In the present study, to examine the effects of somatosensory stimulation of the hands on the hand functions and visuomotor coordination of children with developmental disabilities, a total of 24 sessions of experiments were conducted with three children with developmental disabilities for 60 minutes per session, three sessions per week from January 7, 2013 to March 11, 2013. To examine the effects of somatosensory stimulation of the hands on grasping and visuomotor coordination which are sub-areas of PDMS-2, the A-B study design was used which is a single case study method out of single-subject experimental research designs. Somatosensory stimulation of the hands was shown to be effective in improving the hand functions of children with developmental disabilities. Somatosensory stimulation of the hands showed positive effects on the raw scores and standardized scores of grasping and visuomotor coordination in all the three subject children. Visuomotor coordination functions showed higher scores in post-hoc tests in all three children. In particular, ring throws showed high scores at right 90°, right 45°, center, left 45°, and left 90°among visual directions. In the present study conducted with children with developmental disabilities, ring throws were performed to examine visuomotor coordination. In particular, the numbers of successes of ring throws on the front, left, and right were shown to be high. Therefore, somatosensory stimulation of the hands was effective on the hand functions and visuomotor coordination functions of children with developmental disabilities.

We present a Microsoft Kinect-based hand recognition algorithm for an interactive image clipping system, which is widely used for environments such as public facilities and security environments where personal capturing devices including mobile phones are not allowed. User-friendly interface and accurate image capturing function are required for an image clipping system. We build the system by combining Microsoft Kinect, HD webcam and projector. The Kinect and webcam are used to capture the motions of users' hand and project is to display the user-selected area from the capturing material. Hand recognition is composed of three steps: (i) the region occupied by users' hand is extracted from an image, (ii) the fingertips of the extracted hand region are analyzed using k-curvature algorithm, and (iii) the height of the fingertip is estimated using the depth image from Kinect. The height of the fingertip informs whether users' finger touched the surface of the target. The region captured by the fingertip is clipped from the image and stored as the target image. The excellence of our hand recognition algorithm is proved through a user test.

This study was carried out to investigate the effects of making an origami crane on the improvement of hand dexterity. Subjects composed of 20 normal adult males were randomly assigned to experimental and control groups of 10 people respectively. For the experimental group, a training of making an origami crane was conducted for 40 to 50 minutes a day during a 4-week training period. The control group was made to engage in everyday activities as usual. For pre and post assessment, Groove Pegboard test, Purdue Pegboard Test, and Jebsen Hand Function Test were used. The results on the effects of making an origami crane showed that there was a statistically significant difference in both the Grooved Pegboard test and Purdue Pegboard test(p＜.05). In the Jebsen hand function Test, a significant difference was found in handwriting and building pieces of chess(p＜.05), but there was no statistically significant difference in comparison with the right hand during the average performance of picking up small stuffs. The activity of making an origami crane for normal adults was confirmed to be helpful to improve the hand dexterity. Accordingly, making an origami crane is suggested to be an effective way to improve the hand dexterity.

