• Archives of Reconstructive Microsurgery
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• 제16권2호
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• pp.125-132
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• 2007

Introduction: Ulna is nearly equal to radius in function and bony architecture and strength in forearm. But in lower extremity, fibula is 1/5 of tibia in anatomic and functional point so we can find fibula transposition is commonly used in defect of tibia. We cannot find other article about segmental forearm bone transposition in man. The purpose of this study was to report our clinical and functional result of undergoing segmented transposition of ipsilateral ulna with its own vascular supply in defect of radius in 6 cases. Material and method: From June 1994 to October 2007, 7 segmented bone transpositional grafts in forearm were performed in Kyung Hee Medical Center. The distribution of age was from 20 years old to 73 years old. There was male in 6 cases and female in 1 case. The causes of operation were giant cell tumor in 1 case and traumatic origin in 6 cases; it was nonunion in 2 cases and fracture with severe comminution in 4 cases. Ipsilaterally segmented ulna keeping its own vascular supply was transported to defect of radius in severe traumatic patients and one patient whose tumor in radius had been excised. Transported ulna was fixed to proximal and distal radius remnants by plate and screw. In one case with giant cell tumor, transported ulna was connected to radius across wrist joint as wrist joint fusion. Joint preserving procedures were performed in 6 cases with crushing injury of radius. Results: We could obtain solid bony union in all cases and good functional results. The disadvantage was relative shortening of forearm, but we could overcome this problem. Conclusion: We think that ipsilateral segmented ulna transposition keeping its own vascular supply to radius can be perfomed with one of procedures in cases with wide defect in radius.

• 한국운동역학회지
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• 제16권1호
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• pp.151-158
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• 2006

The purpose of this study was to find out the kinematical characteristics of arm's basic position in ballet. In order to achieve the purpose of the study, 3D cinematographic analysis was conducted with a ballerina who might performed the perfect arm's basic position. According to the results of this study, it was appeared that the shoulder kept about 78%-82%, the elbow kept about 62%-96%, the wrist kept 52%-109%, and finger kept 48%-110% with the height. Also, movement was formed with $21^{\circ}-77^{\circ}$ of the upper arm angle, $106^{\circ}-164^{\circ}$ of the elbow, $125^{\circ}-140^{\circ}$ of the wrist, and $83^{\circ}-160^{\circ}$ of the shoulder. The left-right ratio of the total arm angle was 98% in the first, second, and third position, and 100% in the forth position. The angle of arm gradient was remained $-68^{\circ}$ in the first position, $-27^{\circ}$ in the second position, $73^{\circ}$ in the third position, and $-11^{\circ}$ in the forth position. Based on the results mentioned above, balance and symmetry of both arms was an important factor in those four positions. Although it is impossible to maintain the position like robot, it may be a good performance if a certain level of extent was remained With respect to this point of view, it may be a good position if the difference between right and left arm in each joint can be remained within 2%. Angle also was an important factor that if the difference in total angle can be remained within 2% it may be an excellent position, there was difference of right and left based on the joint though. Therefore, practice and instruction to make a perfect symmetry as much as possible were needed Also, it would be a good movement if position and angle of joint within 2% difference of right and left arm can be remained In turn, because ballet is movement with expression of the body, beauty of the body and balance of the movement have to be harmonized for beautiful performance. Therefore, it would be a meaningful future study considering the body condition and movement of ballerina to define the beauty.

• 대한인간공학회지
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• 제34권1호
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• pp.1-10
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• 2015

Objective: The purpose of this paper is to evaluate old and newly designed ammunition boxes from an ergonomic point of view. Background: The ammunition boxes made of wood, which are currently used by the military, have some difficulties such as corrosion and damage of ammunition, environmental pollution, and stock management. Also, damages to the wooden ammunition boxes take place frequently, because soldiers carry them manually. Method: Sixteen participants volunteered to randomly perform lifting, carrying, and side-by-side moving tasks with 4 different old and new boxes, respectively for the ammunitions of 5.56mm, 60mm, 81mm, and 105mm in diameter. The old boxes are made of wood and are currently used in the military, while the new boxes are made of plastics. The joint moments of the elbow, shoulder, back, and knee were measured by using a motion analysis system and force platforms. In addition, an electromyographic system was used to measure the forces of hand and wrist muscles. Results: In most tasks, new boxes caused less joint moments at the elbow and shoulder than old boxes, because the new boxes were lighter and smaller than the old boxes. New boxes also derived less hand and wrist muscle forces due to the provision of fixed hard handles rather than string handles. Conclusion: The ergonomically designed new boxes could reduce the physical stresses of soldiers manually handling ammunitions and be helpful for storage and reuse. Application: This study shows an ergonomic application example for product development and evaluation.

