• 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.

• 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.

• 대한물리의학회지
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• 제4권4호
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• pp.209-214
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• 2009

Purpose：The purpose of this study are analysis characteristic of grasping power with each different elbow flexion degree and grasping power with each different elbow each different hand position and announcement. Methods：Measuring about 10cm wide open position with both feet for each elbow in the line positions of the $0^{\circ}$, $45^{\circ}$, $90^{\circ}$, $135^{\circ}$, and forearm position of supination, mid position, pronation is of the order. Results：The averge position of maximal grip strength was $0^{\circ}$ of elbow flexion with mid position in male and $90^{\circ}$ of elbow flexion with mid position in female. Grip strength in change of wrist position according to elbow flexion was significant difference(P<0.05). Grip strength in change of wrist position according to elbow flexion by sex was significant difference(P<0.05) Conclusion：When the elbow has flexion with $0^{\circ}$, $45^{\circ}$, $90^{\circ}$, $135^{\circ}$ then grasping power has a intimate relation with forearm position. Grasping power with forearm supination, pronation and mid position also has a intimate relation with elbow flexion.

• 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.

• Safety and Health at Work
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• 제11권4호
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• pp.458-465
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• 2020

Background: The aim of this study was to analyze the interaction between neck and/or wrist pain and hand grip strength (HGS) and to investigate factors (age, sex, neck disorders, and carpal tunnel syndrome) influencing the HGS of industrial quality proofing workers (N = 145). Methods: Standardized questionnaires [Neck Disability Index (NDI), Boston Carpal Tunnel Questionnaire] were used to evaluate existing neck and/or wrist pain. HGS measurements were performed in different wrist positions. Results: Significant differences between participants with and without neck pain were found in different wrist positions, in neutral wrist position right [without neck pain (n = 48) 46.34 (43.39 - 49.30); with neck pain (n = 97) 38.46 (36.20 - 40.72), F_(1,144) = 16.82, p < 0.001, ŋ_p² = 0.11] and left [without neck pain 44.06 (41.19 - 46.94); with neck pain 37.36 (35.13 - 39.58), F_(1,144) = 12.70, p < 0.001, ŋ_p² = 0.08]. A significant difference between participants with and without wrist pain was found for neutral wrist position right [without wrist pain (n = 105) 42.53 (40.37 - 44.70); with wrist pain (n = 40) 37.24 (33.56 - 40.91), F_(1,144) = 6.41, p = 0.01, ŋ_p² = 0.04]. Regression analysis showed significant results especially for steps two (age and weight, NDI) and three (age and weight, NDI, Boston Carpal Tunnel Questionnaire) for neutral position right (R² = 0.355, R² = 0.357, respectively). Conclusion: Neck pain has an impact on HGS but should be evaluated in consideration of age and sex.

• 한국방사선학회논문지
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• 제15권5호
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• pp.585-590
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• 2021

손목 보조기(Wrist brace)는 손목 외상 환자들에게 사용이 되고 있다. 최근 맞춤형 손목 보조기를 3D 프린팅 기술을 활용하여 제작하는 많은 연구가 진행되고 있다. 이러한 3D 프린팅 맞춤형 보조기는 개인마다 다른 형태 반영, 통기성 확보 등의 다양한 요소를 반영할 수 있는 장점이 있다. 본 논문에서는 3D 프린팅 맞춤형 손목 보조기 제작 시 고려되어야 하는 벨크로 밴드 숫자와 위치가 보조기에 미치는 스트레스를 분석하였다. 맞춤형 보조기를 위해 CT 영상 기반으로 자동설계 소프트웨어(Reconeasy 3D, Seeann Solution)를 사용하여 뼈, 피부 영역 3D 모델링을 수행하였다. 3D 피부 영역을 기반으로, 각 치료 목적에 맞도록 손목 보조기 디자인을 적용하였다. 그리고, 보조기의 탄성을 위해 TPU 소재를 사용하여 FDM 방식 3D 프린터로 손목 보조기를 제작하였다. 맞춤형 3D 프린팅 손목 보조기의 벨크로 밴드의 숫자와 위치에 따른 효용성 평가를 위해 보조기의 스트레스 분포를 유한요소법(FEM)으로 분석하였다. 본 연구에서 수행한 손목 보조기 유한요소 해석을 통해 보조기의 스트레스 분포를 확인하였고 보조기 제작과 벨크로 밴드의 숫자와 위치를 확인할 수 있었다. 이러한 실험 결과는 환자에게 양질의 치료를 제공하는데 도움이 될 것이다.