어린이집 유아들이 공용으로 사용하는 수건의 미생물 오염도와 분리된 식중독 미생물의 장독소 유전자 및 장독소 생산 특성을 분석하여 어린이집 유아 사용 수건의 위생 안전성을 확보하고자 어린이가 손 씻은 후 공용으로 사용 하는 수건 22개 (사용 전 7개, 사용 중 15개)를 연구대상으로 하였다. 일반세균수는 평균 6.2 log CFU/100 cm2로 검출되었고 진균수는 평균 4.1 log CFU/100 cm2로 검출되었 으며 대장균군은 사용 전 수건의 경우 7건 중 4건 (57.1%), 사용 중인 수건의 경우 15건 모두에서 (100%) 검출되었 다. 어린이 사용 수건의 미생물 오염도가 높게 나타나 수 건의 위생적인 살균 세탁 및 상대습도가 낮은 곳에 보관하는 등의 보관 방법 개선이 필요한 것으로 판단되었다. Salmonella spp.의 경우 실험에 사용된 모든 수건에서 검출되지 않았으나, Staph. aureus는 22건 중 5건 (22.7%), B. cereus는 11건 (50.0%)에서 검출되어 B. cereus 오염이 가장 심각한 것으로 나타났다. Staph. aureus 장독소 유전 자와 독소 단백질은 모두 불검출 되었으나 분리 동정된 11균주의 B. cereus 장독소 유전자 실험 결과 hblC, hblD, hblA 유전자가 각각 72.7, 72.7, 54.5% 검출되고 nheA, nheB, nheC 유전자가 각각 81.8, 72.7, 54.5% 검출되었으며 cytK, entFM 장독소 유전자는 각각 45.5, 90.0% 검출 되었다. B. cereus 장독소 실험결과 HBL 장독소는 11균주 중 8균주 (72.7%), NHE 장독소는 5균주 (45.5%) 검출되었고 HBL과 NHE 장독소 중 하나 이상을 생산하는 B. cereus 균주는 10균주 (90.9%)로 나타났다. 수건에 오염된 B. cereus 균주의 교차오염에 따른 식중독 위험성이 상존 하는 것으로 나타나 개인별 수건 또는 종이 타올 사용을 고려하여야 할 것으로 판단되었다.

목적 : 본 연구의 목적은 뇌졸중 환자의 얕은손가락굽힘근에 진동자극을 적용하는 것이 손의 기민성을 향상시키고 얕은손가락굽힘근의 개시와 종료 시간을 단축시키는데 도움이 되는지를 알아보는 것이었다. 연구방법 : 본 연구는 개별실험연구방법 중 ABA 연구 설계를 이용하였다. 총 실험회기는 24회로 기초선 과정, 중재 과정, 기초선 회기 과정으로 나누어 각 8회기씩 진행하였다. 중재기간 동안 진동자극은 환측의 얕은손가락굽힘근에 적용되었다. 상자와 블록 검사(Box and Block Test; BBT), 그리고 컵을 쥐기 및 놓기 과제를 수행하는 동안 얕은손가락굽힘근의 개시시간과 종료시간을 측정하였다. 결과 : BBT 점수는 기초선 과정에 비교하였을 때 중재기간 동안 유의하게 증가되었으며(p<.05), 과제 수행 동안 얕은손가락굽힘근의 개시시간과 종료시간은 중재 기간 동안 유의하게 단축되었다(p<.05). 이 러한 경향은 회귀 과정 동안에도 긍정적으로 유지되었다. 결론 : 이러한 결과는 진동자극이 이환된 손의 기민성을 향상시키고 물건을 쥐고 놓는 동안 손과 얕은손가락굽힘근의 활성 형태를 향상시키는데 긍정적으로 사용될 수 있다는 것을 의미한다.

The purpose of this study is to analyze the grip strength by the girth of upper arm and forearm and their muscle activities by duration of grip strength. The subjects were consisted of 20 healthy adults(10 males & 10 females) who had no medical history of neurological and surgical problems with their arms. Girth of upper arm/ forearm and maximum grip strength for 4sec and 30sec were measured. Muscle activity was by wireless electrode EMG system. Co-relation of girth of upper arm/ forearm was significantly high. Upper arm's muscle activity performed for 4sec and 30sec was significantly high. In this study. It suggests that training of upper arm should be performed with the training of grip strength because both of upper arm and forearm affected grip strength.

This study is aimed to investigate the association between anaerobic․aerobic exercise intensity and hand steadiness. Hand steadiness is the decisive contributor to affecting the job performance just as in the rifle shooting and archery in sports and the microscope-related jobs requiring hand steadiness in industries. In anaerobic exercise condition hand steadiness is measured through hand steadiness tester having 9 different diameter holes after each subject exerts 25%, 50%, 75%, and 100% of maximum back strength. In aerobic exercise occasion it is evaluated at each time heart rate reaches 115%, 130%, and 145% of reference heart rate measured in no task condition after they do jumping jack. The results indicate that an increased intensity in both types of exercise reduces hand steadiness, but hand steadiness at 25% of maximum back strength and 115% of reference heart rate is rather greater than at no exercise. Just as the relation between cognitive stress and job performance has upside-down U form, so does the association of physical loading to hand steadiness, which means that a little exercise tends to improve hand steadiness in comparison with no exercise.

