• Title/Summary/Keyword: 상지

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Factors Affecting the Upper Limb Function in Stroke Patients (뇌졸증 환자의 상지기능에 영향을 미치는 요인)

  • Bang, Yoo-Soon;Kim, Hee-Young;Lee, Moon-Kyu
    • The Journal of the Korea Contents Association
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    • v.9 no.7
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    • pp.202-210
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    • 2009
  • This study was carried out to identify the factors which correlated with upper limb function after stroke and to analyze the effect of related factors on upper limb function. The 100 stroke patients(MMSE-K>24) were participated. The upper limb function according to gender, hand dominance, stroke type, affected location, site of paralysis, speech disorder showed no significant difference, and show significant difference according to shoulder subluxation. The upper limb muscle strength(Manual Muscle Testing), proprioception, muscle tone(Modified Ashworth Scale), grip strength(Dynamometer), paint (Visual Analog Scale) showed significant correlations with upper limb function. These predictors explained 77.6% of the upper limb function and the most significant affecting factor of upper limb function was upper limb muscle strength. In conclusion, the upper limb muscle strengthening will be effective strategy to improving the upper limb function and considering the proprioception, muscle tone, grip strength, pain, subluxation will be helpful to develop the strategies.

A Systematic Review on Measurement Instruments of Bilateral Upper Extremity Function (양측 상지 기능 평가도구에 관한 체계적 고찰)

  • Lee, Joo-Hyun;Lee, Ye-Jin;Park, Ji-Hyuk
    • Therapeutic Science for Rehabilitation
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    • v.5 no.1
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    • pp.7-22
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    • 2016
  • Objective : This study was conducted to review about instrument for bilateral upper extremity assessment. Methods : We searched published papers in Medline database. The keywords used in the search were 'upper extremity' and 'motor activity', 'activities of daily living' and 'assessment', 'instrument', 'disability evaluations'. In total of 68 papers, 44 assessment instruments was extracted. We analyzed about numbers, subjects, methods, reliability, validity, responsiveness of assessment instruments about bilateral upper limb function comparing unilateral, combined bilateral and unilateral instruments. Results : The numbers of bilateral measurement tool were 2 in a total of upper extremity measurement tools. Also, subjects were patients with stroke and measurement was based on performance. The reliability, validity and responsiveness of tools were high. Conclusions : Futher study will be needed to development and research about instrument of bilateral upper extremity.

A Study on Korean Occupational Therapist's Perception and Current Conditions About Bilateral Upper Extremity Training for Patients With Stroke (국내작업치료사들을 대상으로 한 뇌졸중 환자의 양측 상지훈련 현황 및 인식도 조사)

  • Lee, Joo Hyun
    • Therapeutic Science for Rehabilitation
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    • v.6 no.1
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    • pp.25-33
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    • 2017
  • Objective : The purpose of this study were to investigate perception of occupational therapist and the current conditions about bilateral upper extremity training for patients with stroke. Methods : A survey was conducted on 10 occupational therapists for a month from June, 2016. The questionnaire was consisted total 17 items including 5 area related to characteristics of occupational therapist and patient, bilateral activities with difficulty to perform, bilateral activities used in bilateral training, and bilateral activities which are wanted for therapist to apply in bilateral training. Results : Drive a nail was bilateral activity with difficulty to perform for stroke patient, and unscrew lid of jar was bilateral activity used in bilateral training by occupational therapists. Also, wash one's face was bilateral activity wanted for therapists to use for bilateral training. Conclusions : This study will be used as basic data to select the bilateral upper extremity activities for bilateral upper extremity training.

Two Years and Four Month's Complex Exercise for Upper Extremity Function and Balance Proficiency of a Older Woman With Stroke : A Case-Study (2년 4개월 동안 수행한 복합운동프로그램이 뇌졸중 환자의 상지 기능 및 균형 능력에 미치는 영향: 사례연구)

