• 제목/요약/키워드: Hand Function

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Awake craniotomy removal of a corticospinal tract developmental venous anomaly hemorrhage: A case report

  • Ignacio J. Barrenechea;Luis M. Marquez;Vanina A. Cortadi;Hector P. Rojas;Robin Ingledew
    • Journal of Cerebrovascular and Endovascular Neurosurgery
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    • v.25 no.3
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    • pp.316-321
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    • 2023
  • Developmental venous anomalies (DVAs) are composed of mature venous vessels that lack malformed or neoplastic elements. Although the hemorrhage risk is considered negligible, some patients may have neurological symptoms attributable to acute infarction or intracranial hemorrhage secondary to thrombosis, in the absence of a coexisting cavernous malformation. We report the case of a 42-year-old patient who presented with acute left-hand paresis secondary to a subcortical hemorrhage. This bleeding originated from a DVA in the corticospinal tract area and was surgically drained through an awake craniotomy. To accomplish this, we used a trans-precentral sulcus approach. After the complete removal of the coagulum, small venous channels appeared, which were coagulated. No associated cavernoma was found. Although the main DVA trunk was left patent, no signs of ischemia or venous infarction were observed after coagulating the small venous channels found inside the hematoma cavity. Two weeks after the procedure, the patient's hand function improved, and he was able to resume desktop work. DVA-associated hemorrhage within the cortico-spinal tract could be safely removed with modern awake mapping techniques. This technique allowed the patient to rapidly improve his hand function.

Vibration Suppression Control for Mechanical Transfer Systems by Jerk Reduction

  • Hoshijima, Kohta;Ikeda, Masao
    • International Journal of Control, Automation, and Systems
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    • v.5 no.6
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    • pp.614-620
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    • 2007
  • This paper considers vibration suppression of a mechanical transfer system, where the work is connected with the hand flexibly. We adopt the idea of jerk reduction of the hand. From the equation of motion, we first derive a state equation including the jerk and acceleration of the hand, but excluding the displacement and velocity of the work. Then, we design optimal state feedback for a suitable cost function, and show by simulation that jerk reduction of the hand is effective for vibration suppression of the work and improvement of the settling time. Since state feedback including the jerk and acceleration is not practical, we propose a computation method for optimal feedback using displacements and velocities in the state only.

Development of a Light Weight Hand Lamp of Explosion-Proof Type (휴대용 방폭형 작업등의 경량화 연구)

  • 최상원;이관형;김명섭;임의수
    • Proceedings of the Korean Institute of Industrial Safety Conference
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    • 1997.11a
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    • pp.135-142
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    • 1997
  • For lighting of dark and hazardous workplaces such as compartments of ships under construction, workers should use hand lamps of explosion-proof type. However, the heavy weight of such lamps has prevented most impatient workers from using such types of lamps extensively. In this paper, ire developed a light weight hand lamp of intrinsic safety type which reduced the weight a lot while maintaining or improving the lighting and explosion-proof function. We made a Prototype which consisted of lamp fixture and low/high frequency power supply. Testing results show that the hand lamp meets well all the explosion-proof testing requirements of the Korea Industrial Safety Corporation.

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DULEX, A Wearable Hand Rehabilitation Device for Stroke Survivals (뇌졸중 환자를 위한 착용형 손 재활훈련기기, DULEX)

  • Kim, Young-Min;Moon, In-Hyuk
    • Journal of Institute of Control, Robotics and Systems
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    • v.16 no.10
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    • pp.919-926
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    • 2010
  • This paper proposes a wearable hand rehabilitation device, DULEX, for persons with functional paralysis of upper-limbs after stoke. DULEX has three degrees of freedom for rehabilitation exercises for wrist and fingers except the thumb. The main function of DULEX is to extend the range of motions of finger and wrist being contracture. DULEX is designed by using a parallel mechanism, and its parameters such as length and location of links are determined by kinematic analysis. The motion trajectory of the designed DULEX is aligned to human hand to prevent a slip. To reduce total weight of DULEX, artificial air muscles are used for actuating each joint motion. In feedback control, each joint angle is indirectly estimated from the relations of the input air pressure and the output muscle length. Experimental results show that DULEX is feasible in hand rehabilitation for stroke survivals.

