• Title/Summary/Keyword: 상지

Search Result 1,926, Processing Time 0.028 seconds

The Impact of Neurocognitive Rehabilitation Therapy on Upper Limb Functions and Activity of Daily Living of Patients with Stroke (신경인지재활치료가 뇌졸중 환자의 상지기능과 일상생활동작에 미치는 영향)

  • Kim, Sun Hee;Kim, Kwang kee;Jeong, Won Mee;Lee, Jeong Weon
    • 재활복지
    • /
    • v.17 no.4
    • /
    • pp.401-420
    • /
    • 2013
  • This study was performed to investigate the impact of the Neurocognitive Rehabilitation Therapy on the upper limb function recovery of patients with stroke and their abilities to perform daily activities and to provide basic data for a long-term treatment. A total of 30 patients with hemiplegia that occurred due to stroke were recruited as subjects of the present study, and 15 patients were randomly assigned to a Neurocognitive Rehabilitation Therapy group and a conventional treatment group, respectively. And, tests were performed over four weeks, five times a week, and 30 minutes a session. Manual Function Test(MFT), Fugl-Meyer Assessment Scale(FMA), and Korean-Modified Bathel Index(K-MBI) were used to measure the degree of the functional recovery before and after the experiment. According to the data of this study, in the upper limb function test, the Neurocognitive Rehabilitation Therapy group showed significant increase of the measurement values of MFT and FMA(p <.05), and when the difference between the two groups were compared, the upper limb function showed a statistically significant difference. In the daily activity performance test, only the Neurocognitive Rehabilitation Therapy group showed a significant improvement of K-MBI value(p <.05). Based on the results of the present study, it was demonstrated that the Neurocognitive Rehabilitation Therapy was effective in enhancing the upper limb functions and daily activity performance of patients with stroke.

Evaluation of Upper Limb Movement and Function in Stroke Patients Using Electromyography : A Review (근전도를 활용한 뇌졸중 환자의 상지 운동 및 기능 평가에 관한 고찰)

  • Lee, Jiyeon;Lee, Gyeong A;Jung, Jae Hyu;Park, Ji-Hyuk
    • Therapeutic Science for Rehabilitation
    • /
    • v.11 no.3
    • /
    • pp.37-50
    • /
    • 2022
  • Objective : This study aimed to investigate the use of electromyography (EMG) to evaluate upper limb movement or function in stroke patients. Methods : We reviewed papers published in journals between January 2018 and December 2021 using PubMed, EMBASE, Scopus, RISS, and KISS. The main keywords of databases were ('stroke' OR 'hemiplegia') AND ('EMG' OR 'electromyography' OR 'electromyogram' OR 'muscle activity') AND ('Upper limb' OR 'Hand'). Results : Fifteen studies were selected, most of which evaluated muscle activity. Interventions performing tasks related to activities of daily living (ADLs), using assistive technology, and interventions that provide repetitive training were most frequently applied. Conclusions : When evaluating upper limb functions using electromyography, it is meaningful to present an evaluation that can be used according to the purpose of the study and to provide a basis for setting up interventions that can utilize electromyography during evaluation.

Effects of Self Care Training Program on Motor Function of Upper Limb and Self-Efficacy in Chronic Stroke Patients (자조활동 훈련 프로그램이 만성 뇌졸중 환자의 상지 운동기능 및 자기효능감에 미치는 영향)

  • Kim, Gi-Di;Heo, Myoung
    • Journal of Korea Entertainment Industry Association
    • /
    • v.13 no.7
    • /
    • pp.497-503
    • /
    • 2019
  • The purpose of this study was to investigate the effect of self care training program on motor function of upper limb and self-efficacy in chronic stroke patients. This study selected 20 chronic stroke patients in local community men. The subjects carried out self care training program be composed of task oriented training for 40 minutes, 4 times per week for 6 weeks. Manual function test(MFT), digital grip dynamometer, self-efficacy scale were used to evaluate motor function of upper limb and self-efficacy during pre and post intervention. In MFT and hand grip force test, the post outcome were significantly increase than the pre outcome(p<.05). In self-efficacy evaluation, the post outcome of was significantly improve than the pre outcome(p<.05). The result of this study show that the self care training program be composed of task oriented training may be appropriate for improving the motor function of upper limb and self-efficacy in chronic stroke patients. This will enable the application of self care training program in rehabilitation therapy of chronic stroke patients and it will help guide the selection of the therapist as one therapeutic basis

CNN Model-based Arrhythmia Classification using Image-typed ECG Data (이미지 타입의 ECG 데이터를 사용한 CNN 모델 기반 부정맥 분류)

