• 대한물리치료과학회지
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• 제2권3호
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• pp.599-608
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• 1995

If a controlled sensory stimulation is given to the specific receptors, a reflex movement and motor engrams is achieved by the principle of neurophysiology. Based on this theoretical background, we choose 80 healthy person(male 40,female 40) and compare chronaxie of before stimulation with after stimulation. Also we measured chronaxie with same method. Stimulation was applied to the muscle belly by tapping. The results are summarized as follows; 1. The mean value of rheobase measured from the proximal part of upper extremity is 3. 56mA for male, 4.04mA for female. 2. The mean value of rheobase measured from the lower extremity is 4.19mA for male, 4. 37mA for female, which is higher than that of upper extremity for both male and female. 3. The mean value of chronaxie from the proximal part of upper extremity is 0.91msec for male, 0.87 msec for female, which means male is higher than female, and the average is 0.82msec. 4. The mean value of chronaxie from the proximal part of lower extremity is 1.04msec for male, 1.14msec for female, which means female is higher than male. 5. The decrease of rheobase after stimulation is prominent at the triceps brachii for male, biceps brachii for female. 6. The decrease of rheobase after stimulation is prominent at the tibialis anterior for both male and female. 7. The decrease of chronaxie after stimulation is prominent for both male and female at the triceps brachii from upper extremity and at the tibialis anterior from lower extremity for both male and female.

• Journal of Trauma and Injury
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• 제31권1호
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• pp.34-37
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• 2018

Upper extremity deep vein thrombosis (DVT) is an unusual condition compared to lower extremity DVT, and it represents about 10% of all DVTs. We report a case of upper extremity DVT after clavicle fracture and immobilization.

• Archives of Reconstructive Microsurgery
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• 제4권1호
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• pp.23-32
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• 1995

Severe upper and lower extremity trauma may result in soft tissue loss with exposed bone and the subsequence of risk of chronic osteomyelitis or malunion of fracture fragments. Such injuries present a major reconstructive problem. But Since the introduction of microsugical technique, free muscle and myocutaneous flaps were employed to provide coverage of severely injured defects. Since Tai and Hasegawa(1974) first reported a breast reconstruction using by rectus abdominis myocuraneous flap, the free rectus myocutaneous flap has been widely employed for breast reconstuction, head and neck reconstruction, and extremity reconstruction in these days. The authors present their successful experience with free rectus abdominis muscle and rectus abdominis myocutaneous flaps for upper and low extremity reconstruction. From Nov. 94, to May 95, Five cases of severely injured extremites due to trauma or contact burn were treated with free rectus abdominis muscle flap or free rectus abdominis myocutaneous flap. All flaps except 1 case were survived without severe complications. As free muscle or myocutaneous flap, the free rectus abdominis flap has the advantages of a reliable pedicle, easy dissection, and an acceptable donor site, so it seems logical to apply the free rectus abdominis flap to apply in upper and lower extremity reconstruction.

• The Korean Journal of Pain
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• 제1권1호
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• pp.125-128
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• 1988

A case of the left stellate ganglion block (SGB) with a warm serration of the left lower extremity in a 25-year-old male soldier is presented. During the Korean War, this patient received a penetrating gun shot wound from the right knee through the left abdominal wall, left upper arm and left thumb. He was evacuated to the a marine corps surgical hospital where amputation of the left thumb and an end-to-end anatomosis of the left brachial artery were performed. After surgery, left ulnar and median nerve paralysis and causalgia developed and about 9 months later an upper thoracic ganglionectomy was proposed at the Chin-Hae Navel Hospital. Before the ganglionectomy a stellate ganglion block for diagnostic and prognostic purposes was requested by the surgeon. This block was performed by the supraclavicular anterior approach using 10 ml of 2% procaine. The effect of the block including Horner's syndrome was confirmed 5 minute later in this patient. This patient returned to the ward by walking unassisted 10 minutes after the block, and complained of a warm sensation in the left lower extremity 20 minutes later as well as the left upper arm. This warm sensation in the lower extremity following ipsilateral stellate ganglion block indicates that the local anesthetics solution injected tinto the neck spread down to lumbar sympathetic ganalgion along the fascial membrane of the sympathetic chain as a consequence of the 10 minutes walk.

• 대한한의학회지
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• 제23권2호
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• pp.180-189
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• 2002

Background and Purpose : The hemiplegic upper extremity is affected in many stroke patients, and recovery is often poor. The purpose of this study was to assess the efficacy of electroacupuncture (EA) in enhancing the upper extremity motor and functional recovery of ischemic stroke patients. Subjects and Methods : Forty ischemic stroke patients (the upper extremity Fugl-Meyer motor scale (FM) score lower than 46, lesion location within middle cerebral artery territory) within 2 weeks of stroke onset were randomly allocated to either an EA group that received EA treatment or a control group that received only routine ward care. The EA was applied at Quchi-Shousanli (LI11-LI10), Waiguan-Hegu (TE5-LI4) points on the hemiparetic side six times per week for 4 weeks. The frequency of stimulation was 25-50Hz and the intensity was set at a level sufficient to induce muscle contraction. EA treatment was given for 30 minutes and all patients of both groups received standard rehabilitation program. Outcomes were assessed, in a blind manner, before treatment began and at 4 weeks after treatment, with the FM, the Motor Power score (MP) for shoulder/elbow, and the subsection of the Modified Barthel Index (MBI) for drinking/feeding/dressing upper body/grooming. Results : These 2 groups had comparable clinical characteristics, lesion location, lesion size, and pretreatment impairment scores. By the end of treatment, the EA group showed significantly more improvement than the control group in the subsection of the FM for shoulder/elbow/coordination (6.4 vs. 3.7; P=0.047) and the MP for shoulder/elbow (5.3 vs. 3.3; P=0.008). The subsection scores of the MBI for drinking/feeding/dressing upper body/grooming were not significantly different between two groups. No adverse effects due to treatment were found Conclusion : These results suggest that EA enhances the upper extremity motor recovery of acute stroke patients. However, this study failed to demonstrate any significant functional benefit related with upper extremity. Future study should be carried out in a larger sample size and use the functional outcome measure that is more specific and sensitive to the upper extremity.

