• Title/Summary/Keyword: Left hand

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Median Nerve Stimulation in a Patient with Complex Regional Pain Syndrome Type II

  • Jeon, Ik-Chan;Kim, Min-Su;Kim, Seong-Ho
    • Journal of Korean Neurosurgical Society
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    • v.46 no.3
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    • pp.273-276
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    • 2009
  • A 54-year-old man experienced injury to the second finger of his left hand due to damage from a paintball gun shot 8 years prior, and the metacarpo-phalangeal joint was amputated. He gradually developed mechanical allodynia and burning pain, and there were trophic changes of the thenar muscle and he reported coldness on his left hand and forearm. A neuroma was found on the left second common digital nerve and was removed, but his symptoms continued despite various conservative treatments including a morphine infusion pump on his left arm. We therefore attempted median nerve stimulation to treat the chronic pain. The procedure was performed in two stages. The first procedure involved exposure of the median nerve on the mid-humerus level and placing of the electrode. The trial stimulation lasted for 7 days and the patient's symptoms improved. The second procedure involved implantation of a pulse generator on the left subclavian area. The mechanical allodynia and pain relief score, based on the visual analogue scale, decreased from 9 before surgery to 4 after surgery. The patient's activity improved markedly, but trophic changes and vasomotor symptom recovered only moderately. In conclusion, median nerve stimulation can improve chronic pain from complex regional pain syndrome type II.

A Study on Left-Renying and Right-Qikou Pulse Diagnosis(左人迎·右氣口 脈診法) ('좌인영(左人迎)·우기구(右氣口)' 맥진법(脈診法)에 관(關)한 고찰(考察))

  • Kwak, Bumhee;Yoon, Jonghwa
    • Journal of Korean Medical classics
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    • v.33 no.1
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    • pp.89-101
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    • 2020
  • Objectives : The purpose of this study is to research the Left-Renying and Right-Qikou pulse diagnosis. Methods : We set up locations of the Renying pulse(人迎脈) and the Qikou pulse(氣口脈) on left hand and right hand. On the basis of the medical texts and papers, we researched the relations between the Left-Renying and Right-Qikou pulse diagnosis and the etiological factors(病因), background of appearance of the Left-Renying and Right-Qikou pulse diagnosis, and practical use of medical practitioners of many generations to the Left-Renying and Right-Qikou pulse diagnosis. Results & Conclusions : The Left-Renying and Right-Qikou pulse diagnosis is a method to diagnosis the etiological factors, while it could also be assumed as a tool to apply herbal medicine. This assumption could be made based on the seventh volume of 『Maijing(脈經)』 of Wang Shuhe(王叔和). Chen Wuze(陳無擇) emphasized its function to distinguish etiological factors in 『Sanyinjiyibingzhengfanglun(三因極一病證方論)』, as did Li Dongyuan(李東垣) in 『Neiwaishangbianhuolun(內外傷辨惑論)』. Meanwhile, the connection between Left-Renying and Right-Qikou pulse diagnosis and Zangfu(臟腑) seems to have first been made in 『Maiyu(脈語)』 of Wu Kun(吳昆), while 『Zhenjiazhengyan(診家正眼)』 of Li Zhongzi(李中梓) shows traces of progress since the 『Maiyu』.

The Effect of Hand and Finger Exercise on Grip Strength and Pinch Pressure in Elderly Women (손과 손가락 근관절운동이 노년기 여성의 악력과 잡기력에 미치는 영향)

