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The Clinical Effectiveness of Acupuncture at Palsa(BaXie) for Hand Function in Hemiparetic Patients after Stroke (중풍 편마비 환자의 손 기능 회복에 대한 팔사혈(八邪穴) 자침(刺鍼)의 임상적 효과)

  • Kim, Ja-Young;Jeong, Seon-Mee;Park, Chan-Kyu;Min, Eun-Kyoung;Wang, Teh-Chung
    • Journal of Acupuncture Research
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    • v.25 no.5
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    • pp.97-104
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    • 2008
  • Objectives : Investigate the effectiveness of an acupuncture at Palsa(BaXie) in hemiparetic patients after stroke. Methods : Acupuncture at Palsa(BaXie) applied to thirty one hemiparetic patients who had been by general treatment after stroke. The other thirty one hemiparetic patients had only general treatment. Outcomes were assessed by Medical research council scale motor grade(MRCSMG) of wrist, grip power, Fugl-Meyer Motor Scale(FMS) of hand, and Motricity Index(MI) of fingers. Results : The patients exhibited substantial improvements on grip power and Fugl-Meyer Motor Scale of hand, but Medical research council scale motor grade of wrist and Motricity Index of fingers have not significantly meaningful differences between sample and control group. Conclusions : Acupuncture at Palsa(BaXie) may be an effective method of improving hand function of hemiparetic patients after stroke.

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Electromyographic Analysis of Wrist Flexors by the Shape of Ultrasound Head (초음파 도자의 모양에 따른 손목굽힘근의 근전도 분석)

  • Kim, Won-Ho;Kim, Jong-Man;Park, Hyung-Ki;Park, Eun-Young
    • Physical Therapy Korea
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    • v.14 no.3
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    • pp.9-15
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    • 2007
  • The purpose of this study was to investigate electromyographic activities of the flexor digitorum superficialis (FDS) and the flexor carpi ulnaris (FCU) by the shape of the ultrasound head. Twelve healthy subjects participated and performed ultrasound therapy with a round head and a long handled head during each 5-minute application. Electromyographic activities of the FDS and FCU were recorded by surface electrodes and normalized by maximal voluntary isometric contraction (MVIC) values. There was no difference in the muscular fatigue of FDS and FCU as determined by the shape of the ultrasound head (p>.05). Without the shape of head, the mean power frequency decreased with the time. There also was no difference in %MVIC of the FDS and FCU as determined by the shape of the ultrasound head (p>.05), but the force exerted exceeded 20%MVIC. There was however a significant difference in the amount of cumulative workload of the FDS and FCU as determined by the shape of ultrasound head (p<.05). The workload was however not affected by the shape of the ultrasound head. Constant static grasp of ultrasound transducer head during ultrasound therapy is considered a high risk factor of work-related musculoskeletal disease.

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A Basic Study on Temperature Characteristic Analysis of Kumdo Motion by Infrared Rays Camera (열화상 카메라를 이용한 검도 동작의 온도 특성 분석 기초 연구)

  • Lee, Gyuseon;Nam, Joong Woong;Seok, Kang Hoon;Kim, Jeongbae
    • Journal of Institute of Convergence Technology
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    • v.2 no.1
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    • pp.18-23
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    • 2012
  • The purpose of this study is to visually confirm on variation of temperature changes according to the basic of Kumdo by using infrared rays camera and to obtain the difference of temperature distribution according to the warm up procedure. We selected randomly two Kumdo players, and recorded twice continuously their actions of three basic(Head Hitting, Wrist Hitting, Waist Hitting) motions of Kumdo. In other to obtain the effect of warm up procedure, we recorded again their actions including warm-up motions. Four measuring points on the body were selected in each motion considering the error on continuous recoding. Temperature distributions of the before and after warming up procedure were analyzed at two measuring point. Skin temperature distributions of the players's body in two cases are shown a similar tendency. It can be predicted that the parts of large physical movement result in the large changes of temperature according to the warm up motion.

