• 제목/요약/키워드: Carpal Motion

검색결과 20건 처리시간 0.021초

인체 수관절 운동과 근전도의 상관관계 (Correlation of Human Carpal Motion and Electromyogram)

  • 전한용;김진오;박광훈
    • 대한기계학회논문집A
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    • 제34권10호
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    • pp.1393-1401
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    • 2010
  • 본 논문은 인체 수관절 운동과 표면 근전도의 상관관계를 실험적으로 다룬다. 수관절의 해부학적 구조를 분석하여, 수관절 운동 형상을 파악하고 운동을 발생시키는 주요 근육을 선정하였다. 수관절 재활 훈련 장치를 이용하여 수관절 운동에 저항하는 토크를 가하고, 이 때 주요 근육에서 토크에 따른 표면 근전도 신호를 측정하였다. 측정된 표면 근전도 신호의 크기를 계산하여 수관절 운동과의 연관성 분석에 사용하였다. 실험 결과로부터 수관절 토크와 표면 근전도 신호의 크기가 토크 $0.1\;N{\cdot}m$ 이하의 수관절 운동에서는 선형적으로 비례함을 밝혔고, 수관절 근육의 단면적에 따라 표면 근전도 신호의 크기도 선형적으로 비례함을 확인하였다. 또한 수관절 운동에 관여하는 각 근육의 기여도를 분석한 결과, 각 운동을 발생시키는 가장 주도적인 2개의 근육 중에서 한 근육의 기여도가 약 60 %로서 일관성 있게 나타났다. 이러한 세 가지 실험 결과로 좀 더 정교한 수관절 재활 훈련 장치나 로봇 등을 제작하는데 응용할 수 있다.

3차원 영상을 이용한 다트 던지기 운동에서의 주상골, 유두골, 월상골의 움직임 분석 (The Motion Analysis of the Scaphoid, Capitate and Lunate During Dart-Throwing Motion Using 3D Images)

  • 박찬수;김광기;김유신;정창부;장익규;이상림;오수찬;유도현;백구현
    • 대한의용생체공학회:의공학회지
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    • 제32권2호
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    • pp.144-150
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    • 2011
  • The primary purpose of this study was to analyze the motion of the scaphoid, capitate, and lunate during dart-throwing motion by three-dimensional modeling. Five series of CT images of five normal right wrists were acquired from five motion steps from radial extension to ulnar flexion in the dart-throwing motion plane. Segmentation and three-dimensional modeling of bones from CT images was performed using Analyze. Distances among centroids of the scaphoid, capitate and lunate and angles between principal axes of three carpal bones were calculated to analyze the motion by using MATLAB. As the wrist motion changed from radial extension to ulnar flexion, the distance between two adjacent bones decreased. The scaphoid and lunate rotated less than the capitates during dart-throwing motion. This study reports the Three-dimensional in vivo measurement of carpal motion using CT images.

미세전류 손목 보호대 착용이 손목터널증후군 노인 여성의 통증 척도, 관절가동범위 및 근력에 미치는 영향 (Effects of Wearing a Microcurrent Wrist Guard on Pain Scale, Range of Motion, and Muscle Strength in Elderly Women with Carpal Tunnel Syndrome)

  • 박혜선;박진희;김주용
    • 패션비즈니스
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    • 제27권5호
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    • pp.1-12
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    • 2023
  • The purpose of this study was to investigate impact of wearing low-level current wrist guards on pain scale, range of motion (ROM), and muscle strength in elderly women with Carpal Tunnel Syndrome (CTS). Subjects were 12 elderly women aged between 65 and 85 years who were diagnosed with CTS symptoms. Measurements included grip strength and wrist ROM. Wrist ROM was assessed through flexion and dorsiflexion. Wrist guards were worn. After two weeks, pain level was assessed using the Visual Analogue Scale (VAS). Results showed a significant reduction in VAS score in the MES group after stimulation, whereas there was no difference in the control group. However, there was no significant difference in ROM between the MES group and the control group. Grip strength increased in the MES group after two weeks (p ≤ 0.001). In conclusion, clinical trials suggest that MES wrist guards might be provided as an adjunctive treatment method for CTS patients. This study provides foundational data for the design and use of auxiliary devices such as gloves in the field of MES research for pain reduction, ROM improvement, and muscle strength enhancement resulting from CTS.

