Annals of Rehabilitation Medicine

"Myung Woo Park"

Clinical Practice Guideline

Clinical Practice Guidelines for Diagnosis and Non-Surgical Treatment of Primary Frozen Shoulder: Byung Chan Lee, Beom Suk Kim, Byeong-Ju Lee, Chang-Won Moon, Chul-Hyun Park, Dong Hwan Kim, Dong Hwan Yun, Donghwi Park, Doo Young Kim, Du Hwan Kim, Gi-Wook Kim, Hyun Jung Kim, Il-Young Jung, In Jong Kim, Jae Hyeon Park, Jae-Hyun Lee, Jaeki Ahn, Jae-Young Lim, Jin A Yoon, Jong Hwa Lee, Jong-Moon Hwang, Keewon Kim, Kyeong Eun Uhm, Kyoung Hyo Choi, Kyung Eun Nam, Kyunghoon Min, Min Cheol Chang, Myung Woo Park, Nackhwan Kim, Hyeng-Kyu Park, Seong Hun Kim, Seoyon Yang, Sun Jae Won, Sung Gyu Moon, Sung Joon Chung, Sungju Jee, Woo Hyung Lee, Yong Bok Park, Yoonju Na, Yu Hui Won, Yu Jin Im, Yu Sung Yoon, Yun Jung Lee, Yunsoo Soh, Jae-Young Han; Ann Rehabil Med 2025;49(3):113-138. Published online June 30, 2025; DOI: https://doi.org/10.5535/arm.250057

Objective
Primary frozen shoulder causes significant pain and progressively restricts shoulder movements. Diagnosis is primarily clinically based on patient history and physical examination. Management is mainly non-invasive owing to its self-limiting clinical course. However, clinical practice guidelines for frozen shoulder have not yet been developed in Korea. The developed guidelines aim to provide evidence-based recommendations for the diagnosis and treatment of frozen shoulder.
Methods
A guideline development committee reviewed the literature from four databases (PubMed, Embase, Cochrane Library, and KMbase). Using the PICO (Population, Intervention, Comparator, and Outcome) framework, the committee formulated two backgrounds and 16 key questions to address common clinical concerns. Recommendations were made using the Grading of Recommendations, Assessment, Development, and Evaluation framework.
Results
Diabetes, thyroid disease, and dyslipidemia significantly increase the risk of developing a frozen shoulder. Although frozen shoulder is often self-limiting, some patients may experience long-term disabilities. Ultrasound and magnetic resonance imaging should be used as adjunctive tools alongside clinical diagnosis, and not as independent diagnostic methods. Noninvasive approaches, such as medications, physical modalities, exercises, electrical stimulation, and manual therapy, may reduce pain and improve shoulder function. Other noninvasive interventions have limited evidence, and their application should be based on clinical judgment. Intra-articular steroid injections are recommended for treatment, and physiotherapy or hydrodilatation with steroid injections can also be beneficial.
Conclusion
These guidelines provide evidence-based recommendations for diagnosing and treating primary frozen shoulder.

Citations

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Comparison of efficacy of intra-articular injection of platelet-rich plasma with bupivacaine and steroid combination in chronic shoulder pain
Naveen Malhotra, Neha Sinha, Amit Kumar, Ritu, Disha Gupta, Naman Malhotra
Journal of Anaesthesiology Clinical Pharmacology.2026; 42(1): 120. CrossRef

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Original Article

Geriatric Rehabilitation

Association of Diaphragm Thickness and Respiratory Muscle Strength With Indices of Sarcopenia: Yookyung Lee, Sunhan Son, Don-Kyu Kim, Myung Woo Park; Ann Rehabil Med 2023;47(4):307-314. Published online August 28, 2023; DOI: https://doi.org/10.5535/arm.23081

