• The Journal of Korean Physical Therapy
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• 제19권2호
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• pp.33-39
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• 2007

Purpose: The purpose of this study was to investigate the effect of wrist position on grip strength. A Grip-Strength is measurement of muscle strength in hand. It is evaluated for the motor function and handicap of hand, projection of treatment plan. It is important because correct treatment. Methods: Total 80 college students were participated in this study, who consisted of 40 males and 40 females(age range: $20{\sim}26$). A Grip-Strength Dynamometer was used to measure the grip strength in three wrist position(flexion, extension, neutral position) and two elbow position(supination, pronation). The ANOVA was conducted to determine any significant difference in grip strength between the wrist position and the two elbow position. Results: The results were as follows: 1. The grip strength was affected by wrist position changes. 2. The difference of grip strength according to elbow position Was not significant difference (p>0.01). 3. The grip strength i1l neutral position was strongest among 3 position of wrist (p<0.01). Conclusion: A Grip-Strength was significant difference in wrist position. Pronation position was minimum grip-strength but not significant difference between supination and pronation.

• 한국인터넷방송통신학회논문지
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• 제21권2호
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• pp.117-124
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• 2021

본 연구는 손목 재활을 위한 신경망을 이용하여 수부 동작 인식해주는 연구이다. 수부의 재활은 손상을 받은 수부의 기능을 최대로 회복시켜 일상생활과 직업, 취미생활을 가능하게 하는 것을 목표로 한다. 하지만 어느 장소를 찾아 치료를 하는 것은 경제적, 시간적으로 매우 비효율적이다. 이런 문제점을 해결하고자 본 연구에서는 환자가 직접 스마트 기기를 이용해 재활 치료를 하고자 한다. 이를 활용하면 비용이나 시간적인 면에서 매우 도움이 될 것이다. 본 연구에서는 총 10명의 사람으로부터 4 종류의 재활 운동에 대한 데이터를 수집하여 손목재활 데이터셋을 만들었다. 수부 제스쳐 인식은 신경망을 이용하여 모델을 구성하였다. 그 결과 93%의 정확도를 얻었으며, 본 시스템의 유용성을 검증하였다.

• 한국전문물리치료학회지
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• 제11권4호
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• pp.7-17
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• 2004

Individuals who propel wheelchairs have a high prevalence of upper extremity injuries (i.e., carpal tunnel syndrome, elbow/shoulder tendonitis, impingement syndrome). Musculoskeletal injuries can result from overuse or incorrect use of manual wheelchairs, and can hinder rehabilitation efforts. To better understand the mechanisms of upper extremity injuries, this study investigates the motion of the wrist during wheelchair propulsion. This study also examines changes in the variables that occur with fatiguing wheelchair propulsion to determine how the time parameters of wheelchair propulsion and the state of fatigue influence the risk of injury. A two dimensional (2-D) analysis of wrist movement during the wheelchair stroke was performed. Twenty subjects propelled a wheelchair handrim on a motor-driven treadmill at two different velocities (50, 70 m/min). The results of this study were as follows; The difference in time parameters of wheelchair propulsion (cadence, cycle time, push time, recovery time, and PSP ratio) at two different velocities was statistically significant. The wrist kinematic characteristics had statistically significant differences at two different velocities, but wrist radial deviation and elbow flexion/extension had no statistically significant differences. There were statistically significant differences in relation to fatigue in the time parameter of wheelchair propulsion (70 m/min) between initial 1 minute and final 1 minute. The wrist kinematic characteristics between the initial 1 minute and final 1 minute in relation to fatigue had statistically significant differences but the wrist flexion-extension (50 m/min) had no statistically significant differences. According to the results, the risk of musculoskeletal injuries is increased by fatigue from wheelchair propulsion. To prevent musculoskeletal injuries, wheelchair users should train in a muscle endurance program and consider wearing a splinting/grove. Moreover, wheelchair users need education on propulsion posture, suitable joint position, and proper recovery patterns of propulsion.

