• Journal of Digital Convergence
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• v.17 no.11
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• pp.349-355
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• 2019

The virtual reality training has been suggested as an intervention to improve physical function. But, the effects of virtual reality training focused on improving ADL in patients with acute stroke are unclear. Purpose of this study was to examine the effect of virtual reality training on hand function and activities of daily living (ADL) in patients with acute stroke. Sixteen patients with acute stroke were included in this study. The experimental group (VRA group) received 30 minutes of virtual reality training focused on ADL for each session, while the control group received 30 minutes of conventional virtual reality training. To examine the hand function and ADL of the subjects, the study used Jebsen-Tylor Hand Function Test (JTHFT) and Korean Modified Barthel Index (K-MBI), respectively. Both groups showed significant improvements in hand function of affected and unaffected sides, and in K-MBI total score before and after the intervention. The experimental group showed significantly greater improvements in the self-care domain of K-MBI after intervention than the control group. These findings suggest that the virtual reality training focused on ADL may have a better effect on self-care than conventional virtual reality training in patients with acute stroke.

• Journal of Korea Entertainment Industry Association
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• v.13 no.6
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• pp.265-275
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• 2019

The purpose of this study was to analysis of the changes of the white noise on the change of the writing ability and hand function of the children with the intellectual disabilities and then provide the basic information about that. The subjects was 12 children with intellectual disabilities. White noise was applied to analyze the subjects' writing ability and hand function before and after application. The provision of the white noise was continuous and uniform through the white noise generator. The analysis of the writing ability was performed by using the KNISE-BAAT assessment and the writing, vocabulary and composing ability were evaluated for the writing ability of the subjects. Also, the analysis of the hand function was performed by using the pegboard sub-item of the Manual Function Test. The results of the writing ability showed the statistically significant increase of the writing and vocabulary ability, but in the case of the composing ability, there was no statistically significant increase in the composing ability. Also, the results of the hand function showed the statistically significant increase in the both hands. The use of the white noise should be considered as a compensatory approach to improve the writing ability and hand function of the children with intellectual disabilities. Also, in order to improve the level of the performance, learning level, and academic achievement of the children of the intellectual disabilities, the application of the white noise in the living and learning environment should be needed to consider.

• Korean Journal of Applied Biomechanics
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• v.31 no.4
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• pp.227-233
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• 2021

Objective: The purpose of this study was to in this study. The maximum grip force of the elderly hand was measured using a custom-designed grasping apparatus mounted with five three-component force transducers. The Jebsen-Tayler hand function test and Purdue Pegboard test were performed to evaluate the dexterity of the hand. Method: Twenty-six elderly women participated in the left hand between the maximum grip force and the Jebsen-Taylor hand function test results (r=-.513, p=.007). A significant correlation was also shown in the hand maximum grip force and the hand Purdue Pegboard results (r=.514, p=.007). However, no significant correlation was found in the right hand. Results: We found a significant correlation investigate the relationship between hand grip strength and hand dexterity in the elderly. Conclusion: Our findings in the current study support the theory of 'Strength-dexterity complementariness' which states that improvement in dexterity is associated with the grip force strength.

• Korean Journal of Occupational Therapy
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• v.26 no.4
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• pp.43-55
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• 2018

Objective : The purpose of this study was to investigate the effects of fidget spinner training on the hand function and handwriting legibility of lower grade elementary school studens. Methods : This study randomly assigned a study group of 12 children and control group of 12 children from 24 children in grade 1 and 2 (ages 7 through 8), whose are dominantly right handed. The study used was a pre-post process. The intervention was conducted only on the study group twice a week for 5 weeks and for 40 minutes per session, for a total of ten sessions. The measuring instruments used to compare the hand functions and handwriting legibility were the Jebsen-Taylor Hand Function Test, Grip Strength Test, and Legibility Test. The data analysis used a Wilcoxon signed rank, Mann-Whitney U and Chi-Square cross analysis. Results : The fidget spinner training showed significant improvement in the study group's hand function(grip strength and handwriting legibility) and a significant difference was shown between the control and study groups. Conclusion : This study confirmed the value and utility of a fidget spinner as a tool for improving the hand function and handwriting legibility of elementary school students in lower grades. Future studies are expected to verify the effectiveness of the fidget spinner training based on the present study.

• Korean Journal of Adult Nursing
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• v.16 no.1
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• pp.123-134
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• 2004

Purpose: The purpose of this study was to examine the effect of use of a horticultural program on the cognitive function, activities of daily living, and hand grip strength of institutionalized dementia patients. Method: Twenty three study participants completed a five week protocol comprised of one week of baseline and four weeks of treatment. The study design was a one group repeated measurement study. For the first and fifth week of the study period, data was collected with 3 instruments: Korean Version of Hasegawa Dementia Scale (HDS-K), Katz's ADL index, hand grip strength. Data analysis was conducted by SPSS version 10.0. Result: Total HDS-K score(p=.000), Activities of daily living(p=.013) and hand grip strength(p=.001) was significantly improved after treatment compared to the baseline. Conclusion: The horticultural program was effective for improving cognitive function, ADL and hand grip strength of the dementia patients. Repeated studies utilizing a control group are needed, using various durations, plants and processes, to confirm these results and to standardize the horticultural program protocol.

