The Shoulder Gradient in Patients with Unilateral Shoulder Impingement Syndrome

김희상,Dae Gyu Hwang,Jong Ha Lee,윤동환,Jee-Sang Yun,Yong Won Shin,Jinmann Chon 대한재활의학회 2011 Annals of Rehabilitation Medicine Vol.35 No.5

Objective To investigate the relationship between the shoulder gradient and acromiohumeral interval of both shoulders in patients with unilateral shoulder impingement syndrome. Method Using the angulometer, we measured the shoulder gradient in patients with unilateral shoulder impingement syndrome in a standing position. Using the radiography, we measured the acromiohumeral interval and the angle between a vertical line and a line connecting a superior angle with an inferior angle of the scapula. Results In patients with unilateral shoulder impingement syndrome, the frequency of shoulder impingement syndrome was 76.2% (16 of 21) on the side of the relatively lower shoulder. The mean acromiohumeral interval on the side of the lower shoulder was 10.03±1.28 mm, compared with 10.46±1.50 mm for the higher shoulder. Th e angle between a vertical line and a line connecting a superior angle with an inferior angle of the scapular of the side of the lower shoulder was -0.31±3.73 degrees, compared with 3.85±4.42 degrees for the higher shoulder. Conclusion The frequency of shoulder impingement syndrome was significantly higher on the side of the relatively lower shoulder, and there is no signifi cant diff erence in the acromiohumeral interval between the side of the lower shoulder and that of the higher shoulder. In patients with unilateral shoulder impingement syndrome,the scapular on the side of lower shoulder was more rotated downward than on the side of the higher shoulder.

충돌증후군에서 견봉하 공간에 Lidocaine주사 전후 회전근 개 근력의 변화

박진영,이우승,이성태,김택선 대한스포츠의학회 2007 대한스포츠의학회지 Vol.25 No.1

-The purpose of this study is to evaluate the strength of the shoulder before and after the impingement test using lidocaine injection in impingement syndrome. Between January 2002 and February 2005, 153 cases of the impingement syndrome were included in this study. We checked the muscle strength of supraspinatus, internal rotator and external rotator of the shoulder before and after the impingement test. We divided the group into 2 subgroups according to the average percentage decrease in pain to evaluate the correlation between pain and muscle weakness. And we devided the group into 2 groups according to the average age, sex, and stiffness respectively. Pain after the impingement test compared with that before the test decreased 67.1%. Pain in impingement syndrome without stiffness compared with that with stiffness was significantly lower after the test. The results showed no statistically significant difference in the strength of the shoulder except for increased supraspinatus strength in impingement syndrome with stiffness after the test. In case which the continuity of the rotator cuff is maintained, pain is not an important factor in the causes of shoulder weakness in this study. But in same case, particularly with shoulder stiffness, the supraspinatus strength can be decreased.

발목 관절의 전방 충돌 증후군

성기선,Sung, Ki-Sun 대한족부족관절학회 2011 대한족부족관절학회지 Vol.15 No.4

Impingement syndrome of the ankle is defined as painful mechanical limitation of full ankle movement secondary to osseous and/or soft tissue abnormality. These conditions occur more commonly in active people and athletes probably because recurrent subclinical injury is an important factor in development of the syndrome. Impingement syndromes of the ankle are categorized according to their anatomical site around the ankle joint. Anterolateral, anterior and posterior impingement has been extensively described in the orthopaedic literature. The purpose of this article is to review the clinical feature and management of anterior impingement syndrome of the ankle.

추나와 온침치료로 호전된 견관절 충돌 증후군 환자 3례에 대한 임상보고

문태웅,엄태웅,정영훈,Moon, Tae-Woong,Eom, Tae-Woong,Chung, Young-Hoon 척추신경추나의학회 2009 척추신경추나의학회지 Vol.4 No.1

Objectives: The objective of this study is to report the effectiveness of Chuna treatment and burning acupuncture therapy on shoulder impingement syndrome. Methods: Among the patients with shoulder pain, We selected 3 patients diagnosed as shoulder impingement syndrome by physical examination and magnetic resonance imaging(MRI). After Chuna treatment and burning acupuncture therapy, we evaluated the effectiveness by measuring range of movement(ROM) and checking The Shoulder Pain And Disability Index(SPADI) every three times the patients called at the clinic for three weeks. Results: The symptoms of the patients got improved relatively in short period considering shoulder impingement syndrome belongs to chronic diseases and steps chronical procedure in recovering. Conclusions: These cases showed Chuna treatment and burning acupuncture therapy could be applied on shoulder impingement syndrome and were effective for improving the symptoms. We suggest that further studies and clinical trials will be needed afterwards.

