• 제목/요약/키워드: shoulder function

검색결과 487건 처리시간 0.025초

안정화 운동, 체외충격파, 테이핑이 상승모근 근막통증 증후군에 미치는 효과 비교 (Comparing the Effects of Stability Exercise, ESWT, and Taping for Patients with Myofascial Pain Syndrome of Upper Trapezius)

  • 이중호;황경옥;박영한
    • The Journal of Korean Physical Therapy
    • /
    • 제24권2호
    • /
    • pp.82-89
    • /
    • 2012
  • Purpose: In this study, the effects of stability exercise, extracorporeal shock wave therapy, and taping on pain and function in patients with myofascial pain syndrome of upper trapezius were compared. Methods: The subjects were divided into the stability exercise, ESWT and the taping treatment group and the clinical outcomes were evaluated by visual analog scale (VAS), pressure pain threshold (PPT) and a constant-murley scale (CMS) at pre-treatment and post-treatment. Paired t-test and ANOVA was used for statistical analysis. Results: All groups were statistical significance in the change in visual analog scale (p<0.05). The difference between the ESWT group and taping group was statistical significance in the change in pressure pain threshold (p<0.05) except for the taping group. Using the constant-murley scale, the stability exercise group showed a significant decrease in pain, and a significant increase in ROM, ADL, strength, total score of shoulder (p<0.05); however, the ESWT group showed no difference on ADL. In addition, there was no difference in strength for the taping group. The comparison of the effect between the stability exercise group, ESWT group and taping group in CMS showed a statistical significant difference in pain, ADL and ROM (p<0.05). Conclusion: These results indicate that stability exercise, ESWT and taping could be considered an effective and efficient treatment modality for myofascial pain syndrome of upper trapezius.

2차로도로 효율성 제고를 위한 횡단면 설계 방안 (A New Cross Section Design Concept for Better Efficiency in Two-Lane Highways)

  • 심관보;최재성
    • 한국도로학회논문집
    • /
    • 제8권2호
    • /
    • pp.75-85
    • /
    • 2006
  • 현재 우리나라 2차로도로 횡단면 설계기준은 설계속도별 최소 차로폭과 길어깨 기준은 있으나, 다양한 횡단면 구성안이 없어 전국이 획일적인 도로구조 형태를 보이고 있다. 따라서 본 연구에서는 2차로도로의 사고유형별 원인을 규명하고 그에 따른 교통운영 및 안전성 측면에서 횡단면 개선 방안을 수립하고, 평가척도를 선정하였으며, 평가과정을 통해 새로운 횡단면 설계기준을 제시하고 이를 검증하였다. 연구결과 같은 2차로도 도로폭 $9{\sim}12.9m$ 보다 $6{\sim}8.9m$ 도로가 사고율이 매우 높은 것으로 나타났으며, 대표적 사고유형들의 개선점은 차로 및 길어깨 확장으로 나타났다. 시뮬레이션 결과 도로폭 6$\sim$7m 는 교통량 1,000vph에서 급격한 지체 시간 상승을 보이고 있으나. 도로폭 10$\sim$11.5m도로는 1.200vph에서 약간의 변화를 보였다. 이 결과(pcu/일)를 국도와 지방도 일평균교통량(대/일)분포와 비교분석 하여 다양한 횡단면 기준을 제시하였다.

  • PDF

방사선투과시험에 의한 망이산성 횡장판갑(橫長板甲)의 제작기법 연구 (Study on the Manufacturing of Horizontal plate armour Excavated from Mangi-Sanseong(Castle) with X-ray Radiograph)

