• Title/Summary/Keyword: 감각의 전이

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Lumbar Combined Rehabilitation Exercise for Lumbar Reposition Sense, Static Balance and Pain of the Patient's with Chronic Low Back Pain (만성요통환자의 복합재활운동이 통증과 정적균형, 재위치감각인지에 미치는 영향)

  • Kim, Deahun
    • Journal of Convergence for Information Technology
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    • v.9 no.11
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    • pp.196-201
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    • 2019
  • The purpose of this study is to identify the effects of the apply of lumbar stabilization exercises and lumbar strengthening exercises using Medx machine on back functions such as static balance, lumbar reposition sense, and back pain(VAS) in chronic low back pain. This study divided 30 chronic low back pain patients who experienced only lumbar back pain(male: 5, female: 10) into a lumbar stabilization exercise group and a complex exercise group, and then performed their respective exercise programs for three times a week over a 8-week period. The lumbar static balance, lumbar reposition sense, and lumbar back pain were measured using a pair t-test within each group, and were also compared between two groups using an independent t-test. The results of the present study were as follows: Both groups exhibited statisti cally significant increases after performing their own exercise program in the static balance, lumbar reposition sense, and lumbar back pain(p<.05). However, the comparison of two groups confirmed that the complex exercise group resulted in greater effects than the lumbar stabilization exercise group(p<.05). In conclusion, muscle strengthening and stabilization exercises in chronic low back pain patients are considered to not only relieve back pain, but also improve various back functions.

The Effect of Family-Centered Coaching Based on Sensory Integration on the Performance of Children with Autism Spectrum Disorder (감각통합 기반의 가족중심코칭이 자폐스펙트럼장애 아동의 작업수행에 미치는 효과)

  • Kim, Yoon-Sung;Kim, Kyeong-Mi;Chang, Moon-Young;Hong, So Young
    • The Journal of Korean Academy of Sensory Integration
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    • v.19 no.2
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    • pp.12-25
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    • 2021
  • Objective : This study explored the effects of family-centered coaching using a sensory integration-based approach on the levels of performance and satisfaction for children with autism spectrum disorder (ASD). Methods : From April 16, 2020 to August 6, 2020, participants included 10 children with ASD, between the ages of three to six who met the inclusion criteria, and their guardians. I used the Canadian Occupational Performance Measure (COPM) to evaluate the children's levels of performance and satisfaction and the Goal Attainment Scaling (GAS) to evaluate their occupational performance. The experimental group (n=5) continued the sensory integration therapy while receiving their personalized family-centered coaching training for 60 minutes per week. This continued for four weeks via home visits and video calls. The control group (n=5) also continued to receive the sensory integration therapy while receiving sensory integration-based general counseling in relation to activity objectives. Results : Statistically significant differences were found in the scores of COPM performance and satisfaction and the GAS scores between the experimental group and the control group, before and after the intervention (p<.05). Statistically significant differences were found in score changes in COPM and GAS, between the two groups (p<.05). Cohen's d also showed a big effect size on the scores of COPM satisfaction (d=2.768) and the GAS scores (d=2.786). Conclusion : This study demonstrated that the sensory integration-based, family-centered coaching had more positive effects on the level of performance and satisfaction of children with ASD, than general counseling.

Evaluation of Nerve Conduction Study Result in Carpal Tunnel Syndrome before and after operation in eastern area of Jeonnam (전남 동부지역에서 손목터널증후군의 수술 전 후 신경전도검사 결과의 평가)

  • Seo, Choong-Won;Kim, Chul-Seung
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.13 no.11
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    • pp.5305-5310
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    • 2012
  • This study is Carpal tunnel syndrome(CTS) disorder of median nerve at wrist. It is usually diagnosed through clinical manifestation and Nerve Conduction Study(NCS). NCS of the median nerve before and after operation were compared in twenty four patient's with CTS, in order to seventeen patient's evaluate the prognostic value of that findings. Analysis result symptom profile of CTS in total number of patient's 17 (Female:17, Male:0), 21 hands (Rt:9, Lt:4, Both:4), Ages(31~60), Mean duration of symptom months($46.6{\pm}36.1$), Mean interval between 1st and 2nd NCS months($20.5{\pm}7.1$), Sensory symptoms(Tingling:21, Numbness:19, Noctunal paresthesia:17), Motor symptoms(Thenar atrophy:20, Trigger finger:2, Morning stiffness:3), Post-operative symptoms(Free:38.1%, >50% improve:52.4%, <50% improve:9.5%). NCS was normal range after operation than before in Sensory nerve conduction study 4 patients's and Motor nerve conduction study 5 patients. Surgery before and after Sensory nerve action potential (SNAP) responses showed improvement over the previous results. Forward by the patient's occupation and occupation patterns of CTS, other treatment methods and surgical treatment of CTS by comparing the degree of improvement to identify and correct nerve conduction study to judge whether the patient's operation.

