• 제목/요약/키워드: Upper limbs

검색결과 298건 처리시간 0.022초

후천성 탈수초성 다발신경병증에서의 운동유발전위 및 체성감각유발전위 연구 (Motor Evoked Potential and Somatosensory Evoked Potential Studies in Acquired Demyelinating Polyneuropathy)

  • 권형민;홍윤호;오동훈;이광우
    • Annals of Clinical Neurophysiology
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    • 제6권1호
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    • pp.20-25
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    • 2004
  • Background and Objectives: The proximal and distal nerve segments are preferentially involved in acquired demyelinating polyneuropathies (ADP). This study was undertaken in order to assess the usefulness of motor evoked potential (MEP) and somatosensory evoked potential (SSEP) in the detection of the proximal nerve lesion in ADP. Methods: MEP, SSEP and conventional NCS were performed in 6 consecutive patients with ADP (3 AIDP, 3 CIDP). MEP was recorded from abductor pollicis brevis and abductor hallucis using magnetic stimulation of the cortex and the cervical/lumbar spinal roots. SSEP were elicited by stimulating the median and posterior tibial nerves. Latency from cortex and cervical/lumbar roots, central motor conduction time (CMCT), EN1-CN2 interpeak latency were measured for comparison. Results: MEP was recorded in 24 limbs (12 upper and 12 lower limbs) and SSEP in 24 limbs (12 median nerve, 12 posterior tibial nerve). F-wave latency was prolonged in 25 motor nerves (25/34, 73.5%). Prolonged CML and PML were found in 41.7% (10/24) and 45.8% (11/24), respectively. Interside difference (ISD) of CMCT was abnormally increased in the upper extremity, 66.7% (4/6 pairs) in case of CML-PML. EN1-CN2 interpeak latency was abnormally prolonged in one median nerve (1/10) and LN1-P1 interpeak latency was normal in all posterior tibial nerves. Conclusions: MEP and SSEP may provide useful information for the proximal nerve and root lesion in ADP. MEP and SSEP is supplemental examination as well as complementary to conventional NCS.

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당뇨병성다발신경병증의 전기생리학적 특징: 운동신경전도검사 (Electrophysiological Features of Diabetic Polyneuropathy: Motor Nerve Conduction Studies)

  • 강지혁;이윤섭
    • 한국콘텐츠학회논문지
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    • 제10권10호
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    • pp.237-245
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    • 2010
  • 신경전도검사는 당뇨병성다발신경병증 및 당뇨병의 불현성 신경병증환자를 진단하기위한 중요한 검사이며 신경의 기능을 정량적으로 측정할 수 있는 검사기법이다. 본 연구에서는 당뇨병성다발신경병증 환자에서 보이는 전기생리학적 특징을 평가하기위하여 당뇨병성다발신경병증으로 진단된 120명과 정상대조군 77명의 운동신경전도검사의 결과를 비교?분석하였다. 상지와 하지의 각 운동신경에서 정상기준치에 대해 비정상 값을 보인 비율의 특징을 신경전도속도, 말단잠복기, 복합근육활동전위의 진폭, No potential의 빈도, 전도차단의 항목으로 나누어 분석하였다. 당뇨병성다발신경병증은 상지에 비해 하지를 더욱 침범하는 전신성 탈수초성 말초다발신경병증의 전기생리학적 특징이 관찰되었고, 특히 비골신경에서 비정상의 정도가 심한 것으로 분석되었다. 하지만 전도차단의 특징은 대조군에 비하여 유의한 차이가 없는 것으로 나타났다. 운동신경전도검사의 결과를 분석하여 당뇨병성다발신경병증의 전기생리학적 특징을 분석한 본 연구의 결과 하지의 비골신경이 중요한 지표가 될 수 있음이 확인되었고, 이는 당뇨병성다발신경병증의 중요한 전기생리학적 소견으로 사료된다.

