• Journal of Yeungnam Medical Science
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• 제17권2호
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• pp.129-136
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• 2000

중종근무력증 환자들에게 반복신경자극검사를 시행함에 있어서 하지의 근육들의 진단적 민감성을 파악해 보기 위하여 건강한 남녀 20명과 영남대학교 의과대학 부속병원 신경과에 중증근무력증의 특징적인 증상을 주소로 내훤한 grade 2이상의 환자 10례를 대상으로 안윤근, 소지외전근, 척측수근굴근과 하지의 내경골근, 단지선근, 내광근에서 반복신경자극검사를 시행하여 다음과 같은 결과를 얻었다. 환자에서 반복신경자극검사에서 안면근육과 상지근육은 하지근육보다 민감도에서 높은 결과를 보여 주었고, 정상인과 중증근무력증 환자사이에서 안정기, 운동 직후, 운동 후 1분, 운동 후 3분에서의 감소성반응수치는 안면과 상지근육에서 통계적으로 유의한 차이 (P<0.01 or p<0.05)가 있었으나 하지근육에서는 유의한 차이를 보이지 않았다, 중증근무력증환자에서의 반복신경자극검사 결과 안윤근에서 20례, 척측수근굴근에서 14례, 소지외전근에서 12례에서 양성반응을 보였으며, 하지에서는 전경골근에서 4례, 단지선근에서 8례, 내광근에서 3례에서 양성반응이 나타났다. 이상의 결과로 볼 때, 중증근무력증이 의심되는 환자에게 반복신경자극검사를 시행할 경우에 안면과 상지근육에 정성소견이 보이면 하지근육에서 반복신경자극검사를 시행할 필요는 없는 것으로 생각되나, 빈도는 낮지만 하지근육애서도 양성반응을 보임에 따라서 추후에 좀 더 많은 환자에 대해서 하지근육의 반복신경자극검사를 시행해 볼 필요가 있을 것으로 생각된다.

• 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.

• Physical Therapy Rehabilitation Science
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• 제2권2호
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• pp.99-103
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• 2013

Objective: Clinical measures that quantify upper extremity function are needed for the accurate evaluation of patients and to plan an intervention strategy. The purpose of this study was to examine the relationship between the Unified Parkinson's Disease Rating Scale (UPDRS)-Motor Exam and upper extremity performance as a quantifying clinical tool of upper extremity function in persons with Parkinson's disease. Design: Cross-sectional study. Methods: Thirty-two idiopathic Parkinson's Disease persons participated in this study. To investigate the relationship between the UPDRS-motor exam, Box and Block test (BBT), and Action Research Arm Test (ARAT) by two physical therapists. The examination took up to 1 hour, and the participants were invited to rest between each clinical measure in order to minimize the effects of fatigue. Clinical measures were assessed while the subjects were in the "on" phase of their medication cycle, generally 1-3 hour after taking their anti-Parkinson's medications. Results: In more affected side, the UPDRS-motor exam was significantly negative correlated with the BBT (p<0.05) but it was not significantly correlated with the ARAT. In less affected side, only positively correlation was significantly shown between BBT and ARAT (p<0.05). On the other hand, between BBT and ARAT were not significantly correlated with the UPDRS-motor exam. Conclusions: The UPDRS-motor exam is effective tool which was significantly correlated with manual dexterity in more affected upper extremity. But The UPDRS-motor exam is not effective tool in less affected upper extremity.

• 대한인간공학회지
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• 제24권2호
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• pp.65-70
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• 2005

Evaluation of repetitiveness for upper extremity intensive tasks is essential to determine the level of risk for upper extremity musculoskeletal disorders at the workplace. However, experimental data available to establish the acceptable levels of repetitiveness for various postures and forces is lacking. The present study examined the maximum acceptable frequencies(MAFs; motions/min.) of shoulder, elbow, wrist, and index finger motions at different forces(1kgf and 4kgf for shoulder, elbow, and wrist; 0.25kgf and 1 kgf for index finger) in sitting. Seventeen right-handed males in 20s without having any history musculoskeletal disorders participated in the MAF experiment. The participants determined their MAFs for the upper extremity motions by using the self-adjustment method and their work pulse(increase in heart rate; beats/min.) and rating of perceived exertion(RPE) were measured when working at MAF. The MAFs of elbow, wrist, and index finger motions for each force level were about 2, 3, and 6 times the corresponding MAF(9 at the high force and 24 at the low force) of shoulder motion and the MAFs at the low force increased about 2 times those at the high force. The work pulses of elbow, wrist, and index finger motions for each force level were 70%, 50%, and 30% of the corresponding work pulse(17 at the high force and 12 at the low force) of shoulder motion and the work pulses at the low force were about 70 % of those at the high force. Lastly, the RPEs of the upper extremity regions were about level 3(moderate) or below.