Temporary Threshold Shift of Vibration Sensation by Dental Handpiece (치과용 핸드피스에 의한 일시적 진동감각역치 변화)

  • Kim, Seong-Ah;Lee, Jong-Young;Kim, Doo-Hie;Park, Soon-Woo
    • Journal of Preventive Medicine and Public Health
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    • v.28 no.4 s.51
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    • pp.765-771
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    • 1995
  • This study was performed to investigate the possibility of temporary threshold shift (TTS) of vibration sense could induced by exposure to high-frequency vibration or by work position taking by dentists in drilling or polishing. The vibratory perception thresholds (VPT) of 28 healthy men were measured on the index fingertip pulp of dominant hand at 250 Hz. The vibrating tool used in test was a low-speed handpiece of 34,000 rpm. For the TTS test, the dominant hand was exposed to high-frequency vibration and to work position for five minutes, respectively. The VPTs before and after vibratory exposure were $23.5{\pm}3.5dB,\;30.8{\pm}4.2dB$, respectively and VPT after work position was $23.7{\pm}4.6dB$. The difference between before and after vibartory exposure was statistically significant (p<0.001). The correlation of height, weight and BMI with baseline VPTs was not statistically significant. Also, there was no difference of VPTs by smoking. These results suggest that high-frequency vibration from dental handpieces might cause the impairment of vibration sensation.

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Brown-Sequard Syndrome Produced by Cervical Disc Herniation : Manual and Exercise Therapy after Operation-Case Studies (경추 추간판탈출증에 의한 브라운-시쿼드 증후군 : 수술 후 도수치료와 운동치료 효과-사례연구)

  • Kim, Myung-Joon
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.15 no.1
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    • pp.79-85
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    • 2009
  • 목적 : 브라운시쿼드는 대부분 척추손상과 수질외 척추 종양에서 주로 나타난다. 드물게 경추 디스크가 브라운시쿼드의 원인이 된다. 경추디스크에 의한 브라운시쿼드 증세의 수술후 물리치료 및 도수치료 결과를 보고하기 위함이다. 방법 : 50세 남자로써 브라운시쿼드 증세로 진단을 받고 수술후 좌측 팔과 다리에 운동신경에 의한 마비증세가 있었으며(팔>다리), 우측으로 감각과 온도감각이 저하된 경우이다(팔>다리). 측정방법은 통증지수(VAS), 근력(Distal PowerTracII$^{TM}$ test), 지구력(Ergometer) 측정과 심리상태(설문)를 치료전과 후를 비교하였다. 물리치료에서는 기능적 전기자극 치료와 도수치료 및 운동치료 방법을 실시하였다. 도수치료는 통증완화와 근력강화를 위한 MET, MFR, Mobilization 등을 실시하였으며, 운동은 슬링시스템 등을 이용한 운동과 견관절의 불안정을 위해 안정화운동을 실시하였다. 결과 : 이 케이스는 수술후 이상 징후가 척수압박으로 인하여 보다 넓게 통증이 나타났으며, 운동 및 감각신경이 둔해지고 온도에 대한 감각이 반대편 결손으로 나타났으며, 좌측 어깨, 팔 견갑부의 근육 마비와 우측의 감각이 떨어진 현상이 나타났다. 물리치료 후 단기목표와 장기목표에 있어서 통증과 운동 및 감각 기능이 회복되어 각각 팔 통증에서는 VAS 8 ${\rightarrow}$ 1, 상지 하지의 운동기능은 Trace ${\rightarrow}$ Good 로 평가 회복되었으며, 근력측정에서 모두 유의한 차이를 보였다. 모든 치료과정 결과에서 심리적 상태의 설문에서도 높은 점수를 얻어 긍정적 신뢰가 높아 진 것으로 나타났다. 검사결과 다리의 근력이 증가는 걷기 운동 및 에르고메터의 지구력 및 균형이 레벨1의 10분 수행능력이 레벨 20에서 30분 수행능력으로 향상되어 일상적인 활동이 가능해졌다. 결론 : 예상하지 못했던 수술 후유증(side effects)에 대한 치료과정이 환자의 심리에 심각한 부정적인 생각이 신체의 기능과 감정의 손상에 영향을 미치기 때문에 체계적이고 장기적인 치료 과정에서 기능적 향상과 더불어 정신적인 심리의 정서 안정이 매우 필요하다고 사료된다.

