• The Journal of Korean Physical Therapy
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• 제19권2호
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• pp.33-39
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• 2007

Purpose: The purpose of this study was to investigate the effect of wrist position on grip strength. A Grip-Strength is measurement of muscle strength in hand. It is evaluated for the motor function and handicap of hand, projection of treatment plan. It is important because correct treatment. Methods: Total 80 college students were participated in this study, who consisted of 40 males and 40 females(age range: $20{\sim}26$). A Grip-Strength Dynamometer was used to measure the grip strength in three wrist position(flexion, extension, neutral position) and two elbow position(supination, pronation). The ANOVA was conducted to determine any significant difference in grip strength between the wrist position and the two elbow position. Results: The results were as follows: 1. The grip strength was affected by wrist position changes. 2. The difference of grip strength according to elbow position Was not significant difference (p>0.01). 3. The grip strength i1l neutral position was strongest among 3 position of wrist (p<0.01). Conclusion: A Grip-Strength was significant difference in wrist position. Pronation position was minimum grip-strength but not significant difference between supination and pronation.

• 대한물리의학회지
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• 제3권3호
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• pp.161-167
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• 2008

Purpose : The purpose of this study was to evaluate the effect of kinesio taping and wrist supporter on grip strength. Methods : The subjects for this study were thirty three young healthy people. To find out the effectiveness of kinesio taping and wrist supporter, divide three treatment method. Subjects measure the normal grip strength and then put on the kinesio taping and wrist supporter on wrist. Results : The results were as follow : 1. There were statistical significance on the grip strength with taping group(p<0.05). 2. There were statistical significance on the grip strength with wrist supporter group(p<0.05). 3. Taping group was more statistical significance than wrist supporter group on the grip strength. Conclusion : Supporter and taping on wrist were effective in grip strength.

• PNF and Movement
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• 제16권1호
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• pp.85-92
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• 2018

Purpose: We sought to examine whether using the rhythmic stabilization (RS) technique before proprioceptive neuromuscular facilitation (PNF) wrist taping affected pain and grip strength in patients with wrist pain to provide a basis for the application of PNF taping. Methods: The study consisted of 41 badminton enthusiasts (aged 20-40 years) who reported discomfort and pain due to overuse of their wrists. The subjects were randomly assigned to an experimental group (n=20) or a control group (n=21). In the experimental group, PNF wrist taping was applied after application of the PNF RS technique, and PNF wrist taping was applied after stretching in the control group. The tape was applied five times a week for 3 weeks. Pain was measured using the visual analog scale (VAS). Grip strength was measured using a dynamometer. The paired t-test was performed to compare grip strength and pain within the groups before and after the intervention. Covariance analysis was conducted to compare differences between the experimental group and control group. The level of significance was set as ${\alpha}=0.05$. Results: Within-group changes in grip strength and VAS were significantly different in the control group and experimental group (p<0.01). Grip strength and VAS showed more improvement in the experimental group than in the control group (p<0.01). Conclusion: PNF wrist taping after stretching and the PNF RS technique both significantly reduced pain and improved grip strength in club badminton players with wrist pain. These improvements were significantly greater in the experimental group in which the PNF RS technique was applied. The results suggest that PNF may be considered useful to improve grip strength and reduce wrist pain.

• The Journal of Korean Physical Therapy
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• 제15권4호
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• pp.312-318
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• 2003

The purpose of this study were to determine the effect on grip and pinch strength with elbow and wrist angle change. 112 college students, 88 males, and 24 females aged 19 to 34 years, participated in the study. A Grip and pinch strength was measured in two elbow position($0^{\circ}$ and $90^{\circ}$) and three wrist position($80^{\circ},\;0^{\circ},\;23^{\circ}$). The data were analyzed by mean and deviation, and t-test using the PC/SAS system. These results were obtained as follows; 1. There was a more strength grip and pinch power in $0^{\circ}$ than $90^{\circ}$ elbow flexion at three wrist angle. 2. There was a significant high grip and pinch strength in $23^{\circ}$ dorsiflexion among three wrist angle(p<0.01). 3. The grip and pinch strength power was measured higher in male than female every elbow and wrist angle(p<0.01).

