• 대한정형외과학회지
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• 제55권6호
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• pp.472-486
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• 2020

류마티스 관절염은 만성 경과를 보이는 전신 질환이지만 최근 약물 치료의 비약적 발전으로 인해 많은 환자들이 질병 활성 조절을 얻고 있다. 이에 따라 손과 손목에 시행하던 수술이 예전에 비해 줄어드는 추세를 보이고 있지만 안타깝게도 약물 치료에 반응하지 않는 환자는 여전히 존재하고 있고, 그들에게 수술은 약물과 함께 필요한 필수적 치료 방법이다. 관절이 파괴 및 변형되고, 근력 저하가 발생한 환자의 손과 손목을 수술하기 위해서 집도의는 환자마다 각기 다른 양상으로 진행되는 류마티스 관절염의 병리를 이해해야 한다. 특히 류마티스 관절염은 동시에 여러 관절을 침범하여 문제가 발생하는 경우가 빈번하여 한 가지의 수술만 하기 보다는 여러 가지의 수술을 함께 시행하는 경우가 많으므로 류마티스 관절염 환자의 손과 손목에서 발생하는 문제들에 대해 종합적인 이해가 필요하겠다. 이번 종설에서 저자는 30여 년간 류마티스 관절염에 대한 수술을 하면서 중요하게 생각하였던 개념을 정리하였고, 각 수술의 임상 결과를 문헌 고찰과 함께 기술하였다.

• 대한의용생체공학회:의공학회지
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• 제44권6호
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• pp.482-487
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• 2023

The purpose of this study was to investigate changes in wrist extensor activity, pain, and grip strength before and after wearing a forearm strap in their 20s who complained of chronic lateral epicondylitis for more than 6 weeks. As a result of the study, there was an increase in wrist extensor activity on both the injured and non-injured sides after wearing the forearm strap, but this was not statistically significant. There was a statistically decrease in pain after wearing the forearm strap on the injured side, and a statistically significant increase in grip strength on both. After applying the forearm strap with pad, there was an increase in muscle activity of ECRB (extensor carpi radialis brevis) on both the injured and non-injured sides. This is thought to be due to the strap pad acting as a compressive force, reducing pain, and increasing muscle recruitment ability due to stability in wrist extension. However, considering that the number of study subjects is insufficient to generalize the results, additional supplementary research is deemed necessary.

• Anatomy and Cell Biology
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• 제56권1호
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• pp.46-53
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• 2023

It is unclear whether forearm and crural muscle fibers extend distally across the wrist and ankle joints, respectively. We hypothesized, in late-term fetuses, an over-production of muscle bellies extending over the joint. Muscle fibers in histological sections from unilateral wrists and ankles of 16 late-term fetuses (30-40 weeks) were examined and compared with 15 adult cadavers. Muscle fibers of the flexor digitorum profundus (FDP) and flexor digitorum superficialis (FDS) in fetuses, especially muscle bellies to the third and fourth fingers, were found to extend far distally beyond the radiocarpal joint. The extensor digitorum and extensor pollicis longus on the extensor side of the wrist were found to carry distally-extending muscle fibers, but these fibers did not extend beyond the distal end of the radius. In the ankle, most muscle bundles in the flexor hallucis longus (FHL), fibularis brevis (FB) and extensor digitorum longus extended distally beyond the talocrural joint, with most FB muscle fibers reaching the level of the talocalcaneal joint. In adult cadavers, muscle fibers of the FDP and FHL did not reach the levels of the radiocarpal and talocrural joints, respectively, whereas the FB muscle belly always reached the talocalcaneal joint. Similarly, some of the FDS reached the level of the radiocarpal joint. Generally, infants' movements at the wrist and ankle could result in friction injury to over-extended muscle. However, the calcaneal and FDP tendons might protect the FB and FDS tendons, respectively, from friction stress.

• 대한통합의학회지
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• 제6권1호
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• pp.75-81
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• 2018

Purpose : The aim of this study was to compare the muscle activities of thumb and wrist during unimanual, bimanual symmetric and bimanual reciprocal movements using surface electromyography. Method : Thirty-six participants were involved in this study. Two blocks were used to perform unimanual, bimanual symmetric and bimanual reciprocal movements of thumb and wrist. Muscle activities in the flexor pollicis brevis, abductor pollicis brevis, extensor carpi radialis and flexor carpi radialis were measured using an surface EMG system. Result : For the flexor pollicis brevis and abductor pollicis brevis, significant difference in the muscle activity were found among the unimanual, bimanual symmetric and bimanual reciprocal movement. For the extensor carpi radialis and flexor carpi radialis, the unimanual movement significantly different from the bimanual symmetric and reciprocal movements. Conclusion : Both the thumb and wrist, bimanual symmetric and reciprocal movements were more efficient than the unimanual movement. Moreover, with regard to the thumb, the bimanual reciprocal movement was more efficient than the bimanual symmetric movement.

