• 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.

• 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.

• 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.

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

• Therapeutic Science for Rehabilitation
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• v.1 no.1
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• pp.57-70
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• 2012

Objective : This study was to evaluate the effects of a Neurofeedback(NFB) and Computer Assisted Cognitive Rehabilitation(CACR) training to improve on cognition and affected arm function in stroke subjects. Methods : Participants were randomly allocated to three groups: NFB(n=14), CACR(n=14) and control(n=16). All groups received occupational therapy and physical therapy for 5 session 30 minutes per week during 6 weeks. Also NFB and CACR group practiced additional NeuroComp training and RehaCom training for 30 sessions 30 minutes during 6 weeks. Results were evaluated by cognition, affected arm function. Results : There were significantly increased by CACR training that outcomes of MMSE-K(p<.05). And there weren't significantly difference by NFB and CACR training that outcomes of the affected arm function. And a difference between three groups wasn't found. Conclusion : The NFB and CACR training improves cognitive function. These results suggest that NFB and CACR training is feasible and suitable for individuals with stroke.

• 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.

• Therapeutic Science for Rehabilitation
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• v.2 no.2
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• pp.47-59
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• 2013

Objective : This study is conducted to find the influence on upper extremity function, cognitive function and activities of daily living when stroke patients receive task-oriented training in group or individually. Methods : Twenty-six inpatients are assigned to two groups(task training group and individual training group) randomly, who receive rehabilitation therapy after stroke diagnosis for 5 months(june to november, 2012) in a hospital. Both groups receive a task-oriented training for 30 minutes a day for 3 weeks. FMA were used to measure upper extremity function, K-MMSE were used to measure cognition, and MBI for ADL. Results : Before training. two groups were not different significantly in upper extremity function and cognitive function. But in activities of daily living, bathing self(p<.001), feeding, personal hygiene and total score(p<.05) are higher in group training group. After training, upper extremity function is higher in individual training group(p<.001). In both training group, upper extremity function, feeding, personal hygiene, bathing self, dressing, toilet, chair/bed transfers, ambulation and stair climbing, total score are improved significantly(p<.05). In comparing of variation before and after training, upper extremity function(p<.001), feeding and total score of activities of daily living are more improved significantly in individual training group(p<.05). Conclusion : The outcome shows that task-oriented training can improve upper extremity function and activities of daily living in both training group. Especially, the more upper extremity function is improved, the more activities of daily living is improved. In the future, it will be necessary longitudinal study for a long time for more patients.

• 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.

• Therapeutic Science for Rehabilitation
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• v.1 no.2
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• pp.35-40
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• 2012

The purpose of this review was to investigate feasibility of intensive virtual reality training to improve upper extremity function with brain plasticity of individuals with stroke through the literature. The recovery of the paretic upper extremity depends on regularity and intensity of training as use-dependent plasticity. In resent, virtual reality program has been widely used in the occupational therapy field of augmented stroke rehabilitation. There is a growing body of evidence that virtual reality training of the paretic extremity induces brain plasticity associated with motor improvement. In terms of therapeutic feasibility to improve paretic upper extremity, recent research has explored several important factors of virtual reality training for recovery of upper extremity motor function. These factors include high repetition intensity, high motivation like type of game, enhanced multisensory feedback regarding performance, and interactive task-oriented training. Therefore, occupational therapy combined with intensive and repetitive virtual reality training will enhance recovery of upper extremity motor function after stroke.