• The Transactions of The Korean Institute of Electrical Engineers
• /
• v.59 no.3
• /
• pp.674-677
• /
• 2010

The purpose of this study was to analyze bradykinesia of forearm movement in patients with Parkinson's disease (PD) as compared to those of normal subjects. A gyrosensor was selected for the measurement of forearm movement, because it can provide angular velocity signal which is free from the gravitational artifact and also because it can be conveniently used during clinical test of bradykinesia. Forty PD patients (age: $65.7\pm11.1$ yrs, H&Y stage:$2.3\pm0.5$), 14 age-matched elderly subjects ($65\pm3.9$ yrs) and 17 healthy young subjects ($24\pm2.1$ yrs) participated in this study. Angular velocity during forearm movement of pronation/supination was measured in both arms. Suggested quantitative measures of bradykinesia were root-mean-squared (RMS) angular velocity, RMS angle, peak power and total power which were derived from the angular velocity. ANOVA showed that all measures were significantly different among three groups (p<0.001). Subsequent post-hoc test revealed that all measures in PD patients were significantly smaller than in healthy elderly and healthy young subjects (p<0.05). This results suggest that PD patients can be differentiated from normal subjects using suggested measures.

• Clinics in Shoulder and Elbow
• /
• v.10 no.1
• /
• pp.131-135
• /
• 2007

We report an isolated anterior dislocation of the radial head in a 23-year-old man after a fall on the outstretched arm. At the time of the injury, the patient's elbow was in a position of mild flexion and pronation which was suddenly further pronated as he fell down. The radial head was incarcerated by the lateral portion of brachialis muscle, and annular ligament was interposed between capitellum and radial head. Open reduction was performed. During 12 months follow-up, reduction of radial head was well maintained without a limitation of range of motion.

• Clinics in Shoulder and Elbow
• /
• v.23 no.1
• /
• pp.20-26
• /
• 2020

Background: High complication rate after open reduction and internal fixation can lead to use of primary total elbow replacement (TER) in treatment of complex distal humerus fractures in elderly patients. The purpose of this study was to investigate the short-term outcomes and complications after primary TER in patients with complex distal humerus fracture. Methods: Nine patients with acute complex distal humerus fracture were treated by primary TER using the semiconstrained Coonrad-Morrey prosthesis. The mean age of patients was 72.7 years (range, 63-85 years). Clinical and radiographic outcomes were evaluated over a mean follow-up of 29.0 months (range, 12-65 months) using visual analog scale (VAS) score for pain; Mayo elbow performance score (MEPS); Quick Disabilities of the Arm, Shoulder, and Hand (Quick-DASH) score; and serial plain radiographs. Complications were also evaluated. Results: At the final follow-up, mean VAS, MEPS, and Quick-DASH scores were 1.2, 80.5, and 20, respectively. The mean range of motion was 127.7° of flexion, 13.8° of extension, 73.3° of pronation, and 74.4° of supination. There was no evidence of bushing wear or high-grade implant loosening on serial plain radiographs. Three complications (33.3%) comprising two periprosthetic fractures and one ulnar neuropathy were observed. Conclusions: Primary TER for treatment of complex distal humerus fractures in elderly patients yielded satisfactory short-term outcomes. However, surgeons should consider the high complication rate after primary TER.

• Journal of Korean Physical Therapy Science
• /
• v.20 no.1
• /
• pp.61-67
• /
• 2013

Purpose : The purpose of this paper is to figure out the effects of the Powerball exercise on grip strength, tip pinch and key pinch. Methods : Twenty subjects participated in this experiment. Spin right wrist counterclockwise for five minutes holding Powerball after making main joint of right hand -predominant hand- into elbow flexion and forearm pronation. Results : 1. Before and after Powerball exercise, when we compared the grip strength of men and women, there was a significant difference. 2. Before and after Powerball exercise, when we compared tip pinch of men and women, there was a significant difference. 3. Before and after Powerball exercise, when we compared key pinch of men and women, there was a significant difference. 4. Before and after Powerball exercise, there was no significant difference between men and women. Conclusion : From what using Powerball exercise influenced grip strength, tip pinch and key pinch positively, we assume that it will be considered a great expectation to improve grip strength, tip pinch and key pinch in the future and it would be better to conduct this experiment in depth to a lot of people.

