• 제목/요약/키워드: finger rehabilitation

검색결과 139건 처리시간 0.024초

경피신경 전기자극법이 교감신경 긴장성에 미치는 영향 (The Effect of Transcutaneous Electrical Nerve Stimulation on Sympathetic Tone)

  • 안수경;유환석;이지현;김영록
    • 한국전문물리치료학회지
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    • 제3권2호
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    • pp.77-83
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    • 1996
  • The purpose of this study was to determine the effect of transcutaneous electrical nerve stimulation(TENS) on sympathetic tone in healthy subjects. Stimulation in the conventional and burst modes was applied to the skin of the forearm overlying the median nerve. TENS was applied for 20 minutes at an intensity sufficient to produce a perceptible though not uncomfortable sensation and no muscle contracion of the forearm musculature. The change in sympathetic tone was measured with skin temperature. Skin temperature was measured at the index finger and on the volar surface of the forearm in the stimulated limb. The conventional and burst modes did not change the skin temperature at any of the two measurement sites. We conclude that TENS, as applied in this study, does not influence sympathetic tone. Further research is needed to assess the sympathetic effects of TENS on patient groups, long term treatment and other modalities.

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의인성 신경손상을 모방한 손뒤침근내 결정종으로 인한 뒤뼈사이신경병증 증례 (A Case of Posterior Interosseus Neuroapathy due to Intrasupinator Ganglion Mimicking Iatrogenic Injection Nerve Injury)

  • 박홍범;김기훈;박병규;김동휘
    • 대한근전도전기진단의학회지
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    • 제20권2호
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    • pp.153-158
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    • 2018
  • Posterior interosseus (PI) nerve compression is a rare form of compressive neuropathy. It can cause pain along the radial nerve course and weakness of radial nerve innervating muscles without sensory symptoms. A 65-year-old man visited our institution complaining weakness of finger extension and thumb abduction after 2 times of injections at the right elbow in local clinic. The patient's clinical history and physical examination implied an iatrogenic radial nerve injury caused by the injection. The electrophysiologic study revealed of posterior interosseus neuropathy (PIN) with incomplete conduction block. However, the ultrasound study showed that the PI nerve was compressed by an anechoic cyst. The magnetic resonance imaging also confirmed of a ganglion cyst, not a hematoma. After repeated aspirations and a steroid injection, the electrophysiologic study showed recovery of motor weakness. Despite of the clue which implying an iatrogenic injury, clinician should consider other possibilities such as ganglion cysts and ultrasound guided aspiration and steroid injection could be an effective option for conservative management.

Effect of light touch on body sway during a stable posture with blocked visual information

  • Kim, Jong-Gun;Kim, Jin-Hong;Do, Kwang-Sun;Yim, Jongeun
    • Physical Therapy Rehabilitation Science
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    • 제5권3호
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    • pp.138-142
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    • 2016
  • Objective: The purpose of this study was to investigate how light touch with a finger affects balance ability when a posture is maintained in the condition of visual information blockage and to provide a fundamental material for developing balance ability in the process of rehabilitation treatment. Design: Cross-sectional study. Methods: The study subjects were 17 healthy men and women in their twenties and thirties who were studying at S University in Seoul. The system was comprised of an equilateral triangular force platform. Subjects were asked to step on the foot position of the force platform (Good Balance, Finland) barefooted for 30 seconds, with eyes closed, hands hanging down loosely, and feet comfortably apart. It was connected to a laptop by using Bluetooth technology. An experiment was conducted in the following three circumstances: 1) no-touch trial, 2) light touch to the back (T7 area), and 3) light touch to the middle finger of the left hand. Each subject was given a 10-minute break between consecutive measurements. The experimental circumstances were performed randomly. Anteroposterior sway (APSV), mediolateral sway velocity (MLSV), and velocity moment (VM) were measured. Results: The APSVs (mm/s) were $9.32{\pm}3.37$ and $5.45{\pm}2.98$; the MLSVs (mm/s), $6.39{\pm}3.35$ and $3.31{\pm}2.48$; and VM ($mm^2/s$), $17.13{\pm}11.75$ and $6.76{\pm}8.31$ in the first and second experimental circumstances, respectively. APSV, MLSV, and VM values were significantly improved with the 1) no-touch trial and 2) light touch to the back trail conditions compared with the 3) light touch to the middle finger of the left hand condition (p<0.05). Conclusions: This study revealed that the balance ability for maintaining a body posture was influenced more by light touch to the back (T7) than by light touch with the sensitive fingertip and body sway diminished after visual information was blocked.

