• Title/Summary/Keyword: Upper-limb

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The Effect of Task-oriented Arm Movements and Muscle Enhancement Program Using Elastic Bands on Upper Limb Muscle Strength and Activities of Daily Living of Mitochondrial Myopathy Patient -Single subject design- (Mitochondrial Myopathy 환자에서 과제지향적 상지운동과 탄성밴드를 이용한 기능적 근력증진 프로그램이 상지근력과 일상생활활동에 미치는 영향 -단일사례연구-)

  • Park, Hyung-Ki;Lee, Kang-Sung
    • PNF and Movement
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    • v.8 no.1
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    • pp.11-19
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    • 2010
  • Purpose : The purpose of this study was to the effect of task-oriented arm movements and muscle enhancement program using elastic bands on limb muscle strength and activities of daily living of mitochondrial myopathy patient. Method : Single-subject experimental research design was applied to. AB Design was adopted. The study period was approximately four weeks. A baseline period of the three sessions of the experiment, the treatment period B, 3 sessions were conducted. Baseline period to observe the patient's daily life bardel index was measured as an independent feature, MMT as a limb muscle strength was assessed by measuring early. During the period of treatment with serabaendeu limb strength training 30 minutes after the break five minutes after the treatment using MMT limb muscle strength were evaluated. Task-oriented exercise program, and who exercise a week as a treatment was carried out in 30 minutes. Result : All of the scores for each sessional period of treatment when compared to base line and upper limb muscle strengthening exercises on the subjects that did not change significantly. Conclusion : If the muscles and nervous system involvement in patients with symptoms such as muscle weakness and paralysis of upper extremity functional use is difficult.

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The Effect of Action Observation Training on Affected Side Upper Limb Dexterity in Stroke Patient : Single-subject research design (동작관찰이 뇌졸중 환자의 환측 상지 기민성에 미치는 영향 : 단일사례연구)

  • Yang, Yong-Pil;Kim, Ji-Hyun;Han, Mi-Ran;Kim, Eun-Bi
    • Journal of the Korean Society of Physical Medicine
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    • v.7 no.1
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    • pp.111-118
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    • 2012
  • Purpose : The purpose of present study was to determine effects of action observation training on upper limb function after stroke. Training was progressed to imitation and intensive training after observation to required action in ADL. Methods : Among the single case study was used to ABA design. pre base line(A) was only collected participant information without intervention in 5 times. action observation intervention(B) was carried out 10 times and 5 times to base lime(A) after intervention. Results : Results indicated that 10-second test, box and block test, manual function test was increased when compared action observation intervention(B) to pre base line(A). Conclusion : To stroke action observation training was evaluated gross manipulation, dexterity and upper limb function in related with ADL. action observation training benefits were maintained after intervention(B) and showed improvement on upper limb function of stroke.

Evaluation of Upper-Limb Motor Recovery after Brain Injury: The Clinical Assessment and Electromyographic Analysis (뇌손상 후 상지 운동기능 회복 평가: 임상적 평가 및 운동반응 근전도 분석)

  • Kim, Young-Ho;Tae, Ki-Sik;Song, Sung-Jae
    • Physical Therapy Korea
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    • v.12 no.1
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    • pp.91-99
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    • 2005
  • We assessed whether the use of a symmetrical upper limb motion trainer in daily repetitive training for a 6-week period reduced spasticity and improved motor function in three chronic hemiparetic patients. Upper limb motor impairment and disability were measured by the Fugl-Meyer Assessment (FMA), Modified Ashworth Scale (MAS) and Manual Muscle Test (MMT), respectively. The electromyography (EMG) of the affected hand was recorded during isometric wrist flexion and extension. In all patients, FMA and MMT scores were significantly improved after the 6-week training. However, MAS scores of the affected wrist spasticity did not change considerably. Onset and Offset delays in muscle contraction significantly decreased in the affected wrist. The co-contraction ratio of flexor and extensor muscles significantly increased after the 6-week training. Onset and offset delays of the muscle contraction and co-contraction ratio correlated significantly with the patients' FMA. This study showed that repetitive, symmetric movement training can improve upper limb motor functions and abilities in chronic hemiparetic patients. Also, the EMG assessment of motor response is likely to provide insights into mechanisms and treatment strategies for motor recovery in chronic hemiparetic patients.

