• Title/Summary/Keyword: Upper arm movements

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Thoracic Hyperkyphosis affects Scapular Orientation and Trunk Motion During Unconstrained Arm Elevation

  • Park, Jae-man;Choi, Jong-duk;Han, Song-i
    • Physical Therapy Korea
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    • v.26 no.4
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    • pp.53-62
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    • 2019
  • Background: Shoulder function is achieved by the coordinated movements of the scapula, humerus, and thoracic spine, and shoulder disorders can be associated with altered scapular kinematics. The trunk plays an important role as the kinematic chain during arm elevation. Objects: The purpose of this study was to determine the effects of thoracic hyperkyphosis on scapular orientation and trunk motion. Methods: Thirty-one subjects (15 in the ideal thorax group and 16 in the thoracic hyperkyphosis group) performed right-arm abduction and adduction movements in an unconstrained plane. The scapular orientation and trunk motion were recorded using a motion analysis system. Results: Those subjects with thoracic hyperkyphosis displayed greater scapular posterior tilting at a $120^{\circ}$ shoulder elevation, greater scapular internal rotation throughout the arm raising phase, and greater trunk axial rotation at the upper ranges of the shoulder elevation, compared to those subjects with an ideal thorax (p<.05). Conclusion: Thoracic hyperkyphosis can cause scapular instability, greater trunk rotation and greater scapular posterior tilting, and may contribute to preventing the achievement of a full range of humeral abductions in an unconstrained plane.

A Study on Analysis of Breast Shapes by Replica Experiments (Replica법을 이용한 성인 여성 유방 형태 분석에 관한 연구)

  • 이경화
    • Journal of the Korean Society of Clothing and Textiles
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    • v.21 no.4
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    • pp.689-698
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    • 1997
  • The purpose of this study is to develop the well-fitted brassieres by observing the changes in the breast sizes and shapes, the surface area and the volume of the breast through the arm movements of 3 types (0$^{\circ}$, 90$^{\circ}$ and 180$^{\circ}$) in vertical motion. The subjects are females, who are aged twenties and wearing a brassiere size 70B, In particular, to obtain the measures regarding the surface area and the volume of the breast, replicas are made at each motion. The results of this study are as follows: 1. The changes in the breast sizes and shapes at each motion By increasing the motions of the arm movement, the following measure items are inclined to decrease: Shoulder length, Side neck point~B.P., Front neck point~B.P., Horizontal length of the cup, Upper bust circumference, Bust circumference, Upper bust depth, Bust depth, Under bust depth, Nipple to tipple breadth, Horizontal distance of bust, Bust height, Cup size. By increasing the motions of the arm movement, the following measure items are inclined to increase: Center point of shoulder~B.P., Shoulder point~B.P., Armpit~ lowest point of breast drooping, Upper bust point~B.P., B.P~Under bust point, Under bust line, Width of gap between breast, Vertical distance of Bust. 2. The changes in the surface area and volume of breast at each motion By making the replica to observe changes in the surface area, which are sectioned to 4 parts(area 1 to area 4) , and volume of breast at each motion, the results are as follows: At 0$^{\circ}$ and 90$^{\circ}$, the sizes of each part are ordered as the following: area2> areal> area4> area3. At 180$^{\circ}$, the sizes of each part are ordered as the following: areal> area2> area4> area3. Through these orders, it is found that the upper and inside part of the breast has the inclination to increase so long as the motions of the arm movement increase. Also, the total surface area increases so long as the motions of the arm movement increase. The volume of the breast increase when the surface area of the breast increases. As a result of the F-test on the changes in the each surface areas, the surface area and volume by arm movements, the significant differences among the each surface areas and the surface area are not found.

