• Title/Summary/Keyword: Right hand

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A Case Report of a Patient with Motor Disturbance of the Hand After Cerebral Infarction Treated with Electroacupuncture on Pal-sa (EX-UE9) (뇌경색 후 수부 미세운동 장애에 팔사혈(八邪穴)(EX-UE9) 전침을 적용한 호전 증례보고)

  • Kim, Jae-hak;Jung, Min-ho;Kim, Se-won;Cho, Ki-ho;Jung, Woo-sang;Kwon, Seung-won;Mun, Sang-kwan
    • The Journal of Internal Korean Medicine
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    • v.39 no.2
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    • pp.147-153
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    • 2018
  • Objective: The purpose of this case report is to evaluate the effect of electroacupuncture on Pal-sa (EX-UE9) for unilateral motor disturbance of the hand after cerebral infarction. Methods: One patient with unilateral motor disturbance of the hand following cerebral infarction (right basal ganglion and corona radiata) was treated with acupuncture, herbal medication, and electroacupuncture on Pal-sa (EX-UE9) once daily from June 30, 2016 to July 4, 2016. We evaluated improvement using the Box and Block Test (BTT) and 10-seconds Test, including the Finger Individual Movement Test (FIMT), the Hand Pronation and Supination Test (HPST), and the Finger Tapping Test (FTT). Results: After five days of treatment, increase of FIMT and FTT scores was observed after electroacupuncture on Pal-sa (EX-UE9). However, no increase was observed in BBT or HPST scores. Conclusions: This study suggests that electroacupuncture on Pal-sa (EX-UE9) can help treat motor disturbance of the hand after cerebral infarction.

Reconstruction of a long defect of the median nerve with a free nerve conduit flap

  • Campodonico, Andrea;Pangrazi, Pier Paolo;De Francesco, Francesco;Riccio, Michele
    • Archives of Plastic Surgery
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    • v.47 no.2
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    • pp.187-193
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    • 2020
  • Upper limb nerve damage is a common condition, and evidence suggests that functional recovery may be limited following peripheral nerve repair in cases of delayed reconstruction or reconstruction of long nerve defects. A 26-year-old man presented with traumatic injury from a wide, blunt wound of the right forearm caused by broken glass, with soft tissue loss, complete transection of the radial and ulnar arteries, and a large median nerve gap. The patient underwent debridement and subsequent surgery with a microsurgical free radial fasciocutaneous flap to provide a direct blood supply to the hand; the cephalic vein within the flap was employed as a venous vascularized chamber to wrap the sural nerve graft and to repair the wide gap (14 cm) in the median nerve. During the postoperative period, the patient followed an intensive rehabilitation program and was monitored for functional performance over 5 years of follow-up. Our assessment demonstrated skin tropism and sufficient muscle power to act against strong resistance (M5) in the muscles previously affected by paralysis, as well as a good localization of stimuli in the median nerve region and an imperfect recovery of two-point discrimination (S3+). We propose a novel and efficient procedure to repair >10-cm peripheral nerve gap injuries related to upper limb trauma.

Ergonomic Analysis of Cellular Phone Keypad Considering the Dominant Hand

  • Lee, Yong-Bok;Jung, Won-Il;Kim, Dong-Kyu;Kang, Sung-Jin
    • Journal of the Ergonomics Society of Korea
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    • v.30 no.5
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    • pp.621-628
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    • 2011
  • Objective: The aim of this study is to give interest about usability of cellular phone keypad for left-handed person. Background: Although there are being a lot of attempts to design suitable product on user's request in process that design cellular phone keypad, ergonomic access about left-handed person who compose decimal class is unprepared. Especially, in early user's occasion, left-handed persons need more efforts than right-handed person to master Hangul character input process skill level. But, since realization about this left-handed person's discomfort has not spread, the importance has not been well thought in the society. Method: (1) After extracting emblem to use in comparison in questionnaire, applied emblem uniformly to different 3 kind of cellular phone. (2) Measured Hangul input time and mistyping number by dominant hand's position and skill level to reagent. (3) Taking the result through ANOVA. Conclusion: In the result of the experiment about Hangul input time and mistyping number according to dominant hand's position and skill level, left-handed person's group on the low skill level has shown the dullest use capability among 4 experiment groups. Application: In the future, analysis result may be used to the data of realization conversion in process design of various products including cellular phone keypad to consider left-handed person.

