• Title/Summary/Keyword: 손목굽힘근

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Initiation and Termination of Electromyographic Activity in the Early Hemiparetic Wrist (초기 편마비 환자의 손목에서 근수축 개시 및 종료의 지연)

  • Chung, Yi-Jung;Cho, Sang-Hyun;Kwon, Oh-Yun;Lee, Young-Hee
    • Physical Therapy Korea
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    • v.10 no.4
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    • pp.95-103
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    • 2003
  • 본 연구는 초기 편마비 환자의 손목에서 표면근전도 분석을 통해 근수축 개시 및 종료의 특성들을 알아보고, 임상적인 치료방법의 기초를 제안하고자 실시하였다. 연구대상자는 원주기독병원에 뇌졸중으로 입원한 환자 중 발병 후 3개월 미만인 13명과 원주시에 거주하는 대조군 7명이었다. 근수축 개시 및 종료의 지연은 표면근전도를 이용하여 손목굽힘근과 손목펴짐근에서 손목관절의 굽힘과 폄동작 시 3초의 근전도 신호음에 따라 가장 빠르고 강하게 최대 등척성 수축과 이완을 하여 신호를 수집하였다. 그 결과 편마비 환자의 환측은 건측과 대조군에 비해 손목관절 굽힘과 폄동작에서 근수축 개시및 종료가 유의하게 지연되었으며, 개시보다 종료가 더 유의하게 지연되었다. 따라서 초기 뇌졸중 환자의 근약화는 근육의 개시 및 종료의 반응시간 지연에 영향을 준다고 볼 수 있다. 앞으로 운동조절과 연관되어 기능적인 회복을 유도할 수 있는 근수축의 민첩성 훈련과 근섬유 동원의 효율성을 증진시키기 위한 치료방법들이 연구되어야 할 것이다.

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The Feedback Mirror Therapy in Stroke Patients Effect of Muscle Activity and Function of the Upper Extremity (거울되먹임 융합 치료가 뇌졸중 환자의 상지 근활성도와 상지 기능에 미치는 영향)

  • Uhm, Yo-Han
    • Journal of Digital Convergence
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    • v.13 no.6
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    • pp.205-212
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    • 2015
  • The purpose of this study was to find out the effect that muscle activity of upper extremity and functional test in the case of the stroke patient by using the feedback mirror therapy. Sixteen subjects were recruited and randomly divided into two groups. one group was trained feedback mirror therapy and other group was action observation training. This process was carried out five times a week for eight weeks. To upper extremity test was used to MFT, FMA and in order to test UT, DM, BB, FCR, ECRL used to muscle activity. After the training, exclude FCR an upper extremity motor function of target showed significant difference between two groups and especially an experimental group showed significant muscle activity and MFT, FMA score improvement of UT, DM, BB, ECRL. Therefore, feedback mirror therapy is more upper extremity motor function and muscle activity improvement effect than action observation training.

Electromyographic Analysis of Wrist Flexors by the Shape of Ultrasound Head (초음파 도자의 모양에 따른 손목굽힘근의 근전도 분석)

  • Kim, Won-Ho;Kim, Jong-Man;Park, Hyung-Ki;Park, Eun-Young
    • Physical Therapy Korea
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    • v.14 no.3
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    • pp.9-15
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    • 2007
  • The purpose of this study was to investigate electromyographic activities of the flexor digitorum superficialis (FDS) and the flexor carpi ulnaris (FCU) by the shape of the ultrasound head. Twelve healthy subjects participated and performed ultrasound therapy with a round head and a long handled head during each 5-minute application. Electromyographic activities of the FDS and FCU were recorded by surface electrodes and normalized by maximal voluntary isometric contraction (MVIC) values. There was no difference in the muscular fatigue of FDS and FCU as determined by the shape of the ultrasound head (p>.05). Without the shape of head, the mean power frequency decreased with the time. There also was no difference in %MVIC of the FDS and FCU as determined by the shape of the ultrasound head (p>.05), but the force exerted exceeded 20%MVIC. There was however a significant difference in the amount of cumulative workload of the FDS and FCU as determined by the shape of ultrasound head (p<.05). The workload was however not affected by the shape of the ultrasound head. Constant static grasp of ultrasound transducer head during ultrasound therapy is considered a high risk factor of work-related musculoskeletal disease.

