• 한국산학기술학회논문지
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• 제16권8호
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• pp.5364-5371
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• 2015

본 연구는 스마트 폰 사용 시 팔의 지지 각도에 따라서 엄지손가락과 나머지 손가락의 기능에 미치는 영향을 알아보고자 하였다. 이 연구는 2014년 4월 21일부터 27일 까지 진행되었다. 연구 대상자는 21명의 건강한 성인을 대상으로 하였으며, 총 3그룹으로 나누어 진행하였다. 지지대 없이 90도의 각도를 유지하고 스마트 폰 타자를 실행한 그룹, 슬링을 이용하여 90도 각도를 유지하고 스마트 폰 타자를 실행한 그룹, 슬링을 이용하여 120도 각도를 유지하고 스마트 폰 타자를 실행한 그룹으로 나누었으며, 각 그룹은 7명씩 나누었다. 손의 통증을 측정하기 위하여 핀켈스타인 검사를 하였으며, 시각 통증 척도를 이용하여 결과를 나타내었다. 또한 손의 악력과 엄지손가락의 핀치 그립을 측정하였다. 각 측정은 왼손과 오른손을 측정하였으며, 시작 전, 30분, 1시간, 1시간30분으로 총 4번 측정하였다. 본 연구의 결과는 왼손과 오른손의 통증, 악력, 핀치 그립의 시기에서 유의한 차이를 보였으며(p<.05), 오른손의 악력에서는 시기와 군의 교호작용에서 유의한 차이를 보였다(p<.05). 이 결과로 인하여 팔의 지지는 손의 스트레스를 줄여 손의 기능에 도움을 준다고 생각된다.

• Physical Therapy Rehabilitation Science
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• 제13권1호
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• pp.95-105
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• 2024

Objective: The purpose was to investigate changes in mechanical properties, range of motion, and grip strength of the forearm muscle in 13 students depending on the wrapping direction of the floss band. Design: A single-blind, crossover study Methods: Subjects were randomly assigned to the wrapping direction of the flossing band and then performed a concentric exercise of the wrist flexors using a Flex-Bar. Intervention A applied the flossing band in a right spiral direction, Intervention B applied the flossing band in a left spiral direction, and Intervention C performed the exercise alone. All subjects used their dominant right hand, and pre- and post-assessments were conducted between interventions. To analyze differences in changes between groups pre- and post-, all results were subjected to one-way ANOVA, followed by Scheffe's test as a post-hoc analysis. The paired samples t-test was used to analyze the difference between pre- and post-change within groups. Results: First, in the mechanical properties of the Flexor carpi ulnaris (FCU) muscle, interventions A and B significantly improved muscle tone and stiffness than intervention C (p<0.05), and intervention A showed a significant decrease in decrement (muscle elasticity) than intervention B (p<0.05). Second, interventions A and B showed significant improvement in grip strength than intervention C (p<0.05). Conclusions: The right spiral direction of the flossing band tended to increase the elasticity of the muscles compared to the left spiral direction. Therefore, in future studies, it is necessary to choose the direction of the flossing band to increase the elasticity of the muscles.

• 대한간호학회지
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• 제36권3호
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• pp.484-492
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• 2006

Purpose: The purpose of this study was to investigate the effects of a rehabilitation nursing program(RNP) for persons with disabilities. Method: a quasi-experimental pretest and post test study was used to examine the changes of patient's muscle strength, flexibility, self efficacy and health related quality of life at the completion of an 8-week education and physical exercise with a Thera-Band and Exercise Ball course. The subjects consisted of 40 adults who were disabled. Twenty-two experimental and 18 control subjects completed pre and post-test measures. Outcome variables were flexibility, hand grip, elbow flexor and extensor, knee flexor and extensor, self efficacy and quality of life. Independent t-test and ANCOVA were used to examine group differences by using SPSS 12.0 Result: Mean comparisons of the change scores revealed that the experimental group increased significantly in knee extremity flexor(p=0.035), extensor(p=0.039), flexibility(p=0.008), self efficacy(p=0.000), and quality of life(p=0.000). No significant group differences were found in each patient's hand grip, elbow flexor and extensor. Conclusion: RNP can improve lower extremity flexibility, muscle strength, self efficacy and health related quality of life in people with disabilities. The intervention to tailor exercise and education to the unique needs of the disability was suggested for further study.

