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limb</title> <meta name="description" content="Search results for: upper limb"> <meta name="keywords" content="upper limb"> <meta name="viewport" content="width=device-width, initial-scale=1, minimum-scale=1, maximum-scale=1, user-scalable=no"> <meta charset="utf-8"> <link href="https://cdn.waset.org/favicon.ico" type="image/x-icon" rel="shortcut icon"> <link href="https://cdn.waset.org/static/plugins/bootstrap-4.2.1/css/bootstrap.min.css" rel="stylesheet"> <link href="https://cdn.waset.org/static/plugins/fontawesome/css/all.min.css" rel="stylesheet"> <link href="https://cdn.waset.org/static/css/site.css?v=150220211555" rel="stylesheet"> </head> <body> <header> <div class="container"> <nav class="navbar navbar-expand-lg navbar-light"> <a class="navbar-brand" href="https://waset.org"> <img src="https://cdn.waset.org/static/images/wasetc.png" alt="Open Science Research Excellence" title="Open Science Research Excellence" /> </a> <button class="d-block d-lg-none navbar-toggler ml-auto" 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id="custom-search-input"> <div class="input-group"> <i class="fas fa-search"></i> <input type="text" class="search-query" name="q" placeholder="Author, Title, Abstract, Keywords" value="upper limb"> <input type="submit" class="btn_search" value="Search"> </div> </div> </form> </div> </div> <div class="row mt-3"> <div class="col-sm-3"> <div class="card"> <div class="card-body"><strong>Commenced</strong> in January 2007</div> </div> </div> <div class="col-sm-3"> <div class="card"> <div class="card-body"><strong>Frequency:</strong> Monthly</div> </div> </div> <div class="col-sm-3"> <div class="card"> <div class="card-body"><strong>Edition:</strong> International</div> </div> </div> <div class="col-sm-3"> <div class="card"> <div class="card-body"><strong>Paper Count:</strong> 1376</div> </div> </div> </div> <h1 class="mt-3 mb-3 text-center" style="font-size:1.6rem;">Search results for: upper limb</h1> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">1376</span> Effective Virtual Tunnel Shape for Motion Modification in Upper-Limb Perception-Assist with a Power-Assist Robot</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Kazuo%20Kiguchi">Kazuo Kiguchi</a>, <a href="https://publications.waset.org/abstracts/search?q=Kouta%20Ikegami"> Kouta Ikegami</a> </p> <p class="card-text"><strong>Abstract:</strong></p> In the case of physically weak persons, not only motor abilities, but also sensory abilities are sometimes deteriorated. The concept of perception-assist has been proposed to assist the sensory ability of the physically weak persons with a power-assist robot. Since upper-limb motion is very important in daily living, perception-assist for upper-limb motion has been proposed to assist upper-limb motion in daily living. A virtual tunnel was applied to modify the user’s upper-limb motion if it was necessary. In this paper, effective shape of the virtual tunnel which is applied in the perception-assist for upper-limb motion is proposed. Not only the position of the grasped tool but also the angle of the grasped tool are modified if it is necessary. Therefore, the upper-limb motion in daily living can be effectively modified to realize certain proper daily motion. The effectiveness of the proposed virtual tunnel was evaluated by performing the experiments. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=motion%20modification" title="motion modification">motion modification</a>, <a href="https://publications.waset.org/abstracts/search?q=power-assist%20robots" title=" power-assist robots"> power-assist robots</a>, <a href="https://publications.waset.org/abstracts/search?q=perception-assist" title=" perception-assist"> perception-assist</a>, <a href="https://publications.waset.org/abstracts/search?q=upper-limb%20motion" title=" upper-limb motion"> upper-limb motion</a> </p> <a href="https://publications.waset.org/abstracts/53101/effective-virtual-tunnel-shape-for-motion-modification-in-upper-limb-perception-assist-with-a-power-assist-robot" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/53101.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">241</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">1375</span> Assessment of Hamstring, Lower Back and Upper Body Flexibility in War Disabled Individuals in Sri Lanka North and East Region</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Esther%20Liyanage">Esther Liyanage</a>, <a href="https://publications.waset.org/abstracts/search?q=Indrajith%20Liyanage"> Indrajith Liyanage</a>, <a href="https://publications.waset.org/abstracts/search?q=A.%20A.%20J.%20Rajaratne"> A. A. J. Rajaratne</a> </p> <p class="card-text"><strong>Abstract:</strong></p> During the 30 year civil war in Sri Lanka, a large number of individuals were injured and disabled. These disabilities have reduced their daily physical activities which may cause reduction in flexibility of upper limb, shoulder girdle, lower back and lower limb. Muscle flexibility is important for a healthy lifestyle. The main objective of the study was to assess the upper limb, shoulder girdle and lower back, hamstring flexibility of the intact lower limb in disabled individuals in the North and Eastern parts of Sri Lanka. Back saver sits and reach test and shoulder scratch test described in FITNESS GRAM was used in the study. A total of 125 disabled soldiers with lower limb disabilities were recruited for the study. Flexibility of the lower back and hamstring muscles of uninjured lower limb was measured using back saver sit and reach test described by Wells and Dillon (1952). Upper limb and shoulder girdle flexibility was assessed using shoulder stretch test. Score 0-3 was given according to the ability to reach Superior medial angle of the opposite scapula, top of the head or the mouth. The results indicate that 31 (24.8%) disabled soldiers have lower limb flexibility less than 8, 2 (1.6 % ) have flexibility of 8, 2 (1.6 %) have flexibility of 8.5, 11 ( 8.8% ) have flexibility of 9, 14 (11.2 %) have flexibility of 9.5, 23 (18.4 %) have flexibility of 10, 17 (13.6 %) have 10.5 flexibility, 13 (10.4%) have 11 flexibility, 2 (1.6%) have 11.5 flexibility, 10 (8 %) have flexibility of 12 and 3 (2.34 %) have flexibility of 12.5. Six disabled soldiers (4.8%) have upper limb flexibility of 2 and remaining 95.2% have normal upper limb flexibility (score 3). A reduction in the flexibility of muscles in lower body and lower limbs was seen in 25% disabled soldiers which could be due to reduction in their daily physical activities. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=disability" title="disability">disability</a>, <a href="https://publications.waset.org/abstracts/search?q=flexibility" title=" flexibility"> flexibility</a>, <a href="https://publications.waset.org/abstracts/search?q=rehabilitation" title=" rehabilitation"> rehabilitation</a>, <a href="https://publications.waset.org/abstracts/search?q=quality%20of%20life" title=" quality of life"> quality of life</a> </p> <a href="https://publications.waset.org/abstracts/14964/assessment-of-hamstring-lower-back-and-upper-body-flexibility-in-war-disabled-individuals-in-sri-lanka-north-and-east-region" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/14964.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">473</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">1374</span> Model Free Terminal Sliding Mode with Gravity Compensation: Application to an Exoskeleton-Upper Limb System</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Sana%20Bembli">Sana Bembli</a>, <a href="https://publications.waset.org/abstracts/search?q=Nahla%20Khraief%20Haddad"> Nahla Khraief Haddad</a>, <a href="https://publications.waset.org/abstracts/search?q=Safya%20Belghith"> Safya Belghith</a> </p> <p class="card-text"><strong>Abstract:</strong></p> This paper deals with a robust model free terminal sliding mode with gravity compensation approach used to control an exoskeleton-upper limb system. The considered system is a 2-DoF robot in interaction with an upper limb used for rehabilitation. The aim of this paper is to control the flexion/extension movement of the shoulder and the elbow joints in presence of matched disturbances. In the first part, we present the exoskeleton-upper limb system modeling. Then, we controlled the considered system by the model free terminal sliding mode with gravity compensation. A stability study is realized. To prove the controller performance, a robustness analysis was needed. Simulation results are provided to confirm the robustness of the gravity compensation combined with to the Model free terminal sliding mode in presence of uncertainties. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=exoskeleton-%20upper%20limb%20system" title="exoskeleton- upper limb system">exoskeleton- upper limb system</a>, <a href="https://publications.waset.org/abstracts/search?q=model%20free%20terminal%20sliding%20mode" title=" model free terminal sliding mode"> model free terminal sliding mode</a>, <a href="https://publications.waset.org/abstracts/search?q=gravity%20compensation" title=" gravity compensation"> gravity compensation</a>, <a href="https://publications.waset.org/abstracts/search?q=robustness%20analysis" title=" robustness analysis"> robustness analysis</a> </p> <a href="https://publications.waset.org/abstracts/129467/model-free-terminal-sliding-mode-with-gravity-compensation-application-to-an-exoskeleton-upper-limb-system" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/129467.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">144</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">1373</span> Quantification of Learned Non-Use of the Upper-Limb After a Stroke</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=K.%20K.%20A.%20Bakhti">K. K. A. Bakhti</a>, <a href="https://publications.waset.org/abstracts/search?q=D.%20Mottet"> D. Mottet</a>, <a href="https://publications.waset.org/abstracts/search?q=J.%20Froger"> J. Froger</a>, <a href="https://publications.waset.org/abstracts/search?q=I.%20Laffont"> I. Laffont</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Background: After a cerebrovascular accident (or stroke), many patients use excessive trunk movements to move their paretic hand towards a target (while the elbow is maintained flexed) even though they can use the upper-limb when the trunk is restrained. This phenomenon is labelled learned non-use and is known to be detrimental to neuroplasticity and recovery. Objective: The aim of this study is to quantify learned non-use of the paretic upper limb during a hand reaching task using 3D movement analysis. Methods: Thirty-four participants post supratentorial stroke were asked to reach a cone placed in front of them at 80% of their arm length. The reaching movement was repeated 5 times with the paretic hand, and then 5 times with the less-impaired hand. This sequence was first performed with the trunk free, then with the trunk restrained. Learned non-use of the upper-limb (LNUUL) was obtained from the difference of the amount of trunk compensation between the free trunk condition and the restrained trunk condition. Results: LNUUL was significantly higher for the paretic hand, with individual values ranging from 1% to 43%, and one-half of the patients with an LNUUL higher than 15%. Conclusions: Quantification of LNUUL can be used to objectively diagnose patients who need trunk rehabilitation. It can be also used for monitoring the rehabilitation progress. Quantification of LNUUL may guide upper-limb rehabilitation towards more optimal motor recovery avoiding maladaptive trunk compensation and its consequences on neuroplasticity. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=learned%20non-use" title="learned non-use">learned non-use</a>, <a href="https://publications.waset.org/abstracts/search?q=rehabilitation" title=" rehabilitation"> rehabilitation</a>, <a href="https://publications.waset.org/abstracts/search?q=stroke" title=" stroke"> stroke</a>, <a href="https://publications.waset.org/abstracts/search?q=upper%20limb" title=" upper limb"> upper limb</a> </p> <a href="https://publications.waset.org/abstracts/32555/quantification-of-learned-non-use-of-the-upper-limb-after-a-stroke" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/32555.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">238</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">1372</span> Nutrient Foramina in the Shaft of Long Bones of Upper Limb</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Madala%20Venkateswara%20Rao">Madala Venkateswara Rao</a> </p> <p class="card-text"><strong>Abstract:</strong></p> The major blood supply to the long bones occurs through the nutrient arteries, which enters through the nutrient foramina. This is the study of nutrient Foramina in the shaft of upper limb long bones taken from the department of Anatomy at Narayana medical college nellore. Nutrient foramina play an important role in nutrition and growth of the bones. Most of the nutrient arteries follow the rule, 'to the elbow I go, from the knee I flee' but they are very variable in position. Their number, location, direction & its importance in the growing end of long bones were studied in the long bones of upper limb. The present study has variations in the position & direction of long bones especially in the radius & ulna, as most of the nutrient foramina are found in anterior surface of upper 1/3rd and middle 1/3rd of these bones. The study of nutrient foramina is not only of academic interest but also in medico-legal practice in relation to their position. Careful observation has also been made on the position of nutrient foramina in relation to upper end of long bones. This study also gives importance of length long bones to know the height of an individual. With the knowledge of variations in the nutrient foramen, placement of internal fixation devices can be appropriately done. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=nutrient%20artery" title="nutrient artery">nutrient artery</a>, <a href="https://publications.waset.org/abstracts/search?q=nutrient%20foramina" title=" nutrient foramina"> nutrient foramina</a>, <a href="https://publications.waset.org/abstracts/search?q=shaft%20of%20long%20bones" title=" shaft of long bones"> shaft of long bones</a>, <a href="https://publications.waset.org/abstracts/search?q=upper%20limb%20bones" title=" upper limb bones"> upper limb bones</a> </p> <a href="https://publications.waset.org/abstracts/42312/nutrient-foramina-in-the-shaft-of-long-bones-of-upper-limb" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/42312.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">502</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">1371</span> Identification of Workplace Hazards of Underground Coal Mines</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Madiha%20Ijaz">Madiha Ijaz</a>, <a href="https://publications.waset.org/abstracts/search?q=Muhammad%20Akram"> Muhammad Akram</a>, <a href="https://publications.waset.org/abstracts/search?q=Sima%20Mir"> Sima Mir</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Underground mining of coal is carried out manually in Pakistan. Exposure to ergonomic hazards (musculoskeletal disorders) are very common among the coal cutters of these mines. Cutting coal in narrow spaces poses a great threat to both upper and lower limbs of these workers. To observe the prevalence of such hazards, a thorough study was conducted on 600 workers from 30 mines (20 workers from 1 mine), located in two districts of province Punjab, Pakistan. Rapid Upper Limb Assessment sheet and Rapid Entire Body Assessment sheet were used for the study along with a standard Nordic Musculoskeleton disorder questionnaire. SPSS, 25, software was used for data analysis on upper and lower limb disorders, and regression analysis models were run for upper and lower back pain. According to the results obtained, it was found that work stages (drilling & blasting, coal cutting, timbering & supporting, etc.), wok experience and number of repetitions performed/minute were significant (with p-value 0.00,0.004 and 0.009, respectively) for discomfort in upper and lower limb. Age got p vale 0.00 for upper limb and 0.012 for lower limb disorder. The task of coal cutting was strongly associated with the pain in upper back (with odd ratios13.21, 95% confidence interval (CI)14.0-21.64)) and lower back pain (3.7, 95% confidence interval 1.3-4.2). scored on RULA and REBA sheets, every work-stage was ranked at 7-highest level of risk involved. Workers were young (mean value of age= 28.7 years) with mean BMI 28.1 kg/m2 <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=workplace%20hazards" title="workplace hazards">workplace hazards</a>, <a href="https://publications.waset.org/abstracts/search?q=ergonomic%20disorders" title=" ergonomic disorders"> ergonomic disorders</a>, <a href="https://publications.waset.org/abstracts/search?q=limb%20disorders" title=" limb disorders"> limb disorders</a>, <a href="https://publications.waset.org/abstracts/search?q=MSDs." title=" MSDs."> MSDs.</a> </p> <a href="https://publications.waset.org/abstracts/157023/identification-of-workplace-hazards-of-underground-coal-mines" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/157023.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">83</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">1370</span> Increasing Access to Upper Limb Reconstruction in Cervical Spinal Cord Injury</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Michelle%20Jennett">Michelle Jennett</a>, <a href="https://publications.waset.org/abstracts/search?q=Jana%20Dengler"> Jana Dengler</a>, <a href="https://publications.waset.org/abstracts/search?q=Maytal%20Perlman"> Maytal Perlman</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Background: Cervical spinal cord injury (SCI) is a devastating event that results in upper limb paralysis, loss of independence, and disability. People living with cervical SCI have identified improvement of upper limb function as a top priority. Nerve and tendon transfer surgery has successfully restored upper limb function in cervical SCI but is not universally used or available to all eligible individuals. This exploratory mixed-methods study used an implementation science approach to better understand these factors that influence access to upper limb reconstruction in the Canadian context and design an intervention to increase access to care. Methods: Data from the Canadian Institute for Health Information’s Discharge Abstracts Database (CIHI-DAD) and the National Ambulatory Care Reporting System (NACRS) were used to determine the annual rate of nerve transfer and tendon transfer surgeries performed in cervical SCI in Canada over the last 15 years. Semi-structured interviews informed by the consolidated framework for implementation research (CFIR) were used to explore Ontario healthcare provider knowledge and practices around upper limb reconstruction. An inductive, iterative constant comparative process involving descriptive and interpretive analyses was used to identify themes that emerged from the data. Results: Healthcare providers (n = 10 upper extremity surgeons, n = 10 SCI physiatrists, n = 12 physical and occupational therapists working with individuals with SCI) were interviewed about their knowledge and perceptions of upper limb reconstruction and their current practices and discussions around upper limb reconstruction. Data analysis is currently underway and will be presented. Regional variation in rates of upper limb reconstruction and trends over time are also currently being analyzed. Conclusions: Utilization of nerve and tendon transfer surgery to improve upper limb reconstruction in Canada remains low. There are a complex array of interrelated individual-, provider- and system-level barriers that prevent individuals with cervical SCI from accessing upper limb reconstruction. In order to offer equitable access to care, a multi-modal approach addressing current barriers is required. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=cervical%20spinal%20cord%20injury" title="cervical spinal cord injury">cervical spinal cord injury</a>, <a href="https://publications.waset.org/abstracts/search?q=nerve%20and%20tendon%20transfer%20surgery" title=" nerve and tendon transfer surgery"> nerve and tendon transfer surgery</a>, <a href="https://publications.waset.org/abstracts/search?q=spinal%20cord%20injury" title=" spinal cord injury"> spinal cord injury</a>, <a href="https://publications.waset.org/abstracts/search?q=upper%20extremity%20reconstruction" title=" upper extremity reconstruction"> upper extremity reconstruction</a> </p> <a href="https://publications.waset.org/abstracts/137972/increasing-access-to-upper-limb-reconstruction-in-cervical-spinal-cord-injury" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/137972.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">97</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">1369</span> A Questionnaire-Based Survey: Therapists Response towards Upper Limb Disorder Learning Tool</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Noor%20Ayuni%20Che%20Zakaria">Noor Ayuni Che Zakaria</a>, <a href="https://publications.waset.org/abstracts/search?q=Takashi%20Komeda"> Takashi Komeda</a>, <a href="https://publications.waset.org/abstracts/search?q=Cheng%20Yee%20Low"> Cheng Yee Low</a>, <a href="https://publications.waset.org/abstracts/search?q=Kaoru%20Inoue"> Kaoru Inoue</a>, <a href="https://publications.waset.org/abstracts/search?q=Fazah%20Akhtar%20Hanapiah"> Fazah Akhtar Hanapiah</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Previous studies have shown that there are arguments regarding the reliability and validity of the Ashworth and Modified Ashworth Scale towards evaluating patients diagnosed with upper limb disorders. These evaluations depended on the raters’ experiences. This initiated us to develop an upper limb disorder part-task trainer that is able to simulate consistent upper limb disorders, such as spasticity and rigidity signs, based on the Modified Ashworth Scale to improve the variability occurring between raters and intra-raters themselves. By providing consistent signs, novice therapists would be able to increase training frequency and exposure towards various levels of signs. A total of 22 physiotherapists and occupational therapists participated in the study. The majority of the therapists agreed that with current therapy education, they still face problems with inter-raters and intra-raters variability (strongly agree 54%; n = 12/22, agree 27%; n = 6/22) in evaluating patients’ conditions. The therapists strongly agreed (72%; n = 16/22) that therapy trainees needed to increase their frequency of training; therefore believe that our initiative to develop an upper limb disorder training tool will help in improving the clinical education field (strongly agree and agree 63%; n = 14/22). <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=upper%20limb%20disorder" title="upper limb disorder">upper limb disorder</a>, <a href="https://publications.waset.org/abstracts/search?q=clinical%20education%20tool" title=" clinical education tool"> clinical education tool</a>, <a href="https://publications.waset.org/abstracts/search?q=inter%2Fintra-raters%20variability" title=" inter/intra-raters variability"> inter/intra-raters variability</a>, <a href="https://publications.waset.org/abstracts/search?q=spasticity" title=" spasticity"> spasticity</a>, <a href="https://publications.waset.org/abstracts/search?q=modified%20Ashworth%20scale" title=" modified Ashworth scale "> modified Ashworth scale </a> </p> <a href="https://publications.waset.org/abstracts/10949/a-questionnaire-based-survey-therapists-response-towards-upper-limb-disorder-learning-tool" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/10949.