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국회도서관 홈으로 정보검색 소장정보 검색

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Background Musculoskeletal pain involving the neck, shoulder, and low back is highly prevalent and is increasingly recognized as closely related to abnormal postural alignment. In particular, shoulder pain can arise from abnormal scapular positioning accompanied by muscular imbalance and tension. In Korea, few studies have examined whether radiographic shoulder alignment parameters can predict shoulder pain or guide clinical interventions. This study addresses this gap by exploring the association between shoulder pain and radiographic shoulder alignment parameters.

Objectives To determine the impact of radiographic shoulder alignment parameters on the occurrence of shoulder pain and to assess whether shoulder malalignment serves as a risk factor, thereby informing early diagnosis and individualized treatment strategies.

Methods In this retrospective study, we included 112 individuals who visited a Korean medicine hospital between January 2023 and December 2024 and underwent X-ray imaging. Shoulder-related alignment parameters were measured in a shoulder-pain group and in pain-free controls. The independent variables were radiographic shoulder alignment parameters, and the dependent variable was the presence of shoulder pain. Binary logistic regression was used for statistical analysis.

Results The logistic regression analysis revealed that a decreased coracoclavicular (CC) distance [odds ratio (OR) = 0.60, p = 0.002], an increased scapulohumeral angle (OR = 1.13, p = 0.027), and an increased clavicle tilt angle (OR = 1.14, p = 0.036) were significantly associated with a higher risk of shoulder pain.

Conclusions Specific radiographic alignment parameters, such as CC distance, scapulohumeral angle, and clavicle tilt angle, can serve as useful predictors for shoulder pain. These findings provide a practical reference for identifying at-risk individuals using standard radiographs for identifying at-risk individuals using standard radiographs, thereby supporting early diagnosis and the development of preventive strategies.

권호기사

권호기사 목록 테이블로 기사명, 저자명, 페이지, 원문, 기사목차 순으로 되어있습니다.
기사명 저자명 페이지 원문 목차
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중장년층 경부 및 어깨 통증 환자에서 목뼈 정렬과 견관절 형태의 통합 방사선학적 분석 = Integrated radiographic parameters of cervical alignment and shoulder morphology in middle-aged patients with neck pain, shoulder pain, and combined neck-shoulder pain 정원정, 조원녕, 성진욱, 전지형, 황의재 p. 7-15
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