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The Effects of Shoulder Mulligan Taping and Repeated Measurements on Wrist Flexor Muscle Activity and Grip Strength in Forward Head Posture (전방머리자세 대상자에게 어깨관절 멀리건테이핑 적용이 손목굽힘근의 근활성도와 파악력에 미치는 영향)

  • Oh, Kang-o;Park, Su-hyung;Kim, Dong-woo;Baek, Yong-hyeon;Choi, Su-hong
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.24 no.2
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    • pp.1-7
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    • 2018
  • Background: This study was carried out to investigate the effect of mulligan taping group and repeated measurement group on muscle activity and grip strength of adult with forward head posture. Methods: Thirty adults with forward head posture were randomly assigned to each of 15 mulligan taping and repeat measurement groups. The mulligan taping group measured the pre-test and post-test muscle activity and the grip strength three times and compared the mean values. The repeat group was repeatedly measured and measured before and after the experiment, The collected data were analyzed using SPSS statistical program. Results: There was no significant difference between mulligan taping group and repeated measurement group in changes of muscle activity. There was a significant difference between mulligan taping group and repeated measurement group in changes of grip strength. Conclusions: Mulligan taping was applied to an adult with forward head posture, there was no significant change in muscle activity of flexor carpi radialis and palmaris longus, but it seems to improve hand function by re-aligned of nearby muscles by maintaining scapular stability.

Flexor Carpi Radialis Tendon Rupture due to Repetitive Golf Swing (반복적인 골프 스윙으로 인한 노쪽손목굽힘근 힘줄의 파열)

  • Lee, Sang Chul;Koh, Sung Hoon;Jang, Jin Hyuk;Ahn, Jae Ki
    • Clinical Pain
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    • v.18 no.2
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    • pp.107-110
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    • 2019
  • Flexor carpi radialis (FCR) muscle is located in the forearm anteriorly that runs through a synovial fibro-osseous tunnel in the forearm. We described a case of FCR tendon rupture due to repetitive overuse injury. A 55-year-old man, right-hand dominant, presented with right forearm pain and swelling which started 3 days ago while playing amateur golf. Focal tenderness and bruising over volo-ulnar region of the right forearm were examined. Plain radiographs showed soft tissue edema around lesion area and no detectable fracture. Ultrasonography showed multiple hypoechoic lesions suspected as hematoma of the flexor muscle group. After done magnetic resonance imaging, he was diagnosed with rupture of FCR tendon at proximal origin and strain of flexor digitorum superficialis and palmaris longus muscle. He received compressive dressing and restriction of wrist range of motion for three weeks. Two months later, remaining traces of lesions were observed at the follow-up ultrasonography and the pain disappeared.

The Effects of Simultaneous Application of Peripheral Nerve Sensory Stimulation and Task-Oriented Training to Improve Upper Extremity Motor Function After Stroke: Single Blinded Randomized Controlled Trial (뇌졸중 환자의 상지기능 개선을 위한 말초감각신경자극과 과제 지향적 훈련의 동시 적용 효과: 단일 맹검 무작위대조군실험)

  • Kim, Sun-Ho;Won, Kyung-A;Jung, Eun-Hwa
    • Therapeutic Science for Rehabilitation
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    • v.9 no.4
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    • pp.7-20
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    • 2020
  • Objective : This study aimed to investigate the effect of simultaneous application of peripheral nerve sensory stimulation and task-oriented training on the improvement of upper extremity motor function after stroke. Methods : This study included 29 patients with hemiplegia. The 14 subjects were in the peripheral nerve sensory stimulation and task-oriented training group for 4 weeks (30 min/d, 5 d/wk), while the 15 control group subjects underwent only task-oriented training for the same duration. The outcome measures were the percentage of voluntary baseline muscle contractions of the wrist and shoulder and Box and Block Test, grip and pinch strength, and Action Research Arm Test. Results : After 4 weeks, muscle activity of extensor carpi radialis, flexor carpi radialis and grip strength and Action Research Arm Test were significantly higher in the experimental group. Conclusion : Simultaneous application of the peripheral nerve sensory stimulation and task-oriented training was found to be superior to task-oriented training for improving upper extremity motor function of adults with stroke.

Effects of Wrist Position on Electromyographic Activities of Flexor Digitorum Superficials and Extensor Digitorum during Drilling and Pinch Grip (드릴작업과 집기작업 시 손목 자세가 손가락굽힘근과 손가락폄근의 근 활성도에 미치는 영향)

  • Choi, Ji-Woo;Jeon, Hye-Seon;Oh, Yun-Kwon;Yi, Chung-Hwi
    • Journal of the Ergonomics Society of Korea
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    • v.26 no.3
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    • pp.27-33
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    • 2007
  • The purpose of this study was to investigate influence of wrist position on the electromyographic(EMG) activities of the flexor digitorum superficialis (FDS) and extensor digitorum (ED) during drilling and pinch grip. Eighteen healthy subjects had been recruited and each subject performed two tasks (drilling and pinch grip) at three different wrist positions ($30^{\circ}$ flexion, neutral, $30^{\circ}$ extension). The EMG amplitude of each muscle was normalized to the amplitude in the maximal voluntary contraction (MVC). Repeated one-way ANOVA was used to compare the differences of EMG across wrist positions. The FDS EMG activity in both drilling and pinch grip was lowest at $30^{\circ}$ wrist extension and the highest at $30^{\circ}$ wrist flexion. The ED EMG activity was lowest when the wrist was neutral in both tasks. From the results of this study, we can conclude that the desirable wrist positions for drilling and pinch grip tasks are slightly extended or neutral position. Therefore, flexed wrist position should be avoided to reduce the excessive work load on the finger muscles during the tasks.

