• 제목/요약/키워드: Arm Movement

검색결과 366건 처리시간 0.027초

Short-term Benefits of Mobilization for Patients with Non-Specific Neck Pains: Executive Function and Neck Pain Intensity

  • Choi, Wansuk;Heo, Seoyoon
    • 국제물리치료학회지
    • /
    • 제10권2호
    • /
    • pp.1803-1809
    • /
    • 2019
  • Background: Cervical mobilization has been applied mainly for the improvement of arm and neck movements and pain reduction, and little research has been done to improve the executive function. Since this kind of so-called mechanical neck pain is one of most common symptoms, there are controversial issues about this with spine alignment. Posteroanterior (PA) mobilization from the Maitland concept is a process of examination, assessment, and treatment of neuromusculoskeletal disorder by manipulative physical therapy. Objective: To examine the short-term benefits of mobilization for patients with non-specific neck pain. Design: Dual-group Pretest-Posttest Design from the Quasi-Experimental research Methods: Fourteen participants (male 8, female 6; 20's of their age) with non-specific neck pains which are distributed all the unilateral or bilateral body side were recruited. Participants were categorized to Neck Pain with Movement Coordination Impairments (NPMCI) and Neck Pain with Mobility Deficits (NPMD) groups according to the results of physical examination. Professional physical therapist who has over 15-years-of clinical experience applicated manipulative therapy for the neck pain, an occupational therapist only conducted evaluations; K-NDI (Korean version of the Neck Disability Index), VAS (Visual Analog Scale), BDS-K (Korean version of Behavioral Dyscontrol Scale) for decreasing possible adverse effects; there were no person who reported other symptoms followed 4 weeks from the trial. Results: In the NPMCI group, data analysis indicated statistical differences between the PA mobilization interventions in NDI and BDS-K; even though, pain was reduced in VAS, this is not a significantly differ. In the NPMD group, data analysis represented statistical differences between the PA mobilization interventions in NDI, VAS and BDS-K; the scores were represented to be increased or the pain got relief. Conclusions: PA mobilization techniques according to Maitland concept have beneficial effects in patients with neck pain and other clinical positive effects which included neck disability, pain itself and motor function of upper extremity.

동작관찰훈련이 뇌졸중 환자의 상지운동기능에 미치는 영향 : 다중기초선연구 (The Effect of Action Observation Training on Upper Motor Function in Stroke Patients : A Multiple Bbaseline Design)

  • 윤태원;박혜령;김태윤;이문규
    • PNF and Movement
    • /
    • 제12권2호
    • /
    • pp.123-132
    • /
    • 2014
  • Purpose: The discovery of mirror neuron system may positively affect functional recovery; therefore, rehabilitation is needed that is practical for use in clinical settings. The purpose of this study was to examine the effect of action observation training on upper motor function in people who had suffered strokes. Methods: Three elderly patients with stroke, aged to years, were recruited from a stroke rehabilitation center. A nonconcurrent, multiple baseline subject approach was taken, with an A-B-A treatment single-subject experimental design, and the experiment was conducted for 3 weeks. The action observation training was repeated 5 times in 5 days during the intervention period. The arm function, including WMFT, BBT, and grip and pinch strength, was evaluated in each subject 5 times during the baseline period, the intervention period, and the baseline regression period. Results: The results of the evaluation for each subject were presented as mean values and video graphs. The WMFT scores of 2 subjects were improved during the intervention period in comparison with the baseline period, and this improvement was maintained even during the regression baseline period. The BBT and the grip and pinch strength were not improved. Conclusion: Based on these results, we suggest that the action observation training for 5 sessions was effective in improving upper limb function of stroke patients but was not effective in improving hand dexterity or grip and pinch strength.

유도된 감정변화가 위팔두갈래근의 근활성도에 미치는 영향 (Effects of Induced Emotional Changes on Bicep Brachii Muscle Activity)

