• 제목/요약/키워드: Hand rehabilitation

검색결과 556건 처리시간 0.027초

정적 부하의 비대칭적 적용에 따른 등 근육의 근전도 분석 (An Electromyographic Analysis of Back muscle Activity when Subjects are Lifting Static Loads in One Hand)

  • 김태영;박은영;이응상
    • 한국전문물리치료학회지
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    • 제4권1호
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    • pp.78-86
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    • 1997
  • Back muscles play an important role in protecting the spine. Epidemiological studies have shown that loads imposed on the human spine during daily living play a significant role in the onset of low back pain. No previous study has attempted to correlate the response of the trunk musculature with the type of external load. The purpose of this study was to use surface electromyography (EMG) to quantify the relative demands placed on the back muscles while lifting loads in one hand. Forty asymptomatic, twenty year-old subjects stood while lifting loads of 10% of body weight(BW) unilaterally. All EMG data were normalized to a percentage of the EMG voltage produced during no-load standing(%EMG). Our major analysis involved a paired t-test for repeated measures. Of particular note was the fact that the ipsilateral 10% of BW condition produced statistically less % EMG change than did the contralateral 10% of the condition.

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Relationship between Gait, Static Balance, and Pelvic Inclination in Patients with Chronic Stroke

  • Choe, Yu-Won;Kim, Kyu-Ryeong;Kim, Myoung-Kwon
    • 대한물리의학회지
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    • 제16권1호
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    • pp.17-22
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    • 2021
  • PURPOSE: This study examined the correlations between gait, static balance, and pelvic inclination in patients with chronic stroke. METHODS: Twenty-two chronic stroke patients were included in this study. The subjects participated in gait, static balance, and pelvic inclination tests. In the gait measurement, the cadence and gait velocity were measured, and the average of three trials was calculated and recorded. The static balance was measured using a force platform. The data was captured for ten seconds, and five successful trials were recorded. Pelvic inclination in the sagittal plane was measured using a palpation meter. For data processing, a KolmogorovSmirnov test was used to determine the type of distribution for all variables. Pearson's correlation coefficient was used for correlation analysis. The correlations among the gait, static balance, and pelvic inclination was calculated. The level of significance was .05. RESULTS: Significant negative correlations were observed between the gait variables (cadence, velocity) and static balance variables (COP path length, COP average velocity, and 95% confidence ellipse area) (p < .05). On the other hand, there was no significant correlation between pelvic inclination and gait or between the pelvic inclination and static balance variables. CONCLUSION: Significant correlations were observed between the gait function and static balance. On the other hand, there were no significant correlations between the pelvic inclination and gait and static balance. These results suggest that the pelvic inclination is not an important consideration for increasing the gait function and static balance.

들기 작업할 때 자세의 변화에 따른 악력과 지면 반발력의 상관관계 (The Relationship between Grip Strength and Ground Reaction Force by Change of Position when Lifting Tasks)

  • 정상용;강진우;구정완
    • 대한인간공학회지
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    • 제28권3호
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    • pp.41-47
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    • 2009
  • The purpose of this study, during the lifting task was researching the difference and a relationship between the ground reaction force and the grip strength by change of position. After grip strength has measured in symmetry position and asymmetry position at 45cm and 75cm of height of hand, ground reaction force was measured by same attitude lifting wooden box. We analyzed the difference of grip strength and ground reaction force in each position change. The results of grip strength, the grip strength of both hand were significant difference that in study subject symmetry and asymmetry position (p<0.01). The results of symmetry lifting task, the study subjects was significant difference of the ground reaction force difference by height (p<0.05). Asymmetry lifting task was significant difference of ground reaction force difference by direction of rotation was changed (p<0.01). The result of it will rotate with non-dominant hand side of lifting tasks from height 75cm where it easily maintains a balance possibility and decreasing the load of the hand. Therefore, from the workshop in the work people, it will be between the height 75cm and non-dominant hand side of trunk rotatory direction in the lifting tasks. Future study is necessary researched about the change of grip strength when the height of the hand is higher, and the difference of the ground reaction force when the change of weight.

