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원위 요골 골절에 대한 한방 재활치료 프로토콜 적용의 임상적 효과: 증례 보고 (The Clinical Effect of Rehabilitation Protocol for Distal Radius Fracture in Korean Medicine: A Report of 3 Cases)

  • 하원배;금지혜;고낙용;이정한
    • 한방재활의학과학회지
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    • 제28권3호
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    • pp.97-106
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    • 2018
  • The objective of this study was to propose a rehabilitation protocol for distal radius fracture in Korean Medicine and to report its effectiveness. Three patients who had undergone distal radius fracture were treated using the rehabilitation protocol in Korean Medicine. We estimated the outcome evaluating physical examination findings of the wrist joint, numeric rating scale and quick the Disabilities of the Arm, Shoulder and Hand (DASH) score. After the treatment, we observed that wrist movement, numeric rating scale and quick DASH score were improved. A rehabilitation in Korean Medicine can be effectively used for distal radius fracture patients. The limitation of this study was the insufficient number of cases. Further studies are needed to design a rehabilitation protocol in Korean Medicine.

Inverse Dynamics 함수를 이용한 골프스윙 3분절 시스템의 적용 (An Application of Triple Segmental System in Golf Swing through an Inverse Dynamics Function)

  • 임정;문건필
    • 한국운동역학회지
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    • 제15권2호
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    • pp.57-67
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    • 2005
  • The purpose of this study was to analyze the kinetic factors of the golf driver swing using the Inverse Dynamics function. For this purpose, joint force were calculated. In order to test the possibility of Inverse Dynamics function(motion-dependent interaction), a triple segmental system was set for wrist, left shoulder and lumbar and joint force working on the anatomical joint region was estimated. For this study, 7 professional golfers were sampled, and then, their driver swings were recorded with two high-speed digital video cameras (180 frames/sec.) to be synthesized into 3-dimensional images and coordinated. Then, Eular's equation was used to produce some kinematic data, which were used to calculate joint force and torque with Newton's function. All data were calculated using LabVIEW 6.1 graphic program. The results of this study can be summarized as follows; It was found that the joint force was generated on wrist, shoulder and lumbar joints in the direction of the target, and that the joint force was stronger in the direction of target immediately before impact. The joint force was generated towards the target to activate the nodes, and then, it was generated in the reverse direction to increase the speed during impact.

결출성 절단사지에 대한 재접합 후 추시결과 (Late Results of Successful Replantation of Severed Limb by Avulsion Injury)

  • 임홍철;서승우;홍준석;장욱성
    • Archives of Reconstructive Microsurgery
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    • 제2권1호
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    • pp.53-61
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    • 1993
  • High level, major limb amputation above the wrist and ankle joint has some characteristic problems because of the large muscle mass and poor potential for nerve regeneration. As an adjunct method to reduce warm ischemic time prior to bony stabilization, temporary vascular shunting by simple catheterization has been performed, which has not been associated with any significant complication and has improved on success rate in replantation surgery. The authors have experienced 198 cases replantation of amputated limbs and digits from September, 1983 at the Korea medical center, Guro hospital, of which, 13 cases of successful replantation of amputated limbs by avulsion injury above the wrist and ankle joint level, which is generally considered as contraindication, were followed up for average 4.5 years(minimum 1.5 to maximum 8.4 years) on terms of survival rate, function and appearance. The clinical analysis upon these cases is to be presented with review of references.

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문헌고찰 및 실측에 근거한 맥진기 측정시 촌관척 정위에 대한 제안 (Proposal for Pulse Diagnosis Positions (Chon-Kwan-Chuk) for Pulse Analyzer Based on Literature Review and Anthropometry)