인터넷 통신의 보편화에 따라 멀티미디어 관련 콘텐츠 서비스가 이루어지고 있으며, 이러한 서비스는 교육용 학습 콘텐츠 및 시스템 분야로 확장되고 있다. 고급화된 멀티미디어 학습 시스템을 지원하기 위해 3D 그래픽스 기반의 학습 서비스 시스템이 개발되고 있지만 대부분의 시스템이 마우스와 키보드와 같은 컨트롤 기반의 콘텐츠를 가지고 있어 현실감이 떨어지는 단점이 있다. 본 논문에서는 Kinect를 이용하여 사용자 손 영역을 추출하고, 추출된 사용자 손영역에서 손 제스처를 인식하여 가상공간에서 전자교과서를 선택하고, 열고, 페이지를 넘기는 시스템을 소개한다.

The objective of this study is to investigate the relationship between anaerobic・aerobic exercise intensity and hand steadiness. Based on physiological analysis the conceptual model explaining that both increased anaerobic and aerobic exercise intensity reduce hand steadiness is suggested, which is verified through the experiment with 20 subjects. Hand steadiness is the critical contributor to having an effect on the job performance just as in the rifle shooting and archery in sports, and the microscope-related job requiring hand steadiness in industries, and so forth. In anaerobic exercise experiment the hand steadiness is measured through hand steadiness tester having 9 different diameter holes after each subject exerts 25%, 50%, 75%, and 100% of maximum back strength measured by back muscle dynamometer. In aerobic exercise condition after they do jumping jack, it is evaluated at each time heart rate reaches 115%, 130%, and 145% of reference heart rate measured in no exercise. The findings are that an increased intensity in both types of exercises tend to decrease hand steadiness, but hand steadiness at 25% of maximum back strength and 115% of reference heart rate is rather higher than at no exercise. Just as the association between cognitive stress and job performance has upside-down U form, so does the relation of physical loading to hand steadiness, which means that a little exercise has a tendency to improve hand steadiness compared to one in no exercise condition .

목적 : 본 연구는 식사보조도구 적용이 경직형 뇌성마비 아동의 자가-섭식 기능에 미치는 영향을 알아보기 위한 것이었다. 연구방법 : 연구대상자는 15세의 경직형 뇌성마비 남자 1명이었으며, 연구는 사례연구였다. 식사보조도구는 대상자의 신체기능 및 손기능을 평가한 후 작업치료사가 대상자에게 적합한 형태를 제작하여 적용하였다. 식사보조도구 적용 전과 후 대상자의 자가-섭식 기능의 변화는 일상생활평가도구인 Functional Independent Measure(FIM) 중 먹기(eating) 항목을 이용하여 평가하였고, 수행의 변화에 대한 만족도는 Canadian Occupational Performance Measure(COPM)의 수행도와 만족도 항목을 통해 측정하였다. 결과 : 식사보조도구를 적용한 이후 FIM의 먹기 영역의 점수는 2점에서 5점으로 증가되었고, 만족도 점수는 2점에서 8점으로 향상되었다. 결론 : 대상자의 신체기능 및 손기능을 고려하여 제작한 식사보조도구의 적용은 경직형 뇌성마비 아동의 자가-섭식 기능을 향상시키는 것으로 나타났다.