손목 · 손가락 관절가동범위 측정에 관한 3차원 동작분석 프로그램의 신뢰도 연구 (Reliability Study of Three-Dimensional Motion Analysis Program for Wrist and Finger Joint Range of Motion Measurement)

  • 박선하;박지혁;김종배;정영진;이주현;박혜연
    • 재활치료과학
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    • 제12권1호
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    • pp.79-92
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    • 2023
  • 목적 : 본 연구는 손목과 손가락 관절가동범위 측정에 대한 3차원 동작분석 프로그램의 신뢰도를 알아보고자 하였다. 연구방법 : 연구 대상자는 정상인으로 손목과 손가락의 움직임에 제한이 없는 자, 본 연구의 목적을 이해하고 참여에 동의한 자 50명을 대상으로 하였다. 측각기와 3차원 동작분석 프로그램을 사용하여 총 11항목의 손목과 손가락 관절가동범위를 각각 1회씩 측정하였다. 3차원 동작분석 프로그램의 신뢰도를 측정하기 위해 측정값의 일치도와 불일치 양상을 비교하였다. 결과 : 측정값의 일치도를 분석한 결과 44개의 항목 중 38개 측정항목에서 매우 높은 일치도를 보였으며, 측정값의 불일치 양상을 분석한 결과 3가지 항목에서 불일치 양상이 나타났다. 결론 : 본 연구 결과를 통해 본 연구에서 사용한 3차원 동작분석 프로그램을 통해 관절가동범위 측정이 가능함을 알 수 있었다. 또한 3차원 동작분석 프로그램의 측정의 편리성, 정확성의 장점을 기반으로 다양한 임상 분야에서 활용되기를 기대한다.

Relationship between Gender Roles and Job Satisfaction among Neurological Physical Therapists

  • Park, Ji-Whan;Han, Seul-Ki;Lee, Dae-Hee
    • 대한물리의학회지
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    • 제11권3호
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    • pp.81-88
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    • 2016
  • PURPOSE: This study was aimed at investigating the types of gender roles and the relationship between gender roles and job satisfaction among neurological physical therapists. METHODS: The study subjects were 169 (male 74, female 95) neurological physical therapists working at general hospitals or rehabilitation centers in the Daejeon Metropolitan City area, South Korea. To identify job satisfaction scores, the subjects completed a questionnaire, and a vernier caliper was used by a trained examiner to measure the lengths of the subjects' index and ring fingers (i.e., digitus secundus manus and digitus annularis, respectively) to examine gender roles. The index to ring finger length ratio (i.e., 2D:4D ratio) was calculated using a personal computer. An independent t-test was performed to compare the finger length ratio and job satisfaction of male group with that of the female group and a correlation analysis was performed to examine job satisfaction by gender roles. RESULTS: Finger length ratio is lower in males than in females. However, there was no significant difference statistically (p>.05). Regarding job satisfaction by gender, males were more satisfied with their jobs than females (p<.05). However, there were no significant correlations between job satisfaction and gender roles (p>.05). CONCLUSION: It cannot be concluded that bias against gender roles is a contributing factor for neurological physical therapists being satisfied with their job, and thus bias against gender roles among neurological physical therapists should be removed.

유도 선수에서 발생한 수지 근위 지관절의 재발성 전방 회전 탈구 - 1례 보고 - (Recurrent Volar Rotatory Dislocation of the Proximal Interphalangeal Joint of the Finger in Judo Player - A Case Report -)

  • 황정철;정덕환;한정수
    • 대한정형외과스포츠의학회지
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    • 제8권1호
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    • pp.51-55
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    • 2009
  • 수지 근위 지관절의 전방 회전 탈구는 매우 드물게 발생한다. 저자들은 여자 유도 선수에서 발생한 수지 근위 지관절의 전방회전 탈구를 경험하였기에 이를 문헌고찰과 함께 보고하고자 한다. 24세 여자 유도 선수로 총 4번의 근위 지관절 전방 탈구가 발생하였다. 수술 시 회전 손상으로 파열된 척측 측부 인대와 파열 없이 늘어져 있는 중앙 건을 확인할 수 있었다. 수술적 치료로 파열된 척측 측부 인대 봉합술과 중앙 건과 측부대 사이를 봉합하여 근위 지관절의 배측부를 강화 시켜주었다. 술 후 운동시에 탈구는 다시 발생하지 않았다. 수지 근위 지관절의 전방 회전 탈구는 매우 드문 손상이지만 다른 탈구처럼 조기 진단과 치료, 그리고 단계적인 재활이 무엇보다 중요하겠다.