  • 김현호;이전;김기왕;김종열
    • 대한한의학회지
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    • 제28권3호통권71호
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    • pp.13-22
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    • 2007
  • Objectives : To obtain pulse information, oriental medical doctors usually use the three finger pulse diagnosis method. Although the diagnostic positions are very important, the exact positions are not known because of the uncertain conversion of measures of length (bun, chon, chuk) and misunderstanding of the related concepts of oriental medicine. In this study, we proposed relative positions for the detection of three pulses with a pulse analyzer. Methods : The proposal was made based mainly on several literature reviews, especially the original texts, and the examination of anthropometric characteristics of 78 individuals. Results : The Kwan is the spot where the radial pulse can be felt well near the eminent head of the radius at wrist, high bone. The position of Chon should be apart from Kwan by 6/10 distance between the high bone and wrist joint of each individual. Finally, the position of Chuk is apart from Kwan by 6.5/100 distance between the high bone and the elbow joint of each individual. Conclusions : Adapting those proposed positions for measuring three pulses can provide more consistent information to what an oriental doctor obtains than a pulse analyzer applied to other positions.

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소매의 동작기능성에 관한 인간공학적 연구 (An Ergonomic Study on Functional Utility of Movement in Sleeves)

  • 최해주
    • 한국의류학회지
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    • 제19권5호
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    • pp.826-841
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    • 1995
  • This study is concerned with the functional utility of movement in sleeve from an ergonomic viewpoint. Experiments were carried out which include 43 upper extremity segments, 21 motions and 35 female subjects. The major conclusions of the study are. 1. The expansion rate of upper extremity was higher in length than in circumference mesurements. The amounts of expansion were, especially high (more than 60mm) for inner arm length, axillary arm circumference, and outer arm length. Therefore, a lot of ease is necessary for these parts. On the other hand, armhole circumference, forearm circumference, and wrist circumference had low rates of expansion. The sleeve cap length was also contracted in all motions. 2. The expansion rate and the range of expansion and contraction were higher in the upper arm than in the forearm. The main points of expansion were the axillary and elbow parts. The segment of maximum expansi (rate of 44.8%) was Iii of axillary parts. As the body surface expands mainly in some segments, it is desirable to allow ease to the main segments of expansion. 3. In a basic sleeve, necessary ease was lacking in the measurements for outer arm length and axillary arm circumference, while it was too large in armhole circumference, forearm circumference, wrist circumference, and sleeve cap length. Therefore, a basic sleeve is inadequate as a functional sleeve for hard work in point of functional utility of movement. Wider application of these findings would lead to an improvement in the comfort of workers.

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Numerical study of 10-year-old child forearm injury

  • Mao, Haojie;Cai, Yun;Yang, King H.
    • Advances in biomechanics and applications
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    • 제1권3호
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    • pp.143-158
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    • 2014
  • Forearm fractures in children are very common among all pediatric fractures. However, biomechanical investigations on the pediatric forearm are rather scarce, partially due to the complex anatomy, closely situated, interrelated structures, highly dynamic movement patterns, and lack of appropriate tools. The purpose of this study is to develop a computational tool for child forearm investigation and characterize the mechanical responses of a backward fall using the computational model. A three-dimensional 10-year-old child forearm finite element (FE) model, which includes the ulna, radius, carpal bones, metacarpals, phalanges, cartilages and ligaments, was developed. The high-quality hexahedral FE meshes were created using a multi-block approach to ensure computational accuracy. The material properties of the FE model were obtained by scaling reported adult experimental data. The design of computational experiments was performed to investigate material sensitivity and the effects of relevant parameters in backward fall. Numerical results provided a spectrum of child forearm responses with various effective masses and forearm angles. In addition, a conceptual L-shape wrist guard design was simulated and found to be able to reduce child distal radius fracture.

인체의 동작의도 판별을 위한 퍼지 C-평균 클러스터링 기반의 근전도 신호처리 알고리즘 (Movement Intention Detection of Human Body Based on Electromyographic Signal Analysis Using Fuzzy C-Means Clustering Algorithm)

  • 박기원;황건용
    • 한국멀티미디어학회논문지
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    • 제19권1호
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    • pp.68-79
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    • 2016
  • Electromyographic (EMG) signals have been widely used as motion commands of prosthetic arms. Although EMG signals contain meaningful information including the movement intentions of human body, it is difficult to predict the subject's motion by analyzing EMG signals in real-time due to the difficulties in extracting motion information from the signals including a lot of noises inherently. In this paper, four Ag/AgCl electrodes are placed on the surface of the subject's major muscles which are in charge of four upper arm movements (wrist flexion, wrist extension, ulnar deviation, finger flexion) to measure EMG signals corresponding to the movements. The measured signals are sampled using DAQ module and clustered sequentially. The Fuzzy C-Means (FCMs) method calculates the center values of the clustered data group. The fuzzy system designed to detect the upper arm movement intention utilizing the center values as input signals shows about 90% success in classifying the movement intentions.

