• Title/Summary/Keyword: Wrist rehabilitation

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Initiation and Termination of Electromyographic Activity in the Early Hemiparetic Wrist (초기 편마비 환자의 손목에서 근수축 개시 및 종료의 지연)

  • Chung, Yi-Jung;Cho, Sang-Hyun;Kwon, Oh-Yun;Lee, Young-Hee
    • Physical Therapy Korea
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    • v.10 no.4
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    • pp.95-103
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    • 2003
  • 본 연구는 초기 편마비 환자의 손목에서 표면근전도 분석을 통해 근수축 개시 및 종료의 특성들을 알아보고, 임상적인 치료방법의 기초를 제안하고자 실시하였다. 연구대상자는 원주기독병원에 뇌졸중으로 입원한 환자 중 발병 후 3개월 미만인 13명과 원주시에 거주하는 대조군 7명이었다. 근수축 개시 및 종료의 지연은 표면근전도를 이용하여 손목굽힘근과 손목펴짐근에서 손목관절의 굽힘과 폄동작 시 3초의 근전도 신호음에 따라 가장 빠르고 강하게 최대 등척성 수축과 이완을 하여 신호를 수집하였다. 그 결과 편마비 환자의 환측은 건측과 대조군에 비해 손목관절 굽힘과 폄동작에서 근수축 개시및 종료가 유의하게 지연되었으며, 개시보다 종료가 더 유의하게 지연되었다. 따라서 초기 뇌졸중 환자의 근약화는 근육의 개시 및 종료의 반응시간 지연에 영향을 준다고 볼 수 있다. 앞으로 운동조절과 연관되어 기능적인 회복을 유도할 수 있는 근수축의 민첩성 훈련과 근섬유 동원의 효율성을 증진시키기 위한 치료방법들이 연구되어야 할 것이다.

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A Comparison of Methods for Estimating the Proper Cane Length for Hemiplegic Patients (성인편마비환자의 지팡이 길이 측정법 비교)

  • Yi, Chung-Hwi;Kim, Jong-Man
    • Physical Therapy Korea
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    • v.3 no.2
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    • pp.1-7
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    • 1996
  • Two standard methods of cane length measurements were compared to find which methods really achieve the elbow flexion of 20 degrees to 30 degrees Twenty-four patients with hemiplegia who were ambulatory participated in this study. Method I : Length of the cane measured from the floor to the top of the greater trochanter. Method II : Length of the cane measured from the floor to the distal wrist crease with the arm at the side. Using an adjustable cane, each individual was fitted according to the two methods, and elbow angle was measured after each adjustment. The elbow angle according to Method I and Method II was $46.4{\pm}20$, $44.3{\pm}12.2$, respectively. No significant difference was found in the elbow angle or the cane length between the two methods. Of the 24 participants, 5(20.8%) measured according to method I and 3(12.5%) measured according to method II showed the elbow angle between 20 degrees and 30 degrees. These low predictive rates of agreement between ideal cane length and actually achieved elbow angle showed that these two methods which have conventionally been accepted as a standard to measure ideal cane length need to be revised through further research.

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Narrative Review of Clinical Trial on Scolopendrid Pharmacopuncture in Korean Literature (국내 데이터 베이스 검색을 통한 오공 약침 시술에 대한 임상 논문고찰)

