• Archives of Plastic Surgery
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• 제42권6호
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• pp.753-760
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• 2015

Background A number of conditions can alter a person's fingernail configuration. The ratio between fingernail width and length (W/L) is an important aesthetic criterion, and some underlying diseases can alter the size of the fingernail. Fingernail curvature can be altered by systemic disorders or disorders of the fingernail itself. Although the shape and curvature of the fingernail can provide diagnostic clues for various diseases, few studies have precisely characterized normal fingernail configuration. Methods We measured the W/L ratio of the fingernail, transverse fingernail curvature, hand length, hand breadth, and distal interphalangeal joint width in 300 volunteers with healthy fingernails. We also investigated whether age, sex, height, and handedness influenced the fingernail W/L ratio and transverse fingernail curvature. Results In women, fingernail W/L ratios were similar across all five fingers, and were lower than those in men. The highest value of transverse fingernail curvature was found in the thumb, followed by the index, middle, ring, and little fingers. Handedness and aging influenced transverse fingernail curvature, but not the fingernail W/L ratio. Fingernails were flatter on the dominant hand than on the non-dominant hand. The radius of transverse fingernail curvature increased with age, indicating that fingernails tended to flatten with age. Conclusions Our quantitative data on fingernail configuration can be used as a reference range for diagnosing various diseases and deformities of the fingernail, and for performing reconstructive or aesthetic fingernail surgery.

• 재활치료과학
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• 제7권1호
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• pp.63-77
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• 2018

목적 : 본 연구는 기능적 전기 자극을 병행한 과제 지향적 훈련이 불완전 경수 손상 환자의 손 기능에 미치는 영향을 알아보고자 하였다. 연구방법 : 대상자는 불완전 경수 손상 진단을 받은 성인 3명으로, ABA 설계를 사용하였으며, 연구기간 동안 기초선(A1) 5회기, 중재기(B) 20회기, 재기초선(A2) 5회기로 총 30회기 실시하였다. 중재기(B) 동안 기능적 전기 자극을 병행한 과제 지향적 훈련이 제공되었고, 모든 회기에는 손 기능을 평가하기 위해 상자와 나무토막 검사(Box and Block Test), 떨어지는 막대 잡기(Grip the falling bar)와 먹기 흉내 내기(Simulated feeding)를 측정하였으며, 기초선(A1) 전, 재기초선(A2) 후로 Canadian Occupational Performance Measure(COPM), Jebsen-Taylor Hand Function Test(JTHFT)와 Wolf Motor Function Test(WMFT)를 실시하여 중재 효과를 살펴보았다. 결과 : 모든 대상자는 상자와 나무토막 검사(Box and Block Test), 떨어지는 막대 잡기(Grip the falling bar)와 먹기 흉내 내기(Simulated feeding)를 통해 기초선(A1)보다 중재기(B)에서 우세 손 기능이 향상되었고, 재기초선(A2)에서 그 효과가 유지되었다. 재기초선(A2) 후 COPM, JTHFT와 WMFT의 결과, 우세 손 기능의 향상과 과제 수행도와 만족도의 향상을 보였다. 결론 : 기능적 전기 자극을 병행한 과제 지향적 훈련은 경수 손상 환자의 손 기능뿐만 아니라, 대상자가 선택한 훈련 과제의 과제 수행도와 만족도 향상에 효과적이다.

• 대한지역사회작업치료학회지
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• 제4권2호
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• pp.63-73
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• 2014

목적 : 본 연구는 수공예활동과 글씨쓰기활동이 과제를 수행할 때에 양손협응에 미치는 영향에 대해 알아보고자 하였다. 연구방법 : 손 기능에 장애가 없는 20대 대학생 30명을 선정하여 무작위방법으로 10명씩 세 군으로 나누었다. 실험군 1(수공예활동), 실험군 2(글씨쓰기활동), 대조군으로 배분하였다. 중재 전, 후에 각각의 양손협응의 정도를 비교하기 위하여 Jebsen-taylor hand function test, Purdue pegboard test, Minnesota manual dexterity test를 시행하였다. 결론 : 수공예활동과 글씨쓰기 훈련 전, 후를 비교한 결과 중재 후에 실험군 1(수공예활동)과 실험군 2(글씨쓰기활동)에서 손 기능 및 양손협응에 긍정적인 영향을 미치는 것을 알 수 있었다. 특히, 실험군 1(수공예활동)은 Jebsen-taylor hand function test 항목에서 실험군 2(글씨쓰기활동)는 Purdue pegboard test 항목에서 중재 후에 통계적으로 유의한 차이를 보였다. 결론 : 수공예활동은 과제를 수행할 때에 양손협응을 향상시키고 글씨쓰기활동은 손의 기민성을 향상시킨다는 것을 알 수 있었다. 즉, 수행하는 과제에 따라 수공예활동과 글씨쓰기활동이 미치는 영향이 다르다는 것을 알 수 있었다. 후속 연구에서는 모든 연령과 다양한 수공예활동과 글쓰기활동에 대한 다각도의 연구가 수행된다면 협응능력 제한이 있는 사람의 작업 중재 방법에 도움이 되리라 생각한다.