Objective
To evaluate the relationship between respiratory muscle strength, diaphragm thickness (DT), and indices of sarcopenia.
Methods
This study included 45 healthy elderly volunteers (21 male and 24 female) aged 65 years or older. Sarcopenia indices, including hand grip strength (HGS) and body mass index-adjusted appendicular skeletal muscle (ASM/BMI), were measured using a hand grip dynamometer and bioimpedance analysis, respectively. Calf circumference (CC) and gait speed were also measured. Maximal inspiratory pressure (MIP) and maximal expiratory pressure (MEP) were obtained using a spirometer, as a measure of respiratory muscle strength. DT was evaluated through ultrasonography. The association between indices of sarcopenia, respiratory muscle strength, and DT was evaluated using Spearman’s rank correlation test, and univariate and multiple regression analysis.
Results
ASM/BMI (r=0.609, p<0.01), CC (r=0.499, p<0.01), HGS (r=0.759, p<0.01), and gait speed (r=0.319, p<0.05) were significantly correlated with DT. In the univariate linear regression analysis, MIP was significantly associated with age (p=0.003), DT (p<0.001), HGS (p=0.002), CC (p=0.013), and gait speed (p=0.026). MEP was significantly associated with sex (p=0.001), BMI (p=0.033), ASM/BMI (p=0.003), DT (p<0.001), HGS (p<0.001), CC (p=0.001) and gait speed (p=0.004). In the multiple linear regression analysis, age (p=0.001), DT (p<0.001), and ASM/BMI (p=0.008) showed significant association with MIP. DT (p<0.001) and gait speed (p=0.050) were associated with MEP.
Conclusion
Our findings suggest that respiratory muscle strength is associated with DT and indices of sarcopenia. Further prospective studies with larger sample sizes are needed to confirm these findings.

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International Journal of Chronic Obstructive Pulmonary Disease.2025; Volume 20: 1. CrossRef
Relationship Between Diaphragm Function and Sarcopenia Assessed by Ultrasound: A Cross-Sectional Study
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Corrigendum

Correction: Barriers to Outpatient Hospital-Based Cardiac Rehabilitation in Korean Patients With Acute Coronary Syndrome: Hyo Won Im, Sora Baek, Sungju Jee, Jung-Min Ahn, Myung Woo Park, Won-Seok Kim; Ann Rehabil Med 2019;43(1):119-119. Published online February 28, 2019; DOI: https://doi.org/10.5535/arm.2019.43.1.119; Corrects: Ann Rehabil Med 2018;42(1):154

Citations

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Experience of Cardiac Rehabilitation in Patients with Coronary Artery Disease: a Qualitative Study
Seok-Hee Lee, Go-Eun Kim, Jeehee Pyo, Minsu Ock
Quality Improvement in Health Care.2022; 28(2): 14. CrossRef

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Original Articles

Needs for Medical and Rehabilitation Services in Adults With Cerebral Palsy in Korea: Myung Woo Park, Won Sep Kim, Moon Suk Bang, Jae Young Lim, Hyung-Ik Shin, Ja-Ho Leigh, Keewon Kim, Bum Sun Kwon,, Soong-Nang Jang, Se Hee Jung; Ann Rehabil Med 2018;42(3):465-472. Published online June 27, 2018; DOI: https://doi.org/10.5535/arm.2018.42.3.465

Abstract
PDF

Objective
To investigate medical comorbidities and needs for medical and rehabilitation services of adults with cerebral palsy (CP) in Korea.
Methods
This was a prospective cross-sectional study. One hundred fifty-four adults with CP were enrolled in the study between February 2014 and December 2014. Information was obtained from participants regarding functional status, demographic and socioeconomic data, medical problems, and requirements for and utilization of medical and rehabilitation services.
Results
The participants included 93 males and 61 females with a mean age of 40.18±9.15 years. The medical check-up rate of adults with CP was lower than that of healthy adults and the total population with disabilities (53.2% vs. 58.6% vs. 70.4%). A quarter of the subjects failed to visit the hospital during the past year, and the main reason was the financial burden. Due to a cost burden and lack of knowledge, more than one-third of the subjects had unmet needs for rehabilitation services; the majority reported needs for rehabilitation services, such as physical therapy for pain management.
Conclusion
The medical check-up rate was lower in the adults with CP, even though their medical comorbidities were not less than those of healthy people. Several non-medical reasons hindered them from receiving proper medical and rehabilitation services. Such barriers should be managed effectively.

