• Title/Summary/Keyword: WRIST JOINT

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A Study on Dr. Cyriax's Orthopaedic Medicine (Dr. Cyriax의 Orthopaedic Medicine에 관한 연구)

  • Koo, Hee-Suh
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.1 no.1
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    • pp.85-97
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    • 1995
  • Orthopaedic medicine was developed and published by James Cyriax, a British Orthopaedic Physician on 1929. Orthopaedic medicine is concerned with the diagnosis and treatment of soft tissue lesions. These disorders affect a substantial proportion of all patients in general and in particular, physiotherapy and sports clinics. In broad terms these disorders em trace conditions. such as arthritis. rheumatism. fibrositis. backache. lumbago, sciatica, frozen shoulder, tennis elbow, strained wrist, sprains, aches, inflanmation and sports injuries generally. The soft Moving tissues share one thing in common - they are all radiotranslucent and the tissues in question are the joint capsule, the ligaments, the fasciae, dural sheath. These structures can cause pain but none of them is visible on the radiograph. Dr. Cyriax divided all soft tissues into two basic types : 1) Contractile tissue, 2) Inert or noncontractile tissue. The mechanism of diagnosis is tension applied manually. The physician subjects each tissue about the incriminated joint to tension in turn which they call 'Selective tension' with Cyriax's assessment, a more definitive diagnosis can be obtained and proper treatment can be implemented.

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Development of a Robotic Surgery System using General Purpose Robotic Arm and Modular Haptic Controller (범용 로봇팔과 모듈러 햅틱 컨트롤러를 사용한 수술 로봇 시스템 개발)

  • Yi, Jae-Bong;Jin, Sangrok;Yi, Seung-Joon
    • The Journal of Korea Robotics Society
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    • v.15 no.2
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    • pp.131-138
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    • 2020
  • This paper proposes a low-cost robotic surgery system composed of a general purpose robotic arm, an interface for daVinci surgical robot tools and a modular haptic controller utilizing smart actuators. The 7 degree of freedom (DOF) haptic controller is suspended in the air using the gravity compensation, and the 3D position and orientation of the controller endpoint is calculated from the joint readings and the forward kinematics of the haptic controller. Then the joint angles for a general purpose robotic arm is calculated using the analytic inverse kinematics so that that the tooltip reaches the target position through a small incision. Finally, the surgical tool wrist joints angles are calculated to make the tooltip correctly face the desired orientation. The suggested system is implemented and validated using the physical UR5e robotic arm.

Clinical study on one case of patient of posterior interosseous nerve palsy accompanying HNP of C5-6,6-7 (경추추간판탈출증을 동반한 후골간신경마비 환자에 대한 임상보고)

  • Goo, Bon Gil;Oh, Min Seok
    • Journal of Haehwa Medicine
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    • v.13 no.1
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    • pp.303-309
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    • 2004
  • After treating a patient suffering from metacarpophalangeal joint extension disturbance which is caused by posterior interosseous nerve palsy, some results are gained as follows. The symptom of posterior interosseous nerve palsy is simillar to the it of radial nerve palsy. But posterior interosseous nerve palsy isn't accompany with wrist drop. posterior interosseous nerve palsy is accompany with metacarpophalangeal joint extension disturbance. This symptom is caused by posterior interosseous nerve palsy. Posterior interosseous nerve palsy is correspond to MAMOKBULIN(麻木不仁), SUTONG(手痛), SUGI(手氣) in oriental medicine. The cause of this case on oriental medicine is Deficiency of qi and blood. Treatment which based on cause of oriental medicine-herb medication, acupuncture treatment- have a good effect to patient.

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Optimal Design of Fault-Tolerant Spatial Manipulators (고장에 견디는 공간형 매니퓰레이터의 최적설계)

  • 이병주;김동구;김희국
    • Proceedings of the Korean Society of Precision Engineering Conference
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    • 1994.10a
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    • pp.605-610
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    • 1994
  • Optimal design of fault-tolerant, spatial type maniplators is treated in this paper. Design objective is to guarantte three degree-of-freedom translational motions in the task space, upon failure of one arbitrary joint of 4 degree-of -freedom manipulators. Realizing the nonfault-tolerant characteristics of current, wrist-type industrial manipulators, several 4 degree-of-freedom redundant structures with one joint redundancy are suggested as the fault-tolerant spatial -type manipulators. Fault-tolerant charactersitics are investigated basedon the analysis of the self-motion and the null-space elements, of a redundant manipulator. Finally, in order to maximize the fault-tolerant capability,optimal design is performed for a spatial-type manipulator with respect to the global isotropic index, and the performance enhancement of the optimized case is shown by simulation.