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Analysis of Accuracy and Reliability for OWAS, RULA, and REBA to Assess Risk Factors of Work-related Musculoskeletal Disorders (근골격계질환 유해요인 정밀조사를 위한 OWAS, RULA, REBA의 평가 정확도 및 신뢰도 분석)

  • Cheon, Woohyun;Jung, Kihyo
    • Journal of the Korea Safety Management & Science
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    • v.22 no.2
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    • pp.31-38
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    • 2020
  • The study evaluated the accuracy and intra-rater reliability for OWAS (Ovako Working posture Analysing System), RULA (Rapid Upper Limb Assessment), REBA (Rapid Entire Body Assessment) to improve their evaluation accuracy and reliability. Participants (n = 163) with undergraduate degree were recruited in this study and trained for 6 hours about the ergonomic assessment methods. Ergonomic assessments were conducted using OWAS, RULA, and REBA for a representative work with dynamic posture found in manufacturing industries. The study compared action categories (overall level) and detailed evaluation scores for individual body part. Action categories of the participants significantly differed from the golden reference defined by ergonomic experts. The participants underrated or omitted scores for truck (37.4% of the participants) and legs (52.8%) in OWAS. Similarly, the participants underrated or omitted additional scores for all body parts except the hand and wrist in RULA (53.5%) and REBA (54.8%). On the other hand, the participants overrated scores for the hand and wrist in RULA (55.2%) and REBA (39.9%). The results found in this study can help of selecting focus points and parts during assessment and education to improve accuracy and reliability of the ergonomic assessment methods.

Development of EMG-Triggered Functional Electrical Stimulation Device for Upper Extremity Bilateral Movement Training in Stroke Patients: Feasibility and Pilot study

  • Song, Changho;Seo, Dong-kwon
    • Physical Therapy Rehabilitation Science
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    • v.10 no.3
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    • pp.374-378
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    • 2021
  • Objective: Bilateral movement training is an effective method for upper extremity rehabilitation of stroke. An approach to induce bilateral movement through functional electrical stimulation is attempted. The purpose of this study is to develop an EMG-triggered functional electrical stimulation device for upper extremity bilateral movement training in stroke patients and test its feasibility. Design: Feasibility and Pilot study design. Methods: We assessed muscle activation and kinematic data of the affected and unaffected upper extremities of a stroke patient during wrist flexion and extension with and without the device. Wireless EMG was used to evaluate muscle activity, and 12 3D infrared cameras were used to evaluate kinematic data. Results: We developed an EMG-triggered functional electrical stimulation device to enable bilateral arm training in stroke patients. A system for controlling functional electrical stimulation with signals received through a 2-channel EMG sensor was developed. The device consists of an EMG sensing unit, a functional electrical stimulation unit, and a control unit. There was asymmetry of movement between the two sides during wrist flexion and extension. With the device, the asymmetry was lowest at 60% of the threshold of the unaffected side. Conclusions: In this study, we developed an EMG-triggered FES device, and the pilot study result showed that the device reduces asymmetry.

Wearable Band Sensor for Posture Recognition towards Prosthetic Control (의수 제어용 동작 인식을 위한 웨어러블 밴드 센서)

  • Lee, Seulah;Choi, Youngjin
    • The Journal of Korea Robotics Society
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    • v.13 no.4
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    • pp.265-271
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    • 2018
  • The recent prosthetic technologies pursue to control multi-DOFs (degrees-of-freedom) hand and wrist. However, challenges such as high cost, wear-ability, and motion intent recognition for feedback control still remain for the use in daily living activities. The paper proposes a multi-channel knit band sensor to worn easily for surface EMG-based prosthetic control. The knitted electrodes were fabricated with conductive yarn, and the band except the electrodes are knitted using non-conductive yarn which has moisture wicking property. Two types of the knit bands are fabricated such as sixteen-electrodes for eight-channels and thirty-two electrodes for sixteen-channels. In order to substantiate the performance of the biopotential signal acquisition, several experiments are conducted. Signal to noise ratio (SNR) value of the knit band sensor was 18.48 dB. According to various forearm motions including hand and wrist, sixteen-channels EMG signals could be clearly distinguishable. In addition, the pattern recognition performance to control myoelectric prosthesis was verified in that overall classification accuracy of the RMS (root mean squares) filtered EMG signals (97.84%) was higher than that of the raw EMG signals (87.06%).

Chronic Multiple Gouty Arthritis Diagnosed during Anti-Tuberculosis Treatment of Recurrent Tuberculous Arthritis: A Case Report (재발성 결핵성 관절염의 항결핵제 치료 중 진단된 만성 다발성 통풍성 관절염: 증례 보고)

  • Oh, Hyun Cheol;Choi, Yoon Jung;Ha, Joong Won;Park, Sang Hoon;Kim, Sang Hee;Yoon, Han Kook
    • Journal of Korean Foot and Ankle Society
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    • v.22 no.3
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    • pp.116-119
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    • 2018
  • Gout occurs mainly in monoarthritis and is found in more than 50% of cases in hallux of the foot. In addition, symptoms sometimes begin in the hand, wrist, and elbow, but they are rarely observed in the spine. The patient was referred for tuberculous polyarthritis due to antituberculosis drug failure. Inflammatory findings were observed in the lumbar, elbow, wrist, hand and foot areas. Surgery was performed on the foot area and a pathology diagnosis revealed gouty arthritis. We report this case with a review of the relevant literature.

