• Title/Summary/Keyword: Limb

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The Clinical Significance of Periodic Limb Movements During Sleep in Various Sleep Disorders (다양한 수면장애의 주기성사지운동증의 임상적 의의)

  • So-Jin Lee
    • Sleep Medicine and Psychophysiology
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    • v.30 no.1
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    • pp.9-12
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    • 2023
  • Periodic limb movements during sleep (PLMS) are prevalent in various sleep disorders, such as restless legs syndrome (RLS), periodic limb movements disorder, obstructive sleep apnea (OSA), REM sleep behavior disorder (RBD), and narcolepsy. PLMS has been hypothesized to be related to the decline of dopaminergic transmission. In RLS, PLMS is suggested to be related to iron deficiency and symptom severity. PLMD is a rare sleep disorder, and the role of PLMS in PLMD has not been clearly investigated yet. PLMS in OSA, which remain after proper PAP therapy, may need further management. The clinical relevance of PLMS in RBD and narcolepsy have not been investigated thoroughly and need further studies. Whether PLMS are to be considered as a mere symptom of individual sleep disorders or not can be elucidated through studies investigating the efficacy of therapeutic approaches to reduce PLMS in various sleep disorders.

The Effect of Modified CIMT Combined with Kinesio-Taping on Upper Limb Function in Hemiplegic Patients (테이핑을 이용한 건측 억제유도 운동이 만성 뇌졸중 환자의 상지기능에 미치는 영향)

  • Kim, Myung-Kwon;Ji, Sang-Ku;Jun, Hye-Jin;Lee, Chang-Ryeol;Lee, Moon-Hwan
    • Journal of the Korean Society of Physical Medicine
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    • v.4 no.3
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    • pp.183-192
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    • 2009
  • Purpose:This study was conducted to investigate whether modified CIMT with Kinesio-Taping on paretic upper limb effects upper limb function in stroke patients in comparison to those receiving only modified CIMT. Methods:20 out-patients with hemiplegia were randomly assigned to either an experimental or a control group. Both groups received modified CIMT during a 10-week period. Additionally, an experimental group received modified CIMT with Kinesio-Taping on paretic upper limb and trunk. Results:In Manual function test, Grip strength, Jebsen-Taylor hand function test, MAL(Motor Activity Log) and Functional independence measure (FIM) were significantly different at all intervals of the study period(0, 3, 6, 10-week) in the experimental and control groups(p<.05). Exceptionally there was no significant difference in Jebsen-Taylor hand function test between the experimental and control groups. Conclusion:These results suggest that modified CIMT with Kinesio-taping improve the upper limb function. And also increase usage of affected upper limb and assist in daily living activity more than only modified CIMT.

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Design of Upper-limb Rehabilitation Device with Power-assist Function for Stroke Survivals (뇌졸중 환자용 동력보조형 상지재활훈련기의 설계)

  • Bae, J.H.;Moon, I.
    • Journal of rehabilitation welfare engineering & assistive technology
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    • v.5 no.1
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    • pp.79-85
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    • 2011
  • In this paper, we proposed a design of upper-limb rehabilitation device with power-assist function for stroke survivals. The designed upper-limb rehabilitation device has three degrees of freedom; it is possible to perform flexion and extension motions of wrist, index finger and the other fingers except the thumb independently. The power-assist for wrist motion is performed by a pneumatic double-acting cylinder, but the fingers are actuated by electrical linear actuators to assist motions. A prototype upper-limb rehabilitation device and its controller were implemented. The position controller showed 0.8 mm errors in the steady-state. Experimental results showed that the proposed upper-limb rehabilitation device with power-assist function is feasible.

