• Title/Summary/Keyword: Prosthetic rehabilitation

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Development of a Multi-Function Myoelectric Prosthetic Hand with Communicative Hand Gestures (의사표현 손동작이 가능한 다기능 근전 전동의수 개발)

  • Heo, Yoon;Hong, Bum-Ki;Hong, Eyong-Pyo;Park, Se-Hoon;Moon, Mu-Seong
    • Journal of Institute of Control, Robotics and Systems
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    • v.17 no.12
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    • pp.1248-1255
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    • 2011
  • In daily life, another major role of human hand is a communicative function using hand gestures besides grasp function. Therefore, if amputees can express their intention by the prosthetic hand, they can much actively participate in social activities. Thus, this paper propose myoelectric multi-function prosthetic hand which can express 6 useful hand gestures such as Rock, Scissors, Paper, Indexing, Ok and Thumb-up. It was designed as under-actuated structure to minimize volume and weight of the prosthetic hand. Moreover, in order to effectively control various hand gestures by only two EMG sensors, we propose a control strategy that the signal type are expanded as "Strong" and "Light", and hand gestures are hierarchically classified for the intuitive control. Finally, we prove the validity of the developed prosthetic hand with the experiment.

Development of Sensory Feedback System for Myoelectric Prosthetic Hand (전동의수 사용자를 위한 감각 측정 및 전달 시스템 개발)

  • Bae, Ju-Hwan;Jung, Sung Yoon;Kim, Shinki;Mun, Museong;Ko, Chang-Yong
    • Journal of the Korean Society for Precision Engineering
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    • v.32 no.10
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    • pp.851-856
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    • 2015
  • This study aimed to develop a sensory feedback system which could measure force and temperature for the user of myoelectric prosthetic hands. The Sensory measurement module consisted of a force sensing resistor to measure forces and non-contact infrared temperature sensor. These sensors were attached on the fingertips of the myoelectric prosthetic hand. The module was validated by using standard weights corresponding to external force and a Peltier module. Sensory transmission module consisted of four vibration motors. Eight vibration patterns were generated by combining motion of each vibration motor and were dependent on kinds and/or magnitude. The module was verified by using standard weigts and water at varying temperatures. There were correlations of force and temperature between the sensory measurement module and standard weight and water. Additionally, exact vibration patterns were generated, indicating the efficacy of the sensory feedback system for the myoelectric prosthetic hand.

Design of Carbon Composite Prosthetic Feet using Finite Element Methods (유한요소 해석기법을 이용한 탄소복합소재 인공발의 설계)

  • Cho, Hyeon Seok;Cha, Gook Chan;Park, Jin Kook;Kim, Shin Ki;Lee, Suk Min;Mun, Mu Sung;Kim, Chang Bu
    • Journal of the Korean Society for Precision Engineering
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    • v.30 no.7
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    • pp.769-776
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    • 2013
  • The dynamic compliance characteristics of a prosthetic foot midgait are very important for natural performance in an amputee's gait and should be in a range that provides natural, stable walking. In this study, finite element analysis (FEA) and classical laminate theory were used to examine the mechanical characteristics of a carbon-epoxy composite laminate prosthetic foot as a function of variation in the lamination composition. From this analysis, an FEM model of a prosthetic keel, made from the composite material, was developed. The lamination composition of the keel was designed for improved stiffness. The prototype product was fabricated using an autoclave. Vertical loading response tests were performed to verify the simulation model. The results of the experiments were similar to those from simulations below the loading level of the gait, suggesting use of the proposed simulation model for prosthetic keel design.

A Case Study of Prosthetic Ambulation Training for Patient With Hemipelvectomy (악성 골육종으로 인한 골반반절제술 환자의 의지 보행훈련 증례연구)

  • Park, Chang-Ju;Hong, Do-Sun;Lee, Jeong-Weon
    • Physical Therapy Korea
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    • v.5 no.2
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    • pp.91-97
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    • 1998
  • The purpose of this study is to introduce prosthetic discipline and ambulation training after hemipelvectomy due to osteosarcoma. Over the past years, when the malignant bone tumors occurs in the extremities amputation is not enough to prevent a part recurrence and distal transformation resulting in fatal prognosis. On the other hand, these procedures could bring about a difficulty in rehabilitation in curing patient who have had hemipelvectomy. However the recent development of chemotherapy and diagnostic facility have permitted the orthopedic surgeons to many try amputations for the treatment of the malignant bone tumors. Unfortunately, there has not been many researches on hemipelvectomy. Since there is no studies found on hemipelvectomy either. Therefore, we introduce successful procedures for rehabilitation through the ambulation training for patients who have had amputation. One of our patients, who is an eighteen years old male, has had hemipelvectomy on the eighteenth of June in 1997 after his anticancer treatment over 12 times. He has had physical therapy of prosthetic ambulation training at the department of rehabilitation medicine Yonsei University Medical Center from the fifteenth of October to December '2nd in 1997.

