• Title/Summary/Keyword: 상지 움직임

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Systematic Review of Upper Extremity Movement Assessment and Artificial Intelligence Convergence Research in Brain Injured Patients (뇌손상 환자의 상지 움직임 평가와 인공지능 융합연구에 관한 체계적 고찰)

  • Park, Sun Ha;Park, Hae Yean
    • Journal of the Korea Convergence Society
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    • v.13 no.1
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    • pp.109-118
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    • 2022
  • The purpose of this study is to identify trends in the application of artificial intelligence by analyzing upper extremity movement assessment and artificial intelligence convergence research using a systematic literature review method. The research was conducted using the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines. Among the 380 articles searched in three databases, 8 articles were finally selected according to the selection and exclusion criteria. For the evaluation of upper extremity movement, motion performance evaluation, FMA, and ARAT were used. For quantification, data were extracted using various tools, and upper extremity movement classification, recovery prognosis prediction, and evaluation tool score were predicted using artificial intelligence. This study is meaningful in that it systematically reviewed studies that objectively evaluated upper extremity movement using artificial intelligence and identified the direction in which artificial intelligence is being applied. Based on this, the introduction of artificial intelligence technology in the assessment of upper extremity movements is expected to help objectively identify the intervention effect and the patient's recovery.

The Effect of Symmetrical and Asymmetric Bilateral Training for Chronic Stroke Patients in Upper Extremity Recovery (만성 뇌졸중 환자의 대칭적, 비대칭적 양측성 상지훈련의 상지기능회복 효과)

  • Kim, Sun Ho;Han, Dae Sung
    • Therapeutic Science for Rehabilitation
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    • v.6 no.1
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    • pp.35-43
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    • 2017
  • Objective : To identify the effect of symmetrical and asymmetric bilateral training For stroke patients in upper extremity recovery. Methods : 15 patients with stroke, randomized to an in- phase group(n =7) and anti-phase group(n =8). Each groups received symmetrical and asymmetric bilateral training, 30-min sessions per a day for 5 weeks, total 20 session.Accelerometer was used to evaluate the amount used for both groups. Y-BAT was used to evaluate performance status and satisfaction, ARAT was used to evaluate hand function. Results : the amount used of symmetrical movement training showed significant changes in affected and unaffected side. asymmetric bilateral training. there is a significant difference in affected side before and after receiving asymmetric bilateral training. Also, There was a significant difference between the groups on the affected side. Both training, there was no significant difference in performance, satisfaction, and upper limb function between group but, there was significant differences within-groups, Conclusions : Symmetric training showed higher motor performance than asymmetric training, but, To obtain a clearer difference, it would be necessary to use a neuromuscular assessment tool such as fMRI. Also, need a clearer training protocol and the need for follow-up studies on more stroke patients is suggested.

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
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    • v.42 no.12
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    • pp.1544-1550
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    • 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.

The Effect of Mental Practice with Task Activities on Upper Limbs Movement Speed and Accuracy of Ideomotor Apraxia Patients : Single Subject Experimental Research (상상연습과 과제활동 병행 치료가 관념운동 실행증 환자의 상지 움직임 속도와 정확성에 미치는 효과: 단일사례 실험연구)

  • Lee, Jae-Hong;Jang, Jong-Sik;Lee, Jae-Shin
    • The Journal of Korean society of community based occupational therapy
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    • v.4 no.2
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    • pp.11-22
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    • 2014
  • Objective : The purpose of this study is to investigate the effect of mental practice with task activities through upper limbs movement speed and accuracy in ideomotor apraxia patient. Methods : As a single subject research design with multiple baseline across individuals, the patients were two ideomotor apraxia patients, employed in this study. The employed program included receiving mental practice and task activities, measuring change of the total performance times, time to put down the last cups and amount of water in cups for 4 weeks, including baseline and intervention periods. The subject were measured by Ideomotor apraxia test and MFT were analyzed. The analyses were performed using visually and two-standard deviation band method. Results : All subjects were a reduction in symptoms of apraxia, but noticeable change in upper limbs function was not there. Total time of performance from 376.67 to 355.24 seconds, 391.33 seconds to 434.60 seconds, reduced. Put down the cup of performance time from 15.67 to 13.30 seconds, 20.80 seconds to 10.73 seconds, reduced. The amount of water transferred from 52.38ml to 49.70ml, 50.89ml to 50.09ml, all results were closer to 50ml. Conclusion : As a result of this study, mental practice with task activities can be an effective method to ideomotor apraxia patients. This study would serve a fundamental data on ideomotor apraxia patients to the further studies.

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물리적 인간 기계 상호작용을 위한 근육의 기하학적 형상 변화를 이용한 상지부 움직임 예측

  • Han, Hyo-Nyeong;Kim, Jeong
    • ICROS
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    • v.16 no.3
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    • pp.34-39
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    • 2010
  • 근육 활성화시 나타나는 근육의 기하학적 형상인 단면적 변화를 움직임 의도 예측에 사용했다. 밴드 형태로 구성한 유연한 압전 케이블(flexible piezoelectric cable)을 이용하여 단면적을 측정하는 착용형 근육 활성도 측정 센서(pMAS, piezo cable muscle activation sensor)를 설계했고, 상완부에 적용하여 팔꿈치의 움직임을 예측했다.

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.