중년여성의 체성분이 체력에 미치는 영향에 관한 연구 (Research on the Influence Middle-Aged woman's Body Composition Affects Physical Fitness)

  • 이상윤;김용권
    • 대한물리치료과학회지
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    • 제10권1호
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    • pp.140-148
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    • 2003
  • This study examined the relationship between body fitness and body composition as well as the body fluid and intracellular fluid (ICF) of extremities to determine body composition's quantitative criteria for body fitness. Multiple-frequency segmental bioelectrical impedance analysis and the physical fitness test provided by the Ministry of Education, Culture, Sports, Science and Technology were used to measure body composition and physical fitness, respectively. The test results showed that in women in their fifties, the correlation between the amount of body fluid in the upper limbs and grip strength was r=.654 (p<0.01) for the right arm and r=.445 for the left while that between the amount of ICF in the upper limbs and grip strength was r=.708 (p<0.01) for the right and r=.323 for the left. Also, in women in their fifties, the correlation between the amount of body fluid in the lower limbs and the result of a repetitive side jump test was r=.730 for the right leg and r=.753 for the left (p<0.01 for both), and that between the amount of ICF and the counts for the right and left legs was even higher with r=.742 and r=.763, respectively (p<0.01 for both). The body fluid and ICF volumes in the right extremities exceeded those in the left, and physical fitness was correlated with both body fluid and ICF. These findings indicate a connection between physical fitness and body fluid and ICF, suggesting that body composition may help predict physical fitness.

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작업조건의 변화에 따른 상지의 피로 특성 분석 (An Analysis of Fatigue Characteristics of Upper limbs by Task Conditions Change)

  • 이상도;심정훈
    • 산업경영시스템학회지
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    • 제28권3호
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    • pp.75-86
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    • 2005
  • To investigate the fatigue characteristic of upper limbs, this study analyzed RMS(root mean square) and MPF(mean power frequency) value between initial and terminal stages of each experiment condition. And the effect of intermittent endurance time was evaluated using the Borg's CR10 value that was measured for the parts of upper limb. According to the results of ANOVA on RMS value, there were significant difference on the %MVC about push, pull, and down force exertion. Particularly the ANOVA of up force exertion was significant difference on shoulder flexion, elbow flexion and rest time as well as %MVC. The results of ANOVA for MPF value were significant difference on the %MVC in regard of the push and up force exertion. In case of up force exertion, MPF value tended to shift low frequency at all of the experiment conditions. According to the analysis of duty cycle, RMS value considerably increased over 50% duty cycle and as the %MVC increased, the duty cycle affected the increase of RMS value. MPF value for up and down force exertion decreased at 33%, 50% and 67% duty cycle for all of %MVC. Borg CR10 value of hand and forearm were below the 3-point to the 40% of endurance time at 30%MVC and to the 20% of endurance time at 50%MVC with the exception of up force exertion. But Borg CR10 values of upper arm and shoulder at up force exertion were more than 3-point to the 20% of endurance time at 30%MVC and in the start point of endurance time at 50%MVC.

Exploring the Relation of Smartphone Addiction and Musculoskeletal Pain in the Neck, Trunk, and Upper Limbs: A Cross-sectional Study

  • Yixin Wang;Ye-Jin Kim;Kyeong-Ah Moon;Joo-Hee Park;Hye-Seon Jeon
    • 한국전문물리치료학회지
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    • 제30권3호
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    • pp.211-220
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    • 2023
  • Background: Smartphone addiction has emerged as a significant social problem. Numerous studies have indicated the association between smartphone use and discomfort in the musculoskeletal system of the upper extremities. Objects: This cross-sectional survey aimed to compare the characteristics of musculoskeletal pain in the neck, trunk, and upper limbs between individuals with smartphone addiction and those without addiction. Methods: We collected a total of 326 healthy individuals' data from China and Korea who had owned and used smartphones for more than 5 years between 20-50s through an online questionnaire consisting of 84 questions in four major sections. The first part contained basic information on the participant's personal characteristics and smartphones. The second part contained questions about smartphone use and posture. The third part was the smartphone addiction. The fourth part was to investigate musculoskeletal pain in various upper body parts. Results: Smartphone addiction has a weak negative correlation with age (r = -0.20, p < 0.01) and a weak positive correlation with the hours of smartphone use (r = 0.376, p < 0.01). Frequent musculoskeletal pain symptoms related to smartphone use were observed in the neck, shoulder, lower back, and wrists. The hours of smartphone use was slightly positively associated with the prevalence of musculoskeletal pain in the shoulder (r = 0.162, p < 0.05) and lower back (r = 0.125, p < 0.05). The prevalence of musculoskeletal pain in the neck (χ2 = 3.993, p < 0.05), shoulder (χ2 = 6.465, p < 0.05), and wrist (χ2 = 4.645, p < 0.05) was significantly higher among females than males. Conclusion: The results suggest that smartphone addiction should be recognized as a dual concern encompassing both physical health and psychosocial aspects. Furthermore, healthcare professionals, including physicians and physical therapists, should consider clients' smartphone usage patterns when assessing and treating with musculoskeletal pain.

