• 대한의용생체공학회:의공학회지
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• 제29권1호
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• pp.8-16
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• 2008

The aim of this study was to evaluate the motor recovery in 4 chronic hemiparetic patients with Fugl-Meyer (FM) and EMG characteristics before and after the training program. The training was performed at 1hr/day, 5days/week during 6 weeks in 4 chronic stroke patients. Electromyographic activities of the affected hand were recorded during isometric wrist flexion/ extension movements. In all patients, FM was significantly improved after the 6-week training. Onset/offset delay of muscle contraction significantly decreased in the affected wrist after the training. The co-contraction ratio of flexor/extensor muscles decreased significantly. Also, onset/offset delay of muscle contraction and co-contraction ratio correlates significantly with upper limb motor impairment and motor recovery. This EMG technique allows an objective evaluation of changes in muscle activity in post-stroke patients, providing easily measurable, quantitative indices of muscle characteristics.

• 대한정형도수물리치료학회지
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• 제1권1호
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• pp.65-74
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• 1995

There is no line of demarcation between the shoulder and elbow regions. Pain In the arm may originate at the shoulder with reference downwards or less often at the elbow with reference upwards. Most pains indicated by the patient at the elbow or forearm have a local origin, since at the more distal part of the upper limb the capacity for correct localization is good. Once it is clear that the elbow region is at fault, the joint and the muscles about it are tested by ten movements. 1. Four. Passive extension, flexion, pronation, supination-full range, LOM, painful, painless. 2. Four. Resisted extension, flexion, pronation, supination-strong, weak, painful, painless. 3. Two. Resisted flexion, extension at the wrist-painful, painless. The muscles that perform theses two movements arise from the humeral epicondyles and a lesion in either often causes pain felt at the elbow although the tissuse affected is not functionally a part of the elbow (i. e. Tennis elbow and Golfer's elbow).

• 한국치위생학회지
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• 제3권1호
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• pp.73-87
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• 2003

This study was performed on 17 female dental hygienists to find an appropriate method to reduce the hygienists' body discomfort while scaling, and provide a foundation to educate them how 10 posture during the process. To assess the arm abduction, elbow flexion, neck flexion, trunk flexion and trunk lateral bending through Video 2D(two dimensional motion) analysis and assessing the risk through the Action level of RULA(rapid upper limb assessment) checklist, an ergonomic analysis method. Correlation analyses on the posture angles and on body discomfort were performed. ANOVA analysis on scaling treatment position and the scaling treatment region of patients was also performed. The results are as following. 1. 20 analysis while scaling, arm abduction was $40{\sim}79.9^{\circ}$, elbow flexion $20{\sim}110^{\circ}$, neck flexion $50{\sim}100^{\circ}$, trunk flexion $60{\sim}80^{\circ}$, and trunk lateral bending $5{\sim}19.9^{\circ}$. 2. The Action level of RULA was 2. 3 resulted from scores 4 and 5 of group A which includes upper arm, lower ann, wrist, and scores 2 and 4 of group B which includes neck, trunk, legs. It means that the scaling treatment posture causes a high incidence rate of musculoskeletal that an additional investigation and improvement should be followed without hesitation. 3. There were significant differences among the maxilla right, maxilla anterior, maxilla left, mandible left, mandible anterior, and mandible right of a patient of the right and left upper arm, lower arm, neck, trunk, group A, group B, final RULA score while scaling treatment. 4. There were significant differences among the time position of 8, 9, 10, 11, 12, 13 of the right and left upper arm, lower arm, neck, trunk, group A, group B, final RULA score while scaling treatment, 5. As for the body discomfort, neck, right shoulder, left shoulder, right back, right wrist etc. were listed on top. As a conclusion, performing the time position of 12 which shows low right and left final RULA scores is better than the time position of 8 and 10 which show high final RULA scores to reduce the body discomfort while scaling treatment.

