• Korean Journal of Adult Nursing
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• v.16 no.4
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• pp.658-667
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• 2004

Purpose: This study was to identify the effect of Cervical Kyongrak Massage on Shoulder pain, shoulder Exercise Range and Mood in the elderly. Method: This study used a quasi-experimental pre-test and post-test design. Data were collected from 13 April to 30 June in 2003. There were 58 elderly subjects,(30 experimental group, 28 control group) in Pusan. The experimental group took Kyongrak Massage at Cervical Kyonghyul sites around neck and shoulder for 10 minutes daily during 5days. Result: In the experimental group, shoulder pain(t=-9.80, p=.000), shoulder exercise Range (Flexion t=3.10, p=.003; Abduction t=7.95, p=.000; External Rotation t=5.00, p=.000) and Mood(t=-9.80, p=.000) were significantly better than control group after Cervical Kyongrak Massage. Conclusion: These findings indicate that Cervical Kyongrak Massage may be an effective adjunct therapy for improving shoulder pain, shoulder exercise range and mood, and is considered as a independent and available nursing intervention for elderly.

• Physical Therapy Rehabilitation Science
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• v.11 no.4
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• pp.436-445
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• 2022

Objective: Deformation of soft tissues around the neck and scapularcan caused by forward head posture(FHP), which has an uncomfortable effect on biomechanical changes in the scapula as well as functional disorders of the shoulder. However, studies related to direct FHP, biomechanical changes in the scapulafunction, and shoulder pain and disorder have not yet been conducted. Therefore, purpose of this study is to effect of decresedthe FHP on the shoulder function of the sacpular biomechanical examine the change in the shoulder painand disorder. Design: A randomized controlled trial Methods: The participants were 32adults(23.03±3.90 years) recruited and redivided randomly into Forward head posture corrective exercise(FHPCE) vs Control. The FHPCE group was proceeded according to the over load principle through 2steps biofeedback exercise and corrective exercise(n=16). The control (n=16) was TENS did not operated and padding 20 minute. This study was conducted 3 times a week for 4a weeks. Results: FHPCE group is improve in the results of craneocervical angle(p<0.05, 95% CI: 0.352, 4.073). In Mechanical changes of scapula in the shoulder flexion more significant improvement in FHPCE than control group[Axis X(p<0.05), Y(p<0.01), Z(p<0.01)], and shoulder abductionmore significant improvement in FHPCE than control group[xis X(p<0.01)], as well FHPCE showed significant increased in the results in the shoulder pain(p<0.05, 95% CI: -13.244, -1.566) Conclusions: This study suggected that FHP affects the biomechanical changes of the shoulder, and a new method for shoulder pain intervention

• Journal of Acupuncture Research
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• v.23 no.4
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• pp.69-80
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• 2006

Objectives : The occurrence of shoulder pain after attack of stroke varies from 15% to about 80% in patients. Hemiplegic shoulder pain has been shown to affect stroke outcome in a negative way that it interferes with recovery after a stroke. These following processes have been all postulated as causes of a shoulder pain: glenohumeral subluxation, spasticity, impingement, soft tissue trauma, glenohumeral capsulitis, shoulder hand syndrome. And stroke patients may suffer from pain caused by stroke itself(central post-stroke pain). The aim of this study is to investigate the effectiveness of Bee venom therapy for shoulder pain in stroke patients. Methods : To evaluate the effectiveness of Bee Venom Acupuncture Therapy, 40 patients were allocated into control and treatment group. They were monitored for 3 weeks and followed up with VAS score(with the interval of Initial(YAS1)), 1 week later(VAS2), 2 weeks later(VAS3), 3 weeks later(VAS4), Motor Grade and Passive ROM. Results : VAS score decrease in treatment group compared to control group. Bee Venom Acupuncture Therapy seems to decrease hemiplegic shoulder pain and this effect was statistically significant after 3 weeks. Therefore this therapy could be recommended for the treatment of patients with shoulder pain after stroke and further extensive clinical studies are expected. Conclusion : We suggest that GDS oral administration and electro-acupuncture at $BL_{52}$ & $GB_{39}$ are available for prevention and curing about the postmenopausal osteoporosis.