Hyperbaric oxygen therapy for the treatment of a crush injury of the hand: a case report

  • Neto, Pedro Henry;Ribeiro, Zamara Brandao;Pinho, Adriano Bastos;Almeida, Carlos Henrique Rodrigues de;Maranhao, Carlos Alberto de Albuquerque;Goncalves, Joaquim da Cunha Campos
    • Journal of Trauma and Injury
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    • v.35 no.3
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    • pp.209-214
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    • 2022
  • We describe a case of hyperbaric oxygen therapy (HBOt) as an adjunct to treatment of a crush injury to the hand. A 34-year-old male paramedic was involved in a motor vehicle accident and admitted for diagnosis and surgical treatment. He sustained a crush injury to his right hand and presented with significant muscle damage, including multiple fractures and dislocations, an avulsion injury of the flexor tendons, and amputation of the distal phalanx of the little finger. He underwent reconstructive surgery and received HBOt over the following days. In the following 2 months, he lost the distal and middle phalanges of the little finger and recovered hand function. Posttraumatic compartment syndrome responds well to HBOt, which reduces edema and contributes to angiogenesis, as well as promoting the cascade of healing events. High-energy trauma causes massive cell destruction, and the blood supply is usually not sufficient to meet the oxygen demands of viable tissues. Hyperbaric oxygenation by diffusion through interstitial and cellular fluids increases tissue oxygenation to levels sufficient for the host's responses to injury to work and helps control the delayed inflammatory reaction. HBOt used as an adjunct to surgical treatment resulted in early healing and rehabilitation, accelerating functional recovery. The results suggest that adjunctive HBOt can be beneficial for the treatment of crush injuries of the hand, resulting in better functional outcomes and helping to avoid unnecessary amputations.

Differences in the Control of Anticipation Timing Response by Spatio-temporal Constraints

  • Seok-Hwan LEE;Sangbum PARK
    • Journal of Sport and Applied Science
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    • v.7 no.2
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    • pp.39-51
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    • 2023
  • Purpose: The purpose of this study was to investigate differences in the control process to satisfy spatial and temporal constraints imposed upon the anticipation timing response by analyzing the effect of spatio-temporal accuracy demands on eye movements, response accuracy, and the coupling of eye and hand movements. Research design, data, and methodology: 12 right-handed male subjects participated in the experiment and performed anticipation timing responses toward a stimulus moving at three velocities (0.53m/s, 0.66m/s, 0.88m/s) in two task constraint conditions (temporal constraint, spatial constraint). During the response, response accuracy and eye movement patterns were measured from which timing and radial errors, the latency of saccade, fixation duration of the point of gaze (POG), distance between the POG and stimulus, and spatio-temporal coupling of the POG and hand were calculated. Results: The timing and radial errors increased with increasing stimulus velocity, and the spatio-temporal constraints led to larger timing errors than the temporal constraints. The latency of saccade and the temporal coupling of eye and hand decreased with increasing stimulus velocity and were shorter and longer respectively in the spatio-temporal constraint condition than in the temporal constraint condition. The fixation duration of the POG also decreased with increasing stimulus velocity, but no difference was shown between task constraint conditions. The distance between the POG and stimulus increased with increasing stimulus velocity and was longer in the temporal constraint condition compared to the spatio-temporal constraint condition. The spatial coupling of eye and hand was larger with the velocity 0.88m/s than those in other velocity conditions. Conclusions: These results suggest that differences in eye movement patterns and spatio-temporal couplings of stimulus, eye and hand by task constraints are closely related with the accuracy of anticipation timing responses, and the spatial constraints imposed may decrease the temporal accuracy of response by increasing the complexity of perception-action coupling.