• Journal of Korean Physical Therapy Science
• /
• v.25 no.2
• /
• pp.47-54
• /
• 2018

Purpose: The purpose of this study was to investigate the most effective exercise position of Latissimus dorsi's activities during Pull up, Push up and Lat pull down among few positions of hand grips(pronation, Supination and neutral grip) and grip widths(30cm, 60cm) based on EMG activities. Method: 10 healthy adults were participated in this study and the surface EMG activities of the Latissimus dorsi were measured during Pull up, Push up and Lat pull down exercise according to specific hand grip and grip width positions. The maximum and mean value of Latissimus dorsi's EMG activities at all positions were recorded and analysed by ONE-WAY REAPTED ANOVA. Results: The showed that the most Latissimus dorsi's activities is during Pull up exercise. Main results are as follows 1)maximum value: For Pull up, among all studied positions, Rt Latissumus dorsi, position of Supinated grip and 60cm grip width showed strongest muscle activation based on maximum EMG value. Statistical significance was assumed at p<.05. 2)mean value: For Pull up, among all studied positions, Both Latissimus dorsi, position of pronated grip and 60cm grip width showed strongest muscle activation based on mean EMG value. Statistical significance was assumed at p<.05. Conclusion: Therefore, taking the results of this study, Pull up exercise would be the best exercise of Latissimus dorsi's activation. It is recommended to do in pronated grip position and 60cm grip width during Pull up to make body fit.

• Archives of Reconstructive Microsurgery
• /
• v.14 no.1
• /
• pp.63-69
• /
• 2005

Purpose: The purpose of this study was to analyze the clinical results after Steindler flexoplasty. Materials and Methods: We analyzed 6 cases who had nearly normal finger and wrist joint flexion function, but could not flex elbow joint actively because of upper arm type brachial plexus injury. We performed operation during the period from February 1997 to July 2003. There were 5 males and 1 female with mean age of 28 years (range: $19{\sim}51$ years) when Steindler flexoplasty was done. The average follow-up period was 3 years 11 months (range: 12 months${\sim}$7 years 4 months). We assessed active range of motion of elbow joint, muscle power and elbow function by Mayer & Green grade scale at last follow-up. We assessed how much they were favorable for Steindler flexoplasty and had improvement of upper extremity function and correction of deformity. Results: Postoperative, flexion range of elbow joint improved to average $111.7^{\circ}$ (range: $90{\sim}130^{\circ}$). $25.8^{\circ}$ (range: $15{\sim}45^{\circ}$) in flexion contracture and $16.6^{\circ}$ (range: $10{\sim}35^{\circ}$) in pronation contracture were remained. Range of motion of elbow joint improved to average $85.3^{\circ}$ (range: $45{\sim}105^{\circ}$). Flexion power of elbow joint improved to Grade 5 in all cases. Postoperatively on Mayer & Green grade scale, there were excellent in 3 cases(50%), good in 2 cases(33.3%), fair in 1 case(16.7%). On patient's own assessment of functional improvement, there were excellent in 4 cases(66.6%), good in 1 case(16.7%) and fair in 1 case(l6.7%). Conclusion: Steindler flexoplasty can reserve good clinical results with being improved to active flexion of elbow joint in cases who have functional hand and wrist, but paralysis upper arm muscle in brachial plexus injury.

• Physical Therapy Rehabilitation Science
• /
• v.5 no.3
• /
• pp.132-137
• /
• 2016

Objective: Eversion of the foot is created with internal rotation of the shank, and inversion of the foot is created with external rotation of the shank. The purpose of the study was to investigate the effect of continuous changes in the angle of the subtalar joint on lower extremity alignments. Design: Cross-sectional study. Methods: Seventeen healthy young adult subjects recruited. The subjects were asked to stand up in a natural standing position on a footplate with eye open and equal weight on each foot for 10s in two different conditions: The right subtalar joint was everted continuously $0^{\circ}-20^{\circ}$ and in separate segments of $0^{\circ}$, $5^{\circ}$, $10^{\circ}$, $15^{\circ}$, $20^{\circ}$. The averages of three trials were used. The observation of the changes in the lower extremity was performed with the use of 3-dimensional motion analysis. For data analysis, the SPSS 18.0 software using paired t-test and repeated measures analysis of variance (ANOVA) was applied. Results: The angle was significantly increased at the horizontal rotation angle of the shank, thigh, and ankle without anterior rotation of the pelvis (p<0.05). The maximum horizontal rotation angle at the thigh on $20^{\circ}$ was $-4.52^{\circ}$ in static, and $-3.10^{\circ}$ in the dynamic conditions compared to $0^{\circ}$. Conclusions: Increased unilateral foot pronation, thigh, shank, ankle horizontal rotation variance was significantly effective. The observation of the changes in foot abduction with the use of a 3-dimensional motion analysis augmented in predicting the angle values of each segment of the lower extremity. In further studies, a comparison of the right and left subtalar joints need to be investigated.