An Application of Constraint-Induced Therapy in Patients With Chronic Hemiparesis After Brain Injury (뇌 손상 후 편부전마비 환자에서의 억제-유도 치료의 적용)

  • Park, Ji-Won;Kim, Jong-Man;Kim, Yun-Hee
    • Physical Therapy Korea
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    • v.8 no.4
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    • pp.91-99
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    • 2001
  • 뇌 손상 후 급성기에 기능의 자발적인 회복이 일어나지만 환자들은 환측의 상지를 잘 사용하지 못하게 된다. 그 결과 원하는 움직임을 억제하는 상황을 발생시키는데 이것을 학습 무사용 증후군(learned nonu se syndrome)이라 한다. 이러한 학습 무사용 증후군을 치료하기 위해 억제-유도 치료(constraint-induced therapy)가 고안되었다. 억제-유도 치료는 연속되는 몇 주간에 걸쳐 매일 많은 시간 동안 건측의 상지를 묶어두고 환측 상지를 사용하게 하여 기능을 반복 학습하게 함으로써 기능을 증진시키는 방법이다. 이미 여러 연구자들이 경두개 자기자극(transcranial magnetic stimulation), 움직임 관련 피질전위(movement-related cortical potential), 기능적 자기공명 영상기법(functional magnetic resonance imaging) 등을 통하여 억제-유도 치료 후 운동피질영역에서의 재조직화를 보고함으로써 기능 증진과 관련된 회복 기전을 뒷받침하고 있다. 억제-유도 치료의 영역은 확대되어 뇌졸중, 척수손상, 고관절 치환술 후로 하지에서의 기능증진을 위하여 연구가 진행되고 있으며 특히 뇌졸중 후 실어증 환자에서 새로운 방법으로 제시되고 있다. 따라서, 억제-유도 치료는 신경학적인 손상 후 움직임의 재활에 있어서 치료-유도를 통한 중추신경계의 회복에 효과적으로 작용할 수 있다.

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Intervention based on Biomechanical Frame of Reference for Balance and Manual Function: a Single Subject Research (생체역학 모델을 통한 균형능력과 상지기능의 중재: 단일대상연구)

  • Kim, Tae-Hoon
    • The Journal of the Korea Contents Association
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    • v.9 no.11
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    • pp.231-239
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    • 2009
  • The purpose of this study was to investigate changes in balance and upper extremity (UE) function associated with reaching training for children with quadriplegic cerebral palsy based on Biomechanical Frame of Reference. The baseline (phase A) lasted one week. The therapeutic protocol consisted of three reaching training (Phase B) for 40 minutes three times a week. Intervention phases lasted 4 weeks. The CMS-70P (Zebris Medizintechnik Gmbh, Germany) was used to evaluate the qualitative changes in UE function and Pediathc Berg Balance Scale was used to test the balance. The observed performance changes seem to be associated with the presence of intervention and suggest that biomechanical training can be a useful intervention to improve not only manual function but also balance.

Upper Limb Motion Detection Including Fingers Using Flex Sensors and Inertial Sensors (휘어짐센서와 관성센서를 이용한 손가락을 포함한 상지 운동 검출)

  • Kim, Yeon-Jun;Yoo, Jae-Ha;Kim, Dong-Yon;Kim, Soo-Chan
    • Journal of the Institute of Convergence Signal Processing
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    • v.21 no.3
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    • pp.101-106
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    • 2020
  • The utilization of virtual reality is increasing not only in games but also in medical care such as rehabilitation. Due to the convenience, the motion of the upper limb is detected using a non-contact method using video or a handheld type mouse, etc. In this paper, we implemented a glove which can measure finger movements and upper limb movements by using flex sensors whose resistance value changes according to the degree of folding and inertial sensors which can obtain direction information in space. We showed the upper arm movements including finger movements with signals obtained from the implemented glove on the open software platform, Processing. The sensitivity of each finger movement was 0.5deg, and the sensitivity of the upper limb motion was 0.6deg.

Short-term Effect of Robot-assisted Therapy on Arm Reaching in Subacute Stroke Patients (상지로봇치료가 아급성기 뇌졸중 환자의 팔뻗기 움직임에 미치는 단기 효과)

  • Hong, Won-Jin;Kim, Yong-Wook;Kim, Jongbae;Park, Ji-Hyuk
    • Therapeutic Science for Rehabilitation
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    • v.7 no.4
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    • pp.79-91
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    • 2018
  • Objective : The purpose of this study was to investigate the short-term effect of robot-assisted therapy to improve upper extremity function in subacute stroke. Method : This study was a retrospective study using the medical record. The subjects were 20 patients who were diagnosis with stroke within 6 months. All patients received general rehabilitation intervention during the experimental period and robot-assisted therapy and task-oriented training. Robot assisted therapy was composed of 1 sessions, 1hour per person and task-oriented training was same. For result analysis, descriptive statistics, paired t-test were used. Results : After intervention, all participants got 3D motion analysis about reaching. For the result, there was statistically significant improvement in smoothness in robot assisted therapy(p<.05). there was no statistically significant difference between robot assisted therapy and task-oriented training in speed, time. In this result, we knew the robot assisted therapy can short term effect in elbow joint during arm reaching. Conclusion : Robot assisted therapy is considered as alternative choice in clinical occupational therapy for improving upper extremity function in subacute stage stroke patients.