• Title/Summary/Keyword: 팔 뻗기

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The Effects of Upper Limb Reaching task on Upper Limb Function and Self-Efficacy for Patients with Stroke: Case Study (팔 뻗기 과제가 뇌졸중 환자의 상지기능 및 자기효능감에 미치는 영향에 대한 사례연구)

  • Song, Seung-Il;Cho, Young-Nam
    • Therapeutic Science for Rehabilitation
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    • v.3 no.2
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    • pp.59-69
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    • 2014
  • Objective : This study was done to see that upper limb reaching task have an effect on stroke patient's upper limb function and self-efficacy. Methods : The object of the study was done to see for diagnosed with stroke man on the thirty-ninth of this month. upper limb reaching task was done to see three times a for 6 week and by a per for thirty minutes. To find changing upper limb function and self-efficacy before-after upper limb reaching task, they were measured using Box & block test and self-efficacy scale. Results : Box & block test and self- efficacy scale were increased mark of revaluation, evaluation result than one of early evaluation result. Conclusion : Through this study, upper limb reaching task applied to stroke patient was found that it improved stroke patient's upper limb function and self-efficacy.

Effects of Vocalization on Upper Extremity Muscle Activity during Reaching Task in Patients with Hemiplegia (발성이 편마비 환자의 팔 뻗기 시 상지근육의 근활성도에 미치는 효과)

  • Lee, Myoung-Hyo;Choi, Young-Chul;Kim, Jin-Sang
    • The Journal of the Korea Contents Association
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    • v.12 no.12
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    • pp.356-362
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    • 2012
  • This study examined the effects of vocalization on upper extremity muscle activity during reaching task in patients with hemiplegia. Thirteen persons with right brain stroke performed reaching to a cup under four concurrent speech conditions of vocalizing the word "Ah" with hemiplegic side. These four conditions are self-vocalization, external vocalization, imaginary vocalization, and no vocalization. The muscle activity(Biceps brachii, Triceps brachii, Middle deltoid, and Upper trapezius) were measured using MP150. Muscle activity was significantly higher under self-vocalization and external vocalization conditions compared to the muscle activity under imaginary vocalization and no vocalization conditions on triceps brachii muscle.(p<0.05). Triceps brachii muscle was highly correlated with biceps brachii muscle(r=0.777, p<0.05). The results suggest that self-vocalization and external vocalization can be used in facilitating upper extremity movements in patients with stroke. When working with patients with right hemispheric stroke, therapists might explore possibilities of using patient's self-speech to enhance the quality of upper extremity movement performance.

Kinematic Analysis in Reaching Depending on the Localized Vibration Duration in Persons With Hemiparetic Stroke (국소 진동자극이 편마비 뇌졸중 환자의 팔 뻗기 수행에 미치는 영향에 대한 운동학적 분석)

  • Yoo, Eun-Young;Park, Ji-Hyuk;Kwon, Jae-Sung;Cho, Sang-Yoon;Lee, Bo-Mi;Kim, Yeong-Jo;Kim, Jae-Nam;Kim, Sun-Ho
    • Therapeutic Science for Rehabilitation
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    • v.7 no.3
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    • pp.79-88
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    • 2018
  • Objective : Localized vibration has been shown to have a positive effect on recovery of upper-limb motor function in patients with hemiparetic stroke, but there has been little research on kinematic analysis for qualitative changes in movement. This study investigated kinematic changes in elbow motion during reaching after localized vibration in persons with hemiparetic stroke. Methods : This study used a one-group, cross-over trial design. Ten chronic stroke patients randomly received localized vibrations on the affected biceps brachii for 5, 10, or 20 min, at 70 Hz. Kinematic analysis of reaching was measured using a 3-D motion analysis system. Variables included peak angular velocity, time to peak angular velocity, and movement units during elbow motion. Result : Affected side elbow motion during reaching was faster, smoother, and more efficient after 20 min localized vibration. Peak angular velocity increased (p<0.05), and time to peak angular velocity (p<0.05) and the movement unit were significantly decreased (p<0.05) during elbow motion for reaching. Conclusion : Localized vibration can improve kinematic components during reaching motion in persons with hemiparetic stroke.