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">310</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">1368</span> The Effect of Body Positioning on Upper-Limb Arterial Occlusion Pressure and the Reliability of the Method during Blood Flow Restriction Training</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Stefanos%20Karanasios">Stefanos Karanasios</a>, <a href="https://publications.waset.org/abstracts/search?q=Charkleia%20Koutri"> Charkleia Koutri</a>, <a href="https://publications.waset.org/abstracts/search?q=Maria%20Moutzouri"> Maria Moutzouri</a>, <a href="https://publications.waset.org/abstracts/search?q=Sofia%20A.%20Xergia"> Sofia A. Xergia</a>, <a href="https://publications.waset.org/abstracts/search?q=Vasiliki%20Sakellari"> Vasiliki Sakellari</a>, <a href="https://publications.waset.org/abstracts/search?q=George%20Gioftsos"> George Gioftsos</a> </p> <p class="card-text"><strong>Abstract:</strong></p> The precise calculation of arterial occlusive pressure (AOP) is a critical step to accurately prescribe individualized pressures during blood flow restriction training (BFRT). AOP is usually measured in a supine position before training; however, previous reports suggested a significant influence in lower limb AOP across different body positions. The aim of the study was to investigate the effect of three different body positions on upper limb AOP and the reliability of the method for its standardization in clinical practice. Forty-two healthy participants (Mean age: 28.1, SD: ±7.7) underwent measurements of upper limb AOP in supine, seated, and standing positions by three blinded raters. A cuff with a manual pump and a pocket doppler ultrasound were used. A significantly higher upper limb AOP was found in seated compared with supine position (p < 0.031) and in supine compared with standing position (p < 0.031) by all raters. An excellent intraclass correlation coefficient (0.858- 0.984, p < 0.001) was found in all positions. Upper limb AOP is strongly dependent on body position changes. The appropriate measurement position should be selected to accurately calculate AOP before BFRT. The excellent inter-rater reliability and repeatability of the method suggest reliable and consistent results across repeated measurements. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=Kaatsu%20training" title="Kaatsu training">Kaatsu training</a>, <a href="https://publications.waset.org/abstracts/search?q=blood%20flow%20restriction%20training" title=" blood flow restriction training"> blood flow restriction training</a>, <a href="https://publications.waset.org/abstracts/search?q=arterial%20occlusion" title=" arterial occlusion"> arterial occlusion</a>, <a href="https://publications.waset.org/abstracts/search?q=reliability" title=" reliability"> reliability</a> </p> <a href="https://publications.waset.org/abstracts/132803/the-effect-of-body-positioning-on-upper-limb-arterial-occlusion-pressure-and-the-reliability-of-the-method-during-blood-flow-restriction-training" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/132803.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">212</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">1367</span> Optimal Mother Wavelet Function for Shoulder Muscles of Upper Limb Amputees</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Amanpreet%20Kaur">Amanpreet Kaur</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Wavelet transform (WT) is a powerful statistical tool used in applied mathematics for signal and image processing. The different mother, wavelet basis function, has been compared to select the optimal wavelet function that represents the electromyogram signal characteristics of upper limb amputees. Four different EMG electrode has placed on different location of shoulder muscles. Twenty one wavelet functions from different wavelet families were investigated. These functions included Daubechies (db1-db10), Symlets (sym1-sym5), Coiflets (coif1-coif5) and Discrete Meyer. Using mean square error value, the significance of the mother wavelet functions has been determined for teres, pectorals, and infraspinatus around shoulder muscles. The results show that the best mother wavelet is the db3 from the Daubechies family for efficient classification of the signal. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=Daubechies" title="Daubechies">Daubechies</a>, <a href="https://publications.waset.org/abstracts/search?q=upper%20limb%20amputation" title=" upper limb amputation"> upper limb amputation</a>, <a href="https://publications.waset.org/abstracts/search?q=shoulder%20muscles" title=" shoulder muscles"> shoulder muscles</a>, <a href="https://publications.waset.org/abstracts/search?q=Symlets" title=" Symlets"> Symlets</a>, <a href="https://publications.waset.org/abstracts/search?q=Coiflets" title=" Coiflets"> Coiflets</a> </p> <a href="https://publications.waset.org/abstracts/103654/optimal-mother-wavelet-function-for-shoulder-muscles-of-upper-limb-amputees" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/103654.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">235</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">1366</span> Creating a Virtual Perception for Upper Limb Rehabilitation</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Nina%20Robson">Nina Robson</a>, <a href="https://publications.waset.org/abstracts/search?q=Kenneth%20John%20Faller%20II"> Kenneth John Faller II</a>, <a href="https://publications.waset.org/abstracts/search?q=Vishalkumar%20Ahir"> Vishalkumar Ahir</a>, <a href="https://publications.waset.org/abstracts/search?q=Arthur%20Ricardo%20Deps%20Miguel%20Ferreira"> Arthur Ricardo Deps Miguel Ferreira</a>, <a href="https://publications.waset.org/abstracts/search?q=John%20Buchanan"> John Buchanan</a>, <a href="https://publications.waset.org/abstracts/search?q=Amarnath%20Banerjee"> Amarnath Banerjee</a> </p> <p class="card-text"><strong>Abstract:</strong></p> This paper describes the development of a virtual-reality system ARWED, which will be used in physical rehabilitation of patients with reduced upper extremity mobility to increase limb Active Range of Motion (AROM). The ARWED system performs a symmetric reflection and real-time mapping of the patient’s healthy limb on to their most affected limb, tapping into the mirror neuron system and facilitating the initial learning phase. Using the ARWED, future experiments will test the extension of the action-observation priming effect linked to the mirror-neuron system on healthy subjects and then stroke patients. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=physical%20rehabilitation" title="physical rehabilitation">physical rehabilitation</a>, <a href="https://publications.waset.org/abstracts/search?q=mirror%20neuron" title=" mirror neuron"> mirror neuron</a>, <a href="https://publications.waset.org/abstracts/search?q=virtual%20reality" title=" virtual reality"> virtual reality</a>, <a href="https://publications.waset.org/abstracts/search?q=stroke%20therapy" title=" stroke therapy"> stroke therapy</a> </p> <a href="https://publications.waset.org/abstracts/60548/creating-a-virtual-perception-for-upper-limb-rehabilitation" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/60548.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">432</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">1365</span> Modified Norhaya Upper Limp Elevation Sling-Quick Approach Ensuring Timely Limb Elevation</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Prem">Prem</a>, <a href="https://publications.waset.org/abstracts/search?q=Norhaya"> Norhaya</a>, <a href="https://publications.waset.org/abstracts/search?q=Vwrene%20C."> Vwrene C.</a>, <a href="https://publications.waset.org/abstracts/search?q=Mohammad%20Harris%20A."> Mohammad Harris A.</a>, <a href="https://publications.waset.org/abstracts/search?q=Amarjit"> Amarjit</a>, <a href="https://publications.waset.org/abstracts/search?q=Fazir%20M."> Fazir M.</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Upper limb surgery is a common orthopedic procedure. After surgery, it is necessary to raise the patient's arm to reduce limb swelling and promote recovery. After an injury or surgery, swelling (edema) in the limbs is common. This swelling can be painful, cause stiffness, and affect movement and ability to do daily activities. One of the easiest ways to manage swelling is to elevate the swollen limb. The goal is to elevate the swollen limb slightly above the level of the heart. This helps the extra fluid move back towards the heart for circulation to the rest of the body. Conventional arm sling or pillows are usually placed under the arm to raise it, but in this way the arm cannot be fixed well and easily slide down, without ideal raising effect. Conventional arm sling need experience to tie the sling and this delay in the application process. To reduce the waiting time and cost, modified Norhaya upper limb elevation sling was designed and made readily available. The sling is made from calico fabric, readily available in the ward. Measurements of patients’ arm lengths are obtained, and fabric sizes are cut into the average arm lengths, as well as 1 size above and below. The cut calico fabric is then sewn together with thick sewing threads. Its application is easy and junior most staff or doctor will be able to apply it on patient. The time taken to set up the sling is also reduced. Feedback gathered from ground staff regarding ease of setting up the sling was tremendous and patient also feel comfort in the modified Norhaya sling. The device can freely adjust the raising height of the affected limb and effectively fix the affected limb to reduce its swelling, thus promoting recovery. This device is worthy to be clinically popularized and applied. The Modified Norhaya upper limb elevation sling is the quickest to set up and the delay in elevating the patient’s hand is significantly reduced. Moreover, it is reproducible and there is also significant cost savings. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=elevate" title="elevate">elevate</a>, <a href="https://publications.waset.org/abstracts/search?q=effective" title=" effective"> effective</a>, <a href="https://publications.waset.org/abstracts/search?q=sling" title=" sling"> sling</a>, <a href="https://publications.waset.org/abstracts/search?q=timely" title=" timely"> timely</a> </p> <a href="https://publications.waset.org/abstracts/143399/modified-norhaya-upper-limp-elevation-sling-quick-approach-ensuring-timely-limb-elevation" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/143399.