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Measuring hand kinematics in handball's game: A multi-physics simulation

  • Kun, Qian;Sanaa, Al-Kikani;H. Elhosiny, Ali
    • Earthquakes and Structures
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    • v.23 no.6
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    • pp.535-547
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    • 2022
  • Handball sport, as its name postulates, is a team sport which highly physical workout. During a handball play, several ball impacts are applied on the hands resulting vibration in the forearm, upper arm, shoulders and in general in whole body. Hand has important role in the handball's game. So, understanding about the dynamics and some issues that improve the stability of the hand is important in the sport engineering field. Ulna and radius are two parallel bones in lower arm of human hand which their ends are located in elbow and wrist joint. The type of the joint provides the capability of rotation of the lower arm. These two bones with their ends conditions in the joints constructs a 4-link frame. The ulna is slightly thinner than radius. So, understanding about hand kinematics in handball's game is an important thing in the engineering field. So, in the current work with the aid of a multi-physics simulation, dynamic stability analysis of the ulna and radius bones will be presented in detail.

Study on Optimal Design of Fault-Tolerant Spatial Redundant Manipulators (고장에 견디는 공간형 여유자유도 매니퓰래이터의 최적설계에 관한 연구)

  • Kim, Whee-Kuk;Kim, Dong-Ku;Yi, Byung-Ju
    • Journal of the Korean Society for Precision Engineering
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    • v.13 no.4
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    • pp.97-108
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    • 1996
  • Optimal design of fault-tolerant, spatial type redundant manipulators is treated in this paper. Design objective is to guarantte three degree-of -freedom translational motions in the task space, upon failure of one arbitrary joint of 4 degree-of-freedom manipulators. Noticing the nonfault-tolerant characteristics of current, wrist-type industrial manipulators, five different fault-tolerant spatial-type manipulators which have 4 degree-of-freedom structures with one joint redundancy are suggested. Faault-tolerant character-sitics of two redundant manipulators anr investigated based on the analysis of the self-motion and the null-space elements. Finally, in order to maximize the fault-tolerant capability, optimal design is performed for a spatial-type manipulator with respect to the global isotropic index, and the performance enhancement of the optimized case is shown by simulation.

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Repercussions to the musculoskeletal system of the Upper Limb caused by scaling training exercise (치위생학과 스케일링 실습수업이 상지 근골격계에 미치는 영향)

  • Ro, Hyo-Lyun;Yoo, Ja-Hea;Lee, Min-Young
    • The Journal of Korean Physical Therapy
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    • v.20 no.3
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    • pp.45-51
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    • 2008
  • Purpose: We evaluated the physical stress and pain to the musculoskeletal system of a dental practitioner when engaging in a dental scaling training exercise to prevent the development of musculoskeletal injuries. Methods: The 18 female (average age: 21$\pm$1 years) subjects were voluntarily picked from a group of juniors who have completed a one-and-a-half year training course that includes training exercises on the dentiform and on live subjects (other trainees). The test is done by measuring pain, activity, grip strength, and finger dexterity for each subject's hand and wrist. Before the test all subjects were confirmed to be right-handed and were informed of the study and its objective. Measuring was done before and after each subject performed dental scaling for one hour using the scaler and the curet. Results: Pain levels increased for both hand and shoulders, but hand pain was often greater than shoulder pain. Grip strength significantly declined in the right hand but not the left. For joint mobility, the flexion and the extension for the shoulder joint did not change; but the range of motion for both wrist joints significantly increased. For the dexterity test, both hands showed increased dexterity after the exercise. Conclusion: Dental scaling can affect the shoulders and wrists/hands. Therefore, a musculoskeletal injury prevention program for dental practitioners, which may include encouraging them to assume correct body posture when at work, must be sought. This study evaluated only the shoulders, wrists, and hands; but future studies should include areas such as the cervical area, the back, and the lower limbs.