Risk Assesment in the loaded works of muscular skeletal disorder for company attached to dining workers (기업체 식당종사자의 근골격계 부담 작업에 대한 위험성 평가)

  • Lee, Song-Kwon;Yoo, Wang-Keun;Lee, Jeong-Hee;Lim, Moo-Hyuk;Park, Man-Chul;Cha, Sang-Eun;Ki, Yun-Ho
    • Journal of Korean Society of Occupational and Environmental Hygiene
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    • v.17 no.2
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    • pp.101-110
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    • 2007
  • This study was performed to find out hazardous factors in the loaded works of muscular skeletal disorders(MSDs) for four company attached to dining workers from October 2005 to June 2006. The results are summarized as follows. 1. 42.5% of workers in study group were 40-50 years old, and females were higher than males, and the average of body weight was 70kg, 57kg in males and females, respectively. Working time per day was mostly 7-9hours, and the rate of worker who had never education and training was 46%. 2. The upper part and right part of body were higher than lower part and left part in symptoms of muscular skeletal disorders. Body parts which complained of symptoms were the order of right shoulder(55%), right arm(54%), right hand,(40%) waist(35%), leg(25%), and neck(24%). 3. The results of evaluation in the loaded works of muscular skeletal disorders to cooking, dish supply, preparing side dish, and washing the dishes and cleaning the floor of cooking room using RULA and OWAS checklists was action level 4(potential hazards, needs of change workplace), and the result of evaluation using back compressive force needed control measures as 779.27 lbs~1,274.04 lbs. In a view point of the result of this study, large dining rooms should be designed by ergonomic technology for the work surface height, width, and depth. The height of carrying car should be lower to 70cm, and repetitiveness and handling weight should be reduced by mechanical means, and education and training also should be performed for all of workers positively.

An Assessment of Allograft Function in Canine Single Lung Transplantation (일측 폐이식 실험견에서 이식폐의 기능 평가연구)

  • 박창권
    • Journal of Chest Surgery
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    • v.28 no.12
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    • pp.1096-1106
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    • 1995
  • We experienced 7 cases of left single lung transplantation in 14 mongrel dogs and analyzed graft lung function by hemodynamics, blood gas analysis, chest X-ray, biopsy and perfusion lung scan. We performed right pulmonary artery cuff[PA cuff for analysis of graft lung function in 3 cases. The donor lungs were flushed with modified Euro-Collins solution[n=3 or low potassium dextran glucose solution[n=4 and preserved for 4 to 5 hours[n=4 or 24 hours[n=3 at 10o C and implanted to the dogs with similar weight . Assessment of left graft lung was done by occluding the right pulmonary artery for 10 minutes using PA cuff. Assessment for graft lung function was done immediately after an operation and after 3 days, 7days and 3 weeks postoperatively. Four dogs survived for 3days, 7days[2 cases and 3 weeks respectively. Other three dogs expired within 3 hours of reperfusion. Immediate perfusion scans of left lung in four survived dogs after reperfusion were 42.1%, 36% , 11% and 5.9% respectively, and another dog with 4.8% perfusion to left lung was dead due to left atrial thrombi after 3 hours reperfusion. In one case among three acute rejections follow-up perfusion scan was done on 3rd and 11th postoperative day and the result decreased from 36% perfusion immediate postoperatively to 21% and 15% respectively. Three expired dogs postoperatively couldn`t tolerate occlusion of right pulmonary artery with above 40 mmHg of mean pulmonary artery pressure. On the other hand, three survival dogs postoperatively tolerated occlusion of right pulmonay artery with less than 30 mmHg of mean pulmonary artery pressure. and one dog couldn`t tolerate same procedure immediate postopertively but in 2 hours reperfusion later tolerated with 29 mmHg of mean pulmonary artery pressure.In conclusion we couldn`t compare the effect of two flushing solutions but low potassium dextran glucose solution showed relatively safe preservation effect in cases with preservation of more than 20 hours. Also canine left single lung transplantation model with PA cuff indicated useful method for the assessment of graft lung function with effect of lung preservation.