  • 김현정;김미도리;오광섭;이양수;조남철
    • 박물관보존과학
    • /
    • 제7권
    • /
    • pp.11-24
    • /
    • 2006
  • 판갑은 고대의 무기와 철제품 제작기술을 그대로 반영하는 중요한 문화재이다. 철제갑옷 중 횡장판갑의 출토사례는 매우 드물며 망이산성 출토 판갑처럼 그 형태가 완형인 유물은 그리 많지 않다. 이번 보고서에서는 응용 가능한 비파괴 방사선 조사에 의한 횡장판갑의 방사선사진 및 과학적 보존처리를 통하여 나타나는 고대 판갑제작기술을 검토해 보았다. 7단 구성의 망이산성 출토 판갑은 고리경첩으로 우전동이 개폐되는 형식이다. X-선 사진의 판독결과 판겹침과 천공간격으로 고대판의 철포복륜 및 우측협부의 혁포복륜이 확인되었으며, 착장시 어깨걸이를 연결한 것으로 보이는 투공도 관찰되었다. 특히 천공과 병뉴기법에 있어, 하나의 병이 세판 이상을 연접하는 것을 피하고 있음을 확인하였다. 이는 기술적인 한계를 극복하고 판갑의 기능을 살렸음을 보여주는 중요한 자료이다.

사회인 야구복 착용실태 조사 (A Study on the Wearing Conditions of Social Baseball Uniforms)

  • 김예진;최혜선;김은경
    • 한국의류산업학회지
    • /
    • 제17권2호
    • /
    • pp.237-246
    • /
    • 2015
  • The purpose of this study is basic data for developing baseball uniform in the future by carrying out a survey of amateur baseball players on the wearing pattern of uniform and inconvenient details. To do this study, a survey targeting 307 male social baseball players in their 20s to 40s was conducted, and a preliminary survey through interview with designers, MDs and patternmakers had also been carried out and analyzed prior to the main one. The result shows that armpit and back patches get wet with perspiration the most, and patches around knees are likely to be worn out because of frequent sliding. Thus, they are dissatisfied with poor protective function the most and need quilted pads around knees. Answers for a question on injuries during games indicates that shoulder injuries due to pitching or batting and abrasion owing to sliding are most common and knee injuries are also frequent. As for the wearing satisfaction of uniform, they want elasticity and breathability of textile to be improved; they are not satisfied with its design and fit because they think top and bottoms are much too long and uncomfortable; they often find dirt inside of the uniform during games. Besides, they find it very difficult to remove dirt from the uniform even after washing. There has been a growing population of amateur baseball players over recent years, so this study would help develop functionally improved uniform and be used for developing uniform for professional baseball players.

소화기질환 진단의 최신지견 (Recent Advances in Diagnosis of Gastrointestinal Disease)

  • 최호승;김재관;최서형
    • 대한한의진단학회지
    • /
    • 제13권1호
    • /
    • pp.1-9
    • /
    • 2009
  • Objectives : If patients notice a symptom indicating inveterate dyspepsia but they don't have any problem around gastroscope, they get diagnosed as a functional dyspepsia or an imaginary stomach disease, but to overcome the limitations of these diagnoses, we are analyzing them for the common feature and are looking for a new diagnostics for them. Methods : Based on our survey with 122 patients with inveterate dyspepsia, we analyzed the period of onset, eating habits, the main symptoms, and observations on the gastroscope. We also analyzed the function of the stomach and intestines by EAV examinations, and the outer walls of the stomach and intestines by subdividing the level of coagulation into six with abdominal palpation. Results : We figured out that people who appeals about inveterate dyspepsia have had long period of onset, and that they had bad eating habits, shoulder stiffness, neck stiffness, headache, dizziness, etc. These are all the similar symptoms beside dyspepsia, which indicates that it is a syndrome. From about 70%, they didn't had particular problem in gastroscope, and as to be seen from the result of EAV examination, their stomachs and intestines had become functionless. Also, we were able to feel a stiffened tissue through abdominal palpation. Conclusion : Through this investigation, we found out that what the gastroscope can not find so that gets diagnosed as a functional dyspepsia or an imaginary stomach disease can be diagnosed as a syndrome called damjeok by overcoming the limitation utilizing the survey, EAV examinations, and abdominal palpation. We can find a mighty significance from the fact that it can be diagnosed as a syndrome.