  • 양상원;신유미;김수진
    • 한국전문물리치료학회지
    • /
    • 제28권2호
    • /
    • pp.101-107
    • /
    • 2021
  • Background: Studies suggest that induced emotional changes can affect the sensory-motor system involved in the practice of muscle activity and movement in physical aspects. Previous studies have shown focused on effects just feedback on muscle activity associated with emotions but rarely have focused induced emotional change on gross motor function such as muscle activity. Objects: The purpose of this study was to compare biceps activity and emotion that before and after viewing a video was induced positive or negative emotion. Methods: The study enrolled 34 healthy male and female who scored at normal points on the Center for Epidermiological Studies-Depression Scale. The study measured over two weeks, showing subjects pleasant and sad videos one by one in a week. We performed to measure the biceps brachii activity which is maximal voluntary isometric contraction (MVIC) and the visual analog mood scale (VAMS) scores before and after one week. The significance level was set to α = 0.05. Results: There was no significant difference in muscle activity of the biceps brachii before and after each video was viewed (p > 0.05). However, the visual analogue mood scale showed an increase in VAMS after viewing each video (p < 0.05). Conclusion: We figured out induced emotional changes are cause actual emotional changes but there are no differences in muscle activity. In this research, watching the video with a short time looks like insufficient to change muscle activity. Nevertheless, there might be different when we check various muscles with sufficient time for viewing the video. Further study is needed to measure a variety of muscles with more time for viewing the video.

Constant score in asymptomatic shoulders varies with different demographic populations: derivation of adjusted score equation

  • Nitesh Gahlot;Ankit Rai;Jeshwanth Netaji
    • Clinics in Shoulder and Elbow
    • /
    • 제25권4호
    • /
    • pp.274-281
    • /
    • 2022
  • Background: In the present study, the age- and sex-adjusted Constant score (CS) in a normal Indian population was calculated and any differences with other population cohorts assessed. Methods: The study participants were patients who visited the outpatient department for problems other than shoulder and healthy volunteers from the local population. Patients without shoulder pain/discomfort during activity were included in the study. Subjects with any problem that might affect shoulder function (e.g., cervical, thoracic spine, rib cage deformity, inflammatory arthritis) were excluded. Constant scoring of all participants was performed by trained senior residents under the supervision of the senior faculty. Shoulder range of movement and strength were measured following recommendations given by the research and Development Committee of the European Society for Shoulder and Elbow Surgery (2008). A fixed spring balance was used for strength measurement; one end was fixed on the floor and the other end tied with a strap to the wrist of the participant, arm in 90° abduction in scapular plane with palm facing down. Results: Among the 248 subjects (496 shoulders), the average age was 37 years (range, 18-78 years), 65.7% were males (326 shoulders) and 34.3% females (170 shoulders). The mean CS was 84.6±2.9 (males, 86.1±3.0; females, 81.8±2.9). CS decreased significantly after 50 years of age in males and 40 years of age in females (p<0.05). The mean CS was lower than in previous studies for both males and females. Heavy occupation workers had higher mean CS (p<0.05). A linear standardized equation was estimated for calculating the adjusted CS for any age. Conclusions: Mean CS and its change with age differed from previous studies among various population cohorts.

어깨관절 질환에 대한 관절가동술 유형의 연구 동향 : 주제범위 문헌고찰 (Research Trend of Joint Mobilization Type on Shoulder : A scoping review)

  • 이정우;이남기
    • 대한통합의학회지
    • /
    • 제11권3호
    • /
    • pp.171-183
    • /
    • 2023
  • Purpose : This study sought to investigate research trends regarding joint mobilization type among patients with shoulder joint diseases. Methods : A scoping review was conducted according to the five steps outlined by Arskey and O'Malley and PRISMA-ScR. We searched six domestic databases (ScienceOn, DBpia, Riss, Kmbase, Kiss, KCI) and three international databases (CINAHL, Pubmed, Cochrane central) between 2013 and June 2023. The keyword terms used were 'joint mobilization', 'Kaltenborn', 'Maitland', 'Mulligan', and 'shoulder joint'. Results : There were a total of 44 studies that investigated the topic, and these were divided into quantitative analysis and topic analysis. In terms of publication year, the number of studies within the last five years has increased more than compared to the previous five years, with most of them being randomized clinical trials. In shoulder joint diseases, it was found that the majority of joint movement studies focused on adhesive joint cystitis and shoulder collision syndrome. The Mulligan concept was the most commonly studied type of joint motion. The dependent variables used included pain, joint function (disability), and muscle function. The visual analog scale was the most commonly used for the pain variable, followed by the numeric rating scale. For joint function and disability variables, range of motion was the most commonly used, followed by shoulder pain and disability index, and disabilities of the arm, shoulder, and hand. For muscle function, variables such as muscle tone, strength, and activity were used. Conclusion : We believe that findings of this scoping review can serve as valuable mapping data for joint mobilization research on shoulder joint diseases. Further studies including systematic reviews and meta-analyses based on these results are recommended.