  • Kim, Jong-Im;Kim, Hyun-Li;Kim, Sun-Ae
    • Journal of muscle and joint health
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    • v.9 no.1
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    • pp.18-27
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    • 2002
  • Introduction : Exercise has been suggested as an important nursing strategy in which to help elderly maintain functional performance and to enhanced quality of life. Most of exercise study has been reported on fitness exercise such as walking, swimming, dance etc for health of elderly. There have been few reports about exercise on the promotion of small and fine movement of elderly. The purpose of this pilot study was to determine an effect of 6 weeks hand and finger exercise in home to improve hand muscle strength such as grip strength and finger pinch pressure. Materials and Methods Design: This pilot study was used one group pre and post-test design. Sample: Twelve elderly women above 60 years of age or older living in community were selected by convenient sampling. Procedure: Signed informed consent was obtained prior to participate in this study. The authors met elderly and taught hand and finger exercise, daily a week for 6 weeks, within 30 minutes per session. But exercise frequency and strength were not same. Instruments: Left and right grip strength were measured by Bulb Dynamometer(made in USA) and left and right pinch pressure were measured by Baseline Hydraulic Pinch Gauge(made in USA). Data analysis: Discriptive data analyses were performed on all variables. Wilcoxon matched-pairs Signed-Ranks test were used to find difference of grip strength and pinch pressure between pre and post exercise using SPSS 10.0 for Window. Results: Samples age ranged from 60 to 73, Mean age was 65.3. All were women. Ten elderly were diagnosed osteoarthritis and one had DM. After six weeks hand and finger exercise, Left and right grip strength were higher than those of before exercise(Z=-2.667, P<0.01 ; Z=-3.065, p<0.01). And left pinch pressure after hand and linger exercise were higher than that of before pinch pressure (Z=-2.315, p<0.05). But Right pinch pressure was not shown significant change(Z=-1.099, p>0.05). Conclusions: Although this study was limited by the sample size and design, the findings provide some important implications for community based exercise nursing intervention. Short term (six weeks) exercise of hand and linger is shown to be useful as nursing intervention to maintain routine daily activities such as eating, writing, grip something for elderly.

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Waveform Changes of the Radial Pulsation Followed by the Food Intakes in Healthy Subjects (식사에 따른 맥상파 변화 연구 -h1, t, 맥(脈)에너지, RAI를 중심으로-)

  • Kim, Gyeong-Cheol;Lee, Jeong-Won;Ryu, Gyeong-Ho;Kim, Yi-Soon
    • Korean Journal of Oriental Medicine
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    • v.17 no.3
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    • pp.87-96
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    • 2011
  • Objectives : The study on the affected factor of the pulse wave is important in the pulse wave part. The purpose of this study is to secure the objective data of pulse-wave parameter on the food intakes affected the radial pulse-wave. Methods : The study was carried out healthy adult men. We researched the blood circulation index and the changes of the pulse factor according to 'before meal', 'right after meal', '30 minute after meal', '1 hour after meal' and '2 hours after meal'. We analyzed the changes according the time schedule. And analyzed the difference between 'before meal' and 'after meal'on the pulse-wave parameter. Results : The results were as follows. 1. HR, ECO and ECI were showed the highest increase 'after meal' and the significant decrease in '2 hours after meal' with 'before meal' degree. 2. In the pulse energy, 'left hand average pulse energy' was showed the highest increase 'after meal', and 'right hand average pulse energy' and 'right Quan(關)' were showed the highest increase in '30 minute after meal'. 3. h1 of '6 part of left and right hand'(Chon-Quan-Chuk, 寸關尺) was showed the significant difference statistically in 'left Chuk' and 'right Quan'. 4. T was showed the highest 'before meal' and the lowest after meal in '6 part of left and right' (Chon-Quan-Chuk, 寸關尺). 5. RAI was showed the highest 'before meal' in '6 part of left and right'(Chon-Quan-Chuk 寸關尺). Conclusions : From the about results, the food intakes was considered important factor of pulse formation. On the factor affected the pulse, we considered that continuous study needs for the future.

Surgical Treatment of Thoracic Outlet Syndrome (Report of A Case) (흉곽출구 증후군 수술 치험 1례)

  • Ryu, Ji-Yun;Gang, In-Deuk;Jo, Gwang-Hyeon
    • Journal of Chest Surgery
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    • v.21 no.3
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    • pp.563-566
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    • 1988
  • Thoracic outlet syndrome refers to compression of the subclavian vessels and brachial plexus at the superior aperture of the thorax. it was previously designated according to presumable etiologies such as scalenus anticus, costoclavicular, hyperabduction, cervical rib and first thoracic rib syndromes. We experienced a case of thoracic outlet syndrome[costoclavicular syndrome] which was caused by posttraumatic left clavicular fracture. Patient had suffered from swelling and cyanosis of left forearm and hand. preoperative vascular doppler test, angiography and venography were performed. First rib resection was done with transaxillary approach. After operation preoperative cyanosis and swelling of left forearm and hand were disappeared. Postoperative course was uneventful.