Designing an Intelligent Rehabilitation Wheelchair Vehicle System Using Neural Network-based Torque Control Algorithm

  • Kim, Taeyeun;Bae, Sanghyun
    • KSII Transactions on Internet and Information Systems (TIIS)
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    • v.11 no.12
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    • pp.5878-5904
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    • 2017
  • This paper proposes a novel intelligent wheelchair vehicle system that enables upper limb exercises, lower limb standing exercises and rehabilitation training in a daily life. The proposed system, which can be used to prevent at least the degeneration of body movements and further atrophy of musculoskeletal system functions, considers the characteristics and mobility of the old and the disabled. Its main purpose is to help the old and the disabled perform their daily activities as much as they can, minimizing the extent of secondary disabilities. In other words, the system will provide the old and the disabled with regular and quantitative rehabilitation exercises and diagnosis using the wheelchair-based upper/lower limb rehabilitation vehicle system and then verify their effectiveness. The system comprises an electric wheelchair, a biometric module to identify individual characteristics, and an upper/lower limb rehabilitation vehicle. In this paper the design and configuration of the developed vehicle is described, and its operation method is presented. Moreover, to verify the tracking performance of the proposed system, dangerous situations according to biosignal changes occurring during the rehabilitation exercise of a non-disabled examinee are analyzed and the performance of the upper/lower limb rehabilitation exercise function depending on muscle strength is evaluated through a neural network algorithm.

Notomelia with Supernumerary Hindlimb in a Korean Native Calf (한우 송아지에서 등다리증)

  • Yun, Sung-Ho;Kim, Jung-Eun;Kim, Seung-Joon;Kwon, Young-Sam;Jang, Kwang-Ho
    • Journal of Veterinary Clinics
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    • v.32 no.1
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    • pp.112-114
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    • 2015
  • A 1-month-old female Korean native calf was referred to the Veterinary Medical Teaching Hospital, Kyungpook National University. The chief complaint was a supernumerary limb on the dorsal thoracic region. The ectopic limb was smaller than normal limbs and it was partially attached on the ribs. Surgical excision was performed to remove the supernumerary ectopic limb and notomelia was successfully corrected. Supernumerary ectopic limb is defined as the presence of accessory limb or limbs attached to various body regions. This study reports macroscopic and radiographic features of notomelia in a female Korean native calf.

A Comparison of Ultrasonic Doppler and Oscillometric Methods in Systemic Blood Pressure Measurement of Dogs

  • Gang, Ho-min;Song, Joong-Hyun;Cho, Kyu-Woan;Jung, Dong-In
    • Journal of Veterinary Clinics
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    • v.33 no.6
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    • pp.321-324
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    • 2016
  • The present study compared two indirect blood pressure methods at thoracic limb, pelvic limb, and coccygeal sites. For measurement of blood pressure, 48 client-owned dogs in a clinical setting were used. When comparing the results obtained by doppler and oscillometric methods, there were significant differences in blood pressure of the thoracic and pelvic limbs. The Doppler machine produced significantly higher blood pressure value than oscillometry measured at thoracic and pelvic limbs. The difference in blood pressure between the two methods was not significant when measured in the tail. Comparison of blood pressure measured at three different sites by doppler, blood pressure measured at pelvic limb was higher than at thoracic limb and tail. In case of oscillometry, there were no significant differences between the three sites. The results of this study indicate that mechanical and positional differences were existed in blood pressure measurements at the canine thoracic limb, pelvic limb and tail.

A case of polydactylic polymelia with an extra pelvic limb attached at the left pelvic region in a fowl (발가락과다증(polydactyly)인 1개의 여분의 뒷다리가 왼쪽 둔부위에 부착된 닭의 다리과다증(polymelia) 1례)

  • Kim, Chong-sup;Won, Chung-kil;Ha, Jeung-key;Yeon, Seong-chan
    • Korean Journal of Veterinary Research
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    • v.41 no.1
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    • pp.7-11
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    • 2001
  • The abnormal female fowl (Arbor Acres broiler) of 40-day-old, which was polymelia with polydactyly was observed macroscopically and radiographically. An extra pelvic limb was attached at the left pelvic region. The extra pelvic limb consisted of an underdeveloped and malformed Os coxae like bone, femur like bone, tibia and fibula like bones, tarsal and metatarsal like bones, and five digits. The tarsal bones of two normal pelvic limbs and one extra pelvic limb were not fused with tibia and metatarsal bones respectively. The metatarsus of extra pelvic limb consisted of a single bone derived from several components. In a case of normal, first metatarsal bone remains independent. However in this case. all of metatarsal bones were fused. The extra pelvic limb was polydactyly. The digits consisted of the first and extra digit of three. the second and third of four. and the fourth of five phalanges. In each toe the last phalanx was pointed and formed the claw. The first and the second digits were polyphalangia [hyperphalangia]. The extra digit was microdactylia and brachydactyly.