Glenohumeral versus subacromial steroid injections for impingement syndrome with mild stiffness: a randomized controlled trial

김용태,Tae-Yeong Kim,Jun-Beom Lee,황정택 대한견주관절학회 2023 대한견주관절의학회지 Vol.26 No.4

Background: The subacromial (SA) space is a commonly used injection site for treatment of impingement syndrome. For shoulder stiffness, glenohumeral (GH) injections are commonly performed. However, in cases of impingement syndrome with mild shoulder stiffness, the optimal site of steroid injection has yet to be identified. Methods: This prospective, randomized study compared the short-term outcomes of ultrasound-guided GH and SA steroid injections in patients who were diagnosed with impingement syndrome and mild stiffness. Each group comprised 24 patients who received either a GH or SA injection of 40 mg of triamcinolone. Range of motion and clinical scores were assessed before and 3, 7, and 13 weeks after the injection. Results: GH and SA injections significantly improved the range of motion and clinical scores after 13 weeks of follow-up. Notably, targeting the GH joint resulted in an earlier gain of forward elevation, external rotation, and internal rotation in 3 weeks (P<0.001, P=0.012, and P=0.002, respectively) and of internal rotation and a Constant-Murley score in 7 weeks (P<0.001 and P=0.046). Subsequent measurements were similar between the groups and showed a steady improvement in all ranges of motion and clinical scores. Conclusions: GH injections may be more favorable than SA injections for treatment of impingement syndrome with mild stiffness, especially in improving the range of motion in the early period. However, the procedures showed similar outcomes after 3 months. Level of evidence: I.

Ischiofemoral Impingement Syndrome

이소영,김인환,이성문,이지은 대한재활의학회 2013 Annals of Rehabilitation Medicine Vol.37 No.1

Ischiofemoral impingement syndrome is known as one of the causes of hip pain due to impingement of ischium and femur, and usually correlated with trauma or operation. We report a rare case of ischiofemoral impingement syndrome that has no history of trauma or surgery. A 48-year-old female patient was referred for 2 months history of the left hip pain, radiating to lower extremity with a hip snapping sensation. She had no history of trauma or surgery at or around the hip joint and femur. The magnetic resonance imaging (MRI) of the lumbar spine showed no abnormality, except diffuse bulging disc without cord compression at the lumbosacral area. Electrophysiologic study was normal, and there were no neurologic abnormalities compatible with the lumbosacral radiculopathy or spinal stenosis. Hip MRI revealed quadratus femoris muscle edema with concurrent narrowing of the ischiofemoral space. The distance of ischiofemoral space and quadratus femoris space were narrow. It was compatible with ischiofemoral impingement syndrome. After treatment with nonsteroidal anti-inflammatory drugs, physical therapy, and exercise program, the patient’s pain was relieved and the snapping was improved. To our knowledge, this is the first reported case of a nontraumatic, noniatrogenic ischiofemoral impingement syndrome, and also the first case to be treated by a nonsurgical method in the Republic of Korea.

Effects of Manual Therapy with Kinesiotaping on Pain, Disability, Range of Motion in Subacromial Impingement Syndrome

최정현 국제물리치료연구학회 2024 Journal of International Academy of Physical Ther Vol.15 No.2

Background: Various intervention methods are being used to treat subacromial impingement syndrome. However, there is a lack of research on intervention using manual therapy and kinesiotaping together. Objectives: To investigated the effect of subacromial impingement syndrome on the mobilization with kinesiotaping. Design: A quasi-experimental clinical trial. Methods: An experiment was conducted by allocated twenty-nine patients with shoulder impingement syndrome to the mobilization with kinesiotaping group (MKG, n=15) and the kinesiotaping group (KG, n=14). The intervention of MKG and KG was conducted 3 times a week for 6 weeks. The outcome was The Shoulder Pain and Disability Index (SPADI) and range of motion (ROM). The collected data was analyzed using the SPSS ver. 21.0 program by paired t-test and independent t-test. Results: After the intervention, MKG had significant improvements in SPADI pain, SPADI disability, external rotation and internal rotation in MKG. However In KG, there was no significant decrease in SPADI pain, SPADI disability, external rotation and internal rotation. And in MKG, there was a statistically significant decrease in SPADI pain, SPADI disability and increase in external rotation and internal rotation. Conclusion: The mobilization with kinesiotaping was effective in improving pain, disability, and ROM in patients with subacromial impingement syndrome.