  • PDF

천골후두골 테크닉을 이용한 카이로프랙틱이 만성 요통환자의 통증과 신체기능에 미치는 영향 (Effects of Chiropractic Using Sacro Occipital Technique on Pain and Physical Function in Patients with Low Back Pain)

  • 정지문;김재희
    • 한국산학기술학회논문지
    • /
    • 제14권9호
    • /
    • pp.4402-4411
    • /
    • 2013
  • 본 연구의 목적은 천골후두골 테크닉을 이용한 카이로프랙틱이 만성 요통환자의 통증과 신체기능에 미치는 영향을 규명하는 것이다. 만성요통이 있는 여성 45명을 세 실험군에 15명씩 무선할당하여 디버시파이드 테크닉, 천골 후두골 테크닉 또는 두 테크닉을 혼합하여 주 2회, 8주간 시술하였다. 무처치 대조군은 요통이 없는 건강한 여성 12명으로 구성되었다. 시술 전, 4주후, 8주후에 요통은 시각적상사척도, Oswestry와 Roland-Morris 요통장애지수로 측정하였고, 신체기능은 요부 근력과 유연성 및 체형으로 평가하였다. 처치 4주와 8주 후 대조군에서는 유의한 변화가 나타나지 않은 반면, 세 실험군 모두에서 요통강도와 요통장애지수가 유의하게 감소하였으며(모두 p<.001), 요부근력과 유연성 및 어깨와 골반 균형도 향상되었다(모두 p<.05). 결론적으로 천골후두골 테크닉과 디버시파이드 테크닉을 이용한 카이로프랙틱 시술 모두 요통환자의 통증의 경감과 기능 향상에 효과적인 것으로 사료된다.

목 근육에 대한 근에너지기법 적용이 전방머리자세에 미치는 영향 (The Effect of Applying the Muscle Energy Technique to Neck Muscles on the Forward Head Posture)

  • 김현수;이건철;김대진;안정훈
    • 대한통합의학회지
    • /
    • 제9권1호
    • /
    • pp.173-181
    • /
    • 2021
  • Purpose : The purpose of this study is to compare muscle activity after applying two muscle energy techniques (MET) to subjects with forward head posture to see if the post isometric relaxation (PIR) technique is more effective than the reciprocal inhibition (RI) technique. Methods : The muscle activity was measured using EMG after applying the PIR and RI techniques to 30 adults at K College. Subjects were selected for forward head posture whose ear center was 2.5 ㎝ front of the center of the shoulder. EMG equipment was used to measure muscle activity, and the measurement sites were measured in cervical flexor and extensor muscles. The experiment period was performed once a week for a total of two weeks, and after the pre-measurement was performed for 5 minutes PIR and RI exercise. In the PIR technique, the head is tilted back in a sitting position, and the experimenter applies resistance with the same force for 7~10 seconds and repeats 3-5 times after rest. In the RI technique, in a sitting position, the subject gives the force to bend the head forward, and the experimenter applies resistance with the same force for 7 to 10 seconds, and repeats 3 to 5 times after rest. Results : The result is same as the following. In the comparison of muscle activity, there was a significant decrease in both PIR and RI at 1 and 2 weeks. And there was a greater decrease in muscle activity in PIR. There was no difference in the comparison of decrease in muscle activity at 1 week and 2 week. Conclusion : Both PRI and RI can be said to be effective in improving the function of the forward head posture in the neck muscles. Therefore, the selection of the two techniques in clinical practice should be appropriately performed under the judgment of experts according to the patient's situation.

Scolopendra Pharmacopuncture Combined with Electroacupuncture for the Treatment of Ganglion Cysts: A Retrospective Study