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Movement Intention Detection of Human Body Based on Electromyographic Signal Analysis Using Fuzzy C-Means Clustering Algorithm (인체의 동작의도 판별을 위한 퍼지 C-평균 클러스터링 기반의 근전도 신호처리 알고리즘)

  • Park, Kiwon;Hwang, Gun-Young
    • Journal of Korea Multimedia Society
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    • v.19 no.1
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    • pp.68-79
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    • 2016
  • Electromyographic (EMG) signals have been widely used as motion commands of prosthetic arms. Although EMG signals contain meaningful information including the movement intentions of human body, it is difficult to predict the subject's motion by analyzing EMG signals in real-time due to the difficulties in extracting motion information from the signals including a lot of noises inherently. In this paper, four Ag/AgCl electrodes are placed on the surface of the subject's major muscles which are in charge of four upper arm movements (wrist flexion, wrist extension, ulnar deviation, finger flexion) to measure EMG signals corresponding to the movements. The measured signals are sampled using DAQ module and clustered sequentially. The Fuzzy C-Means (FCMs) method calculates the center values of the clustered data group. The fuzzy system designed to detect the upper arm movement intention utilizing the center values as input signals shows about 90% success in classifying the movement intentions.

A Human Arm Movement Detection System Using Electrical Bioimpedance Measurement (생체 임픽던스 측정에 의한 상지 운동 감지 시스템)

  • Kim, Jong-Chan;Kim, Su-Chan;Nam, Gi-Chang;Park, Min-Yong;Kim, Gyeong-Hwan;Kim, Deok-Won
    • The Transactions of the Korean Institute of Electrical Engineers D
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    • v.51 no.8
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    • pp.374-379
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    • 2002
  • In this study, we developed a new human arm movement detection system using electrical bio-impedance method with several skin-electrodes. The correlation coefficients of the joint angle and the impedance change from human arm movement was obtained using a goniometer and impedance measurement system developed in this study. The correlation coefficients of the wrist and the elbow movements were 0.94 and -0.99, respectively. This system was applied to control a robotic arm by converting the measured impedance to joint angle to confirm the validity of the proposed system. In conclusion, we confirmed that this system can control the robotic arm according to arm movement without any limitation of movement. This system showed possibility that upper arm movement could be easily measured by impedance measurement system with a few skin-electrodes.

The Effect of Action Observation on Motor Function of Paretic Upper Extremity in Stroke Patients: Single Subject Study (동작관찰훈련이 뇌졸중 환자의 마비측 상지기능에 미치는 영향: 단일사례연구)

  • Jeong, Woo-Sik;Yun, Tae-Won;Choi, Yeon-Jeong;Lee, Hong-Gyun
    • Journal of the Korean Society of Physical Medicine
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    • v.8 no.2
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    • pp.271-280
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    • 2013
  • PURPOSE: This study was conducted in chronic hemiplegic patients to examine the effect of the training of the ipsilateral arm that is identical to the model performing movements and the training of the contralateral arm on the function of the arm. METHODS: The subjects were participated total 2 patients(the subject 1 with left hemiplegia and the subject 2 with right hemiplegia). The study was conducted for 4 weeks. The action observation training were repeated 10 times in 10 days during intervention period. The evaluation of the arm function such as BBT, MFT and MAL in the each subject were examined 5 times in the baseline period, 10 times during the intervention period and 5 times during the baseline regression period. RESULTS: The results of the evaluation in each subject were presented as mean values and video graphs. The arm function of the 2 subjects were improved during the intervention period in comparison with the baseline period, and the improvement was maintained even during the regression baseline period. In addition, there were large variation ratio of BBT and MAL (AOU, QOM) in comparison with subject 1. CONCLUSION: According to the results, the action observation training was more effective in improving upper limb function of stroke patients who imitate the performed behavior of paralyed parts on the same side.

A trajectory prediction of human reach (Reach 동작예측 모델의 개발)

  • 최재호;정의승
    • Proceedings of the Korean Operations and Management Science Society Conference
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    • 1995.04a
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    • pp.787-796
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    • 1995
  • A man model is a useful design tool for the evaluation of man machine systems and products. An arm reach trajectory prediction for such a model will be specifically useful to present human activities and, consequently, could increase the accuracy and reality of the evaluation. In this study, a three-dimensional reach trajectory prediction model was developed using an inverse kinematics technique. The upper body was modeled as a four link open kinematic chain with seven degrees of freedom. The Resolved Motion Method used for the robot kinematics problem was used to predict the joint movements. The cost function of the perceived discomfort developed using the central composite design was also used as a performance function. This model predicts the posture by moving the joints to minimize the discomfort on the constraint of the end effector velocity directed to a target point. The results of the pairwise t-test showed that all the joint coordinates except the shoulder joint's showed statistically no differences at .alpha. = 0.01. The reach trajectory prediction model developed in this study was found to accurately simulate human arm reach trajectory and the model will help understand the human arm reach movement.