• PNF and Movement
• /
• v.14 no.3
• /
• pp.209-217
• /
• 2016

Purpose: Treatments using a mirror neuron system, such as 3D virtual reality therapy, are used in stroke rehabilitation, but they need to be constructed according to a detailed procedure. The aims of this study were to analyze electroencephalograms (EEG) during relaxation and action while observing first person perspective (1AE) and third person perspective (3AE) videos of the right hand for 20's. Methods: Thirty participants (Male=4, Female=26) were recruited for this study. Participants were selected by a vividness of movement imagery questionnaire (VMIQ). EEG was measured during relaxxation and during action with 1AE and 3AE videos, focusing on the supination and pronation actions of participants' right hands. An absolute mu rhythm, a relatively high alpha power, and a relative beta power were identified. In each group, one-way repeated measures ANOVA was used for statistical analysis. Results: Measurement of absolute mu rhythms was significantly suppressed for both 1AE and 3AE compared with relaxation in C3 and C4 regions. High alpha wave measurements were significantly suppressed for both 1AE and 3AE in all regions, while beta wave measurements were significantly increased only for 3AE in F3 and F4 regions. Conclusion: Based on this study, we suggest that the mirror neuron system is activated during actions accompanied by action observation, especially actions with 3AE video observation, which can be a great therapeutic mathod in stroke rehabilitation.

• Clinics in Shoulder and Elbow
• /
• v.21 no.3
• /
• pp.120-126
• /
• 2018

Background: Treatment of distal humerus fractures in osteoporotic elderly patients is often challenging. For non-reconstructible fractures with open reduction and internal fixation, total elbow arthroplasty (TEA) is an acceptable alternative. However, the relatively high complication rates and lifelong activity restrictions make TEA less ideal for elderly or low-demand patients. Efforts to identify or develop alternate procedures that benefit relatively young, high-demand patients have resulted in increased interest in hemiarthroplasty. This systematic review reports the clinical outcomes of hemiarthroplasty for distal humeral fractures. Methods: We systematically reviewed the databases of PubMed, Ovid MEDLINE, and Cochrane Library. All English-language studies published before June 2017 were considered for possible inclusion. Search terms included 'distal humerus fracture' and 'hemiarthroplasty'. Studies reporting outcomes (and a minimum of 1 year clinical follow-up) in human subjects after hemiarthroplasty (Latitude system) for distal humeral fractures were assessed for inclusion. Patient demographics, clinical and radiographic outcomes, and complications were recorded, and homogenous outcome measures were analyzed. Results: Nine studies with a total of 115 patients met the inclusion criteria. Among the included studies, the weighted mean follow-up time was 35.4 months. Furthermore, the weighted mean of the postoperative range of motion ($107.6^{\circ}$ flexion-extension, $157.5^{\circ}$ for pronation-supination) and functional outcomes (Mayo elbow performance scores: 85.8, Disabilities of the Arm, Shoulder and Hand score: 19.6) were within the acceptable range. Conclusions: Our study indicates that hemiarthroplasty is a viable option for comminuted distal humerus fracture. Satisfactory functional outcomes were observed in most patients.

• The Journal of Internal Korean Medicine
• /
• v.39 no.2
• /
• pp.147-153
• /
• 2018

Objective: The purpose of this case report is to evaluate the effect of electroacupuncture on Pal-sa (EX-UE9) for unilateral motor disturbance of the hand after cerebral infarction. Methods: One patient with unilateral motor disturbance of the hand following cerebral infarction (right basal ganglion and corona radiata) was treated with acupuncture, herbal medication, and electroacupuncture on Pal-sa (EX-UE9) once daily from June 30, 2016 to July 4, 2016. We evaluated improvement using the Box and Block Test (BTT) and 10-seconds Test, including the Finger Individual Movement Test (FIMT), the Hand Pronation and Supination Test (HPST), and the Finger Tapping Test (FTT). Results: After five days of treatment, increase of FIMT and FTT scores was observed after electroacupuncture on Pal-sa (EX-UE9). However, no increase was observed in BBT or HPST scores. Conclusions: This study suggests that electroacupuncture on Pal-sa (EX-UE9) can help treat motor disturbance of the hand after cerebral infarction.