• 대한인간공학회지
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• 제16권1호
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• pp.73-83
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• 1997

It is improtant to get accurate information about the grip strength for designing ergonomic grips and handles. It has been known that the excessive and repetitive use of grip force and unnatural posture of the wrist may cause cumulative trauma disorders (CTDs) such as carpal tunnel syndrome, tendrome, tendonitis, DeQuervan's disease, etc. In this paper we have measured the grip strength for sitting and standing posture for Korean adults ; 114 males and 105 females aged from the 20's to above the 50's. And this paper performed statistical analysis for deriving characteristics between grip strength and anthropometric data. The results are as follows ; (1) The maximum grip strength posture is exerted under standing posture with the elbow in full extension (180 .deg. ) for both males and females (2) There is significant difference among posture, sex and right and/or left handedness (3) Grip strength decreases with age for male, but it traces an inverted U curve for female (4) Grip strength has corre- lations with the age, weight, height, BSA, forearm length, hand length, thickness of wrist, circumference of wrist, and breadth of wrist for males.

• Safety and Health at Work
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• 제9권1호
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• pp.59-62
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• 2018

Background: Several grip strength tests are commonly used for detecting sincerity of effort. However, there is still no widely accepted standardized sincerity of effort test. Therefore, this study aimed to examine whether grip strength test in three wrist positions could distinguish between maximal and submaximal efforts. Methods: Twenty healthy individuals (10 men and 10 women) with a mean age of $26.7{\pm}3.92years$ participated in this study. All participants completed two test conditions (maximal and submaximal efforts) in three wrist positions (neutral, flexion, and extension) using both hands. Each participant exerted 100% effort in the maximal effort condition and 50% effort in the submaximal effort condition. The participants performed three repetitions of the grip strength test for each session. Results: The results showed that there is a significant main effect of the type of effort (p < 0.001), wrist position (p < 0.001), and hand (p = 0.028). There were also significant types of effort and wrist position interactions (p < 0.001) and effort and hand interactions (p < 0.028). The results also showed that grip strength was highest at the wrist in neutral position in both the maximal and the submaximal effort condition. Grip strength values of the three wrist positions in the maximal effort condition were noticeably greater than those in the submaximal effort condition. Conclusion: The findings of this study suggest that grip strength test in three wrist positions can differentiate a maximal effort from a submaximal effort. Thus, this test could potentially be used to detect sincerity of effort in clinical setting.

• The Journal of Korean Physical Therapy
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• 제29권4호
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• pp.187-193
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• 2017

Purpose: The purpose of this study was to confirm the immediate effect of wrist joint mobilization with taping on the range of motion, grip strength, and spasticity. Methods: Thirty stroke patients were randomly divided into two groups: the joint mobilization with taping group (n=15) and a taping group (n=15). For measurement of spasticity and joint range of motion, the modified Tardieu scale, active and passive range of motion of wrist flexion, as well as extension were measured by the Rapael smart glove, and for grip strength measurement, grip dynamometer was performed. Results: The experimental group showed a significant improvement in the range of motion, grip strength, and spasticity after 10 minutes of taping (p<0.05), no significant difference was found in the control group (p>0.05). However, there was no significant difference between the two groups (p>0.05). Conclusion: The study found that wrist joint mobilization with taping has an immediate effect on wrist range of motion, grip strength, and spasticity in stroke patients, whereas it was not effective in the control group with just taping. The long-term change still needs to be evaluated, when taking into consideration of the carryover effect.

• PNF and Movement
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• 제14권2호
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• pp.105-112
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• 2016