• 한국운동역학회지
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• 제24권1호
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• pp.11-18
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• 2014

The purposes of this study were to analyze the kinematics and electromyographic variables of the upper extremity for the backhand clear motion according to the type of hitting in badminton. Seven elite male university players were selected as the subjects. Four digital video cameras and Noraxon Telemyo 2400 were used to collect the 3D kinematics and electromyographic data. The results were as follows: 1) in the phase of impact, the time of motion for the overhead backhand clear was the longest, 2) in the event of impact, the distance of step toward X direction was the longest and the distance of step toward Y direction was the shortest for the overhead backhand clear, 3) in the event of backswing, the rotation angles of shoulder and pelvis and the flexion angle of shoulder for the overhead backhand clear were the biggest, 4) the maximum flexion angular velocity of shoulder and the maximum extension angular velocity of elbow for the overhead backhand clear were the biggest, and 5) in the phase of impact, mean EMG of the wrist flexor, triceps, and trapezius muscle for the overhead backhand clear was bigger than that for the underhand stroke and in the phase of follow-through, mean EMG of the wrist flexor and extensor, biceps, triceps, and trapezius muscle for the overhead backhand clear was the biggest.

• 한국멀티미디어학회논문지
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• 제19권1호
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• pp.68-79
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• 2016

Electromyographic (EMG) signals have been widely used as motion commands of prosthetic arms. Although EMG signals contain meaningful information including the movement intentions of human body, it is difficult to predict the subject's motion by analyzing EMG signals in real-time due to the difficulties in extracting motion information from the signals including a lot of noises inherently. In this paper, four Ag/AgCl electrodes are placed on the surface of the subject's major muscles which are in charge of four upper arm movements (wrist flexion, wrist extension, ulnar deviation, finger flexion) to measure EMG signals corresponding to the movements. The measured signals are sampled using DAQ module and clustered sequentially. The Fuzzy C-Means (FCMs) method calculates the center values of the clustered data group. The fuzzy system designed to detect the upper arm movement intention utilizing the center values as input signals shows about 90% success in classifying the movement intentions.

• 대한통합의학회지
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• 제5권3호
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• pp.1-9
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• 2017

Purpose: The purpose of this study was to investigate the effects of an immersive, virtual reality-based exercise program on range of motion and dexterity in the upper extremities of stroke patients. Methods: Fifteen patients with hemiparesis after stroke participated in this study. The participants participated in Rapael Semart GloveTM, an immersive, virtual reality-based exercise program, performed for 30 minutes-, 3 times per week for 4 weeks. The Rapael Smart GloveTM program and a Box and Block Test (BBT) were used to measure range of motion and to assess dexterity, respectively, pre-and post-intervention. Results: Range of motion in pronation and supination of the forearm and flexion, extension, and ulnar deviation of the wrist improved after the intervention. Dexterity measured by BBT also improved. However, range of motion in flexion and extension of the fingers and radial deviation of the wrist did not improve. Conclusion: This study presents the effects of an immersive, virtual reality-based exercise program on hand function. In the future, a study comparing an immersive, virtual reality- based exercise program to other upper-extremity interventions for stroke patients should be conducted. A study about the effects of an immersive virtual reality program on activities of daily living is also needed.

• PNF and Movement
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• 제18권2호
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• pp.297-303
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• 2020

Purpose: The purpose of this study was to examine the effects of inhalation and exhalation exercise combined with upper extremity proprioceptive neuromuscular facilitation pattern on two spirometry values: forced volume vital (FVC) and peak expiratory flow (PEF). Methods: Thirty-two healthy adults were divided into two groups: 1) a combined group, which performed upper extremity D2 flexion pattern (shoulder flexed/abducted/external rotated, forearm supinated, wrist radial deviated, and finger extended) during exhalation and D2 extension pattern (shoulder extended/adducted/internal rotated, forearm pronated, wrist ulnar deviated, and finger flexed) during inhalation; and 2) reverse combined group, which performed the D2 flexion pattern during inhalation and the D2 extension pattern during exhalation. The inverse application of upper extremity movements during inhalation and exhalation induced selective resistance or assistance on respiration. FVC and PEF were measured at two time points, before and after four weeks. Results: In both groups, the pre-post intervention comparison showed significant increases in FVC and PEF (p < .05). In the between-groups comparison, the reverse combined group showed a significantly higher PEF than the combined group at four weeks post intervention (p < 0.05). Conclusion: The combined respiration exercise with reverse PNF upper extremity patterns using selective resistance showed an effective increase in PEF in healthy adults. Clinicians and researchers might consider using selective resistance as a widely applicable and cost-effective option for respiratory rehabilitation planning.