  • Choe, Seon;Jerng, Ui Min;Park, Jeong Hwan;Kim, Sungha;Kim, Sungchul;Lee, Jinbok;Lee, Jun-Hwan;Shin, Minseop
    • 대한약침학회지
    • /
    • 제23권4호
    • /
    • pp.247-251
    • /
    • 2020
  • Objectives: Ganglion cysts require a sustainable treatment that suppresses their frequent recurrence. This study aimed to explore the clinical effects of Scolopendra pharmacopuncture (SP) and electroacupuncture on ganglion cysts. Methods: We retrospectively reviewed the patient records and follow-up reports for 20 patients with wrist ganglion cysts who received SP and electroacupuncture from April 2016 to March 2017. The cyst diameter, recurrence, visual analog scale (VAS) scores for pain, the Korean version of the disabilities of arm, shoulder, and hand (K-DASH) score, and the Korean version of the patient-rated wrist evaluation (K-PRWE) score before and after treatment were noted. Results: After treatment, the cyst diameter decreased significantly from 13.61 ± 6.41 mm to 5.15 ± 6.18 mm (p < 0.001), and VAS score for pain decreased from 1.31 ± 1.77 to 0.41 ± 0.33 (p = 0.021). Further, the K-DASH score decreased significantly from 8.97 ± 12.66 to 2.21 ± 7.39 (p = 0.016), and score for the function subscale of K-PRWE decreased from 11.37 ± 4.48 to 9.1 ± 3.67 (p = 0.046). No recurrences were reported from the followed-up patients. Any complication related to SP or electroacupuncture was not observed, except mild rash, itching, and swelling at the injection site in four patients. Conclusion: Combination of SP and electroacupuncture may be effective in treating ganglion cysts; further prospective studies with large population are needed to clarify the effect of SP and electroacupuncture.

유방암 환자의 복합 상지병증에서 체외충격파치료의 유용성 (Feasibility of Extracorporeal Shock Wave Therapy for Complex Upper Limb Morbidity in Breast Cancer Patient)

  • 하민철;신지철;정유상;임상희
    • Clinical Pain
    • /
    • 제20권1호
    • /
    • pp.25-29
    • /
    • 2021
  • Upper limb morbidity including shoulder pain, lymphedema, adhesive capsulitis, myofascial pain syndrome, and limited range of motions (LROMs) occurs frequently in breast cancer patients. Especially restricted upper limb motion aggravated by chronic lymphedema results in functional limitation and impaired activities of daily living (ADL). However, conventional rehabilitation therapy including complex decongestive therapy and stretching exercise is insufficient for managing advanced breast cancer patients with complex upper limb morbidity. Here, we report a case of breast cancer-related chronic lymphedema in a 62-years old female with severe LROM in all joints of the affected upper extremity that caused severe disability in ADL. Significant improvements in range of motion and upper extremity function were observed after serial extracorporeal shock wave therapy (ESWT), combined with conventional rehabilitation therapy. Therefore, ESWT might be recommended for managing the extensive limited joint motion which causes functional decline in a patient of chronic lymphedema with trophic skin change.

단수 계정에 다중 권한 부여가 가능한 다중 해시값 기반의 안전한 패스워드 인증 기법 설계 (The Secure Password Authentication Method based on Multiple Hash Values that can Grant Multi-Permission to a Single Account)

  • 문형진
    • 산업융합연구
    • /
    • 제21권9호
    • /
    • pp.49-56
    • /
    • 2023
  • 개인별 서비스를 위한 ID 기반 인증으로 ID가 식별정보로 활용되고, 패스워드가 사용자 인증에 사용된다. 안전한 사용자 인증을 위해 패스워드는 클라이언트에서 해시값으로 생성하여 서버에 전달되고 서버에 저장된 정보와 해시값을 비교하며 인증을 수행한다. 하지만 패스워드의 해시값은 패스워드에서 한 개라도 틀리면 전혀 다른 해시값이 생성되어 사용자 인증에 실패하여 패스워드에 의한 다양한 기능을 적용할 수 없다. 본 연구에서는 입력된 패스워드의 해시값을 허수를 포함하여 여러 개 생성하고 서버에 전송해서 인증을 수행한다. 또한 제안 기법에서는 여러 권한을 가진 사용자가 하나의 계정으로 다양한 권한을 부여받을 수 있도록 패스워드에 따라 권한을 차등적으로 부여할 수 있다. 제안 기법을 통해 허수 패스워드를 생성함으로써 엿보기 공격을 차단하고, 패스워드 기반으로 권한을 부여하므로 다양한 권한을 가진 사용자에게 편리성을 제공할 수 있다.