Trigger Wrist with Carpal Tunnel Syndrome Accompanied with Trifid Median Nerve: A Case Report and Literature Review

  • Sangho Oh
    • Archives of Plastic Surgery
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    • 제49권6호
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    • pp.750-754
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    • 2022
  • Trigger wrist, characterized by a clicking or snapping sensation around the wrist joint during finger or wrist motion, and bifid or trifid median nerve, which occurs in carpal tunnel syndrome along with anatomical variation of median nerve, are rare conditions. We report the case of a patient with a thickened tendon caused by severe tenosynovitis and flexor tendon subluxation to the hamate hook due to bowing of the flexor retinaculum, thereby resulting in trigger wrist as well as an anatomical median nerve variation (bifid median nerve in the right wrist and trifid median nerve in the left wrist). A 59-year-old housewife visited our hospital with bilateral fingertip numbness, tingling sensation, and aggravated severe night cramping that began 2 months ago. She also complained about trigger wrist during small finger flexion. Based on magnetic resonance imaging, ultrasonography, and nerve conduction study, trifid median nerve and bilateral severe median nerve neuropathy of the wrist were diagnosed; therefore, transverse carpal tunnel release and exploration under wide-awake anesthesia were planned. Intraoperative findings showed trifid and bifid median nerves in left and right wrists, respectively. Additionally, bowing of flexor retinaculum and severe flexor tendon tenosynovitis were observed. Tenosynovitis with thickened flexor sheath resulted in subluxation of the small finger flexor tendon above the hamate hook. After transverse carpal ligament release with antebrachial fascia release and tenosynovectomy, subluxation of the flexor tendon was resolved. At 6 months postoperatively, the tingling and dullness in fingertips also resolved, and no trigger wrist or any other complications were noted.

광주·전남지역 치과위생사의 수근관증후근에 대한 연구 (The study on the Carpal Tunnel Syndrome by dental hygienists at Gwangju·Jeonnam Area)

  • 심형순
    • 한국치위생학회지
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    • 제4권2호
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    • pp.225-236
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    • 2004
  • It has been suggested in research results thai dental hygienists have high risk of carpal tunnel syndrome, mainly caused by the repeated motion of extensor and flexor or the use of vibration tools, compared to other occupations. To find out the situation of the carpal tunnel syndrome of dental hygienists, who are exposed to work-related musculoskeletal disorders, this study used 132 questionnaires given on May 22, 2004, the period of continuing education of the first half year in the Gwangju Jeonnam area, and obtained the following results. 1. Subjects worked at a dental ciinic(32.6%), a hospital(31.8%), and a public health center(35.6%). Age by work was under 24 in a clinic(17.4%) and a hospital(15.9%), and over 30 in a public health center(35.6%). 2. In practice conducted over one time a day, a scaling accounted for 90.7% in a doctor's office; 595% in a hospital; and 3.0% in a public health center, suggesting significant difference(p<0.01). Pit and fissure sealant accounted for 53.5% in a clinic; 53.2% in a hospital; and 95% in a public health center, also suggesting significant difference(p0.01). 3. Symptoms of carpal tunnel syndrome appeared in a wrist(12.1%), a right hand(14.4%), and a left hand(5.3%). 4. In case of temporary crown practice, symptoms appeared in a wrist(22.0%), a right hand(14.0%), and a left hand(4.0%), suggesting significant difference(p<0.01). The above results showed that 12.1% of dental hygienists was exposed to carpal tunnel syndrome. Thus, it is considered very important that dental hygienists should be given education of the danger of continuous work in certain motions and prevention education of improving repeated position, and make efforts to reinforce self-control ability.

