• Title/Summary/Keyword: Left hand

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A Way to Avoid Muscular Fibrosis in the First Dorsal Interosseous Muscle after Acupuncture Injection Therapy

  • Wong, Yiu Ming
    • Journal of Pharmacopuncture
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    • v.20 no.3
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    • pp.227-229
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    • 2017
  • Fibrosis of skeletal muscle following acupuncture is an iatrogenic disorder. The present case illustrates a patient with a unilateral fibrotic formation on a thumb muscle after acupuncture injection therapy with red sage. The patient in the present case was a counter-terrorism police officer with right-handedness; he noted a palpable nodule three months after injection therapy at his left first dorsal interosseous in which the acupuncture point LI4 (He Gu) is located. He also found a reduction in the strength of his left pinch grip that noticeably affected his left handgun marksmanship. However, being ambidextrous in single-hand pistol shooting is an essential requirement for counter-terrorism police officers. Based on the patient's medical history and claims, no underlying disease or trauma was found to be associated with his current complaint. During physical examination, a fibrotic formation in his left first dorsal interosseous muscle was visualized by using diagnostic ultrasound; also, as confirmed with dynamometry, the strength of his left pinch grip was significantly lower than that of the right counterpart. Because acupuncture injection therapy has three components, antiseptic practices, the mechanical action of syringe insertion, and the pharmacological effect of the sterile herb extract, any one of the components may have contributed to the present adverse event. The first dorsal interosseous muscle is small in dimension and rather vascular; thus, it is not an ideal site for intramuscular injection. When a clinician needs to treat a patient by performing acupuncture at the LI4 acupoint and injecting a herbal extract simultaneously, the clinician should only mechanically stimulate the LI4 acupoint while injecting the herbal medicine into the LI14 (Bi Noe) acupoint on the same meridian, the LI14 acupoint being located in the distal portion of the deltoid muscle and being fairly close to the universally agreed upon site on the upper arm for safe administration of an injection.

The Study of Muscle Activity for the Upper Extremity over Morto-Seoinage(Two-handed shoulder throw) in Judo (유도 양손 업어치기 시 상지근의 근 활성도에 관한 연구)

  • Kim, Ji-Tae;Cho, Young-Je;Lee, Deck-Young
    • Korean Journal of Applied Biomechanics
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    • v.17 no.3
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    • pp.95-103
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    • 2007
  • The purpose of this study is Muscle Activity for the Upper Extremity and Morto-Seoinage(Two-handed shoulder throw) according to performance levels and elite judo players (G1) and non-elite judo players, namely university players (G2). To achieve this purpose, three players in G1 whose main special skill was Morote-Seoinage and three university judo players(G2) were selected as comparative group. After analysing this study, conclusions were derived as follows. 1. Muscle activity of musculi membri superious to group of Kuzushi to Tsukuri was the highest in left biceps brachii and right biceps brachii in order. On the other hand, G2 was the highest in left biceps brachii and left flexer carpi randialis in order. 2. Intergral electromyogram of according to the phase showed right triceps 1P of left flexer carpi radialis. G1 and G2 of showed left biceps brachii was the highest in 1P and 2P. As a result, extra training of left flexer carpi radialis and left biceps brachii is needed.

Regrowth of Cervical Intradural Lipoma without Spinal Dysraphism

  • Son, Doo Kyung;Son, Dong Wuk;Choi, Chang Hwa;Song, Geun Sung
    • Journal of Korean Neurosurgical Society
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    • v.56 no.2
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    • pp.157-161
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    • 2014
  • A 49 years old male patient who suffered from deterioration of posterior neck pain, left hand numbness, left lower limb pain and gait disturbance for 3 years visited our outpatient department. He had been diagnosed as non-dysraphic cervical intradural lipoma and operated in August 1990. On the radiologic images, we found the regrowth of non-dysraphic cervical intradural lipoma from C2 to C7 level, which surrounds and compresses the cervical spinal cord. Previous subtotal laminectomy from C2 to C7 and severe cervical lordosis were also found. Appropriate debulking of lipoma mass without duroplasty was successfully done with intraoperative neurophysiological monitoring (IONM). We are following up the patient for 24 months via outpatient department, his neurologic symptoms such as hand numbness, gait disturbance, left lower limb pain and posterior neck pain have improved. We describe a rare case of regrowth of non-dysraphic cervical intradural lipoma.

Strong Uncorrelated Transform Applied to Spatially Distant Channel EEG Data

  • Kim, Youngjoo;Park, Cheolsoo
    • IEIE Transactions on Smart Processing and Computing
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    • v.4 no.2
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    • pp.97-102
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    • 2015
  • In this paper, an extension of the standard common spatial pattern (CSP) algorithm using the strong uncorrelated transform (SUT) is used in order to extract the features for an accurate classification of the left- and right-hand motor imagery tasks. The algorithm is designed to analyze the complex data, which can preserve the additional information of the relationship between the two electroencephalogram (EEG) data from distant channels. This is based on the fact that distant regions of the brain are spatially distributed spatially and related, as in a network. The real-world left- and right-hand motor imagery EEG data was acquired through the Physionet database and the support vector machine (SVM) was used as a classifier to test the proposed method. The results showed that extracting the features of the pair-wise channel data using the strong uncorrelated transform complex common spatial pattern (SUTCCSP) provides a higher classification rate compared to the standard CSP algorithm.

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

  • Noor Mohammad;Nahid Khan
    • CELLMED
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    • v.13 no.6
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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.

