in the scapula, posterior brachium, lateral forearm and dorsal hand area. And the experimental group showed cold spot and disruption of normal thermographic shape that were usually shown on the cervical sprain.

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적외선체열촬영을 통한 편측 경항상지통환자의 임상적 고찰 (Analysis about DITI of the Patients having a Neck and Upper Extremity Pain on One Side)

  • 이경윤;조원영;박쾌환;박민정
    • 대한한방체열의학회지
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    • 제4권1호
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    • pp.61-69
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    • 2005
  • Objectives : We studied to discover the patterns of DITI of the patients having a both neck and upper extremity pain on one side without any nerve root compression sign and the history of cervical disc herniation. Method : We selected 26 patients as an experimental group, who had visited for a both neck and upper extremity pain on one side without any nerve root compression sign, at the department of acupunture and moxibustion in Conmaul oriental medical hospital, during 2001. 01. - 2003. 09. And 31 normal adults were selected as a control group, not having any neck or arm pain and any history of cervical disease. We analyzed the segmental temperature statistically with t-test. Results & Conclusion : There was a significant change of temperatures in the scapula, posterior brachium, lateral forearm and dorsal hand area. And the experimental group showed cold spot and disruption of normal thermographic shape that were usually shown on the cervical sprain.

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