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Position Change of the Neurovascular Structures around the Carpal Tunnel with Dynamic Wrist Motion

  • Kwon, Jae-Yoel;Kim, Ji-Young;Hong, Jae-Taek;Sung, Jae-Hoon;Son, Byung-Chul;Lee, Sang-Won
    • Journal of Korean Neurosurgical Society
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    • 제50권4호
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    • pp.377-380
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    • 2011
  • Objective : The purpose of this study was to determine the anatomic relationships between neurovascular structures and the transverse carpal ligament so as to avoid complications during endoscopic carpal tunnel surgery. Methods : Twenty-eight patients (age range, 35-69 years) with carpal tunnel syndrome were entered into the study. We examined through wrist magnetic resonance imaging in three different positions (neutral, radial flexion, and ulnar flexion) and determined several anatomic landmark (distance from the hamate hook to the median nerve, ulnar nerve, and ulnar vessel) based on the lateral margin of the hook of the hamate. The median nerve and ulnar neurovascular structure were studied with the wrist in the neutral, ulnar, and radial flexion positions. Results : The ulnar neurovascular structures usually passed just over or ulnar to the hook of the hamate. However, in 12 hands, a looped ulnar artery coursed 0.6-3.3 mm radial to the hook of the hamate and continued to the superficial palmar arch. The looped ulnar artery migrates on the ulnar side of Guyon's canal (-5.2-1.8 mm radial to the hook of the hamate) with the wrist in radial flexion. During ulnar flexion of the wrist, the ulnar artery shifts more radially beyond the hook of the hamate (-2.5-5.7 mm). Conclusion : It is appropriate to transect the ligament greater than 4 mm apart from the lateral margin of the hook of the hamate without placing the edge of the scalpel toward the ulnar side. We would also recommend not transecting the transverse carpal ligament in the ulnar flexed wrist position to protect the ulnar neurovascular structure.

진행된 키엔벡 병에서의 방형회내근 유경 요골 피판을 이용한 관절성형술의 중장기 결과 (Mid to Long-term Outcome of Vascularized Pronator Quadratus-wrapped Radial Bone Flap Arthroplasty for Advanced $Kienb{\ddot{o}}ck's$ Disease)

  • 공현식;백구현;이영호;김세훈;조영재;정문상
    • Archives of Reconstructive Microsurgery
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    • 제15권2호
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    • pp.101-106
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    • 2006
  • The purpose of this study was to analyze the mid to long-term clinical and radiological outcome of vascularized pronator quadratus-wrapped radial bone flap arthroplasty for symptomatic advanced $Kienb{\ddot{o}}ck's$ disease. Between 1982 and 2000, 41 cases of advanced $Kienb{\ddot{o}}ck's$ disease were treated with vascularized pronator quadratus wrapped radial bone flap arthroplasty. There were 17 men and 24 women, with a mean age of 39 years at the time of operation. According to Lichtman's classification, there were 13 stage IIIb and 28 stage IV patients. The duration of follow-up averaged 6.1 ($3{\sim}22$) years. We assessed the clinical outcome by subjective pain and active range of motion of the wrist, and evaluated the radiologic outcome by using carpal height ratio and radioscaphoid angle. Postoperatively, all patient reported an improvement in their symptoms. The mean active extension and flexion were improved by $9^{\circ}$ and $6^{\circ}$, respectively (p<0.05). The carpal height ratio was decreased from a mean of 0.52 to 0.48, and the radioscahpoid angle was increased from a mean of $61^{\circ}$ to $66^{\circ}$, but the differences were not significant statistically. Vascularized pronator quadratus-wrapped radial bone flap arthroplasty improves the wrist motion and may prevent serious carpal collapse in advanced $Kienb{\ddot{o}}ck's$ Disease.

