• 대한가정학회지
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• 제29권2호
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• pp.17-34
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• 1991

The purpose of this study was to find out problems which occured between clothes and motor ability traits of the hemiplegic aged. The samples were 32 hemiplegic aged men and were compared with 43 healthy aged men. Motor ability of the samples were measured by ROM test, muscle power test and finger function test(grip strength, hand's coordination, lateral pinch, 3pt. pinch). Design of the clothes consisted of 25 variables and the analysis of dressing and undressing motion consist of 10 motions of dressing and undressing dress shirts and 8 motions of trousers. The results were as follows: 1. There were significant relationship between ROM and muscle power and finger function of the hemiplegic aged(P<.001). 2. There were significant differences between the nomal side's finger function of the hemiplegic aged and that of the healthy group(P<.001). 3. The designs of clothes such as tutle neck line, long sleeve, button cuffs, fastening lace, open zipper and belt of trousers gave much difficulty to the hemiplegic when dressing and undressing. 4. The most difficult motion of dressing and undressing was fastening when dressing both dress shirts and trousers. 5. There were partly significant relationship between design of clothes and ROM, muscle power, finger function of hemiplegic aged man. 6. There were partly significant relationship between the degree of difficulty in dressing and undressing motions and ROM, muscle power, finger function of hemiplegic aged man.

• Archives of Reconstructive Microsurgery
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• 제10권1호
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• pp.7-11
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• 2001

Purpose : To evaluate the neurologic abnormalities in the donor limb after contralateral C7 transfer in brachial plexus injury. Materials and Methods : From August 1996 to December 1999, five patients with brachial plexus injury were treated with contralateral C7 nerve root transfer. The average follow up was 16 months(range, 5 to 36 months). The clinical findings were assessed using the British Medical Research Council Grading System, and also measured grip power, pinch power of hand and two point discrimination of the fingers. Results : We had no difference in shoulder abduction and elbow flexion after contralateral C7 transfer. The grip and pinch strength were recovered within 4weeks. Sensory loss occurred in all patients and was noted to be more severe on index and middle finger. Four patients recovered within 2 weeks, one continued till one year. Subjective numbness and pain on percussion minimally persisted until last follow-up. Conclusion : The division of the C7 nerve root resulted in minimal and temporary functional deficit in the donor upper limb.

• 대한약침학회지
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• 제20권3호
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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.

• Journal of Korean Neurosurgical Society
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• 제29권3호
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• pp.372-378
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• 2000

The carpal tunnel syndrome is one of the most common entrapment neuropathy. Surgical treatments consist of conventional open technique, alternative technique using retinaculatome, and endoscopic surgery. This study compares the outcomes of surgical treatment of carpal tunnel syndrome following conventional versus endoscopic release. The authors reviewed 56 cases of 33 patients with carpal tunnel syndrome treated surgically in our institute from January 1991 to May 1998. The follow-up evaluation was possible in 36 cases of 20 patients who had conventional release and in 11 cases of 7 patients with endoscopic release. The following parameters were evaluated for comparison : improvement of symptom, return to normal work, recovery of strength of grip and pinch, rate of complication, follow-up electrophysiologic finding. Compared with open decompression, the group of endoscopic decompression needed significantly less time to go back to work(p<0.001). Also strength of grip and pinch improved faster in the group of endoscopic decompression as well, compared with open decompression(p<0.05). These results indicate that endoscopic procedure is an excellent, minimally invasive method to treat carpal tunnel syndrome, performed by surgeons who are fully aware of the anatomy.

• Journal of Acupuncture Research
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• 제39권2호
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• pp.96-104
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• 2022

This study aimed to examine the clinical efficacy of electroacupuncture treatment for carpal tunnel syndrome by reviewing published randomized controlled trials. Among the 186 studies retrieved from 7 online databases (PubMed, Cochrane library, CNKI, NDSL, RISS, OASIS, KMbase) on October 29, 2021, 4 studies were selected according to the inclusion, exclusion criteria, and were evaluated using risk of bias. Control groups for electroacupuncture were wearing a splint at night, traditional acupuncture, and medication. Methods such as total effective, functional status scale, symptom severity scale, electromyography, tip pinch strength, visual analogue scale, numeric rating scale, and ultrasound were used to evaluate the therapeutic effect. Electroacupuncture was reported to have significant treatment results compared with the control group in methods such as total effectiveness, electromyography, and tip pinch strength. However, the quality of the studies (using risk of bias) does not allow reliable conclusions to be made. Many high quality (low risk of bias) randomized controlled trials are needed to examine the efficacy of electroacupuncture treatment for carpal tunnel syndrome.

