With the introduction of the video display terminal (VDT), the efficiency and productivity of work has improved. However, VDT syndrome is threatening the health of workers as a side effect of prolonged use of a VDT. Among various VDT syndromes, the musculoskeletal disorder, especially, the cumulative trauma disorder (CTD) is the common research topic related with upper extremities function. The aim of this study was to investigate the effect of the wrist-hand orthosis (WHO) on fatigue in middle deltoid, anterior deltoid, serratus anterior, and upper trapezius during one-hour computer keyboard typing. Twelve healthy subjects participated in this study. Surface electromyography was used to assess the localized muscle fatigue (LMF), and the LMF was calculated at 10 minutes, 20 minutes, 40 minutes, and 60 minutes in each muscle, with and without the WHO. Data were analyzed by paired t-test with a level of significance of .05. The results of this study are as follows: 1) At 10 minutes, the LMF decreased significantly with applied WHO in the middle deltoid, anterior deltoid, and upper trapezius (p=.001, p=.026, p=.019, respectively). 2) As the computer keyboard typing period increased, there were no significant LMF differences, except for the upper trapezius. Therefore, it can be concluded that the WHO can be applied to decrease the LMF for the initial 10 minute period in the middle deltoid, anterior deltoid, and upper trapezius' but that the long term effect of WHO in reducing the LMF was proven only in upper trapezius during continued computer keyboard typing.

The purpose of this study is defined increased active motion utilizing tenodesis splint and vibratory stimulation during functional activities. We selected three left cerebral vascular accident right hand dominance with right hemiplegic patients. who has been actively participating in occupational therapy. Patients participated twice per week from June 1st 1997 until August 30th 1997. According to our study, improvement has been noted in active extension with vibratory stimulation only. No signifinicant improvement was noted with tenodesis splint. Further study is necessary to generalization of stimulation for therapeutic use.

임상에서 사용하는 진단 검사 장치인 전산화 단층촬영기와 자동화된 설계 소프트웨어(MediACE 3D Prog ram), 3D 프린터로 손목 보조기를 제작하고자 하였다. 전산화단층촬영기로 상지의 Dicom 파일을 획득한 후 MediACE 3D Program을 통해 손목 보조기를 디자인하여 "STL(stereolithography)"파일을 만들었고, 디자인된 손목 보조기는 3D 프린터를 이용하여 인쇄하였다. 3D 프린팅 기술로 제작된 손목보조기의 효용성 검증을 위해 뼈와 피부에 가해지는 압력 및 보조기의 스트레스 분포를 유한요소해석으로 나타내었다. 손목 보조기를 제작할 때 유한요소해석의 결과를 가지고 뼈와 피부가 압력에 의한 손상과 보조기의 파손이 자주 일어나는 부위를 보강하여 손목 보조기를 제작할 수 있을 것이라고 기대된다.