The Persisted Effects of Low-Frequency Repetitive Transcranial Magnetic Stimulation to Augment Task-Specific Induced Hand Recovery Following Subacute Stroke: Extended Study

  • Tretriluxana, Jarugool;Thanakamchokchai, Jenjira;Jalayondeja, Chutima;Pakaprot, Narawut;Tretriluxana, Suradej
    • Annals of Rehabilitation Medicine
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    • 제42권6호
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    • pp.777-787
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    • 2018
  • Objective To examine the long-term effects of the low-frequency repetitive transcranial magnetic stimulation (LF-rTMS) combined with task-specific training on paretic hand function following subacute stroke. Methods Sixteen participants were randomly selected and grouped into two: the experimental group (real LF-rTMS) and the control group (sham LF-rTMS). All the 16 participants were then taken through a 1-hour task-specific training of the paretic hand. The corticospinal excitability (motor evoke potential [MEP] amplitude) of the non-lesioned hemisphere, and the paretic hand performance (Wolf Motor Function Test total movement time [WMFT-TMT]) were evaluated at baseline, after the LF-rTMS, immediately after task-specific training, 1 and 2 weeks after the training. Results Groups comparisons showed a significant difference in the MEP after LF-rTMS and after the training. Compared to the baseline, the MEP of the experimental group significantly decreased after LF-rTMS and after the training and that effect was maintained for 2 weeks. Group comparisons showed significant difference in WMFT-TMT after the training. Only in the experimental group, the WMFT-TMT of the can lifting item significantly reduced compared to the baseline and the effect was sustained for 2 weeks. Conclusion The results of this study established that the improvement in paretic hand after task-specific training was enhanced by LF-rTMS and it persisted for at least 2 weeks.

BENZALKONIUM 이온 도입 치료를 이용한 조갑진균증의 치료에 관한 연구 (The Effects of the Benzalkonium Iontophoresis in Treatment of Onychomycosis(Hand))

  • 남재만;박래준;서현규
    • The Journal of Korean Physical Therapy
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    • 제12권1호
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    • pp.23-32
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    • 2000
  • The purpose of this study was determine the effects of the benzalkonium iontophoresis on onychomycosis (hand). The participants consisted of 10 patients. This study was observed the change of normal nail length and infected nail square throe time : pre-treatment, after 6 treatment and after 10-treatment The results of this study were as follows. 1. The length increase of normal nail revealed significant statistically after 10 times treatment(p<0.05). 2. The square diminish of infected nail revealed significant statistically after 10 times treatment(p<0.05). 3. Infected nail thickening and spilt seeped and nail colon recovered after 10 times treatment. 4. The nail with iontophoresis recovered more quickly than the with nail lacquer in the same patients.

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팔꿈치, 팔목, 손 통증의 초음파 유도하 주사치료 (Ultrasound-Guided Injection Therapy for Elbow, Wrist, and Hand Pain)

  • 안재기
    • Clinical Pain
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    • 제20권2호
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    • pp.59-69
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    • 2021
  • Patients with pain, numbness, and weakness in their elbows, wrists, and hands often need proper rehabilitation treatments. Among them, musculoskeletal injection therapy should be performed after a full evaluation of the patient, taking into account history and physical examination leading to clinical diagnosis. General rules such as accurate diagnosis and injection materials selection are used to achieve maximum benefit with minimal side effects. During injection, patient location, aseptic care, penetration techniques, follow-up and follow-up care must be maintained. Specific techniques may vary depending on the type, lesion, and location of the injection therapy. For optimal effectiveness, physician should inject directly into the lesion and avoid the injection of surroundings as much as possible. Therefore, ultrasound-guided injections are needed to accurately inject. These conditions and other conditions of the hands, wrists, and elbows can be effectively diagnosed and treated with diagnostic ultrasound and ultrasound-guided injections.

Occupational Therapy Intervention for Malunion of Distal Radial Fracture: A Case Report

  • Noor Mohammad;Nahid Khan
    • 셀메드
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    • 제13권6호
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    • pp.6.1-6.3
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    • 2023
  • Objective: Malunion of distal radial fracture can result in pain, stiffness, and decreased function of the affected limb. Occupational therapy intervention can improve outcomes in these patients, but there is limited research on the effectiveness of such interventions. Case Description: This case report describes the occupational therapy intervention and outcomes for a 44-year-old female patient with malunion of left distal radial fracture. The patient received 8 weeks of occupational therapy intervention consisting of therapeutic exercises, joint mobilization, and fine motor activities. The patient demonstrated significant improvements in range of motion, grip strength, and activities of daily living (ADL) in her left hand. The patient also reported less pain and greater ease in performing activities of daily living. Conclusion: Occupational therapy intervention can be effective in improving outcomes for patients with malunion of distal radial fracture. This case report highlights the importance of early intervention and interdisciplinary collaboration among healthcare professionals to optimize patient outcomes. Further research is needed to explore the effectiveness of occupational therapy interventions for patients with malunion of distal radial fracture.