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휘어짐센서와 관성센서를 이용한 손가락을 포함한 상지 운동 검출 (Upper Limb Motion Detection Including Fingers Using Flex Sensors and Inertial Sensors)

  • 김연준;유재하;김동연;김수찬
    • 융합신호처리학회논문지
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    • 제21권3호
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    • pp.101-106
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    • 2020
  • 가상현실의 활용도는 게임뿐만 아니라 재활 치료와 같은 의료에서도 높아지고 있다. 편리성으로 인하여 비디오를 활용한 비접촉 방식과 핸드 헬드 타입의 마우스 등을 사용하여 상지 움직임을 감지한다. 본 논문에서는 접힌 정도에 따라 저항값이 변화되는 휘어짐센서와 공간에서의 방향 정보를 얻을 수 있는 관성센서를 사용하여 손가락 움직임과 함께 상지 동작도 획득할 수 있는 장갑을 구현하였다. 구현된 장갑에서 얻은 신호로 오픈 소스 플랫폼인 Processing을 사용하여 손가락 움직임을 포함한 상지 동작을 실시간으로 표현하였다. 각 손가락 움직임의 감도는 0.5deg, 상지 동작 감도는 0.6deg였다.

노후 잔교식 부두의 동적구조 안전성 평가에 관한 연구 (Evaluation of Dynamic Structural Safety of Aged Finger Pier)

  • 이성우;이상호;지기환
    • 한국전산구조공학회:학술대회논문집
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    • 한국전산구조공학회 1993년도 봄 학술발표회논문집
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    • pp.45-52
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    • 1993
  • Evaluation of structural stability of aged wharf structure of pier type is of great importance for both safety and rehabilitation, Series of field dynamic experiments were performed for berthing impact and the results were used to calibrate analysis model. Through dynamic analysis for design, berthing impact safety of old wharf structure were evaluated. In this paper the procedure and results of experiments and analysis are presented.

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외상성 두부 손상에 의한 수두증의 Vojta치료 증례 (The Report of Vojta Therapy in Hydrocephalus on Traumatic Brain Injury)

  • 이근희;구봉오;배성수
    • The Journal of Korean Physical Therapy
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    • 제14권1호
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    • pp.125-130
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    • 2002
  • This study was applied using vojta therapy in the patient with hydrocephalus occurred by on traumatic brain injury. Vojta treatment was a recently developed of the brain damage patient treatment which can be applied eariler than the other traditional methods. The results were as follows. 1. Hip joint flexion contracture from $100^{\circ}$ to $15^{\circ}$ was improved on prone position. 2. Left convexity curve on thracolumbar region due to functional scoliosis the normal aligment. 3. The thumb finger was changed from thumb-in to thumb-out. 4. Right tilted pelvis on prone position became the normal symmetry

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외측상과염에 관한 고찰 (A Review of Lateral epicondylitis)

  • 이문환;박래준
    • The Journal of Korean Physical Therapy
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    • 제16권4호
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    • pp.202-217
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    • 2004
  • Lateral epicondylitis is characterized by pain at the lateral aspect of the elbow, commonly associated with resisted wrist or finger extension and gripping activities. Lateral epicondylitis is also known such as lateral epicondylosis, tennis elbow, or tendonitis of the wrist extensor muscles, especially extensor carpi radialis brevis. Lateral epicondylitis is a common musculoskeletal lesion in the clinical states, so physical therapist usually meet a patients who has the lateral epicondylitis. But many of physical therapists are treating patients based on a self know-how, so I want to describe a systematically about lateral epicondylitis and give a objective information on the lateral epicondylitis. And now I want that they will be treat patients with lateral epicondylitis not a self-experience but based on a objective information.

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