A study on Hand Injury in Industrial Complex Workers (공단 근로자의 수부 손상에 관한 연구)

  • Kim, Soo-Min;Gu, Kyung-Sook;Lee, Geun-Hee;Kang, Ho-Hyun;Hyung, In-Han;Sung, Kwang-Jun
    • Journal of Korean Physical Therapy Science
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    • v.6 no.1
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    • pp.905-913
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    • 1999
  • The hand is a part of the body which has various functions and a sophisticated structures bone, Joint, tendon, ligament and logical nerve organ are aggregated densely in the hand of anatomy its functions are delicate. The hand's functions are very important for doing ADL and a worker's As the hand is structure which is used often and commonly it is a site that can be easily damaged by a accident on work. This study was investigated and analyzed by the results from 238 workers who had hand injury and physical therapy from January, 1997 to June, 1998 at Shin-Pung, Jang-Lim industrial complex which is located in Pusan. 1. A hand injury most frequertly happened in worker in their 30's and 20's(66 case, 28%), second was 57 case(24%) their 40's. 2. Among workers suffering from injury, who had one or less than 2 years on the job, a injury most frequently occurred. 3. Scale of workers, A injury most frequently happend in a place where had workers from 10 to 50. 99 workers from that place were 42% of total. 4. Month of occurrence rate in March were the highest compared to other months 40 injury workers in march were 17% of the total. Second was July, and the least was April that injury appeared with 10 workers. (4.2% of the total) 1. Frocture was the most common lesion 82 workers had that lesion(34%) soft tissue rupture was 71 workers who were 30% of total in type of lesion. 2. Of the site of lesion multiple case was the most common in which 57 workers had that lesion it were 24% of the total. The next was the index finger site in which 44 workers were 19% of the total. The index finger was the most common mono-site that can be lesion 36 workers were the middle finger lesion workers who were 15% of the total. Of the joint lesion, PIP was the most in which 76 workers were 44% and in MC 27 workers were 15% of the total. 3. Interval of physical therapy 79 workers from one month to 2 months, was 33% of the total and 174 workers who had therapy below 3 months were 71% 4. Post injury of disablity of the site, phalangeous disability was the most in which 148 workers had that injury and they were 62% of the total of the grade of disability 110 workers who were 46% of the total state from less than 25% disability in hand-function and 59 patients who were 25% had no disability. There were 6 workers (3% of the total) who had over -75%-dibability in the hand-function.

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An Analysis of Grip Strength between Normal and Mentally Retarded subjects in Prepuberal period and Adolescence (학동기와 청소년기 정상 및 정신지체아 파악력 분석)

  • Rha Ki-Yong
    • The Journal of Korean Physical Therapy
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    • v.15 no.3
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    • pp.91-109
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    • 2003
  • The grip strength is orthopedics department, the place where from rehabilitation medical science and industrial medical science and it evaluates the function of the hand certainly is the ability which is necessary. There is specially by an occupation rehabilitation of mentally retarded child and the evaluation of grip strength is one which is meaning. The samples for this study were 39 normal males and 59 normal females, 62 mentally retarded males, 33 mentally retarded females ranging in age from Prepubeal period to Adolescence. This study was used to measure grip strength BASELINE Hydraulic Hand Dynamometer manufactured by EEI(Fabrication Enterprises Incorporated)in USA. The objective of research from the Prepubeal period to Adolescence the normal and mentally retarded students comparison evaluates the grip strength and effective fine motor program of one's it makes with the fundamental data for a development and it does. The results are as follow : (1) The hand which the normal student and the schoolgirl of rises from grip strength measurement result of the Prepubeal period research object people 10.7Kg with the same left hand was each measured 10Kg with 9.8Kg with in. The grip strength of the mentally retarded schoolboys was the hand which rises 6Kg with the left hand 5.4Kg, the grip strength of the schoolgirls 6.5Kg with was identical. (2) The hand which the normal schoolboys and the schoolgirls rises from grip strength measurement result of the Adolescence research object people 29.6Kg, 20Kg the left hand to be was each measured 27.8Kg with 18.4Kg with. The hand which the mentally retarded schoolboys and the schoolgirls rises 13.1Kg, 11.3Kg the left hand to be was each measured 12.3Kg with 10.9Kg with. (3) Among the normal students $10.2\%$ (Prepubeal period $0.94\%$, Adolescence $15.2\%$) in Mentally Retarded students $17.9\%$ (Prepubeal period $0.77\%$, Adolescence $19.1\%$) left hand it was higher. (4) The grip strength of the students who attend school from the general family dwells were appeared higher than students residence at institution.

