• 제목/요약/키워드: finger rehabilitation

검색결과 139건 처리시간 0.028초

손 재활 로봇의 적용이 만성 뇌졸중 환자의 손 기능 향상에 미치는 영향 (Effect of Robot-Assisted Hand Rehabilitation on Hand Function in Chronic Stroke Patients)

  • 박진혁
    • 로봇학회논문지
    • /
    • 제8권4호
    • /
    • pp.273-282
    • /
    • 2013
  • The purpose of this study was to investigate effect of robot-assisted hand rehabilitation(Amadeo(R)) on hand motor function in chronic stroke patients. This study used a single-subject experimental design with multiple baselines across individuals. Three chronic stroke survivors with mild to sever motor impairment took part in study. Each participants had 2 weeks interval of starting intervention. Participants received robot-assisted therapy(45min/session. 3session/wk for 6wks). Finger active range of motion(AROM) was assessed by Range of Assessment program in Amadeo(R), and test-retest reliability was verified using Pearson correlation analysis. To investigate effect of Amadeo(R), finger AROM was measured immediately after each sessions and Fugl-Meyer Assessment of Upper extremity, Motor Activity Log, Nine hole peg board test and Jebsen-Taylor hand motor function test were assessed at pre-post intervention. Results were analyzed by visual analysis and comparison of pre-post tests. The test-retest reliability of Range of Assessment was good(r=.99). After robot-assisted therapy, finger AROM of participant 1, 2, and 3 was respectively improved by 18%, 3.6%, and 6% each. Hand motor function of participant 1, 3 was improved on all four tests, but not effect in participant 2. Robot-assisted hand rehabilitation could improve finger AROM and effect on hand motor function in chronic stroke patients.

일반 성인의 키보드 연주 손가락 타력 MIDI 표준치 연구 (Normative Data of The Finger Strength Measured by Keyboard Playing with MIDI : Focusing on Adults)

  • 한인희;김수지
    • 인간행동과 음악연구
    • /
    • 제10권2호
    • /
    • pp.79-97
    • /
    • 2013
  • 본 연구는 MIDI(Musical Instrument Digital Interface) 프로그램을 연결한 키보드 연주 시 일반인의 각 손가락 타력 표준치를 측정하고자 실시되었다. 연구 대상은 서울과 충청 지역 대학에 재학 중인 학생 총 92명(남성 46명, 여성 46명)으로 평균 연령은 만 18세부터 28세였다(평균나이: 21.7, 표준편차: 1.8). 연구 대상자의 음악교육경험 및 기간에 관한 조사를 선행한 후, 연구대상자의 각 손가락을 이용하여 키보드 건반을 상행 및 하행으로 타건하도록 하였다. 개인별 타건의 MIDI값을 분석해 본 결과 최대 강도 127 중 77~97의 수치를 기록하였다. 남성의 경우 최대값은 우세손 손가락의 검지에서 96.9를 기록했고, 최저값은 비우세손 약지에서 78.5 나타났다. 여성은 우세손 중지의 타력값이 92로 가장 높았으며 최저값은 남성과 유사하게 비우세손 약지에서 77.5로 나타났다. 참여자들의 우세손과 비우세손 손가락 타력의 차이는 엄지를 제외한 모든 손가락에서 통계적으로 유의미한 차이를 보였으나(p < .05) 성별과 악기 연주 경험에서는 유의미한 차이가 나타나지 않았다(p < .05). 본 연구에서 측정된 손가락 타력의 표준치는 건반악기와 MIDI프로그램의 사용이 손기능을 평가하는 도구로 활용될 수 있으며, 손기능 중재 방안의 효과성 입증을 위한 근거 자료로 활용 될 수 있음을 시사한다.

경량 의수용 SMA 구동식 생체모방 손가락 모듈 (SMA-driven Biomimetic Finger Module for Lightweight Hand Prosthesis)

  • 정성윤;문인혁
    • 제어로봇시스템학회논문지
    • /
    • 제18권2호
    • /
    • pp.69-75
    • /
    • 2012
  • This paper proposes a biomimetic finger module to be used in a lightweight hand prosthesis. The finger module consists of finger skeleton and an actuator module driven by SMA (Shape Memory Alloy). The prototype finger module can perform flexion and extension motions; finger flexion is driven by a contraction force of SMA, but it is extended by an elastic force of an extension spring inserted into the finger skeleton. The finger motions are controlled by feedback of electric resistance of SMA because the finger module has no sensors to measure length and angle. Total weight of a prototype finger module is 30g. In experiments the finger motions and finger grip force are tested and compared with simulation results when a constant contraction force of SMA is given. The experimental results show that the proposed SMA-driven finger module is feasible to the lightweight hand prosthesis.

방아쇠수지가 손목터널증후군 환자의 악력, 통증 및 상지기능에 미치는 영향: 단면적 연구 (Effect of Trigger Finger on Pain, Grip Strength and Function of Upper Limb of Patients with Carpal Tunnel Syndrome: A Cross-sectional Study)