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Case of Vocal Cord Paralysis And Upper Limb Motor Paralysis Caused by Herpes Zoster (대상포진에 의해 발생한 성대마비 및 상지운동신경마비 1례)

  • Yeo, Eun-Ju;Park, Kyung-Mi;Cho, So-Hyun;Chun, Hea-Sun
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.25 no.2
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    • pp.322-325
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    • 2011
  • Motor paralysis by herpes zoster is rare. The incidence of herpetic motor involvement was reported to be between 0.5-31%. This case was reported to evaluate the effects of oriental medicine therapy on vocal cord paralysis and upper limb motor paralysis caused by herpes zoster. The subject was a 48-year-old man who suffering from hoarseness, right upper limb paralysis, right upper limb weakness, right post ear pain, headache. After our treatment, clinical symptoms were improved and VAS score significantly decreased. This study suggests that herbal medicine and acupuncture complex therapy is probably effective in the treatment of vocal cord paralysis and upper limb motor paralysis.

Development of an Ergonomic Checklist for the Investigation of Work-related Upper Limb Disorders in Farming - AULA: Agricultural Upper-Limb Assessment

  • Kong, Yong-Ku;Lee, Soo-Jin;Lee, Kyung-Suk;Han, Jun-Goo;Kim, Dae-Min
    • Journal of the Ergonomics Society of Korea
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    • v.30 no.4
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    • pp.481-489
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    • 2011
  • Objective: The aim of this study was to develop an ergonomic checklist (AULA: Agricultural Upper-Limb Assessment) which can assess the risks of the work-related upper limb disorders of farming tasks in Korea. Background: There are few assessment tools that reflect the current condition of agricultural works as of now. Method: AULA was developed as following three stages. First of all, a physiological experiment was conducted with selected 14 upper limb postures which are frequently occurred in farming tasks and then, an ergonomic checklist was developed with determining risk levels of each body posture based on the experimental findings. Lastly, the ergonomic checklist was validated by comparing with the existing assessment tools. Results: When comparing the AULA which was developed in this study with the existing assessment tools, it was found that the AULA may get over limits of the existing ones which are sensitive to particular postures, but aren't sensitive to the rest of them. Conclusion: It is predicted that the developed upper limb posture assessment tool which gets over the existing tools' limits and is proper for domestic farm work conditions, will help to reduce musculoskeletal disorders caused by farm works, by assessing farm works more easily and objectively. Application: By further developing the theoretical groundwork on the induction of muscular skeletal system symptoms relating to agricultural works, it is expected to improve the level of preventing and managing such muscular skeletal system symptoms in the field of agricultural and farming works, which is relatively less advanced in terms of labor difficulties.

Comparison of the circumference, skinfold thickness and leg strength of normal limb with those of casted limb following removal of leg cast (하지 석고붕대제거후 정상측과 석고붕대 적용측의 상하지의 둘레, 피부두겹두께 및 하지근력의 비교)

  • 최명애;박미정
    • Journal of Korean Academy of Nursing
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    • v.23 no.1
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    • pp.56-67
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    • 1993
  • The purpose of this study was to compare the circumference and skinfold thickness of upper and lower limb and the leg strength of the casted limb with those of the normal limb after removal of a leg cast. The subjects for the study were orthopedic patients who had had long and short leg casts or splints due to tibial, fibulal, metatarsal, calcaneus fracture or ankle sprains. The subjects were divided into two groups, those who had the cast on for less than 40 days and those for over 41 days. Circumference and skinfold thickness of the upper and lower limb on the side on which the cast was ap-plied were compared with those of the contralateral side after removal of the cast. Circumference and skinfold thickness of the upper and lower limb, and leg strength for those in a cast for under 40 days were compared with those of over 41 days for both the side to which cast was applied and the contralateral side. Measurements were made after removal of the cast. Skinfold thickness was measured by fat caliper, circumference was measured by tape and lower extremity strength was determined with flat foot pressing on an electronic digital health meter in the sitting position. The results can be summarized as follows : 1. The circumference of the upper and lower leg on the side on which the cast was applied, when measured after the cast was removed, were significantly less than those of the normal side, 93.88%, 93.11% each. 2. Skinfold thickness of the quadriceps and gastrocnemius on the side on which the cast was applied were significantly less than those of the normal side when measured after removal of the cast, 85.98%, 82.85% respectively. 3. Leg strength on the side where the cast was applied was significantly 1ss than that on the normal side, 60.20%. 4. There was no difference in the circumference of upper and lower limbs, skinfold thickness or leg strength on the side where the cast was applied between the group which had the cast applied for under 40 days and the group that had it applied for over 41 days. 5. The circumference of the upper arm and lower leg on the normal side for the group that had the cast applied for over 41 days was significantly greater than the group that had the cast application for under 40 days. T ere was no difference between the two groups in the circumference of the forearm and upper leg, skinfold thickness and leg strength in the normal side. From these results, it may be concluded that muscle atrophy was apparent in the casted limb compared to the normal limb, and the circumference of the upper arm and lower leg, and leg strength on the normal side increased after removal of the cast in the group which had the cast on for more than 41 days.