  • Jo, Dong-Chan;Lee, Jin-Hyun;Kim, Chang-Gon;Jung, Woo-Seok;Moon, Su-Jeong;Park, Tae-Yong;Lee, Jung-Han
    • Journal of Korean Medicine Rehabilitation
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    • v.23 no.4
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    • pp.73-82
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    • 2013
  • Objectives The purpose of this review is to investigate studies of Scolopendrid pharmacopuncture and the evidence of it's effects in order to suggest a better research method in the future. Methods We retrieved numbers of clinical studies about Scolopendrid pharmacopuncture from 7 Korean web databases, using key words such as 'Scolopendrid', 'Scolopendrid AND Pharmacopuncture'. This study had been conducted from 1st May 2013 to 31th July 2013. Controlled studies and case studies were only used for this study. Clinical studies that we picked from the databases were classified according to the diseases that those studies are about, and from these clinical studies, we are to research what has to be improved generally in clinical researches. Results 18 case studies, 4 controlled studies had been under research. Scolopendrid pharmacopuncture has a therapeutic effect mainly in musculoskeletal and neurological diseases such as herniated intervertebral disc, carpal tunnel syndrome, swollen leg, feeling of cold on legs, wrist ganglion, lateral epicondylitis, radial nerve palsy, cervical myelopathy, cauda equina syndrome, postauricular pain; as an early symptom of Bell's palsy, pain of popliteal part, gout, plantar fasciitis, cellulitis, frozen shoulder, pain of hip adductors. However objectivity and reliability of the Scolopendrid pharmacopuncture studies still remains controversial. Conclusions It has been suggested that there are positive effects of Scolopendrid pharmacopuncture therapy in treating specific diseases (especially neuromusculoskeletal diseases). However, this narrative review can't conclude and prove that the Scolopendrid pharmacopuncture has positive effectiveness on these diseases unlike systematic review. So, in order to put Scolopendrid pharmacopuncture therapy to use for many kinds of diseases in more reasonable ways, it is essential to build well-designed clinical research tools. In the future, abundant case studies, more follow-up trials and randomized controlled trials based on the korean medicine should be done to use Scolopendrid pharmacopuncture for a clinical purpose.

Functional Separation of Myoelectric Signal of Human Arm Movements Using Time Series Analysis (시계열 해석을 이용한 팔운동 근전신호의 기능분리)

  • 홍성우;남문현
    • The Transactions of the Korean Institute of Electrical Engineers
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    • v.41 no.9
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    • pp.1051-1059
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    • 1992
  • In this paper, two general methods using time-series analysis in the functional separation of the myoelectric signal of human arm movements are developed. Autocorrelation, covariance method and sequential least squares algorithm were used to determine the model parameters and the order of signal model to describe six arm movement patterns` the forearm flexion and extension, the wrist pronation and supination, rotation-in and rotation-out. The confidence interval to classify the functions of arm movement was defined by the mean and standard deviation of total squared error. With the error signals of autoregressive(AR) model, the result showed that the highest success rate was obtained in the case of 4th order, and success rate was decreased with increase of order. Autocorrelation was the method of choice for better success rate. This technique might be applied to biomedical and rehabilitation engineering.

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Prosthetic arm control using muscle signal (생체 근육 신호를 이용한 보철용 팔의 제어)

  • Yoo J.M.;Kim Y.T.
    • Proceedings of the Korean Society of Precision Engineering Conference
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    • 2005.06a
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    • pp.1944-1947
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    • 2005
  • In this paper, the control of a prosthetic arm using the flex sensor signal is described. The flex sensors are attached to the biceps and triceps brchii muscle. The signals are passed a differential amplifier and noise filter. And then the signals are converted to digital data by PCI 6036E ADC. From the data, position and velocity of arm joint are obtained. Also motion of the forearm - flexion and extension, the pronation and supination are abstracted from the data by proposed algorithm. A two D.O.F arm with RC servo-motor is designed for experiment. The arm length is 200 mm, weight is 4.5 N. The rotation angle of elbow joint is $120^{\circ}$. Also the rotation angle of the wrist is $180^{\circ}$. Through the experiment, we verified the possibility of the prosthetic arm control using the flex sensor signal. We will try to improve the control accuracy of the prosthetic arm continuously.

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The Effects of Game-based Functional Electrical Stimulation(FES) on Alpha rhythm in EEG (게임 기반의 기능적 전기자극이 뇌파의 알파 리듬에 미치는 효과)

  • In, Young-Ryeol;Lim, Hyunmi;Ku, Jeonghun
    • Journal of Biomedical Engineering Research
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    • v.38 no.4
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    • pp.190-196
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    • 2017
  • This study aims to investigate how the game based FES paradigm influences on EEG spectrum. Thirteen subjects were recruited for this study. We selected Fp1, Fp2, F3, F4, T3, T4, P3 and P4 for the EEG recording and the wrist was selected as the FES rehabilitation site. EEG spectrum were compared between FES only and FES with game condition. The results showed that FES game significantly suppressed alpha rhythm in EEG compared to the FES only condition.

