• Title/Summary/Keyword: Wrist injuries

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Effectiveness of Kinesio-Taping on Work-Related Musculoskeletal Symptoms of the Wrist of a Physical Therapist: Preliminary Randomized Controlled Study (물리치료사의 손목의 직업관련 근골격계 증상에 키네시오 테이핑이 미치는 영향)

  • Kim, Sung-Hyeon;Lee, Sang-Hun;Shin, Ho-Jin;Jung, Kyoung-Sim;Cho, Hwi-Young
    • Journal of the Korean Society of Physical Medicine
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    • v.15 no.3
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    • pp.79-87
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    • 2020
  • PURPOSE: Physical therapists are always exposed to work-related musculoskeletal disorders. Although kinesio taping can support the joints and assist movement, studies of the effects of kinesio taping on these physical therapists are lacking. This study examined the effects of Kinesio-taping on pain, grip strength, range of motion and daily living skills in physical therapists with work-related musculoskeletal disorders. Pain was measured using a 100 mm VAS. The grip strength was measured using a handgrip dynamometer. The range of joint motion was measured using a goniometer. Living skills were measured by patient-rated wrist evaluation. METHODS: Twenty physical therapists with wrist pain (Kinesio taping: n = 10, Sham taping: n = 10) received taping for each group, and measured the pain, grip strength, range of motion and daily living skills before (Baseline) and after taping (Nine hours). RESULTS: All data were analyzed using Repeated Measure ANOVA (p < .05). In the Kinesio group, resting pain (-14.9), movement pain (-20.5), and daily living skills (-9.55) were improved significantly compared to the baseline (p < .05). The grip strength and range of motion were not changed (p > .05). The sham group showed no significant change in all variables (p > .05). CONCLUSION: Physical therapists with work-related musculoskeletal disorders of the wrist should apply kinesiotaping to improve the occupational tasks.

Survey on Injuries during Snowboarding and Wearing Satisfaction to Develop Snowboard Protector (스노보드 보호대 개발을 위한 스노보딩 중 주요부상 및 보호대 착용만족도 조사)

  • Lee, Heeran;Hong, Kyung Hwa
    • Fashion & Textile Research Journal
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    • v.21 no.4
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    • pp.497-508
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    • 2019
  • Snowboarder accidents at ski resorts are increasing; therefore, it is essential to wear protective wrist, hip and knee protectors when snowboarding. However, most studies focus on the improvement of gear or expansion of safety facilities with few studies on protectors that directly safeguard the body from accidents caused by tumbling. Protectors currently on the market do not properly consider the needs of the users. Therefore, this study investigates the reality of usage and satisfaction rate of those that use snowboarding protectors along with factors deemed important upon wearing them to provide the grounds for the development of comfortable protectors. Subjects were 1,058 adults in their 20s to 40s. First, a survey was conducted regarding demographic traits as well as the wearing and purchasing of protectors. Second, 325 people that purchased and wore protectors were investigated in regards to the wearing satisfaction rate of current commercial protectors. The results showed that 86% of the 1,058 subjects wore protectors; knee protectors (72%), hip protectors (57%) and wrist protectors (38%). Important factors upon purchasing and wearing satisfaction were studied according to demographic traits, snowboarding experience, and number of snowboard rides for one season. As a result, the damage rate increased along with the number of snowboard rides for one season. Important factors considered when purchasing varied significantly according to sex, age, snowboarding experience, and favored slopes. The results of this study will help in the design of comfortable protectors for snowboarders.