Comparison of Balance Ability between Stable and Unstable Surfaces for Chronic Stroke Patients (불안정 지지면과 안정 지지면에서의 만성 뇌졸중 환자의 균형 능력 비교)

  • Lee, Ji-Yeun;Roh, Hyo-Lyun
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.12 no.8
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    • pp.3587-3593
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    • 2011
  • This study was to investigate the balancing and clinical abilities using stable and unstable surface of stroke patients who surface changes in balance of body. The subjects of this study were 30 stroke patients(16 males and 14 females). They were separated into two groups and did balance reinforcing exercise on stable and unstable surfaces for five times a week for six weeks. To evaluate their balancing ability, they performed functional standing balance test, functional forward arm stretching test. performance-oriented mobility assessment was performed. The balancing exercises were modified from preceding studies and consisted of 6 difference exercises. The functional standing test with open and close eyes and performance-oriented mobility assessment, the unstable surface exercise group and the stable surface exercise group improved significantly. The forward arm stretching test was the unstable surface exercise group improved. This study found that the balancing exercise on unstable surface was more effective than on stable surface for stroke patients. Thus, exercise on unstable surface has more positive effects on the improvement of balancing abilities of stroke patients.

Intervention based on Biomechanical Frame of Reference for Balance and Manual Function: a Single Subject Research (생체역학 모델을 통한 균형능력과 상지기능의 중재: 단일대상연구)

  • Kim, Tae-Hoon
    • The Journal of the Korea Contents Association
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    • v.9 no.11
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    • pp.231-239
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    • 2009
  • The purpose of this study was to investigate changes in balance and upper extremity (UE) function associated with reaching training for children with quadriplegic cerebral palsy based on Biomechanical Frame of Reference. The baseline (phase A) lasted one week. The therapeutic protocol consisted of three reaching training (Phase B) for 40 minutes three times a week. Intervention phases lasted 4 weeks. The CMS-70P (Zebris Medizintechnik Gmbh, Germany) was used to evaluate the qualitative changes in UE function and Pediathc Berg Balance Scale was used to test the balance. The observed performance changes seem to be associated with the presence of intervention and suggest that biomechanical training can be a useful intervention to improve not only manual function but also balance.

Effects of Robot-assisted Therapy on Function of Upper Extremity in Stroke Patients (로봇보조(Robot-assisted) 치료가 뇌졸중 환자의 상지기능에 미치는 영향)

  • Hwang, Sun-Jung;Yoo, Doo-Han
    • The Journal of Korean society of community based occupational therapy
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    • v.3 no.1
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    • pp.33-42
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    • 2013
  • Objective : The purpose of this study is to assess effects of Robot-assisted therapy on function of upper extremity in stroke patients. Method : A total of 11 patients suffered from stroke participated in this study. Inpatients of 4 people and outpatients of 7 people divided by 12 months conducted Robot-assisted therapy for 5~6 weeks. Therapists selected appropriate exercise mode to patients, and patients Patients performed the reaching exercise was repeated with looking monitor provided 3-dimensional feedback. Before and after treatment of upper extremity functions was compare by Wolf Motor Function(K-WMFT), Box & Block Test(BBT), Dynamometer, average execution time. Result : Grip power, K-WMFT, BBT, average performance times were promoting in all subjects, and only showed statistically significant changes in outpatients. But outpatients did not show statistically significant changes in inpatients. Conclusion : Robotic-assisted therapy in stroke patients have a positive impact on upper extremity function that could confirm that. In the future, Robots-assisted therapy is expected to be useful for stroke patients in the area of occupational therapy.

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Effect of The Trunk Muscle Stabilization Training on Balance for Chronic Stroke Patients (체간 근육 안정화 운동이 만성 뇌졸중 환자의 균형에 미치는 영향)

  • Lee, Ji-Yeun;Park, Jung-Seo;Lee, Dae-Hee;Han, Seul-Ki;Roh, Hyo-Lyun
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.13 no.3
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    • pp.1212-1219
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    • 2012
  • This study was to investigate the balancing and clinical abilities trunk muscle stabilization exercise and trunk muscle resistive exercise of stroke patients having surface changes in balance of body. The subjects of this study were 30 stroke patients(15 males and 15 females) that three times a week for 12 weeks at the same time point and with the same amount of exercise. They were separated into two groups and did reinforcing exercise on trunk muscle stabilization exercise and trunk muscle resistive exercise for three times a week for twelve weeks. It were measured balancing ability, they performed functional standing balance test, functional forward arm stretching test. performance-oriented mobility assessment, berg balance scale. The balancing exercises were modified from preceding studies and consisted of 6 difference exercises. The functional standing test with open and close eyes and performance-oriented mobility assessment, the trunk muscle stabilization exercise group and the trunk muscle resistive exercise group improved significantly. The forward arm stretching was test the trunk muscle stabilization exercise group more improved. This study found that the balancing exercise on trunk muscle stabilization exercise was more effective than trunk muscle resistive exercise for stroke patients. Thus, trunk muscle stabilization exercise has more positive effects on the improvement of balancing abilities of stroke patients.