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">205</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">1364</span> A Study of Anthropometric Correlation between Upper and Lower Limb Dimensions in Sudanese Population</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Altayeb%20Abdalla%20Ahmed">Altayeb Abdalla Ahmed</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Skeletal phenotype is a product of a balanced interaction between genetics and environmental factors throughout different life stages. Therefore, interlimb proportions are variable between populations. Although interlimb proportion indices have been used in anthropology in assessing the influence of various environmental factors on limbs, an extensive literature review revealed that there is a paucity of published research assessing interlimb part correlations and possibility of reconstruction. Hence, this study aims to assess the relationships between upper and lower limb parts and develop regression formulae to reconstruct the parts from one another. The left upper arm length, ulnar length, wrist breadth, hand length, hand breadth, tibial length, bimalleolar breadth, foot length, and foot breadth of 376 right-handed subjects, comprising 187 males and 189 females (aged 25-35 years), were measured. Initially, the data were analyzed using basic univariate analysis and independent t-tests; then sex-specific simple and multiple linear regression models were used to estimate upper limb parts from lower limb parts and vice-versa. The results of this study indicated significant sexual dimorphism for all variables. The results indicated a significant correlation between the upper and lower limbs parts (p < 0.01). Linear and multiple (stepwise) regression equations were developed to reconstruct the limb parts in the presence of a single or multiple dimension(s) from the other limb. Multiple stepwise regression equations generated better reconstructions than simple equations. These results are significant in forensics as it can aid in identification of multiple isolated limb parts particularly during mass disasters and criminal dismemberment. Although a DNA analysis is the most reliable tool for identification, its usage has multiple limitations in undeveloped countries, e.g., cost, facility availability, and trained personnel. Furthermore, it has important implication in plastic and orthopedic reconstructive surgeries. This study is the only reported study assessing the correlation and prediction capabilities between many of the upper and lower dimensions. The present study demonstrates a significant correlation between the interlimb parts in both sexes, which indicates a possibility to reconstruction using regression equations. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=anthropometry" title="anthropometry">anthropometry</a>, <a href="https://publications.waset.org/abstracts/search?q=correlation" title=" correlation"> correlation</a>, <a href="https://publications.waset.org/abstracts/search?q=limb" title=" limb"> limb</a>, <a href="https://publications.waset.org/abstracts/search?q=Sudanese" title=" Sudanese"> Sudanese</a> </p> <a href="https://publications.waset.org/abstracts/25051/a-study-of-anthropometric-correlation-between-upper-and-lower-limb-dimensions-in-sudanese-population" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/25051.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">295</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">1363</span> Effect of Pole Weight on Nordic Walking</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Takeshi%20Sato">Takeshi Sato</a>, <a href="https://publications.waset.org/abstracts/search?q=Mizuki%20Nakajima"> Mizuki Nakajima</a>, <a href="https://publications.waset.org/abstracts/search?q=Macky%20Kato"> Macky Kato</a>, <a href="https://publications.waset.org/abstracts/search?q=Shoji%20Igawa"> Shoji Igawa</a> </p> <p class="card-text"><strong>Abstract:</strong></p> The purpose of study was to investigate the effect of varying pole weights on energy expenditure, upper limb and lower limb muscle activity as Electromyogram during Nordic walking (NW). Four healthy men [age = 22.5 (±1.0) years, body mass = 61.4 (±3.6) kg, height = 170.3 (±4.3) cm] and three healthy women [age = 22.7 (±2.9) years, body mass = 53.0 (±1.7) kg, height = 156.7 (±4.5) cm] participated in the experiments after informed consent. Seven healthy subjects were tested on the treadmill, walking, walking (W) with Nordic Poles (NW) and walking with 1kg weight Nordic Poles (NW+1). Walking speed was 6 km per hours in all trials. Eight EMG activities were recorded by bipolar surface methods in biceps brachii, triceps brachii, trapezius, deltoideus, tibialis anterior, medial gastrocnemius, rectus femoris and biceps femoris muscles. And heart rate (HR), oxygen uptake (VO<sub>2</sub>), and rate of perceived exertion (RPE) were measured. The level of significance was set at a = 0.05, with p < 0.05 regarded as statistically significant. Our results confirmed that use of NW poles increased HR at a given upper arm muscle activity but decreased lower limb EMGs in comparison with W. Moreover NW was able to increase more step lengths with hip joint extension during NW rather than W. Also, EMG revealed higher activation of upper limb for almost all NW and 1kgNW tests plus added masses compared to W (p < 0.05). Therefore, it was thought either of NW and 1kgNW were to have benefit as a physical exercise for safe, feasible, and readily training for a wide range of aged people in the quality of daily life. However, there was no significant effected in leg muscles activity by using 1kgNW except for upper arm muscle activity during Nordic pole walking. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=Nordic%20walking" title="Nordic walking">Nordic walking</a>, <a href="https://publications.waset.org/abstracts/search?q=electromyogram" title=" electromyogram"> electromyogram</a>, <a href="https://publications.waset.org/abstracts/search?q=heart%20rate" title=" heart rate"> heart rate</a>, <a href="https://publications.waset.org/abstracts/search?q=RPE" title=" RPE"> RPE</a> </p> <a href="https://publications.waset.org/abstracts/77579/effect-of-pole-weight-on-nordic-walking" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/77579.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">239</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">1362</span> Investigation of Surface Electromyograph Signal Acquired from the around Shoulder Muscles of Upper Limb Amputees</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Amanpreet%20Kaur">Amanpreet Kaur</a>, <a href="https://publications.waset.org/abstracts/search?q=Ravinder%20Agarwal"> Ravinder Agarwal</a>, <a href="https://publications.waset.org/abstracts/search?q=Amod%20Kumar"> Amod Kumar</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Surface electromyography is a strategy to measure the muscle activity of the skin. Sensors placed on the skin recognize the electrical current or signal generated by active muscles. A lot of the research has focussed on the detection of signal from upper limb amputee with activity of triceps and biceps muscles. The purpose of this study was to correlate phantom movement and sEMG activity in residual stump muscles of transhumeral amputee from the shoulder muscles. Eight non- amputee and seven right hand amputees were recruited for this study. sEMG data were collected for the trapezius, pectoralis and teres muscles for elevation, protraction and retraction of shoulder. Contrast between the amputees and non-amputees muscles action have been investigated. Subsequently, to investigate the impact of class separability for different motions of shoulder, analysis of variance for experimental recorded data was carried out. Results were analyzed to recognize different shoulder movements and represent a step towards the surface electromyography controlled system for amputees. Difference in F ratio (p < 0.05) values indicates the distinction in mean therefore these analysis helps to determine the independent motion. The identified signal would be used to design more accurate and efficient controllers for the upper-limb amputee for researchers. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=around%20shoulder%20amputation" title="around shoulder amputation">around shoulder amputation</a>, <a href="https://publications.waset.org/abstracts/search?q=surface%20electromyography" title=" surface electromyography"> surface electromyography</a>, <a href="https://publications.waset.org/abstracts/search?q=analysis%20of%20variance" title=" analysis of variance"> analysis of variance</a>, <a href="https://publications.waset.org/abstracts/search?q=features" title=" features"> features</a> </p> <a href="https://publications.waset.org/abstracts/64762/investigation-of-surface-electromyograph-signal-acquired-from-the-around-shoulder-muscles-of-upper-limb-amputees" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/64762.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">433</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">1361</span> Relationship Between Upper Extremity Erectile Abnormalities with Quality of Life Factors and Physical Self-concept in Boy Students 7 to 10 Years</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Nadiya%20Zahra%20Karimi">Nadiya Zahra Karimi</a>, <a href="https://publications.waset.org/abstracts/search?q=Amir%20Ghiami%20Rad"> Amir Ghiami Rad</a> </p> <p class="card-text"><strong>Abstract:</strong></p> The physical health of students from an early age and the proper formation of the musculoskeletal system of their body is part of the overall health of these people. Most chronic musculoskeletal problems and pains can be controlled and reduced with education at an early age. Therefore, with the correct and timely diagnosis of these abnormalities, we can play an important role in their proper treatment and control, and in a way, raise the level of quality of life and positive self-concept in students. The aim of this study was to investigate the relationship between erectile dysfunctions of the upper limbs (head and neck, shoulder, thoracic and lumbar) and the quality of life and self-concept of male students aged 7 to 10 years. The statical population of the study consists of 227 students of shahadat boys’ primary school in khajeh city. Due to the corona pandemic conditions, the research samples were identified after screening and available according to the entrance criteria of the study. To validate the quality of life, the valid WHOQOL-BREF questionnaire will be used for self-concept variables, Dolatabadi, Fatemeh (2007) questionnaire, and for physical screening, a checkerboard, plumb line, and flexible ruler will be used. There is a negative and significant relationship between the dimensions of upper limb anomalies and quality of life factors, and also there is a negative and significant relationship between the dimensions of upper limb anomalies and self-concept factors. The results showed that there is a negative and significant relationship between head and neck abnormalities with quality of life and self-concept factors, with a significance level of less than 0.05 in male students aged 7 to 10 years. