• 제목/요약/키워드: Finger movement

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Reliability Analysis of Finger Joint Range of Motion Measurements in Wearable Soft Sensor Gloves (웨어러블 소프트 센서 장갑의 손가락 관절 관절가동범위 측정에 대한 신뢰도 분석)

  • Eun-Kyung Kim;Jin-Hong Kim;Yu-Ri Kim;Ye-Ji Hong;Gang-Pyo Lee;Eun-Hye Jeon;Joon-bum Bae;Su-in Kim;Sang-Yi Lee
    • PNF and Movement
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    • v.21 no.2
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    • pp.171-183
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    • 2023
  • Purpose: The purpose of this study was to compare universal goniometry (UG), which is commonly used in clinical practice to measure the range of motion (ROM) of finger joints with a wearable soft sensor glove, and to analyze the reliability to determine its usefulness. Methods: Ten healthy adults (6 males, 4 females) participated in this study. The metacarpophalangeal joint (MCP), interphalangeal joint (IP), and proximal interphalangeal joint (PIP) of both hands were measured using UG and Mollisen HAND soft sensor gloves during active flexion, according to the American Society for Hand Therapists' measurement criteria. Measurements were taken in triplicate and averaged. The mean and standard deviation of the two methods were calculated, and the 95% limits of agreement (LOA) of the measurements were calculated using the intraclass correlation coefficient (ICC) and Bland-Altman plot to examine the reliability and discrepancies between the measurements. Results: The results of the mean values of the flexion angles for the active range of motion (AROM) of the finger joints showed large angular differences in the finger joints, except for the MCP of the thumb. In the inter-rater reliability analysis according to the measurement method, the ICC (2, 1) value showed a low level close to 0, and the mean difference by the Bland-Altman plot showed a value greater than 0, showing a pattern of discrepancy. The 95% LOA had a wide range of differences. Conclusion: This study is a preliminary study investigating the usefulness of the soft sensor glove, and the reliability analysis showed a low level of reliability and inconsistency. However, if future studies can overcome the limitations of this study and the technical problems of the soft sensor glove in the development stage, it is suggested that the measurement instrument can show more accurate measurement and higher reliability when measuring ROM with UG.

The Kinematical Characteristics of the Basic Ballet Position (발레에서 팔 기본 동작의 운동학적 특성)

  • Kim, Eun-Hee
    • Korean Journal of Applied Biomechanics
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    • v.16 no.1
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    • pp.151-158
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    • 2006
  • The purpose of this study was to find out the kinematical characteristics of arm's basic position in ballet. In order to achieve the purpose of the study, 3D cinematographic analysis was conducted with a ballerina who might performed the perfect arm's basic position. According to the results of this study, it was appeared that the shoulder kept about 78%-82%, the elbow kept about 62%-96%, the wrist kept 52%-109%, and finger kept 48%-110% with the height. Also, movement was formed with $21^{\circ}-77^{\circ}$ of the upper arm angle, $106^{\circ}-164^{\circ}$ of the elbow, $125^{\circ}-140^{\circ}$ of the wrist, and $83^{\circ}-160^{\circ}$ of the shoulder. The left-right ratio of the total arm angle was 98% in the first, second, and third position, and 100% in the forth position. The angle of arm gradient was remained $-68^{\circ}$ in the first position, $-27^{\circ}$ in the second position, $73^{\circ}$ in the third position, and $-11^{\circ}$ in the forth position. Based on the results mentioned above, balance and symmetry of both arms was an important factor in those four positions. Although it is impossible to maintain the position like robot, it may be a good performance if a certain level of extent was remained With respect to this point of view, it may be a good position if the difference between right and left arm in each joint can be remained within 2%. Angle also was an important factor that if the difference in total angle can be remained within 2% it may be an excellent position, there was difference of right and left based on the joint though. Therefore, practice and instruction to make a perfect symmetry as much as possible were needed Also, it would be a good movement if position and angle of joint within 2% difference of right and left arm can be remained In turn, because ballet is movement with expression of the body, beauty of the body and balance of the movement have to be harmonized for beautiful performance. Therefore, it would be a meaningful future study considering the body condition and movement of ballerina to define the beauty.