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Using of Scattering Bond Graph Methodology for a Physical Characteristics Analysis of “D-CRLH” Transmission Line

  • Taghouti, Hichem;Jmal, Sabri;Mami, Abdelkader
    • Journal of Electrical Engineering and Technology
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    • v.11 no.4
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    • pp.943-950
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    • 2016
  • In this paper, we propose to analyze the physical characteristics of a planar dual-composite right-left handed transmission line by a common application of Bond Graph approach and Scattering formalism (Methodology S.BG). The technique, we propose consists, on the one hand, of modeling of a dual composite right-left metamaterial transmission line (D-CRLH-TL) by Bond Graph approach, and, it consists of extracting the equivalent circuit of this studied structure. On the other hand, it consists to exploiting the scattering parameters (Scattering matrix) of the DCRLH-TL using the methodology which we previously developed since 2009. Finally, the validation of the proposed and used technique is carried out by comparisons between the simulations results with ADS and Maple (or MatLab).

Injury of Corticostriatal Tract between the Striatum and the Premotor Area in a Patient with Traumatic Brain Injury

  • Kwon, Jung-Won;Seo, Jeong Pyo
    • The Journal of Korean Physical Therapy
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    • v.32 no.6
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    • pp.391-393
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    • 2020
  • Objectives: We investigated injury of corticostriatal (CStr) tract in patient with mild traumatic brain injury (mTBI), which was demonstrated by DTT. Method: A 44-year-old female with no previous history of neurological, physical, or psychiatric illness had suffered from head trauma resulting from a pedestrian car accident. She complained that could not quickly move the left hand with her intension. After three month's administration, her slowness movement of left hand recovered rapidly to the point that she was able to extend all fingers quickly. Results: On DTT configuration, the integrity of the left CStr tract was well-preserved, however the right CStr tract showed narrowing and partial tearing in the subcortical white matter on a DTT at 25 months after onset. Conclusion: Injury of the right CStr tract was demonstrated in a patient who developed mild motor control problems following mild TBI. We believe that the evaluation of the CStr tract from the secondary motor area for patients who showed unexplained motor control problem is necessary.

Affect of Asymmetrical Tonic Neck Reflex on Changes in Weight Bearing in the Upper Extremities in Normal Children (정상아동에서의 긴장성 비대칭성 경반사를 통한 상지의 체중지지 변화)

  • Ahn Mi-Kyeong;Kwon Hyuk-Cheol
    • The Journal of Korean Physical Therapy
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    • v.5 no.1
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    • pp.17-24
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    • 1993
  • The purpose of this study was to find out what changes in weight bearing in the both upper extremities occurred in response to Asymmetrical Tonic Neck Reflex by rotation of head in the quadruped position. The subjects for the study were 80 children (44 male, 44 female) who were neurologically normal. They were divided into two groups $6\~7$ year olds and $8\~9$ year olds. Paired t-test was applied as a atatistical method at the 0.01 level of significance. The results of this study are as follows; 1. In the neutral position of head, there was mort weight bearing on the left hand than the right in both of the two groups(p<0.01). 2. When the head was rotated to the right or left passively, there was more weight bearing on the hand of side to which the face was rotated(p<0.01). 3. When the head was rotated to the right or left actively, there us also more weight bearing on the hand of side to which the face was rotated(p<0.01). Therefore, it is possible to un Asymmetrical Tonic Neck Reflex to increase body weight for muscle strengthening in children with weakened muscles of the upper extremities. further studies are required for confirmation of these findings.

