• Title/Summary/Keyword: 양손 활동

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Accelerometry of Unimanual and Bimanual Activities in Stroke Patients (뇌졸중 환자에서 한손 및 양손 활동 수행 시 가속도 분석)

  • Lee, Jeong-Eun;Kim, Do-Yeong;Kim, Tae-Hoon
    • Therapeutic Science for Rehabilitation
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    • v.10 no.1
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    • pp.129-140
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    • 2021
  • Objective : This study evaluated the differences between the upper and lower arm activities of the affected and non-affected sides in stroke patients performing activities of daily living. It was intended to gather basic data for the measurement of daily activities. Methods : The participants in the study consisted of 20 patients, 10 had left hemiplegia and 10 had right hemiplegia. Between September and November 2017, they performed drinking and dressing as unimanual and bimanual tasks. The 3-axes accelerometers were placed 2cm below the lateral epicondyle on the upper arm and 2cm below the radial styloid on the lower arm. The data were collected at intervals of 1/32 Hz and analyzed. Results : In patients with right hemiplegia, the tendon activity was significantly higher in the lower arm when performing a bimanual activity (p<.05), for all the other activities, those of the lower arm were significantly higher than those of the upper arm (p<.01, p<.05). There was no significant difference between the unimanual and bimanual activities of the affected and tendon sides in patients with left hemiplegia (p>.05). In both hands, the activity of the lower arm was significantly higher than that of the activities of the upper and lower arms, except on the affected side (p<.05). In all patients, the activities of the upper and lower arms were significantly higher (p<.05), and the activity of the lower arm was significantly higher than that of the upper (p<.001, p<.05). Conclusion : The activity was higher on the non-affected side than the affected side during the dressing task, and the overall activity was higher in the lower arm than the upper arm.

Study on Effect of Crafts and Hand-writing on Bilateral Coordination (수공예활동과 글씨쓰기활동이 양손협응(Bilateral coordination)에 미치는 영향)

  • Choi, Hyae-Sook
    • The Journal of Korean society of community based occupational therapy
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    • v.4 no.2
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    • pp.63-73
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    • 2014
  • Objective : The purpose of this study was to identify the effect of crafts and handwriting on bilateral coordination during task performance. Methods : Randomly selected 30 college students without hand disability were invited for the study, and grouped 3(test group 1 for crafts, test group 2 for handwriting, and control group) with 10 students per group respectively. Then Jebsen-taylor hand function test, Purdue pegboard test, and Minnesota manual dexterity test were employed for evaluating changes before and after the intervention. Results : After training intervention of crafts and handwriting for two test groups, test groups showed better bilateral coordination significantly than the control group. Especially test group 1(crafts) showed a bigger difference at Jebsen-taylor hand function test, and likely test group 2(handwriting) did at Purdue pegboard test. Conclusion : It was found that crafts increase bilateral coordination, while handwriting increase hand dexterity during task performance. That is, crafts and handwriting affect tasks differently. Further studies applying various crafts and handwriting for many age groups will be helpful for identifying the better way of occupational intervention for individuals in lack of bilateral coordination.

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Janus's Two Faces: SME's Performance Through Ambidextrous Organization Capabilities (야누스(Janus)의 두 얼굴: 조직의 양손잡이 역량을 통한 중소기업의 성과관리)

  • Choi, Yoon Jeoung;Lee, Woo Jin;Oh, Hye Mi
    • Asia-Pacific Journal of Business Venturing and Entrepreneurship
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    • v.15 no.1
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    • pp.197-208
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    • 2020
  • The firms must perform both exploitation activities that efficiently use current resources and exploration activities that capture new opportunities. A company that simultaneously performs two opposite attributes, exploitation and exploration activities, is called an 'Ambidexerity Organization' or 'Organizational ambidexterity', which is called the Ambidextrous organization. This study examines whether the key factors of entrepreneurial orientation affect a firm's performance using two-handed strategies, and empirically analyzes the moderating effects of environmental dynamics. The results show that the entrepreneurial orientation has a significant effect on a firm's performance in the Ambidextrous organization. In addition, the moderating effect of environmental dynamics showed a moderating effect on the relationship between entrepreneurial orientation and organizational ambidexterity. This study not only suggests practical implications for SMEs, including venture firms and startups, but also has a significant impact on the relationship between organizational ambidexterity and a firm's performance. It is expected to make academic contributions by introducing variables and analyzing influential relationships.