The Effects of Hippotherapy for Physical, Cognitive and Psychological Factors in Children with Intellectual Disabilities

  • Bae, Myung-Soo;Yun, Chang-Kyo;Han, Yong-Gu
    • 대한물리의학회지
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    • 제12권3호
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    • pp.119-130
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    • 2017
  • PURPOSE: The purpose of this study is to determine, by conducting a 10 week hippotherapy, the effects on the physical, cognitive and psychological factors of children with intellectual disabilities. METHODS: As an intervention method, intervention was based on a program from the American Hippotherapy Association and was modified and enhanced. 16 children with intellectual disabilities was conducted horse riding intervention program and Intervention was conducted once a week for a total of 10 weeks with each session lasting 30 minutes. A doctor of rehabilitation medical treatment of D rehabilitation center, physical therapist and occupational therapist evaluated the upper limbs test, balance, gait function, Korea-mini mental state examination (MMSE) before and after hippotherapy intervention. Self-esteem scale and aggression scale was evaluated by Psychology Counseling of C psychological clinic before and after hippotherapy intervention. RESULTS: The results of this study reveal that first, there was a positive effect. Second, statistically significant differences were found in BBS, TUG, K-MMSE, 10m walking test, 6 min walking test, self-esteem scale and aggression scale (p<.05). However no statistically significant differences were found in upper limbs function and good balance analysis before and after intervention. CONCLUSION: The hippotherapy is effective way to improve the physical, cognitive and psychological factors of children with intellectual disability.

요골반부와 상지근육에 대한 탄성저항 운동이 노인들의 균형능력 및 어깨통증에 미치는 영향 (The Effects of Elastic Resistance Exercise of Limbo-Pelvic region and upper Limbs Muscle on Equilibrium Ability and Shoulder Pain of the Elderly)

  • 김상수;공원태
    • 대한정형도수물리치료학회지
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    • 제14권1호
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    • pp.15-23
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    • 2008
  • Purpose : To evaluate the effects of elastic resistance exercise of lumbo-pelvic region and upper limbs muscle on equilibrium ability and shoulder pain of the elderly. Methods : The subject consisted of sixteen healthy elderly people(14 females. 2 males). They were from 61 to 83 years old and the mean age was 68.06. All subjects were assigned only the elastic resistance exercise group. The subject group received elastic resistance exercise for about 60 minutes per day, two times per weeks, during 8 weeks period. A Stop watch was used to measure static equilibrium ability and dynamic equilibrium ability and then pressure algometer was used to measure shoulder press pain threshold. All measurements of each subjects were measured at pre-experiment and post-experiment stage. SPSS 12.0 program was used to compile results. A Paired samples t-test was conducted to examine changes of static equilibrium, dynamic equilibrium and shoulder press pain threshold between pre-experiment and post-experiment. Results : The static equilibrium ability, dynamic equilibrium ability and shoulder press pain threshold were significantly differences between pre-experiment and post-experiment(p<.05). Conclusion : This data suggests that an eight week elastic resistance exercise improved static equilibrium ability and dynamic equilibrium ability and then reduced shoulder pain.

