• The Journal of the Korea Contents Association
• /
• v.20 no.9
• /
• pp.520-530
• /
• 2020

The purpose of this study was to investigate the effects of occupation-based bilateral upper extremity training and transcranial direct current stimulation on upper limb function in stroke patients. The study group was divided into 13 experimental groups with occupation-based bilateral upper extremity training and transcranial direct current stimulation, and 13 controls with only occupation-based bilateral upper extremity training. A total of 4 weeks, 50 minutes, 5 times a week conducted, the patients were tested with Canadian Occupational Performance Measure(COPM), Accelerometer, Fugle-Meyer Assessment(FMA), and Motor Activity Log(MAL). As a result of the study, the experimental group and the control group showed significant improvement in both occupation satisfaction and performance, usage of the affected side and the tendon side, recovery of upper limb function, and quality of movement, In particular, the experimental group showed a significant difference in the amount of the affected side than the control group. Therefore, it was found that the combination of occupation-based bilateral upper extremity training and transcranial direct current stimulation had a positive effect on the recovery of upper limb function in stroke patients.

• PNF and Movement
• /
• v.13 no.3
• /
• pp.155-162
• /
• 2015

Purpose: The current study (case report) seeks to examine the effects of a proprioceptive neuromuscular facilitation (PNF) exercise program on the upper extremity function and activities of daily living (ADLs) in a stroke patient. Methods: The subject was a 42 year-old woman diagnosed with right-sided hemiplegia due to stroke. Exercise therapy was provided for 50 minutes per day (5-minute warm-up, 40-minute exercise, 5-minute wrap-up) three times per week for a four-week period. The manual function test (MFT) was used to evaluate upper extremity functions. The modified Barthel index (MBI) was utilized to measure ADL. Results: After intervention using various PNF program, the MFT score increased from 23 to 26 and the MBI score increased from 62 to 66. Conclusion: After the application of the PNF program, the MFT and MBI scores increased. As compensative movement of the upper extremities declined, the movement of the upper extremities became faster and softer.

• Physical Therapy Rehabilitation Science
• /
• v.10 no.3
• /
• pp.343-350
• /
• 2021

Objective: The most common type of cancer in women is breast cancer, and pain in the upper extremity and trunk is a discomfort experienced by more than half. Based on the evidence that manual therapy is effective for pain control in postoperative rehabilitation, this study aims to analyze the effects of manual therapy on upper extremity pain and function in patients after breast cancer surgery. Design: A systematic review and meta-analysis. Methods: We searched MEDLINE, Embase, PEDro, and CINAHL databases until August 2021. We included randomized controlled trial evaluating pain and function in patients after breast cancer surgery. Qualitative analysis was performed using Cochrane's risk of bias tool, and quantitative analysis was performed using RevMan 5.4 to analyze post-intervention outcomes. Results: Four randomized controlled trials were selected to evaluate the effects of upper extremity pain and function in 133 patients who underwent manual therapy after breast cancer surgery. In the results of qualitative and quantitative analysis, the experimental group treated with manual therapy showed a significant improvement in pain compared to the control group (-0.62; 95% confidence interval (CI) -0.97 to -0.27). However, there was no significant improvement in upper extremity function (-0.09; 95% CI -0.43 to 0.25). Conclusions: Current evidence shows that manual therapy is effective for pain control in patients who complain of upper extremity pain after breast cancer surgery.

• Journal of the Korean Society of Physical Medicine
• /
• v.7 no.1
• /
• pp.111-118
• /
• 2012

Purpose : The purpose of present study was to determine effects of action observation training on upper limb function after stroke. Training was progressed to imitation and intensive training after observation to required action in ADL. Methods : Among the single case study was used to ABA design. pre base line(A) was only collected participant information without intervention in 5 times. action observation intervention(B) was carried out 10 times and 5 times to base lime(A) after intervention. Results : Results indicated that 10-second test, box and block test, manual function test was increased when compared action observation intervention(B) to pre base line(A). Conclusion : To stroke action observation training was evaluated gross manipulation, dexterity and upper limb function in related with ADL. action observation training benefits were maintained after intervention(B) and showed improvement on upper limb function of stroke.

• Journal of the Korean Society of Physical Medicine
• /
• v.11 no.1
• /
• pp.115-125
• /
• 2016

PURPOSE: The purpose of this study was to compare the effects of task-oriented training and virtual reality training on upper extremity function, balance ability, depression in stroke patients. METHODS: Forty stroke patients were randomly allocated into a task oriented training group (TTG, n = 20), a virtual reality training group (VRG, n = 20). Both groups received the usual physical therapy. In addition, TTG patients underwent task training such as sweeping the table, cup stacking, carrying wood block. VRG patients underwent virtual reality training using X-box kinect. Both groups received 30 minutes of training per day, five times per week, for twelve weeks. RESULTS: After intervention, both groups showed significant improvement on upper extremity function, balance ability, and depression. VRG showed more improvement on upper extremity function, balance ability, and depression than TTG. CONCLUSION: According to the results of this study, task-oriented training and virtual reality training are feasible and suitable for stroke patients. And virtual reality training is more effective method than task oriented training.