A Systematic Review of the Bimanual Intensive Training to Improve Bilateral Coordination for Children With Hemiplegic Cerebral Palsy (편측 뇌성마비 아동(hemiplegic cerebral palsy)의 양손 협응 향상을 위한 집중적 양손활동훈련에 관한 체계적 고찰)

  • Byun, Eun-Jin
    • Therapeutic Science for Rehabilitation
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    • v.4 no.1
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    • pp.7-17
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    • 2015
  • Objective : To investigate the current researches which identify the improvement of bilateral coordination skill of children with hemiplegic cerebral palsy after bimanual intensive training. Methods : We systematically examined papers published in journals from 2004 to 2014, using RISS, Pubmed. Total 6 studies were included in the analyses. Result : All of the selected 6 studies were foreign papers, and the Pedro score was 5 or more. Among various interventions, modified CIMT designs were the most. The primary outcome measure tools are AHA and JTTHF for evaluating bilateral coordination and hand functions, and QUEST, ABILHAND-Kids, COPM, GAS, PEDI, 3-D movement kinematics were used for evaluating various aspects of effectiveness of interventions. Conclusion : Through this systematic review, it is identified that bilateral intensive training provides positive effects to not only hand functions but also bilateral coordination. Furthermore, it also provided supports to participate in ADL requiring bilateral coordination. These results will provides evidence concerning the effectiveness of BIT for children with hemiplegic cerebral palsy.

Effects of Bimanual Intensive Training on Upper Extremity Function in Stroke Patients (양측 집중 훈련이 뇌졸중 환자의 상지기능 회복에 미치는 영향)

  • Hong, Ho-Jin;Park, Hae Yean;Kim, Jung-Ran;Park, Ji-Hyuk
    • Therapeutic Science for Rehabilitation
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    • v.9 no.2
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    • pp.119-135
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    • 2020
  • Objective : The purpose of this study was to investigate the effects of bimanual intensive training on Upper Extremity Function and activities of daily living in stroke patients. Methods : The subjects were 18 patients who were diagnosed with hemiplegic stroke. They were randomly assigned to bimanual intensive training group (n=9) and unilateral intensive group (n=9). Bimanual training group performed bimanual task and unilateral training group performed one hand task for 1 hour per session, 5 times a week, for 4 weeks. Chi-square test, Wilcoxon signed rank test, and Mann-Whitney U test were used for analysis. Results : The results showed that, upper extremity motor function and bimanual coordination were significantly improved in patients in the bimanual training group (p<.05). Additionally, the ratio of affected hand use and amount of use/quality of movement in the hemiplegic upper extremity in activities of daily living for patients in the bimanual training group were significantly improved (p<.05). Although the unilateral group improved motor upper extremity function and activities of daily living in the upper extremity (p<.05), it was not significantly different from that in the bimanual training group. In between-group comparison, bimanual coordination and ratio of the affected hand use in a day were significantly different (p<.05). Conclusion : It is reasonable to conclude that bimanual intensive training therapy is an effective intervention method to improve upper extremity motor function, and activities of daily living in stroke patients.

The Effects of Ambidextrous Alliance on Firm Performance (양손잡이 제휴(Ambidextrous Alliance)가 기업 성과에 미치는 영향)

  • Chung, Do-Bum;Kwak, Joo-Young
    • Journal of Technology Innovation
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    • v.20 no.1
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    • pp.17-43
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    • 2012
  • Alliance formation has been recognized as an important strategy for firms who seek to survive through acquisition of sustainable competitive advantages. Specifically in high-tech industries, firms may consider formation of strategic alliances in order to access valuable external knowledge. These firms tend to be situated in a dilemma that they should choose between exploration and exploitation, which are two types of strategic choices suggested by March (1991). Working out the dilemma has been extensively discussed in the area of strategy or organization learning. Recently, however, an increasing number of studies have stressed on a balance between exploration and exploitation. Regarded as 'ambidextrous organizations' (Lavie and Rosenkopf, 2006), these firms that simultaneously pursue exploration and exploitation have emerged in high-tech industries, and many studies have provided evidence of positive association between organizational ambidexterity and firm performance. In the strategic alliance research, accordingly, scholars began to pay attention to the balanced choice between exploration-and exploitation-oriented alliances. Given these backgrounds, this study examines the relationship between alliance ambidexterity and firm performance. While previous research approached alliance ambidexterity mainly from the number of alliances, our study suggests ambidexterity in terms of alliance portfolio and alliance partner. Our dataset consists of biotechnology or pharmaceutical firms in the United States, which spans time period between 1990 and 2005. We conduct panel data analysis. The results show the strong link between alliance ambidexterity and firm performance, highlighting the balance between exploration and exploitation when firms make strategic decisions.