  • Yeon-Suk Bang;Myung-Soo Jang;Yousik Hong;Sang-Suk Lee;Jun-Sang Yu;Woo-Beom Lee
    • Journal of the Institute of Convergence Signal Processing
    • /
    • v.24 no.4
    • /
    • pp.205-212
    • /
    • 2023
  • Among cardiac diseases, arrhythmias can lead to serious complications such as stroke, heart attack, and heart failure if left untreated, so continuous and accurate ECG monitoring is crucial for clinical care. However, the accurate interpretation of electrocardiogram (ECG) data is entirely dependent on medical doctors, which requires additional time and cost. Therefore, this paper proposes an arrhythmia recognition module for the purpose of developing a medical platform through the analysis of abnormal pulse waveforms based on Lifelogs. The proposed method is to convert ECG data into image format instead of time series data, apply visual pattern recognition technology, and then detect arrhythmia using CNN model. In order to validate the arrhythmia classification of the CNN model by image type conversion of ECG data proposed in this paper, the MIT-BIH arrhythmia dataset was used, and the result showed an accuracy of 97%.

Effect of the Meridian Pressure on the Functions of Upper Extremities and Discomfort of ADLs of Hemiplegic Patients (상지경혈지압이 편마비환자의 상지기능과 일상생활동작 시 불편감에 미치는 효과)

  • Kim, Jeong-Wha;Choi, Sung-Nam
    • Korean Journal of Adult Nursing
    • /
    • v.20 no.1
    • /
    • pp.55-64
    • /
    • 2008
  • Purpose: The purpose of this study was to identify the effect of Meridian pressure on the functions of upper extremities and discomfort of ADLs of hemiplegic patients. Methods: The research design was a nonequivalent control group, non-synchronized design. Subjects were 35 hemiplegic patients who were hospitalized at L Oriental Medical Hospital; 18 for the experimental group and 17 for the control group. The experimental group was given meridian pressure for 10 minutes daily for 2 weeks. The data were analyzed by SPSS 12.0 program. The ${\chi}^2$-test and t-test were used for the two groups' homogeneity, and t-test was used for the hypothesis test. Results: Manual muscle test, ROMs of wrist extension, elbow flexion, and shoulder extension of the experimental group increased compared to the control group. Shoulder pain and index finger circumference of the experimental group decreased compared to the control group. The experimental group showed to have less discomfort of ADLs than the control group. Conclusion: The study results verified that meridian pressure is effective for improving the functions of hemiplegic patients' upper extremities as well as reducing discomfort of ADLs.

  • PDF

Estimation of Wrist Movements based on a Regression Technique for Wearable Robot Interfaces (웨어러블 로봇 인터페이스를 위한 회귀 기법 기반 손목 움직임 추정)

  • Park, Ki-Hee;Lee, Seong-Whan
    • Journal of KIISE
    • /
    • v.42 no.12
    • /
    • pp.1544-1550
    • /
    • 2015
  • Recently, the development of practical wearable robot interfaces has resulted in the emergence of wearable robots such as arm prosthetics or lower-limb exoskeletons. In this paper, we propose a novel method of wrist movement intention estimation based on a regression technique using electromyography of human bio-signals. In daily life, changes in user arm position changes cause decreases in performance by modulating EMG signals. Therefore, we propose an estimation method for robust wrist movement intention for arm position changes, combining several movement intention models based on the regression technique trained by different arm positions. In our experimental results, our method estimates wrist movement intention more accurately than previous methods.

Correlation between ACLT and FIM, MMSE-K, and MFT in Stroke Patients (뇌졸중 환각에서 알렌인지수준과 일상생활활동, 인지기능 및 상지기능의 상관관계)

  • Lee, Sang-Heon
    • The Journal of the Korea Contents Association
    • /
    • v.9 no.9
    • /
    • pp.287-294
    • /
    • 2009
  • The purpose of this research is to test the relationship between ACLT(Allen Cognitive Level Test) and FIM(Functional Independence Measure), MMSE-K(Mini-Mental State Examination), and MFT(Manual Function Test). 38 elderly persons with stroke were recruited. Pearson Correlation Coefficients is used for correlation test. There is statistically significant correlation between ACLT and FIM, MMSE-K, and MFT(p<.05). This results identified the relationship between cognitive function and activities of daily living, indicated the usability of ACLT as a cognition assessment tool and the need of research for it's application in stroke patients.

