• Title/Summary/Keyword: Finger Rehabilitation

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The Effect of Transcutaneous Electrical Nerve Stimulation on Sympathetic Tone (경피신경 전기자극법이 교감신경 긴장성에 미치는 영향)

  • An, Soo-Gyung;Yoo, Hwan-Suk;Lee, Ji-Hyun;Kim, Young-Rok
    • Physical Therapy Korea
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    • v.3 no.2
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    • pp.77-83
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    • 1996
  • The purpose of this study was to determine the effect of transcutaneous electrical nerve stimulation(TENS) on sympathetic tone in healthy subjects. Stimulation in the conventional and burst modes was applied to the skin of the forearm overlying the median nerve. TENS was applied for 20 minutes at an intensity sufficient to produce a perceptible though not uncomfortable sensation and no muscle contracion of the forearm musculature. The change in sympathetic tone was measured with skin temperature. Skin temperature was measured at the index finger and on the volar surface of the forearm in the stimulated limb. The conventional and burst modes did not change the skin temperature at any of the two measurement sites. We conclude that TENS, as applied in this study, does not influence sympathetic tone. Further research is needed to assess the sympathetic effects of TENS on patient groups, long term treatment and other modalities.

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A Case of Posterior Interosseus Neuroapathy due to Intrasupinator Ganglion Mimicking Iatrogenic Injection Nerve Injury (의인성 신경손상을 모방한 손뒤침근내 결정종으로 인한 뒤뼈사이신경병증 증례)

  • Park, Hong Bum;Kim, Ki Hoon;Park, Byung Kyu;Kim, Dong Hwee
    • Journal of Electrodiagnosis and Neuromuscular Diseases
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    • v.20 no.2
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    • pp.153-158
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    • 2018
  • Posterior interosseus (PI) nerve compression is a rare form of compressive neuropathy. It can cause pain along the radial nerve course and weakness of radial nerve innervating muscles without sensory symptoms. A 65-year-old man visited our institution complaining weakness of finger extension and thumb abduction after 2 times of injections at the right elbow in local clinic. The patient's clinical history and physical examination implied an iatrogenic radial nerve injury caused by the injection. The electrophysiologic study revealed of posterior interosseus neuropathy (PIN) with incomplete conduction block. However, the ultrasound study showed that the PI nerve was compressed by an anechoic cyst. The magnetic resonance imaging also confirmed of a ganglion cyst, not a hematoma. After repeated aspirations and a steroid injection, the electrophysiologic study showed recovery of motor weakness. Despite of the clue which implying an iatrogenic injury, clinician should consider other possibilities such as ganglion cysts and ultrasound guided aspiration and steroid injection could be an effective option for conservative management.

Effect of light touch on body sway during a stable posture with blocked visual information

  • Kim, Jong-Gun;Kim, Jin-Hong;Do, Kwang-Sun;Yim, Jongeun
    • Physical Therapy Rehabilitation Science
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    • v.5 no.3
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    • pp.138-142
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    • 2016
  • Objective: The purpose of this study was to investigate how light touch with a finger affects balance ability when a posture is maintained in the condition of visual information blockage and to provide a fundamental material for developing balance ability in the process of rehabilitation treatment. Design: Cross-sectional study. Methods: The study subjects were 17 healthy men and women in their twenties and thirties who were studying at S University in Seoul. The system was comprised of an equilateral triangular force platform. Subjects were asked to step on the foot position of the force platform (Good Balance, Finland) barefooted for 30 seconds, with eyes closed, hands hanging down loosely, and feet comfortably apart. It was connected to a laptop by using Bluetooth technology. An experiment was conducted in the following three circumstances: 1) no-touch trial, 2) light touch to the back (T7 area), and 3) light touch to the middle finger of the left hand. Each subject was given a 10-minute break between consecutive measurements. The experimental circumstances were performed randomly. Anteroposterior sway (APSV), mediolateral sway velocity (MLSV), and velocity moment (VM) were measured. Results: The APSVs (mm/s) were $9.32{\pm}3.37$ and $5.45{\pm}2.98$; the MLSVs (mm/s), $6.39{\pm}3.35$ and $3.31{\pm}2.48$; and VM ($mm^2/s$), $17.13{\pm}11.75$ and $6.76{\pm}8.31$ in the first and second experimental circumstances, respectively. APSV, MLSV, and VM values were significantly improved with the 1) no-touch trial and 2) light touch to the back trail conditions compared with the 3) light touch to the middle finger of the left hand condition (p<0.05). Conclusions: This study revealed that the balance ability for maintaining a body posture was influenced more by light touch to the back (T7) than by light touch with the sensitive fingertip and body sway diminished after visual information was blocked.