This study was performed to investigate hygienic behavior of food workers on the awareness of hand-washing, and the microbial load of their hands. This study focused on the comparison of fast food restaurant workers and full-service restaurant workers. A questionnaire survey and microbiological analysis were carried out for thirty fast food restaurant workers and forty full-service restaurant workers. Samples for microbiological analysis were collected through the glove-juice method from the hands of the food workers, and were analyzed for the presence of aerobic plate counts, total coliforms, fecal coliforms, Escherichia coli, Staphylococcus aureus, and Salmonella spp. Microbiological analysis was done according to the Food Code of Korea. In the survey, significant differences (p < 0.05) were found between the fast food restaurant workers and full-service restaurant workers in the use of hand washing tools and method of turning off water. More full-service restaurant workers responded to wash their hands after touching face, hair, or clothes; after handling raw food materials, and more fast food restaurant workers periodically (p < 0.05). Aerobic plate counts were higher in fast food restaurant workers while total coliforms were higher in fullservice restaurant workers (p < 0.05). No remarkable difference was found between the two groups in the load of fecal coliforms, E. coli, S. aureus, and Salmonella spp. Poor hand hygiene practices were indicated by the positive results for E. coli, S. aureus, and Salmonella spp. on the hands of some food workers in both groups. The findings of this study emphasize the need for strict adherence to hand hygiene compliance among the food workers.

This study was conducted to evaluate the microbiological hazard on nursery school children's hands and to investigate the reduction effect of hand washing education. A total of 59 nursery school children's hands were tested. The average number of total aerobic bacteria was 3.72 ± 0.38 log CFU/hand. Five children's hands(2 male and 3 female) were positive(14.3%) for the coliform bacteria. These results showed that hand washing education are required repetitively. Among the pathogenic bacteria tested in this study, Staphylococcus aureus and Bacillus cereus were detected in 9(25.7%) and 16(45.7%) out of 35 their hands, respectively. Twelve out of sixteen B. cereus isolates(70.0%) produced enterotoxin. The results indicate that the hand hygiene of nursery school children needs to be improved. Comparing before and after hand washing in educated and non-educated group, the reduction effect of total aerobic bacteria on their hands was 0.42 and 0.60 log CFU/hand, respectively. The educated group showed 0.18 log CFU/hand higher reduction effect than non-educated group but microorganism did not eliminate perfectly. From the results, using a hand sanitizer after washing with soap and the continuous hand washing education are required to control the contaminated bacteria on nursery school children's hands.

In this study, the representative hand shapes for the adult Koreans were analyzed by factor analysis and cluster analyses. The analyses were conducted on the anthropometric data of 58 hand dimensions from 325 subjects having nonhomogeneous demographics. Maximum hand circumference, first phalanx length of index finger, and ratio between the two measures were the independent variables for the cluster analyses. The results of the study showed that Korean hand shapes can be divided into 2 clusters irrespective of their size for each of the male and female group. There were slight differences in component ratio of hand shapes with respect to the occupation and the age, but their differences were not statistically significant. The representative Korean hand shapes and their anthrpometric dimensions could be used to design and establish proper sizing system for various hand operating devices.

The lumbrical muscles contribute to the intrinsic plus position, that is simultaneous metacarpophalangeal (MCP) flexion and interphalangeal (IP) extension. The strength of the lumbrical muscles is necessary for normal hand function. However, there is no objective and efficient method of strength measurement for the lumbrical muscles. In addition, previous studies have not investigated the measurement of the cross-sectional area (CSA) of the lumbrical muscles using ultrasonography (US) and the relationship between lumbrical muscle strength in the intrinsic plus position and the CSA. Therefore, the purpose of this study was to identify the measurement method of the CSA of the lumbrical muscles using US and to examine the relationship between maximal isometric strength and the CSA of lumbrical muscles. Nine healthy males participated in this study. Maximal isometric strength of the second, third, and fourth lumbrical muscles was assessed using a tensiometer in the intrinsic plus position which isolated MCP flexion and IP extension. The CSA of the lumbrical muscles was measured with an US. The US probe was applied on the palmar aspect of the metacarpal head with a transverse view of the hand in resting position. There was no significant difference between maximal isometric strength of the lumbrical muscles, but the fourth lumbrical muscle was stronger than the others. The CSA of the lumbrical muscles was significantly different and the fourth lumbrical muscle was significantly larger than the second lumbrical muscle. There was moderate to good correlation between maximal isometric strength and the CSA of the lumbrical muscles. Therefore, we conclude that maximal isometric strength of the lumbrical muscles was positively correlated to the CSA of the lumbrical muscle in each finger, while the measurement of the CSA of the lumbrical muscles, using US protocol in this study, was useful for measuring the CSA of the lumbrical muscles.