A Study of the Effects of Wearing Gloves on Grip Strength and Safety (장갑 착용이 악력과 안전에 미치는 영향에 관한 연구)

  • Jung, Hwa-Shik;Koo, Dong-Ho
    • Journal of the Korea Safety Management & Science
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    • v.8 no.4
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    • pp.13-23
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    • 2006
  • Grip strength provides a quick and objective index of the functional integrity of the upper extremities. It is widely used as an assessment measure in physical and rehabilitation medicine. In this study, maximum voluntary grip strength of 20 college students wearing 5 different gloves were measured using Jamar hand dynamometer. The results show that maximum voluntary grip strength was generally reduced when wearing gloves as compared to bare-handed. More specifically, the grip strength was highest when wearing PVC coated glove or bare-handed and getting lowered as wrist band, rubber, leather, and cotton glove in these order. Depending on the measuring posture of grip strength, shoulder height with arm extended forward was higher than the elbow was flexed 90 degree. Moreover, subjects' demographic factors and hand dimensions were not closely related to the grip strength. It is thus recommended that the proper glove should be provided to reduce the negative consequences including dropping a tool, poorer control of a tool. lower quality work, and increased muscle fatigue and in turn to increase the user safety and satisfaction.

Functional Separation of Myoelectric Signal of Human Arm Movements using Autoregressive Model (자기회귀 모델을 이용한 팔 운동 근전신호의 기능분리)

  • 홍성우;손재현;서상민;이은철;이규영;남문현
    • Journal of the Korean Institute of Telematics and Electronics B
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    • v.30B no.4
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    • pp.76-84
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    • 1993
  • In this thesis, general method using autoregressive model in the functional separation of the myoelectric signal of human arm movements are suggested. Covariance method and sequential least squares algorithm were used to determine the model parameters and the order of signal model to describe six arm movement patterns` the forearm flexion and extension, the wrist pronation and supination, rotation-in and rotation out. The confidence interval to classify the functions of arm movement was defined by the mean and standard deviation of total squares error. With the error signals of autoregressive(AR) model, the result showed that the highest success, rate was abtained in the case of 4th order, and success rate was decreased with increase of order. This technique might be applied to biomedical-and rehabilitation-engi-neering.

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Design of control algorism for 2 DOF myoelectric hand prosthesis (2자유도 전동의수의 제어알고리즘 설계)

  • Choi, Gi-Won;Choe, Gyu-Ha;Kim, Hong-Sung;Shin, Woo-Seok
    • Proceedings of the KIPE Conference
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    • 2007.07a
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    • pp.250-252
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    • 2007
  • In this paper presents a control algorism for myoelectric hand prosthesis(MHP) with 2 degree of freedom(DOF), which consists of a mechanical hand, a surface myoelectric sensor(SMES) for measuring myoelectric signal, a control system and a charging battery. The actuation for the 2-DOF hand functions such as grasping and wrist rotation was performed by two DC-motors, and controlled by myoelectric signal measured from the residual forearm muscle. The two controllers were made of a RISC-type microprocessor, and its software was executed on a real-time kernel. The experimental results were showed that the proposed a control algorism is feasible for the MHP.

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An Introduction of Myo Armband and Its Comparison with Motion Capture Systems

  • Cho, Junghun;Lee, Jang Hyung;Kim, Kwang Gi
    • Journal of Multimedia Information System
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    • v.5 no.2
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    • pp.115-120
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    • 2018
  • Recently, ways for accurately measuring the three dimensional movements of hand are actively researched so as to utilize the measurement data for therapeutic and rehabilitation programs. This research paper aims to introduce a product called Myo Armband, a wearable device comprised of a 3-axis accelerometer, a 3 axis gyroscope, and electromyographic sensors. We compare Armband's performance with that of the Motion Capture System, which is known as a device for providing fairly accurate measurements for angular movements of objects. Dart throwing and wrist winding motions comprised movement scenarios. This paper also discusses one of Armband's advantages - portability, and suggests its potential as a substitute for previously used devices. Decent levels of measurement accuracy were obtained which were comparable to that of three dimensional measurement device.