  • Lee, Sang-Heon;Choi, Yoo-Im
    • Proceedings of the KAIS Fall Conference
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    • 2010.05b
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    • pp.735-738
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    • 2010
  • 본 연구는 관절가동범위 및 근력강화운동, 반복적인 과제-지향적 활동으로 구성된 복합운동프로그램을 뇌졸중 환자에게 2년 4개월 동안 적용하여 상지 기능 및 균형 능력에 미치는 효과를 알아보고자 하였다. 연구대상자는 뇌졸중으로 인한 좌측 편마비 증상을 보이는 68세 여성으로 매 회기 1시간씩, 주 3회, 2년 4개월 동안 복합운동프로그램을 수행하였다. 대상자의 상지 기능은 브론스트롬의 손 회복 단계와 상지 회복단계, Fugl-Meyer Assessment of Motor Function, 뇌졸중 상지기능검사로, 균형 능력은 Tinetti Gait & Balance Scale로 평가하였다. 연구 결과 대상자의 상지 기능과 균형 능력이 유지 및 향상 되었다. 이를 통하여 만성 뇌졸중 환자에서 상지 및 균형 능력의 유지 및 증진을 위한 지속적인 복합 운동프로그램 수행의 유효성을 확인할 수 있었다.

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Development of DApp for Management Driving Route Information of Autonomous Vehicle (자율주행 자동차의 주행 경로 정보 관리를 위한 DApp 개발)

  • Jun-Won Kim;Nam-Hyeon Kim;Jung-Kyu Shin;Bo-Hyeon Kim;Gyu-Min Jeong;Jung-Hyun Woo;Kwang-Man Ko
    • Proceedings of the Korea Information Processing Society Conference
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    • 2023.11a
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    • pp.229-229
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    • 2023
  • 블록체인은 보안성과 탈중앙화를 동시에 제공하는 자료구조 중 하나로, 데이터를 중앙 서버가 아닌 모든 참여자들이 동등한 위치에서 관리할 수 있기 때문에 데이터를 투명하고 신뢰성 있게 관리할 수 있다. 본 연구에서는 자율주행 자동차의 차량정보, 주행 중 생성되는 데이터를 블록체인에 저장하여 차량상태, 차량경로 등을 실시간으로 모니터링할 수 있으며 생성 데이터의 권리 보장, 보안성 강화를 위한 이더리움기반 Dapp을 개발한다.

Design of System for Upper-limbs Rehabilitation Using Kinect Sensor (키넥트 센서를 이용한 상지재활 시스템의 설계)

  • Park, Myeong-Chul;Jung, Hyon-Chel
    • Proceedings of the Korean Society of Computer Information Conference
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    • 2015.07a
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    • pp.309-310
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    • 2015
  • 본 연구는 뇌졸중 등의 상지 기능 손상에 대하여 원격지에 위치하는 환자에게 치료와 진단을 포함하는 재활 콘텐츠를 제공하는 시스템을 개발하기 위한 설계를 목적으로 하고 있다. 설계 콘텐츠의 구조는 가상현실로 재활과 관련된 상지의 움직임을 제시하고 실제 움직임을 키넥트 센서를 이용하여 추적하여, 시각/청각/촉각 피드백을 제시함으로써 재활 치료 효과와 몰입감을 높이고 상지 운동 기능을 평가하는 것으로 구성된다.

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Effects of Occupation-Based Bilateral Upper Extremity Training and Transcranial Direct Current Stimulation Upper Limb Function in Stroke Patients (작업기반 양측성 상지 훈련과 경 두개 직류 전류 자극이 뇌졸중 환자의 상지 기능에 미치는 영향)

  • Kim, Sun-Ho
    • The Journal of the Korea Contents Association
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    • v.20 no.9
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    • pp.520-530
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    • 2020
  • The purpose of this study was to investigate the effects of occupation-based bilateral upper extremity training and transcranial direct current stimulation on upper limb function in stroke patients. The study group was divided into 13 experimental groups with occupation-based bilateral upper extremity training and transcranial direct current stimulation, and 13 controls with only occupation-based bilateral upper extremity training. A total of 4 weeks, 50 minutes, 5 times a week conducted, the patients were tested with Canadian Occupational Performance Measure(COPM), Accelerometer, Fugle-Meyer Assessment(FMA), and Motor Activity Log(MAL). As a result of the study, the experimental group and the control group showed significant improvement in both occupation satisfaction and performance, usage of the affected side and the tendon side, recovery of upper limb function, and quality of movement, In particular, the experimental group showed a significant difference in the amount of the affected side than the control group. Therefore, it was found that the combination of occupation-based bilateral upper extremity training and transcranial direct current stimulation had a positive effect on the recovery of upper limb function in stroke patients.

