• Journal of The Korean Society of Integrative Medicine
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• v.7 no.4
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• pp.141-150
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• 2019

Purpose : This study examined the hand function and visual motor integration capabilities in 30 children with developmental disabilities. The children were divided into an experimental group (n=20) that received digital sensory perception training and a control group (n=10) that did not receive this training. Methods : Training was conducted a total of 12 times for six weeks, for 50 minutes a day, twice a week, for the experimental group. The Jebsen-Taylor Hand Function Test was used to determine the hand function before and after the intervention, and the Beery VMI-6 was performed to identify the visual motor integration capability. Results :After the intervention, the ability to perform hand functions and visual motor interaction increased significantly in the experimental group but not in the control group. Digital sensory training therefore had a positive effect on the hand function and visual motor integration in children with developmental disabilities. Conclusion : A digital sensory perception training program is an arbitration method that can positively improve the hand function and visual motor integration ability in children with developmental disabilities.

• PNF and Movement
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• v.12 no.1
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• pp.45-50
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• 2014

Purpose: Deficits in upper-extremity function in individuals with tetraplegia are primarily due to the loss of motor pathways. The purpose of this case report is to describe the effect of closed kinetic chain exercise using PNF on hand function and ADL of patient with incomplete spinal cord injure. Methods: Patient was a 53-year-old man with C4 tetraplegia and hand and upper extremity impairment who participated in this training intervention for 10 weeks. Results: Patient demonstrated improvements in upper extremity strength, hand function and performance of ADL. Outcome measures(ASIA motor scale, Hand power, Jebsen-Taylor Hand Function test, SCIM) were measured before and after the training program. Conclusion: The results of this case suggests that an closed kinetic chain exercise program in incomplete spinal cord injury patient may induce Hand function and ADL.

• The Journal of Korea Robotics Society
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• v.8 no.4
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• pp.273-282
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• 2013

The purpose of this study was to investigate effect of robot-assisted hand rehabilitation(Amadeo(R)) on hand motor function in chronic stroke patients. This study used a single-subject experimental design with multiple baselines across individuals. Three chronic stroke survivors with mild to sever motor impairment took part in study. Each participants had 2 weeks interval of starting intervention. Participants received robot-assisted therapy(45min/session. 3session/wk for 6wks). Finger active range of motion(AROM) was assessed by Range of Assessment program in Amadeo(R), and test-retest reliability was verified using Pearson correlation analysis. To investigate effect of Amadeo(R), finger AROM was measured immediately after each sessions and Fugl-Meyer Assessment of Upper extremity, Motor Activity Log, Nine hole peg board test and Jebsen-Taylor hand motor function test were assessed at pre-post intervention. Results were analyzed by visual analysis and comparison of pre-post tests. The test-retest reliability of Range of Assessment was good(r=.99). After robot-assisted therapy, finger AROM of participant 1, 2, and 3 was respectively improved by 18%, 3.6%, and 6% each. Hand motor function of participant 1, 3 was improved on all four tests, but not effect in participant 2. Robot-assisted hand rehabilitation could improve finger AROM and effect on hand motor function in chronic stroke patients.

• The Journal of Korean Physical Therapy
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• v.17 no.4
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• pp.493-504
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• 2005

The purpose of this study is to determine the effect of constraint-induced movement therapy on the involved hand function and ADL in stroke patients. Five subjects with fixing unaffected arms by CIMT were assigned to the experimental patient group and the other five patients to control group without fixing unaffected arms. The function of hand for both groups were evaluated by using Jebsen-Taylor hand function test and ADL for both groups were evaluated by FIM(Functional Independence Measure) before and after task practice. In conclusion, results of this study showed that improved hand function and ADL by CIMT in stroke patients. We concluded that CIMT can improved the involved hand function and ADL in stroke patients.

• The Korean Journal of Community Living Science
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• v.25 no.1
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• pp.29-37
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• 2014

This study examines whether regular exercise moderates the relationship between hand grip strength and cognitive function in older adults. Older adults 65 and over from the third wave of the Korean Longitudinal Study of Ageing Data were analyzed. A moderated multiple regression analysis was conducted to assess the moderating effects of regular exercise on the relationship between hand grip strength and cognitive function. According to the results, regular exercise moderated the effects of hand grip strength on cognitive function, suggesting that regular exercise should be promoted for older adults to reduce unfavorable effects of a decrease in hand grip strength on cognitive function.

