• Archives of Plastic Surgery
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• v.42 no.5
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• pp.614-618
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• 2015

Background Hand strength deficit following digital replantation is usually attributed to the mechanical deficiency of the replanted digit. Zone 1 replantation, however, should not be associated with any mechanical deficit, as the joint and tendon are intact. We evaluate shortterm motor functions in patients who have undergone single-digit zone 1 replantation. Methods A single-institution retrospective review was performed for all patients who underwent zone 1 replantation. Hand and pinch strengths were evaluated using standard dynamometers. Each set of measurements was pooled according to follow-up periods (within 1 month, 1 to 2 months, 2 to 3 months, and after 3 months). The uninjured hand was used as reference for measurements. Results The review identified 53 patients who had undergone zone 1 replantation and presented for follow-up visits. Compared to the uninjured hand, dynamometer measurements revealed significantly less strength for the hand with replanted digit at one month. The relative mean grip, pulp, and key pinch strength were 31%, 46%, and 48% of the uninjured hand. These three strength measurements gradually increased, with relative strength measurements of 59%, 70%, and 78% for 4-month follow up. Conclusions Despite the lack of joint or tendon injury, strength of the injured hand was significantly lower than that of the uninjured hand during the 4 months following replantation. Improved rehabilitation strategies are needed to diminish the short-term negative impact that an isolated zone 1 replantation has on the overall hand strength.

• The Transactions of The Korean Institute of Electrical Engineers
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• v.57 no.12
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• pp.2336-2344
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• 2008

In this paper, muscular activity and muscle fatigue of FDI(first dorsal interosseous muscle) and thenar muscle of hand was analyzed with surface EMG signal based on four kinds of attitudes(grip, tip, key and palmar) to measure grip strength and pinch strength after hand operation and rehabilitation treatment. The normative data are needed to interpret evaluation data to assess a patient's ability to return to labor environment. The preceding researchers proposed the standard data only by studying on maximum grip strength and the maximum pinch strength followed by each attitude of subjects' hands. But in this study, the muscle activity and muscle fatigue were considered under the various attitude to propose normative data. As a results, the muscle fatigue may be used only for presentation of normative data in labor environment.

• Journal of Korean Biological Nursing Science
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• v.16 no.1
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• pp.1-7
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• 2014

Purpose: This research was implemented for men in their thirties who have lower back pain to observe general activity disorder patterns during pinch lift and rubbing manual therapy (PMT) and stretching application. Methods: Participants were divided into three groups: The PMT Group used applied pinch lift and rubbing manual therapy; the STR Group used applied stretching; and the CON Group was the control group. Participants for each group received treatments that were conducted three times a week for a total five weeks. Measures of pain utilized Visual Analogue Scale (VAS) [INCOMPLETE SENTENCE]. Results: There were significant differences between the PMT Group and the CON Group as well as the STR Group and the CON Group for pain, muscle strength and flexibility. There was a significant difference in pain between the PMT Group and the STR Group. Conclusion: As a result, it is inferred that PMT and stretching positively influenced recovery with regards to pain, muscle strength and flexibility relief; however PMT is more effective for pain relief than stretching.

• Journal of Korean Academy of Fundamentals of Nursing
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• v.9 no.2
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• pp.257-267
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• 2002

Purpose: Aquatic exercise program is known to have positive effects for health maintenance and improvement in inpatients with arthritis. Aquatic exercise program could be a way to obtain wellness in middle-aged women. However, there have been few studies to evaluate physical function. The purpose of this study was to identify the effects of aquatic exercise on physical health such as body weight, BMI, muscle strength (grip strength, pinch pressure), and flexibility in healthy middle-aged women. Method: The subjects of the study were fifty healthy middle-aged women (40-59 years) who had no experience with exercise. Twenty five subjects were assigned to the experimental group and 25 to the control group. An aquatic exercise program which consisted of approximately one hour of exercise in the water two days per week. for six weeks was given to the experimental group. Data were gathered from October 2000 to April 2001 using a questionnaire and physical function measure tool (pinch pressure, grip strength. weight. centimeter ruler). Data were analyzed with the SPSS win 10.0 using frequency, t-test, $x^2$ test, paired t-test. and ANCOVA. Result: The results of this study are as follows: There were significant differences in body weight, BMI, right, left grip strength and right and left pinch pressure between the two groups. Conclusion: From these results, it is concluded that the aquatic exercise program for healthy middle-aged women can be effective in increasing physical health in these women.

• PNF and Movement
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• v.20 no.1
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• pp.125-134
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• 2022

Purpose: The aim of this study was to establish an association between grip strength and gait variability in the elderly. Methods: The participants in this experiment (n = 20) were aged 65 or older. Power grip and lateral pinch forces were obtained in grip strength tests, and spatiotemporal gait parameters were collected from IMU sensors during 6 min actual walking to test the gait of participants. The collected gait parameters were converted to coefficient of variation (CV) values. To confirm the association between grip strength and gait variability, a partial correlation analysis was conducted in which height, weight, and gait speed were input as controlling variables. Results: Grip power showed a significant negative correlation with the stride length CV (r = -0.52), and the lateral pinch force showed a significant negative correlation with the stance CV (r = -0.65) and swing CV (r = -0.63). Conclusion: This study reveals that gait variability decreases as grip strength increases, although height, weight, and gait speed were controlled. Thus, grip strength testing, a simple aging evaluation method, can help identify unstable gait in older adults at risk of falling, and grip strength can be utilized as a non-invasive measurement method for frailty management and prevention.