Analysis of the Effect of Water Pollution Source in Cheongmi Stream Basi (청미천 유역에 대한 오염원 영향 분석)

  • Kim, Yeon Su;Jung, Tae Ho;Hwang, Shin Bum;Kim, Sang Ho
    • Proceedings of the Korea Water Resources Association Conference
    • /
    • 2017.05a
    • /
    • pp.519-519
    • /
    • 2017
  • 우리나라는 국토의 65%가 산악지형으로서 유역경사가 급한 특성으로 인해, 강우발생 시 유하시간의 감소로 인한 홍수피해와 도시화와 산업화로 인한 수질오염에 매우 취약한 실정이다. 수질관리의 일환으로 환경부에서는 '4대강 물관리종합대책'과 '물환경관리 기본계획' 등을 발표하며, 유역단위의 통합적 물관리를 실시하고 있다. 물환경관리 기본계획의 단위유역 단위의 목표수질 달성을 위한 중요 정책적 실행수단으로서 수질오염총량제가 있으며, 관리대상 오염물질로서는 BOD, T-P만을 대상으로 하고 있다. 하지만 최근 환경부에서는 기존 BOD 중심의 유기물질 관리의 한계 극복과 환경기준 선진화의 일환으로서 수질 목표기준에 TOC를 설정하고 생활환경 기준에 질소의 도입을 추진하는 등의 경향을 볼 때, BOD와 T-P 중심의 목표수질 관리에는 한계가 있다고 판단되며, 이에 따라 현행 관리 대상물질 외 수질항목에 대한 다양한 분석방법이 필요하다. 본 연구에서는 청미천 본류의 환경부 물환경측정망 운영지점과 8개의 지류에 대해 2013년 6월부터 2015년 7월까지 8일 간격 수질 유량 자료에 대한 현장측정 자료를 이용하여 BOD, COD, SS 등 총 6개 수질항목에 대하여 FDC(Flow Duration Curve)와 초과율(Exceedance Rate) 분석을 실시하였다. 분석 결과를 바탕으로 각 지류에서 발생한 오염물질의 농도가 청미천 본류의 분류된 구간과 청미A 단위유역 말단에 미치는 영향에 대하여 분석하였다.

  • PDF

Chuna Manual Therapy for Cerebral Palsy in Children: A Systematic Review and Meta-analysis (소아 뇌성마비에 대한 추나 요법의 효과: 체계적 문헌고찰과 메타분석)

  • Nam, Hyun seo;Han, Seung hee;An, Da young;Baek, Tae hyun
    • The Journal of Churna Manual Medicine for Spine and Nerves
    • /
    • v.16 no.2
    • /
    • pp.29-38
    • /
    • 2021
  • Objectives This study was aimed to evaluate the effects of Chuna manual therapy (CMT) for the treatment of cerebral palsy. Methods The randomized controlled trials (RCTs) on the treatment of CMT for cerebral palsy in children were selected among the literature published until January 2021 in seven databases. The quality of the literature was evaluated using the Cochrane's risk of bias tool, and RevMan 5.3 was used for the synthesis of results. Results Total 801 pediatric patient with cerebral palsy incontinence were finally selected from twelve RCTs. The total effective rate of the combined treatment general rehabilitation and CMT is statistically significantly higher (P<0.0001) than that of general rehabilitation alone. Conclusions This study suggests that general rehabilitation combined with CMT for cerebral palsy in children might be more effective in improving symptoms than general rehabilitation alone. As the number and quality of the literature included in the meta-analysis was insufficient, high-quality clinical studies on CMT for cerebral palsy would be required.

A Case Report of Taeeumin Patient with Diabetes Treated with Yeoldahansotang-Gamibang (태음인 당뇨 환자의 열다한소탕가미방 치험 1례)

  • Han, Suzy;Ahn, Da-Young;Yu, Jun-Sang
    • Journal of Sasang Constitutional Medicine
    • /
    • v.34 no.2
    • /
    • pp.75-83
    • /
    • 2022
  • Objectives The aim of this study is to report the improvement in Taeeumin's dryness-heat symptom of a 54-year-old man diagnosed with type-II diabetes mellitus after treated by herbal medicine. Methods The Taeeumin patient took Yuldahansotang-gamibang for 9 months to manage Taeeumin's dryness-heat symptom. We examined the changes of Body Mass Index(BMI), Fating Blood Sugar(FBS), Hemoglobin A1c(HbA1c), and ketouria. Results Type-II diabetes mellitus symptoms in the patient with Taeeumin's dryness-heat symptom were thirst, fatigue, and increased body weight. All numerical levels for blood sugar, HbA1c, and ketouria were reduced after taking Yuldahansotang-gamibang. Conclusions The treatment of the patient with Taeeumin's dryness-heat symptom and type-II diabetes mellitus with Yuldahansotang-gamibang was efficient, and further research is needed to prove the effect of Yuldahansotang-gamibang for treating such patients.