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Effect of Nd:YAG Laser Irradiation to Mental Region for Sensory Nerve Conduction Change (하악 이공부에 조사된 Nd:YAG 레이저가 감각신경전도변화에 미치는 영향)

  • Jeon, Jae-Woo;Kim, Kyoung-Hee;Ko, Myong-Yun;Ahn, Yong-Woo;Park, Jun-Sang
    • Journal of Oral Medicine and Pain
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    • v.30 no.4
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    • pp.447-455
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    • 2005
  • The purpose of this study was to examine the effect of Nd:YAG laser irradiation for sensory nerve conduction change. Nd:YAG laser was irradiated to mental region for 5 minutes with the parameters that 10 Hz and 20 Hz of 100 mJ/pulse. Target size of irradiation was 30 mm diameter of circle and target-tip distance was about 10 mm. Therefore, the power density were 212 $mW/cm^2$ and 424 $mW/cm^2$. Sensory nerve conduction was evaluated with $Neurometer^{\circled}$ CPT/C before and after Nd:YAG laser irradiation. As an outcomes, the current perception threshold(CPT) and pain tolerance threshold(PTT) were obtained. We made a comparison of these two values and the results were as follows. 1. There was no significant difference in CPT at 1W, 10 Hz and 2 W, 20 Hz Nd:YAG laser irradiation. 2. There was no significant difference in PTT at 10 Hz, 20 Hz of 100 mJ/pulse Nd:YAG laser. 3. There were no significant differences in CPT and PTT between 1 W, 10 Hz group and 2 W, 20 Hz group. Therefore, We can make a conclusion that Nd:YAG laser irradiation to mental region have no effect on mental nerve conduction in our study model.

The Effect of Group Sensory Integration Therapy on Motor Skill and Social Function of Children With Developmental Disorder (그룹 감각통합치료가 발달장애 아동의 운동기능 및 사회성 증진에 미치는 영향)

  • Han, Mi-Yea;Chang, Ki-Yeon;Kim, Ji-Youn;Han, Su-Yeon
    • The Journal of Korean Academy of Sensory Integration
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    • v.7 no.2
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    • pp.23-35
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    • 2009
  • Objective : The purpose of this study is to understand whether group Sensory Integration(SI) therapy has the effect on improvement of motor skill and social function for children with developmental disorder. Method : The subjects were recruited among children received sensory integration therapy at a Children's Development Institute in Dae-Jeon, experimental group is total 5 participating in group sensory integration therapy and control group is also 5 participating in individual sensory integration therapy. The program was constructed for 90 minutes and all children either in the experimental or in the control group went through intervention for 20 weeks. Bruininks-Oseretsky test of Motor Proficiency II, Korean-Scales of Independent Behavior-Revised and Social Maturity Scale were used in order to evaluate the degree of improvement in motor skill and social function. Results : Most children in the experimental group showed improvement in overall aspects of motor skill and the social function comparing pre-intervention with post-intervention, but they did not show any statistically significant differences. However, comparing experimental group with control group, children in the experimental group showed improvement in motor skill and social function. Furthermore, there is statistically significant improvement especially in manual coordination, manual dexterity, and social age and social quotient in Behavior-Revised and Social Maturity Scale. Conclusions : It is found that a group Sensory Integration therapy program has effect on motor skill and social function for children with developmental disorder in this study. In the future study, group SI therapy should be applied for children with diverse diagnosis in order to generalize the effectiveness of therapy.

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The Proprioceptive Function of Rotator Cuff Tear Patients: Preliminary Report of Pre-operative Function (회전근개 파열 환자의 고유 수용성 감각 기능: 수술전 기능의 예비 보고)