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Barriers to Outpatient Hospital-Based Cardiac Rehabilitation in Korean Patients With Acute Coronary Syndrome: Hyo Won Im, Sora Baek, Sungju Jee, Jung-Min Ahn, Myung Woo Park, Won-Seok Kim; Ann Rehabil Med 2018;42(1):154-165. Published online February 28, 2018; DOI: https://doi.org/10.5535/arm.2018.42.1.154; Correction in: Ann Rehabil Med 2019;43(1):119

Abstract
PDF

Objective

To investigate factors associated with enrollment and participation in cardiac rehabilitation (CR) in Korea.

Methods

Patients admitted to four university hospitals with acute coronary syndrome between June 2014 and May 2016 were enrolled. The Cardiac Rehabilitation Barriers Scale (CRBS) made of 21-item questionnaire and divided in four subdomains was administered during admission. CRBS items used a 5-point Likert scale and ≥2.5 was considered as a barrier. Differences between CR non-attender and CR attender, or CR non-enroller and CR enroller in subscale and each items of CRBS were examined using the chi-square test.

Results

The CR participation rate in four hospitals was 31% (170 of the 552). Logistical factors (odds ratio [OR]=7.61; 95% confidence interval [CI], 4.62–12.55) and comorbidities/functional status (OR=6.60; 95% CI, 3.95–11.01) were identified as a barrier to CR enrollment in the subdomain analysis. Among patients who were enrolled (agreed to participate in CR during admission), only work/time conflict was a significant barrier to CR participation (OR=2.17; 95% CI, 1.29–3.66).

Conclusion

Diverse barriers to CR participation were identified in patients with acute coronary syndrome. Providing the tailored model for CR according to the individual patient's barrier could improve the CR utilization. Further multicenter study with large sample size including other CR indication is required.

