• Title/Summary/Keyword: Hand rehabilitation

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

  • Kim, Hyo-Jeong;Hong, Ji-Heon;Lee, Jeon-Hyeong;Kim, Jung-Sun
    • Journal of the Korean Society of Physical Medicine
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    • v.2 no.2
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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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The Box and Block Test : Test-Retest Reliability for 4, 5 Years Old Children (정상아동 4, 5세를 대상으로 한 상자와 나무토막검사의 검사-재검사의 신뢰도검사)

  • Jung, Min-Ye;Lee, Jae-Shin;Doo, Jung-Hee
    • Physical Therapy Korea
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    • v.3 no.3
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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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Analysis of Muscle Activities and Driving Performance for Manipulating Brake and Accelerator Pedal by using Left and Right Hand Control Devices (장애인용 핸드컨트롤을 이용한 가속 및 제동 페달을 동작할 때의 상지 근육 EMG 분석 및 운전 성능 평가)

  • Song, Jeongheon;Kim, Yongchul
    • Journal of Biomedical Engineering Research
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    • v.38 no.2
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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.

Therapeutic Effects of Low-Level Laser Combined with LED on Post-operative Hand

  • Jeong-Sun Lee;Hwa-Kyung Shin
    • The Journal of Korean Physical Therapy
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    • v.36 no.1
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    • pp.14-20
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    • 2024
  • Purpose: This study was performed to identify and investigate the therapeutic effects of low-level laser (LLL) combined with a light-emitting diode (LED) on post-operative wound healing and functional recovery after hand orthopedic surgery. Methods: The study subjects were twenty patients who had passed the acute inflammatory phase after hand orthopedic surgery and were assigned equally to an experimental or a control group. Phototherapy was administered three times weekly for two weeks. Changes in wound length, edema, pain, and hand function were measured. Results: Significant differences in wound length, edema, pain, and hand function were observed between the experimental and control groups (p<0.05). However, no significant intergroup difference was observed (p>0.05). Nonetheless, a comparison of results showed changes in the experiment group over the two-week study period were significantly greater than in the control group (p<0.05). Conclusion: These findings show that combined LLL plus LED phototherapy positively influences post-operative hand rehabilitation.

Strength-dexterity Complementariness: Comparison between Left and Right Hands in Older Female Adults (근력-기민성 보완: 여성 노인의 오른손과 왼손 비교)

  • Park, Yang Sun;Park, Da Won;Koh, Kyung;Kwon, Hyun Joon;Shim, Jae Kun
    • Korean Journal of Applied Biomechanics
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    • v.31 no.4
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    • pp.227-233
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    • 2021
  • Objective: The purpose of this study was to in this study. The maximum grip force of the elderly hand was measured using a custom-designed grasping apparatus mounted with five three-component force transducers. The Jebsen-Tayler hand function test and Purdue Pegboard test were performed to evaluate the dexterity of the hand. Method: Twenty-six elderly women participated in the left hand between the maximum grip force and the Jebsen-Taylor hand function test results (r=-.513, p=.007). A significant correlation was also shown in the hand maximum grip force and the hand Purdue Pegboard results (r=.514, p=.007). However, no significant correlation was found in the right hand. Results: We found a significant correlation investigate the relationship between hand grip strength and hand dexterity in the elderly. Conclusion: Our findings in the current study support the theory of 'Strength-dexterity complementariness' which states that improvement in dexterity is associated with the grip force strength.

Case Report: The Effects of Electromyogram-Triggered Neuromuscular Stimulation In the Treatment of Guillain-Barre Syndrome (Guillain-Barre syndrome 환자의 근전도 유발 신경근 전기자극을 이용한 운동회복효과 - 사례연구 -)

  • Kim, Sun-Ho
    • Therapeutic Science for Rehabilitation
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    • v.3 no.1
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    • pp.39-45
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    • 2014
  • Objective : The purpose of this study was to investigate the efficacy of electromyogram-triggered neuromuscular stimulation in the treatment to Guillain-Barre Syndrome patients of through case Study. Methods : The subject was a 66-year old woman who has Guillain-Barre Syndrome, showed wrist and hand function decrease in FMA and JTHFT investigation. She received a electromyogram-triggered neuromuscular stimulation treatment for 4weeks, 1 per day, 30 minute for each(right, left). Results : After 4 week period, wrist and hand function of FMA was observed increase and JTHFT showed improvement in some items. Conclusion : The use of electromyogram-triggered neuromuscular stimulation in the treatment of Guillain-Barre Syndrome who had peripheral neuropathy could been effective to therapy for motor recovery.