• Archives of Plastic Surgery
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• 제37권5호
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• pp.650-658
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• 2010

Purpose: In the case of repair for far distal parts of FDP (Flexor digitorum profundus) division, the method of either pull-out suture or fixation of tendon to the distal phalanx is preferred. In this paper, the results of a modified loop suture technique used for the complete division of FDP from both zone 1a and distal parts of zone 1b in Moiemen classification are presented. Methods: From July 2006 to July 2009, the modified loop suture technique was used for the 10 cases of FDP in complete division from zone 1a and distal parts of zone 1b, especially where insertion sites were less than 1 cm apart from a tendon of a stump. In a suture technique, a loop is applied to each distal and proximal parts of tendon respectively. Core suture of 2-strand and epitendinous suture are done with PDS 4-0. Out of 10 patients, the study was done on 6 patients who were available for the followup. The average age of the patients was 49.1 years (in the range from 26 to 67). 5 males and 1 female patients were involved in this study. There were 3 cases with zone 1a and distal parts of zone 1b. The average distance to the distal tendon end was 0.6 cm. There were 5 cases underwent microsurgical repair where both artery and nerve divided. One case of only tendon displacement was presented. The dorsal protective splint was kept for 5 weeks on average. The results of the following tests were measured: active & passive range of motion, grip strength test, key pinch and pulp pinch test. Results: The follow-up period on average was 11 months, in the range from 2 to 20 months. There was no case of re-rupture, but tenolysis was performed in 1 cases. In all 6 cases, the average active range of motion of distal interphalangeal joint was 50.8 degree. The grip strength (ipsilateral/contralateral) was measured as 88.7% and the pulp pinch test was 79.2% as those of contralateral side. Flexion contracture was presented in 2 cases (15 degree on average) and there was no quadrigia effect found. Conclusion: Despite short length of tendon from the insertion site in FDS rupture in zone 1a and distal parts of zone 1b, sufficient functional recovery could be expected with the tendon to tendon repair using the modified loop suture technique.

• 재활치료과학
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• 제7권2호
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• pp.29-40
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• 2018

목적 : 본 연구의 목적은 한국 성인의Upper extremity performance test for elderly (TEMPA) 표준치를 제시하고, 수집된 자료를 바탕으로 성인의 손 기능의 특성과 근력의 차이를 연령별, 성별로 알아보는 것이다. 연구방법 : 연구에 참여한 대상자는 20세에서 59세 사이의 손 기능에 장애가 없는 성인 138명이었다. 손 기능의 특성과 근력을 평가하기 위하여 모든 대상자에게 TEMPA, Jarmar dynamometer, pinch gauge를 시행하였다. 결과 : 성인의 손 기능에는 연령별, 성별 차이가 통계적으로 유의미한 차이를 보이지는 않았지만, 40대와 50대에서 수행 속도가 감소하는 경향을 보였다. 성인의 근력은 40대에서 가장 높은 수준의 근력을 보였으며 50대에서 감소하는 경향을 보였지만 대부분의 결과에서 유의미한 차이는 없었다. 결론 : 작업치료사는 중년 성인의 손기능과 근력에서 나타나는 감소의 전조 증상에 대한 관심과 그 기능 수준을 유지하기 위한 교육 프로그램을 제공하는 것이 필요할 것이다. 본 연구를 통해 한국 성인의 TEMPA 표준치가 확립되었다. 이 표준치가 임상적 평가 및 근거 기반연구에 있어 유용한 자료가 되기를 기대한다.