A study on upper extremity muscle fatigue changes of train driver (기관사 상지 근육의 피로도 변화에 대한 연구)

  • Jang, Hye-Yoen;Lee, Yung-Gi;Jang, Jae-Ho;Kim, Tae-Sik;Hong, Sung-Jun;Han, Chang-Soo;Han, Jung-Soo;Ahn, Jae-Yong
    • Journal of the Korean Society for Railway
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    • v.10 no.5
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    • pp.576-581
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    • 2007
  • The purpose of this study is to investigate changes in the forearm-muscle fatigue of a train driver operating the MasCon by using EMG (electromyogram) measurement technique. Train drivers usually use their forearm 4hours/day for normal operation. Accordingly, few different EMG signals of deltoid, biceps brachii, brachioradialis, flexor carpi ulnaris muscle of upper extremity have been measured and analyzed. The raw EMG Signals have been converted into median frequency using spectrum analysis. As the result, 80% of 10 subjects (real train drivers) showed that median frequency value of all four muscles has been reduced after 30 minutes of train operation. This results demonstrated that operating MasCon for 30 minutes could induce muscle fatigue.

Effects of Elbow Ulnar Collateral Ligament Injury on Differences in Maximal Isometric Strength of Upper body in Young Baseball Pitchers (주니어 투수들의 팔꿈치 안쪽 곁인대 손상이 상지 근육의 최대등척성수축력 차이에 미치는 영향)

  • Jang, Sehong;Kim, Donghee
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.17 no.10
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    • pp.628-634
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    • 2016
  • Many pitchers suffer from various types of injury (distortion, sprain and so on). The rate of injury is increased if there are differences in strength between the extensor and flexor muscles when a joint movement is performed with maximum speed. However, there has been insufficient research into the injury caused by strength differences between the extensor and flexor muscles. Thus, the purpose of the study was to examine the effects of elbow ulnar collateral ligament injury on the maximal isometric strength in young baseball pitchers. The data collection was conducted for 2 weeks. The subjects (n=36) who participated in this study were placed into either the injury group (n = 18, IG) or normal group (n = 18, NG). The maximal isometric strength for the pectoralis major (PM), infraspintus (I), biceps brachii (BB), triceps brachii (TB), flexor carpi radialis (ECR) and extensor carpi radialis (FCR) muscles were determined by an isometric strength machine (K-DFX) and then the differences in strength were calculated by muscle group. All of the data were analyzed by SPSS 18.0 with the independent t-test. In the results, the maximal isometric strengths in the IG for the I (p=0.035), BB (p=0.031) and TB (p=0.041) were significantly lower than those in the NG, while that for the ECR (p=0.047) was significantly greater. In addition, the differences of the maximal isometric strength between the PM and I (p = 0.008), BB and TB (p = 0.002), and FCR and ECR (p = 0.032) in the IG were significantly greater than those in the NG. In conclusion, the differences in muscle strengths of the subjects in the IG were greater than those in the NG, which suggests that they might have a higher injury rate in the future. However, they might be able to recover from their injury and achieve better performance if the differences in strength were reduced by training.

Analysis of Differences in Muscle Activity according to Badminton Stroke Movements (배드민턴 스트로크 동작에 따른 근활성도 차이 분석)

  • Kim Hwi-Tae;Kim Ki-Hong;Jeong Huan-Jong;Kim Byung-Kwan
    • The Journal of the Convergence on Culture Technology
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    • v.9 no.2
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    • pp.519-524
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    • 2023
  • The purpose of this study is to construct basic data for efficient technical training by investigating the difference in muscle activity during badminton technical movements involving jump motions similar to game situations. Seven male badminton players were randomly assigned to perform smash, drop, and clear techniques, and electromyograms were measured during the implementation of three technical movements. Measured EMG was calculated by RMS and one-way ANOVA was performed. The muscle activity of the smashing motion did not show any significant difference according to the site. In drop motion, activity of PM in the upper extremity muscles was lower than that of BC and ECR, and FCR activity was lower than that of EC. The activity of ECR was higher than that of PM and FCR. The activity of ES in trunk muscles was lower than that of RF and GM. RF activity of lower extremity muscles was higher than that of ES and BF. In clear motion, the activity of TC in upper extremity muscle was higher than FCR. The activity of ES in trunk muscles was lower than that of BF. RF activity of lower extremity muscles was higher than that of BF, and BF activity was lower than that of RF and GM. The activity of GM was higher than that of BF. As for muscle activity according to badminton skills, smash and drop motions were higher than clear motions in FCR, and clear motions were higher than smash and drop motions in RA. In conclusion, it is considered that muscle activity during the badminton game is different according to the characteristics of each skill, and FCR can affect the smash and drop, and RA can affect the clear motion.