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An Effect of Incremental Dental Health Care Program in School Dental Clinic (학교구강보건실 계속구강건강관리사업의 효과)

  • Yang, Jung-Seung;Shim, Hyung-Soon
    • Journal of Korean society of Dental Hygiene
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    • v.5 no.1
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    • pp.29-38
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    • 2005
  • In 2001, as a subject of this study, the first grade 165 kids in Yomju elementary school had been guided in pit and fissure sealant, fluoride rinse, group tooth brushing, and Dental health education as a part of oral disease preventive program. From the data, this author has estimated incremental dental health care program in school dental clinic in order to make it more effective and enlarge it. For that purpose, the program has been continued at six month intervals for two years. The retention condition of pit and fissure sealant in first molar and DMF rate had been investigated. The conclusions are as follows: 1. Full and partial retention of pit and fissure sealant was measured as 80.69% in maxillary right first molar, 83.20% in maxillary left first molar, and 86.72% in mandibular right first molar, and 86.28% in mandibular left first molar. 2. Retention of pit and fissure sealant in first molar was measured as 76.55% in maxillary right first molar, 81.03% in maxillary left first molar, 80.65% in mandibular left first molar, and 82.03% in mandibular right first molar. 3. Among Yomju elementary school students, DMF rate was measured as 8.7%, and DMFT index as 1.03. However, in Yangdong elementary school students the former was measured as 13.8% and the latter as 1.76. When the DMF rate difference between Yomju and Yangdong elementary school kids was considered, the oral health condition of the former was much better than that of the latter because the former had received incremental dental health care program for two years and on the other hand, the latter had not. So it is necessary that we should enlarge school dental clinic, improve and keep students' oral health.

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Muscle Latency Time and Activation Patterns for Upper Extremity During Reaching and Reach to Grasp Movement

  • Choi, Sol-a;Kim, Su-jin
    • Physical Therapy Korea
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    • v.25 no.3
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    • pp.51-59
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    • 2018
  • Background: Despite muscle latency times and patterns were used as broad examination tools to diagnose disease and recovery, previous studies have not compared the dominant arm to the non-dominant arm in muscle latency time and muscle recruitment patterns during reaching and reach-to-grasp movements. Objects: The present study aimed to investigate dominant and non-dominant hand differences in muscle latency time and recruitment pattern during reaching and reach-to-grasp movements. In addition, by manipulating the speed of movement, we examined the effect of movement speed on neuromuscular control of both right and left hands. Methods: A total of 28 right-handed (measured by Edinburgh Handedness Inventory) healthy subjects were recruited. We recorded surface electromyography muscle latency time and muscle recruitment patterns of four upper extremity muscles (i.e., anterior deltoid, triceps brachii, flexor digitorum superficialis, and extensor digitorum) from each left and right arm. Mixed-effect linear regression was used to detect differences between hands, reaching and reach-to-grasp, and the fast and preferred speed conditions. Results: There were no significant differences in muscle latency time between dominant and non-dominant hands or reaching and reach-to-grasp tasks (p>.05). However, there was a significantly longer muscle latency time in the preferred speed condition than the fast speed condition on both reaching and reach-to-grasp tasks (p<.05). Conclusion: These findings showed similar muscle latency time and muscle activation patterns with respect to movement speeds and tasks. Our findings hope to provide normative muscle physiology data for both right and left hands, thus aiding the understanding of the abnormal movements from patients and to develop appropriate rehabilitation strategies specific to dominant and non-dominant hands.

A Study on the Result of Test Site on BMD (골다공증 검사 시 검사부위에 따른 결과에 대한 고찰)

  • Hong, Dong-Hee;Han, Sang-Hyun;Jung, Hong-Ryang
    • Journal of radiological science and technology
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    • v.36 no.1
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    • pp.19-24
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    • 2013
  • The measurement of Korea people's Radial-terminal region were frequently measure of the left hand of Radial-terminal region due to the most Korean's are right-handed and it occasionally showed incorrect results. Therefore, in this study, we accessed a correlation with error of measurement and reduced the measurement error invalid. We reviewed 50 adults patients, from March 2012 for a certain period of time, visited the orthopedic center for the neutral position of forearm of plain radiography and measured the left side of the distal radial-terminal region containing the terminal region of the right distal radius. Then we have compared and analysed both T-score. As a result, the lower value of left wrist were 45 out of 75 which is approximately 60% of left wrist group while the lower value of right wrist were 30 out of 75 which is approximately 40% of right wrist group.