실시간 온라인 수업 및 시험 태도 데이터 세트 설계 및 구현 (Real-time Online Study and Exam Attitude Dataset Design and Implementation)

  • 김준식;이찬휘;송혁;권순철
    • 방송공학회논문지
    • /
    • 제27권1호
    • /
    • pp.124-132
    • /
    • 2022
  • 최근 코로나바이러스감염증-19(COVID-19)로 인해 온라인 원격 수업과 비대면 시험으로 인해 수업 태도 및 시험 부정행위에 대한 관리가 어려움을 겪고 있다. 따라서 온라인으로 학생들의 행동을 자동으로 인식하고 검출하는 시스템이 필요하다. 사람의 행동을 인식하는 행동 인식의 경우 컴퓨터 비전에서 많이 연구되는 기술 중 하나이다. 이러한 시스템을 개발하기 위해서는 온라인 수업 및 시험에서 주요 정보가 될 수 있는 사람의 팔 움직임 정보와 주변 물체에 대한 정보를 포함하는 데이터가 필요하다. 기존 데이터 세트는 여러 분야에 대해 분류를 하거나 일상생활 행동으로 구성되어 있어 본 시스템에 적용시키기에 어려움이 있다. 본 논문에서는 실시간으로 진행되는 온라인 시험 및 수업에서 태도를 분류할 수 있는 데이터 세트를 제시한다. 또한, 기존의 행동 인식 데이터 세트와의 비교를 통해 제안된 데이터 세트가 올바르게 구성되었는지를 보여준다.

비접촉식 제스처 기반 3D 조형 태스크를 위한 다중 모달리티 인터페이스 디자인 연구 (Multi - Modal Interface Design for Non - Touch Gesture Based 3D Sculpting Task)

  • 손민지;유승헌
    • 디자인융복합연구
    • /
    • 제16권5호
    • /
    • pp.177-190
    • /
    • 2017
  • 본 연구는 비접촉식 제스처 기반 조형 태스크의 직관성 향상을 위한 다중 모달리티 인터페이스 디자인 GSS를 제안하였다. 디자인 조형 과정 및 조형 형태에 대한 사용자 경험을 조사한 후, 기술 발전에 따른 세대별 조형 시스템을 분석하였다. 또, 비접촉 3D 조형 시스템상에서의 조형 제작 프로세스, 조형 제작 환경, 제스처와 조형 태스크 간의 관계성, 자연스러운 손 조합 패턴과 사용자 손동작 요소들을 정의하였다. 이후, 기존 비접촉 3D 조형 시스템상에서 비접촉식 제스처 인터랙션을 관찰하고 자연스러운 조형 제작을 위해 조형 작성자의 행동체계가 반영된 인터페이스의 시각적 메타포와 자연스러운 제스처 인터랙션을 유도할 수 있는 행동적 메타포를 도출하였다. 프로토타입을 개발한 후, 제안된 주요 조형 태스크별 제스처 세트의 직관성을 알아보기 위해 기존 조형 시스템들과 비교하여 사용성 평가를 진행하였다. 제안된 GSS 시스템의 제스처는 이해도, 기억성, 오류율에서 우수성을 보였다. 제스처 인터페이스는 사용자의 경험에 기반한 시각적/행동적 메타포를 바탕으로 시각적 모달리티가 함께 사용된 제스처 인터페이스를 사용자들에게 제공되어야 한다는 것을 확인하였다.

D와 C등급 전신 보호복의 치수, 여유분, 그레이딩 편차 및 착의 평가 (Dimensions, Ease, Grading Rule, and Wear Sensation for Commercial D and C Levels of Personal Protective Clothing)

  • 박선희;박소영;권은순;강준모;이예진
    • 한국의류학회지
    • /
    • 제47권5호
    • /
    • pp.839-852
    • /
    • 2023
  • This study examined personal protective clothing, specifically the D (M, L, XL) and C (L, XL, 2XL) levels with high sales rates. The goal was to collect essential data for developing Korean personal protective clothing. There were eight and twelve patterns for the D-level and C-level, respectively. While the pattern dimensions were similar, the chest and waist circumferences (relaxed) were larger in the C-level, and the waist (extended), hip, upper arm circumference, and total lengths were larger in the D-level. The D-level wear sensation worked well for average-sized Koreans in their twenties, but the C-level caused discomfort in multiple areas, such as the face, arms, armpits, hips, crotch, thighs, and knee during movement. Consequently, this region required pattern adjustments and resetting for improved comfort. The grading rules were 10 cm in the chest, waist, and hip circumference, regardless of the level, with slight differences in other parts depending on the levels. Thus, manufacturers should establish new grading rules to suit the Korean body shape.