• 한국소음진동공학회논문집
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• 제18권9호
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• pp.913-919
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• 2008

Dynamic characteristics of a wrist power transmission of an industrial robot are studied. The wrist power transmission has complex structure characteristics, because it is composed with several shafts and gear system. We used an analytical method to investigate the dynamic characteristics. An analytical model is a rigid model which is composed with masses and springs. Both bearing and gear contact model represent equivalent stiffness springs which are determined by the experiment. In order to investigate the dynamic tendency of the robot wrist power transmission, we simulate the analytical model. There is a dynamic analysis tool which is called the RecurDyn. To verify the analytic results, we experiment a signal analysis which is an overall noise level of the robot. By the parametric study of the element of the robot, we study an improvement method of dynamic characteristics.

• Journal of Korean Biological Nursing Science
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• 제22권2호
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• pp.102-110
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• 2020

Purpose: The purpose of the study was to identify the comparison with the different methods of acupressure treatment in breast cancer patients undergoing chemotherapy. Methods: This study was a single group pretest-posttest design. Thirty patients age 30-65 scheduled for chemotherapy were included. The data were collected through self- reported questionnaires on nausea, vomiting, and anorexia and analyzed using descriptive statistics and the Wilcoxon signed ranked test. Results: The relieving effect of nausea and vomiting (Z= -2.54, p= .011) was significant in P6 acupressure by wrist bands. Conclusion: Patients undergoing chemotherapy have relieving effects on nausea and vomiting after P6 acupressure by wrist band. This study demonstrates the stimulation of the P6 acupressure by wrist band for reducing nausea and vomiting for breast cancer patients undergoing chemotherapy.

• 대한약침학회지
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• 제12권4호
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• pp.127-134
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• 2009

Objective: This case was to report a case of Partial Tear of Triangular Fibrocartilage Complex treated by Intra-articular bee venom Pharmacopuncture. Methods: The patient was treated by Intra-articular bee venom Pharmacopuncture. The Effect of Treatment was evaluated by Visual Analog Scale(VAS) and Modified Mayo Wrist Score(Wrist Score). Results & Conclusions: After Treatment, Patient's VAS decreased and Wrist Score increased. For this results, Intra-articular Bee Venom Pharmacopuncture may be effective for Partial Tear of Triangular Fibrocartilage Complex.

• 한국소음진동공학회:학술대회논문집
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• 한국소음진동공학회 2008년도 춘계학술대회논문집
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• pp.150-155
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• 2008

Dynamic characteristics of a wrist power transmission examine closely with mass property, to present a model which is able to induce the vibration is ultimately the purpose. A robot wrist power transmission for analysis model gets the mass property through the approach to be the experimental. A bearing equivalent stiffness which supports the axis and a gear contact equivalent stiffness are determined by the simplicity analysis model compared the result of the experiment. We calculate the vibration tendency of the robot wrist power transmission by an analysis tool which is called the RecurDyn. We compared it with a signal analysis experiment's which a robot operation happens which is based on the ambient noise.

• 대한인간공학회:학술대회논문집
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• 대한인간공학회 1996년도 추계학술대회논문집
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• pp.238-243
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• 1996

Grip strength is a very important basic data for ergonomic design of hand tools, grips, handles and etc.. Excessive grip strength is contineously exerted to handle the machines or tools, it might cause a musculoskeletal disorder such as cumulative trauma disorders. Capal tunnel syndrome is a typical nerve disorder anomg CTDs. In this paper we have measured the grip strength under sitting and standing posture for Korean adults ; 113 male and 105 female aged from 20' to the above 50' . And this paper performed statistical analysis for driving out characteristics between grip strength and anthropometric data. The results are as follows ; (1) The maximum girp strength is exerted under standing posture with the elbow in full extension(180 .deg. ) for both of male and female (2) There is significant difference in posture, sex and right left hand (3) Grip strength decreases with age for male, but it traces an inverted U curve for female (4) Grip strength has a correlation with age, weight, height, BSA, forearm length, hand length, thickness of wrist, circumference of wrist and breadth of wrist for male

• 대한기계학회논문집
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• 제18권6호
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• pp.1421-1429
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• 1994

An algorithm is developed for solving the inverse kinematic problem of a 6-degree-of-freedom robot with a wrist offset for which the closed form inverse solutions are not obtainable, but knowledge of one joint variable allows closed form solutions of the remaining joint variables. The algorithm does not require Forward Kinematics nor Jacobian but uses the implicit kinematic relationships between joint variables and the given hand position. An iterative back substitution method is used to solve the inversion and the optimal conditions of the convergence are incoporated. An example is given to illustrate the concepts, the solution procedure and its convergency.