The Effect of Robot Therapy on Upper Extremity Function in a Patient With Parkinson's Disease (로봇치료가 파킨슨병 환자의 상지 기능에 미치는 영향)

  • Lee, Inseon;Kim, Jongbae;Park, Ji-Hyuk;Park, Hae Yean
    • Therapeutic Science for Rehabilitation
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    • v.7 no.3
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    • pp.59-78
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    • 2018
  • Objective : The purpose of this study was to investigate the effect of robot-assisted therapy on upper extremity function. Methods : This study used a single-subject experimental A-B-A' design. Three Parkinson's disease patients took part. Each subject received a robot-assisted therapy intervention (45 min/session, 5 sessions/week for 4 weeks). Upper extremity movement was evaluated with the Reo Assessment tool in Reogo. The Jebsen-Taylor hand motor function test, Fugle-Mayer Assessment score, Box and Block Test, and Nine-hole pegboard test were assessed pre- and post-intervention. Results : After intervention, all subjects underwent 3D motion analysis of reaching function. There was overall improvement in resistance, smoothness, direction accuracy, path efficiency, initiation time, and time to moving target with robot-assisted therapy. Robot-assisted therapy may have a positive effect on upper extremity movement in Parkinson's disease. Conclusion : Robot-assisted therapy is considered an alternative in clinical occupational therapy to improve upper extremity function in Parkinson's disease.

The Effects of Upper Extremities Exercises Using Moving Surface in Sitting on the Function of Upper Extremities for the Patients with Stroke (지지 면에 따른 양측 상지 운동이 뇌졸중 환자의 상지 기능 개선에 미치는 영향)

  • Jin, Young-Mi;Song, Brian-Byung
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.16 no.8
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    • pp.5132-5142
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    • 2015
  • The purpose of this study was to find effect of upper extremities exercises using two different supporting surface, mobile surface and fixed surface in sitting on the function of upper extremities for the patients with stroke. The study period was between July 5, 2012 and August 1 2012. The subjects were 20 subjects who were randomly divided into two groups : (1) mobile surface group, (2) fixed surface group. The mobile surface group performed bilateral upper extremities exercise sitting on balance disc, and the fixed surface group was provided fixed surface chair. Both groups performed 30 minutes 5 times per a week for 4weeks. The Manual Functional Test(MFT) and Fugl-Meyer Motor Function Assessment(FMA) was used to measure the differences of upper extremity functions before and after interventions. The results of this study were as follows. First, Both groups, mobile surface group and fixed surface group showed the significant increase(p<.05) in upper extremity function. Second, the improvements of the hand function in mobile surface group showed significant difference comparing with the group with fixed surface. Therefore, the results of this study showed the bilateral hand exercise program on mobile surface is more effective than the fixed surface bilateral hand exercise program for the patients with stroke.

A Study on Prediction Model of Subjective Well-Being Using Collaborative Filtering (협력적 필터링을 이용한 주관적 행복감 예측 모형연구)

  • Lee Sangyeop;Kim Jiyeon;Ryu dong in;Gi Hyeon Han;Park Saehan;Koo Jee Hyun
    • Proceedings of the Korea Information Processing Society Conference
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    • 2024.05a
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    • pp.552-553
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    • 2024
  • 협력적 필터링은 추천시스템을 구축하는 알고리즘으로 고객별 선호도를 예측하는데 사용되고 있다. 이에 본 연구는 행복감에 영향을 주는 요인인 자존감과 생활여건을 사용하여, 협력적 필터링을 기반으로 한 예측정확도가 높은 모형을 연구하고자 한다. 이를 위해, 자존감과 생활여건에 대한 응답자 간의 유사도 가중치를 각각 계산한 후, 자존감 유사도 가중치를 적용한 모형으로 행복감을 예측하고, 자존감 유사도 가중치에 생활여건 유사도 가중치를 부여한 유사도 가중치를 적용한 모형으로 행복감을 예측하였다. 그 결과 전자의 모형이 후자의 모형보다 예측정확도가 높게 나타났다.