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Elbow Orthopaedic Physical Therapy (주관절의 정형 물리치료)

  • Park, Ji-Whan
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.1 no.1
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    • pp.65-74
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    • 1995
  • There is no line of demarcation between the shoulder and elbow regions. Pain In the arm may originate at the shoulder with reference downwards or less often at the elbow with reference upwards. Most pains indicated by the patient at the elbow or forearm have a local origin, since at the more distal part of the upper limb the capacity for correct localization is good. Once it is clear that the elbow region is at fault, the joint and the muscles about it are tested by ten movements. 1. Four. Passive extension, flexion, pronation, supination-full range, LOM, painful, painless. 2. Four. Resisted extension, flexion, pronation, supination-strong, weak, painful, painless. 3. Two. Resisted flexion, extension at the wrist-painful, painless. The muscles that perform theses two movements arise from the humeral epicondyles and a lesion in either often causes pain felt at the elbow although the tissuse affected is not functionally a part of the elbow (i. e. Tennis elbow and Golfer's elbow).

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Base Pattern Development of Protective Clothing - Focusing on Protective Clothing for Riot Policewomen - (보호복 상의 베이스 패턴 개발 - 여경보호복을 중심으로 -)

  • Kim, Hyo-Sook;Kim, Ji-Hyeon
    • Journal of the Korea Fashion and Costume Design Association
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    • v.17 no.3
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    • pp.207-224
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    • 2015
  • Protective clothing for riot policewomen is worn by policewomen to protect their body at suppressing a riot. Plastic guards of Nylon 66 material are attached to the base of E.V.A. Foam material. Protective clothing for riot policewomen consists of a jacket, guards for arms and legs, upper arm braces, and thigh pads. This study was aimed to develop the base pattern of the jacket to protect the torso and to improve the body suitability and the adaptability to movements of protective clothing for riot policewomen. Since current protective clothing worn by riot policewomen is manufactured with the same design of protective clothing for riot policemen, the body suitability and the adaptability to movements are not very satisfactory for policewomen who has different body structure than from riot policemen. Therefore, the purpose of this study is to reflect the body size and characteristics of riot policewomen and develop the base pattern of protective clothing with better body suitability and adaptability to movements. In this respect, amount and place of dots on the jacket were differently designed, made and evaluated by fitting test. The base with the best evaluation was selected as the final experiment clothing to demonstrate its superiority compared with the existing protective clothing.

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Development of Supplemental Equipment to Reduce Movement During Fusion Image Acquisition (융합영상(Fusion image)에서 움직임을 줄이기 위한 보정기구의 개발)