• Journal of Acupuncture Research
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• v.27 no.3
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• pp.15-23
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• 2010

Objectives : The purpose of this study is to examine the effect of Juglandis Semen Herbal Acupuncture Therapy on Chronic Shoulder Pain. Methods : Clinical studies on shoulder pain were carried out on 34 patients who were treated at Department of Acupuncture & Moxibusition, Samse Oriental Hospital from June 1, 2009 to October 15, 2009. Subjects were divided into two groups: Experimental group(Group A, n=17) and Control group(Group B, n=17). Group A were treated by common acupuncture therapy, cupping therapy and Juglandis Semen Pharmacopuncture Therapy and Group B were treated by common acupuncture therapy & cupping therapy. All patients in both groups were treated three times a week over 3 weeks. For evaluating change of pain, we used Shoulder Pain and Disability Index(SPADI), Visual Analogue Scale(VAS), Degree of feeling inconvenient in everyday life and Degree of subjective symptoms of shoulder pain. Evaluations were made at baseline and after one week, two weeks and three weeks of treatment. Results : Both group showed chronic shoulder pain decrease after 3 weeks of treatment. But Group A showed better effect on decreasing SPADI, VAS, Degree of feeling inconvenient in everyday life and Degree of subjective symptoms of chronic shoulder pain than Group B. Conclusions : According to the above-mentioned results, it seems that Juglandis Semen Pharmacopuncture Therapy could be applied as the effective method for reducing shoulder pain.

• The Korean Journal of Pain
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• v.19 no.2
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• pp.296-298
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• 2006

Droopy shoulder syndrome (DSS) is a rare disease, characterized by drooping shoulders, which stretches the brachial plexus, and causes pain, but without any signs of neurological impairment. These patients suffer from pain in the neck, shoulders, arms and hands, which result in long, graceful, swan necks, low-set shoulders, and horizontal or down sloping clavicles. No abnormalities in the vascular, neurological or electrical findings have also been known. The T1 and/or T2 bodies can be seen in the lateral view in a radiological study of the cervical spine. In the majority of cases, conservative treatments, such as postural correction and shoulder girdle strengthening exercise, are commonly recommended. However, DSS may be misdiagnosed as severe thoracic outlet syndrome or herniated cervical disc disease, leading to unnecessary and hazardous invasive treatments. The presented case was consistent with DSS, and was treated with stellate ganglion block, trigger point injection, and shoulder girdle strengthening exercise.

• The Korean Journal of Pain
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• v.19 no.2
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• pp.197-201
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• 2006

Background: There are cases in which shoulder pain persists long after shoulder joint surgery and this pain can not be reduced by intravenous patient controlled analgesia (IVPCA). Our purpose was to evaluate the effect of stellate ganglion block (SGB) on postoperative shoulder pain and also to investigate the effect of preventive SBG on complex regional pain syndrome (CRPS). Methods: Forty patients, who were evaluated to ASA class 1 and 2 and who were scheduled for shoulder joint surgery under general anesthesia, were randomly divided into 2 groups. The experimental group of patients (n = 20) received SGB with 0.5% mepivacaine 8 ml after induction of general anesthesia. The control group of patients (n = 20) received only general anesthesia. Their postoperative pain was assessed using the visual analog scale (VAS) at 30 min, 1, 2, 6, 12, 24 and 48 hours postoperatively. Whenever patients wanted supplemental analgesia, diclofenac sodium 75 mg was injected intramuscularly and the need for supplemental analgesia was recorded. Results: The experimental group of patients had significantly lower pain scores at 30 min, 1, 2 and 6 hours and also significantly lower analgesic requirement at 1, 2 and 6 hours. Conclusions: We found SGB was effective for controlling postoperative pain after shoulder joint surgery. Also, we could expect that SGB reduced the incidence of CRPS.