The purpose of this study was to investigate the influence of handicraft activities on hand promptness and grasp in the elderly. Subjects were comprised of 14 senior citizens between the ages of 70-85, with 7 subjects in the experiment group and 7 in the control group. Subjects in the experiment group practiced various handicrafts twice a day, while those in the control group did not participate in any special activity. The Jebsen Taylor Hand Function Test was used to evaluate the results, while a dynamometer and pinch gauge were used to measure hand promptness and grasp. The 7 senior citizens in the experiment group were able to increase their hand promptness and grasping skills. Conclusively, handicrafts can help improve hand promptness and grasp in the elderly. Furthermore, the development and improvement of such skills can have a positive influence on the daily lives of senior citizens. Such skills are expected to improve the overall neuro-function in the elderly population.

The purpose of this study was to assess the agreement of manual muscle testing (MMT) and test-retest reliability of a hand held dynamometer for the posterior gluteus medius muscle, with and without lumbar stabilization, using a pressure biofeedback unit for patients with low back pain. The pressure biofeedback unit was used to minimize the substitute motion of the lumbopelvic region during hip abduction in patients lying on their side. Fifteen patients with low back pain participated in this study. A tester determined the MMT grades of the posterior gluteus medius with and without the pressure biofeedback unit. Active hip abduction range of motion with an inclinometer and the strength of their posterior gluteus medius using a hand held dynamometer were measured with and without the pressure biofeedback unit in the MMT position. The agreement of the grade of muscle strength in the MMT, and intra-rater reliability of both the active hip abduction range of motion and the strength of posterior gluteus medius were analyzed using the weighted kappa and intraclass correlation coefficient (ICC), respectively. The agreement of MMT with the pressure biofeedback unit (weighted kappa=.92) was higher than the MMT (weighted kappa=.34)(p<.05). The inclinometer with pressure biofeedback unit measurement of the active hip abduction range of motion had an excellent intra-rater reliability (ICC=.90). Also, the hand held dynamometer with pressure biofeedback unit measure of strength of the posterior gluteus medius had a good intra-rater reliability (ICC=.85). Therefore, the test for muscle strength with pressure biofeedback unit will be a reliable method for the determination of the MMT grades or amount of posterior gluteus medius muscle strength and the measurement of the range of motion for hip abduction in patients with low back pain.

In using both hands, everyone dominantly use one hand and it is called left-handedness or right-handedness person. Measurements of grip and pinch strength provide objective indexes to represent functional integrity of the upper extremity. This study was conducted for thirty female college students(19 right-handedness and 11 lefthandedness). For assessment of the type of handedness, questionnaire was used; for grip strength, Jamar dynamometer was used; for pinch strength, Jamar pinch gauge was used. In right handedness, the grip and pinch strength of the dominant right hand was significantly higher than those of the non-dominant hand. In addition, regular exercises were shown to give influences on reduction of strength gaps between dominant and non-dominant hands. In both groups of left and right handedness, the grip and pinch strength of the dominant hand were significantly higher than those of the non-dominant hand, and regular exercises were shown to give influences on reduction of strength gaps between dominant and non-dominant hand.

목적 : 본 연구는 만성 뇌졸중 환자들을 대상으로 4주간의 거울치료가 운동 기능과 손 기능 회복에 미치는 영향을 검증하기 위하여 진행되었다. 연구 방법 : 경기도 소재 OO재활병원에 입원 중인 만성 뇌졸중 환자 총 14명을 대상으로 2010년 1월부터 동년 2월 28일까지 무작위로 실험군(6명)과 대조군(8명)을 선정하여 실험진행 하였다. 거울치료 실험군과 대조군 모두 주 5 회, 회기당 30분씩 손 운동 프로그램을 적용하였으며, 실험군은 거울을 통한 시각적 피드백이 제공된 반면, 대조군은 시각적 피드백이 제공되지 않았다. 대상자의 실험 전-후 기능회복 정도는 Brunnstrom 운동회복 단계 (Brunnstrom recovery stages), 뇌졸중 상지기능검사(Manual Function Test; MFT) 점수를 활용하였다. 결과 : 4주간의 거울치료 후 실험군의 MFT 점수 비교에서 실험군의 상지 앞 올리기, 쥐기, 입방체 옮기기 항목에서 유의한 차이를 보였다. 대조군의 경우 집기 항목에서 유의한 차이를 보였다. 결론 : 만성 뇌졸중 환자를 대상으로 거울치료를 적용한 결과 실험군에서 대조군보다 더 많은 영역에서 유의한 손기능 회복을 보였다. 본 연구를 통하여 만성 뇌졸중 환자를 대상으로한 거울치료 프로그램의 손 기능 회복에 미치는 영향을 제시하였으며, 포괄적 재활치료의 효과를 배제한 추후 연구가 이어져야 할 것이다.

