• Title/Summary/Keyword: Upper extremity performance

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The Effect of Closed Kinetic Chain Exercise Using PNF on Hand Function and Activities of Daily Living of Patient with Incomplete Spinal Cord Injure : Single Subject Design (PNF를 이용한 닫힌사슬운동이 불완전 경수 손상 환자의 손 기능과 일상생활동작에 미치는 영향 : 단일사례연구)

  • Jung, Du-Kyo;Lee, Jae-Han
    • PNF and Movement
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    • v.12 no.1
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    • pp.45-50
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    • 2014
  • Purpose: Deficits in upper-extremity function in individuals with tetraplegia are primarily due to the loss of motor pathways. The purpose of this case report is to describe the effect of closed kinetic chain exercise using PNF on hand function and ADL of patient with incomplete spinal cord injure. Methods: Patient was a 53-year-old man with C4 tetraplegia and hand and upper extremity impairment who participated in this training intervention for 10 weeks. Results: Patient demonstrated improvements in upper extremity strength, hand function and performance of ADL. Outcome measures(ASIA motor scale, Hand power, Jebsen-Taylor Hand Function test, SCIM) were measured before and after the training program. Conclusion: The results of this case suggests that an closed kinetic chain exercise program in incomplete spinal cord injury patient may induce Hand function and ADL.

A Classification Model for Predicting the Injured Body Part in Construction Accidents in Korea

  • Lim, Jiseon;Cho, Sungjin;Kang, Sanghyeok
    • International conference on construction engineering and project management
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    • 2022.06a
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    • pp.230-237
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    • 2022
  • It is difficult to predict industrial accidents in the construction industry because many accident factors, such as human-related factors and environment-related factors, affect the accidents. Many studies have analyzed the severity of injuries and types of accidents; however, there were few studies on the prediction of injured body parts. This study aims to develop a classification model to predict the part of the injured body based on accident-related factors. Construction accident cases from June 2018 to July 2021 provided by the Korea Construction Safety Management Integrated Information were collected through web crawling and then preprocessed. A naïve Bayes classifier, one of the supervised learning algorithms, was employed to construct a classification model of the injured body part, which has four categories: 1) torso, 2) upper extremity, 3) head, and 4) lower extremity. The predictor variables are accident type, type of work, facility type, injury source, and activity type. As a result, the average accuracy for each injured body part was 50.4%. The accuracy of the upper extremity and lower extremity was relatively higher than the cases of the torso and head. Unlike the other classifications, such as spam mail filtering, a naïve Bayes classifier does not provide a good classification performance in construction accidents. The reasons are discussed in the study. Based on the results of this study, more detailed guidelines for construction safety management can be provided, which help establish safety measures at the construction site.

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The Effect of Comprehensive Art Therapy on Physical Performance and Activities of Daily Living in Children with Cerebral Palsy

  • Baek, Suejung;Lee, Myeungsu;Yang, Chungyong;Yang, Jisu;Kang, Eunyeong;Chong, Bokhee
    • Journal of The Korean Society of Integrative Medicine
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    • v.7 no.3
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    • pp.51-59
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    • 2019
  • Purpose : To evaluate the effect of comprehensive art therapy on physical function and activities of daily living in children with cerebral palsy (CP). Methods : Ten ambulant children with diplegic (n=8) or hemiplegic (n=2) CP participated in this study. All were randomly assigned to either the art therapy group (n=5) or the control group (n=5). Both groups received physical therapy based on neurodevelopmental techniques for 20 minutes a day, 1 day a week, for a period of 12 weeks. Children in the art therapy group received additional comprehensive art therapy for 70 minutes once a week for 3 months. Tests for various measurements-Motricity Index (MI) for strength, Trunk Control Test (TCT) for trunk ability, Gross Motor Function Measure (GMFM) and Gross Motor Function Classification System (GMFCS) for gross motor function, Denver Developmental Screening Test-II (DDST-II) for developmental milestones, Functional Independence Measure of Children (WeeFIM) for abilities to complete daily activities, Leg and Hand Ability Test (LHAT) for limb function-were performed before and after treatments. Results : The upper extremity and whole extremity strengths of MI, self-care and total scores of WeeFIM, and leg and arm functions of LHAT improved significantly only for individuals in the art therapy group after the art therapy (p<.05). The value of MI after treatment was at the upper extremity and whole extremity strengths the leg function of LHAT was also significantly improved compared to the control group (p<.05). Conclusion : This study revealed that comprehensive art therapy along with physiotherapy was effective in increasing upper extremity strength and leg ability in children with CP. This suggests that comprehensive art therapy may be a useful adjunctive therapy for children with CP.

Are Lighter Smartphones Ergonomically Better?