Reliability Study of Three-Dimensional Motion Analysis Program for Wrist and Finger Joint Range of Motion Measurement (손목 · 손가락 관절가동범위 측정에 관한 3차원 동작분석 프로그램의 신뢰도 연구)

  • Park, Sun Ha;Park, Ji-Hyuk;Kim, Jong Bae;Jung, Young Jin;Lee, Joo Hyun;Park, Hae Yean
    • Therapeutic Science for Rehabilitation
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    • v.12 no.1
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    • pp.79-92
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    • 2023
  • Objective : This study aimed to assess the reliability of a three-dimensional (3D) motion analysis program for measuring the range of motion (ROM) of wrist and finger joints. Methods : The study recruited 50 people who had no restrictions on wrist and finger movements, understood the purpose of this study, and agreed to participate. Using a goniometer and a 3D motion analysis program, a total of 11 wrist and finger ROM were measured once each. To measure the reliability of the 3D motion analysis program, the degree of agreement and inconsistency of the measured values were compared. Results : Analysis of the degree of agreement of the measured values revealed that 38 out of 44 items showed a very high degree of agreement. Regarding analysis of inconsistency in the measured values, inconsistencies were found in three items. Conclusion : The results of this study confirmed that the ROM of the joint could be measured using the 3D motion analysis program applied in this study. In addition, it might be expected that the 3D motion analysis program would be used in various clinical fields owing to the advantages of measurement convenience and accuracy.

Relationship between Gender Roles and Job Satisfaction among Neurological Physical Therapists

  • Park, Ji-Whan;Han, Seul-Ki;Lee, Dae-Hee
    • Journal of the Korean Society of Physical Medicine
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    • v.11 no.3
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    • pp.81-88
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    • 2016
  • PURPOSE: This study was aimed at investigating the types of gender roles and the relationship between gender roles and job satisfaction among neurological physical therapists. METHODS: The study subjects were 169 (male 74, female 95) neurological physical therapists working at general hospitals or rehabilitation centers in the Daejeon Metropolitan City area, South Korea. To identify job satisfaction scores, the subjects completed a questionnaire, and a vernier caliper was used by a trained examiner to measure the lengths of the subjects' index and ring fingers (i.e., digitus secundus manus and digitus annularis, respectively) to examine gender roles. The index to ring finger length ratio (i.e., 2D:4D ratio) was calculated using a personal computer. An independent t-test was performed to compare the finger length ratio and job satisfaction of male group with that of the female group and a correlation analysis was performed to examine job satisfaction by gender roles. RESULTS: Finger length ratio is lower in males than in females. However, there was no significant difference statistically (p>.05). Regarding job satisfaction by gender, males were more satisfied with their jobs than females (p<.05). However, there were no significant correlations between job satisfaction and gender roles (p>.05). CONCLUSION: It cannot be concluded that bias against gender roles is a contributing factor for neurological physical therapists being satisfied with their job, and thus bias against gender roles among neurological physical therapists should be removed.

