• Journal of Digital Convergence
• /
• v.13 no.7
• /
• pp.445-452
• /
• 2015

This study examined the effects of task-oriented occupational therapy without action observation training and action observation on hemiplegic patients' upper extremity functions and activities of daily living. The stroke patients were randomly and equally assigned to an experimental group (action observation) and a control group (task-oriented occupational therapy). They received the intervention five times per week, 30 minutes per each time, for five weeks. In order to look at upper extremity functions of the paretic side before and after the intervention, Jebsen-Taylor Hand Function Test (JTHFT) and Box and Bock Test (BBT) were conducted and in order to compare activities of daily living, Korean-Version of Modified Barthel index (K-MBI) was examined. According to the results, upper extremity functions and activities of daily living in both groups increased and there was no difference between the two groups. Therefore, action observation and task-oriented occupational therapy had positive effects on stroke patients' upper extremity functions and activities of daily living.

• The Journal of the Korea institute of electronic communication sciences
• /
• v.9 no.1
• /
• pp.123-130
• /
• 2014

The aim of this study was to determine the effect of action observational physical training on upper extremity function and activities of daily living in stroke patient. 19 hemiparetic patients participated in this study and were randomly selected into an experimental group and a control group. An experimental group observed performance actions of purposeful activity task through a video and imitated actions with the traditional occupational therapy, and a control group only observed actions with the traditional occupational therapy. Traing was performed 3 times a week and 30 min for each round for 4 weeks. WMFT were performed for an upper extremity function and MBI were performed for activities of daily living. As a result, WMFT and MBI showed significant difference between before and after in two groups but didn't show significant difference between two groups.

• Journal of Digital Convergence
• /
• v.10 no.9
• /
• pp.409-416
• /
• 2012

This study aimed to compare the effectiveness of action-observational training and task-oriented training on upper limb function and activities of daily living in patients with post-stroke hemiparesis. This study included 12 voluntary participants with post-stroke hemiparesis. Subjects were randomly assigned to either group 1 or group 2, with 6 in each group. Each subject completed the crossover experiment that comprised of action-observational training (A) and task-oriented training (B). The intervention sequence was A-B for the group 1 and B-A for the group 2. Each training was performed for 30 min a day, 5 times a week for 2 weeks (total experimental period of 4 weeks). Assessments were made using the Wolf Motor Function Test (WMFT) and Modified Barthel Index (MBI) thrice: at baseline, after 2 weeks of intervention, and after 4 weeks of intervention. The results showed that the WMFT and MBI scores significantly improved after the completion of each training (p<.05). Therefore, a determination of the superior training method was difficult. The effect sizes of both groups were greater when performed the action-observational training. The findings suggest that both the action-observational training and task-oriented training may be helpful in improving the upper limb function and activities of daily living for patients with post-stroke hemiparesis, and support the clinical feasibility of the action-observational training.

• Proceedings of the KIEE Conference
• /
• 2001.11c
• /
• pp.461-464
• /
• 2001

본 연구에서는 생체 임피던스를 이용하여 3채널 상지(upper arm) 운동 분석 시스템을 제작하였다. 각 채널은 상지의 외전(supination)과 내전(pronation), 팔꿈치(elbow)의 폄과 굽힘, 손목(wrist)의 평과 굽힘에 따른 각 관절의 임피던스 변화를 얻을 수 있도록 설계되었다. 상체 임피던스는 전극의 부착위치에 의존하므로 정밀한 감지를 위해 상지 운동에 대한 임피던스의 변화와 각도계(goniometer)의 각도 변화와의 상관관계를 통하여 상관 관계가 높고, 변화량이 가장 크고 다른 관절의 움직임에 따른 영향이 최소인 곳을 찾아 이를 최적의 전극 위치로 정하였다. 그리고, 선정된 최적의 전극 위치에서 임피던스 변화를 얻어 상지 운동을 분석해 보았다. 최적의 전극 위치에서 손목과 팔꿈치의 각도 변화와 임피던스 변화의 상관 계수는 각각 0.94, -0.97로 아주 높은 상관 관계를 보였다. 또한 이전의 다른 연구에서 임피던스 방법으로 구현해 본적이 없는 팔의 회전(rotation)도 분석이 가능하였다. 이 시스템은 피검자의 동작에 거의 제한을 주지 않고, 가벼우며, 장시간 측정이 용이할 뿐만 아니라 시스템 구성이 영상 분석기에 비해서 단순하다는 장점을 가지고 있다. 본 연구에서 제안하는 방법은 재활과 생체역학, 로봇의 원격 제어, 그리고 가상 현실에서의 동작 구현 등에 활용 할 수 있을 것으로 사료된다.

• The Journal of Korean society of community based occupational therapy
• /
• v.3 no.1
• /
• pp.55-66
• /
• 2013

Objective : The purpose of present study was to determine effects of task oriented action observation training on dexterity of upper limb function after stroke. Training was progressed to imitation and intensive training after observation to required action in ADL. Method : 15 stroke patients were selected and one group pretest-posttest design was applied. Targets observed performance actions of task orientated task through a video and limitated action repeatedly, Training was performed 3 times a week and 20~30 minutes for each round for 3 weeks. Manual function test and 10-second test and Box and block test were performed for a dexterity of upper extremity motor function, Modified Barthel index and Motor activity log were performed for ADL. Result : After the training, a dexterity of affected upper extremity motor function of the target showed significant difference between before and after intervention, ADL showed significant improvement between before and after intervention. Conclusion : Task orientated Action observation lead a positive effect of recovering a dexterity of upper extremity motor function and ADL. Therefore, this study suggest a action observation training as one strategy of an intervention type of th e occupational therapy.