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Quantification of the Effect of Medication and Deep Brain Stimulation on Parkinsonian Rigidity (파킨슨병 환자의 경직에 대한 약물과 DBS 의 효과의 정량화)

  • Kwon, Yu-Ri;Eom, Gwang-Moon;Park, Sang-Hun;Kim, Ji-Won;Kim, Min-Jik;Lee, Hye-Mi;Jang, Ji-Wan;Koh, Seong-Beom
    • Journal of the Korean Society for Precision Engineering
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    • v.30 no.5
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    • pp.559-563
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    • 2013
  • This study aims to quantify the effects of medication (Med) and deep brain stimulation (DBS) on resting rigidity in patients with Parkinson's disease. We tested 10 limbs of five patients under each of four treatment conditions: 1) baseline, 2) DBS, 3) Med, 4) DBS + Med. Rigidity at the wrist joint was assessed using the Unified Parkinson's Disease Rating Scale (UPDRS). The examiner randomly imposed flexion and extension movement on patient's wrist joint. Resistance to passive movement was quantified by viscoelastic properties. Not only rigidity score but also damping constant showed improvements in rigidity by DBS and Med treatments (p<0.05). This indicates that the viscosity can represent the change in rigidity due to DBS as well as Med, which was manifested by UPDRS score.

The Effects of Taping, AMCT, Combination Treatment on the Pain and Grip Strength in Patient with Lateral Epicondylitis (테이핑, AMCT, 복합치료가 외측상과염 환자의 통증과 악력에 미치는 효과)

  • Kim, Eun-Young;Ma, Sang-Yeol;Gong, Won-Tae
    • Journal of the Korean Society of Physical Medicine
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    • v.3 no.2
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    • pp.103-112
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    • 2008
  • Purpose : The Purpose of this study was to investigate the effects of taping and AMCT(activator methods chiropractic technique) on the pain and grip strength in patients with lateral epicondylitis. Methods : To study divided of three groups. Taping groups were apply to taping was attached from wrist joint to elbow joint lateral epicondly after maximun flexion. AMCT application was contact the posterior aspect of the proximal head of the radius. The line of drive is anterior and inferior. Next, contact the anterior aspect of the lunate by positioning the instrument on the volar aspect of the wrist. The line of drive is straight posterior. combination groups was treated using the taping and AMCT application. Result : 1. The pain was decreased on taping groups, AMCT groups and combination groups of all(p<.05). 2. Power grip was enhanced in taping groups, AMCT and combination groups(p<.05). but taping, AMCT, combination groups was no difference compared with after 1 week therapy(p>.05). 3. Compared with AMCT and taping therapy about pain decreased was AMCT groups better than taping groups(p<.05). 4. Compared with AMCT and taping therapy about power grip was AMCT groups better than taping groups(p<.05). 5. AMCT and combination groups was no difference compared with pain release and power grip after therapy(p>.05). Conclusion : AMCT groups therapy are more effect able than taping therapy for grip strength and pain reduction. Hence, AMCT groups therapy is most effect able for pain reduction with lateral epicondylitis patients.

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Coordination Pattern of Upper Limb of Sweep Shot Movement in Ice Hockey (아이스하키 스위프 샷(Sweep shot) 동작의 상지의 협응 형태)

  • Choi, Ji-Young;Lee, Eui-Lin
    • Korean Journal of Applied Biomechanics
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    • v.17 no.4
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    • pp.169-179
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    • 2007
  • The purpose of this study was to investigate the relations between the segments of the body and to qualitatively analyze coordination pattern of joints and segments during Sweep Shot movement in Ice Hockey, by utilizing coordination variables was angle vs. angle plots. By the utilization the three dimensional anatomical angle cinematography, the angles of individual joint and segment according to sweep shot in ice hockey. The subjects of this study were five professional ice hockey players. The reflective makers were attached on anatomical boundary line of body. For the movement analysis three dimensional cinematographical method(APAS) was used and for the calculation of the kinematic variables a self developed program was used with the LabVIEW 6.1 graphical programming(Johnson, 1999) program. By using Eular's equations the three dimensional anatomical Cardan angles of the joint and ice hockey stick were defined. The three dimensional anatomical angular displacement and coordination pattern of trunk and Upper limb(shoulder-elbow, elbow-wrist linked system) showed important role of sweep shot in ice hockey. As the result of this paper, for the successful movement of sweep shot in ice hockey, it is most important role of coordination pattern of trunk-shoulder, shoulder-elbow and elbow-wrist. specially turnk movememt as a proximal segment. Coordination pattern of Upper Limb(upperarm-forearm-hand) of Sweep Shot movement in Ice Hockey that utilizes coordination variables seems to be one of useful research direction to understand basic control mechanisms of Ice hockey sweep shooting linked system skill. this study result showed flexion-extension, adduction-abduction and internal-external rotation of trunk are important role of power and shooting direction coordination pattern of upper Limb of Sweep Shot movement in Ice Hockey.