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=upper%20limb%20erectile%20dysfunction" title="upper limb erectile dysfunction">upper limb erectile dysfunction</a>, <a href="https://publications.waset.org/abstracts/search?q=quality%20of%20life" title=" quality of life"> quality of life</a>, <a href="https://publications.waset.org/abstracts/search?q=self-concept" title=" self-concept"> self-concept</a>, <a href="https://publications.waset.org/abstracts/search?q=erectile%20abnormalities" title=" erectile abnormalities"> erectile abnormalities</a> </p> <a href="https://publications.waset.org/abstracts/158626/relationship-between-upper-extremity-erectile-abnormalities-with-quality-of-life-factors-and-physical-self-concept-in-boy-students-7-to-10-years" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/158626.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">93</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">1360</span> Evaluation of Cooperative Hand Movement Capacity in Stroke Patients Using the Cooperative Activity Stroke Assessment</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=F.%20A.%20Thomas">F. A. Thomas</a>, <a href="https://publications.waset.org/abstracts/search?q=M.%20Schrafl-Altermatt"> M. Schrafl-Altermatt</a>, <a href="https://publications.waset.org/abstracts/search?q=R.%20Treier"> R. Treier</a>, <a href="https://publications.waset.org/abstracts/search?q=S.%20Kaufmann"> S. Kaufmann</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Stroke is the main cause of adult disability. Especially upper limb function is affected in most patients. Recently, cooperative hand movements have been shown to be a promising type of upper limb training in stroke rehabilitation. In these movements, which are frequently found in activities of daily living (e.g. opening a bottle, winding up a blind), the force of one upper limb has to be equally counteracted by the other limb to successfully accomplish a task. The use of standardized and reliable clinical assessments is essential to evaluate the efficacy of therapy and the functional outcome of a patient. Many assessments for upper limb function or impairment are available. However, the evaluation of cooperative hand movement tasks are rarely included in those. Thus, the aim of this study was (i) to develop a novel clinical assessment (CASA - Cooperative Activity Stroke Assessment) for the evaluation of patients’ capacity to perform cooperative hand movements and (ii) to test its inter- and interrater reliability. Furthermore, CASA scores were compared to current gold standard assessments for upper extremity in stroke patients (i.e. Fugl-Meyer Assessment, Box & Blocks Test). The CASA consists of five cooperative activities of daily living including (1) opening a jar, (2) opening a bottle, (3) open and closing of a zip, (4) unscrew a nut and (5) opening a clipbox. Here, the goal is to accomplish the tasks as fast as possible. In addition to the quantitative rating (i.e. time) which is converted to a 7-point scale, also the quality of the movement is rated in a 4-point scale. To test the reliability of CASA, fifteen stroke subjects were tested within a week twice by the same two raters. Intra-and interrater reliability was calculated using the intraclass correlation coefficient (ICC) for total CASA score and single items. Furthermore, Pearson-correlation was used to compare the CASA scores to the scores of Fugl-Meyer upper limb assessment and the box and blocks test, which were assessed in every patient additionally to the CASA. ICC scores of the total CASA score indicated an excellent- and single items established a good to excellent inter- and interrater reliability. Furthermore, the CASA score was significantly correlated to the Fugl-Meyer and Box & Blocks score. The CASA provides a reliable assessment for cooperative hand movements which are crucial for many activities of daily living. Due to its non-costly setup, easy and fast implementation, we suggest it to be well suitable for clinical application. In conclusion, the CASA is a useful tool in assessing the functional status and therapy related recovery in cooperative hand movement capacity in stroke patients. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=activitites%20of%20daily%20living" title="activitites of daily living">activitites of daily living</a>, <a href="https://publications.waset.org/abstracts/search?q=clinical%20assessment" title=" clinical assessment"> clinical assessment</a>, <a href="https://publications.waset.org/abstracts/search?q=cooperative%20hand%20movements" title=" cooperative hand movements"> cooperative hand movements</a>, <a href="https://publications.waset.org/abstracts/search?q=reliability" title=" reliability"> reliability</a>, <a href="https://publications.waset.org/abstracts/search?q=stroke" title=" stroke"> stroke</a> </p> <a href="https://publications.waset.org/abstracts/86712/evaluation-of-cooperative-hand-movement-capacity-in-stroke-patients-using-the-cooperative-activity-stroke-assessment" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/86712.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">319</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">1359</span> A Randomized Comparative Evaluation of Efficacy of Ultrasound Guided Costoclavicular and Supraclavicular Approaches of Brachial Plexus Block for Upper Limb Surgeries</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Anshul">Anshul</a>, <a href="https://publications.waset.org/abstracts/search?q=Rajni%20Kalia"> Rajni Kalia</a>, <a href="https://publications.waset.org/abstracts/search?q=Sachin%20Kumar"> Sachin Kumar</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Introduction: The costoclavicular approach, a modification to the infraclavicular approach, has been described for anesthesia for upper limb surgeries. Material And Methods: In this randomized and single-blind study, fourty patients undergoing emergency/elective upper limb surgery were allocated to two groups. Group C and S received ultrasound-guided Costoclavicular block and Supraclavicular block, respectively, with 20 ml 0.5 % ropivacaine with 8 mg dexamethasone under strict asepsis. The primary outcome assessed was the total duration of sensory and motor block in the postoperative period. Secondary outcomes were to compare the time taken to perform the procedure, block characteristics in terms of onset of motor and sensory blockade, the efficacy of analgesia with respect to the time of administration of the first rescue analgesic dose with both the blocks and note the side effects pertaining to either of the blocks. Results: The mean total duration of sensory and motor blockade was longer in group C vs. group S (p=0.002 and 0.024, respectively). The mean duration to perform a block in group S was more than in group C (p=0.012). The mean onset of sensory and motor Blockade Time in group S was more than in group C (p<0.001 and <0.001, respectively). The mean duration to perform a block in group S was more than in group C (p=0.012). Conclusion: The costoclavicular approach is better than supraclavicular in terms of rapid execution, faster onset of sensory-motor blockade, prolonged postoperative analgesia and similar PONV and safety profile. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=costoclavicular" title="costoclavicular">costoclavicular</a>, <a href="https://publications.waset.org/abstracts/search?q=supraclavicular" title=" supraclavicular"> supraclavicular</a>, <a href="https://publications.waset.org/abstracts/search?q=ropivacaine" title=" ropivacaine"> ropivacaine</a>, <a href="https://publications.waset.org/abstracts/search?q=dexamethasone" title=" dexamethasone"> dexamethasone</a> </p> <a href="https://publications.waset.org/abstracts/173780/a-randomized-comparative-evaluation-of-efficacy-of-ultrasound-guided-costoclavicular-and-supraclavicular-approaches-of-brachial-plexus-block-for-upper-limb-surgeries" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/173780.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">66</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">1358</span> Study of Human Upper Arm Girth during Elbow Isokinetic Contractions Based on a Smart Circumferential Measuring System</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Xi%20Wang">Xi Wang</a>, <a href="https://publications.waset.org/abstracts/search?q=Xiaoming%20Tao"> Xiaoming Tao</a>, <a href="https://publications.waset.org/abstracts/search?q=Raymond%20C.%20H.%20So"> Raymond C. H. So</a> </p> <p class="card-text"><strong>Abstract:</strong></p> As one of the convenient and noninvasive sensing approaches, the automatic limb girth measurement has been applied to detect intention behind human motion from muscle deformation. The sensing validity has been elaborated by preliminary researches but still need more fundamental study, especially on kinetic contraction modes. Based on the novel fabric strain sensors, a soft and smart limb girth measurement system was developed by the authors’ group, which can measure the limb girth in-motion. Experiments were carried out on elbow isometric flexion and elbow isokinetic flexion (biceps’ isokinetic contractions) of 90°/s, 60°/s, and 120°/s for 10 subjects (2 canoeists and 8 ordinary people). After removal of natural circumferential increments due to elbow position, the joint torque is found not uniformly sensitive to the limb circumferential strains, but declining as elbow joint angle rises, regardless of the angular speed. Moreover, the maximum joint torque was found as an exponential function of the joint’s angular speed. This research highly contributes to the application of the automatic limb girth measuring during kinetic contractions, and it is useful to predict the contraction level of voluntary skeletal muscles. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=fabric%20strain%20sensor" title="fabric strain sensor">fabric strain sensor</a>, <a href="https://publications.waset.org/abstracts/search?q=muscle%20deformation" title=" muscle deformation"> muscle deformation</a>, <a href="https://publications.waset.org/abstracts/search?q=isokinetic%20contraction" title=" isokinetic contraction"> isokinetic contraction</a>, <a href="https://publications.waset.org/abstracts/search?q=joint%20torque" title=" joint torque"> joint torque</a>, <a href="https://publications.waset.org/abstracts/search?q=limb%20girth%20strain" title=" limb girth strain"> limb girth strain</a> </p> <a href="https://publications.waset.org/abstracts/39596/study-of-human-upper-arm-girth-during-elbow-isokinetic-contractions-based-on-a-smart-circumferential-measuring-system" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/39596.