• Journal of rehabilitation welfare engineering & assistive technology
• /
• v.10 no.4
• /
• pp.295-303
• /
• 2016

Rehabilitation of upper limb motor function of hemiplegic patient must maintain interest and demand a device for a quantitative evaluation of rehabilitation training. In this paper, we developed the device that is composed of arm cradle, handle, and balance ball for rehabilitation exercise. We have performed experiment for validity as to whether to use the rehabilitation device when tilting the upper extremity training device developed to measure changes in the EMG signal to the main upper limb muscles for 7 healthy volunteers. We have analyzed muscle activation signals on agonist and antagonist as a reference in the muscle contraction and relaxation in the upper limb extension and flexion when the balance-handle device is tilted to front-rear and left-right. The experimental results showed that a tendency of muscle activation of biceps, triceps, and deltoid used in upper limb motor function of hemiplegic patients from extension and flexion evaluation items of Fugl-Meyer Assessment(FMA). These results may be helpful for rehabilitation training for upper limb motor function of hemiplegic patients by utilizing a developed unit.

• Journal of Digital Convergence
• /
• v.13 no.6
• /
• pp.205-212
• /
• 2015

The purpose of this study was to find out the effect that muscle activity of upper extremity and functional test in the case of the stroke patient by using the feedback mirror therapy. Sixteen subjects were recruited and randomly divided into two groups. one group was trained feedback mirror therapy and other group was action observation training. This process was carried out five times a week for eight weeks. To upper extremity test was used to MFT, FMA and in order to test UT, DM, BB, FCR, ECRL used to muscle activity. After the training, exclude FCR an upper extremity motor function of target showed significant difference between two groups and especially an experimental group showed significant muscle activity and MFT, FMA score improvement of UT, DM, BB, ECRL. Therefore, feedback mirror therapy is more upper extremity motor function and muscle activity improvement effect than action observation training.

• Journal of rehabilitation welfare engineering & assistive technology
• /
• v.7 no.1
• /
• pp.21-27
• /
• 2013

Manual wheelchair propulsion can lead to pain and injuries of users due to mechanical inefficiency of wheelchair propulsion motion. The kinetic analysis of the upper limbs during manual wheelchair propulsion needs to be studied. A two dimensional inverse dynamic model of upper limbs was developed to compute the joint torque during manual wheelchair propulsion. The model was composed of three segments corresponding to upper arm, lower arm and hand. These segments connected in series by revolute joints constitute open chain mechanism in sagittal plane. The inverse dynamic method is based on Newton-Euler formalism. The model was applied to data collected in experiments. Kinematic data of upper limbs during wheelchair propulsion were obtained from three dimensional trajectories of markers collected by a motion capture system. Kinetic data as external forces applied on the hand were obtained from a dynamometer. The joint rotation angles and joint torques were computed using the inverse dynamic model. The developed model is for upper limbs biomechanics and can easily be extended to three dimensional dynamic model.

• Journal of the Korea Society of Computer and Information
• /
• v.18 no.8
• /
• pp.113-119
• /
• 2013

The requirement of rehabilitation is increasing from the stroke, spinal cord injury. One of the most difficult part is the upper limb rehabilitation because of its nervous complexity. A rehabilitation has effectiveness when a professional therapist treats in work at facility, but it has problems of an accessibility, a constant availability, a self-participation and taking lots of cost and time. In this paper, we test and experiment the accuracy and execution time of the pattern recognition algorithms like PCA, ICA, LDA, SVM to show the recognition possibility of it on the upper limb function from the 3D trajectory information which is gathered from stereo vision sensor(Kinect). From the result, PCA, ICA have low accuracy, but LDA, SVM have good accuracy to use for physical rehabilitation on the upper limb function.

• Journal of the Korean Society of Costume
• /
• v.55 no.5 s.95
• /
• pp.87-100
• /
• 2005

This study was to provide the fundamental data for a scientific and rational clothing construction by investigating the length variation of the upper body surface, using the method of surgical tape. The subjects were 15 early elementary schoolgirls in Busan area classified by three somatotypes, Arm-movements were consisted of 6 types. The statistical analyses used in this study were mean, standard deviation and the ANOVA and LSD procedure. The results of the analysis of the length of the upper body surface are as follows: By arm-movements, in the items of horizontal, front neck base girth, back upper bust girth, back bust girth and back under bust girth were increased and the other standard lines were apt to be decreased. In the items of vertical, all standard lines of front side and side seam length showed increased, the lines of bark side were apt to be decreased. The shoulder length represented the maximum rate of decrease($-36.59\%{\~}-48.98\%$) in M6($180^{\circ}$) and the side seam showed the maximum rate of increase($49.74\%{\~}59.22\%$) in the same movement.