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The Effect of Wheelchair Propulsion on Carpal Tunnel Syndrome of Wrist Joint

  • Kong, Jin-Yong;Kwon, Hyuk-Cheol;Chang, Ki-Yeon;Jeong, Dong-Hoon
    • 한국전문물리치료학회지
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    • 제11권4호
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    • pp.7-17
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    • 2004
  • Individuals who propel wheelchairs have a high prevalence of upper extremity injuries (i.e., carpal tunnel syndrome, elbow/shoulder tendonitis, impingement syndrome). Musculoskeletal injuries can result from overuse or incorrect use of manual wheelchairs, and can hinder rehabilitation efforts. To better understand the mechanisms of upper extremity injuries, this study investigates the motion of the wrist during wheelchair propulsion. This study also examines changes in the variables that occur with fatiguing wheelchair propulsion to determine how the time parameters of wheelchair propulsion and the state of fatigue influence the risk of injury. A two dimensional (2-D) analysis of wrist movement during the wheelchair stroke was performed. Twenty subjects propelled a wheelchair handrim on a motor-driven treadmill at two different velocities (50, 70 m/min). The results of this study were as follows; The difference in time parameters of wheelchair propulsion (cadence, cycle time, push time, recovery time, and PSP ratio) at two different velocities was statistically significant. The wrist kinematic characteristics had statistically significant differences at two different velocities, but wrist radial deviation and elbow flexion/extension had no statistically significant differences. There were statistically significant differences in relation to fatigue in the time parameter of wheelchair propulsion (70 m/min) between initial 1 minute and final 1 minute. The wrist kinematic characteristics between the initial 1 minute and final 1 minute in relation to fatigue had statistically significant differences but the wrist flexion-extension (50 m/min) had no statistically significant differences. According to the results, the risk of musculoskeletal injuries is increased by fatigue from wheelchair propulsion. To prevent musculoskeletal injuries, wheelchair users should train in a muscle endurance program and consider wearing a splinting/grove. Moreover, wheelchair users need education on propulsion posture, suitable joint position, and proper recovery patterns of propulsion.

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Experiences of the Specified Symptoms from the Selected Work-Related Musculoskeletal Syndrome and Posture and Action of the Dental Hygienists When Work-Related Musculoskeletal Diseases of Dental Hygienists Patient Care Procedure

  • Lee, Ka Yeon;Chun, Jong Ae
    • International Journal of Clinical Preventive Dentistry
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    • 제14권4호
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    • pp.235-240
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    • 2018
  • Objective: The purpose of this study is to examine about dental hygienists' myofascial pain syndrome, lower back pain, carpal tunnel syndrome (CTS), medial and lateral epicondylitis, hand-arm vibration syndrom and work-related musculoskeletal syndrome (WMSD) experience and hygienists' posture, motion. Methods: The self-administered questionnaire was surveyed from June 1 to September 30 of 2018 targeting 280 dental hygienists in Gyeongnam province and 266 dental hygienists' answers were analyzed. Results: The average daily working hours of a dental hygienist was more than eight hours 59.0%, with an average of 33 patients per day. The average number of patients who receive treatment for more than 30 minutes is 15. The angle of motion of the subjective evaluation was above 60%. Medical position and form of movement were more than 50% above the standard level. Symptoms of posture and motion that cause WMSD were hand-arm vibration syndrome 68.1%, myofascial pain syndrome 58.6%, lower back pain 51.1%, CTS 50.4% in order. Experience WMSD related symptoms which dental hygienists experience were myofascial pain syndrome 92.9%, CTS 57.9%, lower back pain 56.4%, medial and lateral epicondylitis 37.2%, hand-arm vibration syndrome 24.4%. Conclusion: The above results showed the posture and motion of dental hygienists and were found that the experience rate which dental hygienists experience WMSD of myofascial pain syndrome, Lower back pain, and CTS was significantly more than 56%.