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The Study on the Balance of Ambidextrous Strategy of Exploration and Exploitation for Startup Performance (조직의 탐색과 활용에 대한 양손잡이 전략의 균형이 스타트업 성과에 미치는 영향)

  • Choi, Sung Chul;Lee, Woo Jin
    • Asia-Pacific Journal of Business Venturing and Entrepreneurship
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    • v.16 no.6
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    • pp.131-144
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    • 2021
  • The organizational ambidexterity is an organizational strategy designed to pursue exploration activities to seize new opportunities and exploitation activities to efficiently use resources. Most of these ambidextrous structures have been studied for large corporations with slack resources, and there are still not many studies on the necessity of an ambidextrous structure for startups with relatively low-level resources. However, recently, the startup ecosystem is being advanced globally, and the amount of VC investment is rapidly increasing. This is a time when a lot of venture fund is invested in startups and a startup-friendly environment for rapid growth is created. This is the time to discuss the necessity and applicability of an ambidextrous organizational structure for startups. Therefore, this study conducted a hypothesis test whether the importance and necessity of balance that startups solving market problems with new ideas and utilizing accumulated resources have. To conduct this study, we analyzed 140 startups data gathered from the survey and the moderation effect was also analyzed. As a result of the study, it was verified that the balance of startup exploration and exploitation had a significant effect on startup performance, and the moderating effect of environmental dynamics was found to have a significant effect on the relationship with non-financial performance. Therefore, for startups with insufficient resources, it was concluded that the surplus resources generated in the process of a firm's growth should be effectively utilized and the balance between exploration and exploitation should be balanced from the initial stage of searching for a new business. In other words, it was confirmed that it is important for continuous growth and survival to seek the structure of an ambidextrous organization in order to internalize a mechanism that enables startups to pursue both effectiveness and efficiency in the long term. This study suggests a strategic direction for the growth of startups from the perspective of organizational structure. We expect that this meaningful results on the relationship between the ambidextrous capabilities of startups and performance contribute to the growth of startups in the rapidly growing startup venture environment.

A Comparative Analysis of Bilateral Hand Movement Using Accelerometer : A Pilot Study (가속도계를 이용한 양손 움직임 비교분석: 예비연구)

  • Lee, Joo-Hyun;Yang, No-Yul
    • 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.

Entrepreneurial Universities Case Study: Based on Ambidextrous Strategy (기업가형 대학의 사례 연구: 양손잡이 전략 관점으로)

  • Won, Chi Un;Bae, Tae Jun;Choi, Kyung Chul
    • Asia-Pacific Journal of Business Venturing and Entrepreneurship
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    • v.15 no.4
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    • pp.27-43
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    • 2020
  • Recently, there has been growing interest in entrepreneurial universities. Accordingly, this study discussed the paradigm shift from traditional university roles to entrepreneurial universities and conducted case analysis of Oxford University, Stanford University and Berlin Institute of Technology from the perspective of ambidextrous strategies of universities. Universities are emphasizing the importance of academic capitalism through market activities as well as the educational and research-oriented role to adapt and survive the rapidly changing uncertain environment. Therefore, many studies related to this have been conducted. This paper discusses the background and necessity of the transformation from traditional universities to entrepreneurial universities, and applies the case of a university that has been successful in transforming into an entrepreneurial universities and creating excellent outcome in terms of ambidextrous strategy. Specifically, this study examined the structural, contextual, and leadership perspectives as a antecedents for ambidextrous strategy. This paper expects not only to introduce cases but also to be used as reference for adapting to future paradigm shifts to entrepreneurial universities and setting the direction of universities.

A Study on Typology of Alliance Portfolio Strategy by Korean Manufacturer (한국제조기업의 국내외 제휴 포트폴리오 전략 유형에 관한 연구)

  • Choi, Won-Woong;Yu, Cheon;Jung, Hun-Joo
    • International Area Studies Review
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    • v.20 no.4
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    • pp.121-145
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    • 2016
  • The purpose of this study is to identify the strategy of alliance portfolio and to compare the firm's characteristics and internal capabilities of each strategy for the successful utilization of alliance. We conducted a cluster analysis and ANOVA on 477 samples, which have alliance experience among the manufacturers responding to the Business Survey by Statistical Office in both 2012 and 2013. As a result of the analysis, it was found that firms have alliance portfolio based on strategy such as exploration, exploitation, and ambidextrity. There are statistically significant differences in the number of patents, technology capability, marketing capability, and global capability among the alliance portfolio strategy type.