• 문화기술의 융합
• /
• 제9권4호
• /
• pp.393-399
• /
• 2023

상지 절단 장애인은 미관 목적과 기능적 필요성에 의하여 상지 의지를 착용하며, 특히 양손 절단자인 경우 잡는 동작 즉 파지동작이 가능한 근전 전동의수의 착용이 필수적이다. 잔존 근육의 근전도 신호에 의하여 작동하는 근전 전동의수는 산업재해보상보험의 공적보험 급여 품목이며, 사용자의 안전과 제품 성능의 유효성에 대한 시험 방법 표준의 개발이 필요하다. 본 연구에서는 상지 전동의수의 잡는 힘 즉 파지력을 로드셀을 이용하여 측정하고 반복 동작으로 인한 내구성을 근접센서를 이용하여 시험하기 위한 내구성 시험 장치를 개발하고 그 시험 방법의 표준을 제안한다. 아직까지 국제 표준화 기구 ISO(International Standardization Organization)의 시험 표준이 제정되지 않은 상태이므로 향후 전동의수 시험 표준 분야에서 한국의 선도적인 역할을 할 수 있을 것으로 기대된다.

• 재활복지공학회논문지
• /
• 제11권1호
• /
• pp.81-89
• /
• 2017

본 논문은 대퇴절단 환자의 다양한 환경에서의 보행을 가능하게 하는 지능형 의족의 보행노면 및 보행단계 판별 기법을 제안한다. 제안하는 보행모드 변경 기법은 스트레인게이지 센서 만으로 보행노면 및 보행단계 판별이 가능한 단일 센서 기반의 알고리즘으로 기존 지능형 의족의 다중센서 기반 알고리즘의 단순화와 의족 시스템의 저가화가 가능하게 고안하였다. 보행노면 판별 알고리즘을 위해 정상인의 보행 중 발생하는 지면반발력의 특징을 분석하여 보행단계 세분화와 보행노면 검출 조건을 정의하였고, 대퇴절단 환자와 유사한 환경에서의 보행 실험을 위해 보행분석 장치를 제작하였다. 정의된 검출 조건과 제작된 기구를 통해 논문의 효용성 검증을 진행하였으며, 정상인 대상의 실험결과 단일 센서 기반 알고리즘의 정확도는 약 95%를 나타냈다. 제안하는 단일 센서 기반의 알고리즘을 통해 지능형 의족 시스템의 저가화가 가능할 것으로 판단되며 사용자가 직접 보행노면 상태를 파악하고 보행모드를 전환하는 수동 보행모드 변경 방식에서 벗어나 의족이 현재 보행 노면 상태를 파악하고 상황에 맞는 보행모드를 전환하는 자동보행 모드 변경이 가능할 것으로 확인되었다.

• Archives of Reconstructive Microsurgery
• /
• 제20권1호
• /
• pp.18-25
• /
• 2011

Purpose: In the process of replantation of the amputated fingertips, the primary concern was given to survival of the amputees, while the functional aspect of digits after the surgery has been easily neglected. Although an internal fixation with a K-wire is often a part of replantation of the amputated fingertips, little consideration had been given to the study of relationship between distal interphalangeal joint fixation and post operative range of motion. A comparative study in relation to post operative range of motion was done on two different groups, one group with K-wire insertion and the other group without a K-wire insertion at the distal interphalangeal joint. Materials and Methods: The study was done on the cases of a single digit amputation conducted at our institute (the age in the range of 10 to 60) in about four-year of time span from March of 2005 to March of 2009. The cases with a thumb replantation, osteomyelitis or articular surface injury have been excluded from this study. The cases of both head and shaft fracture, except the insertion site of tendon, of distal phalanx of internal fixation with a single K-wire were reviewed for this study. A group of 24 cases without distal interphalangeal joint fixation in comparison to a group of 22 cases with distal interphalangeal joint fixation was reviewed to assess the postoperative range of motion at distal interphalangeal joint on the 6th week after the surgery. And, on the 30th month after the surgery, a group of 10 cases without distal interphalangeal joint fixation in comparison to a group of 10 cases with joint fixation was reviewed. A K-wire was removed in about 5 weeks after the fracture was reunited under the radiographic image, immediately followed by a physical therapy. Result: The active range of motion for a group without interphalangeal joint fixation was measured $49.0^{\circ}$ on average, while $28.6^{\circ}$ was measured for a group with interphalengeal fixation on the 6th week after the surgery. On the 30th month after the surgery, the active range of motion was measured $52.0^{\circ}$ and $55.0^{\circ}$ on average for a group without and with interphalangeal fixation respectively. Conclusion: In the process of replantation of the amputated fingertips, short-term(on the 6th week) improvement of postoperative active motion of range can be expected in the cases without distal interphalangeal fixation in comparison to the cases of interphalangeal joint fixation with a K-wire. However, there seems to be no difference on motion of range in a long-term (on the 30th month) follow up period.

• 한국전문물리치료학회지
• /
• 제13권4호
• /
• pp.71-78
• /
• 2006

This study examined the effects of socket flexion angle in trans-tibial prosthesis on stump/socket interface pressure. Ten trans-tibial amputees voluntarily participated in this study. F-socket system was used to measure static and dynamic pressure in stump/socket interface. The pressure was measured at anterior area (proximal, middle, and distal) and posterior area (proximal, middle, and distal) in different socket flexion angles ($5^{\circ}$, $0^{\circ}$, and $10^{\circ}$). Paired t-test was used to compare pressure differences in conventional socket flexion angle of $5^{\circ}$ with pressures in socket flexion angles of $0^{\circ}$ and $10^{\circ}$ (${\alpha}$=.05). Mean pressure during standing in socket flexion angle of $10^{\circ}$ decreased significantly in anterior middle area (19.7%), posterior proximal area (10.4%), and posterior distal area (16.3%) compared with socket flexion angle of $5^{\circ}$. Mean pressure during stance phase in socket flexion angle of $0^{\circ}$ increased significantly in anterior proximal area (19.3%) and decreased significantly in anterior distal area (19.7%) compared with socket flexion angle of $5^{\circ}$. Mean pressure during stance phase in socket flexion angle of $10^{\circ}$ decreased significantly in anterior proximal area (19.6%) and increased significantly in anterior distal area (8.2%) compared with socket flexion angle of $5^{\circ}$. Peak pressure during gait in socket flexion angle of $0^{\circ}$ increased significantly in anterior proximal area (23.0%) compared with socket flexion angle of $5^{\circ}$ and peak pressure during gait in socket flexion angle of $10^{\circ}$ decreased significantly in anterior proximal area (22.7%) compared with socket flexion angle of $5^{\circ}$. Mean pressure over 80% of peak pressure ($MP_{80+}$) during gait in socket flexion angle of $0^{\circ}$ increased significantly in anterior proximal area (23.9%) and decreased significantly in anterior distal area (22.5%) compared with socket flexion angle of $5^{\circ}$. $MP_{80+}$ during gait in socket flexion angle of $10^{\circ}$ decreased significantly in anterior distal area (34.1%) compared with socket flexion angle of $5^{\circ}$. Asymmetrical pressure change patterns in socket flexion angle of $0^{\circ}$ and $10^{\circ}$ were revealed in anterior proximal and distal region compared with socket flexion angle of $5^{\circ}$. To provide comfortable and safe socket for trans-tibial amputee, socket flexion angle must be considered.