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The Difference of Grip Strength, Upper Limb Dexterity, and Hand Function according to Light Touch and Thermal Sensory Stimulus

촉각과 온각 자극에 따른 악력, 상지 기민성, 그리고 손 기능의 차이

  • Rhee, Hyeon-Sook (Dept. of Occupational Therapy, Shinsung University) ;
  • Kim, Sung-Joong (Dept. of Physical Therapy, Kangwon National University) ;
  • Yu, Jae-Ho (Dept. of Physical Therapy, Sahmyook University)
  • 이현숙 (신성대학 작업치료학과) ;
  • 김성중 (강원대학교 물리치료학과) ;
  • 유재호 (삼육대학교 물리치료학과)
  • Received : 2011.05.03
  • Accepted : 2011.06.09
  • Published : 2011.06.30

Abstract

The purpose of this study was to investigate difference between grip strength, upper limb dexterity, and hand function according to touch and heat sensory stimulus. Forty healthy men were recruited. After obtaining subjects characteristics, examined grip strength, upper limb dexterity, and hand function, then we made touch sensory input using soft brush and tried the test again. Next day, we made thermal input using hot pack and did retest, too. The result showed significant differences appeared on every variable in grip strength and upper limb dexterity test (p<.001), and significant differences appeared on every variable except lifting small objects in hand function (p<.01). In conclusion, sensory input is to increase grip strength, upper limb dexterity, and hand function. The thermal sensory input has a tendency to increase grip strength, upper limb dexterity, and hand function than that of touch sensory input in effect of stimulus classification. The application of proper stimulus helps to facilitate upper limb and hand function in rehabilitation and in industrial field. So it is necessary to try more tests of frequency and intensity of stimulus.

본 연구의 목적은 촉각과 온각 자극에 따른 악력, 상지 기민성, 그리고 손 기능 변화의 차이 를 비교 분석하여 움직임에 가장 영향력 있는 자극의 종류를 규명하는 것이었다. 건강한 성인 남성 40명을 대상으로 하였고 신체적 특성을 파악한 뒤 악력과 상지 기민성 및 손 기능을 측정하였다. 이 후 부드러운 솔을 이용하여 촉각 입력을 발현한 뒤 재측정 하였으며 다음날 핫팩을 이용하여 온각 자극 발현 뒤 재측정하였다. 연구 결과 악력과 상지 기민성 검사의 모든 변인에서 통계적으로 유의한 차이가 나타났고(p<.001), Lifting small objects를 제외한 모든 손 기능 변인에서 통계적으로 유의한 차이가 나타났다(p<.01). 결론적으로 자극의 입력은 악력, 기민성, 그리고 손 기능을 증가시킨다. 또한 자극의 종류에 따른 영향에서 온각 자극 입력은 촉각 자극 입력보다 악력, 기민성, 그리고 손 기능을 더욱 증가시킨다. 따라서 재활치료 및 산업 현장에서 상지와 손의 기능 촉진을 위해서는 적절한 자극의 적용이 도움이 될 것이며 앞으로 자극의 빈도와 강도에 대한 연구가 더욱 필요할 것으로 생각된다.

Keywords

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