• 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).

• Journal of Korean Neurosurgical Society
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• 제50권4호
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• pp.377-380
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• 2011

Objective : The purpose of this study was to determine the anatomic relationships between neurovascular structures and the transverse carpal ligament so as to avoid complications during endoscopic carpal tunnel surgery. Methods : Twenty-eight patients (age range, 35-69 years) with carpal tunnel syndrome were entered into the study. We examined through wrist magnetic resonance imaging in three different positions (neutral, radial flexion, and ulnar flexion) and determined several anatomic landmark (distance from the hamate hook to the median nerve, ulnar nerve, and ulnar vessel) based on the lateral margin of the hook of the hamate. The median nerve and ulnar neurovascular structure were studied with the wrist in the neutral, ulnar, and radial flexion positions. Results : The ulnar neurovascular structures usually passed just over or ulnar to the hook of the hamate. However, in 12 hands, a looped ulnar artery coursed 0.6-3.3 mm radial to the hook of the hamate and continued to the superficial palmar arch. The looped ulnar artery migrates on the ulnar side of Guyon's canal (-5.2-1.8 mm radial to the hook of the hamate) with the wrist in radial flexion. During ulnar flexion of the wrist, the ulnar artery shifts more radially beyond the hook of the hamate (-2.5-5.7 mm). Conclusion : It is appropriate to transect the ligament greater than 4 mm apart from the lateral margin of the hook of the hamate without placing the edge of the scalpel toward the ulnar side. We would also recommend not transecting the transverse carpal ligament in the ulnar flexed wrist position to protect the ulnar neurovascular structure.

• 한국의류학회지
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• 제44권4호
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• pp.739-748
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• 2020

In this study, a wrist protector was manufactured and designed using 3D printing technology to prevent wrist pain when riding a bicycle with a high forward-tilted saddle. The efficiency of the design was analyzed in objective and subjective evaluations. First, seven women in their twenties selected their most preferred design by subjective evaluation from among three 3D wrist protectors. Then electromyography (EMG) was measured and subjective sensations were evaluated while wearing and not wearing the preferred 3D wrist protector as selected by cyclists. Experimental results showed that a wrist-bending angle of 30 degrees was most favored. When the 3D wrist protector was worn, muscle activity was smaller at the flexor carpus radialis position than when the 3D wrist protector was not worn; muscle fatigue was also lower. In the subjective evaluation, the 3D wrist protector was more comfortable than no protector, and wrist fatigue was also lower. In addition, the wrist protector was rated positively for its design suitability, size adequacy, ease of operation, and fit; however, cyclists felt that a little more cushioning was needed.

• 기본간호학회지
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• 제16권1호
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• pp.6-13
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• 2009

Purpose: The purpose of this study was to identify differences in blood pressure according to cuff size and measurement sites of the participants. Method: The participants consisted of 50 women and 50 men whose upper arm circumference was $26\sim30cm$. They had no chronic illness and gave consent to participate. Blood pressure of the wrist was measured in the sitting position, the upper arm with a standard cuff, large and small cuffs were used for measurement in supine position and the thigh in prone position. The data were analyzed with paired t-test using SPSS 12.0 program. Result: The data for the upper arm showed a difference in systolic and diastolic blood pressure depending on the site of measurement. There was a significant difference between measurements with a standard cuff and measurements with large and small cuffs. The systolic blood pressure of the wrist and the thigh were significantly lower than that of the upper arm. Conclusion: These results suggest that the selection of an appropriate cuff is an essential element in ensuring accuracy when measuring blood pressure and differences in systolic blood pressure for the upper arm, wrist and thigh indicate the need to record the measuring site when measuring blood pressure.