  • Cho, Yong Gwi;Pyo, Sung Jae;Kim, Bong Su;Shin, Chae Ho;Cho, Jin Woo;Kim, Chang Ho
    • The Korean Journal of Nuclear Medicine Technology
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    • v.17 no.2
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    • pp.84-89
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    • 2013
  • Purpose: Patients' movement during long image acquisition time for the fusion image of PET-CT (Positron Emission Tomography-Computed Tomography) results in unconformity, and greatly affects the quality of the image and diagnosis. The arm support fixtures provided by medical device companies are not manufactured considering the convenience and safety of the patients; the arm and head movements (horizontal and vertical) during PET/CT scan cause defects in the brain fundus images and often require retaking. Therefore, this study aims to develop patient-compensation device that would minimize the head and arm movements during PET/CT scan, providing comfort and safety, and to reduce retaking. Materials and Methods: From June to July 2012, 20 patients who had no movement-related problems and another 20 patients who had difficulties in raising arms due to shoulder pain were recruited among the ones who visited nuclear medicine department for PET Torso scan. By using Patient Holding System (PHS), different range of motion (ROM) in the arm ($25^{\circ}$, $27^{\circ}$, $29^{\circ}$, $31^{\circ}$, $33^{\circ}$, $35^{\circ}$) was applied to find the most comfortable angle and posture. The manufacturing company was investigated for the permeability of the support material, and the comfort level of applying bands (velcro type) to fix the patient's head and arms was evaluated. To find out the retake frequency due to movements, the amount of retake cases pre/post patient-compensation were analyzed using the PET Torso scan data collected between January to December 2012. Results: Among the patients without movement disorder, 18 answered that PHS and $29^{\circ}$ arm ROM were the most comfortable, and 2 answered $27^{\circ}$ and $31^{\circ}$, respectively. Among the patients with shoulder pain, 15 picked $31^{\circ}$ as the most comfortable angle, 2 picked $33^{\circ}$, and 3 picked $35^{\circ}$. For this study, the handle was manufactured to be adjustable for vertical movements. The material permeability of the patient-compensation device has been verified, and PHS and the compensation device were band-fixed (velcro type) to prevent device movements. A furrow was cut for head fixation to minimize the head and neck movements, fixing bands were attached for the head, wrist, forearm, and upper arm to limit movements. The retake frequency of PET Torso scan due to patient movements was 11.06% (191 cases/1,808 patients) before using the movement control device, and 2.65% (48 cases/1,732 patients) after using the device; 8.41% of the frequency was reduced. Conclusion: Recent change and innovation in the medical environment are making expensive medical image scans, and providing differentiated services for the customers is essential. To secure patient comfort and safety during PET/CT scans, ergonomic patient-compensation devices need to be provided. Therefore, this study manufactured a patientcompensation device with vertically adjustable ergonomic ROM according to the patient's body shape and condition during PET Torso scan. The defects in the basal ganglia images due to arm movements were reduced, and retaking was decreased.

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Effect of a Combined Functional Electrical Stimulation with Action Observation Training on the Upper Limb Global Synkinesis and Function of Patients with Stroke

  • Kang, Jeongil;Kim, Huikyeong;Jeong, Daekeun;Park, Seungkyu;Yang, Daejung;Kim, Jeho;Moon, Youngjun
    • Journal of International Academy of Physical Therapy Research
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    • v.11 no.1
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    • pp.2012-2020
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    • 2020
  • Background: Multifaceted approaches will be needed, such as global synkinesis (GS) achieve functional improvements in the arms of stroke patients from involuntary movements during exercise. Objective: To identify changes in arm GS and muscle activity, functional evaluation and the correlation with variables through action observation training, combined with functional electrical stimulation (FES), thereby verifying the effect on stroke patients. Design: A quasi-experimental study. Methods: The subjects of this study were 20 stroke patients who were divided into two groups: Control group (n=10) and experimental group (n=10). Before the intervention, arm GS and muscle activity were measured using surface electromyography (EMG), and arm function was evaluated using the Fugl-Meyer Assessment (FMA) scale. At the end of the intervention, which lasted 4-wk, arm GS and muscle activity were measured again using the same scale. Results: There was a decrease statistically significant difference in GS during the bending action in experimental group (P<.01). Both groups showed a significant difference increased only in the activity of the anterior deltoid (AD) and biceps brachii (BB) (P<.05). The results of the arm functional assessment revealed a significant difference increase in both groups (P<.05). In the between-group comparison, there was a significant difference decrease in GS during the bending action (P<.05). Only the muscle activity of the AD and BB were significantly increase different (P<.05). There was a significant between-group difference increase in the arm functional assessment (P<.05). There was a positive correlation between GS and muscle activity on the FMA in the control group (r=.678, P<.05). In experimental group, GS during the bending arm action exhibited a negative correlation (r=-.749, P<.05), and the muscle activity of the AD and BB showed a positive correlation (r=.701, P<.05). Furthermore, in experimental group, the activity of the extensor carpi radialis increased, and the activity of the flexor carpi radialis decreased, which exhibited a negative correlation (r=-.708, P<.05). Conclusion: These results suggest that brain plasticity could be more efficiently stimulated by combining surface stimulation in the affected arm of stroke patients.