Relationship Between a New Functional Evaluation Model and the Fugle-Meyer Assessment Scale for Evaluating the Upper Extremities of Stroke Patients

  • Kim, Jung-Hyun;Kim, Hyun-Jin;Lee, Seung-Gu;Song, Chang-Ho
    • PNF and Movement
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    • v.18 no.3
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    • pp.305-313
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    • 2020
  • Purpose: The aim of this study was to investigate the relationship between a functional evaluation model and the Fugl-Meyer assessment (FMA) scale in evaluating the upper extremities of stroke patients Methods: Thirty-eight stroke patients were evaluated using the FMA and performed reaching and grasping motions using a three-dimensional motion analysis (Qquas 1 series, Qualisys AB, Sweden). The participants sat on a chair with a backrest. The position of the cup was located at a distance of 80% to the front arm length. The markers were attached to the sternum, acromion, elbow lateral epicondyle, ulnar styloid process, three metacarpal heads, and the distal phalanges of the thumb and index finger. The variables of the correlation between the functional evaluation model and the FMA scale were analyzed. Multiple regression (stepwise) was used to investigate the effect of the kinematic variables. Results: A significant negative correlation was found between the movement time (p < 0.05), movement unit (p < 0.05), and trunk displacement values (p < 0.05) in the FMA total scores, while a positive correlation was found between the peak velocity (p < 0.05) and maximum grip aperture values (p < 0.05). As a result of the multiple regression analysis, the most significant factor was the movement unit, followed by the general movement assessment and trunk displacement. The explained FMA total score value was 62%. Conclusion: This study presents a new functional evaluation model for assessing the reaching and grasping ability of stroke patients. The factors of the proposed functional evaluation model showed significant correlations with the FMA scale scores and confirmed that the new functional evaluation model explained the FMA by 67%. This suggests a new functional evaluation model for reaching and grasping stroke patients.

The Understanding of The Ideomotor Apraxia: Focusing on The Neurological Causes (관념운동실행증의 이해: 신경학적 원인을 중심으로)

  • Shin, Su-Jung;Lee, Joo-Hyun;Park, Jin-Hyuck
    • Therapeutic Science for Rehabilitation
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    • v.4 no.1
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    • pp.19-28
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    • 2015
  • Introduction : The Understanding of neurological lesion relating to apraxia will help to predict symptoms according to a lesion and to establish a proper treatment and goal. So, This study will explain causes and mechanism of a movement error of ideomotor apraxia through literature review and also will suggest the evidence using in treatment. Body : Ideomotor apraxia may occur a damage of the production part in praxis system, and is common in damage of a cortex rater than damage of a subcortex. According to study with gesture, movement of upper limbs is relate of left parietal lobe but finger movement is relate of frontal lobe. The visual and tactile stimulation through using real objects could guide into proper movement aside from memory of a skilled action. Conclusion : Praxis can occur through diverse neurological processing and various external stimulations can help praxis processing. Therefore, the treatment of ideomotor apraxia need to use this stimulations.

Study on Reillumination of Hi-soo type Electronic Manometer (희수식 전자 맥진기의 재조명)