Purpose: The purpose of this study was to examine the effects of proprioceptive neuromuscular facilitation (PNF) wrist taping, after the application of a rhythmic stabilization (RS) technique, on the decrease of pain and the increase of grip strength in physical therapists who complained of wrist pain and to provide basic data on interventions for wrist pain patients. Methods: The subjects were 15 peoples in their 20s who complained of pain with a visual analogue scale (VAS) at five points or higher due to overuse of their wrists. They were randomly assigned to a control group, to which PNF wrist taping was applied after stretching (n=7), or to an experimental group (n=8), to which PNF wrist taping was applied after application of the RS technique of PNF. The experiment was conducted for four weeks, five times per week. VAS was measured in order to measure pain decrease, and grip strength (GS) was measured using a dynamometer. In order to compare within-group differences before and after the intervention, a paired t-test was performed, and in order to compare differences between the two groups, the analysis of covariance (ANCOVA) was used. All statistically significant levels were set at ${\alpha}=0.05$. Results: There were significant differences in changes of VAS and GS within each group before and after the intervention (p<0.01), but there was no significant difference between the two groups. Conclusion: This study applied PNF wrist taping after the application of stretching or PNF RS to patients who complained of pain beyond a sense of discomfort; these interventions resulted in a decrease in pain and an increase in the grip strength of the subjects. Taping and therapeutic techniques using PNF are considered to be usefully applied as one of the programs to improve wrist pain patients' pain and grip strength.

• 대한인간공학회지
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• 제26권3호
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• pp.27-33
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• 2007

The purpose of this study was to investigate influence of wrist position on the electromyographic(EMG) activities of the flexor digitorum superficialis (FDS) and extensor digitorum (ED) during drilling and pinch grip. Eighteen healthy subjects had been recruited and each subject performed two tasks (drilling and pinch grip) at three different wrist positions ($30^{\circ}$ flexion, neutral, $30^{\circ}$ extension). The EMG amplitude of each muscle was normalized to the amplitude in the maximal voluntary contraction (MVC). Repeated one-way ANOVA was used to compare the differences of EMG across wrist positions. The FDS EMG activity in both drilling and pinch grip was lowest at $30^{\circ}$ wrist extension and the highest at $30^{\circ}$ wrist flexion. The ED EMG activity was lowest when the wrist was neutral in both tasks. From the results of this study, we can conclude that the desirable wrist positions for drilling and pinch grip tasks are slightly extended or neutral position. Therefore, flexed wrist position should be avoided to reduce the excessive work load on the finger muscles during the tasks.

• 한국방사선학회논문지
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• 제15권3호
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• pp.321-327
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• 2021

Wrist PA-grip view는 주변 인대들의 손상을 쉽게 진단할 수 있기 때문에 삼각섬유연골 파열 진단에 시행한다. 그러나 의료장비 기술의 발전에도 불구하고 기하학적 요소에 따른 영상의 왜곡은 아직까지도 많은 제한점이 있다. 본 논문에서는 정확한 Wrist PA-grip view 검사를 위해 현재 사용되고 있는 검사방법에서 발생되는 왜곡을 분석하여 영상의 왜곡을 최소한으로 감소시킬 수 있는 검사방법을 제시하고자 한다. Wrist PA-grip view를 재현하기 위하여 인체모형 팬텀을 사용하였고 source of image distance (SID)는 110 cm와 임의로 정해놓은 130 cm, 150 cm로 설정하였다. 각 SID에 따라서 손목 팬텀을 x축 방향 및 y축 방향으로 각각 0, 2, 4, 6, 8, 10 cm 이동하였다. 정량적 평가를 하기 위해 손목 팬텀의 이동 시 마다 자뼈와 노뼈의 먼쪽관절면의 거리의 차이를 picture archiving and communication system (PACS) system을 통해 측정하였다. 정성적 평가로는 방사선사 20명을 대상으로 설문조사를 실시하였다. SID에 따라 나뉜 세 그룹 간의 x축과 y축 방향의 움직임에 따른 왜곡도를 비교하기 위해 Kruskal Wallis test 통계기법을 시행하였으며 사후검정으로 Tukey test를 시행하였다. 정량적 평가 결과에서 x축 방향으로 이동하여 얻은 측정값은 모든 그룹에서 유의한 차이를 보이지 않았다 (p>0.05). y축 방향으로 이동하여 얻은 측정값은 대부분의 그룹에서 유의한 차이를 보였다 (p<0.05). 영상에서 왜곡이 임상적 진단과 수술에 많은 영향을 미치는 검사의 경우, 보다 정확한 진단을 위해 영상 후처리로 영상의 질을 유지하는 한도 내에서 기존의 SID인 110 cm 보다는 150 cm에서 검사하여 왜곡을 감소시키기를 제안하는 바이다.