• The Korean Journal of Rehabilitation Nursing
• /
• v.18 no.2
• /
• pp.67-74
• /
• 2015

Purpose: The purpose of this study was to identify the effects of auricular acupressure therapy on the upper extremity function, perceived health status and Activities of Daily Living for rehabilitation among stroke patients at home. Methods: As a quasi-experimental study, non-equivalent control group pretest-posttest design was used. Data were collected from August 1st to September 31st, 2012. Participants were 28 (Experimental 17, Control 11) stroke patients at home. Using the SPSS/WIN 12.0 program, data were analysed by the $x^2$-test, Fisher's exact test, Mann-Whitney U test and Wilcoxon signed rank test. Results: Upper extremity function (U=28.00, p=.001) and activities of daily living (U=47.50, p=.029) were significantly higher in the experimental group compared to the control group. However, perceived health status was not significantly different between the two group. Conclusion: This study proved that auricular acupressure therapy was effective for upper extremity function and activities of daily living among stroke patients at home.

• Journal of International Academy of Physical Therapy Research
• /
• v.11 no.1
• /
• pp.2005-2011
• /
• 2020

Background: Motor imagery is the mental representation of an action without overt movement or muscle activation. However, few previous studies have demonstrated motor imagery training effects as an objective assessment tool in patients with early stroke. Objective: To investigate the effect of motor imagery training on Somatosensory Evoked Potentials (SSEP) and upper limb function of stroke patients. Design: A quasi-experimental study. Methods: Twenty-four patients with stroke were enrolled in this study. All subjects were assigned to the experimental or control group. All participants received traditional occupational therapy for 30 minutes, 5 times a week. The experimental group performed an additional task of motor imagery training (MIT) 20 minutes per day, 5 days a week, for 4 weeks. Both groups were assessed using the SSEP amplitude, Fugl-Meyer assessment of upper extremity (FMA UE) and Wolf motor function test. Results: After the intervention, the experimental group showed significant improvement in SSEP amplitude and FMA UE than did the control group. Conclusion: These findings suggest that the MIT effectively improve the SSEP and upper limb function of stroke patients.

• Journal of the Korean Society of Physical Medicine
• /
• v.14 no.4
• /
• pp.115-123
• /
• 2019

PURPOSE: This study compared the scores of the Mini-Mental State Examination-Korean version (MMSE-K) and Korean version Montreal Cognitive Assessment (K-MOCA), which assess cognitive function, the Fugl- Meyer Upper-Extremity Assessment (FMA), which assess the upper extremity function; and Modified Barthel Index (MBI), which that assesses activities of daily living among patients receiving inpatient treatment following a diagnosis of stroke to determine the correlations among MMSE-K, K-MOCA, FMA, and MBI. METHODS: The study assessed the cognitive function using the MMSE-K and K-MOCA, upper extremity function using FMA, and activities of daily living using MBI. The data were analyzed using Pearson's correlation analysis and multiple regression analysis. RESULTS: An analysis of the differences in the MMSE-K, K-MOCA, MBI, and FMA scores according to the affected side, revealed differences in the, K-MOCA scores according to the affected side, where patients with right hemiplegia showed better cognitive function (p <.05). Correlation analysis among MMSE-K, K-MOCA, FMA, and MBI Showed significant correlations (p <.05). The results indicate that those with higher cognitive and upper extremity functions had higher performance of activities of daily living. CONCLUSION: The cognitive and upper extremity functions were correlated with the activities of daily living in stroke patients. Accordingly, applying physical therapy with a focus on improving the cognitive function and training activities of daily living could assist in the functional recovery of stroke patients significantly.

• Fashion & Textile Research Journal
• /
• v.8 no.1
• /
• pp.107-112
• /
• 2006

This study is done to classify the upper body shapes for late elementary schoolgirls. The sampling was done for 11~12 years-old-girls resident in Busan and Kyungnam. Based on the somatometric charateristics of them, 33 anthropometic and 7 photogrphic measurment data were acquired from every girl. These data are statistically analyzed with the following methods; Factor Analysis, Cluster Analysis, and Discriminant Analysis. Resulting from the factor analysis, it is shown that 79.95% of the whole variances can be explained with 8 factors. Through the cluster analysis, 3 types of upper body shapes can be categorized as follows: Type I has average horizontal size, big vertical size and lots of protruded chest ; Type III has big horizontal size, the mean vertical size, and big upper angle of the back ; Type II has small horizontal and vertical size and long surface length of the upper body. Through the discriminant analysis, the high discriminative items in discriminant function are follows: Upper chest circumference, arm length and waist front length of discriminant function I and waist depth, front length, back breadth, nipple to nipple breadth and upper chest circumference of discriminant function II have large coefficient values.

• Journal of the Chungcheong Mathematical Society
• /
• v.22 no.1
• /
• pp.7-10
• /
• 2009

With the introduction of a new parameter $n{\geq}1$, Kim generalized an upper bound for the exponential function that implies the inequality between the arithmetic and geometric means. By a change of variable, this generalization is equivalent to exp $(\frac{n(x-1)}{n+x-1})\;\leq\;\frac{n-1+x^n}{n}$ for real ${n}\;{\geq}\;1$ and x > 0. In this paper, we show that this inequality is true for real x > 1 - n provided that n is an even integer.