• Title/Summary/Keyword: 위팔

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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.

Analysis of Upper Arm Development for Sleeve Armhole Line (소매 진동둘레선 설계를 위한 위팔 체표전개도 분석에 관한 연구)

  • 이정란
    • Journal of the Korean Society of Clothing and Textiles
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    • v.22 no.7
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    • pp.892-900
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    • 1998
  • This study was done to analyze the surface development of upper arm for planning sleeve armhole line. The major conclusions of this study are: 1. The surface development by arm movements made the expansion and contraction of upper arm surface changes easily visible. Armhole lines of 90$^{\circ}$and 135$^{\circ}$~180$^{\circ}$movements deviated from those of standard posture. 2. According to regression analysis, armhole lines on the upper arm were adapted to sleeve patten, following the axillary circumference line changed to biceps line. Sleeve cap length ranged from armhole/4+2.5cm to armhole/4$\pm$0.5cm. 3. Compared to Rim's pattern method, ascending and descending amounts of armhole lines were represented as fixed values.

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The Immediate Effects of Pectoralis Minor Self-stretching Exercise on Muscle Length and Acromio-humeral Distance in Normal Adults (작은가슴근 자가 신장운동이 정상 성인의 작은가슴근 길이와 봉우리-위팔 거리에 미치는 즉각적인 효과)

  • Nam, Seung-Min;Kim, Kyoung;Lee, In-Gyu;Lee, Do-Youn
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.7
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    • pp.380-386
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    • 2019
  • Shoulder joint pain is a very common musculoskeletal disorder, in which about 20 percent of adults experience it more than once in their lives. In this study, an objective assessment was made that subacromial space was increased by pectoralis minor stretching exercise, which has a positive effect on impingement syndrome and shoulder pain. Also, This study examined the effects on pectoralis minor length(PML) and acromio-humeral distance(AHD) following pectoralis minor self-stretching exercise in normal adults. In this study, a total of 30 subjects were recruited and randomly divided into a self-stretching exercise group(n=15) and manual stretching exercise group(n=15) to compare the immediate effects of treatment. Studies have shown that both groups have significantly increased both PML and AHD within the group(p<.05). There was no statistically significant difference in the comparison between the groups(p>.05). The results suggest that self-stretching exercise can be recommended as a treatment method for impingement syndrome and prevention of shoulder disease.

Predictive Analyses for Activities of the Upper Extremity and Daily Living based on Impairment of the Upper Extremity in People with Stroke - Preliminary Study using Clinical Scales - (뇌졸중 환자의 위팔 손상 수준에 따른 위팔 활동과 일상생활 활동의 예측도 분석 - 임상적 평가를 이용한 예비 연구 -)

  • Jung, Young-Il;Woo, Young-Keun
    • PNF and Movement
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    • v.16 no.3
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    • pp.495-503
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    • 2018
  • Purpose: This study analyzes the predictive power of upper extremity activity and the activities of daily living in patients with stroke using an easy-to-use evaluation tool. Methods: The Fugl-Meyer assessment (FMA) of the upper extremity and action research arm test (ARAT) are performed, and the Korean modified Barthel index (K-MBI) is measured. The predictive power of the upper extremity activity level and the daily activity level are analyzed using regression analysis. The statistical significance level is 0.05. Results: The coefficient of determination, R2, for predicting the ARAT using FMA was high at 0.88, but the regression equation for predicting the K-MBI using the FMA and ARAT did not show a statistically significant difference. Conclusion: The assessment of the upper extremity should be performed at the activity level, as well as the impairment level. The assessment for predicting the activities of daily living should be carried out for each level of the international classification of functioning (ICF), disability, and health, which can be linked to daily life, in addition to the assessment of the upper arm. Future research should conduct more diverse analyses using the ICF assessment tools at various levels.

A Convergence Study on the 5-axis Machining Technology using the DICOM Image of the Humerus Bone (위팔뼈 의료용 디지털 영상 및 통신 표준 영상을 이용한 5축 가공기술의 융합적 연구)

  • Yoon, Jae-Ho;Ji, Tae-Jeong;Yoon, Joon;Kim, Hyeong-Gyun
    • Journal of the Korea Convergence Society
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    • v.8 no.11
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    • pp.115-121
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    • 2017
  • The present study aimed to obtain basic knowledge of a customized artificial joint based on the convergence research of Digital Imaging and Communications in Medicine(DICOM) and 5-axis machining technology. In the case of the research method, three-dimensional modeling was generated based on the medical image of the humerus bone, and the shape was machined using a chemical wood material. Then, the anatomical characteristics and the modeling machining computation times were compared. The results showed that the Stereolithography (STL) modeling required twice more time for semi-finishing and 10 times more time for finishing compared to the Initial Graphics Exchange Specification(IGES) modeling. For the 5-axis machining humerus bone, the anatomical structures of the anatomic neck, greater tubercle, lesser tubercle, and intertubercular groove were similar to those in the three-dimensional medical image. In the future, the convergence machining technology, where 5-axis machining of various structures(e.g., the surgical neck undercut of the humerus bone) is performed as described above, can be efficiently applied to the manufacture of a customized joint that pursues the precise model of a human body.