목적 : 본 연구는 뇌성마비 아동에게 의도적인 다감각환경(스노즐렌) 프로그램을 적용하여 아동의 눈-손 협응 능력에 미치는 영향을 알아보고자 하였다. 연구 방법 : 세 명의 뇌성마비 아동을 대상으로 12주간 의도적인 스노즐렌 프로그램을 적용하였다. 중재 프로그램의 효과를 검증하기 위해 사용한 평가도구는 젭슨 손 기능 평가로 7가지 하위검사의 수행시간을 우세손과 비우세손을 구별하여 뇌성마비 아동의 눈-손 협응 능력의 변화를 측정하였다. 결과 : 의도적인 스노즐렌 프로그램 실시 후 3명의 뇌성마비 아동의 젭슨 손 기능 평가 항목의 수행시간이 모두 23.4%이상 감소하였고, 작은 물건집기를 제외한 모든 평가 항목에서 스노즐렌 중재 후에 통계적으로 유의한 차이를 보인 우세손 뿐만 아니라 비우세손도 중재 후에 카드뒤집기, 작은 물건 집기와 먹기 흉내내기, 장기말 쌓기 항목에서 유의한 차이를 보였다(p<.05). 결론 : 본 연구의 결과를 통해 의도적인 다감각환경 프로그램이 뇌성마비 아동의 눈-손 협응 능력 향상에 긍정적인 효과가 있음이 증명되었다. 이와 같은 연구를 토대로 국내에서도 다감각환경(스노즐렌) 프로그램의 효과를 검증 하는 보다 많은 연구가 이어지길 기대한다.

20~23세의 한국 여자대학생을 대상으로 아름다운 손에 대한 손의 형태적 특성과 감성과의 상관관계를 평가하였다. 감성평가 방법으로 손의 아름다움을 각각 10 등급으로 분류하고 이를 손의 형태학적 특성과 감성평가 등급파의 상관관계를 정성적 및 정량적으로 분석하는 방법을 적용하였다. 감성평가에 가장 많은 영향을 미치는 인자는 손 길이와 손 폭의 비이었고, 손 길이와 손가락 길이 및 손가락 굵기의 비율도 많은 영향을 주었다. 반면에 손 갈이와 손톱 길이의 비와 손가락 길이와 손톱 길이의 비는 감성평가에 마치는 영향이 상대적으로 미미하였다. 높은 감성평가를 받은 손(아름다운 손)의 특정은 손, 손가락 및 손톱의 길이가 모두 길고, 손과 손가락의 폭이 좁으며, 특히 낮은 감성평가를 받은 손에 비해 상대적으로 손톱의 길이가 모두 길고, 손과 손가락의 폭이 좁으며, 특히 낮은 감성평가를 받은 손에 비해 상대적으로 손톱의 길이가 더 길었다. 결과적으로 손의 모든 형태학적 특성들이 종합적으로 감성에 영향을 미친다는 것을 알 수 있었다. 이러한 연구 결과는 손의 형태학적 특성을 감성적으로 평가한 최초의 정량 및 정성적 보고로 손의 미적 요소에 관한 기초자료를 구축하였고, 이들 정보들은 손과 관련된 다양한 뷰티산업 제품 및 서비스 분야에 활용이 가능하다.