• Physical Therapy Rehabilitation Science
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• 제10권3호
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• pp.374-378
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• 2021

Objective: Bilateral movement training is an effective method for upper extremity rehabilitation of stroke. An approach to induce bilateral movement through functional electrical stimulation is attempted. The purpose of this study is to develop an EMG-triggered functional electrical stimulation device for upper extremity bilateral movement training in stroke patients and test its feasibility. Design: Feasibility and Pilot study design. Methods: We assessed muscle activation and kinematic data of the affected and unaffected upper extremities of a stroke patient during wrist flexion and extension with and without the device. Wireless EMG was used to evaluate muscle activity, and 12 3D infrared cameras were used to evaluate kinematic data. Results: We developed an EMG-triggered functional electrical stimulation device to enable bilateral arm training in stroke patients. A system for controlling functional electrical stimulation with signals received through a 2-channel EMG sensor was developed. The device consists of an EMG sensing unit, a functional electrical stimulation unit, and a control unit. There was asymmetry of movement between the two sides during wrist flexion and extension. With the device, the asymmetry was lowest at 60% of the threshold of the unaffected side. Conclusions: In this study, we developed an EMG-triggered FES device, and the pilot study result showed that the device reduces asymmetry.

• 감성과학
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• 제25권3호
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• pp.77-90
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• 2022

본 연구의 목적은 루어낚시 참여자의 손목 움직임 측정을 위한 스트레치 센서를 개발하는 것이다. 손목움직임 측정을 위해 스트레치 센서를 손목에 부착하여 배굴, 저굴 그리고 랜딩동작을 게이지율, 인장강도 그리고 신장회복률을 척도로 실험을 진행하였다. CNT 분산액을 이용한 전도성 센서를 개발하고 E-band에 동일한 조건으로 적용하였다. 함침을 각각 한 번, 두 번, 그리고 세 번한 같은 크기의 5종, 15가지 센서를 만능재료시험기(Dacell dn-fga Universal testing machine, UTM)를 활용해 게이지율(Gauge Factor)을 측정하였다. 두 번 함침한 센서가 게이지율이 가장 우수했으며, 게이지율과 인장강도가 높은 세 가지 센서로 프로토 타입을 제작하였다. 아두이노에 연결하여 동작테스트를 한 결과, 인장강도와 게이지율이 가장 높은 시료 1이 세 가지 동작에서 일정한 파장이 유지되었다. 시료 2,3은 배굴과 저굴에서는 일정한 파장을 나타내었지만, 랜딩동작에서는 신호 노이즈가 나타났다. 이는, 랜딩동작에서는 인장강도와, 게이지율에 따라 파장의 패턴이 다르게 나타나는 것을 알 수 있었다. 이와 같은 결과로 손목의 움직임 측정을 위한 스트레치 센서 제작시에 필요한 조건들을 유추할 수 있었다. 본 연구의 결과를 활용하여 루어낚시용 스마트 웨어러블 제품 개발에 응용이 가능할 것으로 사료된다.

• 한국운동역학회지
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• 제16권4호
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• pp.49-59
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• 2006

The purpose of this study was to investigate the relations between the segments of the body, the three dimensional anatomical angle 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. 1. In three dimensional linear velocity of blade the Y axis showed maximum linear velocity almost impact, the X axis(horizontal direction) and the Z axis(vertical direction) maximum linear velocity of blade did not show at impact but after impact this will resulted influence upon hitting puck. 2. The resultant linear velocity of each segment of right arm showed maximum resultant linear velocity at impact. It could be suggest that the right arm swing patterns is kind of push-like movement. therefore the upper arm is the most important role in the right arm swing. 3. The three dimensional anatomical angular displacement of trunk in flexion-extension showed flexion all around the wrist shot. The angular displacement of trunk in internal-external rotation showed internal rotation angle at the backswing top and and increased the angle after the impact. while there is no significant adduction-abduction. 4. The three dimensional anatomical angular displacement of trunk showed most important role in wrist shot. and is follwed by shoulder joints, in addition the movement of elbow/wrist joints showed least to the shot. this study result showed upperlimb of left is more important role than upperlimb of right.