• 대한작업치료학회지
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• 제26권4호
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• pp.43-55
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• 2018

목적 : 본 연구는 피젯 스피너를 활용하여 초등학교 저학년 아동의 손 기능과 글씨쓰기 명료도에 미치는 영향을 알아보고자 하였다. 연구방법 : 본 연구는 일반아동 중 우세손이 우측인 1~2학년(만 7~8세) 아동 24명을 대상으로 실험군 12명, 대조군 12명으로 무작위 분류하여 실시하였다. 연구 설계는 사전-사후 설계이다. 중재는 실험군 아동들에게만 실시하였으며, 5주간, 주 2회, 1회 당 40분씩 총 10회기로 진행하였다. 측정도구로는 중재 전, 후의 손 기능과 글씨쓰기 명료도의 비교를 위하여 젭슨-테일러 손 기능 검사(Jebsen-Taylor Hand Function Test; JHFT)와 장악력 검사(Grip Strength Test; GST) 그리고 명료도 검사(Legibility Test; LT)를 사용하였다. 자료 분석은 Wilcoxon signed rank 검정과 Mann-Whitney U 검정, 그리고 교차분석의 카이제곱 검정을 사용하였다. 결과 : 피젯 스피너 훈련은 실험군의 손 기능과 장악력, 글씨쓰기 명료도에 유의한 향상을 보였으며, 실험군과 대조군 사이의 유의한 차이를 보였다. 결론 : 본 연구는 초등학교 저학년 아동의 손 기능과 글씨쓰기 명료도를 효과적으로 향상시키는 도구로써 피젯 스피너의 가치 및 효용성을 확인하였다. 이에 향후 연구에서는 본 연구를 토대로 피젯 스피너 훈련의 효과를 검증하는 다양한 연구가 이어지길 기대한다.

• Archives of Plastic Surgery
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• 제42권5호
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• pp.614-618
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• 2015

Background Hand strength deficit following digital replantation is usually attributed to the mechanical deficiency of the replanted digit. Zone 1 replantation, however, should not be associated with any mechanical deficit, as the joint and tendon are intact. We evaluate shortterm motor functions in patients who have undergone single-digit zone 1 replantation. Methods A single-institution retrospective review was performed for all patients who underwent zone 1 replantation. Hand and pinch strengths were evaluated using standard dynamometers. Each set of measurements was pooled according to follow-up periods (within 1 month, 1 to 2 months, 2 to 3 months, and after 3 months). The uninjured hand was used as reference for measurements. Results The review identified 53 patients who had undergone zone 1 replantation and presented for follow-up visits. Compared to the uninjured hand, dynamometer measurements revealed significantly less strength for the hand with replanted digit at one month. The relative mean grip, pulp, and key pinch strength were 31%, 46%, and 48% of the uninjured hand. These three strength measurements gradually increased, with relative strength measurements of 59%, 70%, and 78% for 4-month follow up. Conclusions Despite the lack of joint or tendon injury, strength of the injured hand was significantly lower than that of the uninjured hand during the 4 months following replantation. Improved rehabilitation strategies are needed to diminish the short-term negative impact that an isolated zone 1 replantation has on the overall hand strength.

• 대한통합의학회지
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• 제4권2호
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• pp.77-88
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• 2016

Purpose : The purpose of this study was to explore an effect exerted to non-affected hand and affected hand of patients by performing training of chopsticks and grasp strength that are helpful to dexterity and grasp strength of hand together with training method of joint exercise, muscle strength build-up training, delicate hand function training. Method : By targeting 30 normal adult male/females engaged in K university, Busan for one month on April, 2015, 10 persons of hand function build-up training group, that of dexterity training group and 10 persons of control group were randomly selected. For hand function build-up training group, chopsticks training in parallel with total 20 times of grasp strength training for 4 weeks including 5 minutes of dominant hand grasp strength training, 5 minutes of non-dominant hand grasp strength training, 15 minutes of chopsticks training was performed based on 25 minutes/one time, 5 times a week. Result : First, In a comparison of dexterity of both hands by each group depending on training period, hand function build-up group and dexterity training group were represented to be effective compared with control group. Secondly, In a comparison of manipulatory ability of both hands by each group depending on training period, hand function build-up group and dexterity training group were represented to be effective compared with control group. Conclusion : It is considered that diversified and broad research covering patients with musculoskeletal disease and nervous system-related disease would be performed by securing far more test subjects after comparing a correlation between dexterity training and hand function training.

• Safety and Health at Work
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• 제11권4호
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• pp.458-465
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• 2020

Background: The aim of this study was to analyze the interaction between neck and/or wrist pain and hand grip strength (HGS) and to investigate factors (age, sex, neck disorders, and carpal tunnel syndrome) influencing the HGS of industrial quality proofing workers (N = 145). Methods: Standardized questionnaires [Neck Disability Index (NDI), Boston Carpal Tunnel Questionnaire] were used to evaluate existing neck and/or wrist pain. HGS measurements were performed in different wrist positions. Results: Significant differences between participants with and without neck pain were found in different wrist positions, in neutral wrist position right [without neck pain (n = 48) 46.34 (43.39 - 49.30); with neck pain (n = 97) 38.46 (36.20 - 40.72), F_(1,144) = 16.82, p < 0.001, ŋ_p² = 0.11] and left [without neck pain 44.06 (41.19 - 46.94); with neck pain 37.36 (35.13 - 39.58), F_(1,144) = 12.70, p < 0.001, ŋ_p² = 0.08]. A significant difference between participants with and without wrist pain was found for neutral wrist position right [without wrist pain (n = 105) 42.53 (40.37 - 44.70); with wrist pain (n = 40) 37.24 (33.56 - 40.91), F_(1,144) = 6.41, p = 0.01, ŋ_p² = 0.04]. Regression analysis showed significant results especially for steps two (age and weight, NDI) and three (age and weight, NDI, Boston Carpal Tunnel Questionnaire) for neutral position right (R² = 0.355, R² = 0.357, respectively). Conclusion: Neck pain has an impact on HGS but should be evaluated in consideration of age and sex.