Snowboard Injury (스노우보드 손상)

  • Seo Joong-Bae;Lee Sung-Cheol;Park Jin-Young
    • Journal of Korean Orthopaedic Sports Medicine
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    • v.3 no.1
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    • pp.22-24
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    • 2004
  • Snowboarding has become one of the premier alpine sports. The past decade has seen the popularity of snowboarding increase dramatically and the recent Winter Olympic Game showcased the strong visual appeal of the sport and the youth-oriented lifestyle and culture that accompanies it. The injury profile of the sport has also undergone change along with technological advances in boot and binding systems and the changing demographics of the sports participants. Central to the development of injury-prevention strategies is knowledge of the profile of injuries that occur, understanding those who are at particular risk and, if possible, the biomechanical factors involved in each injury type. Snowboarding was initially considered a dangerous, uncontrolled, alpine sport - an opinion based on little or no scientific evidence. That evidence has rapidly grown over the past decade and we now know that snowboard injury rates are no different to those in skiing; however, the injury profile is different. The purpose of this review is to give some perspective to the current snowboard injury literature. It discusses not only the demographic profile of those injured and the type of injuries that occur, but also gives some insight into the progress that has occurred in determining the impact of specific prevention strategies, such as splints to prevent injuries to the wrist/forearm. As the literature indicates, however, some things will not change, e.g. injuries are more likely to occur in beginners and lessons need to be reinforced as a fundamental aspect of any injury-prevention strategy.

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A Study on the Rehabilitation Exercise by Bike Pain and Injury and Fitting

  • Gyoung-Hoan Shon
    • Journal of the Korea Society of Computer and Information
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    • v.28 no.5
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    • pp.83-93
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    • 2023
  • The purpose of this study is to improve pain and injury through bicycle fitting and to propose rehabilitation methods. Pain and injuries caused by bicycles can be largely divided into knee and ankle pain, wrist, shoulder, neck, and back pain, and hip pain. The cause of these pains and injuries stems from incorrect bicycle fitting and posture. In order to improve these pain and injuries and prevent recurrence, appropriate bicycle fitting and rehabilitation exercise are needed. Pain and injury are divided into kinetic pain and pain by a fixed posture. In the case of kinetic pain, rehabilitation exercise is required along with inflammatory treatment, and pain by a fixed posture should understand the exact characteristics of the body and learn and practice bicycle posture according to the body's characteristics. Through this method, it can contribute to preventing the recurrence of bicycle pain and injuries and further creating an environment where a safe bicycle culture can be established.

The Effect of Taping in Tennis Injury (테니스로 인한 상해와 Taping의 효과에 대한 연구)

  • Chang, Chung-Hoon;Song, Myung-Soo;Kim, Young-Sik
    • Journal of Korean Physical Therapy Science
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    • v.3 no.2
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    • pp.943-950
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    • 1996
  • Taping is used to restrict undesired, potentially harmful motion and allow desired motion. Taping refers to the application of some type of adhesive backed tape, that adheres to the skin of a particular joint or to a limb. Prevention and rehabilitation is two main indications for the use of taping techniques. The purpose of this study was to compare a tennis injury between taping and non-taping group. The objects of this study were 64 tennis club members-38 non-taping group, 26 taping group. The analysis methods were both frequency and paired T-test. The results are followings: 1. There was effective increase of taping group-elbow, wrist, knee, ankle-that showed significant increase on statistical analysis. (P<.05). 2. There was effective a relation of seasons and injured in taping group-elbow, wrist, ankle-(P<.05) 3. But non-significant statistically about injured seasons. Prophylactic taping has become one of the most common methods employed to prevent sports injuries, despite questions regarding its efficacy. The success of taping does not only depend upon the materials or methods used, but also upon the phychologic sedative effect of the athlete to be taped.

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Sitting Posture Associated With Carpal Tunnel Syndrome: A Literature Review (앉기 자세와 수근관 증후군의 상관관계에 관한 고찰)

  • Kwon, Hyuk-Cheol;Kong, Jin-Yong
    • Physical Therapy Korea
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    • v.9 no.3
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    • pp.113-124
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    • 2002
  • The objectives of this study was to investiage the effects of sitting posture on carpal tunnel syndrome. Carpal tunnel syndrome (CTS) continues to be one of the most widely publicized maladies of the cumulative trauma disorder. Many studies have reported a positive association between CTS and highly repetitive work, high force, and poor posture. High force and repetitive work have especially been associated with CTS, but the evidence for work being a primary cause of CTS is strongest when these factors are combined. In addition to carpal tunnel syndrome, hand, wrist, and other disorders are attributed to these work-related movements. Such disorders are referred to as repetitive stress injuries, cumulative trauma disorder, overuse syndromes, and chronic upper limb pain syndrome. Incorrect posture also may play a role in the development of CTS in people who work at a computer and other types of keyboards. The tendency to roll the shoulders forward, round the lower back, and thrust the chin forward can shorten the neck and shoulder muscles, compressing nerves in the neck. This, in turn, can affect the wrist, fingers, and hand. The treatment and prevention of carpal tunnel syndrome continue to be approached with a segmental view of the human body. For example, the most common ergonomic solution for carpal tunnel syndrome associated with keyboard use is to keep the wrists in a neutral position by using a wrist rest in front of the keyboard and good sitting posture.

