• Title/Summary/Keyword: WRIST

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A Case Report of Injury of Other Nerves at the Wrist and Hand Level After Repetitive Work (상지 반복 작업 후 발생한 손목 및 손 부위의 기타 신경손상 치험 1례)

  • Kim, Young-ji;Park, Jeong-su;Sung, Hyun-kyung;Lee, Ju-ah;Kong, Kyung-hwan;Go, Ho-yeon
    • The Journal of Internal Korean Medicine
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    • v.37 no.5
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    • pp.847-854
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    • 2016
  • Background and Objective: The Korean agricultural population is now rapidly aging. Older people in rural areas are weak due to work-related musculoskeletal disorders. The aim of this case is to report treatment of injuries to the nerves at the wrist and hand level by Korean medicine. Methods: The patient in this case was a 74-year-old male. He had injured nerves at the right wrist and hand level due to agriculture work. We treated him with acupuncture, herbal medicine, etc. Results: The patient showed the first sign of recovery of his wrist after 13 days treatment. After 37 days of treatment, his wrist movement was restored to a nearly normal range. He showed the first sign of recovery in a finger after 19 days of treatment and his grasping power increased from 0% to 60%. The cold sensation in his hand and arm also disappeared. Conclusions: We cannot generalize based only on this one case study. Nevertheless, this report suggests that Korean medicine may be an effective treatment for injury of nerves at the wrist and hand level.

The Effect of Standard Keyboard and Fixed-Split Keyboard on Wrist Posture During Word Processing (문서입력 작업 시 컴퓨터 키보드 유형이 손목관절의 운동학적 특성에 미치는 영향)

  • Kwon, Hyuk-Cheol;Jeong, Dong-Hoon;Kong, Jin-Yong
    • Physical Therapy Korea
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    • v.11 no.1
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    • pp.35-43
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    • 2004
  • There were two purposes of this study. The first was to research the effects of standard and fixed-split keyboards on wrist posture and movements during word processing. The second was to select optimal computer input devices in order to prevent cummulative trauma disorder in the wrist region. The group of subjects consisted of thirteen healthy men and women who all agreed to participate in this study. Kinematic data was measured from both wrist flexion and extension, and wrist radial and ulnar deviation during a 20 minute period of word processing work. The measuring tool was an electrical goniometer, and was produced by Biometrics Cooperation. The results were as follows: 1. The wrist flexion and extension at resting starting position were not significantly different (p>.05), however the angle of radial and ulnar deviation were significantly different in standard and split keyboard use during word processing (p<.05). 2. In the initial 10 minutes, the dynamic angle of wrist flexion and extension were not significantly different (p>.05), however the dynamic angle of radial and ulnar deviation was significantly different in standard and split keyboard use during word processing (p<.05). These results suggest that the split keyboard is more optimal than the standard keyboard, because it prevented excessive ulnar deviation during word processing.

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An Analysis on Kinematically Contributing Factors at Impact of Forehand Drive Motion in Squash (스쿼시 포핸드 드라이브 동작의 임팩트시 운동학적 주요요인 분석)

  • Lee, Kyung-Il;Lee, Hee-Kyung
    • Korean Journal of Applied Biomechanics
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    • v.17 no.1
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    • pp.29-39
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    • 2007
  • This study were obtained elapsed time phase-by-phases, displacement, user angle, velocity and angular velocity to analyse kinematically contributing factors at impact of forehand drive motion, on targeting three male players. The results of the study were presented as follows; In the forehand drive swing, the elapsed time by phases was a total of .52 seconds: .30 seconds from backswing to impact and .22 seconds from impact to follow-through, Considering the mean change in locations of COM of each(part$\rightarrow$body segment) at impact, racket head, left shoulder, right wrist and left hip, the left-right directions(X-axis) were showm to be each $.61{\pm}.03$, $1.19{\pm}.08$, $.66{\pm}.03$, $.94{\pm}.06$, and $.45{\pm}.03m$. The displacement differences of COM of each body segment were shown to be -.57, -.05, -.33, and .16m. For the vertical direction(Z-axis), the center of mass was lowest at impact and highest at E3. For the displacement of the right wrist on the left hip, the right wrist moved to .82m to the lower direction without change in the locations of the hip from E1 from E2. When the left hip moved .02m from E2 to E3, the right wrist moved .7m in the upper direction. In respect to the velocity of each body segment, the hip and the shoulder joint accelerated and then the wrist followed. Then the right wrists of all the subjects and their racket heads showed maximum speed, and an effective swing was observed. At the angle of each part, the angle of the right wrist was the smallest at the backswing and the largest at the moment of the impact. Then it increased gradually in the follow-through section. In respect of angular velocity for subject A, the hip moved and the largest change occurred. Immediately before the impact, the subject made a swing using his right wrist, his hip, and the shoulder joint, showing the maximum value, which was judged to be effective.