  • Kim, Eun-Hye;Kim, Byung-Soo;Kang, Jung-Soo
    • Journal of Haehwa Medicine
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    • v.18 no.2
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    • pp.37-45
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    • 2009
  • In early 1970s, Electronic Manometers were researched and developed for modernization and objectification of pulse diagnosis. Method of finger pressing, also known as cuffs pressing, is essential for sensing a pulse wave. I think comprehension and deduction of problem from the existing Hi-soo type electronic manometer, will be important for making a better one. The Hi-soo type electronic manometer is constructed of cuff pressing type sensor, differential amplifier, transmitter and recorder. Pulse movement and pulse wave, gauging blood flow, is analyzed by pulse image of "Yixuerumen(醫學入門)". At standard of pulse wave, huanmai(緩脈) is distinguish from chishu(slow and fast, 遲數), fushen(float and sink, 浮沈), interference wave, modificated wave, and phase angel. The Hi-soo type electronic manometer had no explanation of formational mechanism, significantly different with pulse wave which is early known and reported. The strength of Hi-soo type electric manometer is use of cuff pressing type sensor. Above all, the importance of electric manometer is reading the pulse movement accurately then expressing it as pulse wave. From now on the improvement of precise sensor should make a progress.

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Surgical correction of partial endocardial cushion defect: one case report (부분심내막상 결손증의 교정수술치험 1)

  • 기노석
    • Journal of Chest Surgery
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    • v.17 no.2
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    • pp.244-249
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    • 1984
  • Surgical treatment of partial endocardial cushion defect was accomplished in Feb. 1984 in this department. The 5 year old male patient had history of frequent upper respiratory tract infection and since his age of 3 years dyspnea on exertion and palpitation were noted but there were no cyanosis and clubbing. A thrill was palpable on the apex and grade IV/IV harsh systolic ejection murmur and diastolic murmur was audible on it. Liver was palpable about 3 finger breadths and no ascites. Chest X-ray revealed increased pulmonary vascularity, moderate cardiomegaly [C-T ratio; 0.69], and enlarged left atrium. EKG showed first degree heart block, RVH, LVH, and LAD. Echocardiogram showed paradoxical ventricular septal movement and abnormal diastolic movement of the anterior leaflet of mitral valve. Right heart catheterization resulted left to right shunt [Qp:Qs:2.1:1 ] and moderate pulmonary hypertension [60/40 mmHg]. Left ventriculogram showed mitral regurgitation [Grade III/IV] and filling of left atrium and right atrium nearly same time. Operative findings were: 1.Primum type atrial septal defect [3x2 cm] 2.Cleft on the anterior leaflet of mitral valve. 3.No interventricular communication and cleft of tricuspid valve leaflet. The mitral cleft was repaired with 4 interrupted sutures. The primum type atrial septal defect was closed with Dacron patch intermittently at endocardial cushion and continuously remainder. The post operative course was uneventful and discharged on 22nd postoperative day in good general conditions.

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Gesture based Natural User Interface for e-Training

  • Lim, C.J.;Lee, Nam-Hee;Jeong, Yun-Guen;Heo, Seung-Il
    • Journal of the Ergonomics Society of Korea
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    • v.31 no.4
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    • pp.577-583
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    • 2012
  • Objective: This paper describes the process and results related to the development of gesture recognition-based natural user interface(NUI) for vehicle maintenance e-Training system. Background: E-Training refers to education training that acquires and improves the necessary capabilities to perform tasks by using information and communication technology(simulation, 3D virtual reality, and augmented reality), device(PC, tablet, smartphone, and HMD), and environment(wired/wireless internet and cloud computing). Method: Palm movement from depth camera is used as a pointing device, where finger movement is extracted by using OpenCV library as a selection protocol. Results: The proposed NUI allows trainees to control objects, such as cars and engines, on a large screen through gesture recognition. In addition, it includes the learning environment to understand the procedure of either assemble or disassemble certain parts. Conclusion: Future works are related to the implementation of gesture recognition technology for a multiple number of trainees. Application: The results of this interface can be applied not only in e-Training system, but also in other systems, such as digital signage, tangible game, controlling 3D contents, etc.

