• Title/Summary/Keyword: finger rehabilitation

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

  • Park, Jin-Hyuck
    • The Journal of Korea Robotics Society
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    • v.8 no.4
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    • pp.273-282
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    • 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.

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

  • Han, Inhee;Kim, Soo Ji
    • Journal of Music and Human Behavior
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    • v.10 no.2
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    • pp.79-97
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    • 2013
  • The purpose of this study was to obtain the normative data of finger strength using the keyboard and the MIDI(Musical Instrument Digital Interface) software. A total of 92 college students (46 male and 46 female) were recruited from universities located in Seoul and Chungcheong province and an average age was 21.7(SD = 1.8). After the completion of demographic information, each participant asked to press the five keys both in ascending and descending manners with the maximum strength of individual finger. The velocity was obtained as an indicator for finger pressing force by using the MIDI software. Results showed that the individual finger velocity ranged between 77 to 97 (Maximum possible velocity = 127). Regarding male's velocity data, the maximum velocity was found in index finger of dominant hand(96.9), while the minimum strength was found in ring finger of nondominant hand(78.5). Female data appeared to be similar to male's one in terms of maximum strength in dominant index finger(92) and minimum strength in nondominant ring finger(77.5). It also found that the statistically significant differences(p < .05) on finger strength of all fingers between dominant and non-dominant hands except the thumbs(p < .05). The current findings serves as a "normative standard" that proves the validity and effectiveness of hand rehabilitation training program using the electronic keyboard connected with the MIDI software to enhance functional changes in hands.

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

  • Jung, Sung-Yoon;Moon, In-Hyuk
    • Journal of Institute of Control, Robotics and Systems
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    • v.18 no.2
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    • pp.69-75
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    • 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.

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

  • Kim, Myoung-Kwon;Yun, Da-Eun
    • Journal of the Korean Society of Physical Medicine
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    • v.16 no.1
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    • pp.63-71
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    • 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
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    • v.40 no.2
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    • pp.162-166
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    • 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.

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

  • Hwang, Jae-Pil;Kim, Hyun-Soo;Kim, Min-Kyun;An, Soon-Sun;Hong, Seo-Young;Heo, Dong-Seok;Yoon, Il-Ji
    • Journal of Korean Medicine Rehabilitation
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    • v.18 no.3
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    • pp.211-217
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    • 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.

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

  • Kim, Hyeon-Min;Yoon, Jong-Won;Shin, Hee-Suk;Kim, Gab-Soon
    • Journal of Institute of Control, Robotics and Systems
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    • v.16 no.9
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    • pp.876-882
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    • 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.

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

  • Han, Sang-bae;Byeon, Sang-kyu;Kim, Jae-hoon;Shin, Sung-Wook;Chung, Sung-taek
    • The Journal of the Institute of Internet, Broadcasting and Communication
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    • v.19 no.6
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    • pp.153-160
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    • 2019
  • In this paper, we would like to support anyone who can rehabilitate conveniently and happily by implementing rehabilitation device and game contents that can improve the motor ability of fingers. So we developed a Finger Tapping Device that can measure finger-regulation ability, accuracy, and agility and implemented tracking, visual response, finger-regulation on game contents by utilizing this device. The verification of usability was confirmed by analyzing sEMG signals during the execution of three types of game contents after attaching sEMG to the flexor digitorum poundus, which is most involved in finger movement. As a result of the experiment, activation of the flexor digitorum poundus was performed during execution of every game contents. Furthermore, we confirmed that there is a difference in agility by measuring the reaction time for each finger according to the visual response.