Recurrent Volar Rotatory Dislocation of the Proximal Interphalangeal Joint of the Finger in Judo Player - A Case Report - (유도 선수에서 발생한 수지 근위 지관절의 재발성 전방 회전 탈구 - 1례 보고 -)

  • Hwang, Jung-Chul;Chung, Duke-Whan;Han, Chung-Soo
    • Journal of Korean Orthopaedic Sports Medicine
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    • v.8 no.1
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    • pp.51-55
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    • 2009
  • Volar rotatory dislocation of the proximal interphalangeal joint(PIP) of the finger is rare. We report a female judo player who had volar rotatory dislocation of the PIP joint of the middle finger. She had dislocation of PIP joint total 4 times. At operation, the central tendon was identified as being distension, with the ulnar collateral ligament ruptured. The ruptured ulnar collateral ligament was interposed within the joint. The ruptured ulnar collateral ligament was repaired and extensor expansion was repaired. At last follow-up, she didn't have recurrent dislocation during judo. Accurate diagnosis, early intervention and progressive rehabilitation of this injury are very important as other dislocations.

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Upper Limb Motion Detection Including Fingers Using Flex Sensors and Inertial Sensors (휘어짐센서와 관성센서를 이용한 손가락을 포함한 상지 운동 검출)

  • Kim, Yeon-Jun;Yoo, Jae-Ha;Kim, Dong-Yon;Kim, Soo-Chan
    • Journal of the Institute of Convergence Signal Processing
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    • v.21 no.3
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    • pp.101-106
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    • 2020
  • The utilization of virtual reality is increasing not only in games but also in medical care such as rehabilitation. Due to the convenience, the motion of the upper limb is detected using a non-contact method using video or a handheld type mouse, etc. In this paper, we implemented a glove which can measure finger movements and upper limb movements by using flex sensors whose resistance value changes according to the degree of folding and inertial sensors which can obtain direction information in space. We showed the upper arm movements including finger movements with signals obtained from the implemented glove on the open software platform, Processing. The sensitivity of each finger movement was 0.5deg, and the sensitivity of the upper limb motion was 0.6deg.

Evaluation of Dynamic Structural Safety of Aged Finger Pier (노후 잔교식 부두의 동적구조 안전성 평가에 관한 연구)

  • 이성우;이상호;지기환
    • Proceedings of the Computational Structural Engineering Institute Conference
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    • 1993.04a
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    • pp.45-52
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    • 1993
  • Evaluation of structural stability of aged wharf structure of pier type is of great importance for both safety and rehabilitation, Series of field dynamic experiments were performed for berthing impact and the results were used to calibrate analysis model. Through dynamic analysis for design, berthing impact safety of old wharf structure were evaluated. In this paper the procedure and results of experiments and analysis are presented.

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The Report of Vojta Therapy in Hydrocephalus on Traumatic Brain Injury (외상성 두부 손상에 의한 수두증의 Vojta치료 증례)

  • Lee, Keun-Heui;Goo, Bong-Oh;Bae, Sung-Soo
    • The Journal of Korean Physical Therapy
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    • v.14 no.1
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    • pp.125-130
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    • 2002
  • This study was applied using vojta therapy in the patient with hydrocephalus occurred by on traumatic brain injury. Vojta treatment was a recently developed of the brain damage patient treatment which can be applied eariler than the other traditional methods. The results were as follows. 1. Hip joint flexion contracture from $100^{\circ}$ to $15^{\circ}$ was improved on prone position. 2. Left convexity curve on thracolumbar region due to functional scoliosis the normal aligment. 3. The thumb finger was changed from thumb-in to thumb-out. 4. Right tilted pelvis on prone position became the normal symmetry

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A Review of Lateral epicondylitis (외측상과염에 관한 고찰)

  • Lee Mun-Hwan;Park Rae-Joon
    • The Journal of Korean Physical Therapy
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    • v.16 no.4
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    • pp.202-217
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    • 2004
  • Lateral epicondylitis is characterized by pain at the lateral aspect of the elbow, commonly associated with resisted wrist or finger extension and gripping activities. Lateral epicondylitis is also known such as lateral epicondylosis, tennis elbow, or tendonitis of the wrist extensor muscles, especially extensor carpi radialis brevis. Lateral epicondylitis is a common musculoskeletal lesion in the clinical states, so physical therapist usually meet a patients who has the lateral epicondylitis. But many of physical therapists are treating patients based on a self know-how, so I want to describe a systematically about lateral epicondylitis and give a objective information on the lateral epicondylitis. And now I want that they will be treat patients with lateral epicondylitis not a self-experience but based on a objective information.

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