  • Yoon, Jangwhon;Kim, Kisong;Yoon, Taelim
    • Journal of the Ergonomics Society of Korea
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    • v.34 no.1
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    • pp.11-18
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    • 2015
  • Objective: The aim of this study was to understand the effects of phone weight on the typing performance and muscle recruitment in the neck and upper extremity while typing a text message with dominant hand. The iPhone4 and iPhone5 were compared due to their 28-gram differences in weight. Background: Too much use of a cellular phone can lead the musculoskeletal disorders in the upper extremity. Phone makers tend to make their new models bigger, lighter, faster and smarter. Method: Fourteen healthy volunteers without any history of neuromuscular disorders or ongoing pain who used their smartphone more than one year were recruited. A 112g phone (iPhone5) and a 142g phone (iPhone4) were used for typing the lyric of the Korean national anthem with their dominant hand. Typing duration, the typing error, the perceived fatigue, and preference was investigated. Muscle recruitment and the resting gap of neck (middle trapezius and levator scapula), shoulder (infraspinatus and mid deltoid), elbow (biceps brachii and brachioradialis), thumb (extensor and abductor policis brevis) were collected using surface electromyography. Typing error was counted and typing speed was calculated in characters per min. The data were analyzed using a paired t-test and chi-square (${\chi}^2$) analysis for the effects of phone weight on the typing performance parameters and muscle recruitment. Results: Typing text message with iPhone5 took longer but had less muscle recruitment in brachioradialis, and extensor policis brevis muscles. Lighter weight of iPhone5 made biceps brachii to rest less without increasing the mean %EMG. Conclusion/Application: Findings of this study can be valuable information for phone designers to develop more productive device and for smartphone users to prevent the musculoskeletal disorders in the upper extremities.

The effect of action-observational physical training based on mirror neuron system on upper extremity function and activities of daily living in stroke patient (유비쿼터스 환경에서의 거울신경세포시스템에 근간한 동작관찰-신체훈련 (뇌졸중 환자의 상지기능과 일상생활활동에 미치는 영향))

  • Ko, Hyo-Eun;Park, Jin-Ju;Lee, Kyung-Ju;Lee, Eun-Hee;Oh, Myung-Hwa
    • The Journal of the Korea institute of electronic communication sciences
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    • v.9 no.1
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    • pp.123-130
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    • 2014
  • The aim of this study was to determine the effect of action observational physical training on upper extremity function and activities of daily living in stroke patient. 19 hemiparetic patients participated in this study and were randomly selected into an experimental group and a control group. An experimental group observed performance actions of purposeful activity task through a video and imitated actions with the traditional occupational therapy, and a control group only observed actions with the traditional occupational therapy. Traing was performed 3 times a week and 30 min for each round for 4 weeks. WMFT were performed for an upper extremity function and MBI were performed for activities of daily living. As a result, WMFT and MBI showed significant difference between before and after in two groups but didn't show significant difference between two groups.

A Study on Robotic Arm Control Method Based on Upper Extremity Electromyogram (상지 근전도 기반의 로봇 팔 제어방법에 대한 연구)

  • Kang, S.Y.;Eom, S.H.;Jang, M.S.;Lee, E.H.
    • Journal of rehabilitation welfare engineering & assistive technology
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    • v.9 no.1
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    • pp.73-80
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    • 2015
  • In this paper, we propose the robotic arm control method based on upper extremity electromyogram for lower upper extremity amputation patient. The muscle activity of the forearm flexor, forearm extensor and biceps was analyzed to utilize distribution of muscle activity to a specific position in order to the control input. This control input is converted into a control command for controlling the robotic arm through the algorithm. For the experiment and verify the proposed method, 5DoF robotic arm control system was constructed with 1 channel EMG Module and PC applications through the interworking with each module to perform a three-channel EMG analysis. For accuracy and performance evaluation of control, Experiments were performed with robotic arms moving objects. As a result of experiments which after training for 10 hours by middle 20's man, Validity of the proposed method was evaluated based an average accuracy of 92.5%.