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Effects of electrostimulation therapy in facial nerve palsy

  • Sommerauer, Laura;Engelmann, Simon;Ruewe, Marc;Anker, Alexandra;Prantl, Lukas;Kehrer, Andreas
    • Archives of Plastic Surgery
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    • v.48 no.3
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    • pp.278-281
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    • 2021
  • Facial palsy (FP) is a functional disorder of the facial nerve involving paralysis of the mimic muscles. According to the principle "time is muscle," early surgical treatment is tremendously important for preserving the mimic musculature if there are no signs of nerve function recovery. In a 49-year-old female patient, even 19 months after onset of FP, successful neurotization was still possible by a V-to-VII nerve transfer and cross-face nerve grafting. Our patient suffered from complete FP after vestibular schwannoma surgery. With continuous application of electrostimulation (ES) therapy, the patient was able to bridge the period between the first onset of FP and neurotization surgery. The significance of ES for mimic musculature preservation in FP patients has not yet been fully clarified. More attention should be paid to this form of therapy in order to preserve the facial musculature, and its benefits should be evaluated in further prospective clinical studies.

The Influence of Corticosteroid Injections on Postoperative Outcomes of Carpal Tunnel Release: A Systematic Review

  • Ali Kumas;Milly van de Warenburg;Tinatin Natroshvili;Marius Kemler;Mahyar Foumani
    • Archives of Plastic Surgery
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    • v.50 no.4
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    • pp.398-408
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    • 2023
  • Background Carpal tunnel syndrome can be treated with corticosteroid injections (CIs) and surgery. In this systematic review, the influence of previous CI on different postoperative outcomes after carpal tunnel release is evaluated. Methods A systematic literature search using several databases was performed to include studies that examined patients diagnosed with carpal tunnel syndrome who received preoperative or intraoperative CIs. Results Of 2,459 articles, 9 were eligible for inclusion. Four papers reported outcomes of preoperative and four outcomes of intraoperative CIs. One study evaluated patients who received both intraoperative and preoperative corticosteroids. Conclusion Intraoperative CIs are associated with reduced postoperative pain after carpal tunnel release and support earlier recovery of the hand function that can be objectified in a faster median nerve conduction speed recovery and lower Boston Carpal Tunnel Questionnaire (BCTQ) scores. Using preoperative CIs did not lead to enhanced recovery after carpal tunnel release, and both preoperative and intraoperative CIs might be predisposing factors for infections.

Function-level module sharing techniques in high-level synthesis

  • Nishikawa, Hiroki;Shirane, Kenta;Nozaki, Ryohei;Taniguchi, Ittetsu;Tomiyama, Hiroyuki
    • ETRI Journal
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    • v.42 no.4
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    • pp.527-533
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    • 2020
  • High-level synthesis (HLS), which automatically synthesizes a register-transfer level (RTL) circuit from a behavioral description written in a high-level programming language such as C/C++, is becoming a more popular technique for improving design productivity. In general, HLS tools often generate a circuit with a larger area than those of hand-designed ones. One reason for this issue is that HLS tools often generate multiple instances of the same module from a function. To eliminate such a redundancy in circuit area in HLS, HLS tools are capable of sharing modules. Function-level module sharing at a behavioral description written in a high-level programming language may promote function reuse to increase effectiveness and reduce circuit area. In this paper, we present two HLS techniques for module sharing at the function level.

Pneumatic circuit design and Performance test of Air balancer (에어밸런서 공압 회로의 설계 및 성능 실험)

  • Kim, D.S.;Bae, S.K.
    • Transactions of The Korea Fluid Power Systems Society
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    • v.3 no.3
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    • pp.20-24
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    • 2006
  • Air balancer is a conveyance cargo-handling machine, used in assembly and process lines of car and machining industries. This can lift up an object, the weight of which is from 5 to 200 kg, and moves it to a position. As industrial technologies evolve, it is required to move an object and fit it into a specified position with greater accuracy, rather than performing simple tasks such as lifting objects up and down as conventional ones do. There is also a demand to handle an object with one hand, rather than with two hands,. Through designs of manifold unit for an air balancer function, pilot regulator unit to keep pressure constant, hand unit for an accurate load perception function, and air balancer circuit, this study enables everybody to work it with ease and convenience. Experiments and comparisons were conducted for the performance evaluation of the circuit.

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