• The Journal of Korean Academy of Orthopedic Manual Physical Therapy
• /
• v.22 no.1
• /
• pp.71-76
• /
• 2016

Background: The objective of this research is to provide base line data on Korea Baseball rehabilitation treatment by presenting the distribution of upper extremity surgeries according the surgical sites of Korean professional baseball players. Methods: The targets of this research are 561 players from nine Korean baseball clubs. The number of players that have undergone surgery was investigated. In other words, the frequency of shoulder joint surgeries, elbow joint surgeries, and wrist and hand surgeries per each baseball club was investigated. Results: The number of the players who have had surgeries was 151, but among the players, there were some who have had repeated surgeries for which the total number of surgery experience was 162. The result showed that elbow joint surgeries were the most frequently enacted, followed by shoulder joint surgeries, and wrist and hand surgeries. From the nine clubs, Samsung was the club with the highest frequency of surgeries. Conclusions: This research shows that Korean professional baseball players need special training centers with systematic rehabilitation programs. Another conclusion suggests that urgent need for rehabilitation program of upper arm which particularly focused on elbow joint is existing. On the basis of this research, we expect more studies on the specific rehabilitation programs which is categorized by injury areas.

• Clinical Pain
• /
• v.18 no.2
• /
• pp.88-91
• /
• 2019

Unexplained pain and weakness, i.e., without obvious predisposing factors, are often encountered by physiatrists and efforts should be made to determine the cause. A 63-year-old male presented with radiating pain in his right arm and mild weakness of the right hand. An electrodiagnostic examination revealed distal symmetric sensory polyneuropathy in the upper and lower extremities, and denervation potentials in the forearm muscles, which were inconsistent with the cervical spine MRI images and symptoms. A predisposing undiscovered disease was revealed, i.e., squamous cell carcinoma in the lung; brain metastasis affecting the left primary motor cortex was also detected. Therefore, we concluded that the pain and weakness were related to paraneoplastic syndrome and brain metastases of the hand knob. The observed denervation potentials were characterized as trans-synaptic changes in the brain metastasis. This case highlights the importance of unexplainable focal pain and weakness in the increasing prevalence of cancer.

• Journal of the Korean Society for Precision Engineering
• /
• v.29 no.5
• /
• pp.516-523
• /
• 2012

Stroke patients should exercise for the rehabilitation of their fingers, because they can't use their hand and fingers. The moving direction of thumb of five fingers is different that of four fingers (force finger, middle finger, ring finger, little finger). The thumb rehabilitation robot for rehabilitation exercise must be included a force control system, because robot can injure thumb by applying too much force. In this paper, the rectangular-type thumb rehabilitation robot was developed for stroke patient's thumb rehabilitation exercise of the flexibility rehabilitation exercise. The characteristic test of the developed rectangular-type thumb rehabilitation robot was carried out with normal men in their twenties. As a result, it is thought that the robot can be used for the flexibility rehabilitation exercise of stroke patient's thumb.

• Journal of Institute of Control, Robotics and Systems
• /
• v.16 no.9
• /
• pp.833-839
• /
• 2010

In this paper, a novel 1 DOF hand rehabilitation robot is proposed in consideration of ADL training for stroke patients. To perform several ADL trainings, the proposed robot can move the thumb part and the part of 4 fingers simultaneously and realize the full ROM (Range of Motion) in grasp. Based on these characteristics, the proposed robot realizes several types of grasp such as cylindrical grasp, lateral grasp, and pinch grasp by using a passive revolute joint that can change the thumb movement direction. The movement of the thumb is driven by a cable mechanism and the part of 4 fingers is moved by a four-bar linkage mechanism.

• Physical Therapy Rehabilitation Science
• /
• v.9 no.3
• /
• pp.171-177
• /
• 2020

Objective: This study aimed to investigate the upper limb strength, active joint range of motion (AROM), and upper limb function in persons with chronic stroke using virtual reality training in combination with upper limb sensory stimulation. Design: Two-group pretest-posttest design. Methods: 20 subjects were divided into two groups of 10, the sensory motor stimulation and virtual reality training (SMVR) and virtual reality training (VR) groups. The training was conducted for 30 minutes per session, three times a week for 8 weeks.The participants' upper limb strength was measured via the hand-held dynamometer, joint angle AROM was measured via dual inclinometer, function was measured using the Jebson-Taylor hand function test and the manual function test. Results: Significant differences were observed in all groups before and after the training for upper extremity strength, AROM, and function (p<0.05). Between the two groups, the SMVR group showed significant improvement in muscle strength, AROM, and Jebsen-Taylor hand function test scores compared with the VR groups (p<0.05). Conclusions: In this study, we confirmed that sensory stimulation and VR had positive effects on upper extremity strength, AROM, and function of persons with chronic stroke. The results suggest that in the future, VR in combination with sensory stimulation of the upper limb is likely to become an effective method (a rehabilitation training program) to improve the upper limb function of persons with chronic stroke.

• PNF and Movement
• /
• v.20 no.1
• /
• pp.73-81
• /
• 2022

Purpose: The aim of this study was to present specific criteria for setting goals for hand rehabilitation by comparing the degree of difference in grip force, coordination, and dexterity between the dominant and non-dominant hand according to gender. Methods: We recruited 100 healthy adults in their 20s and 30s. A handheld digital dynamometer was used to evaluate the grip force of each of the dominant and non-dominant hand, a chopsticks manipulation test was used to evaluate coordination, and the Purdue Pegboard test was used to evaluate agility. Results: In all subjects, the grip force, coordination, and dexterity showed statistically significant difference (p <0.01) between the dominant and non-dominant hand. In the comparison according to gender, both male and female dominant and non-dominant hands showed statistically significant differences in grip force, coordination, and dexterity (p <0.01). In the comparison according to grip force, there was a statistically significant difference between the dominant and non-dominant hand, and men showed stronger result values in both hands compared to women (p <0.01). In the comparison according to coordination, there was no statistically significant difference between the dominant and non-dominant hand in men and women (p >0.05). In the comparison according to dexterity, there was a statistically significant difference between the dominant and non-dominant hand, and women were shown to be faster in performance time with both hands, compared to men (p <0.01). Conclusion: Differences according to gender exist in grip force and dexterity but not coordination, and differences between dominant and non-dominant hand exists across all measurements. The results suggest setting a recovery goal according to dominance and gender during rehabilitation of hand function.