Effect of Motor Control Training with Strengthening Exercises on Pain and Muscle Strength of Patients with Shoulder Impingement Syndrome

( Youn-hee Bae ),( Gyu-chang Lee ) 대한물리치료학회 2011 대한물리치료학회지 Vol.23 No.6

Purpose: The purpose of this study was to investigate the effect of movement training based on motor control theory on pain and average power of muscles in patients with shoulder impingement syndrome and to develop more effective training methods. Methods: We studied 35 patients with shoulder impingement syndrome. Patients were randomly assigned to an experimental group or a control group according to the intervention. The therapeutic modalities such as superficial heat, deep heat, and electronic stimulus, and motor control training with strengthening exercises were applied to the experimental group and therapeutic modalities only were applied to the control group. All interventions were done 3 times a week for 4 weeks. Before the intervention and again after the 4 weeks, we measured pain utilizing a visual analog scale. We measured average power using isokinetic equipment. Results: After application of the intervention, pain significantly decreased in both the experimental group and the control group. There was a significant difference between the extent of the decrease between experimental and control groups. After the intervention, the average power between the two groups were significant at an angle of 60°/sec and 180°/sec for external rotator and internal rotator muscles. They also showed significant improvement in all variables post-intervention compared to pre-intervention. Conclusion: This study indicates that there is an effect in giving appropriate motor control training to patients with shoulder impingement syndrome. It is assumed that there will be a need for more surveys on various variables for motor control training from now on.

어깨충돌증후군에 관한 관절가동기법과 재활운동의 효과

최영준 ( Young Jun Choi ) 한국리듬운동학회 2015 한국리듬운동학회지 Vol.8 No.1

The purpose of this study is to testify the effectiveness of the joint mobilization and rehabilitation exercise on shoulder impingement syndrome. We have studied about shoulder complex structure and movement mechanism, shoulder impingement syndrome definition, joint mobilization and rehabilitation exercise effects of shoulder impingement syndrome. The outcome of this study tell us for the treatment of shoulder impingement syndrome choice of joint mobilization appropriate to proceed and the movement mechanism based on the shoulder moves rehabilitation exercise program was effective to intervention. furthermore, through strengthening exercise habits for good posture and balance preventive medical approach is deemed necessary and should concern developing preventive medical exercise program for preventing impingement syndrome.

금출도담탕(芩朮導痰湯)을 투여한 어깨 충돌증후군 환자 치험 3례

정윤규,김민영,김진수,최영일,최희승,조태영,Jung, Yoon-Gyoo,Kim, Min-Young,Kim, Jin-Soo,Choi, Young-Il,Choi, Hee-Seung,Cho, Tae-Young 척추신경추나의학회 2012 척추신경추나의학회지 Vol.7 No.1

금출도담탕(芩朮導痰湯)을 처방하여 어깨 충돌증후군으로 인한 극심한 통증 및 가동범위의 제한이 호전된 3례를 통하여 금출도담탕(芩朮導痰湯)이 어깨 충돌증후군에 대해 환자의 자각적인 증세 및 NRS, 견관절 이학적 검사상 유효한 효과가 있었음을 확인하였다. 이에 저자는 어깨충돌증후군으로 입원하여 금출도담탕(芩朮導痰湯)을 복용한 후 호전된 3케이스를 보고하는 바이다. Objectives: The Purpose of this study is to investigate the clinical application of Geumchuldodam-tang(Q$\acute{i}$nzhud$\check{a}$ot$\acute{a}$n-tang) to three patients with shoulder impingement syndrome. Methods: Patients were hospitalized at Dept. of Oriental Rehabilitation Medicine, Bu-Chun Jaseng Oriental Medicine Hospital, diagnosed as shoulder impingement syndrome and treated mainly with herbal medicine, Geumchuldodam-tang(Q$\acute{i}$nzhud$\check{a}$ot$\acute{a}$n-tang). This study was measured by Numeric Rating Scale(NRS) score. Results: After taking Geumchuldodam-tang(Q$\acute{i}$nzhud$\check{a}$ot$\acute{a}$n-tang), pain of the patients was controlled. NRS scores were decreased. Conclusions: As seen in these three cases of shoulder impingement syndrome, Geumchuldodam-tang(Q$\acute{i}$nzhud$\check{a}$ot$\acute{a}$n-tang) has a positive effect to control pain with shoulder impingement syndrome.