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Full mouth prosthetic rehabilitation base on making plan: a case report (체계적 계획을 통한 전악고정성 보철물 제작 증례)

  • Kim, Wook Tae
    • Journal of Technologic Dentistry
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    • v.40 no.3
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    • pp.183-190
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    • 2018
  • Purpose: The purpose of this study was to evaluated the process of model analysis, design, and production for a full mouth prosthetic rehabilitation of function, esthetics, and pronunciation. Methods: This is a case report of class III malocclusion with a severe anterior incisor occlusion and a prosthetic treatment of patient with poor occlusion of posterior teeth. A provisional restoration based on the diagnostic wax-up was applied to the patient. And then functions, esthetics, and occlusal stability were observed during 4 week tracking period. Final restorations were delivered and evaluated based on a systematic analysis, diagnosis and treatment plan. Results: We confirms that this case study obtained the satisfactory results in terms of functions and esthetics. Conclusion : If we can give the patient the continuous evaluation and progress monitoring, we expect the dentist and the dental technician to design the prosthesis successfully.

A Case Study of Prosthetic Ambulation Training for Rotation-Plasty Client (하지 분절절제 및 회전재접합술자의 의지 보행훈련 증례연구)

  • Lee, Jeong-Weon;Chung, Nack-Su
    • Physical Therapy Korea
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    • v.3 no.1
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    • pp.65-72
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    • 1996
  • The purpose of this study was to introduce rotation-plasty procedure and prosthetic ambulation training. The recent development of chemotherapy and diagnostic facility have permitted the orthopaedic surgeons to try limb saving procedures rather than amputations for the treatment of the malignant bone tumors. If the tumors around the knee joint were treated by mid-thigh amputation or hip disarticulation, it would impose the client with a great handicap for rehabilitation. Rotation-plasty procedure was first done by Borggreve, in 1930 for the congenital short femur. Recently this procedure was used a malignant bone tumor at the distal femur by Kotz and Salzer in 1982. In spite of its cosmetic problem of the distal stump, this procedure has the great functional advantage of converting the above-knee amputation to the below-knee amputation. The inverted foot was also good to control the prosthesis as a below-knee stump and heel functioned as a patella to support the body weight. This 15 years old girl case was had rotation-plasty due to osteosarcoma of the distal femur with 3rd postoperative chemotherapy, and admitted to Yonsei rehabilitation hospital for prosthetic ambulation training. Then, the case had excellent functional results of prosthetic ambulation training with rotaion-plasty after 3 months.

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Development of the Myoelectric Hand with a 2 DOF Auto Wrist Module (2 자유도 자동손목관절을 가진 근전 전동의수 개발)

  • Park, Se-Hoon;Hong, Beom-Ki;Kim, Jong-Kwon;Hong, Eyong-Pyo;Mun, Mu-Seong
    • Journal of Institute of Control, Robotics and Systems
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    • v.17 no.8
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    • pp.824-832
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    • 2011
  • An essential consideration to differentiate prosthetic hand from robot hand is its convenience and usefulness rather than high resolution or multi-function of the robot hand. Therefore, this study proposes a myoelectric hand with a 2 DOF auto wrist module which has 6 essential functions of the human hand such as open, grasp, pronation, supination, extension, flexion, which improves the convenience of the daily life. It consists of the 3 main parts, the myoelectric sensor for input signal without additional attachment to operate the prosthetic hand, hand mechanism with high-torqued auto-transmission mechanism and self-locking module which guarantee the safety under the abrupt emergency and minimum power consumption, and dual threshold based controller to make easy for adopting the multi-DOF myoelectric hand. We prove the validity of the proposed system with experimental results.