한국 수기치료(手技治法)에 대한 연구 (A Study of Manual Therapy of Korea)

  • 김효정;홍지헌;이전형;김중선
    • 대한물리의학회지
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    • 제2권2호
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    • pp.213-218
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    • 2007
  • Purpose : this purpose of this study is to research manual therapy of korea. Methods : This is literature study with books, articles, and web site for manual therapy of korea Results : Manual therapy of korea is prevention and treatment a disease with stimulated in body by hand. Manual therapy of korea include jiap, anma, chuna, body correction, massage and so forth. Conclusion : Manual therapy of korea has been developed by means of variety method and its scientific effects has been proven. Therefore, Manual therapy of korea must development as filed of physical therapy.

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정상아동 4, 5세를 대상으로 한 상자와 나무토막검사의 검사-재검사의 신뢰도검사 (The Box and Block Test : Test-Retest Reliability for 4, 5 Years Old Children)

  • 정민예;이재신;두정희
    • 한국전문물리치료학회지
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    • 제3권3호
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    • pp.24-31
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    • 1996
  • Manual dextrity is frequently evaluated in rehabilitation to estimate hand function. The Box and Block Test(BBT) mearsures gross manual dextrity. The first goal of this study was to verify the test-retest reliability of the BBT for 4, 5 years old children. The second goal of this reserch was to develop normative data from 35 convenient sample of normal children. The results showed the test-retest reliability was high (Pearson product moment correlation coefficients of 0.71 to 0.82).

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장애인용 핸드컨트롤을 이용한 가속 및 제동 페달을 동작할 때의 상지 근육 EMG 분석 및 운전 성능 평가 (Analysis of Muscle Activities and Driving Performance for Manipulating Brake and Accelerator Pedal by using Left and Right Hand Control Devices)

  • 송정헌;김용철
    • 대한의용생체공학회:의공학회지
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    • 제38권2호
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    • pp.74-81
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    • 2017
  • The purpose of this study was to investigate the EMG characteristics of driver's upper extremity and driving performance for manipulating brake and accelerator pedal by using left and right hand control devices during simulated driving. The people with disabilities in the lower limb have problems in operation of the motor vehicle because of functional loss for manipulating brake and accelerator pedal. Therefore, if hand control device is used for adaptive driving controls in people with lower limb impairments, the disabled people can improve their quality of life by driving a motor vehicle. Six subjects were participated in this study to evaluate driving performance and muscle activities for operating brake and accelerator pedal by using two different hand controls (steering column mounted hand control and floor mounted hand control) in driving simulator. We measured EMG activities of six muscles (posterior deltoid, middle deltoid, triceps, biceps, flexor carpi radialis, and extensor carpi radialis) during pushing and pulling movement with different hand controls for acceleration and braking. STISim Drive 3 software was used for the performance test of different hand control devices in straight lane course for time to reach target speed and brake reaction time. While pulling the hand control lever toward the driver, normalized EMG activities of middle deltoid, triceps and flexor carpi radialis in subjects with disabilities were significantly increased (p < 0.05) compared to the normal subjects. It was also found that muscle responses of posterior deltoid were significantly increased (p < 0.05) when using the right hand control than left hand control. While pushing the hand control lever forward away from the driver, normalized EMG activities of posterior deltoid, middle deltoid and extensor carpi radialis in subjects with disability were significantly increased (p < 0.05) compared to the normal subjects. It was shown that muscle responses of middle deltoid, biceps and extensor carpi radialis were significantly increased when using the right hand control than left hand control. Brake reaction time and time to reach target speed in subjects with disability was increased by 12% and 11.3% on average compared to normal subjects. The subjects with physical disabilities showed a tendency to relatively slow acceleration at the straight lane course.