• 산업기술연구
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• 제21권B호
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• pp.265-272
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• 2001

The human arm is modeled by three rigid bodies(the upper arm, the forearm and the hand)with seven degree of freedom(three in the shoulder, two in the elbow and two in the wrist). The objective of this work is to present a method to determine the three-dimensional kinematics of the human elbow joint using a magnetic tracking device. Euler angle were used to determine the elbow flexion-extension, and the pronation-supination. The elbow motion for the various driving conditions is measured through the driving test using a simulator. Discomfort levels of elbow joint motions were obtained as discomfort functions, which were based on subjects' perceived discomfort level estimated by magnitude estimation. The results showed that the discomfort posture of elbow joint motions occurred in the driving motion.

• 대한인간공학회:학술대회논문집
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• 대한인간공학회 1997년도 춘계학술대회논문집
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• pp.100-106
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• 1997

The purpose of this study is to measure perceived joint discomfort in the seated and standing position, and to provide a ranking system of joint discomfort measured in this study. Seven male subjects with no history of musculo-skeletal disorders participated in the experiment. Their physical characteristics were: age -$27.6 {\pm}1.8$ years, stature -$171.0 {\pm}5.5cm$, and body weight -$66.4{\pm}9.3kg$. The results showed that perceived joint discomfort was different depending on the human body joints involved in motion and their movement directions, which imply that the human body motions should be classified intoseveral distinct classes that need to be assigned different weights of postural stress. In the seated postion, the hip movement was the most stressful, the back was the second, and the shoulder was the third. Similarly, in standing postures, the hip was given the highest ranking, followed by the back, and the wrist.

• 제어로봇시스템학회논문지
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• 제16권4호
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• pp.374-380
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• 2010

This paper proposes a wearable interface for a tendon-driven robotic hand prosthesis. The proposed interface is composed of a dataglove to measure finger and wrist joint angle, and a micro-control board with a wireless RF module. The interface is used for posture control of the robotic hand prosthesis. The measured joint angles by the dataglove are transferred to the main controller via the wireless module. The controller works for directly controlling the joint angle of the hand or for recognizing hand postures using a pattern recognition method such as LDA and k-NN. The recognized hand postures in this study are the paper, the rock, the scissors, the precision grasp, and the tip grasp. In experiments, we show the performances of the wearable interface including the pattern recognition method.

• 한국전문물리치료학회지
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• 제27권2호
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• pp.118-125
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• 2020

Background: Lateral epicondylitis (LE) is the most common chronic musculoskeletal pain condition of the upper extremities. LE is often related to forceful grip activities that require isometric contraction of the wrist extensors. A previous study evaluated the effect of the diamond taping technique on grip strength and pain; however, there has been no report on the change in the electromyography (EMG) findings of wrist extensors. Objects: The aim of this study was to investigate the effect of diamond taping technique, using a rigid tape, on the EMG activities of the extensor carpi radialis (ECR) during grip activities. Methods: Twenty-four healthy subjects (mean age = 21.50 ± 2.76 years) volunteered to participate in this study. The subjects were instructed to perform forceful grip activities with and without diamond-type taping on the origin area of the ECR. Grip strength tests were performed at 100%, 75%, 50%, and 25% for maximal isometric contraction force. EMG data were collected from the ECR. Repeated measure analysis of variance was used to analyze the effect of grip force and taping (with and without). Statistical significance levels were set at α = 0.05. Comparison of the results with and without taping at different grip force were analyzed using independent t-test. Statistical significance levels were set at α = 0.01. Results: Statistically significant association was observed between the taping application and forceful grip activity as revealed by the EMG data of the ECR (p < 0.05). EMG of the ECR significantly reduced for all muscle strength levels (p < 0.01) after taping. Conclusion: This study shows an impressive effect of the diamond taping technique, using rigid tape, on wrist extensors during grip activities. Decreasing muscle activity via this taping approach could be utilized to enhance pain-free grip force and reduce pain in patients with LE. Our study suggested that this taping technique could be considered as an effective management strategy of LE.