• The Journal of Korean Physical Therapy
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• 제32권3호
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• pp.176-184
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• 2020

Purpose: The aim of this study was to identify the change in hand grip strength (HGS) for consecutive 6 months in breast cancer survivors (BCS) undergoing postoperative adjuvant chemotherapy (adjCTX) and to determine the factors relevant to HGS after chemotherapy completion Methods: This study was a retrospective observational cohort study. BCS (N=38) who underwent breast cancer surgery and subsequent adjCTX were enrolled. The HGS of both sides was measured before adjCTX and 3 weeks, 2 months and 6 months after adjCTX. And we also collected body composition, anthropometric measurements, social demographics and clinical data. Then we analyzed the changes in HGS over time, and correlation of collected data with HGS at 6 months. Results: A significant increase in HGS of the unaffected side was observed within the first 3 weeks of adjCTX and maintained up to 6 months. In correlation analysis, HGS of both sides was positively correlated with the ipsilateral HGS at 3 weeks, and contralateral HGS at 6 months. And skeletal muscle mass was also positively correlated with the HGS of the unaffected side. In addition, subjects treated with targeted therapy had lower HGS of the unaffected side. However, HGS of the affected side was significantly lower in subjects with breast reconstruction and treated without radiotherapy. Conclusions: To maintain the early recovery of HGS, active and continuous exercise intervention for strengthening might be necessary.

• 근관절건강학회지
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• 제10권2호
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• pp.188-202
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• 2003

The aim of study was to investigate the effects of 12 forms of Sun-style Tai-Chi for arthritis(TCA) on physical symptom(pain, tenderness, swelling fatigue, and blood pressure), physical function(balance, flexibility, grip strength) and social-psychological health status in osteoarthritis(OA) patients and rheumatoid arthritis(RA) patients. This study was done with one group pretest-posttest design. A total 21 arthritis patients(6 OA patient and 15 RA patient) participated in 60 minute session consisting of warm-up exercise 12-main movement including qigong, and cool-down exercise twice a week for 6weeks. Physiological and social-psychological variables were measured before and after TCA 12 form. The researcher who completed a Tai Chi workshop for exercise leaders in Australia and Seoul taught the Tai Chi movement step by step until the patient felt comfort enough to perform them correctly by themselves during the first 4 weeks. At the last 2 weeks, the subject perform 10-15set of these at a session with traditional music to help patients move in a slow tempo. TCA 12 forms program showed significant improvement in fatigue(p=0.039) of rheumatoid arthritis patient and pain(p=0.006), fatigue(p=0.013), tenderness(p=0.032), flexibility(rt arm up, p=0.014, If arm up, P=0.003), grip strength(rt hand, p=0.002, If hand, P=0.003) of osteoarthritis patients. With assessment by Arthritis Impact Measurement Scale 2 questionnaire(AIMS2), physical component(0.002) and social interaction(0.025) on osteoarthritis patients were significantly improved. Evaluation of the participants about TCA exercise noted that the exercise was fairly easy(23.6%), moderately difficult(57.1%), and fairly difficult(14.3%). Considering the result of this study, TCA exercise program was more effective in pain, tenderness, grip strength, flexibility, and physical and social interaction on osteoarthritis patients than rheumatoid arthritis patients. Tai-Chi for arthritis 12 form was an appropriate intensity exercise for osteoarthritis patients.

• 대한물리치료과학회지
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• 제26권1호
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• pp.22-34
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• 2019

Purpose: The purpose of this study was to investigate the effects of body blade and Thera band exercise on upper extremity strength, grip strength and balance of university students. Design: Single Blind Randomized Controlled Trial. Method: twenty healthy adults, participated in this study, and were recruited by G University in Gimcheon Korea. The subjects were randomly divided into A group that went through Thera band exercise and B group that went through Body blade exercise. Each group had 10 subjects. All subjects did the experiment for 3 times a week for 3weeks. Spss was used for statistical analysis. Result: 1) Grip strength: After exercising, for the BE group, there were statistically significant differences in dominant and non-dominant hand. However, for the TE group, there were no significant statistical differences in both hands. 2) muscle strength: In the TE group there were no significant statistical differences in the dominant and non-dominant arm. But in the BE group there were differences which were found. 3) balance: After exercising, both groups had no significant statistical difference in medial lateral balance. In anterior and posterior balance, TE group had no statistical significant difference but BE group did. Conclusion: To improve muscle strength balance and grip strength, body blade exercise is more effective than Thera band exercise.