Transorbital Penetrating Intracranial Injury by a Chopstick

  • Shin, Tae-Hee;Kim, Jong-Hoon;Kwak, Kyung-Woo;Kim, Seong-Ho
    • Journal of Korean Neurosurgical Society
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    • v.52 no.4
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    • pp.414-416
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    • 2012
  • A 38-year-old man fell from a chair with a chopstick in his hand. The chopstick penetrated his left eye. He noticed pain, swelling, and numbness around his left eye. On physical examination, a linear wound was noted at the medial aspect of the left eyelid. Noncontrast computed tomography (CT) study showed a linear hypodense structure extending from the medial aspect of the left orbit to the occipital bone, suggesting a foreign body. This foreign body was hyperdense relative to normal parenchyma. From a CT scan with 3-dimensional reconstruction, the foreign body was found to be passing through the optic canal into the cranium. The clear plastic chopstick was withdrawn without difficulty. The patient was discharged home 3 weeks after his surgery. A treatment plan for a transorbital penetrating injury should be determined by a multidisciplinary team, with input from neurosurgeons and ophthalmologists.

Dynamic Manipulation of a Virtual Object in Marker-less AR system Based on Both Human Hands

  • Chun, Jun-Chul;Lee, Byung-Sung
    • KSII Transactions on Internet and Information Systems (TIIS)
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    • v.4 no.4
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    • pp.618-632
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    • 2010
  • This paper presents a novel approach to control the augmented reality (AR) objects robustly in a marker-less AR system by fingertip tracking and hand pattern recognition. It is known that one of the promising ways to develop a marker-less AR system is using human's body such as hand or face for replacing traditional fiducial markers. This paper introduces a real-time method to manipulate the overlaid virtual objects dynamically in a marker-less AR system using both hands with a single camera. The left bare hand is considered as a virtual marker in the marker-less AR system and the right hand is used as a hand mouse. To build the marker-less system, we utilize a skin-color model for hand shape detection and curvature-based fingertip detection from an input video image. Using the detected fingertips the camera pose are estimated to overlay virtual objects on the hand coordinate system. In order to manipulate the virtual objects rendered on the marker-less AR system dynamically, a vision-based hand control interface, which exploits the fingertip tracking for the movement of the objects and pattern matching for the hand command initiation, is developed. From the experiments, we can prove that the proposed and developed system can control the objects dynamically in a convenient fashion.

Medial Reorganization of Primary Motor Cortex in Patient with Traumatic Brain Injury: a fMRI Case Study (외상성 뇌손상 환자에서 대뇌피질의 재조직화: 사례보고)

  • Choi, Jin-Ho;Kwon, Yong-Hyun
    • The Journal of Korean Physical Therapy
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    • v.17 no.3
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    • pp.421-428
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    • 2005
  • The tenn 'Brain plasticity' has been identified that our central nervous system is continuously being adapted and modulated according to environmental needs and demands, and has been used to encompass the multifarious mechanisms related to learning, development, and recovery from damage to the nervous system. The purpose of this study was to demonstrate cortical reorganization in a 26-year-old right-handed hemiparetic patient with traumatic primary motor cortex (M1) injury, using functional MRI (fMRI). The unaffected (left) primary sensori-motor cortex centered on the precentral knob was activated during unaffected (right) hand movements. However, the medial area of the injured M1 was activated during affected (left) hand movements. It seems that the motor function of the affected hand in this patient was reorganized into the medial area of the injured precentral knob. These investigations provide a great useful information and clinical evidences with the specialized clinician in stroke physical therapy about patient's prognosis and therapeutic guidelines.

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Binary Classification Method using Invariant CSP for Hand Movements Analysis in EEG-based BCI System

  • Nguyen, Thanh Ha;Park, Seung-Min;Ko, Kwang-Eun;Sim, Kwee-Bo
    • Journal of the Korean Institute of Intelligent Systems
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    • v.23 no.2
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    • pp.178-183
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    • 2013
  • In this study, we proposed a method for electroencephalogram (EEG) classification using invariant CSP at special channels for improving the accuracy of classification. Based on the naive EEG signals from left and right hand movement experiment, the noises of contaminated data set should be eliminate and the proposed method can deal with the de-noising of data set. The considering data set are collected from the special channels for right and left hand movements around the motor cortex area. The proposed method is based on the fit of the adjusted parameter to decline the affect of invariant parts in raw signals and can increase the classification accuracy. We have run the simulation for hundreds time for each parameter and get averaged value to get the last result for comparison. The experimental results show the accuracy is improved more than the original method, the highest result reach to 89.74%.

Two case of Stroke patients assume an aspect of Cheiro-oral Syndrome (수구증후군 양상을 보인 뇌졸중 환자 2례)

  • Kang, Gu-Hyeng;Yong, Hyung-Soon;Jung, Yong-Soo;Ko, Seong-Gyu;Park, Kyoung-Hoon
    • The Journal of Internal Korean Medicine
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    • v.22 no.2
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    • pp.257-262
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    • 2001
  • Cheiro-oral syndrome is characterized by a partial sensory disturbance in one hand and the ipsilateral oral comer. Its lesion is on the sensory track, and it is comparatively small. Most studies are case studies. These studies reported less than 10 cases. We studied two cases. In one, we observed intracranial hemorrhage involving left thalamus, posterior limb of internal capsule about 5cc in brain computed tomographic scan. The case was shown paresthesia of the right hand and ipsilateral comer of the mouth. The patient also complained about disturbing dysstereognosis and disorder of graphaesthesia. In the other case, we observed nodular calcification at the left basal ganglia external capsule in brain computed tomographic scan. The patient also complained about dysesthesia of the right thumb and index finger, fatigue and verbal disturbance. These cases appeared to be typical strokes in the acute phase, but after acute phase, they had dysethesia in the hand and periord for three months.

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