A Gaussian Mixture Model Based Pattern Classification Algorithm of Forearm Electromyogram (Gaussian Mixture Model 기반 전완 근전도 패턴 분류 알고리즘)

  • Song, Y.R.;Kim, S.J.;Jeong, E.C.;Lee, S.M.
    • Journal of rehabilitation welfare engineering & assistive technology
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    • v.5 no.1
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    • pp.95-101
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    • 2011
  • In this paper, we propose the gaussian mixture model based pattern classification algorithm of forearm electromyogram. We define the motion of 1-degree of freedom as holding and unfolding hand considering a daily life for patient with prosthetic hand. For the extraction of precise features from the EMG signals, we use the difference absolute mean value(DAMV) and the mean absolute value(MAV) to consider amplitude characteristic of EMG signals. We also propose the D_DAMV and D_MAV in order to classify the amplitude characteristic of EMG signals more precisely. In this paper, we implemented a test targeting four adult male and identified the accuracy of EMG pattern classification of two motions which are holding and unfolding hand.

Impact of Korean Workers' Experience of Exposure to the Physical Work Factors on Absence

  • Choi, Seo-Yeon;Lee, Seong-Jin
    • Journal of the Korea Society of Computer and Information
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    • v.22 no.6
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    • pp.149-156
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    • 2017
  • In this paper, we propose to enhance a Physical working conditions to decrease absence from work. we demonstrated the correlation of worker's absence with various environmental factors in workplace by surveying 6,962 workers. As result, first, concerning exposure to physical work factors, most of them complained of vibration, and concerning exposure to improper working posture, most of them complained of repetitive arm and hand motions. Second, the absence experience had correlations with age, monthly income, smoking, number of employees, long term working, and shift work, and of the physical factors, hand vibration, noise, high temperature, low temperature and improper working posture had correlations with physical pain posture, movement of people and carrying heavy materials. Third, experience of exposure to hand vibration, noise and low temperature of the physical factors had impact on absence, and of the improper working posture, physical pain posture and carrying heavy stuff had impacts on absence. Through this study, it was found that of the work factors of Korean workers, physical factors and improper working posture had impacts on absence. The results of this study confirmed that physical factors and inappropriate working posture among work factors influenced the absenteeism. Therefore, it is required to improve the work environment regarding physical risk factors and prepare a systematic management plan.

Development of an Integrative Cognitive Rehabilitation Program for Brain Injured Patients in the Post-acute Stage (후급성기 뇌손상 환자를 위한 인지재활 프로그램의 개발)

  • Oh Hyun Soo;Kim Young Ran;Seo Wha Sook;Seo Yeon Ok
    • Journal of Korean Academy of Nursing
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    • v.35 no.2
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    • pp.270-282
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    • 2005
  • Purpose: This study was conducted to develop a comprehensive cognitive rehabilitation program that can be easily applied to brain injured patients by family members or nurses in community or hospital settings. Methods: A Systemic literature review design was used. Thirty-three related studies were reviewed. Result: Based on the results of the literature review, the training tasks for attention were designated to enhancing 4 hierarchical areas, i.e., focused, selective, alternating, and divided attention. On the other hand, the memory rehabilitation tasks mainly consisted of mnemonic skills, such as the association method which helps patients memorize given information by linking together common attributes, the visual imagery method, and self-instruction method. The problem solving rehabilitation program included a task of games or plays which stimulated the patients' curiosity and interest. The training tasks for problem solving were to encourage the process of deriving reasonable solutions for a problematic situation resembling real problems that the patients were faced with in their everyday life. Conclusion: It is expected that the cognitive rehabilitation program developed from this study could help patients having difficulty in their every day life, due to a reduced cognitive ability resulting from brain injury, to effectively adapt to every day life.

Effect of Virtual Reality Rehabilitation Program with RAPAEL Smart Glove on Stroke Patient's Upper Extremity Functions and Activities of Daily Living (라파엘 스마트 글러브를 이용한 가상현실 재활프로그램이 뇌졸중환자의 상지 기능과 일상생활활동 수행에 미치는 영향)

  • Kim, Koun
    • Journal of The Korean Society of Integrative Medicine
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    • v.7 no.2
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    • pp.69-76
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    • 2019
  • Purpose : This study examined the effects of a virtual reality rehabilitation program on stroke patients' upper extremity functions and activities of daily living (ADL). Methods : The subjects were equally and randomly divided into an experimental group (n=16) to whom a virtual reality rehabilitation program was applied and a control group (n=16) who received traditional occupational therapy. The intervention was applied five times per week, 30 minutes per each time, for six weeks. Jebsen-Taylor hand function test was conducted and the subjects' Manual Function Test was measured to examine their upper extremity functions before and after the treatment intervention, and a Korean version of modified Barthel index was calculated to look at their activities of daily living. Results : After the intervention, the upper extremity functions and activities of daily living of the participants in both groups significantly improved (p<.05). However, the improvements in these parameters among the participants in the virtual reality rehabilitation program were significantly greater than those in the control group (p>.05). Conclusion : The virtual reality rehabilitation program is a stable and reliable intervention method for enhancing the upper limb functions and activities of daily living of stroke patients.