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A Method for Detecting Movement and Posture During Sleep Using an Acceleration Sensor of a Wearable Device (웨어러블 단말의 가속도 센서를 이용한 수면 중 움직임 및 자세를 감지하는 방법)

  • Jeon, YeongJun;Kim, SangHyeok;Kang, SoonJu
    • IEMEK Journal of Embedded Systems and Applications
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    • v.17 no.1
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    • pp.1-7
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    • 2022
  • The number of patients with many complications grows with the increase of aging population. As the elders and severely ill patients spend most of their time in bed, it leads to Pressure Injuries (PI) such as bedsores. Unfortunately, there is no method to automatically detect changes in patient's posture which leads to the need for a caregiver every set of times when the patient needs to be moved. Many studies are conducted to solve this inefficient problem. Yet, these studies require costly devices or use methods that disturb patient's sleeping environment. Those methods are mostly hard to implement in practice due to these reasons. We propose a method to detect posture using a three-axis acceleration sensor from the wrist band. We developed a wearable watch that measures sleep-related data. We analyzed 40 people's sleep data with a wearable module and watch to measure their postures such as supine, left-side, and right-side. Then, we compared the classified posture from the watch with the wearable module and achieved 90% accuracy. Therefore, we concluded that only by using the wearable watch, we can detect the sleeping position without any new equipment or system to diagnose the patients without discomfort during their daily lives.

The Characteristics of Firefighter Burn Injuries in a Burn Center: A Retrospective Epidemiological Study (소방관 화상 환자의 화상수상특징에 대한 1개 화상전문병원에서의 예비조사)

  • Kim, Hyeongtae;Kang, Gu Hyun;Jang, Yong Soo;Kim, Wonhee;Choi, Hyun Young;Kim, Jae Guk;Kim, Minji;You, Ki Cheol;Kim, Dohern;Yim, Haejun;Bang, Sung Hwan;Lee, Chang Sub
    • Journal of the Korean Burn Society
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    • v.19 no.1
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    • pp.12-15
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    • 2016
  • Purpose: Firefighters are vulnerable to burn injury during firefighting. In extensive fires, conducted heat and radiant heat can cause burn injury even though firefighters are not directly exposed to fire. There has been increasing interest in the health problems of firefighters considerably since Hongje-dong fire of 2001, which claimed the lives of six fireman. However, there have been no studies done on the characteristics of firefighter burn injuries in South Korea. Therefore, we investigated the characteristics of firefighter burn injuries in a burn center. Methods: A retrospective, single-center research was performed between Jan 2006 to Dec 2015. 24 firefighters came to the burn center. The electronic medical records of patients were reviewed. Results: Flame burns (87.5%) were the major cause of burn in firefighter. All the patients suffered second-degree or third-degree burns. Mean burn size was 6.1±6.7%. 22 of 24 patients were hospitalized and 2 of 22 hospitalized patients admitted to intensive care unit. Mean length of hospitalization was 29.1±23.7 days and mean length of intensive care unit hospitalization was 6.0±1.4 days. The face was the site most commonly burned, representing 25.8% of injuries. The hand/wrist, upper extremity, and neck were the next largest groups, with 19.4, 12.9, 11.3% of the injuries, respectively. Conclusion: Firefighter burn injuries occur to predictable anatomic sites with common injury patterns. The burn size was small but, admitted patients need about 30 days of hospitalization.