Hand Sizing Study for Development of Firefighting Gloves (소방공무원의 장갑제작을 위한 손 치수 연구)

  • Kwon, Chae-Ryung;Jang, Mina;Jeong, Da Wun;Kim, Dong-Eun
    • Journal of the Korean Society of Clothing and Textiles
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    • v.43 no.3
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    • pp.416-426
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    • 2019
  • This study measured and analyzed male firefighters hand sizes as well as suggested data for developing firefighting gloves with a good fit. Accordingly, body dimensions related to the hand were measured for 100 male firefighters. Twenty-three measuring items related to the hand and lower arm were selected. The firefighters' measurement data were compared to general adult male measurements from the 6th Korean Anthropometric data to analyze the hand sizes characteristics of firefighters. As a result, height, hand circumference, hand breadth, wrist circumference, elbow-wrist length, forearm-fingertip length and firefighter weight were significantly larger than adult males. A correlation analysis for 23 items was conducted to select items used as standards for setting a size when manufacturing firefighting gloves. Hand length and circumference were selected as representative hand parts for making firefighting gloves. Cross analysis between hand length and circumference were conducted to find the section showing the highest distribution ratio. As a result, the highest sections were between 19cm and 21cm for hand circumference and between 18.5cm and 19.5cm for hand length, which may be suggested as the most important ranges.

Design and Fabrication of a Thermoelectric Generator Based on BiTe Legs to power Wearable Device

  • Moon, S.E.;Kim, J.;Lee, S.M.;Lee, J.;Im, J.P.;Kim, J.H.;Im, S.Y.;Jeon, E.B.;Kwon, B.;Kim, H.;Kim, J.S.
    • Journal of the Korean Physical Society
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    • v.73 no.11
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    • pp.1760-1763
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    • 2018
  • To attain power generation with body heat, the thermal resistance matched design of the thermoelectric generator was the principal factor which was not critical in the case of thermoelectric generator for the waste heat generation. The dimension of thermoelectric legs and the number of thermoelectric leg-pairs dependent output power performances of the thermoelectric generator on the human wrist condition was simulated using 1-dimensional approximated heat flow equations with the temperature dependent material coefficients of the constituent materials and the dimension of the substrate. With the optimum thermoelectric generator design, thermoelectric generator modules were fabricated by using newly developed fabrication processes, which is mass production possible. The electrical properties and the output power characteristics of the fabricated thermoelectric modules were characterized by using a home-made test set-up. The output voltage of the designed thermoelectric generator were a few tens of millivolts and its output power was several hundreds of microwatts under the conditions at the human wrist. The measured output voltage and power of the fabricated thermoelectric generator were slightly lower than those of the designed thermoelectric generator due to several reasons.

Effects of a Bilateral upper Limb Training Program Using a Visual Feedback Method on Individuals with Chronic Stroke: A Pilot Clinical Trial

  • Kang, Dongheon;Park, Jiyoung;Choi, Chisun;Eun, Seon-Deok
    • International Journal of Contents
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    • v.17 no.2
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    • pp.20-31
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    • 2021
  • This study aimed to pilot test a newly developed bilateral upper limb rehabilitation training program for improving the upper limb function of individuals with chronic stroke using a visual feedback method. The double-group pretest-posttest design pilot study included 10 individuals with chronic stroke (age >50 years). The intervention (four weekly meetings) consisted of five upper limb training protocols (wrist extension; forearm supination and pronation; elbow extension and shoulder flexion; weight-bearing shift; and shoulder, elbow, and wrist complex movements). Upper limb movement function recovery was assessed with the FuglMeyer Assessment of the Upper Extremity, the Wolf Motor Function Test, the Trunk Control Test, the modified Ashworth Scale, and the visual analog scale at baseline, immediately after, and four weeks after the intervention. The Fatigue Severity Scale was also employed. The Fugl-Meyer Assessment of the Upper Extremity and Wolf Motor Function Test showed significant improvement in upper limb motor function. The Trunk Control Test results increased slightly, and the modified Ashworth Scale decreased slightly, without statistical significance. The visual analog scale scores showed a significant decrease and the Fatigue Severity Scale scores were moderate or low. The bilateral upper limb training program using the visual feedback method could result in slight upper limb function improvements in individuals with chronic stroke.