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Prevalence of MSDs and Postural Risk Assessment in Floor Mopping Activity Through Subjective and Objective Measures

  • Naik, Gouri;Khan, Mohammed Rajik
    • Safety and Health at Work
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    • v.11 no.1
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    • pp.80-87
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    • 2020
  • Background: Residential and commercial cleaning is a part of our daily routine to maintain sanitation around the environment. Health care of professionals involved in such cleaning activities has become a major concern all over the world. The present study investigates the risk of musculoskeletal disorders in professional cleaners involved in floor mopping tasks. Methods: A cross-sectional study was performed on 132 mopping professionals using a modified Nordic questionnaire. The Pearson correlation test was implemented to study the association of perceived pain with work experience. The muscle strain and postural risk were evaluated by means of three-channel electromyography and real-time motion capture respectively of 15 professionals during floor mopping. Results: Regarding musculoskeletal injuries, risk was reported majorly in the right hand, lower back, left wrist, right shoulder, left biceps, and right wrist of the workers. Work experience had a low negative association with MSDs in the left wrist, right wrist, right elbow, lower back, and right lower arm (p < 0.01). Surface EMG showed occurrence of higher muscle activity in upper trapezius and biceps brachii (BB) muscles of the dominant hand and flexor carpi radialis and BB muscles of the nondominant hand positioned at the upper and lower portion of the mop rod, respectively. Conclusion: Ergonomic mediations should be executed to lessen the observed risk of musculoskeletal injuries in this professional group of workers.

The Corneal Base Curve, Astigmatism, and Power of Women College Students (여대생들의 각막기본 곡률, 난시, 굴절력)

  • Kim, Douk-Hoon;Choi, Ho-Seong
    • Journal of Korean Ophthalmic Optics Society
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    • v.6 no.2
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    • pp.53-57
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    • 2001
  • The corneal structure and function changes somewhat with aging. We were performed the analysis of women college students on the base curve, power, and astigmatism axis of the cornea by keratometer. All women subjects were between the ages of 19 and 20 years. On the corneal base curve. the right eye of the ages of 19 was 7.64 mm in vertical and 7.81 mm in horizontal. But, the left eye was 7.65 mm in vertical and 7.83 mm in horizontal on the other hand, the right and left eye of the ages of 20 was 7.72 mm in vertical and 7.75 mm in horizontal. On the corneal diopter power, the right eye of the ages of 19 was 44.21 diopter in vertical and 43.32 diopter in horizontal. But, the left eye was 44.23 diopter in vertical and 43.24 diopter in horizontal. On the other hand, the right eye of the ages of 20 was 43.67 diopter in vertical and 43.62 diopter in horizontal. But, the left eye was 43.73 diopter in vertical and 43.6 diopter in horizontal. According to the corneal astigmatism axis style, the right eye of the ages of 19 have 83% positive for with the rule astigmatism, and 16% positive for against the rule astigmatism. But, the left eye of the ages of 19 have 86% positive for with the rule astigmatism, and 12% positive for against the rule astigmatism. On the other hand, the right eye of the ages of 19 have 56% positive for with the rule astigmatism, and 44 % positive for against the rule astigmatism. But, the left eye of the ages of 20 have 56% positive for with the rule astigmatism, and 41% positive for against the rule astigmatism. According to the diopter power of corneal astigmatism. The right eye of the ages of 19 have 36% positive for behind 1 diopter and left eye have 31%. But, the right and left eye of the ages of 20 have 37.5%. The right and left eye of the ages of 19 have 42% positive for 1 diopter, and the right eye of the ages of 20 have 34.4% positive for 1 diopter and the left eye have 43.8%. The right eye of the ages of 19 have 12% positive for 2 diopter and left eye have 22%. But, the right eye of the ages of 20 have 15.6% positive for 2 diopter and the left eye have 12%. The right eye of the ages of 19 have 4% positive for 3 diopter and left eye have 3%. But, the left eye of the ages of 20 have 3% positive for 3 diopter and the left eye have 6%. On the other hand, the right eye of ages of 19 have 6% positive over 4 diopter, and the left eye have 2%. But, the right eye of ages of 20 have only 9% positive over 4 diopter.

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