• Structural Engineering and Mechanics
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• 제27권6호
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• pp.697-711
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• 2007

Though extensive research has been carried out for the ultimate strength of steel reinforced concrete (SRC) members under static and cyclic load, there was only limited information on the applied analysis models. Modeling of the inelastic response of SRC members can be accomplished by using a microcosmic model. However, generally used microcosmic model, which usually contains a group of parameters, is too complicated to apply in the nonlinear structural computation for large whole buildings. The intent of this paper is to develop an effective modeling approach for the reliable prediction of the inelastic response of SRC columns. Firstly, five SRC columns were tested under cyclic static load and constant axial force. Based on the experimental results, normalized trilinear skeleton curves were then put forward. Theoretical equation of normalizing point (ultimate strength point) was built up according to the load-bearing mechanism of RC columns and verified by the 5 specimens in this test and 14 SRC columns from parallel tests. Since no obvious strength deterioration and pinch effect were observed from the load-displacement curve, hysteresis rule considering only stiffness degradation was proposed through regression analysis. Compared with the experimental results, the applied analysis model is so reasonable to capture the overall cyclic response of SRC columns that it can be easily used in both static and dynamic analysis of the whole SRC structural systems.

• 한국산학기술학회논문지
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• 제16권8호
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• pp.5364-5371
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• 2015

본 연구는 스마트 폰 사용 시 팔의 지지 각도에 따라서 엄지손가락과 나머지 손가락의 기능에 미치는 영향을 알아보고자 하였다. 이 연구는 2014년 4월 21일부터 27일 까지 진행되었다. 연구 대상자는 21명의 건강한 성인을 대상으로 하였으며, 총 3그룹으로 나누어 진행하였다. 지지대 없이 90도의 각도를 유지하고 스마트 폰 타자를 실행한 그룹, 슬링을 이용하여 90도 각도를 유지하고 스마트 폰 타자를 실행한 그룹, 슬링을 이용하여 120도 각도를 유지하고 스마트 폰 타자를 실행한 그룹으로 나누었으며, 각 그룹은 7명씩 나누었다. 손의 통증을 측정하기 위하여 핀켈스타인 검사를 하였으며, 시각 통증 척도를 이용하여 결과를 나타내었다. 또한 손의 악력과 엄지손가락의 핀치 그립을 측정하였다. 각 측정은 왼손과 오른손을 측정하였으며, 시작 전, 30분, 1시간, 1시간30분으로 총 4번 측정하였다. 본 연구의 결과는 왼손과 오른손의 통증, 악력, 핀치 그립의 시기에서 유의한 차이를 보였으며(p<.05), 오른손의 악력에서는 시기와 군의 교호작용에서 유의한 차이를 보였다(p<.05). 이 결과로 인하여 팔의 지지는 손의 스트레스를 줄여 손의 기능에 도움을 준다고 생각된다.

• 대한한의학회지
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• 제16권2호
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• pp.225-247
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• 1995

Using Bi-Digital O-Ring Test which was developed by Ohmura Toshiaki, constiution classification by the vegetables' was Measured by various muscle power measurement meters and the results are as follow: 1. Pinch Gauge (Model:pc5030HPG, Japan) is the gauge to measure finger power between the thumb and the second finger, Grip Strength Dynamometer (Model: T.K.K. 5101, Japan) is to measure the hand power (hand dynamometer), Back Strength Dynamometer (Model: T.K.K. 5102, Japan) is to measure back muscle strength, Vertical jump Meter (Model: T.K.K. 5106, Japan) is to measure the height of jump. The above gauges were and its result found that the radish, potato, carrot and cucumber can influence to muscle strength was not true. 2. When the physical constitution is distinguished by the O-Ring Test method, Taeyangin's rate appeared as average 21% although it was insisted that there will be only 0.03-0.1%. This means that the physical constitution but it appears accidently according to the examinee's emotion about the material such as vegetable etc. as favor or unfavor. 3. It was found that the result of O-Ring Test is the same at any time and at any place was not true. there is no reemergence character. 4. The import of O-Ring Test mehtod to the physical discrimination disregarded that the mental factor influences absolutely to the physical heath in the ideological physi cal constitution medical science. 5. 'O-Ring Test method is a objective judgement method.' is wrong judgement. As you see on the above result, Bi-Digital O-Ring Test set the changeable voluntary muscle as the standard of the judgument, that was first mistake logically, second in spite of leass influence of mental influence by the examiner and examinee than the vegetable discrimination influence, the test disregarded the influence. Third, only grasp of some material on hand can influence to the voluntary muscle was a wrong theory disregarding the physiology. Finally the misunderstaning his subjective view as an objective view in spite of examiner and examinee's strong influence. Therefore such kind of physical descrimination method must be sublated.