• 제목/요약/키워드: Hand tapping

검색결과 26건 처리시간 0.026초

편측 뇌손상 환자에서 특정 과제에 한정된 동측 상지의 운동 결함 분석 (Ipsilateral Motor Deficit during Three Different Specific Task Following Unilateral Brain Damage)

  • 권용현;김중선
    • The Journal of Korean Physical Therapy
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    • 제17권2호
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    • pp.67-87
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    • 2005
  • Impaired sensorimotor function of the hand ipsilateral to a unilateral brain damage has been reported in a variety of motor task. however, it is still the controversial issue because of the difficulty of detection in clinical situation, patients' variability(time after onset, contralateral upper extremity severity, other cognitive functions including apraxia), and the performed various motor task. The purpose of this study is to determine the presence of ipsilateral motor deficit following unilateral brain damage in three different specific tasks(hand tapping, visual tracking and coin rotation) compared with healthy age-sex matched control group using the same hand and to investigate the lateralized motor control in each hemispheric function. Findings revealed that stroke patients with unilateral brain damage experienced difficulties with rapid-simple repetitive movement, visuomotor coordination, complex sequencing movement on ipsilateral side. Also, Comparison of the left-hemispheric stroke groups and the right-hemispheric stroke groups revealed that patients with a left-hemisphere damage tended to be more variable in performing all of the three tasks. These results show that stroke patient with left hemisphere damage has more ipsilateral motor deficit, and the left hemisphere contributes to the processing of motor control that necessary for the executing actions with ipsilateral hand.

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Association between Low-level Mercury Exposure and Neurobehavioral Functions in Korean Adults Living in a Coastal City

  • Kim, Rock Bum;Kim, Byoung-Gwon;Kim, Yu-Mi;Hong, Young-Seoub;You, Chang-Hun;Kim, Dae-Seon
    • Environmental Analysis Health and Toxicology
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    • 제28권
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    • pp.15.1-15.8
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    • 2013
  • Objectives The aim of this study was to determine the association between low-level mercury exposure and neurobehavioral functions in adults living in coastal regions of Korea. Methods We selected 172 adults aged 20-65 years living in a city in the coastal region of Korea. A sociodemographic survey was conducted, mercury levels in the blood, urine, and hair were measured, and the associations according to computerized neurobehavioral tests were determined using univariate analysis. After adjustment for associated variables, a multivariate linear regression analysis was performed. Results The geometric mean mercury levels in the blood, urine, and hair were $5.41{\mu}g/L$ (range, $0.00-15.84{\mu}g/L$), $1.17{\mu}g/g$-creatinine (range, $0.00-32.86{\mu}g/g$-creatinine), and 1.37 mg/kg (range, 0.42-6.56 mg/kg), respectively. Variables that were associated with simple reaction time according to the neurobehavioral test results were age and urine mercury level. Variables associated with choice reaction time were the recent use of Korean traditional medicine and urine mercury level. Variables associated with the right-hand finger tapping speed test were age, gender, smoking behavior, education level, monthly household income, and urine mercury level. Variables associated with the left-hand finger tapping speed test were age, gender, education level, and urine mercury level. After adjustment for associated variables, there was no significant association between urine mercury level and simple reaction time (${\beta}=25.96$; p =0.47), choice reaction time (${\beta}=50.37$; p =0.32), or the number of left-hand finger taps (${\beta}=-1.54$; p =0.21). However, urine mercury level was significantly associated with the number of right-hand finger taps (${\beta}=-3.86$; p =0.01). Conclusions We found no evidence that low-level mercury exposure in adults is associated with deficits in neurobehavioral functions. A longer follow-up study is required to confirm this conclusion.

뇌경색 후 수부 미세운동 장애에 팔사혈(八邪穴)(EX-UE9) 전침을 적용한 호전 증례보고 (A Case Report of a Patient with Motor Disturbance of the Hand After Cerebral Infarction Treated with Electroacupuncture on Pal-sa (EX-UE9))