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">337</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">1357</span> Aerobic Capacity Outcomes after an Aerobic Exercise Program with an Upper Body Ergometer in Diabetic Amputees</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Cecilia%20Estela%20Jim%C3%A9nez%20P%C3%A9rez%20Campos">Cecilia Estela Jiménez Pérez Campos</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Introduction: Amputation comes from a series of complications in diabetic persons; at that point, of the illness evolution they have a deplored aerobic capacity. Adding to that, cardiac rehabs programs are almost base in several activities in a standing position. The cardiac rehabilitation programs have to improve for them, based on scientific advice. Objective: Evaluation of aerobic capacity of diabetic amputee after an aerobic exercise program, with upper limb ergometer. Methodology: The design is longitudinal, prospective, comparative and no randomized. We include all diabetic pelvic limb amputees, who assist to the cardiac rehabilitation. We made 2 groups: an experimental and a control group. The patients did the exercise testing, with the author’s design protocol. The experimental group completed 24 exercise sessions (3 sessions/week), with an intensity determined with the training heart rate. At the end of 8 weeks period, the subjects did a second exercise test. Results: Both groups were a homogeneous sample in age (experimental n=15) 57.6+12.5 years old and (control n=8) 52.5+8.0 years old, sex, occupation, education and economic features. (square chi) (p=0.28). The initial aerobic capacity was similar in both groups. And the aerobic capacity accomplishes after the program was statistically greater in the experimental group than in the control one. The final media VO2peak (mlO2/kg/min) was experimental (17.1+3.8), control (10.5+3.8), p=0.001. (t student). Conclusions: The aerobic capacity improved after an arm ergometer exercise program and the quality of life improve too, in diabetic amputees. So this program is fundamental in diabetic amputee’s rehabilitation management. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=aerobic%20fitness" title="aerobic fitness">aerobic fitness</a>, <a href="https://publications.waset.org/abstracts/search?q=metabolic%20equivalent%20%28MET%29" title=" metabolic equivalent (MET)"> metabolic equivalent (MET)</a>, <a href="https://publications.waset.org/abstracts/search?q=oxygen%20output" title=" oxygen output"> oxygen output</a>, <a href="https://publications.waset.org/abstracts/search?q=upper%20limb%20ergometer" title=" upper limb ergometer"> upper limb ergometer</a> </p> <a href="https://publications.waset.org/abstracts/68697/aerobic-capacity-outcomes-after-an-aerobic-exercise-program-with-an-upper-body-ergometer-in-diabetic-amputees" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/68697.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">235</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">1356</span> Efficacy of Botulinum Toxin in Alleviating Pain Syndrome in Stroke Patients with Upper Limb Spasticity</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Akulov%20M.%20A.">Akulov M. A.</a>, <a href="https://publications.waset.org/abstracts/search?q=Zaharov%20V.%20O."> Zaharov V. O.</a>, <a href="https://publications.waset.org/abstracts/search?q=Jurishhev%20P.%20E."> Jurishhev P. E.</a>, <a href="https://publications.waset.org/abstracts/search?q=Tomskij%20A.%20A."> Tomskij A. A.</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Introduction: Spasticity is a severe consequence of stroke, leading to profound disability, decreased quality of life and decrease of rehabilitation efficacy [4]. Spasticity is often associated with pain syndrome, arising from joint damage of paretic limbs (postural arthropathy) or painful spasm of paretic limb muscles. It is generally accepted that injection of botulinum toxin into a cramped muscle leads to decrease of muscle tone and improves motion range in paretic limb, which is accompanied by pain alleviation. Study aim: To evaluate the change in pain syndrome intensity after incections of botulinum toxin A (Xeomin) in stroke patients with upper limb spasticity. Patients and methods. 21 patients aged 47-74 years were evaluated. Inclusion criteria were: acute stroke 4-7 months before the inclusion into the study, leading to spasticity of wrist and/or finger flexors, elbow flexor or forearm pronator, associated with severe pain syndrome. Patients received Xeomin as monotherapy 90-300 U, according to spasticity pattern. Efficacy evaluation was performed using Ashworth scale, disability assessment scale (DAS), caregiver burden scale and global treatment benefit assessment on weeks 2, 4, 8 and 12. Efficacy criterion was the decrease of pain syndrome by week 4 on PQLS and VAS. Results: The study revealed a significant improvement of measured indices after 4 weeks of treatment, which persisted until the 12 week of treatment. Xeomin is effective in reducing muscle tone of flexors of wrist, fingers and elbow, forearm pronators. By the 4th week of treatment we observed a significant improvement on DAS (р < 0,05), Ashworth scale (1-2 points) in all patients (р < 0,05), caregiver burden scale (р < 0,05). A significant decrease of pain syndrome by the 4th week of treatment on PQLS (р < 0,05) и VAS (р < 0,05) was observed. No adverse effect were registered. Conclusion: Xeomin is an effective treatment of pain syndrome in postural upper limb spasticity after stroke. Xeomin treatment leads to a significant improvement on PQLS and VAS. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=botulinum%20toxin" title="botulinum toxin">botulinum toxin</a>, <a href="https://publications.waset.org/abstracts/search?q=pain%20syndrome" title=" pain syndrome"> pain syndrome</a>, <a href="https://publications.waset.org/abstracts/search?q=spasticity" title=" spasticity"> spasticity</a>, <a href="https://publications.waset.org/abstracts/search?q=stroke" title=" stroke"> stroke</a> </p> <a href="https://publications.waset.org/abstracts/26707/efficacy-of-botulinum-toxin-in-alleviating-pain-syndrome-in-stroke-patients-with-upper-limb-spasticity" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/26707.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">309</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">1355</span> The Influence of Plyometric Exercises on Biomechanical Factor Front Crawl and Back Crawl Speed in Elite Swimmers</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Gheimati%20Salar">Gheimati Salar</a> </p> <p class="card-text"><strong>Abstract:</strong></p> The objective of conducting this research was to study the influence of plyometric exercises on the biomechanical selected factor of elite teen swimmers and compare the influence of plyometric exercises on the speed of front crawl and back crawl in empirical and control groups of teens. In order to conduct these study 30 swimmers with minimum of 3 years' experience who were 11 or 12 were randomly chosen and divided into 2 groups of 15. The first group was empirical and the second was control group. The speed of the swimmer was analyzed after 25 meters of swimming and their speed were recorded in the last. The researcher was standing stable at the beginning and then started the chronometer and stopped it at the end of the swimming. He repeated the record taking two times and then the average was taken. Before conducting plyometric exercises, a speed test was taken from both groups in both types of swimming. The duration of plyometric exercises was 8 weeks, every week 3 sessions and 24 sessions in total. The exercises in this study were focused on 3 parts of the body. Upper limb part, the lower part of the body and trunk area. Upper limb exercises consisted of four parts. The lower limb exercises consisted of 5 parts, and the trunk exercises consisted of four sections. A Medicine ball, cone and different weights were used in these exercises. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=plyometric" title="plyometric">plyometric</a>, <a href="https://publications.waset.org/abstracts/search?q=exercises" title=" exercises"> exercises</a>, <a href="https://publications.waset.org/abstracts/search?q=front%20crawl%20and%20back%20crawl" title=" front crawl and back crawl"> front crawl and back crawl</a>, <a href="https://publications.waset.org/abstracts/search?q=speed" title=" speed"> speed</a> </p> <a href="https://publications.waset.org/abstracts/156298/the-influence-of-plyometric-exercises-on-biomechanical-factor-front-crawl-and-back-crawl-speed-in-elite-swimmers" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/156298.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">124</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">1354</span> Application of the Motion Analysis System to Formulate Parameters Defining the Movement of the Upper Limbs during Various Types of Gait</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Agata%20Matuszewska">Agata Matuszewska</a>, <a href="https://publications.waset.org/abstracts/search?q=Ma%C5%82gorzata%20Syczewska"> Małgorzata Syczewska</a> </p> <p class="card-text"><strong>Abstract:</strong></p> The movement of the upper limbs contributes significantly to balance control while walking in humans. However, the impact of different arm swing modes on gait stability is yet to be determined. This work intends to establish numerical parameters for assessing the arm swing. Nineteen people, comprising fifteen young, healthy individuals, two middle-aged individuals, and two individuals with dysfunctions, were analyzed using the movement analysis system. Proposed parameters such as ASᵢₐ (reflecting the arm swing amplitude) and Pearson’s correlation coefficient between the right and left upper limbs can be used to classify the type of movement task each participant performs. The results indicate that the ASᵢₐ parameter could potentially detect any abnormalities in upper limb functions, which may be due to musculoskeletal disorders or other malfunctions. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=arm%20swing" title="arm swing">arm swing</a>, <a href="https://publications.waset.org/abstracts/search?q=human%20balance" title=" human balance"> human balance</a>, <a href="https://publications.waset.org/abstracts/search?q=interlimb%20coordination" title=" interlimb coordination"> interlimb coordination</a>, <a href="https://publications.waset.org/abstracts/search?q=motion%20analysis%20system" title=" motion analysis system"> motion analysis system</a> </p> <a href="https://publications.waset.org/abstracts/164607/application-of-the-motion-analysis-system-to-formulate-parameters-defining-the-movement-of-the-upper-limbs-during-various-types-of-gait" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/164607.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">168</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">1353</span> Effects of Robot-Assisted Hand Training on Upper Extremity Performance in Patients with Stroke: A Randomized Crossover Controlled, Assessor-Blinded Study</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Hsin-Chieh%20Lee">Hsin-Chieh Lee</a>, <a href="https://publications.waset.org/abstracts/search?q=Fen-Ling%20Kuo"> Fen-Ling Kuo</a>, <a href="https://publications.waset.org/abstracts/search?q=Jui-Chi%20Lin"> Jui-Chi Lin</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Background: Upper extremity functional impairment that occurs after stroke includes hemiplegia, synergy movement, muscle hypertonicity, and somatosensory impairment, which result in inefficient and inaccurate movement. Robot-assisted rehabilitation is an intensive training approach that is effective in sensorimotor and hand function recovery. However, these systems mostly focused on the proximal part of the upper limb rather than the distal part. The device used in our study was Gloreha Sinfonia, which focuses on the distal part of the upper limb and uses a dynamic support system to facilitate the whole limb function. The objective of this study was to investigate the effects of robot-assisted therapy (RT) with Gloreha device on sensorimotor, and ADLs in patients with stroke. Method: Patients with stroke (N=25) participated AB or BA (A = 12 RT sessions and B = 12 conventional therapy (CT) sessions) for 6 weeks (60 min at each session, twice a week), with 1-month break for washout period. The performance of the patients was assessed by a blinded assessor at 4 time points (pretest 1, posttest 1, pretest 2, posttest 2) which including the Fugl–Meyer Assessment-upper extremity (FMA-UE), box and block test, electromyography of the extensor digitorum communis (EDC) and brachioradialis, a grip dynamometer for motor evaluation; Semmes–Weinstein hand monofilament and Revision of the Nottingham Sensory Assessment for sensory evaluation; and the Modified Barthel Index (MBI) for assessing the ADL ability. Result: RT group significantly improved FMA-UE proximal scores (p = 0.038), FMA-UE total scores (p = 0.046), and MBI (p = 0.030). The EDC exhibited higher efficiency during the small block grasping task in the RT group than in the CT group (p = 0.050). Conclusions: RT with the Gloreha device might lead to beneficial effects on arm motor function, ADL ability, and EDC muscle recruitment efficacy in patients with subacute to chronic stroke. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=activities%20of%20daily%20living" title="activities of daily living">activities of daily living</a>, <a href="https://publications.waset.org/abstracts/search?q=hand%20function" title=" hand function"> hand function</a>, <a href="https://publications.waset.org/abstracts/search?q=robotic%20rehabilitation" title=" robotic rehabilitation"> robotic rehabilitation</a>, <a href="https://publications.waset.org/abstracts/search?q=stroke" title=" stroke"> stroke</a> </p> <a href="https://publications.waset.org/abstracts/107876/effects-of-robot-assisted-hand-training-on-upper-extremity-performance-in-patients-with-stroke-a-randomized-crossover-controlled-assessor-blinded-study" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/107876.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">118</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">1352</span> The Effects on Hand Function with Robot-Assisted Rehabilitation for Children with Cerebral Palsy: A Pilot Study</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Fen-Ling%20Kuo">Fen-Ling Kuo</a>, <a href="https://publications.waset.org/abstracts/search?q=Hsin-Chieh%20Lee"> Hsin-Chieh Lee</a>, <a href="https://publications.waset.org/abstracts/search?q=Han-Yun%20Hsiao"> Han-Yun Hsiao</a>, <a href="https://publications.waset.org/abstracts/search?q=Jui-Chi%20Lin"> Jui-Chi Lin</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Background: Children with cerebral palsy (CP) usually suffered from mild to maximum upper limb dysfunction such as having difficulty in reaching and picking up objects, which profoundly affects their participation in activities of daily living (ADLs). Robot-assisted rehabilitation provides intensive physical training in improving sensorimotor function of the hand. Many researchers have extensively studied the effects of robot-assisted therapy (RT) for the paretic upper limb in patients with stroke in recent years. However, few studies have examined the effect of RT on hand function in children with CP. The purpose of this study is to investigate the effectiveness of Gloreha Sinfonia, a robotic device with a dynamic arm support system mainly focus on distal upper-limb training, on improvements of hand function and ADLs in children with CP. Methods: Seven children with moderate CP were recruited in this case series study. RT using Gloreha Sinfonia was performed 2 sessions per week, 60 min per session for 6 consecutive weeks, with 12 times in total. Outcome measures included the Fugl-Meyer Assessment-upper extremity (FMA-UE), the Box and Block Test, the electromyography activity of the extensor digitorum communis muscle (EDC) and brachioradialis (BR), a grip dynamometer for motor evaluation, and the ABILHAND-Kids for measuring manual ability to manage daily activities, were performed at baseline, after 12 sessions (end of treatment) and at the 1-month follow-up. Results: After 6 weeks of robot-assisted treatment of hand function, there were significant increases in FMA-UE shoulder/elbow scores (p=0.002), FMA-UE wrist/hand scores (p=0.002), and FMA-UE total scores (p=0.002). There were also significant improvements in the BR mean value (p = 0.015) and electrical agonist-antagonist muscle ratio (p=0.041) in grasping a 1-inch cube task. These gains were maintained for a month after the end of the intervention. Conclusion: RT using Gloreha Sinfonia for hand function training may contribute toward the improvement of upper extremity function and efficacy in recruiting BR muscle in children with CP. The results were maintained at one month after intervention. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=activities%20of%20daily%20living" title="activities of daily living">activities of daily living</a>, <a href="https://publications.waset.org/abstracts/search?q=cerebral%20palsy" title=" cerebral palsy"> cerebral palsy</a>, <a href="https://publications.waset.org/abstracts/search?q=hand%20function" title=" hand function"> hand function</a>, <a href="https://publications.waset.org/abstracts/search?q=robotic%20rehabilitation" title=" robotic rehabilitation "> robotic rehabilitation </a> </p> <a href="https://publications.waset.org/abstracts/107877/the-effects-on-hand-function-with-robot-assisted-rehabilitation-for-children-with-cerebral-palsy-a-pilot-study" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/107877.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">114</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">1351</span> Cadaveric Dissection versus Systems-Based Anatomy: Testing Final Year Student Surface Anatomy Knowledge to Compare the Long-Term Effectiveness of Different Course Structures</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=L.%20Sun">L. Sun</a>, <a href="https://publications.waset.org/abstracts/search?q=T.%20Hargreaves"> T. Hargreaves</a>, <a href="https://publications.waset.org/abstracts/search?q=Z.%20Ahmad"> Z. Ahmad</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Newly-qualified Foundation Year 1 doctors in the United Kingdom are frequently expected to perform practical skills involving the upper limb in clinical practice (for example, venipuncture, cannulation, and blood gas sampling). However, a move towards systems-based undergraduate medical education in the United Kingdom often precludes or limits dedicated time to anatomy teaching with cadavers or prosections, favouring only applied anatomy in the context of pathology. The authors hypothesised that detailed anatomical knowledge may consequently be adversely affected, particularly with respect to long-term retention. A simple picture quiz and accompanying questionnaire testing the identification of 7 upper limb surface landmarks was distributed to a total of 98 final year medical students from two universities - one with a systems-based curriculum, and one with a dedicated longitudinal dissection-based anatomy module in the first year of study. Students with access to dissection and prosection-based anatomy teaching performed more strongly, with a significantly higher rate of correct identification of all but one of the landmarks. Furthermore, it was notable that none of the students who had previously undertaken a systems-based course scored full marks, compared with 20% of those who had participated in the more dedicated anatomy course. This data suggests that a traditional, dissection-based approach to undergraduate anatomy teaching is superior to modern system-based curricula, in terms of aiding long-term retention of anatomical knowledge pertinent to newly-qualified doctors. The authors express concern that this deficit in proficiency could be detrimental to patient care in clinical practice, and propose that, where dissection-led anatomy teaching is not available, further anatomy revision modules are implemented throughout undergraduate education to aid knowledge retention and support clinical excellence. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=dissection" title="dissection">dissection</a>, <a href="https://publications.waset.org/abstracts/search?q=education" title=" education"> education</a>, <a href="https://publications.waset.org/abstracts/search?q=surface%20anatomy" title=" surface anatomy"> surface anatomy</a>, <a href="https://publications.waset.org/abstracts/search?q=upper%20limb" title=" upper limb"> upper limb</a> </p> <a href="https://publications.waset.org/abstracts/123561/cadaveric-dissection-versus-systems-based-anatomy-testing-final-year-student-surface-anatomy-knowledge-to-compare-the-long-term-effectiveness-of-different-course-structures" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/123561.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">132</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">1350</span> The Effect of Bihemisferic Transcranial Direct Current Stimulation Therapy on Upper Extremity Motor Functions in Stroke Patients</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Dilek%20Cetin%20Alisar">Dilek Cetin Alisar</a>, <a href="https://publications.waset.org/abstracts/search?q=Oya%20Umit%20Yemisci"> Oya Umit Yemisci</a>, <a href="https://publications.waset.org/abstracts/search?q=Selin%20Ozen"> Selin Ozen</a>, <a href="https://publications.waset.org/abstracts/search?q=Seyhan%20Sozay"> Seyhan Sozay</a> </p> <p class="card-text"><strong>Abstract:</strong></p> New approaches and treatment modalities are being developed to make patients more functional and independent in stroke rehabilitation. One of these approaches is transcranial direct stimulation therapy (tDCS), which aims to improve the hemiplegic upper limb function of stroke patients. tDCS therapy is not in the routine rehabilitation program; however, the studies about tDCS therapy on stroke rehabilitation was increased in recent years. Evaluate the effect of tDCS treatment on upper extremity motor function in patients with subacute stroke was aimed in our study. 32 stroke patients (16 tDCS group, 16 sham groups) who were hospitalized for rehabilitation in Başkent University Physical Medicine and Rehabilitation Clinic between 01.08.2016-20.01-2018 were included in the study. The conventional upper limb rehabilitation program was used for both tDCS and control group patients for 3 weeks, 5 days a week, for 60-120 minutes a day. In addition to the conventional stroke rehabilitation program in the tDAS group, bihemispheric tDCS was administered for 30 minutes daily. Patients were evaluated before treatment and after 1 week of treatment. Functional independence measure self-care score (FIM), Brunnstorm Recovery Stage (BRS), and Fugl-Meyer (FM) upper extremity motor function scale were used. There was no difference in demographic characteristics between the groups. There were no significant differences between BRS and FM scores in two groups, but there was a significant difference FIM score (p=0.05. FIM, BRS, and FM scores are significantly in the tDCS group, when before therapy and after 1 week of therapy, however, no difference is found in the shame group (p < 0,001). When FBS and FM scores were compared, there were statistical significant differences in tDCS group (p < 0,001). In conclusion, this randomized double-blind study showed that bihemispheric tDCS treatment was found to be superior to upper extremity motor and functional enhancement in addition to conventional rehabilitation methods in subacute stroke patients. In order for tDCS therapy to be used routinely in stroke rehabilitation, there is a need for more comprehensive, long-termed, randomized controlled clinical trials in order to find answers to many questions, such as the duration and intensity of treatment. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=cortical%20stimulation" title="cortical stimulation">cortical stimulation</a>, <a href="https://publications.waset.org/abstracts/search?q=motor%20function" title=" motor function"> motor function</a>, <a href="https://publications.waset.org/abstracts/search?q=rehabilitation" title=" rehabilitation"> rehabilitation</a>, <a href="https://publications.waset.org/abstracts/search?q=stroke" title=" stroke"> stroke</a> </p> <a href="https://publications.waset.org/abstracts/120326/the-effect-of-bihemisferic-transcranial-direct-current-stimulation-therapy-on-upper-extremity-motor-functions-in-stroke-patients" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/120326.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">127</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">1349</span> Classification of Myoelectric Signals Using Multilayer Perceptron Neural Network with Back-Propagation Algorithm in a Wireless Surface Myoelectric Prosthesis of the Upper-Limb</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Kevin%20D.%20Manalo">Kevin D. Manalo</a>, <a href="https://publications.waset.org/abstracts/search?q=Jumelyn%20L.%20Torres"> Jumelyn L. Torres</a>, <a href="https://publications.waset.org/abstracts/search?q=Noel%20B.%20Linsangan"> Noel B. Linsangan</a> </p> <p class="card-text"><strong>Abstract:</strong></p> This paper focuses on a wireless myoelectric prosthesis of the upper-limb that uses a Multilayer Perceptron Neural network with back propagation. The algorithm is widely used in pattern recognition. The network can be used to train signals and be able to use it in performing a function on their own based on sample inputs. The paper makes use of the Neural Network in classifying the electromyography signal that is produced by the muscle in the amputee’s skin surface. The gathered data will be passed on through the Classification Stage wirelessly through Zigbee Technology. The signal will be classified and trained to be used in performing the arm positions in the prosthesis. Through programming using Verilog and using a Field Programmable Gate Array (FPGA) with Zigbee, the EMG signals will be acquired and will be used for classification. The classified signal is used to produce the corresponding Hand Movements (Open, Pick, Hold, and Grip) through the Zigbee controller. The data will then be processed through the MLP Neural Network using MATLAB which then be used for the surface myoelectric prosthesis. Z-test will be used to display the output acquired from using the neural network. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=field%20programmable%20gate%20array" title="field programmable gate array">field programmable gate array</a>, <a href="https://publications.waset.org/abstracts/search?q=multilayer%20perceptron%20neural%20network" title=" multilayer perceptron neural network"> multilayer perceptron neural network</a>, <a href="https://publications.waset.org/abstracts/search?q=verilog" title=" verilog"> verilog</a>, <a href="https://publications.waset.org/abstracts/search?q=zigbee" title=" zigbee"> zigbee</a> </p> <a href="https://publications.waset.org/abstracts/19846/classification-of-myoelectric-signals-using-multilayer-perceptron-neural-network-with-back-propagation-algorithm-in-a-wireless-surface-myoelectric-prosthesis-of-the-upper-limb" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/19846.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">389</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">1348</span> The Existence of a Sciatic Artery in Congenital Lower Limb Deformities</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Waseem%20Al%20Talalwah">Waseem Al Talalwah</a>, <a href="https://publications.waset.org/abstracts/search?q=Shorok%20Al%20Dorazi"> Shorok Al Dorazi</a>, <a href="https://publications.waset.org/abstracts/search?q=Roger%20Soames"> Roger Soames</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Persistent sciatic artery is a rare anatomical vascular variation resulting from a lack of regression of the embryonic dorsal axial artery. The axial artery is the main artery supplying the lower limb during development in the first trimester. The current research includes 206 sciatic artery cases in 171 patients between 1864 and 2012. It aims to identify the risk factor of sciatic artery aneurysm in congenital limb anomalies. Sciatic artery aneurysm was diagnosed incidentally in amniotic band syndrome (ABS) existing with no congenital anomaly in 0.7% or with double knee in 0.7%, with the tibia in 0.7% and with hemihypertrophy or soft tissue hypertrophy in 1.4%. Therefore, the current study indicates a relationship the same gene responsible for the congenital limb deformities may be responsible for non-regression of the sciatic artery. Furthermore, pediatricians should refer cases of congenital limb anomalies for vascular evaluation prior to corrective surgical intervention. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=amniotic%20band%20syndrome" title="amniotic band syndrome">amniotic band syndrome</a>, <a href="https://publications.waset.org/abstracts/search?q=congenital%20limb%20deformities" title=" congenital limb deformities"> congenital limb deformities</a>, <a href="https://publications.waset.org/abstracts/search?q=double%20knee" title=" double knee"> double knee</a>, <a href="https://publications.waset.org/abstracts/search?q=sciatic%20artery" title=" sciatic artery"> sciatic artery</a>, <a href="https://publications.waset.org/abstracts/search?q=sciatic%20artery%20aneurysm" title=" sciatic artery aneurysm "> sciatic artery aneurysm </a>, <a href="https://publications.waset.org/abstracts/search?q=soft%20tissue%20hypertrophy" title=" soft tissue hypertrophy"> soft tissue hypertrophy</a> </p> <a href="https://publications.waset.org/abstracts/76477/the-existence-of-a-sciatic-artery-in-congenital-lower-limb-deformities" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/76477.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">376</span> </span> </div> </div> <div class="card paper-listing mb-3 mt-3"> <h5 class="card-header" style="font-size:.9rem"><span class="badge badge-info">1347</span> Phantom Phenomena in Subjects after Limb Amutation Who Regularly Practice High Intensity Sports</h5> <div class="card-body"> <p class="card-text"><strong>Authors:</strong> <a href="https://publications.waset.org/abstracts/search?q=Jolanta%20Uszko">Jolanta Uszko</a>, <a href="https://publications.waset.org/abstracts/search?q=Tomasz%20Wloch"> Tomasz Wloch</a>, <a href="https://publications.waset.org/abstracts/search?q=Aneta%20Pirowska"> Aneta Pirowska</a>, <a href="https://publications.waset.org/abstracts/search?q=Roman%20Nowobilski"> Roman Nowobilski</a> </p> <p class="card-text"><strong>Abstract:</strong></p> Introduction: Phantom phenomena are often reported by subjects who have undergone limb amputation. Mostly, patients feel the amputated part of the limb as if it was still attached to the body. Two types of phantom phenomena: painless (phantom sensation) and painful (phantom pain) were described. Triggers of phantom sensations and phantom pain, as well as fully effective treatment, have not been clearly described yet. Purpose: To assess the influence of psychosocial factors and some clinical conditions on the occurrence of phantom phenomena in amputee athletes. Subjects: 21 men (age: 31 years, SD = 7.5 years) after lower or upper extremity amputation, who regularly performed high-intensity sports (Amp Football Team Players) were included to the study. Method and equipment: In the research, the following method and tools were used: Questionnaire [Pirowska] adapted for athletes with disabilities, Numerical Rating Scale (NRS) - for phantom pain assessment, McGill Pain Assessment Questionnaire (short version), Beck's Depression Inventory (BDI), State Trait Anxiety Inventory (STAI): X-1 and X-2, shortened version of The World Health Organization Quality of Life (WHOQOLBREFF). Results: In the study group, the lower leg amputations with traumatic etiology were predominant. Phantom sensations were present in all subjects. Half of the respondents claimed to experience phantom sensations at least once a day, paroxysmally. There was a prevalence of phantom sensations characterized as incomplete, immobile limb. Phantom pain was reported by over 85% of respondents. The nature of phantom pain was frequently described as stabbing, squeezing, shooting, pulsing, tiring. There was a significant correlation between phantom pain intensity and anxiety, quality of life, depressive tendencies, perception of phantom pain as the obstacle in daily functioning and intensity of the limb pain before amputation. Conclusions: The etiology of phantom phenomena is complex. Psychological factors seem to have a significant influence on the intensity of the phantom pain. Particular attention should be paid to patients who complain about persistent limb pain before the amputation. These are patients with an increased risk of the phantom pain of relatively high intensity. <p class="card-text"><strong>Keywords:</strong> <a href="https://publications.waset.org/abstracts/search?q=amputation" title="amputation">amputation</a>, <a href="https://publications.waset.org/abstracts/search?q=phantom%20pain" title=" phantom pain"> phantom pain</a>, <a href="https://publications.waset.org/abstracts/search?q=phantom%20sensations" title=" phantom sensations"> phantom sensations</a>, <a href="https://publications.waset.org/abstracts/search?q=adaptive%20sports" title=" adaptive sports"> adaptive sports</a> </p> <a href="https://publications.waset.org/abstracts/83857/phantom-phenomena-in-subjects-after-limb-amutation-who-regularly-practice-high-intensity-sports" class="btn btn-primary btn-sm">Procedia</a> <a href="https://publications.waset.org/abstracts/83857.pdf" target="_blank" class="btn btn-primary btn-sm">PDF</a> <span class="bg-info text-light px-1 py-1 float-right rounded"> Downloads <span class="badge badge-light">156</span> </span> </div> </div> <ul class="pagination"> <li class="page-item disabled"><span class="page-link">&lsaquo;</span></li> <li class="page-item active"><span class="page-link">1</span></li> <li class="page-item"><a class="page-link" href="https://publications.waset.org/abstracts/search?q=upper%20limb&page=2">2</a></li> <li class="page-item"><a class="page-link" href="https://publications.waset.org/abstracts/search?q=upper%20limb&page=3">3</a></li> <li class="page-item"><a class="page-link" href="https://publications.waset.org/abstracts/search?q=upper%20limb&page=4">4</a></li> <li class="page-item"><a class="page-link" href="https://publications.waset.org/abstracts/search?q=upper%20limb&page=5">5</a></li> <li class="page-item"><a class="page-link" href="https://publications.waset.org/abstracts/search?q=upper%20limb&page=6">6</a></li> <li class="page-item"><a class="page-link" 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