• 한국정밀공학회:학술대회논문집
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• 한국정밀공학회 2013년도 춘계학술대회 논문집
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• pp.1021-1022
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• 2013

• 한국정밀공학회:학술대회논문집
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• 한국정밀공학회 2013년도 춘계학술대회 논문집
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• pp.1023-1024
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• 2013

• 한국운동역학회지
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• 제31권1호
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• pp.50-58
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• 2021

Objective: This study aimed to determine the effect of wrist and trunk weight loading using sandbags in stroke patients in order to provide the quantitative data for enhancement of gait movement. Method: Twelve stroke patients, who have been diagnosed with hemiplegia over a year ago, were participated in this study. All subjects were asked to perform normal walking [N], wrist sandbag walking [W], wrist & trunk sandbag walking [WT], and both wrist sandbag walking [B] and both wrist & trunk sandbag walking [BT], respectively. Eight infrared cameras were used to collect the raw data. Gait parameters, arm swing, shoulder-pelvic kinematics, and lower extremity joint angle were calculated to examine the differences during walking. Results: As a result, there were no significant differences in the gait parameters, shoulder-pelvis, and lower extremities joint angles, but significant differences were found in the range of motion and the anteversion in arm swing. Conclusion: Wrist and trunk weight loading using sandbags affected the movement of the upper extremities only while it did not affect the movement of the lower extremities. It implies that it can reduce the risk of falling caused by a sudden movement change in lower extremities. In addition, the wrist and trunk weight loading using sandbags can induce changes in movement of the upper extremities independently and contribute to functional rehabilitation through resistance training.

• 한국전문물리치료학회지
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• 제4권1호
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• pp.87-94
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• 1997

The purposes of this study were 1) to determine the changes between pre-treatment and post-treatment of four groups of 15 persons each and 2) to compare the effect of conventional transcutaneous electrical nerve stimulation(TENS) and laser at auricular acupuncture points on experimental pain threshold measured at the wrist. Sixty healthy adult men and women(M:32, F:28), aged 20 to 28 years, were assigned randomly to one of four groups. Group 1 received TENS to the appropriate auricular point for wrist pain, Group 2 received laser to the appropriate auricular point for wrist pain, Group 3 received placebo TENS to the appropriate auricular point for wrist pain, Group 4 received no treatment and served as controls. Experimental pain threshold at the wrist was determined with a painful electrical stimulus before and 20 minutes after ear stimulation. Group 1 was the only group that showed a stastically significant increase (p<0.05) in pain threshold after treatment whereas the Group 2,3 and 4 did not. These results suggest that TENS has the capability to higher pain threshold but laser does not.

• 한방재활의학과학회지
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• 제32권1호
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• pp.21-36
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• 2022

Objectives The purpose of this study is to investigate the research trend of Korean traditional medicine for musculoskeletal disorders related to wrist and hand under Korean healthcare facilities. Methods We collected data from search engines for research including foreign and domestic online database using the keywords ligament tendon, wrist sprain, tendinitis, trigger finger, carpal tunnel, ganglion cyst, de Quervain's and Raynaud. Results A total of 45 articles were about ligament tendon, wrist sprain, tendinitis, tenosynovitis, trigger finger, carpal tunnel syndrome, ganglion cyst, de Quervain's tenosynovitis and Raynaud disease. Out of 45 articles, 20 articles were about carpal tunnel syndrome and the most commonly used measurement was visual analog scale. Conclusions This study shows the research trend of musculoskeletal disorders related with the wrist and hand. Through the collected data, the treatment methods and specific information of treatments were organized. This study can be used in clinical environments and will contribute for further study in musculoskeletal disorders related with the wrist and hand.

• Physical Therapy Rehabilitation Science
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• 제6권3호
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• pp.127-133
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• 2017

Objective: The purpose of this study was to explore the effect of repetitive wrist extension task training with electromyography (EMG)-triggered neuromuscular electrical stimulation (NMES) for wrist extensor muscle recovery in patients with stroke. Design: Randomized controlled trial. Methods: Fifteen subjects who had suffered a stroke were randomly assigned to an EMG-triggered NMES group (n=8) or control group (n=7); subjects in both groups received conventional therapy as usual. Subjects in the experimental group received application of EMG-triggered NMES to the wrist extensor muscles for 20 minutes, twice per day, five days per week, for a period of four weeks, and were given a task to make a touch alarm go off by activity involving extension of their wrist. In the control group, subjects performed wrist self-exercises for the same duration and frequency as those in the experimental group. Outcome measures included muscle reaction time and spectrum analysis. Assessments were performed during the pre- and post-treatment periods. Results: In the EMG-triggered NMES group, faster muscle reaction time was observed, and median frequency also showed improvement, from 68.2 to 75.3 Hz, after training (p<0.05). Muscle reaction time was significantly faster, and median frequency was significantly higher in the experimental group than in the experimental group after training. Conclusions: EMG-triggered NMES is beneficial for patients with hemiparetic stroke in recovery of upper extremity function.

• 한국전문물리치료학회지
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• 제11권1호
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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.