• Journal of Music and Human Behavior
• /
• v.19 no.2
• /
• pp.81-103
• /
• 2022

The effects of therapeutic instrumental music performance (TIMP) using a ukulele were examined in adults with central nervous system damage and impaired hand functions. The participants were three adults with neurological damage who participated in 30-min sessions twice a week over 6 weeks. Changes in hand function was measured by the Box and Block Test (BBT), the 9-Hole Peg Test (9-HPT), and the Jebsen-Taylor Hand Function Test (JTHFT). Following the intervention, all three participants showed increases in the BBT and 9-HPT scores, indicating positive changes in fine motor coordination and dexterity. In terms of the JTHFT, all three participants showed increases in the "writing" and "card flipping" subtask scores, indicating that the intervention was effective in improving more coordinated finger movements. All participants reported the satisfaction with the intervention. They also pointed out that they were motivated to play the ukulele and that following the intervention used their affected hand more frequently in daily activities. These findings suggest that TIMP with a ukulele for patients with central nervous system damage can have positive effects on their functional hand movements and motivate these patients to practice their rehabilitation exercises.

• The Journal of Korean Academy of Orthopedic Manual Physical Therapy
• /
• v.9 no.2
• /
• pp.13-23
• /
• 2003

본 연구의 목적은 손 기능에 문제가 있는 환자들을 중심으로 splint의 효과를 알아보기 위한 기초조사로써 2명의 환자를 제주 한마음병원(Case1, 2)에서 2001년 6월부터 11월까지 조사하였다. 2명의 환자는 다음과 같다. i) 사례 1 : 뇌성마비 아동(4세, 남, 오른손)으로 한쪽 손목과 엄지손가락에 강직으로 인하여 잡기 기능에 제한이 있는 편마비 아동이다. ii) 사례 2 : 전기화상(56세, 남, 왼손)으로 4-5번째 손가락의 M.P joint와 I.P joint에 관절운동 제한으로 완전하게 주먹을 질 수가 없다. 연구를 위하여 손 기능의 평가는 표준화가 되어있는 Jebsen-hand function test, Total passive Motion(TPM)을 사용하였으며, 환자들의 만족도를 알아보기 위해서는 Canadian Occupational Performance Measure(COPM)을 사용하였다. i) 사례 1 : 두 가지 splint를 적용하였다. 즉 낮 동안에는 splint 1, 밤 동안에는 splint 2를 6시간 이상 착용하도록 하였으며 작업치료는 시행하지 않았다. ii) 사례 2 : 이 환자에게는 작업치료가 끝나는 동시에 splint. 3을 6시간 이상 착용하도록 하였으며, M.P joint와 I.P joint의 관절 변화를 조절하도록 특별히 고안된 splint를 적용하였다. 그 결과 사례 1의 Jebsen-hand function test시 초기에는 측정을 할 수가 없었으나, splint착용 후 크고 가벼운 물건 옮기기(44.15), 크고 무거운 물건 옮기기(42.66), 적목쌓기(44.63), 먹기 흉내내기(54.47) 등에서 처음 동작만 도와주면 측정이 가능할 수 있도록 진전을 보였다(그래프1), 사진(착용 전과 착용 후). 사례 2의 경우 Jebsen-hand function test의 적목쌓기와 먹기 흉내기가 가장 높았으며, 글씨 쓰기가 가능했다. 손의 관절가동 변화에서도 splint 착용전의 측정치와 착용 후 관절 가동 범위의 변화 폭이 약 $30_{\circ}$이를 보여주었다(그래프 2), (그래프3). 결론적으로 손 기능 회복에 직접적인 재활 치료뿐만 아니라, 치료 후에도 splint를 착용하여 가정에서도 계속적인 치료가 될 수 있도록 하는 것이 손의 기능회복에 도움이 됨을 알 수 있었다. 그러므로 각 환자의 문제점을 파악하여 적절한 splint를 제작해 줄 필요가 있다고 사료된다. 이 기초조사를 시작으로 하여 더 많은 환자들을 대상으로 splint가 손 기능 회복에 어떠한 영향을 미치는지 그 효과에 대하여 계속적인 연구가 필요할 것이다.