• 한국운동역학회지
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• 제20권1호
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• pp.41-47
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• 2010

The purpose of this study was to evaluate the kinematic effect of upper extremity usage for the scoccer instep kick motion. Ten male university students were recruited as the subjects. Temporal parameters, ball velocity, velocity of CG, angle of segment, angular velocity, and trunk orientation angle were determined for each trial. The results showed that temporal parameters in WU and WORU were significantly less than those found in WOU during pre impact phase. These indicated that no usage of upper extremity may increase excessive setup time in order to improve the accuracy of instep kick. Angle of right knee in WOU at LC was significantly greater than corresponding value for WU since angular momentum contributions of the lower limb were not effectively balanced by contributions of the upper limb. We found that the lower extremity movement was controlled by lateral movement in the trunk as a result of no usage of the upper extremity, resulting in the relatively greater trunk rotation in WOU.

• 융합정보논문지
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• 제9권8호
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• pp.243-247
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• 2019

본 연구는 6주간 20대의 일반 대학생을 대상으로 척추 정렬과 균형능력에 대한 클라이밍 운동 프로그램이 자기효능감에 미치는 영향에 대해 알아보았으며, 실험대상자는 총 30명이었으며, 6주간 주 3회 씩 상지와 하지에 대한 클라이밍 운동프로그램을 실시하였고, 결과는 다음과 같았다. 자기효능감의 군내 비교에서는 훈련군에서 유의한 차이가 있었다. 따라서, 클라이밍 운동이 자기효능감에 정상성인의 동기부여를 향상하는데 영향을 줄 수 있다는 것을 알 수 있었다. 결론적으로 추후 다양한 실험자들에게 클라이밍 운동을 실시할 시 참고 자료로 사용될 수 있을 것이라 사료된다.

• The Journal of Korean Physical Therapy
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• 제6권1호
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• pp.147-153
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• 1994

The purpose of this study were to describe the movement pattern used to rise from supine to erect stance and to evaluate the influence gender might have on the movement patterns used for rising. Fifty males and fifty-three females, mean 14 years of age, performed the rising task while being videotaped. Movement patterns were classified using categorical descriptions of the action of three body regions; the upper extremities, lower extremities, and head-trunk region. The most common pattern of males and females were symmetrical push(upper extremity), symmetrical(head-trunk) and symmetrical squat(lower extremity). In the upper extremity component, a symmetrical reach to push pattern was new category. Eighteen of males and twenty-one of females different movement pattern combinations were observed. Results indicate physical therapists should consider the patient's age and gender.

• 대한물리의학회지
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• 제8권3호
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• pp.443-448
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• 2013

PURPOSE: In recent years, senior friendly device is growing rapidly because of population aging The study was designed to investigate the effects of table height of electronic bed on upper extremity and trunk EMG in elderly. METHODS: Thirty right-handed elderly without history of neurological and musculoskeletal dysfunction were participated in this study. Three heights of the table (3/3 height, 2/3 height, and 1/3 height between top of the shoulder and olecranon) were provided. During the eating performance, surface electromyography (EMG) was used to measure muscle activity, and electrodes were attached to the deltoid middle fiber, serratus anterior, suprapinatus, upper trapezius, rhomboideus, cervical part of longissimus, thoracic part of longissimus, lumbar part of longissimus on right. One way ANOVA was conducted for the statistical analysis. RESULTS: There were significant differences in deltoid middle fiber, suprapinatus, upper trapezius, rhomboideus, lumbar part of longissimus in the 3 different height of table (p<.05). The deltoid middle fiber, suprapinatus, upper trapezius, and lumbar part of longissimus were significantly increased in higher table than lower table(p<.05). And the rhomboideus was significantly decreased in higher table than lower table(p<.05). CONCLUSION: This study demonstrates that different height of table affect upper extremity and trunk muscle activity. The table height of olecranon is the best for elderly.

• 한국안전학회지
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• 제23권5호
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• pp.105-110
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• 2008

This study focused on the decreased effect of the work load on using the lower extremity supporter in kneeling posture. Fatigue measures included subjective discomfort ratings through the use of the Borg's CR-10 scale based parameters. The resting period and work method were considered as independent variables. The break time conditions are grouped into 10 seconds after work for 1 min and not exist break time. The method of work conditions are divided into four types. There are kneeling with the lower extremity supporter, kneeling with the knee protector, just kneeling and squatting. The result of the ANOVA of the shift value of subjective discomfort showed the followings: 1) There were differences as regards to the method of the work, the break time and the part of body($p{\leq}0.05$). 2) The lower extremity supporter showed the least subjective discomfort in other part of body except the upper leg.