• Physical Therapy Korea
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• v.22 no.1
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• pp.69-78
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• 2015

This study evaluated and compared the effectiveness on upper motor extremity function between proprioceptive neuromuscular facilitation which has been frequently used in clinical practice, and action observation training in terms of improving upper motor extremity function. A study with a single-subject design (A-B-C-A') was conducted with a patient who was diagnosed with left hemiplegia. A repeated-measure analysis was conducted to assess results of the Wolf Motor Function Test (WMFT), Box and Block Test (BBT), and grip and pinch strength test performed daily in the study for 4 weeks. The results of the analysis indicated that the WMFT score, BBT score, grip strength, and pinch strength were improved from 29.60 to 39 (24.10%), from 1.67 to 4.93 each (EA) (66.22%), from 2.06 to 2.66 libras (lbs) (22.61%), and from 1.57 to 1.93 lbs (18.94%), respectively, from the baseline period to treatment period B. The values were improved from 29.60 to 42.20 (29.86%), from 1.67 to 7 EA (76.21%), from 2.06 to 3.47 lbs (40.57%), and from 1.57 to 1.67 lbs (6.12%), respectively, from the baseline period to treatment period C. From treatment period B to treatment period C, the WMFT score, BBT score, and grip strength were improved from 39 to 42.20 (7.58%), from 4.93 to 7 EA (29.56%), and from 2.66 to 3.47 lbs (23.20%), respectively, but pinch strength was decreased from 1.93 to 1.67 lbs (15.83%). In conclusion, proprioceptive neuromuscular facilitation and action observation training both have positive effects on upper extremity motor function. However, we suggest that the posttreatment effect of action observation training was better than that of proprioceptive neuromuscular facilitation.

• Journal of muscle and joint health
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• v.14 no.2
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• pp.149-157
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• 2007

Purpose: The purpose of this study was to identify the effect of BeHaS exercise program on the upper body function(muscle strength, muscle endurance, flexibility) in middle-aged women. Method: Middle-aged women were recruited in the community the study was conducted from August 2005 to December 2005. Twenty-two experimental subjects were selected from P area, eighteen control subjects were selected from A area. The experimental group carried out the program two times a week for 12 weeks. Muscle strength(grip strength, pinch strength), muscle endurance (push-up), flexibility were measured. Data were analyzed with $x^2$-test, t-test, and ANCOVA using SPSS WIN 11.5. Results: 1) Left grip strength and right pinch strength of the experimental group were significant differences after the BeHaS exercise program. 2)Muscle endurance of the experimental group(t=3.14, p=0.015) was significant difference after the BeHaS exercise program. 3) Left and right flexibility showed no significant differences after the BeHaS exercise program. Conclusion: The results suggest that BeHaS exercise program would partially improve upper body function of middle-aged women. Further studies are necessary in order to determine the effects of flexibility after BeHaS exercise program.

• Journal of Korean Public Health Nursing
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• v.14 no.2
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• pp.271-280
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• 2000

The purpose of this study was to identify the health status of elderly. Subjects were 132 older people who live in home and institution located Taejon metropolitan city. Data were collected from May 1997 to April 1998. To obtain data about health status of elderly. pulse, respiration, systolic and diastolic blood pressure. grip strength. pinch pressure. flexibility, arm circumference. triceps skin fold thickness were measured. Data were analyzed for frequency. percentage. t-test using SPSS pc+ program. The results were as follows: 1. $74.4\%$ of subjects was perceived as 'good' in their health status. 2. Mean pulse, mean respiration, systolic and diastolic blood pressure were with in normal limits. There were no statistical differences between men and women in pulse, respiration, systolic and diastolic pressure. 3. Left and right grip strength were 24.89 psi and 25.23psi. The grip strength in men was higher than that of women. It showed statistically difference between men and women in grip strength. 4. Left and right pinch pressure were 7 pound and 7.32 pound. There was statistically difference of pinch pressure between men and women. 5. left flexibility was better than right flexibility of subjects. There was no statistically significant difference between men and women in flexibility. 6. Arm circumference was 24.96cm and there was no statistically significant difference between men and women. 7. Mean skin fold thickness was 12.83 em. Skin fold thickness in men was lower than that of women. It showed statistically difference between men and women. From these results, further study should be considered gender differences in health status of elders and carried in larger sample than this study.

• The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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• v.16 no.2
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• pp.48-52
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• 2010

Object: The aim of this study is to descrive the effect of neurodynamic technique and self management exercise for carpal tunnel syndrome patients(CTS) Method: 13 patients with CTS participated in this study. They were from 18 to 70 years old and mean age was 25.3. In the evalutaion, gripping with grip dynamometer, strength of gripping with precision pinchmeter, pain level with visual analogue scale. All measurement of each subject were measure at pre- treatment and post treatment(after 1week) and post treattment(after 2 weeks) stage. The physical therapy program consisted of neurodynamic technique and self management exercise. SPSS 12.0 program was used to compile result. Result: The grip, pinch, VAS-P were significantly difference between pre-treatment and post treatment(after 2weeks)(p<.05) Conclusion: This study suggest that 3weeks neurodynamic technique and self management exercise improved grip and pinch strength and decrease pain score.

• Journal of Korean Clinical Health Science
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• v.4 no.3
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• pp.622-633
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• 2016

Purpose. The purpose of this study was compared of left dominant and the right dominant hands about coordination. Methods. The participants were 30 occupational therapy students in M university in Changwon, from April 28th 2015 to May 1. The test tools were Jebson-Taylor Hand Function Test, Hand Strength & Pinch, Grooved Pegboard Test, Box & Block and Balance Test. Results. Right dominant hand was higher than left dominant in hand grip and dexterity, hand manipulation skills. And one leg standing and toe standing were higher left foot than right foot dominant. Conclusion. Most of all evaluation items showed a better result right dominant hand than left dominant. But shows that there is no functional difference between left-hand dominant than right-hand. So left-hand dominant coordination was evaluated by a better than right-handed.