The Effects of Virtual Reality Training with Upper Limb Functional Electrical Stimulation to Improve on Muscle Strength, AROM, and Function of Upper Limb Joints in Patient with Chronic Stroke (가상현실훈련과 위팔 기능적 전기자극이 만성 뇌졸중 환자의 위팔 근력, 능동관절운동과 기능에 미치는 효과)

  • Kim, Donghoon;Kim, Kyunghun
    • Journal of The Korean Society of Integrative Medicine
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    • v.8 no.2
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    • pp.211-220
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    • 2020
  • Purpose : The purpose of the present study is to examine the effects of VR training with FES on improving the muscle strength, AROM, and function of the upper limb joints in patients with chronic stroke. Methods : The present study makes use of a pre-post control group design. Thirty patients with chronic stroke were randomly assigned to two groups according to treatment method - the VRFES group and the control group. The VRFES group received 15 minutes of VR training and 15 minutes of FES treatment. The control group received 15 minutes of conservative physical therapy and 15 minutes of VR training. All subjects received 30 minutes of treatment, three times a week, for eight weeks, which amounted to 24 sessions of training. The muscle strength, AROM, and function of the upper extremities were measured before the training and eight weeks after. Upper limb muscle strength was tested using the Digital Manual Muscle Tester while AROM was measured using the Digital Dual Inclinometer. The clinical assessment tools for upper extremity function included the use of the Manual Function Test and the Jebsen-Taylor Hand Function Test. Results : Both groups exhibited great improvements in muscle strength and upper extremity function during the intervention period. The VRFES group exhibited a significant difference in muscle strength, AROM, and function of the upper extremities in comparison with the control group(p<.05). Our results reveal that VRFES is more effective for the muscle strength, AROM, and function of the upper extremities in patients with chronic stroke. Conclusion : VRFES treatment will be used as an important intervention for improving the muscle strength, AROM, and function of the upper extremities in patients with chronic stroke and achieving the functional recovery of the upper extremities.

Implementation of a Human Body Motion Pattern Classifier using Extensions of Primitive Pattern Sequences (프리미티브 패턴 나열의 확장에 의한 사람 몸 동작 패턴 분류기의 구현)

  • 조경은;조형제
    • Proceedings of the Korea Multimedia Society Conference
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    • 2000.11a
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    • pp.475-478
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    • 2000
  • 사람의 몸 동작을 인식해야하는 여러 응용분야에서의 필요성이 대두되면서 이 분야로의 연구가 활발해지고 있다. 이 논문은 사람의 비언어적 행동을 자동적으로 분석할 수 있는 인식기 개발에 관한 것으로 실세계 3 차원 좌표값을 입력으로 하는 사람 몸 동작 패턴 분류기의 구현방법을 소개한 것이다. 하나의 사람 몸 동작은 각 몸 구성 성분(손, 아래팔, 위팔, 어깨, 머리, 몸통 등)의 움직임을 조합해서 정의한 수가 있기 때문에 개별적인 각 몸 구성성분의 움직임을 인식하여 조합해서 임의의 동작을 판별하려는 방법을 적용한다. 사람 몸 동작 패턴 분류기는 측정된 실세계 3 차원 좌표 자료를 양자화한 후 xy, zy 평면에 투영한 값을 자자 구한다. 이 결과를 각각 8 방향 체인 코드로 바꾸고 2 단계 체인 코드 평활화 사업을 하여, 4 방향 코드 체적화 및 대표 코드로의 압축단계를 거친다. 이로서 생성된 프리미티브 패턴나열들을 동작 클래스별로 분류하여 프리미티브 패턴나열의 확장으로 각각의 식별기를 구축하여 각 몸 구성 성분별 동작들을 분류한다. 일련의 실험이 행해져 그 타당성을 확인하였으며, 차후에 이 분류기는 비언어적 행동 분석을 위한 사람 몸 동작 인식기의 전처리 단계로 사용되어진 것이다.

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Subacute Brachial Radiculoplexitis Following Herpes Zoster Infection (대상포진 후 발생한 아급성 위팔신경근얼기염)

  • Kim, Jae-Hwan;Kim, Yong-Duk;Na, Sang-Jun;Lee, Kee Ook;Yoon, Bora
    • Annals of Clinical Neurophysiology
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    • v.17 no.2
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    • pp.86-90
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    • 2015
  • Brachial radiculoplexitis is characterized by acute onset of shoulder and arm pain followed by weakness and sensory loss. Brachial radiculoplexitis by herpes zoster is a rare disease, which can be diagnosed by careful history, electrodiagnosis and MRI. It has remained uncertain about clinical characteristics, treatment, and prognosis. Better understanding of this disease helps earlier diagnosis and prompt treatment to minimize neurologic sequale. We present two cases of subacute brachial radiculoplexitis preceded by herpes zoster infection.