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Current Status of Cardiac Rehabilitation in the Regional Cardiocerebrovascular Centers in Korea
Chul Kim, Jidong Sung, Jae-Young Han, Sungju Jee, Jang Woo Lee, Jong Hwa Lee, Won-Seok Kim, Heui Je Bang, Sora Baek, Kyung-Lim Joa, Ae Ryoung Kim, So Young Lee, Jihee Kim, Chung Reen Kim, Oh Pum Kwon
Journal of Clinical Medicine.2021; 10(21): 5079. CrossRef
Translation and validation of the cardiac rehabilitation barriers scale in the Czech Republic (CRBS-CZE)
Petr Winnige, Ladislav Batalik, Katerina Filakova, Jakub Hnatiak, Filip Dosbaba, Sherry L. Grace
Medicine.2020; 99(11): e19546. CrossRef
Association between morbidity of non-communicable disease and employment status: a comparison between Korea and the United States
Sung Hee Kwon, Jun-Pyo Myong, Hyoung-Ah Kim, Kyeong Yeon Kim
BMC Public Health.2020;[Epub] CrossRef
Underutilization of Hospital-based Cardiac Rehabilitation after Acute Myocardial Infarction in Korea
Sun-Hyung Kim, Jun-soo Ro, Yoon Kim, Ja-Ho Leigh, Won-Seok Kim
Journal of Korean Medical Science.2020;[Epub] CrossRef
Regional Variability in the Access to Cardiac Rehabilitation in Poland
Maciej Jankowiak, Justyna Rój
Healthcare.2020; 8(4): 468. CrossRef
Community-Based Cardiac Rehabilitation Conducted in a Public Health Center in South Korea: A Preliminary Study
Sora Baek, Yuncheol Ha, Jaemin Mok, Hee-won Park, Hyo-Rim Son, Mi-Suk Jin
Annals of Rehabilitation Medicine.2020; 44(6): 481. CrossRef
Cardiac rehabilitation and 5-year mortality after acute myocardial infarction. Report from 11 tertiary hospitals in Korea (ETHIK Study)
Chul KIM, Insun CHOI, Songhee CHO, Jae-Young HAN, Ae-Ryoung KIM, Won-Seok KIM, Sungju JEE, Jong H. LEE, Min C. JOO, Heui J. BANG, Kyung-Lim JOA, Eun Y. HAN, Sora BAEK, Jung-Im SHIM, Jin A. CHOI
European Journal of Physical and Rehabilitation Medicine.2020;[Epub] CrossRef
Possibility of Cardio-renal Protection by Long-term Cardiac Rehabilitation in Elderly Patients with Cardiovascular Diseases
Ken Kitajima, Kanta Fujimi, Takuro Matsuda, Masaomi Fujita, Kouji Kaino, Reiko Teshima, Yuki Ujifuku, Tomoe Horita, Maaya Sakamoto, Tadaaki Arimura, Yuhei Shiga, Etsuji Shiota, Shin-ichiro Miura
Internal Medicine.2019; 58(15): 2133. CrossRef
Clinical Practice Guideline for Cardiac Rehabilitation in Korea
Chul Kim, Jidong Sung, Jong Hwa Lee, Won-Seok Kim, Goo Joo Lee, Sungju Jee, Il-Young Jung, Ueon Woo Rah, Byung Ok Kim, Kyoung Hyo Choi, Bum Sun Kwon, Seung Don Yoo, Heui Je Bang, Hyung-Ik Shin, Yong Wook Kim, Heeyoune Jung, Eung Ju Kim, Jung Hwan Lee, In
Annals of Rehabilitation Medicine.2019; 43(3): 355. CrossRef
Clinical Practice Guideline for Cardiac Rehabilitation in Korea
Chul Kim, Jidong Sung, Jong Hwa Lee, Won-Seok Kim, Goo Joo Lee, Sungju Jee, Il-Young Jung, Ueon Woo Rah, Byung Ok Kim, Kyoung Hyo Choi, Bum Sun Kwon, Seung Don Yoo, Heui Je Bang, Hyung-Ik Shin, Yong Wook Kim, Heeyoune Jung, Eung Ju Kim, Jung Hwan Lee, In
The Korean Journal of Thoracic and Cardiovascular Surgery.2019; 52(4): 248. CrossRef
Clinical Practice Guideline for Cardiac Rehabilitation in Korea: Recommendations for Cardiac Rehabilitation and Secondary Prevention after Acute Coronary Syndrome
Chul Kim, Jidong Sung, Jong Hwa Lee, Won-Seok Kim, Goo Joo Lee, Sungju Jee, Il-Young Jung, Ueon Woo Rah, Byung Ok Kim, Kyoung Hyo Choi, Bum Sun Kwon, Seung Don Yoo, Heui Je Bang, Hyung-Ik Shin, Yong Wook Kim, Heeyoune Jung, Eung Ju Kim, Jung Hwan Lee, In
Korean Circulation Journal.2019; 49(11): 1066. CrossRef
Treatment models of cardiac rehabilitation in patients with coronary heart disease and related factors affecting patient compliance
Yun Tian, Pingji Deng, Bing Li, Jieqiong Wang, Ju Li, Yulan Huang, Yan Zheng
Reviews in Cardiovascular Medicine.2019;[Epub] CrossRef
Health Promoting Life Style after Coronary Stenting: Underuse of Proven Therapy
Jung-Min Ahn
Korean Circulation Journal.2018; 48(6): 516. CrossRef