• Journal of The Korean Society of Integrative Medicine
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• v.3 no.4
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• pp.1-9
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• 2015

Purpose : We described how the training of non-dominant hand that applicates the activity effects on dominant hand. Method : From November 6th to December 2nd 2013, We randomly selected 18 people that don't have a damage of hand function and are in college of K in Busan. (cross stitch training group 9 people, control group 9 people) All participants agreed on the research after fully being aware of training procedures and spontaneously conducted. Each training was practiced for 40 minutes in once every second day. One researcher deals with three participants at silent environment. We used the study measurement, Purdue pegboard, to investigate the sharpness of hand. To investigate the advancement of hand function caused by cross stitch training, we practiced three times estimations of primary one before training, middle one after 2 weeks training, last one after four weeks training and obtained the following results. Result : First of all, We found that the group of hand training appeared to be advanced of dominant hand's sharpness depending on the training period more than the control group. Second, We found that the group of hand training appeared to be advanced of non-dominant hand's sharpness depending on the training period more than the control group. Third, We found that the group of hand training appeared to be advanced of both hand's sharpness depending on the training period more than the control group. Fourth, We found that the group of hand training appeared to be advanced of the assembling function sharpness depending on the training period more than the control group. Conclusion : Put the results of this research together, we found that non-dominant hand training that used the activity was of help to advance the function of dominant hand. So, we thinks that hand training might help the recovery of affected hand function to the person that have a problem of hand function like hemiplegia patient. It will be required to practice the further study targeting the person that have a problem of hand function like hemiplegia patient. We hope that this research will be apply to clinical occupational therapy.

• Journal of Music and Human Behavior
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• v.8 no.1
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• pp.1-16
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• 2011

This study was to investigate the influence of using Therapeutic Instrumental Music Performance (TIMP) in uninvolved hand function for children with spastic cerebral palsy. Participants were recruited from a welfare center for people with cerebral palsy(CP). Ages ranged from 11 to 12, and a total of 15 TIMP sessions were provided for 3 weeks. Hand function tests were used including Jebsen Hand Function Test for hand function, Box and Block Test for dexterity of uninvolved hand, and MIDI (Musical Instrument Digital Interface) evaluation for velocity of fingers. The TIMP program consisted of hand percussion playing and keyboard playing with changes of timbre and tempo. While the scores of Jebsen test and Box and Block test were improved for all participants, outcomes of MIDI analysis showed differences among participants. Overall, hand function improvements were observed after the completion of using the TIMP program, and the results implies that the TIMP program can be applied in upper extremity rehabilitation for children with CP.

• The Journal of Korean Physical Therapy
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• v.6 no.1
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• pp.121-132
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• 1994

This study was carried out to know the change of age-related hand function. 210 adults without neurosurgical and orthopedic disability from 15 to 90 years of age participation this study voluntarily. The results are as followings. 1. The hand function decreased according to age increasing. 2. The dominant and non-dominant hand function was decreased in ever-sixty age groups in the subtests of writing, card turning small common objects, simulated feeding, large light objects and large heavy objects greatly, but decreased between forty and fifty age groups in checkers greatly. 3. The dominant hand function was more excellent than non-dominant hand. 4. The dominant and non-dominant hand function was statistically significant between age groups(p<0.01). 5. The one-way ANOVA of subtests according to age increasing revealed significant statistically(p<0.01). 6. The correlation coefficients between subtests and age increasing revealed significant statistically in the dominant and non-dominant hand(p<0.01).

• Journal of Institute of Control, Robotics and Systems
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• v.17 no.12
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• pp.1248-1255
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• 2011

In daily life, another major role of human hand is a communicative function using hand gestures besides grasp function. Therefore, if amputees can express their intention by the prosthetic hand, they can much actively participate in social activities. Thus, this paper propose myoelectric multi-function prosthetic hand which can express 6 useful hand gestures such as Rock, Scissors, Paper, Indexing, Ok and Thumb-up. It was designed as under-actuated structure to minimize volume and weight of the prosthetic hand. Moreover, in order to effectively control various hand gestures by only two EMG sensors, we propose a control strategy that the signal type are expanded as "Strong" and "Light", and hand gestures are hierarchically classified for the intuitive control. Finally, we prove the validity of the developed prosthetic hand with the experiment.

• The Journal of Korean Academy of Sensory Integration
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• v.14 no.2
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• pp.1-10
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• 2016

Objective: This study aims investigating the effects of functional electrical stimulation (FES) on hand function of children with spastic cerebral palsy. Methods: The participants of this study are 20 children with spastic cerebral palsy aged between 11 to 16 years old. All the subjects underwent 24 sessions of FES during 8 weeks. Each FES was 20 minutes per session, and 3 sessions of FES were provided in a week. Measurements used to assess hand function are Jebsen Hand Function Test, Modified Ashworth Scale and 3D Motion Analysis. After establishment of the baseline for each client by all the measurements, reevaluations were performed every 2 weeks using Jebsen Hand Function Test and the Modified Ashworth Scale. The 3D Motion Analysis was performed only before- and after the 8 weeks of FES treatment. Results: After the FES, there was significant decrease in completed time for the all 6 subtasks of Jebsen Hand Function Test were (p<.05) and also significant decrease in spasticity score of Modified Ashworth Scale as well (p<.05). 3D Motion Analysis showed that the hand tapping and the finger tapping has been significantly improved (p<.05), and the pronation-supination movement of lower arm has been significantly improved as well. Conclusion: Based on the results of this study, it is evidenced that functional electrical stimulation is effective treatment for hand function of children with cerebral palsy. For future research, it is recommended to examine various protocols of FES including impact of long-term application.