  • Lee, Hyunil;Heo, Jaewon;Yoo, Jae Chul
    • Journal of Korean Orthopaedic Sports Medicine
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    • v.12 no.1
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    • pp.29-36
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    • 2013
  • Purpose: Proprioceptive function has been known to be important to shoulder stability. However, the function in rotator cuff tear patients is rarely investigated. The purpose of current study is to report the proprioceptive function in rotator cuff tear patients and to analyze the proprioceptive function regarding the tear size and the presence of subscapularis tear. Materials and Methods: Between 2011 and 2012, total 76 patients (male 28 and female 48) were recruited and average age was 61.7 years old (range, 38~76). Preoperatively, joint position senses in internal and external rotation were measured for proprioceptive function testing by method of active re-positioning technique. The absolute difference from set point was measured. Proprioceptive function was further analyzed according to tear size of rotator cuff, the presence of subscapularis tear, visual analogue scale of pain, shoulder functional score (American society of elbow and shoulder score), and ranges of motion in shoulder. Results: The absolute difference for external rotation was $4.9^{\circ}{\pm}2.9^{\circ}$, in normal joint and $4.9^{\circ}{\pm}3.0^{\circ}$for involved joint in rotator cuff tear patients. This difference was not significant statistically (p=0.87). The absolute difference for internal rotation was $4.0^{\circ}{\pm}2.7^{\circ}$in normal joint whereas $4.8^{\circ}{\pm}3.7^{\circ}$ for involved joint showing statistically significant difference (p=0.043). There was some trend that the proprioceptive function of internal rotation was more impaired in the bigger tear size group (more than medium tear) compared to the smaller tear size group (partial thickness and small tear, 5.0 vs. 4.0, p=0.061). The impairment of internal rotation proprioception was also accentuated in patients with subscapularis tear (4.8 vs. 4.0, p=0.065). The proprioceptive function of internal rotation was decreased when the pain visual analogue scale was increased (5.2 vs. 4.0 p=0.04), shoulder functional score was decreased (6.1 vs. 4.2, p=0.005), or range of motion in shoulder joint was restricted (5.3 vs. 3.7, p=0.041). Conclusion: The deficit of proprioceptive function was observed in rotator cuff tear patients. Proprioception for internal rotation was impaired in patients with the bigger tear size and subscapularis tear. Pain, shoulder function score, and range of motion were also shown to be related with the deficit in proprioceptive function.

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Surface Ultrastructure of Heterophyes nocens (Trematoda: Heterophyidae) (Heterophues nocens (Trematoda: Heterophyidae)의 표피 미세구조)

  • 채종일;정혜림
    • Parasites, Hosts and Diseases
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    • v.30 no.2
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    • pp.75-82
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    • 1992
  • The surface ultrastructure of Heterephyes nocens (Trematoda: Heterophyidae) was studied by scanning electron microscopy(SEM), The adult worms were recovered from experimentally infected cats and from a naturally infected patient. They were leaf-like, ventrally concave, and ovoid or lyriform in shape. Ciliated knob-like sensory papillae (type I) were observed in single or grouped forms on and around the oral sucker, whereas non-ciliated round swellings (type II papillae) were seen on the lip of the ventral sucker, The tegumental spines around the oral sucker were 5∼9 pointed, whereas those between the two suckers were 12∼17 pointed. yentrolaterally, three groups of 5∼6 type I papillae were located between the oral and ventral suckers, with single ones alternating between them. The genital sucker was protruded or depressed, depending on the contraction state of the nukes, and the gonotyl spine number ranged 50∼60. The number of tip points of tegumental spines was decreased posteriorly; finally they became 1∼3 pointed. On the dorsal surface, 4 groups of 4∼5 type I papillae were symmetrically located on both lateral sides, and the shape and distribution of tegumental spines were similar to those of the ventral surface. Although the tegumental ultrastructure of H. nocens was generally similar to those of other heterophyids, the genital sucker morphology including the number of gonotyl spines and/or the distribution pattern of tegumental spines and sensory papillae were suggested to be the characteristic features of H. necens.

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A Review of the Neurocognitive Mechanisms of Number Sense (수 감각의 인지신경학적 기반에 관한 연구 개관)

  • Cho, Soohyun
    • Korean Journal of Cognitive Science
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    • v.24 no.3
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    • pp.271-300
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    • 2013
  • Human and animals are born with an intuitive ability to determine approximate numerosity. This ability is termed approximate number sense (hereafter, number sense). Evolutionarily, number sense is thought to be an essential ability for hunting, gathering and survival. According to previous research, children with mathematical learning disability have impaired number sense. On the other hand, individuals with more accurate number sense have higher mathematical achievement. These results support the hypothesis that number sense provides a basis for the development of mathematical cognition. Recently, researchers have been examining whether number sense training can lead to enhancement in mathematical achievement and changes in brain activity in relation to mathematical problem solving. Numerosity which basically represents discontinuous quantity is expected to be closely related to continuous quantity such as representations of space and time. A theory of magnitude (ATOM) states that processing of number, space and time is based on a common magnitude system in the posterior parietal cortex, especially the intraparietal sulcus. The present paper introduces current literature and future directions for the study of the common magnitude system.

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