시간 간격 특징 벡터를 이용한 AdaBoost 기반 제스처 인식 (AdaBoost-Based Gesture Recognition Using Time Interval Trajectory Features)

  • 황승준;안광표;박승제;백중환
    • 한국항행학회논문지
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    • 제17권2호
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    • pp.247-254
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    • 2013
  • 본 논문에서는 키넥트 센서를 이용한 AdaBoost 기반 제스처 인식에 관한 알고리즘을 제안한다. 최근 스마트 TV에 대한 보급으로 관련 산업이 주목받고 있다. 기존 리모컨을 이용하여 TV를 컨트롤 하던 시대에서 벗어나 제스처를 이용하여 TV를 컨트롤 할 수 있는 새로운 접근을 제안한다. AdaBoost 학습 모델에 신체 정규화 된 시간 간격 특징 벡터의 집합을 특징 패턴으로 하여, 속도가 다른 동작들을 인식할 수 있도록 하였다. 또한 속도가 다른 다양한 제스처를 인식하기 위해 다중 AdaBoost 알고리즘을 적용하였다. 제안된 알고리즘을 실제 동영상 플레이어와 연결하여 적용하였고, 실험 후 좌표 변화를 이용한 알고리즘에 비해 정확도가 향상되었음을 확인하였다.

손목 착용형 웨어러블 기기의 가속도 센서를 사용한 사용자 인증 (User Authentication Using Accelerometer Sensor in Wrist-Type Wearable Device)

  • 김용광;문종섭
    • 정보처리학회논문지:컴퓨터 및 통신 시스템
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    • 제6권2호
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    • pp.67-74
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    • 2017
  • 본 논문은 손목 착용형 웨어러블 기기를 착용한 사용자의 걸음걸이에서 흔들리는 팔의 패턴을 통하여 사용자를 인증하는 방법을 제안한다. 기기에 내장된 가속도 센서를 이용하여 샘플링된 3축 가속도 센서 데이터를 수집한다. 수집한 데이터를 신호처리 기법을 통해 변환하여 걸음의 주기를 찾고, 푸리에 변환으로 걸음걸이의 주파수와 크기를 특징으로 추출하여, 2D 혼합 가우시안 모델(GMM)로 학습한 뒤, 신뢰구간 검증 방식으로 테스트한다. 실험결과 95%의 신뢰구간에서 사용자 평균 92%로 사용자를 인증함을 보였다.

뇌졸중 환자용 동력보조형 상지재활훈련기의 설계 (Design of Upper-limb Rehabilitation Device with Power-assist Function for Stroke Survivals)

  • 배주환;문인혁
    • 재활복지공학회논문지
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    • 제5권1호
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    • pp.79-85
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    • 2011
  • 본 논문은 뇌졸중에 의한 상지 편마비 환자의 재활훈련을 위한 동력보조형 상지재활훈련기의 설계를 제안하였다. 설계된 상지재활훈련기는 3자유도를 가지고 있으며, 검지와 손목은 독립적으로, 그리고 나머지 손가락은 하나의 모듈로 굽힘과 폄 동작이 가능하다. 손목 기구는 복동식 공암실린더를, 손가락 기구에는 두 개의 전동식 선형구동기를 적용하여 동작을 보조하도록 하였다. 설계를 기반으로 프로토타입 상지재활훈련기를 제작하였으며, 0.8mm이내의 오차로 정상상태에 수렴하도록 위치제어기를 구현하였다. 실험의 결과로부터 동력보조용 상지훈련기가 실현가능함을 보였다.