The Effects of Kinesio Taping, Mulligan Taping on Pain, Maximum Grip Strength of Men's Artistic Gymnast with Wrist Impingement Syndromes (손목 충돌증후군을 가진 남자 기계체조 선수에게 키네지오 테이핑과 멀리건 테이핑 적용 시 체중 부하 통증과 악력에 미치는 영향)

  • Gyeong-hwan, Shin;Jong-woo, Kim
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.28 no.3
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    • pp.9-19
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    • 2022
  • Background: The study objectives were to investigate the effect of Kinesio taping, Mulligan taping on push-off-test and maximum grip strength in elite men's artistic gymnast with wrist impingement syndromes. Methods: The subjects of this study were 18 wrist impingement syndromes men's artistic gymnast and randomly assigned to a Kinesio taping group, Mulligan taping group. Weight-bearing wrist pain and Muscle strength were assessed with push-off-test (POT) and the maximum grip strength (MGS). Results: As a result of the research, there were no significant difference in POT in pre and post group in the Kinesio taping (p>.05). But Mulligan taping group were significant difference in POT (p<.05). In comparison after intervention between each other groups, there was a no significant difference on (p<.05), but no significant difference on post (p>.05). there were significant difference in MGS in both pre and post group in the Kinesio taping and Maximum Grip Strength (p<.05). In comparison after intervention between each other groups, there was a no significant difference on pre (p<.05), but no significant difference on post (p>.05). Conclusion: This results suggests that Mulligan taping are encouraged due to effects on pain, Muscle strength increase in elite men's artistic gymnast with wrist impingement syndromes.

A Study on the Usefulness of Styrofoam Wedge for Wrist True PA and Lateral examination (WRIST TRUE PA와 LATERAL 검사 시 경사보조도구의 유용성 분석)

  • Jeon, Sang-Hyun;Kim, Gab-Jung;Kim, Nak-Sang;Seo, Sun-Youl;Choi, Seon-Wook;Jeon, Min-Cheol
    • Journal of the Korea Convergence Society
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    • v.11 no.2
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    • pp.53-60
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    • 2020
  • The purpose of this paper is to evaluate the image of the Styrofoam Wedge that can minimize the position change by supporting the wrist during the True PA and lateral examination of the wrist. In 50 people, the gap between the distal radius joint facet and the wrist bone was measured after the wrist True PA and lateral images were obtained using a general examination(vertical), tube angle(vertical:10°, lateral:20°) and Styrofoam Wedge(vertical). When joint spacing was measured in the True PA and lateral images of the wrist, general examination(5.54mm, 9.42mm), tube angle(2.05mm, 5.07mm) and Styrofoam Wedge(1.79mm, 5.46mm) were shown to be small. The smaller the joint spacing, the easier it is to observe that is open. Therefore, True PA and lateral imaging of the wrist Styrofoam Wedge can reduce the distortion of the image and thus acquire images of high diagnostic value. In addition, it may be possible to reduce the deviation caused by the change of patient's position during re-projection.

Development of a Six-Axis Force/Moment Sensor with Rectangular Taper Beams for an Intelligent Robot

  • Kim, Gab-Soon
    • International Journal of Control, Automation, and Systems
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    • v.5 no.4
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    • pp.419-428
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    • 2007
  • This paper describes the development of a six-axis force/moment sensor with rectangular taper beams for an intelligent robot's wrist and ankle. In order to accurately push and pull an object with an intelligent robot's hand, and in order to safely walk with an intelligent robot's foot, the robot's wrist and ankle should measure three forces Fx, Fy, and Fz, and three moments Mx, My, and Mz simultaneously from the mounted six-axis force/moment sensor to the intelligent robot's wrist and ankle. Unfortunately, the developed six-axis force/moment sensor utilized in other industrial fields is not proper for an intelligent robot's wrist and ankle in the size and the rated output of the six-axis force/moment sensor. In this paper, the structure of a six-axis force/moment sensor with rectangular taper beams was newly modeled for an intelligent robot's wrist and ankle, and the sensing elements were designed by using the derived equations, following which the six-axis force/moment sensor was fabricated by attaching strain-gages on the sensing elements. Moreover, the characteristic test of the developed sensor was carried out by using the six-component force/moment sensor testing machine. The rated outputs from the derived equations agree well with those from the experiments. The interference error of the sensor is less than 2.87%.