  • 김재학;정민호;김세원;조기호;정우상;권승원;문상관
    • 대한한방내과학회지
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    • 제39권2호
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    • pp.147-153
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    • 2018
  • Objective: The purpose of this case report is to evaluate the effect of electroacupuncture on Pal-sa (EX-UE9) for unilateral motor disturbance of the hand after cerebral infarction. Methods: One patient with unilateral motor disturbance of the hand following cerebral infarction (right basal ganglion and corona radiata) was treated with acupuncture, herbal medication, and electroacupuncture on Pal-sa (EX-UE9) once daily from June 30, 2016 to July 4, 2016. We evaluated improvement using the Box and Block Test (BTT) and 10-seconds Test, including the Finger Individual Movement Test (FIMT), the Hand Pronation and Supination Test (HPST), and the Finger Tapping Test (FTT). Results: After five days of treatment, increase of FIMT and FTT scores was observed after electroacupuncture on Pal-sa (EX-UE9). However, no increase was observed in BBT or HPST scores. Conclusions: This study suggests that electroacupuncture on Pal-sa (EX-UE9) can help treat motor disturbance of the hand after cerebral infarction.

하천제방 배수통문 정밀 안전진단기법 연구 (A Study on the Safety Evaluation Technique of Sluice Culvert)

  • 윤종열;김진만;최봉혁
    • 한국지구물리탐사학회:학술대회논문집
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    • 한국지구물리탐사학회 2008년도 공동학술대회
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    • pp.41-46
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    • 2008
  • 국가하천을 대상으로 정밀외관조사에 의해 선정된20개 배수통문에 대하여 지표 물리탐사법외에 수리학적인 원리를 이용한 연통시험이나 초음파주사검층과 같은 공내시험법을 적용하여 배면의 공동상태를 보다 정확하게 파악하고자 하였다. 타음조사나 GPR 탐사, 3차원 전기비저항탐사 및 초음파주사검층은 일부 성공적인 결과를 얻을 수 있었으나 현장특성에 따라 적용이 용이하지 않은 경우가 발생하였다. 반면 연통시험의 경우에는 통문하부 공동의 유무 및 연통상태를 성공적으로 감지할 수 있었다. 그러나 연통시험은 공동의 규모나 형태에 대한 정량적인 정보를 제공하는데 근본적인 한계를 가지고 있으므로 보다 정확한 조사를 위해서는 현장특성에 맞는 다양한 조사법이 적용되어 종합적인 해석이 이루어야져야 할 것이다.

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Neurobehavioral Tests for Occupational Screening의 타당도 평가 : 파킨슨병 환자들의 검사 성적 (Validation of Neurobehavioral Tests for Occupational Screening(NTOS) : results of patients of Parkinson's disease)

  • 이채용
    • Journal of Preventive Medicine and Public Health
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    • 제30권3호
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    • pp.577-584
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    • 1997
  • 이 연구는 최근 개발된 컴퓨터를 이용한 정신운동 기능 검사법인 Neurobehavioral Tests fur Occupational Screening(NTOS)의 타당도 평가를 위해 시도되었다. 일개 종합병원 신경과에 등록된 파킨슨병 환자 12명과 신경독성물질에 폭로된 적이 없는 근로자 21명을 대상으로 NTOS의 단순반응시간 검사, 2가지 선택반응시간 검사, 양 손의 수지타진검사를 실시하였다. 평균 단순반응시간은 근로자군은 245 msec, 환자군은 378 msec였으며, 2가지 선택반응시간은 근로자군은 444 msec, 환자군은 671 msec 로 나타나 T 검정에서 유의한 차이를 보였다. 주로 쓰는 손의 수지타진검사는 68.6회를 나타내었고, 파킨슨병 환자군은 51.6회, 주로 쓰지 않는 손은 각각 60.9회, 43.1회로 유의한 차이를 보였다. 환자군과 근로자군의 연령과 학력차이를 통계적으로 보정하고 두군에서 차이가 나는지를 알아보기 위해 공분산분석을 실시한 결과, 단순반응시간, 선택반응시간, 수지타진이 유의한 결과를 보였다. 이상으로 볼 때, NTOS는 정신운동기능의 장애를 발견할 수 있는 도구라고 생각된다. 그러나 선택반응 시간 검사의 실수 횟수 같이 상대적으로 민감하지 못한 지표에 대한 고려가 필요하며, 혼란변수를 연구 설계에서 조정할 수 있는 큰 규모의 연구와 정신운동기능의 잠재적 장애를 보이는 집단에 대한 연구들이 추후에 있어야 할 것이다.