Soft Tissue Reconstruction of Complete Circumferential Defects of the Upper Extremity

  • Ng, Zhi Yang;Tan, Shaun Shi Yan;Lellouch, Alexandre Gaston;Cetrulo, Curtis Lisante Jr;Chim, Harvey Wei Ming
    • Archives of Plastic Surgery
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    • v.44 no.2
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    • pp.117-123
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    • 2017
  • Background Upper extremity soft tissue defects with complete circumferential involvement are not common. Coupled with the unique anatomy of the upper extremity, the underlying etiology of such circumferential soft tissue defects represent additional reconstructive challenges that require treatment to be tailored to both the patient and the wound. The aim of this study is to review the various options for soft tissue reconstruction of complete circumferential defects in the upper extremity. Methods A literature review of PubMed and MEDLINE up to December 2016 was performed. The current study focuses on forearm and arm defects from the level at or proximal to the wrist and were assessed based on Tajima's classification (J Trauma 1974). Data reviewed for analysis included patient demographics, causality, defect size, reconstructive technique(s) employed, and postoperative follow-up and functional outcomes (when available). Results In accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, 14 unique articles were identified for a total of 50 patients (mean=28.1 years). Underlying etiologies varied from extensive thermal or electrical burns to high impact trauma leading to degloving or avulsion, crush injuries, or even occur iatrogenically after tumor extirpation or extensive debridement. Treatment options ranged from the application of negative pressure wound dressings to the opposite end of the spectrum in hand transplantation. Conclusions With the evolution of reconstructive techniques over time, the extent of functional and aesthetic rehabilitation of these complex upper extremity injuries has also improved. The proposed management algorithm comprehensively addresses the inherent challenges associated with these complex cases.

Comparison of the Outcomes according to the Injury Type of the Short Radiolunate Ligament in Fracture-Dislocation of the Radiocarpal Joint (요수근 관절의 골절-탈구에서 단요월상인대의 손상 형태에 따른 치료 결과의 비교)

  • Heo, Youn Moo;Kim, Tae Gyun;Song, Jae Hwang;Jang, Min Gu;Lee, Seok Won
    • Journal of the Korean Orthopaedic Association
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    • v.56 no.1
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    • pp.51-60
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    • 2021
  • Purpose: Radiocarpal dislocation (RCD), which is caused by high-energy trauma, often involves radial styloid fractures and short radiolunate ligament (SRLL) injuries. Although SRLL injuries may occur as a simple rupture at the attachment site of radius, it may occur with a relatively large avulsed-fragment in the volar rim of the lunate facet of the radius. This study aimed to differentiate the injury type of SRLL and assess the differences in the treatment results depending on the treatment methods that have been applied in RCD with radial styloid fractures. Materials and Methods: Eighteen patients managed surgically with RCD were enrolled in this study. The patients were classified as Group 1 and Group 2 by using the Dumontier method. In this study, Group 2 was subdivided into 2A (purely ligamentous or small avulsion fracture of the volar rim of lunate facet) and 2B (large avulsed-fragment enough to internal fixation) according to the injury type of SRLL. Groups 2A and 2B were treated with direct repair and screw fixation, respectively. Pain, range of motion of the wrist joint, grip strength, and complications on final radiographs were examined. The outcomes were evaluated using patient-rated wrist evaluation (PRWE), and modified Mayo wrist score (MMWS). Results: All patients were Group 2 (six and twelve patients in 2A and 2B, respectively). The mean flexion to extension arch recovered 79%,and the mean grip strength was 72.9% of the uninjured side. Group 2A showed better recovery in extension, flexion and pronation than Group 2B, but there was no difference in radial deviation, ulnar deviation, supination, grip strength and pain. No differences in the PRWE and MMWS were observed between two groups. Complications included traumatic arthritis in seven patients and residual instability in five patients. Conclusion: When the SRLL was injured, the involvement of a large avulsion fracture on the anterior plane of the radiolunate did not affect the test results. On the other hand, it should be observed cautiously because avulsion fractures tend to disturb the joint's reduction through rotation or displacement. In addition, anatomical reduction and sturdy internal fixation are important for restoring the function of the SRLL.