• The Journal of Korean Physical Therapy
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• 제30권2호
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• pp.63-66
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• 2018

Purpose: The purpose of the current study was to examine the effects of exercise-induced fatigue of the plantar flexor muscle in the dominant ankle on the plantar flexor strength and postural control function of the contra-lateral side. Methods: Twenty-one young adults (male: 10, female: 11) volunteered to participate in this study. An exercise-induced fatigue protocol to induce fatigue was performed in the plantar flexor of the dominant ankle. For the fatigue protocol, the participants were instructed to raise their heels as high as possible in the position with one leg stance of the dominant lower limb, and the heel was then downed after holding for 1 second. The muscle strength of the contra-lateral plantar flexor was measured using a digital muscle strength test device, and the static and dynamic postural control were tested by acquiring the center of gravity velocity while performing one leg standing. A paired t-test was used to identify the differences between the pre- and post, and the data were analyzed using SPSS 12.0 software. Results: Comparison of the pre- and post-test data revealed a significant difference in the plantar flexor strength and dynamic postural control after exercise-induced muscle fatigue in the dominant side. On the other hand, there was no significant difference in the static postural control. Conclusion: These findings have practical implications, suggesting that unilateral muscle fatigue affects the ankle muscle strength and postural ability of the contralateral side.

• International Journal of Contents
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• 제16권1호
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• pp.57-64
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• 2020

We sought to compare upper extremity muscle activity between handwriting on paper and touchscreen with dominant and non-dominant hands in younger adults (age 23.90±1.12) and the elderly (age 75.55±5.76). Muscle activity (percent of maximum voluntary contraction) in the biceps brachii muscle, triceps brachii muscle, flexor carpi ulnaris muscle, and extensor carpi ulnaris muscle was measured using an electromyography device. As a result, our data indicate that muscle activity is lower in younger adults than the elderly. Besides, muscle activity is lower in the dominant versus non-dominant hand, and lower when writing using a touchscreen than on paper. These results can be used to support recommending touchscreens in the elderly. Also, they can be used as baseline data for comparing the performance of non-paretic side and paretic side in patients relative to the central nervous system.

• 한국산업보건학회지
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• 제25권4호
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• pp.554-565
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• 2015

Objectives: The purpose of this study was to measure estheticians' grip and pinch strength in the hand parts and identify related factors according to general characteristics. Methods: A Jamar dynamometer was used to measure grip strength and a Jamar pinch gauge was used to measure tip, palmar and lateral pinch strength. General data were collected through a questionnaire survey among 116 estheticians from 31 skin care centers and spas. Results: The subjects' mean grip strength was 23.95 kgf for the right hand and 23.42 kgf for the left hand with the dominant right hand recording slightly higher mean grip strength. Their mean pinch strength was the highest with lateral pinch(right 4.89 kgf, left 4.69 kgf), which was followed by palmar pinch(right 3.77 kgf, left 3.88 kgf) and tip pinch(right 2.29 kgf, left 2.25 kgf), in that order. Conclusions: The grip and pinch strength of the hand parts was high when estheticians' commonly used both hands for massage instead of just one. The use of both hands is recommended to protect the hand parts during massage.

• 인간행동과 음악연구
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• 제10권2호
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• pp.79-97
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• 2013

본 연구는 MIDI(Musical Instrument Digital Interface) 프로그램을 연결한 키보드 연주 시 일반인의 각 손가락 타력 표준치를 측정하고자 실시되었다. 연구 대상은 서울과 충청 지역 대학에 재학 중인 학생 총 92명(남성 46명, 여성 46명)으로 평균 연령은 만 18세부터 28세였다(평균나이: 21.7, 표준편차: 1.8). 연구 대상자의 음악교육경험 및 기간에 관한 조사를 선행한 후, 연구대상자의 각 손가락을 이용하여 키보드 건반을 상행 및 하행으로 타건하도록 하였다. 개인별 타건의 MIDI값을 분석해 본 결과 최대 강도 127 중 77~97의 수치를 기록하였다. 남성의 경우 최대값은 우세손 손가락의 검지에서 96.9를 기록했고, 최저값은 비우세손 약지에서 78.5 나타났다. 여성은 우세손 중지의 타력값이 92로 가장 높았으며 최저값은 남성과 유사하게 비우세손 약지에서 77.5로 나타났다. 참여자들의 우세손과 비우세손 손가락 타력의 차이는 엄지를 제외한 모든 손가락에서 통계적으로 유의미한 차이를 보였으나(p < .05) 성별과 악기 연주 경험에서는 유의미한 차이가 나타나지 않았다(p < .05). 본 연구에서 측정된 손가락 타력의 표준치는 건반악기와 MIDI프로그램의 사용이 손기능을 평가하는 도구로 활용될 수 있으며, 손기능 중재 방안의 효과성 입증을 위한 근거 자료로 활용 될 수 있음을 시사한다.