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Folate nutrition is related to neuropsychological functions in the elderly

  • Chang, Nam-Soo;Kim, Eun-Jung;Kim, Ki-Nam;Kim, Hye-Sook;Kim, Seong-Yoon;Jeong, Bum-Seok
    • Nutrition Research and Practice
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    • 제3권1호
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    • pp.43-48
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    • 2009
  • We investigated the nutritional state of B vitamins and the neuropsychological functions in 25 subjects, aged $63.1{\pm}6.3$ years, residing in rural areas of Korea. Nutritional states of thiamin, riboflavin, and pyridoxine were assessed enzymatically in the erythrocytes, and folate concentrations were measured microbiologically in the plasma and erythrocytes. A battery of composite neuropsychological test was administered to the subjects. Plasma folate was correlated with the total intelligence score (p=0.049). Folate levels in the erythrocytes were correlated with the performance intelligence scores such as block design (p=0.017) and picture arrangement (p=0.016). The red cell folate was correlated with memory scores such as general memory (p=0.009) and delayed recall (p=0.000). Although it did not reach statistical significance, verbal memory (p=0.053) was highly correlated with the red cell folate. The red cell folate was also correlated positively with the percent of conceptual level response number score (p=0.029), and negatively with the grooved pegboard test score for the non-dominant hand (p=0.010). Fine motor coordination was also influenced by folate nutrition, as finger tapping scores in both hands were significantly correlated with red cell folate (dominant hand; p=0.026, non-dominant hand; p=0.004). Other B vitamins such as thiamin, riboflavin, and vitamin $B_6$ were not as strongly correlated with neuropsychological function test scores as folate was. These results suggest that folate nutrition influences neuropsychological function test scores significantly in humans. Further studies are needed to explore the relationship between folate or other vitamin B nutrition and neuropsychological functions and the implications thereof.

전기화학적 에칭법을 이용한 AFM용 텅스텐 탐침 제작에 관한 연구 (Fabrication of Tungsten Probe Tips for AFM using Electrochemical Etching)

  • 한규범;장현아;안효석
    • Tribology and Lubricants
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    • 제29권4호
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    • pp.213-217
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    • 2013
  • As commercial atomic force microscopy (AFM) probes made of Si and $Si_3N_4$ have low stiffness, it is difficult to induce sufficient elastic deformation on the surface of a specimen in a tapping mode. Therefore, high-guality phase contrast images can not obtained. On the other hand, a tungsten AFM probe has relatively higher stiffness than a commercial AFM probe. Accordingly, it is expected to provide an enhanced phase contrast image, which is an effective tool for achieving a better understanding of the micromechanical properties of worn surfaces and wear mechanisms. In this study, on electrochemical etching method was optimized to fabricate tungsten probe tips for an AFM. Electrochemical etching was performed by applying pulse waves with a 20% duty cycle at various voltages instead of only a DC voltage, which has been commonly used.

Eclectic Sociocultural Traditions of the Baba Nyonya of George Town, Penang, Malaysia

  • OOI, Keat Gin
    • 수완나부미
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    • 제9권2호
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    • pp.51-89
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    • 2017
  • Strategically situated between the East-West maritime crossroads, the peoples of Southeast Asia over the centuries witnessed the comings and goings of traders from territories from East Asia, South Asia, West Asia and Europe. There were also those from North America that crossed the Pacific for commercial profits in this region. Foreign traders undoubtedly in the course of their visits and sojourns had liaisons with local women, some engaged in marriages. Offspring of these interracial miscegenation possessed rather unique characteristics. As a community, they were identified with the Malay term, peranakan, from the root word, "anak" meaning "child," hence "offspring" or "descendent". Specific terms - Baba Nyonya, Tionghoa-Selat, Chitty, Jawi Pekan, Pashu, Kristang - referred to particular groups. Although socially they appeared 'neither here nor there', members of mixed parentage were able to carve an especial niche in the local environment throughout Southeast Asia, conspicuously in urban, port-cities where trade and commerce predominated. Following in the footsteps of their progenitor, the Peranakan acted as intermediaries, comprador between foreign and indigenous enterprises, profiting financially and socially from trade and commerce. Tapping on the author's personal experiences and first-hand observations, complementing with oral sources, and support from secondary materials, this present essay explores, discusses, and analyzes the eclectic sociocultural practices and traditions of the Baba Nyonya of George Town, Penang. Purposeful intention is to further enlighten our understanding, and in turn, our appreciation, of these ever increasingly diminishing communities and their cultures across Southeast Asia.