• The Journal of Korean Physical Therapy
• /
• v.15 no.3
• /
• pp.91-109
• /
• 2003

The grip strength is orthopedics department, the place where from rehabilitation medical science and industrial medical science and it evaluates the function of the hand certainly is the ability which is necessary. There is specially by an occupation rehabilitation of mentally retarded child and the evaluation of grip strength is one which is meaning. The samples for this study were 39 normal males and 59 normal females, 62 mentally retarded males, 33 mentally retarded females ranging in age from Prepubeal period to Adolescence. This study was used to measure grip strength BASELINE Hydraulic Hand Dynamometer manufactured by EEI(Fabrication Enterprises Incorporated)in USA. The objective of research from the Prepubeal period to Adolescence the normal and mentally retarded students comparison evaluates the grip strength and effective fine motor program of one's it makes with the fundamental data for a development and it does. The results are as follow : (1) The hand which the normal student and the schoolgirl of rises from grip strength measurement result of the Prepubeal period research object people 10.7Kg with the same left hand was each measured 10Kg with 9.8Kg with in. The grip strength of the mentally retarded schoolboys was the hand which rises 6Kg with the left hand 5.4Kg, the grip strength of the schoolgirls 6.5Kg with was identical. (2) The hand which the normal schoolboys and the schoolgirls rises from grip strength measurement result of the Adolescence research object people 29.6Kg, 20Kg the left hand to be was each measured 27.8Kg with 18.4Kg with. The hand which the mentally retarded schoolboys and the schoolgirls rises 13.1Kg, 11.3Kg the left hand to be was each measured 12.3Kg with 10.9Kg with. (3) Among the normal students $10.2\%$ (Prepubeal period $0.94\%$, Adolescence $15.2\%$) in Mentally Retarded students $17.9\%$ (Prepubeal period $0.77\%$, Adolescence $19.1\%$) left hand it was higher. (4) The grip strength of the students who attend school from the general family dwells were appeared higher than students residence at institution.

• Journal of Korean Medicine Rehabilitation
• /
• v.28 no.3
• /
• pp.97-106
• /
• 2018

The objective of this study was to propose a rehabilitation protocol for distal radius fracture in Korean Medicine and to report its effectiveness. Three patients who had undergone distal radius fracture were treated using the rehabilitation protocol in Korean Medicine. We estimated the outcome evaluating physical examination findings of the wrist joint, numeric rating scale and quick the Disabilities of the Arm, Shoulder and Hand (DASH) score. After the treatment, we observed that wrist movement, numeric rating scale and quick DASH score were improved. A rehabilitation in Korean Medicine can be effectively used for distal radius fracture patients. The limitation of this study was the insufficient number of cases. Further studies are needed to design a rehabilitation protocol in Korean Medicine.

• Journal of the Ergonomics Society of Korea
• /
• v.36 no.1
• /
• pp.53-67
• /
• 2017

Objective: The purpose of this study is to build basic data to systematically develop a hand function evaluation tool by determining the effects of age, gender and target force level on the difference in hand function according to the target force level. Background: Precise and objective evaluation of hand functionality is a very important factor in quantifying treatment progress in patients or elderly people, and in verifying treatment effects. However, most hand function evaluations lack objectivity and accuracy, and therefore it is difficult to properly treat patients according to the given situation. Method: Sixteen healthy subjects (eight elderly and eight young people) participated in this study to evaluate the effects of age, gender, and target force level on tracking performance through rRMSE in terms of the tracking force and actual exerted force, by carrying out a task of maintaining six different target force levels for 20 seconds. Results: The result of this experiment indicated that elderly people and women had a lower ability to maintain a certain level of force than young people and men by 16% and 10%, respectively. The target force level results showed that the tracking error of the lowest force level (5% MVC) was significantly higher than that of 15% MVC, which in turn showed a higher tracking error than that of the higher target force levels. Conclusion: The results of this study can thus be utilized to develop a rehabilitation program for elderly people or other patients. Application: The authors expect that the results of the present study will be valuable to develop a rehabilitation program and hand function evaluation tool.

• The Korean Journal of Pain
• /
• v.27 no.3
• /
• pp.297-300
• /
• 2014

This report describes the long term safety and efficacy of intrathecal therapy using Sufentanil for the management of chronic intractable neuropathic pain in 12 chronic pain patients. Standardized psychological screening was used to determine treatment suitability. Evaluation data included the Visual Analog Scale (VAS), Wong-Baker Faces Scale, Brief Pain Inventory (BPI), Disability of Arm, Shoulder, and Hand (DASH), McGill Quality of Life Questionnaire, and complications (granulomas, toxicity, withdrawal, or deaths). SPSS version 18 was used for data analysis. Pre- and post- treatment BPI measures and pain scale scores showed a statistically significant difference. There were no complications directly related to drug toxicity, nor drug withdrawals, granulomas, or deaths. Intrathecal therapy with Sufentanil therapy offers a good treatment alternative for those cases that have failed both surgery and standard pain treatment. Strict patient selection based on psychological screening, control of co-morbidities, a proper pain management may contribute to successful outcome.