• 대한전기학회:학술대회논문집
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• 대한전기학회 2004년도 학술대회 논문집 정보 및 제어부문
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• pp.322-324
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• 2004

Up to the present, digital replantation patients has appealed different symptoms due to blood circulatory failure. But, the level of blood circulatory failure has been evaluated only by clinical symptoms, or angiography. According to the cases of digit replantation is increasing, then objective evaluation methods of the level of blood circulation failure is needed other than patient's subjective symptoms and complaints. Although angiography, doppler, electromagnetic flowmeter, laser blood flowmeter, mechanical blood flowmeter has been used for the evaluation of the blood circulatory failure, the result was affected by time, place, surrounding temperature, patient's body temperature, and even emotion. Therefore, it is pointed out with lack of availability, feasibility and reproducibility. Thus, we compared digital blood flow of dominant hand to non dominant hand, and replanted fingers to opposite normal fingers from developed photo-plethysmography. The average digital blood flow showed no difference in normal digits each other, but, replanted digits showed average of 53% (9 - 100 %) compare to opposit normal digits. As it measure relative blood flow for circulatory failure of tissue such as fingers and toes more sensitively, reliably. In conclusion, it is expected that photo- plethysmography will be very useful for diagnosis, curative effect, prognosis of blood circulatory failure in digital replantation patient.

• The Journal of Korean Physical Therapy
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• 제23권2호
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• pp.31-36
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• 2011

Purpose: We investigated the effects of physical practice, mental practice, and cross education using serial reaction time (SRT) in the non-dominant left arm of right-handed individuals. Methods: Subjects were divided into three groups; physical practice (n=8), mental practice (n=8) and controls (n=8). They did, respectively, physical training or mental training, or had no intervention for three weeks. Super lab 4.0 displayed four symbols on the monitor and subjects were asked to push the matching button. Reaction time was assessed pre- and post-intervention. Results: Reaction time was significantly lower after physical practice (p<0.05), but mental practice did not significantly lower reaction time? in the left hand. Also, reaction time was not significantly lower after physical practice or mental practice in the right hand. Conclusion: Physical practice can improve motor learning, but mental practice is not sufficient. Also, neither physical practice nor mental practice is sufficient for cross education from the nondominant to the dominant arm.

• 한국산업보건학회지
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• 제5권2호
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• pp.147-159
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• 1995

This study was conducted to introduce fundamental data of hand-arm vibration and noise exposure levels with impact wrenches(double-hammer impact wrenches and oil-pulse impact wrenches) used in automobile assembly lines considering the process variables and tool variables. In studing, products per day, required time screwing the bolts or nuts per bolts or nut were considered as process variables, and capacity of bolts or nuts, air consumptions per minute, tool weights, RPM were considered as tool variables. Hand-arm vibration levels of 3 axis in each hand were measured using the instruments compling with ISO/DIS 5349 and noise levels were measured using a noise logging dosimeter. The results were as follows : 1. Required time to screwing the bolt or nut by oil-pulse impact wrenches is shorter than double-hammer impact wrenches but total daily exposure time of oil-pulse impact wrenches was higher than double-hammer impact wrenches because the number of bolts or nuts per cycle was many. 2. Oil-pulse impact wrenches have been used to screwing the large bolt or nut in comparing with double-hammer impact wrenches and required time to screwing the bolts or nuts were shorter than double-hammer impact wrenches because oil-pulse impact wrenches were using high RPM and large air consumption per minute. Noise level of oil-pulse impact wrenches was 8 dB(A) lower than double-hammer impact wrenches. 3. Dominant hand-arm vibration levels of double-hammer impact wrenches in each hand were $8.24m/sec^2$ of Zh axis in right hand and $9.60m/sec^2$ of Xh axis in left hand. Dominant hand-arm vibration level of oil-pulse impact wrenches in each hand was $2.59m/sec^2$ of Xh axis in right hand and $3.23m/sec^2$ of Yh axis in left hand. 4. In double-hammer impact wrenches, corresponding hand-arm vibration levels of Xh, Yh, Zh axis in left hand were higher than hand-arm vibration levels of right hand in 3 axis. In oil-pulse impact wrenches, Xh axis of right, Yh axis of left, Zh axis of left were higher than the corresponding hand-arm vibration levels of Xh, Yh, Zh axis in right and left hand. 5. Correlation coefficients among Xh, Yh. Zh axis of right and left hand hand-arm vibration levels in double-hammer impact wrenches and oil-pulse impact wrenches were commonly high in Yh axis and correlation coefficients of Yh axis in double-hammer impact wrenches and oil-pulse impact wrenches were 0.76 and 0.86,respectively. 6. As a measure repetitiveness, plotting total daily exposure time with the number of bolts or nut per cycle, direct correlation was shown between repetitiveness and hand-arn vibration exposure, and correlation coefficient between the number of bolts or nut per cycle and total daily exposure time in double-hammer impact wrenches, oil-pulse impact wrenches were 0.84 and 0.50, respectively. 7. Considering the total acceleration level and tool variables in double-hammer impact wrenches and oil-pulse impact wrenches, air consumption in right hand, and bolt or nut capacity in left hand were commonly the variable that explainability was high. Considering the noise and tool variables in double-hammer impact wrenches and oil-pulse impact wrenches, air consumption per minute was commonly the variable that explainability was high.