A New Radiation-Shielding Device for Restraining Veterinary Patients

  • Songyi Kim;Minju Lee;Miju Oh;Yooyoung Lee;Jiyoung Ban;Jiwoon Park;Sojin Kim;Uhjin Kim;Jaepung Han;Dongwoo Chang
    • 한국임상수의학회지
    • /
    • 제40권6호
    • /
    • pp.429-437
    • /
    • 2023
  • In veterinary medicine, most radiographic images are obtained by restraining patients, inevitably exposing the restrainer to secondary scattered radiation. Radiation exposure can result in stochastic reactions such as cancer and genetic effects, as well as deterministic reactions such as skin burns, cataracts, and bone marrow suppression. Radiation-shielding equipment, including aprons, thyroid shields, eyewear, and gloves, can reduce radiation exposure. However, the risk of radiation exposure to the upper arms, face, and back remains, and lead aprons and thyroid shields are heavy, restricting movement. We designed a new radiation-shielding system and compared its shielding ability with those of conventional radiation-shielding systems. We hypothesized that the new shielding system would have a wider radiation-shielding range and similar shielding ability. The radiation exposure dose differed significantly between the conventional and new shielding systems in the forehead, chin, and bilateral upper arm areas (p < 0.001). When both systems were used together, the radiation-shielding ability was better than when only one system was used at all anatomical locations (p < 0.01). This study suggests that the new radiation-shielding system is essential and convenient for veterinary radiation workers because it is a step closer to radiation safety in veterinary radiography.

Asymmetric Head-Gear의 견인력의 차이에 따른 상악 제 1 대구치에 나타나는 힘과 변위 및 초기 응력분포에 관한 유한요소법적 비교 연구 (A FEM comparison study about the force, displacement and initial stress distribution on the maxillary first molars by the application of Asymmetric Head-Gears with the different traction forces)

  • 차경석
    • 대한치과교정학회지
    • /
    • 제31권3호
    • /
    • pp.311-323
    • /
    • 2001
  • 편측성 II급 부정교합의 치료 시 다양한 mechanics가 사용되어지는데 그중 한가지가 asymmetric face-bow를 가진 head gear이다. 이 asymmetric head gear의 편측 효과에 대해 다양한 연구결과를 보고하고 있는데 이에 저자는 편측성 II급 부정교합의 상악 치열 모델링과 임상에서 자주 사용되는 Power arm asymmetric face-bow를 모델링하고, 견인력을 달리하여 유한 요소법을 통해 치근막에서 발생되는 응력의 분포와 그에 따른 각 방향의 반력, 그리고 그로 인한 변위를 관찰하여 역계를 이해하고 치료효과를 예견하고자 실험을 고안하였다. 발치나 교정치료의 경험이 없는 25세 남자 정상 교합자를 대상으로 컴퓨터 단층 촬영을 시행하여 얻은 방사선필름을 기초로 하여 유한 요소 상악 모델과 치주인대 모델을 제작하고 그후 다시 좌측 제 1 대구치가 근심 편위되어있는 편측성 상악 II급 부정교합 모델로 제작하고, RMO 사의 Face-bow (Penta-$^{TM}$/Medium size)를 기본 모델로 0.045 inch 직경의 inner-bow와 0.072 inch 직경의 outer-bow를 가지는 asymmetric face-bow를 우측을 25mm 짧게 하여 모델링한 후, 좌우측 제 1 대구치에 각각, 250g, 300g, 350g 씩 견인력을 부여하여 다음과 같은 결론을 얻었다. 1. 양쪽 제1 대구치가 받는 힘의 총합은 견인력이 증가함에 따라 증가하는 경향을 보였는데 대체로 근심위치된 치아가 정상 위치한 치아보다 더 많은 힘을 받는 것으로 나타났으며, 두치아 모두 윈심으로의 힘을 받으며, 원심으로 이동하는 양상을 보여주었다. 2. 측방력은 두 치아 모두 협측으로의 힘을 받는 것으로 나타났는데, 힘의 성분을 분석하여 보면 견인력이 증가함에 따라 X축으로의 힘이 근심 위치된 치아에서 점점 작아지며, 정상 위치한 치아에서 점점 증가하여 측방력의 성분이 힘을 많이 받는 쪽에서 적게 받는 쪽으로 이동하는 양상을 보여주었다. 3. 원심으로의 이동과 동시에 회전과 경사이동 양상을 보여주었는데 견인력의 증가시 함께 증가하는 양상을 보였고, 힘을 많이 받는 쪽, 즉 근심 위치된 치아가 더 많은 회전과 경사이동을 보였으며 적은 양이나마 정상 위치된 치아에 서도 같은 양상의 변위를 보였다.

  • PDF