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Feasibility of Emotional Freedom Techniques in Patients with Posttraumatic Stress Disorder: a pilot study

  • Yujin Choi;Yunna Kim;Do-Hyung Kwon;Sunyoung Choi;Young-Eun Choi;Eun Kyoung Ahn;Seung-Hun Cho;Hyungjun Kim
    • 대한약침학회지
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    • 제27권1호
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    • pp.27-37
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    • 2024
  • Objectives: Posttraumatic stress disorder (PTSD) is a prevalent mental health condition, and techniques using sensory stimulation in processing traumatic memories have gained attention. The Emotional Freedom Techniques (EFT) is a psychotherapy that combines tapping on acupoints with exposure to cognitive reframing. This pilot study aimed to assess the feasibility of EFT as a treatment for PTSD by answering the following research questions: 1) What is the compliance and completion rate of patients with PTSD with regard to EFT protocol? Is the dropout rate reasonable? 2) Is the effect size of EFT protocol for PTSD sufficient to justify a future trial? Methods: Thirty participants diagnosed with PTSD were recruited. They received weekly EFT sessions for five weeks, in which they repeated a statement acknowledging the problem and accepting themselves while tapping the SI3 acupoint on the side of their hand. PTSD symptoms were evaluated using the PTSD Checklist for DSM-5 (PCL-5) before and after the intervention. Results: Of the 30 PTSD patients (mean age: 34.1 ± 9.1, 80% female), 96.7% showed over 80% compliance to the EFT sessions, and 86.7% completed the entire study process. The mean PCL-5 total score decreased significantly after the intervention, with a large effect size (change from baseline: -14.33 [95% CI: -19.79, -8.86], p < 0.0001, d = 1.06). Conclusion: The study suggests that EFT is a feasible treatment for PTSD, with high session compliance and low dropout rates. The effect size observed in this study supports the need for a larger trial in the future to further investigate EFT as a treatment for PTSD. However, the lack of a control group and the use of a self-rated questionnaire for PTSD symptoms are limitations of this study. The findings of this pilot study can be used to plan a future trial.

교정용 마이크로 임플란트의 나사산 디자인 최적화 (Optimization of orthodontic microimplant thread design)

  • 김광덕;유원재;박효상;경희문;권오원
    • 대한치과교정학회지
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    • 제41권1호
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    • pp.25-35
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    • 2011
  • 교정용 마이크로 임플란트는 나사산을 매개수단으로 한 인접골 압박으로 골내 고정력을 얻는다. 그러므로 충분한 고정력을 얻기 위해서는 나사산이 크면 유리하다. 그러나 몸체에서 차지하는 나사산의 부피비율이 과도하면 이는 코어(core) 직경을 감소시켜 파절위험성을 증대시킬 뿐 아니라, 식립 시 나사산이 골을 지나치게 압박, 인접골에 골개형 장애를 일으켜 임플란트를 이완시키는 원인이 될 수도 있다. 따라서 마이크로 임플란트의 안정성은 그 나사산 디자인이 치밀골 특성과 조화를 이루어야 한다. 본 연구에서는 $Absoanchor^{(R)}$ SH1312-7 (Dentos Inc., Daegu, Korea) 모델을 비교모델로 선택, 몸체와 나사산 사이즈의 조화를 이루기 위한 최적화 해석을 실행하였다. 나사산의 높이(h)와 피치(p)를 디자인 변수로 하여 임플란트 안정성 증대, 식립 시 골 과부하 감소, 파절강도 증대를 목표로 목적함수 SQ(Stability Quotient)를 설정, 해석함으로써 4가지의 다른 h, p 조합을 갖는 나사산을 디자인하였다. 4종의 실험모델과 비교모델에 대해 3D 유한요소법을 이용한 임플란트 식립모사 해석으로, 식립 시 예상되는 골 과부하 영역을 비교하였으며(self tapping과 self drilling의 두 식립 방식에 대해), 또한 실험모델의 실물(prototype)을 가공, 토오크 파절 시험을 실시하였다. 평가결과, 실험모델은 비교모델에 비해 식립 시 인접골 과부하 영역을 덜 발생시켰으며, 파절강도는 더 높게 관찰되었으며, 이로써 나사산 디자인 최적화에 사용된 SQ의 타당성을 확인할 수 있었다.