• Therapeutic Science for Rehabilitation
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• v.8 no.2
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• pp.43-53
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• 2019

Objective : This study aimed to identify the characteristics of hand function according to age and sex in older adults. Methods : This study included 103 healthy adults aged ${\geq}60$ years. The Korean version of TEMPA was used to assess hand function and a Jamar dynamometer and pinch gauge were used to assess hand and pinch strength in all participants. Results : The results of hand function assessment showed that speed of task execution (mean = 121.32 s, SD = 18.07 s in subjects aged 60-69; mean = 144.97 s, SD = 28.43 s in subjects aged 70-79; and mean = 160.93 s, SD = 38.33 s in subjects aged ${\geq}80$, p < .001) and fine movement (mean score = -.14, SD = .40 in subjects aged 60-69; mean score = -.63, SD = 1.07 in subjects aged 70-79; and mean score = -.57, SD = .65 in subjects aged ${\geq}80$, p = .01) decreased significantly with age. The male group showed better speed of task execution (mean = 133.54, SD = 22.83 in males vs. mean = 150.55, SD = 39.89 in females, p < .01) and fine movement (mean score = -.16, SD = .37 in males vs. mean score = -.46, SD = .58 in females, p < .01) than the female group. Hand strength also decreased significantly with age (p < .05, to p < .001). Conclusion : Occupational therapists should be aware of the decline in hand function (especially speed of task execution and fine movement) and strength in older adults, as well as the need to provide interventions to treat this decline.

• Journal of the Korean Society of Physical Medicine
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• v.16 no.4
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• pp.103-116
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• 2021

PURPOSE: This study examined the effects on the upper extremity function, muscle strength, and hand function of a task-oriented training approach using a percussion instrument for patients with chronic stroke. METHODS: Twenty-four chronic stroke patients accompanied with upper extremity hemiplegia were selected for research and were classified randomly into 12 experimental groups and 12 control groups. The experimental group performed a task-oriented approach, and the control group performed upper extremity occupational therapy. Stroke upper extremity test, Jebsen-Taylor Hand Function test, upper extremity muscle strength test, and hand muscle strength test were measured before and after training in the evaluation process. RESULTS: In the upper extremity test and Jebsen-Taylor test, there were no significant differences between the groups. In the upper extremity muscle strength test, there were significant differences in shoulder flexion, internal rotation, and elbow flexion in the experimental group. In the hand muscle strength test, there were significant differences in the grip, tip Pinch, lateral Pinch, and 3-jaw chuck in the experimental group and significant differences in only grip, tip pinch, and lateral pinch in the control group. In addition, there were significant differences in the lateral pinch compared to the amount of change. CONCLUSION: Task-oriented approach using percussion instruments for upper extremity rehabilitation in stroke patients is effective in the upper extremity function and strength, hand function, and strength.

• Therapeutic Science for Rehabilitation
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• v.2 no.2
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• pp.61-66
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• 2013

Objective : The purpose of this study was to analysis of disparity between bilateral hand movement when performing activity of daily living using accelerometer. Methods : The subjects of this study included 6 healthy adults. The assessment tool used Jebsen Hand Function Test and accelerometer. The subjects performed 7 sub-tests after wearing accelerometer around wrist. Results : Among sub-tests, writing was the only significantly correlated with difference between dominant and non-dominant hand(t=-2.394, p<.05). Further, non-dominant hand (M=2476.2, SD=802.2) showed more movement than dominant hand(M=1456.2, SD=667.6). Conclusion : This results indicated that accelerometer is useful tool for assessment of bilateral hand movement. Considering demographic characteristics, various subject group, further study is needed.

• Proceedings of the KSAR Conference
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• 2001.10a
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• pp.53-54
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• 2001

Expression of HAND genes in sympathetic adrenal lineage suggests that HAND genes may regulate Mash-I independent neuronal genes. HAND genes are also expressed in other cell types, e.g. Cardiac cells, trophoblasts, and decidua, suggesting that HAND genes are not cell fate determination factors. It is unclear how HAND genes function specifically in different types of cells. Combinational actions of HANDs with other cell-lineage specific transcription factor may determine each cell fate and differentiation processes. Identifying the transcription target genes of HANDs and Mash-I will be important to elucidate the function of these bHLH factors in SNS factors in SNS development. (omitted)

• The Journal of the Korea Contents Association
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• v.9 no.10
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• pp.206-217
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• 2009

The purpose of this study was to investigate the cause-effect relationship between motor impairments, hand function, gross motor function and activities of daily living (ADL) in children with cerebral palsy through the analysis of structural equation modeling. For this, 105 children with cerebral palsy (between 6 and 12 years old) were assessed about muscle tone and strength, range of motion, abilities of selective motor control, hand function, gross motor function and ADL. The results of this study were follows: Firstly, there were significant correlations between motor impairments of muscle tone, muscle strength, the abilities of selective motor control and ADL (p < .05); Secondly, a good correlation between the gross motor function, hand function and ADL was found in all children (p < .05); Thirdly, the appropriateness of research model was good. This study focused on exploration of the relationship between the motor impairment, gross motor function, hand function and ADL through structural equation modeling.