Relationships Between the Transfemoral Socket Interface Pressure and Myoelectric Signal of Residual Limb During Gait

  • Hong, J.H.;Lee, J.Y.;Chu, J.U.;Lee, J.Y.;Mun, M.S.
    • Proceedings of the Korean Society of Precision Engineering Conference
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    • 2002.10a
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    • pp.1070-1073
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    • 2002
  • The biomechanical interaction between the stump and the prosthetic socket is critically important to achieve close-to-normal ambulation. Many investigators suggested that the pressure changes during gait of transfemoral amputees are closely related to the prosthetic alignment, the socket shape, the stump size, and the residual muscle activity. The effects of the prosthetic alignment, the socket shape, and the stump size on the interface pressure were investigated previously. However, there is no report how the residual muscle activities in the transfemoral stump affect the socket interface pressure characteristics during gait. Since designs of socket fur lower limb amputees need to consider the socket interface pressure characteristics, the interface pressure patterns by the residual muscle activities during gait should be investigated. In this study, myoelectric signals (MES) and socket interface pressure in residual limb of transfemoral amputees were measured during the stance and swing phases of gait. For the purpose, specially designed quadrilateral sockets that MES electrodes could be instrumented were fabricated. A total of two transfemoral amputees were participated in the experiments. The measured temporal MES amplitude and interface pressure in knee flexor (biceps femoris) and extensor (rectus femoris) had significant correlations (P < 0.05). Based on the test results, It was suggested that the residual muscle activity of transfemoral amputees stump is an important factor affecting socket pressure changes during walk.

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Characteristics of Foot Pressure Distribution with or without Partial Prosthetic Foot in Transmetartarsal Amputee (경중족 절단 환자의 의족지 착용에 따른 족저압력 분포 특성)

  • Seong, Woo-Sung;Yang, Hee-Seung;Sung, Hong-Kee;Kim, Hak-Jun
    • Journal of Korean Foot and Ankle Society
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    • v.12 no.1
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    • pp.41-46
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    • 2008
  • Purpose: This study was designed to evaluate characteristics of foot pressure distribution with or without partial prosthetic foot in transmetatarsal amputee. Materials and Methods: The subjects were 9 transmetatarsal amputees. Foot pressures were measured at hallux, the $1^{st}-5^{th}$ metatarsal head (MTH), mid-foot, condyle area by F-scan system in amputated or contralateral foot during active walking. Results: In amputated foot, mean peak pressure was greatest in midfoot without prosthetic foot but it was greatest in hindfoot with prosthetic foot. In unaffected foot, although mean peak pressure was higher in hallux, and $1-5^{th}$ MTH compared to amputated foot, it was greatest in hind foot both with and without prosthetic foot. However, in unaffected foot, mean peak pressure significantly decreased in hallux and $5^{th}$ MTH after wearing the prosthetic foot. There was a significant difference in mean peak pressure in hallux and $5^{th}$ MTH between amputated and unaffected foot after wearing prosthetic foot. However, other region had no significant difference with or without prosthetic foot between feet. Conclusions: The use of partial prosthetic foot tends to shift weight bearing from the heel area to forefoot and could significantly reduce hind foot peak pressure and redistributed to peak pressure. The partial prosthetic foot can also offer the peak pressure to reduction both amputated foot and unaffected foot and help to toe off during walking.

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Prosthetic rehabilitation for a patient with CO-MI discrepancy (비생리적인 최대교두감합위의 교합재구성을 통한 수정)

  • Choo, Seung-Sik;Heo, Yoon-Hyuk;Cho, Lee-Ra;Park, Chan-Jin
    • Journal of Dental Rehabilitation and Applied Science
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    • v.31 no.3
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    • pp.273-282
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    • 2015
  • Centric occlusion-maximum intercuspation (CO-MI) discrepancy is one of main causes of evoking premature contact and resultant mandibular shift. These non-physiological conditions can induce temporomandibular disease, periodontitis, and non-carious cervical lesion. Therefore, if CO-MI discrepancy exists in patients who need extensive prosthetic rehabilitation, it must be corrected and then physiological occlusion must be restored. This report describes the treatment procedure of removing CO-MI discrepancy and prosthetic rehabilitation in a patient with 3.5 mm discrepancy, multiple caries and periodontitis. Proper mandibular position and modified opening & closing movement were confirmed by ARCUSdigma II and transcranial radiograph.