• Therapeutic Science for Rehabilitation
• /
• v.8 no.2
• /
• pp.43-53
• /
• 2019

Objective : This study aimed to identify the characteristics of hand function according to age and sex in older adults. Methods : This study included 103 healthy adults aged ${\geq}60$ years. The Korean version of TEMPA was used to assess hand function and a Jamar dynamometer and pinch gauge were used to assess hand and pinch strength in all participants. Results : The results of hand function assessment showed that speed of task execution (mean = 121.32 s, SD = 18.07 s in subjects aged 60-69; mean = 144.97 s, SD = 28.43 s in subjects aged 70-79; and mean = 160.93 s, SD = 38.33 s in subjects aged ${\geq}80$, p < .001) and fine movement (mean score = -.14, SD = .40 in subjects aged 60-69; mean score = -.63, SD = 1.07 in subjects aged 70-79; and mean score = -.57, SD = .65 in subjects aged ${\geq}80$, p = .01) decreased significantly with age. The male group showed better speed of task execution (mean = 133.54, SD = 22.83 in males vs. mean = 150.55, SD = 39.89 in females, p < .01) and fine movement (mean score = -.16, SD = .37 in males vs. mean score = -.46, SD = .58 in females, p < .01) than the female group. Hand strength also decreased significantly with age (p < .05, to p < .001). Conclusion : Occupational therapists should be aware of the decline in hand function (especially speed of task execution and fine movement) and strength in older adults, as well as the need to provide interventions to treat this decline.

• Therapeutic Science for Rehabilitation
• /
• v.7 no.2
• /
• pp.29-40
• /
• 2018

Objective : The purpose of this study was establishing clinical norms of TEMPA Korean version for Korean adult population in addition to identifying characteristics of hand function by age and gender based on the collected data. Methods : A total of 138 healthy adults between ages 20 and 59 were recruited by continuous sampling. All subjects had been employed TEMPA Korean version and Jarmar dynamometer and pinch gauge to evaluate hand function and strength. Results : The results showed that there were no statistically significant difference in overall hand function among the age groups and between genders. Also, while there were no significant differences in overall speed and qualitative movement, age groups of 40s and 50s showed a declining tendency in speed in some of the tasks. Also, hand strength increases up to 40s and start declining from the 50s, but most results did not show significant differences among the age groups. Conclusion : Normative data of TEMPA Korean version for Korean adult population was established, therefore, it can be used in clinical setting and research as evidence based. Furthermore, occupational therapists need to consider about the signs of decline in hand function and strength in middle-aged adults and to provide education programs to maintain their hand function.

• Journal of Korea Entertainment Industry Association
• /
• v.13 no.6
• /
• pp.265-275
• /
• 2019

The purpose of this study was to analysis of the changes of the white noise on the change of the writing ability and hand function of the children with the intellectual disabilities and then provide the basic information about that. The subjects was 12 children with intellectual disabilities. White noise was applied to analyze the subjects' writing ability and hand function before and after application. The provision of the white noise was continuous and uniform through the white noise generator. The analysis of the writing ability was performed by using the KNISE-BAAT assessment and the writing, vocabulary and composing ability were evaluated for the writing ability of the subjects. Also, the analysis of the hand function was performed by using the pegboard sub-item of the Manual Function Test. The results of the writing ability showed the statistically significant increase of the writing and vocabulary ability, but in the case of the composing ability, there was no statistically significant increase in the composing ability. Also, the results of the hand function showed the statistically significant increase in the both hands. The use of the white noise should be considered as a compensatory approach to improve the writing ability and hand function of the children with intellectual disabilities. Also, in order to improve the level of the performance, learning level, and academic achievement of the children of the intellectual disabilities, the application of the white noise in the living and learning environment should be needed to consider.

• Korean Journal of Occupational Therapy
• /
• v.26 no.4
• /
• pp.43-55
• /
• 2018

Objective : The purpose of this study was to investigate the effects of fidget spinner training on the hand function and handwriting legibility of lower grade elementary school studens. Methods : This study randomly assigned a study group of 12 children and control group of 12 children from 24 children in grade 1 and 2 (ages 7 through 8), whose are dominantly right handed. The study used was a pre-post process. The intervention was conducted only on the study group twice a week for 5 weeks and for 40 minutes per session, for a total of ten sessions. The measuring instruments used to compare the hand functions and handwriting legibility were the Jebsen-Taylor Hand Function Test, Grip Strength Test, and Legibility Test. The data analysis used a Wilcoxon signed rank, Mann-Whitney U and Chi-Square cross analysis. Results : The fidget spinner training showed significant improvement in the study group's hand function(grip strength and handwriting legibility) and a significant difference was shown between the control and study groups. Conclusion : This study confirmed the value and utility of a fidget spinner as a tool for improving the hand function and handwriting legibility of elementary school students in lower grades. Future studies are expected to verify the effectiveness of the fidget spinner training based on the present study.