The Study of Muscle Activity on Functional Reaching (기능적 팔 뻗기 시 근 활성에 관한 연구)

  • Chae, Jung-Byung
    • PNF and Movement
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    • v.11 no.1
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    • pp.55-62
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    • 2013
  • Purpose : This study was assessed muscle activity and onset time in trunk and upper extremity on functional reaching. Methods : The participant was 18 female(young 10, old 8). As functional reaching, we collection data by using EMG(MP150) on transverse abdominis, external oblique, erector spinae, deltoid middle and serratus anterior. Results : 1) In functional reaching, transverse abdominis, external oblique, erector spinae and deltoid middle muscle activity was augmented on old female(p>.05). Serratus anterior was augmented on young female(p>.05). 2) In functional reaching, transverse abdominis and erector spinae muscle onset time is significantly faster old female than young female(p<.05). External oblique and serratus anterior muscle onset time is faster old female than young female(p>.05). 3) As increase of age muscle activity of external oblique was more increased that we found .511 a coefficient correlation and onset time more faster on transverse abdominis and erector spinae were each -.492 and -.554 coefficient correlation. Conclusion : The muscle activity and onset time was difference in functional reaching according to ageing and task context. It is necessary concentration and attention to old female than young female. Therefore, these results suggest that importance of anticipatory postural control and selective strategy of postural control.

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Analysis of Movement Time and Trunk Motions According to Target Distances and Use of Sound and Affected Side During Upper Limb Reaching Task in Patients With Hemiplegia (편마비 환자의 팔 뻗기 과제 수행 시 목표거리와 건·환측 사용에 따른 운동시간과 체간의 움직임 분석)

  • Kim, Ki-Song;Yoo, Hwan-Suk;Jung, Doh-Heon;Jeon, Hye-Seon
    • Physical Therapy Korea
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    • v.17 no.1
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    • pp.36-42
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    • 2010
  • The aim of this study was to investigate effects of reaching distance on movement time and trunk kinematics in hemiplegic patients. Eight hemiplegic patients participated in this study. The independent variables were side (sound side vs. affected side) and target distance (70%, 90%, 110%, and 130% of upper limb). The dependent variables were movement time measured by pressure switch and trunk kinematics measured by motion analysis device. Two-way analysis of variance with repeated measures was used with Bonferroni post-hoc test. (1) There were significant main effects in side and reaching distance for movement time (p=.01, p=.02). Post-hoc test revealed that there was a significant difference between 110% and 130% of reaching distance (p=.01). (2) There was a significant main effect in side and reaching distance for trunk flexion (p=.01, p=.00). Post-hoc test revealed that there were significant differences in all pair-wise reaching distance comparison. (3) There was a significant side by target distance interaction for trunk rotation (p=.04). There was a significant main effect in target distance (p=.00). Post-hoc test revealed that there were significant differences between 70% and 110%, 70% and 130%, 90% and 110%, 90% and 130% of target distance. It was known that trunk flexion is used more than trunk rotation during reaching task in hemiplegic patients from the findings of this study. It is also recommended that reaching training is performed with limiting trunk movement within 90% of target distance whereas reaching training is performed incorporating with trunk movement beyond 90% of target distance in patients with hemiplegia.

Effect of Task-Oriented Exercise on the Balance in Degenerative Arthritis Patients with Total Knee Replacement (과제 지향 훈련이 슬관절 전치환술을 시행한 퇴행성 관절염 환자의 균형 능력에 미치는 효과)

  • Ji, Sang-Goo;Kim, Myung-Kwon;Lee, Dong-Geol;Cha, Hyun-Kyu
    • The Journal of the Korea Contents Association
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    • v.12 no.3
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    • pp.222-232
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    • 2012
  • This study was conducted to compare the task-oriented exercise and weight-shifting exercise program has effectiveness on the static and dynamic balance in patients with total knee replacement. The participants were allocated randomly into 2 group : task-oriented exercise group(n=12) and weight-shifting exercise group(n=12). To evaluate the effects of exercise, subjects were evaluated by using Gaitveiw System and functional reaching test for static balance and Balance System for dynamic balance test. The data was analyzed using a paired t-test and independent t-test to determine the statistical significance. Static balance test and dynamic balance test in task-oriented exercise had statistical significance than weight-shifting exercise program(p<0.05). So this results were suggested that the task-oriented exercise was effective on static and dynamic balance in patients with total knee replacement.