The Preliminary Study on Music?Movement Program developed for Stroke Patients (뇌졸중환자의 음악.동작 프로그램 적용을 위한 예비연구)

  • Suh, Moon-Ja;Jeong, Seong-Hee
    • The Korean Journal of Rehabilitation Nursing
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    • v.6 no.1
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    • pp.79-89
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    • 2003
  • Purpose: This research with one group pre-post design was carried out to test the practical feasibility to administrate the Music Movement program developed for the stroke patients. Subjects: 12 stroke survivors at "J" Public Health Center in Seoul. were participated in. The average age was 68 years old, the ratio of sex was almost 5.8:4.2, the duration of was almost over 1 year. Method: Music Movement program was conducted for 2 hours ${\times}$ 1day ${\times}$ 6 weeks. The contents of Music Movement program were consisted of the preparatory activities, main activities and the wrap up activities. The preparatory activities are ice braking, greeting, explanation of the aims of music movement program, and introduction of stroke disease and ROM exercise. The main activities are the body motions with singing and playing musical instruments. The wrap up activities are stretching and joints and discussion of home activities. Data Collection: The outcome variables are muscle strength, finger pinch power, ROMs, flexibility, depression, and life satisfaction. Depression was measured by CES-D(Kim, I. J., 1999), life satisfaction by ladder scale(McDowell & Newell, 1996), and ADL state(Holbrook & Skilbeck, 1983). Data Analysis: SPSS/PC 10.0 for Window was used. Wilcoxon Signed Ranks Test was used to analyze outcome measures. The level of statistical significance was set at p<.05. Results: This program was effective to decrease the depression level of subjects(p<.05). The muscle strength, hand grip power, ROMs, life satisfaction, and rehabilitation state of the subjects were slightly increased but no significant differences were found between the pre and post test. Additionally every patient replied that they were very satisfied and expressed their appreciation for this program very much. Of course they strongly want to continue to participate in and meet the peer group again. Conclusion: Considering these results, the practical feasibility of Music Movement program can be supported. Therefore, this Music Movement program can be examined with the quasi-experimental design with control group and ongoing reviews. After that, this program would be applied in public health centers, medical institutes, and welfare centers for the rehabilitation of stroke patients.

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Motion Artifacts reduction from the PPG based on the Improved PMAF for the U-Healthcare System (U-헬스케어 시스템을 위한 개선된 PMAF 기반의 PPG 신호의 동잡음 제거)

  • Lee, Han-Wook;Lee, Ju-Won;Jeong, Won-Geun;Jun, Jae-Chul;Lee, Gun-Ki
    • Journal of the Institute of Electronics Engineers of Korea SC
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    • v.45 no.5
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    • pp.28-34
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    • 2008
  • The real-time biomedical signal monitoring is a very important factor to realize the ubiquitous healthcare environment. Most of these devices for monitoring the biomedical information get the PPG signal from the user, and these signals are utilized for monitoring their health. It is inconvenient to get the PPG because the user should wear the finger probe with his finger for measuring the PPG signal. Also it is difficult to get the PPG correctly, because of the motion artifacts from the movement of the user. In this paper, we develop the watch type biomedical signal monitoring system without the finger probe, and propose the new algorithm for reducing the motion artifacts from the PPG signal. We designed the system which gets the PPG from the sensor on the wrist band strip. As compared with the finger probe type, this system we proposed is more affected by the motion artifacts. So to filter this motion artifacts, we propose the new method; the improved PMAF(Periodic Moving Average Filter) method.

Sensor-based Recognition of Human's Hand Motion for Control of a Robotic Hand (로봇 핸드 제어를 위한 센서 기반 손 동작 인식)

  • Hwang, Myun Joong
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.15 no.9
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    • pp.5440-5445
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    • 2014
  • Many studies have examined robot control using human bio signals but complicated signal processing and expensive hardware are necessary. This study proposes a method to recognize a human's hand motion using a low-cost EMG sensor and Flex sensor. The method to classify movement of the hand and finger is determined from the change in output voltage measured through MCU. The analog reference voltage is determined to be 3.3V to increase the resolution of movement identification through experiment. The robotic hand is designed to realize the identified movement. The hand has four fingers and a wrist that are controlled using pneumatic cylinders and a DC servo motor, respectively. The results show that the proposed simple method can realize human hand motion in a remote environment using the fabricated robotic hand.