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Electromyographic Analysis of Lower Extremity Lateral Stabilizer During Upper Extremity Elevation Movements

  • Jung, Ho-Bal
    • Journal of International Academy of Physical Therapy Research
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    • v.1 no.2
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    • pp.185-191
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    • 2010
  • Background: This study investigated effective posture for gluteus medius rehabilitation training and effects of isometric muscle activity by electrophysiology through EMG while performing dynamic isotonic behavior of weight placed differently on upper limbs. Method: 16 healthy male subjects 20 to 29 years of age volunteered for the study. Lateral stabilizer right gluteus medius activity was assessed using EMG while the right lower extremity maintains single limb support, and the left upper extremity elevation movement maintains 5 seconds without load, 1RM to 1 repetition, 5RM to 5 times, 10RM to 10 times, 5RM and 10RM maintain 5sec. Results: Comparison of the mean value of EMG data showed a statistically more significant difference in upper extremity elevation movement on opposite upper extremity added weight than one that was not added on a single limb weight bearing posture(p>.05). Weight supported side gluteus medius activity for 1RM, 5RM, 10RM weight difference and movement repetition did not differ(p>.05). Comparison in maximum value showed statistically significant differences in not adding weight on upper limb elevation exercise and 1RM, 5RM, 10RM repeated behavior. Elevation behavior and repetition appeared over 70% of MVIC. Conclusion: Unilateral weight bearing stance added weight in the opposite upper limb elevation movement was an indirect exercise to effectively stimulate gluteus medius activity. Applying various added weight will have effective exercise on the early stages of rehabilitation because activity gluteus medius did not differ through added weight.

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The Effects of Upper Limb, Trunk, and Pelvis Movements on Apkubi Momtong Baro Jireugi Velocity in Taekwondo

  • Yoo, Si-Hyun
    • Korean Journal of Applied Biomechanics
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    • v.26 no.3
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    • pp.273-284
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    • 2016
  • Objective: The purpose of this study was to investigate effects of upper limb, trunk, and pelvis kinematic variables on the velocity of Apkubi Momtong Baro Jireugi in Taekwondo. Method: Twenty Taekwondo Poomsae athletes (age: $20.8{\pm}2.2years$, height: $171.5{\pm}7.0cm$, body weight: $66.2{\pm}8.0kg$) participated in this study. The variables were upper limb velocity and acceleration; trunk angle, angular velocity, and angular acceleration; pelvis angle, angular velocity, and angular acceleration; and waist angle, angular velocity, and angular acceleration. Pearson's correlation coefficient was calculated for Jireugi velocity and kinematic variables; multiple regression analysis was performed to investigate influence on Jireugi velocity. Results: Angular trunk acceleration and linear upper arm punching acceleration had significant effects on Jireugi velocity (p<.05). Conclusion: We affirmed that angular trunk acceleration and linear upper arm punching acceleration increase the Jireugi velocity.

Effects of Sensoriomotor Functions on the Ipsilateral Upper Limb According to Cane Usage in Stroke Patients: A Preliminary Study

  • Son, Sung-Min;Kwon, Jung-Won;Kim, Chung-Sun
    • The Journal of Korean Physical Therapy
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    • v.23 no.3
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    • pp.7-12
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    • 2011
  • Purpose: The cane is one of the most popular assistive devices for stroke patients. Clinical complaints of sensorimotor functions on the ipsilateral upper limb were appealed in stroke patients who had used a cane for a long period. Therefore, we investigated whether cane usage for a long-term period affected sensoriomotor dysfunctions on the non-affected upper limb, in terms of pain presence, shoulder joint sense, a nine-hole pegboard test, and a tracking task. Methods: We recruited 12 stroke patients, who were divided into the cane-using (CU) group or the non-cane using (NCU) group, according to cane usage experience. We evaluated joint position sense for the integrity of proprioceptive reposition sense in the shoulder joint, used a nine-hole pegboard test for upper limb dexterity evaluation, and a tracking task for visuomotor coordination. Results: Four patients in the CU group had complained of shoulder pain none did in the NCU group. In addition, the CU group showed more reposition errors on the shoulder joint than the NCU group did. In addition, the CU group had more difficulty in proprioceptive sense perception and in performance of the nine-hole pegboard teat and tracking task, compared with the NCU group. Conclusion: Our findings suggest that cane usage for a long period in stroke patients could give rise to trigger joint pain and decrease proprioceptive sense. In addition, complex motor performance in the ipsilateral upper limb could deteriorate. In stroke patients who had used acane for long period, careful observation and proper intervention will be necessary.