An Analysis of Transmitted-Vibration Characteristics by Different Wrist Posture during Grinding Tasks (그라인딩 작업시 손목자세별 국소진동 전달특성 분석)

  • Hwang, Seong-Hwan;Lee, Dong-Choon
    • Journal of the Ergonomics Society of Korea
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    • v.26 no.1
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    • pp.29-37
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    • 2007
  • This study was performed to evaluate the characteristics of transmitted vibration to hand-arm system under different work posture while operating a light-weighted powered hand grinder. For the experiment, 8 different types of wrist posture (natural, unlar-flexion, radual-flexion, flexion, extension, complex posture, and etc.) and 3 types of feed force (20[N], 50[N], 70[N]) were considered. 10 male subjects were employed to polish metal plate with a hand grinder. All of them were normal and healthy with no history and symptom of the work related musculoskeletal disorders in the dominant hand. Vibration acceleration data were recorded with sampling rate, 2048[Hz]. In addition, unweighted overall R.M.S. acceleration at the tool and wrist, and transmissibility between them were used to evaluate factors from the recorded tri-axial vibration acceleration. The results indicate that transmissibility of natural wrist posture was significantly higher than others. In addition, as the feed force becomes larger, the vibration was transmitted in large quantities to hand-arm system through radius.

A Gaussian Mixture Model Based Surface Electromyogram Pattern Classification Algorithm for Estimation of Wrist Motions (손목 움직임 추정을 위한 Gaussian Mixture Model 기반 표면 근전도 패턴 분류 알고리즘)

  • Jeong, Eui-Chul;Yu, Song-Hyun;Lee, Sang-Min;Song, Young-Rok
    • Journal of Biomedical Engineering Research
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    • v.33 no.2
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    • pp.65-71
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    • 2012
  • In this paper, the Gaussian Mixture Model(GMM) which is very robust modeling for pattern classification is proposed to classify wrist motions using surface electromyograms(EMG). EMG is widely used to recognize wrist motions such as up, down, left, right, rest, and is obtained from two electrodes placed on the flexor carpi ulnaris and extensor carpi ulnaris of 15 subjects under no strain condition during wrist motions. Also, EMG-based feature is derived from extracted EMG signals in time domain for fast processing. The estimated features based in difference absolute mean value(DAMV) are used for motion classification through GMM. The performance of our approach is evaluated by recognition rates and it is found that the proposed GMM-based method yields better results than conventional schemes including k-Nearest Neighbor(k-NN), Quadratic Discriminant Analysis(QDA) and Linear Discriminant Analysis(LDA).

Evaluation of manual workload in repetitive wrist and finger motion (반복적인 손목 및 손가락 작업에서의 수작업 부하 평가)

  • Gwon, O-Chae;Yun, Myeong-Hwan
    • Journal of the Ergonomics Society of Korea
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    • v.18 no.2
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    • pp.103-120
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    • 1999
  • The purpose of this study was to evaluate the manual workload in repetitive wrist and finger motion. To evaluate manual workload, angular displacement of the joint, EMG of the muscle and subjective rating were studied. Both wrist motion and finger motion were studied. A screw-driving task was used for the wrist motion experiment. A keyboard typing task was used for the finger motion experiment. All finger joint angles and wrist angles were measured by an angle-measuring glove($CyberGlove^{TM}$, Virtual Technologies, Inc.). Surface EMG was recorded from FCU muscle and FDS muscle simultaneously with the angle measurement. Subjective ratings of exertion were also recorded using the modified Borg's CR-10 scale. Repetition rates of 0.5, 1, 2 motions per second were used with each task. As a result, manual workload increased with increasing repetitiveness. Peak spectral magnitude and frequency components corresponded closely with joint angular displacement amplitudes and repetition rates. Results of the correlation analysis showed that there were significant correlation among EMG, frequency-weighted motion and subjective measurement. Both EMG and frequency-weighted filtering showed consistent workload estimation with increasing task frequency. Subjective ratings showed slight over-estimation of the workload as the task frequency is increased.

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Performance, Wrist Motion and Subjective Rating for Handle Angle of Pliers (손잡이가 휜 Plier의 작업 수행도, 손목 동작과 만족도 평가)

  • Kee, Do-Hyung
    • Journal of the Ergonomics Society of Korea
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    • v.27 no.2
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    • pp.49-57
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    • 2008
  • This study aims to investigate the effect of handle angles of pliers on performance, wrist motion and subjective rating of satisfaction. An experiment was conducted, in which handle angle of pliers was used as independent variable and 14 subjects participated. Based on the literature survey, plier handles angled at 0$^{\circ}$, 10$^{\circ}$, 20$^{\circ}$, 30$^{\circ}$ and 40$^{\circ}$ were adopted in the experiment. The subjects were instructed to bend iron plates by 90$^{\circ}$ and to cut wires as soon as possible. The results revealed that 1) handle angles of pliers have significant effect on wrist motion and satisfaction(p<0.0001); 2) handle angles of pliers did not affect performance of completing tasks irrespective of types of tasks done in the study; 3) in the initial stage of windup, plier with handle angled at 20$^{\circ}$ produced the least wrist motion of deviation in task of bending iron plates, while plier with handle angled at 40$^{\circ}$ did in task of cutting wires; 4) degree of satisfaction was maximized when handle of pliers was bent by 20$^{\circ}$ in both tasks. On the basis of the results, it is recommended that handle of pliers be bent by 20-30$^{\circ}$ for reducing musculoskeletal disorders related to pliers.