• Korean Journal of Acupuncture
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• v.20 no.1
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• pp.71-90
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• 2003

The shoulder is the most flexible joint in human body, so many people suffer from the shoulder pain. In order to improve medical care about shoulder muscle disease, Myofascial Pain Syndrome(M.P.S) is compared with the oriental medical theory. The findings of this study are as follows; 1. Myofascial Pain Syndrome(M.P.S) is the sensory, motor, and autonomic symptoms caused by myofascial trigger points. For the objectivity of the oriental medical theory, practical application is necessary. 2. The meridian and meridian-muscle of the shoulder is su-sam-yang(手三陽), su-sam-um(手三陰). Meridian-muscle theory is similar to anatomical muscle and myofascia. 3. There is similarity in the trigger point and Ashi(阿是)-point, taut band and palpable tender-point(硬結), referred pain and Hangki(行氣). In this study, myofacial pain syndrome is similar to the oriental medical theory. If myofacial pain syndrome is applicated in treatment, the cure of shoulder pain and objectivity of the oriental medical theory is improved.

• Physical Therapy Korea
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• v.24 no.1
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• pp.19-29
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• 2017

Background: Patients after rotator cuff (RC) surgery experienced pain, weakness and limited of motion of the shoulder. Physical therapists have used heat therapy, electrotherapy, range of motion (ROM) exercise and other methods to treat patients after RC surgery. In addition, functional taping is also used to support joint movement and to increase shoulder joint stability. Objects: The purpose of this study was to determine the initial effects of functional taping using non-elastic tape on pain, strength and ROM of the shoulder following RC surgery. Methods: Forty-eight patients with who underwent RC surgery volunteered for this study. The subjects were randomly divided into an experimental group (EG, $n_1=25$) and a control group (CG, $n_2=23$). First, non-allergic tape was applied to the shoulder to prevent skin irritation. The EG applied functional taping using non-elastic tape and the CG applied sham taping using elastic tape. Assessment tools included the shoulder pain and disability index for functional activity score, visual analog scale for level of pain, shoulder muscle strength, hand grip strength and ROM testing. Results: Pain score in the both group significantly decreased (p<.05), and change in pain score of in the EG increased significantly than in the CG (p<.05). Shoulder strength and ROM in the both group significantly increased (p<.05). Especially external rotation and extension of the shoulder ROM in the EG increased significantly more than in the CG (p<.05), but the rate of change in the two groups showed no significant difference. Conclusion: These results suggest that functional taping using non-elastic tape was initially effective in decreasing pain score level in patients with RC surgery.

• Journal of Haehwa Medicine
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• v.16 no.2
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• pp.211-216
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• 2007

Objective : This study is designed to find out the effects of indirect moxibustion at Geogol (LI16) on the shoulder pain. Methods : The patients were hospitalized Donghwa oriental medical clinic from 19th Sep. 2006 to 4th Oct. 2006, and treated with indirect moxibution at Geogol (LI16) on the shoulder pain. Results : 1. The effects of treatment by duration was follow : Below 1 month duration was improved highly. 2. The effects of treatment by condition of patients was follow : After treatment, the percentage of above "Good" level was 81%. 3. The effects of treatment by pain region of Meridian part. was follow : pain region of LI(手陽明大腸經) Meridian part was improved highly. Conclusion : According to the results, indirect moxibustion at Geogol (LI16) may be good effects on the shoulder pain.

• The Korean Journal of Rehabilitation Nursing
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• v.7 no.2
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• pp.231-237
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• 2004

Purpose: The purpose of this study is to find out the effects of the aroma massage on shoulder pain, depression, and sleep disturbance in hemiparesis patients. Method: The research design was a nonequivalent control group nonsynchronized design. The data was collected from July 1 to August 31, 2003 at D medical Center in Busan. The subjects were 37 patients that they were assigned to two groups, nineteen subjects in the experimental group and seventeen subjects in the control group. The oil made from a blend of lavendar, clarysage, bergamot at a ratio 3:1:2 used for relieving shoulder pain, depression, sleep disturbance. The instruments used for this study were Visual Analogue Scale(VAS) for shoulder pain, Zung' depression scale, 4 score's scale for sleep disturbance. The data were analyzed using SPSS and hypotheses were examined with ANCOVA. Results: Shoulder pain, depression, and sleep disturbance were significantly lower in the experimental group compared than the control group. Conclusion: The aroma massage using selected essential oils is an effective intervention for relieving shoulder pain, depression, sleep disturbance in hemiparesis patients. However differences between aroma massage and massage were not clear, further study needs to be done.