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Comparative Study of Beijiqianjinyaofang and Sunzhenrenqianjinfang: Focused on the Third Chapter of Limb Diseases (손사막의 『비급천금요방』과 『손진인천금방』과의 비교연구: 「권삼십침구·사지제삼」편을 중심으로)

  • Park, Sangkyun
    • Korean Journal of Acupuncture
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    • v.31 no.3
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    • pp.108-116
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    • 2014
  • Objectives : The purpose of this study is to identify changes of texts by investigating similarities and differences of the third chapter of limb diseases section between Beijiqianjinyaofang(BJQJYF) and Sunzhenrenqianjinfang(SZRQJF). Methods : I reviewed the third chapter of limb diseases section both of BJQJYF and SZRQJF and analysed the changes of texts. Results : 1. Hand, shoulder and low back pains mentioned in the second chapter of glossopathy from SZRQJF were moved to the third chapter of limb diseases in BJQJYF. 2. Inappropriate indications were changed reasonably. 3. Contents related with treatment were revised, by addition or deletion of contents. 4. There were some contents which were worth clinically in SZRQJF. 5. The rule of choosing acupoints for hand, arm, leg, knee and limb disease was selection of local points, and for shoulder and low back disease was selection of distant points. Conclusions : Classification and contents of the third chapter of limb diseases were re-organized systematically through proofreading by medical printing authority. However, some contents deleted from SZRQJF were worth clinically, and more studies are necessary to identify the reason why the indication and selection of acupoints were changed by proofreading.

The Variability Analysis of the Kinematic Variables of the Lower Extremities During AK(above-knee) Amputee Gait (대퇴절단 환자의 보행 시 양하지의 운동학적 변인에 대한 variability 분석)

  • Seo, Uk-hyeon;Ryu, Ji-seon
    • Korean Journal of Applied Biomechanics
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    • v.15 no.4
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    • pp.131-142
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    • 2005
  • This study was investigated the stability of the AK amputee gait through analysing the variability on kinematic variables between the sound leg and the prosthetic limb. The one male, AK amputee who could walk for himself with his prosthetic limb was participated in this study. Six cameras of the MCU 240 and the QTM(Qualisys Track Manager) software were used for data collecting in this study. The relative angle of both segments was the difference between the absolute angle of the distal segment and the absolute angle of the proximal segment. The coupling angles between the prosthetic limb and the sound leg were caculated on the thigh Flexion/Extension in relative to the shank Flexion/Extension and the shank Flexion/Extension n relative to the foot Flexion/Extension. In order to evaluate the variability of segment and joint angle, C.V. was used, and to evaluate the variability for coupling angles, the Relative motion calculated by vector coding method of the continuous methods was used. As stated, the gait pattern of the prosthetic limb was almost similar gait pattern of the sound leg, but the prosthetic limb showed that the gait pattern of the sound leg and the prosthetic limb were not stable against the sound leg.

2 Cases of Lower Limb Monoplegia due to Brain Cortical Infarction (대뇌 피질 경색으로 인한 하지 단마비 환자 한방치험 2례)

  • Shin, Jung-Ae;Son, Dong-Hyuk;Yu, Kyung-Suk;Lee, Jin-Goo;Lee, Young-Goo
    • The Journal of Internal Korean Medicine
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    • v.22 no.2
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    • pp.263-269
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    • 2001
  • Monoplegia is the paralysis of either the upper or lower limb. Monoplegia is commonly caused by an injury to the cerebral cortex; it is rarely caused by an injury to the internal capsule, brain stem, or spinal cord. Most cerebral cortex is derived from the occlusion of a brain cortex blood vessel due to thrombus or embolus. According to motor homunculus, lower limb monoplegia occurs from limited damage to the most upper part of the primary motor area(Brodmann's area 4, located in precentral gyrus). Clinically, lower limb monoplegia due to brain cortical infarction is commonly misunderstood as monoplegia due to spinal injury because the lesion is situated at the most upper part of precentral gyrus. We had many difficulties in finding lesion on brain CT, but we diagnosed two patients correctly by using an MRI, who have lower limb monoplegia due to brain cortical infarction oriental treatment.

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