  • 김명권;윤다은
    • 대한물리의학회지
    • /
    • 제16권1호
    • /
    • pp.63-71
    • /
    • 2021
  • PURPOSE: The purpose of this study was to investigate the effects of trigger finger on pain, muscle strength and function in carpal tunnel syndrome (CTS) patients. METHODS: A total of 60 subjects (30 carpal tunnel syndrome with trigger finger and 30 carpal tunnel syndrome without trigger finger) were assessment for pain, muscle strength (power grip, key pinch , tip to tip pinch, three jaw pinch) and function. The effect sizes of the two groups were compared, and the correlation between the trigger finger and each variable was analyzed. RESULTS: The results showed that there were significantly difference in the pain, muscle strength excluding three jaw pinch and function (p < .05). The results also showed correlation between trigger finger and pain (r = .552), muscle strength excluding three jaw pinch (power grip r = -.296, key pinch r = -.260, tip to tip pinch r = -.285), and function (r = .375). The function of carpal tunnel syndrome patients was related to pain (r = .550) and power grips (r = -.324) of muscle strength. CONCLUSION: In carpal tunnel syndrome patients with trigger finger compared to carpal tunnel syndrome, muscle weakness, pain increase, and function reduction were shown. In addition, trigger finger are correlated with muscle strength, pain and function, and muscle weakness and increased pain affect the daily living of carpal tunnel syndrome patients with triggers finger. Therefore, physical therapy interventions of carpal tunnel syndrome patients with trigger finger should be combined with treatment for muscle strength enhancement as well as pain reduction.

Effects of Ultrasound-Guided Acupotomy Therapy on a Trigger Finger: A Case Report

  • Ho Seok Jung;Tae Seong Jeong;Sung Chul Kim;Yeong Jin Jeong;Su Hak Kim;Jinwoong Lim
    • Journal of Acupuncture Research
    • /
    • 제40권2호
    • /
    • pp.162-166
    • /
    • 2023
  • This study aimed to demonstrate a safe and effective procedure targeting the A1 pulley with ultrasound-guided acupotomy in patients with a trigger finger. Six ultrasound-guided acupotomy procedures were performed on 1 patient. The Numerical Rating Scale (NRS) score, Quinnell's classification of triggering, Tanaka score, and A1 pulley thickness were measured using ultrasonography before and after treatment. This study revealed reduced NRS score, Quinnell's classification of triggering, Tanaka score, and thickness of the A1 pulley, with no side effects during the procedure. This indicates ultrasound-guided acupotomy as an effective and safe treatment method for patients with a trigger finger. Further studies are required to evaluate the beneficial effects of this treatment.

서경(書痙:Writer's cramp) 환자에서 침치료로 호전된 치험 1례 (A Clinical Case Report of Writer's Cramp by Only Acupuncture)

  • 황재필;김현수;김민균;안순선;홍서영;허동석;윤일지
    • 한방재활의학과학회지
    • /
    • 제18권3호
    • /
    • pp.211-217
    • /
    • 2008
  • Objectives : The purpose of this study is to evaluate the clinical effect of acupuncture and electroacupuncture by meridian theory to a patient with writer's cramp. Methods : We treated this patient with only acupuncture and electroacupuncture by meridian theory. We evaluated the state of improvement by time to maintain right 2nd finger extended, Pain Disability Index(PDI). PDI was measured twice before treatment and after 19 weeks. Results and Conclusions : The subject was improved in estimation by time to maintain right 2nd finger extended, PDI. The time was from a few seconds to almost 90 minutes. PDI was from 21 to 17. According to above result, acupuncture and electroacupuncture by meridian theory were effective to improve symptoms of writer's cramp.

3축 힘센서를 이용한 두 손가락 힘측정장치 개발 (Development of Force Measuring System using Three-axis Force Sensor for Measuring Two-finger Force)

  • 김현민;윤정원;신희석;김갑순
    • 제어로봇시스템학회논문지
    • /
    • 제16권9호
    • /
    • pp.876-882
    • /
    • 2010
  • Stroke patients can't use their hands because of the paralysis their fingers. Their fingers are recovered by rehabilitating training, and the rehabilitating extent can be judged by measuring the pressing force to be contacted with two fingers (thumb and first finger, thumb and middle finger, thumb and ring finger, thumb and little finger). But, at present, the grasping finger force of two-finger can't be accurately measured, because there is not a proper finger-force measuring system. Therefore, doctors can't correctly judge the rehabilitating extent. So, the finger-force measuring system which can measure the grasping force of two-finger must be developed. In this paper, the finger-force measuring system with a three-axis force sensor which can measure the pressing force was developed. The three-axis force sensor was designed and fabricated, and the force measuring device was designed and manufactured using DSP (Digital Signal Processing). Also, the grasping force test of men was performed using the developed finger-force measuring system, it was confirmed that the grasping forces of men were different according to grasping methods.

Finger Tapping 기기를 활용한 콘텐츠의 sEMG 신호 분석 (Analysis on sEMG Signals of Contents Using Finger Tapping Device)

  • 한상배;변상규;김재훈;신성욱;정성택
    • 한국인터넷방송통신학회논문지
    • /
    • 제19권6호
    • /
    • pp.153-160
    • /
    • 2019
  • 본 논문은 손가락의 운동능력을 개선시킬 수 있는 재활 기기와 콘텐츠를 구현함으로서 누구나 편리하고 재미있게 재활 훈련을 할 수 있도록 돕고자 한다. 그래서 손가락의 조절 능력, 정밀도, 민첩성을 측정할 수 있는 Finger Tapping Device를 제작하고, 이 기기를 사용할 수 있는 콘텐츠로 트래킹, 시각 반응, 손가락 조절을 구현하였다. 이에 대한 유용성 검증은 손가락 움직임에 가장 많이 관여하는 심지굴근에 sEMG를 부착한 후 3종류의 콘텐츠를 수행하는 동안 sEMG의 신호를 분석하여 확인하였다. 실험 결과로서 모든 콘텐츠 수행하는 동안 심지굴근의 근육 활성화가 이루어졌다. 또한 시각 반응에 따른 각 손가락 별 반응 시간을 측정하여 민첩성의 차이가 있음을 확인할 수 있었다.