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Effects of Regularly Performed Walking on the Bilateral Limb Compositions of Post-Stroke Korean Men

  • Jee, Hae Mi
    • 국제물리치료학회지
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    • 제9권1호
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    • pp.1413-1419
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    • 2018
  • The purpose of this study was to examine the effects of hemispheric damage in body composition of male adults with stroke experiences. The Fourth and Fifth Korea National Health and Nutrition Examination Surveys (KNHANES) with body composition results obtained from the DXA (dual-energy X-ray absorptiometry) assessments were used for this study. Survey data of 18 post-stroke men and 28 healthy controls were obtained. Both the lean and fat masses of the upper and lower limbs were utilized to compare for the compositions between the limbs in post-stroke subjects. In addition, the effect of exercise habit was also observed for the influence of physical activity in body composition. Mixed results in left and right limb compositions were shown between the groups. When the subjects were further divided based on walking days per week, sedentary (walk ${\leq}2d/wk$) post-stroke group showed significantly greater fat mass and less lean mass than the physically active people (walk ${\geq}3d/wk$). In comparison to the healthy sedentary and physically active controls, two post-stroke groups showed greater variations. The results indicate that physical activity maintains or improve the quality of both the upper and lower limb composition in patients with post-stroke men.

롤링 머신에서의 신체 운동시 근육 활동의 EMG 분석 (Analysis of the Muscle Action EMG in Physical Exercise in the Rolling Machine)

  • 하해동;김기봉;이창민
    • 한국항해학회지
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    • 제20권4호
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    • pp.81-98
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    • 1996
  • The purpose of this study was analysis of the muscle action in physical exercise in the rolling machine. The rolling machine moved by eletric power-driven was made to keep the constant cycle and size of rolling. The subjects of this study consist of 4 seaman(SM) and 4 landman (LM). The experiment analyzed the muscle power of lower and upper limbs by Intergrated Electromyogram(IEMG). The measurement was made on the ground, and 6 and 8 degrees of rolling separately. This study concludes as follows ; including analysis of IEMG of heavy exercise in two hands curl, a standstill walking and just standing. 1. IEMG of the lower limbs when standing. 1) In 6 degrees of rolling, for the landman(LM), vastus medialis m.(9.73), vastus lateralis m.(9.55), and rectus femores m.(8.73) acted more. As for the seaman(SM), tibialis anterior m.(5.38), biceps femores m.(5.05), and gastrocnemius m.(4.47) acted more. 2) In 8 degrees of rolling, in common, for both LM and SM, it were vastus medialis m.(11.20 and 8.97), vastus lateralis m.(16.20 and 4.63), and tibialis anterior m.(5.13 and 4.47). 3) It was showed that IEMG of LM was larger than that of SM. 2. IEMG of the lower limbs when walking. 1) On the ground, for the LM, gastrocnemius m.(7.08), vastus medialis m.(6.65), and vastus latralis m.(6.60) acted more. As for the SM, vastus lateralis m.(7.08), vastus medialis m.(6.58) and restus femores m.(5.10) acted more. 2) In both 8 and 6 degrees of rolling, vastus medials m.(14.50 and 11.98), vastus lateralis m.(10.10 and 14.10), and gastrocnemius m.(11.75 and 7.10) acted more in two groups. 3) It was showed that IEMG of LM was larger than that of SM. 3. IEMG of the lower limbs when heavy exercise(two hands curl). 1) On the ground, for the LM, vastus lateralis m.(21.68), vastus medialis m.(16.08), and rectus femores m.(14.08) acted more. As for the SM, tibialis anterior m.(16.08), vastus medialis m.(14.58), and vastus lateralis m.(8.78) acted more. 2) In 8 and 6 dgrees of rolling, it were vastus medialis m.(17.05 and 12.45), vastus lateralis m.(37.98 and 17.08), and tibialis anterior m.(19.83 and 13.20). 3) It was showed that IEMG of LM was larger than that of SM. 4. IEMG of the upper limbs when heavy exercise. 1) On the ground, the brachialis m.(44.30 and 17.80), and biceps brachii m.(13.40 and 25.10) acted more in two groups. 2) In both 6 and 8 degrees of rolling, the brachialis m.(37.60 and 24.35), and biceps brachii m.(11.38 and 7.97) acted more in two groups. 3) It was showed that IEMG of SM was larger than that of LM.

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