• 대한물리의학회지
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• 제8권1호
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• pp.117-125
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• 2013

PURPOSE: The purpose of this study was to investigate the effect of trunk muscle strengthening exercises on balance performance of sitting posture and upper extremity function, targeting the children with spastic diplegic cerebral palsy. METHODS: 20 children with spastic diplegic cerebral palsy were sampled at random and the tests were conducted for 6 weeks, 3 times per week. For experimental groups, basic physical therapy and trunk muscle strengthening exercises were conducted and for control groups, only basic physical therapy was conducted. BPM(Balance Performance Monitor) was used to measure balance performance and QUEST(quality of upper extremity skills test) was used to measure the upper extremity function. RESULTS: The comparison of changes in sitting balance performance in between experimental groups and control groups show significant difference (p<.05), the changes of the upper extremity function in experimental groups and control groups show significant difference (p<.05). CONCLUSION: Trunk muscle strengthening exercises are effective in improving balance performance and the upper extremity function for the children with spastic diplegic cerebral palsy.

• 대한통합의학회지
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• 제4권4호
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• pp.41-51
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• 2016

PURPOSE : The purpose of this study was to identify whether 3D motion input device based mirror therapy could improve on upper extremity function, quality of life and depression in chronic stroke patients METHOD : Thirty six patients with chronic stroke were enrolled and randomly divided into three groups: 3D leapmotion mirror therapy group, mirror therapy group, and sham therapy group. 3D leapmotion mirror therapy group performed 3D motion input device based mirror therapy, mirror therapy group performed general mirror therapy, control group performed sham therapy. All patients received a total of 15 exercise session over a 5 week period (three times per week). Fugl-Meyer Assessment-upper extremity(FMA-UE), Stroke Specific-Quality of Life(SS-QOL), Beck Depression Inventory(BDI) were performed prior to and five weeks after the treatment RESULT : Subjects in the 3D leapmotion mirror therapy group showed significant improvements in upper extremity function, quality of life and depression following training. The changes of upper extremity function, quality of life and depression in the 3D leapmotion mirror therapy group were significantly more than them of the control group. CONCLUSION : The result of this study suggest that 3D motion input device based mirror therapy is an intervention to improve on upper extremity function, quality of life and depression in chronic stroke patients.

• 한국산업보건학회지
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• 제28권2호
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• pp.211-221
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• 2018

Objectives: The purpose of this study was to identify work-related risk factors associated with upper extremity symptoms among construction workers using the fourth Korean Working Condition Survey(KWCS). Methods: Subjects were 2,724 construction workers selected from 50,007 respondents in the 2014 KWCS. The presence or absence of upper extremity symptoms and work-related risk factors, including individual, physical, and psychosocial factors, were used as variables. A multiple logistic regression analysis was performed in order to evaluate the relationship of the upper extremity symptoms with work-related risk factors. Results: Upper extremity symptoms were significantly associated with: employment type(OR: 1.57, 95% CI: 1.18~2.09); job satisfaction(OR: 2.06, 95% CI: 1.33~3.18); verbal abuse(OR: 2.06, 95% CI: 1.33~3.18); tiring or painful posture(OR: 2.33, 95% CI: 1.73~3.15); carrying or moving heavy loads(OR: 1.68, 95% CI: 1.23~2.24); repetitive hand or arm movement(OR: 1.42, 95% CI: 1.06~1.91) Conclusions: In order to prevent the upper extremity musculoskeletal disease in the construction industry, it is necessary to stabilize employment, enhance job satisfaction, and eliminate violence in the workplace and improve physical work environment.