• 대한물리의학회지
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• 제15권3호
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• pp.79-87
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• 2020

PURPOSE: Physical therapists are always exposed to work-related musculoskeletal disorders. Although kinesio taping can support the joints and assist movement, studies of the effects of kinesio taping on these physical therapists are lacking. This study examined the effects of Kinesio-taping on pain, grip strength, range of motion and daily living skills in physical therapists with work-related musculoskeletal disorders. Pain was measured using a 100 mm VAS. The grip strength was measured using a handgrip dynamometer. The range of joint motion was measured using a goniometer. Living skills were measured by patient-rated wrist evaluation. METHODS: Twenty physical therapists with wrist pain (Kinesio taping: n = 10, Sham taping: n = 10) received taping for each group, and measured the pain, grip strength, range of motion and daily living skills before (Baseline) and after taping (Nine hours). RESULTS: All data were analyzed using Repeated Measure ANOVA (p < .05). In the Kinesio group, resting pain (-14.9), movement pain (-20.5), and daily living skills (-9.55) were improved significantly compared to the baseline (p < .05). The grip strength and range of motion were not changed (p > .05). The sham group showed no significant change in all variables (p > .05). CONCLUSION: Physical therapists with work-related musculoskeletal disorders of the wrist should apply kinesiotaping to improve the occupational tasks.

• 대한정형외과학회지
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• 제56권1호
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• pp.51-60
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• 2021

목적: 요수근 관절 탈구는 고에너지 손상에 의해 발생하며 요골 경상돌기 골절 및 단요월상인대 손상을 동반한다. 단요월상인대는 요골 부착부에서 파열되기도 하지만 요골 월상골와의 전방연에서 견열 골편을 동반하여 발생하기도 한다. 이 연구의 목적은 요골 경상돌기 골절이 동반된 요수근 관절 탈구에서 단요월상인대의 손상 형태 및 치료 방법에 따라 결과의 차이가 있는지 알아보고자 한다. 대상 및 방법: 요수근 관절 탈구로 수술을 시행한 18명을 대상으로 하였다. 요수근 관절 탈구는 Dumontier 등의 방법을 이용하여 Group 1 (순순한 탈구 또는 요골의 작은 견열 골절)과 Group 2 (주상골와의 1/3 이상을 침범한 요골 경상돌기 골절)로 분류하였다. Group 2는 단요월상인대의 부착부가 파열되거나 작은 견열 골절을 동반한 경우를 2A, 비교적 큰 견열 골절을 동반하여 내고정이 가능한 경우를 2B로 분류하였다. 전자는 단요월상인대의 직접 봉합으로, 후자는 작은 나사를 이용한 견열 골편의 내고정으로 치료하였다. 최종 추시에서 통증, 관절 운동 범위와 파악력, 영상 검사를 확인하였다. 치료 결과는 patient-rated wrist evaluation(PRWE), modified Mayo wrist score (MMWS)를 이용하여 평가하였다. 결과: 모든 증례는 Group 2 (2A 6명, 2B 12명)로 분류되었다. 굴신 운동 범위는 건측의 79%, 파악력은 72.9%를 보였다. Group 2A가 2B보다 신전/굴곡/회전에서 더 큰 운동 범위를 보였다. 요사위/척사위/회외전과 통증, 파악력 회복은 차이는 없었다. PRWE, MMWS에서는 두 군의 차이가 없었다. 합병증으로 외상성 관절염 7예, 관절 불안정 5예가 있었다. 결론: 단요월상인대가 손상될 때 요골 월상골와의 전방연에서 발생한 견열 골절은 치료 결과에 영향이 없었다. 그러나 견열 골편이 전위되거나 회전되어 탈구의 정복을 방해하기 때문에 주의해야 하며, 골편에 부착하는 단요월상인대의 기능을 복원하기 위해 해부학적 정복과 견고한 내고정이 필요하다.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• 제35권3호
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• pp.176-181
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• 2009

Synovial chondromatosis is a rare, benign, monoarticular arthropathy that is characterized by the development of highly cellular, metaplastic cartilaginous nodules in the synovial membrane. It commonly affects larger joints such as the knee, elbow, wrist, shoulder, and hip. Synovial chondromatosis of the temporomandibular joint(TMJ) is rare. Moreover, the temporal involvement of synovial chondromatosis without connection with joint is greatly rare. A 44-year-old women had experienced pain of the right TMJ area and limitation of mouth opening. MRI and CT revealed multiple calcified loose bodies and widening in right upper joint space of TMJ and osteolytic lesion in right temporal bone. Treatment consisted of removal of multiple loose bodies, resection of the osteolytic lesion through the preauricular approach. She was diagnosed with primary transitional synovial chondromatosis of TMJ with involvement of temporal bone. In spite of remaining of the loose bodies, pain and mouth opening improved and there have been no recurrence of signs and symptoms for 5 years follow up.