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Analysis of Body Composition and Functional Physical Performance in Urban-Dwelling Elderly Women with or without Obesity (도시 거주 여성 노인의 비만 유무에 따른 신체구성, 상⋅하지 근력 및 신체활동 능력 분석)

  • Choi, Seung-Jun
    • PNF and Movement
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    • v.19 no.3
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    • pp.331-340
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    • 2021
  • Purpose: The purpose of this study was to investigate the differences in body composition, upper and lower limb muscle strength, and functional physical ability in urban-dwelling elderly women with or without obesity. Methods: All study participants were assigned to the normal weight group (n=8, BMI<25) and the obesity group (n=7, BMI>25) based on their obesity rate. Anthropometric measurement was conducted and body composition was measured. For the upper and lower limb strength, grip strength and maximal isometric knee extension and flexion were evaluated by a dynamometer. The senior fitness test was performed to measure functional ability. Data analysis was conducted by the independent t-test and the alpha level was set at 0.05. Results: The waist, hips, and thighs of obese elderly women were thicker than those of normal-weight elderly women. This physical difference resulted from body fat mass, not muscle mass. Despite a similar level of limb muscle mass between the two groups, the upper limb grip strength was higher (24.00% for left, 19.95% for right) in the normal-weight women than the obese women (p<0.05), but otherwise there was no difference in maximal knee flexion or extension isometric strength. Functional physical ability showed no difference in a 30-second chair sit and stand test and a six-minute walk test, but a 30-second arm-curl (11.00% for left, 14.81% for right), back stretch (8.54cm for left, 8.99cm for right), chair sit and reach (9.22cm for left, 6.24cm for right), and 2.44 meter round trip walk (0.62 sec, 9.39%) were faster in performance for normal-weight elderly women than obese elderly women (p<0.05). Conclusion: Taken together, despite similar levels of upper and lower extremity muscle mass, normal-weight elderly women showed higher performance in upper limb strength, flexibility, and agility than obese elderly women, but there was no difference in lower extremity functional muscle strength and cardiopulmonary endurance.

Comparison of Brain Connectivity in Mental Practice and Physical Performance of Bilateral Upper Extremity Function in a Healthy Adult: A Case Study (건강한 성인의 양측상지기능의 상상훈련과 신체적 수행의 대뇌 연결성 비교: 사례 연구)

  • Jeong, Eun-Hwa;Kim, Hee
    • Therapeutic Science for Rehabilitation
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    • v.8 no.1
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    • pp.41-50
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    • 2019
  • Objective: The purpose of this study was to investigate whether there is a difference in the brain connectivity in mental practice and physical performance of training bilateral upper extremity function. Method: The subject performed activities involving mental tasks and physical exercise for bilateral upper extremity functioning during each phase of EEG measurements. The subject performed a symmetrical task(lifting a box and placing it back) that involved moving both arms at the same time and an asymmetrical task(opening and closing a bottle cap) in order to perform functional tasks. EEG electrodes were attached to Fp1, Fp2, F3, F4, T3, T4, P3, and P4. Data analysis was performed using Cross-Line Mapping for correlational analyses between EEG electrode pairs. Conclusion: This study found that the brain connectivity patterns of symmetrical and asymmetric upper extremity tasks have similar patterns for the motor and sensory area, and that the correlation of the physical practice is generally higher than that of the mental practice.

The Effect of Questions for Internal feedback on Functional Recovery and Task performance in chronic stroke patients (내재적 피드백을 위한 질문이 만성 뇌졸중 환자의 기능회복과 과제수행에 미치는 영향)

  • Sun, Hwa-Jung;Kim, Hee-Soo;Woo, Ji-Hea;You, Young-Youl
    • Journal of Korean Academy of Medicine & Therapy Science
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    • v.10 no.2
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    • pp.21-30
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    • 2018
  • Objective: The purpose of this study was to investigate questions and instructions for internal feedback effects on functional recovery and task performance while chronic stroke patients practised task-specific training. Method: Twenty-four chronic stroke patients were randomly divided into two groups; when patients performed same tasks, one was treated using questions and the other using instructions for internal feedback Both lasted 30 minutes, 5 times a week for 8 weeks. Outcome measures included Erasmus MC Modifications to the Nottingham Sensory Assessment (EmNSA), Measurement Properties of the Motor Evaluation Scale for Upper Extremity in Stroke patients (MESUPES), Chedoke Arm and Hand Activity Inventory (CAHAI), Korean version of Modified Barthel Index (K-MBI). Results: There were no significant differences between the two groups in EmNSA and K-MBI(p>.05). But, in MESUPES and CAHAI, there was significant difference between the two groups(p<.05). Conclusion: In this study, questions for internal feedback during task-specific training are more effective in improving upper extremity motor function and task performance than instructions for internal feedback.

Injuries of the Upper Extremity in Golf (골프에서의 상지손상)

  • Park Tae-Soo
    • Journal of Korean Orthopaedic Sports Medicine
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    • v.3 no.1
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    • pp.10-14
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    • 2004
  • There is a large number of old athletes participating golf, and the shoulder, especially the nondominant or lead arm, appears to be at greatest risk for golf-related injury during extremes of motion. To reduce and prevent the risk of injury and improve the performance of golf, golfer should understand the biomechanics of the golf swing, increase flexibility, and perform stretching and strengthening exercises regularly .

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