• 한국산학기술학회논문지
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• 제11권11호
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• pp.4374-4381
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• 2010

본 연구는 복합운동프로그램이 뇌졸중 환자의 상지 기능 및 균형 능력에 미치는 효과를 알아보는 것이었다. 연구 대상자는 뇌졸중으로 인한 좌측 편마비 증상을 보이는 68세 여성이며, 연구 기간은 2005년 4월 17일부터 2007년 8월 30일까지였다. 복합운동프로그램은 관절가동범위운동, 근력강화운동 및 반복적인 과제-지향적 활동 등으로 구성되었으며, 대상자는 주 3회, 매 회기 1시간씩 복합운동프로그램을 수행하였다. 대상자의 상지 기능은 브론스트롬 손회복 및 상지 회복 단계, Fugl-Meyer Assessment of Motor Function, 뇌졸중 상지기능검사로 측정하였고, 균형 능력은 Tinetti Gait & Balance Scale과 One Leg Standing Test로 평가하였다. 연구 결과 대상자의 상지 기능 검사의 점수가 향상되었고, 균형 능력 검사 점수는 유지 및 향상되는 것으로 나타나, 복합운동프로그램이 뇌졸중 환자의 상지 기능과 균형 능령을 증진시키는 것으로 나타났다.

• 한국융합학회논문지
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• 제13권1호
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• pp.109-118
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• 2022

본 연구의 목적은 뇌손상 환자의 상지 움직임 평가와 인공지능 융합연구를 체계적 문헌고찰 방법으로 분석하여 인공지능의 적용에 대한 경향을 파악하고자 한다. 연구수행은 PRISMA(Preferred Reporting Items for Systematic Reviews and Meta-Analyses)가이드라인을 이용하여 수행되었다. 3개의 데이터베이스에서 검색된 380편 중 선정기준 및 배제기준에 따라 최종적으로 8편의 논문을 선정하였다. 상지 움직임 평가는 동작 수행 능력 평가와 FMA, ARAT가 사용되었다. 정량화를 위해 다양한 도구를 사용하여 데이터를 추출하였고, 인공지능을 이용해 상지 움직임 분류, 회복예후 예측, 평가도구 점수를 예측하였다. 본 연구는 인공지능을 이용해 상지 움직임 평가를 객관적으로 나타낸 연구들을 체계적으로 고찰하여 인공지능이 적용되고 있는 방향성을 파악했다는 점에서 의의가 있다. 이를 토대로 상지 움직임 평가에서 인공지능 기술을 도입하여 중재 효과와 환자의 회복을 객관적으로 파악하는데 도움이 될 것으로 기대한다.

• 대한통합의학회지
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• 제11권4호
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• pp.281-289
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• 2023

Purpose : In this study, we aimed to determine how frequencies different of repetitive transcranial magnetic stimulation applied to the less affected contalesional corticomotor area affect upper extremity motor function in patients with acute stroke within 3 months of onset. By doing so, we aimed to propose a new method of rTMS intervention based on the degree of damage and recovery status of the patient, rather than the generalized rTMS intervention that has been used uniformly. Methods : The rTMS intervention was applied on the contralesional side of the cerebral hemisphere damage. 15 subjects in the HF-rTMS group, 12 subjects in the LF-rTMS group, and 14 subjects in the SF-rTMS group were randomized to receive the rTMS intervention in each group for a total of 10 sessions on five consecutive weekdays for two weeks, and underwent FMA-U to determine changes in upper extremity function following the intervention in each group. FMA-U was performed within 24 hours before and after the rTMS intervention. Results : When the FMA-U was performed to determine the pre- and post-intervention changes in upper extremity motor function within the groups, no statistically significant differences were found in the SF-rTMS group before and after the intervention, but significant statistical differences were found in the HF-rTMS group (p=.006) and the LF-rTMS group (p=.020), with greater significance in the HF-rTMS group than the LF-rTMS group. Conclusion : This study confirmed that compensatory action by activating the less affected contralesional corticomotor area based on the bimodal balance-recovery model can support upper extremity recovery patients with acute stroke within 3 months of onset, depending on the degree of damage level and recovery status. Therefore, the results of the contralesional HF-rTMS application in this study may provide a basis for proposing a new rTMS intervention for upper extremity recovery in stroke patients.