• 한국HCI학회:학술대회논문집
• /
• 2007.02a
• /
• pp.851-856
• /
• 2007

수화는 청각장애인이 주로 사용하는 시각적인 언어이다. OpenGL 기반의 가상현실 공간을 배경으로 하여 청각장애인들이 쉽게 이해할 수 있는 수화 아바타의 움직임을 구현하기 위해, 본 논문에서는 수화 동작 데이터베이스를 구축하는 그래픽 사용자 인터페이스를 개발한다. 개발한 시스템에서는 아바타의 사실적인 표현과 친근감을 강조하기 위해 3D MAX 기반의 인체 아바타 모델의 픽셀 값을 ASE를 사용하여 C언어 코드로 변환함으로써 인간과 거의 비슷한 모델을 생성하였다. 손 모양 편집프로그램은 슬라이드 바를 사용하여 21개의 손 관절 각도를 조정할 수 있으며, 손 모양 코드번호와 손 모양 이름을 지정하여 수화단어 편집프로그램에서 사용하는 손 모양 데이터 형식으로 저장할 수 있다. 수화단어 편집프로그램은 수화단어 데이터 형식의 값을 설정하는 기능과 함께 손 모양 대칭복사, 검색, 추가, 수정, 삭제 기능을 제공함으로써 사용자가 손 모양을 쉽게 편집할 수 있도록 하였다. 손 모양 편집프로그램과 수화단어 편집프로그램을 사용하여 구성한 데이터베이스를 기반으로 수화 아바타가 가상현실 공간에서 인간과 유사한 움직임을 표현할 수 있도록 하였다.

• Proceedings of the Korean Information Science Society Conference
• /
• 2003.10b
• /
• pp.628-630
• /
• 2003

본 연구는 손의 형상을 복잡한 배경환경에서 손 영역을 안정적으로 검출, 인식하여 윈도우 플레이어의 기능을 제어하는 시스템을 제안하였다. 손은 형상이 매우 복잡하기 때문에 2차원 형상의 불변량에 해당하는 에지의 방향성 히스토그램을 이용하여 인식을 행한다. 이 방법은 복잡한 배경에서 피부색을 지닌 손 영역이 정확히 추출되며 손 형상을 인식하는데 있어서 수행속도가 빠르고 조명변화에 덜 민감하기 때문에 실시간 손 형상 인식에 적합하다. 본 논문에서 제안한 방법을 윈도우 플레이어 제어에 적용한 결과 안정적으로 제어 할 수 있었다.

• The Safety technology
• /
• no.99
• /
• pp.30-31
• /
• 2006

아기가 세상에 태어났을 때 아기와 산모의 건강에 대한 염려 다음에는 흔히 손가락과 발가락이 모두 10개씩 맞는지 물어보고 헤아려 본다. 우리 몸에서 비슷한 기능을 하는 구조물이 10개씩 되는 것은 손과 발 이외에는 그렇게 흔치 않다. 그래서인지 손에는 눈에 잘 띄지 않는 경한 기형에서부터 팔이 짧든지 손가락이 없는 심각한 변형까지 다양하게 나타난다. 손의 기형에 대해 알아보자.

• Journal of the Korea Academia-Industrial cooperation Society
• /
• v.12 no.6
• /
• pp.2644-2651
• /
• 2011

The purpose of this study was to investigate difference between grip strength, upper limb dexterity, and hand function according to touch and heat sensory stimulus. Forty healthy men were recruited. After obtaining subjects characteristics, examined grip strength, upper limb dexterity, and hand function, then we made touch sensory input using soft brush and tried the test again. Next day, we made thermal input using hot pack and did retest, too. The result showed significant differences appeared on every variable in grip strength and upper limb dexterity test (p<.001), and significant differences appeared on every variable except lifting small objects in hand function (p<.01). In conclusion, sensory input is to increase grip strength, upper limb dexterity, and hand function. The thermal sensory input has a tendency to increase grip strength, upper limb dexterity, and hand function than that of touch sensory input in effect of stimulus classification. The application of proper stimulus helps to facilitate upper limb and hand function in rehabilitation and in industrial field. So it is necessary to try more tests of frequency and intensity of stimulus.