• Journal of Korean Neuropsychiatric Association
• /
• v.57 no.2
• /
• pp.119-132
• /
• 2018

Despite the fact that pharmacotherapy depressive disorders have proven efficacy, a substantial number of patients are resistant to conventional management. As neuroscientific research about pathophysiology of depression have accumulated, repeated transcranial magnetic stimulation (rTMS) and transcranial direct current stimulation (tDCS) have emerged as an important mechanism-based treatment modality. This overview provides a review of therapeutic application of rTMS and tDCS in patients with depression. The clinical and basic studies of rTMS and tDCS in depression were reviewed and integrated using a literature review and interview with experts. rTMS is a noninvasive procedure of a localized pulsed magnetic field to the surface of the head to cause a depolarization of neurons in the brain cortex. tDCS has a mechanism of modulating cortical excitability in a polarity-specific manner without eliciting action potentials. rTMS and tDCS seem promising for treating depression. Although therapeutic parameters and further technical improvement remain to be systematically investigated, rTMS and tDCS would be a safe and effective intervention to treat depression.

• Journal of the Korean society of biological therapies in psychiatry
• /
• v.24 no.3
• /
• pp.239-246
• /
• 2018

목 적 : 본 연구의 목적은 치료저항성 뚜렛장애를 가진 소아 청소년들에 대해서 보조운동영역을 표적으로 한 저빈도 반복적 경두개자기자극술의 효과를 평가하는 것이다. 방 법 : 이 연구는 미국정신의학회 진단기준 및 통계편람, 제 4판을 기준으로 뚜렛장애로 진단받은 10명의 소아 청소년(평균연령 $12.56{\pm}1.04$세)을 대상으로 하였다. 모든 참가자들은 1년 이상 지속적으로 충분한 용량의 약물치료를 받았음에도 불구하고 한국판 예일 틱 증상 평가척도(YGTSS) 20점 이상, 임상인상척도(CGI-TS) 4점 이상을 받았다. 참가자들은 보조운동영역을 표적으로 1 Hz 반복적 경두개자기자극 치료를 매일 20분간 받았으며, 총 20회 치료를 받았다. YGTSS, CGI-TS 및 이상반응 체크리스트는 연구 시작 전과 연구 시작 후 4, 8, 12주에 시행되었다. 결 과 : 틱 증상은 연구 12주차까지 호전된 상태로 지속되었으며, YGTSS와 CGI-TS가 통계적으로 유의하게 감소하였다. 특히 음성 틱 점수의 감소가 운동 틱 점수의 변화보다 전체 YGTSS 점수의 감소에 큰 역할을 한 것으로 나타났다. 그리고 전체 10명의 참가자 중 9명이 심각한 부작용 없이 연구를 끝까지 완료하였다. 결 론 : 본 연구는 보조운동영역을 표적으로 한 저빈도 반복적 경두개자기자극술이 치료 저항성 뚜렛장애를 가진 소아 청소년들에게 효과적이고 안전한 치료도구가 될 수 있음을 시사한다. 이러한 반복적 경두개자기자극술의 치료효과를 확정하기 위해서는 보다 많은 환자를 대상으로 한 잘 통제된 연구가 필요할 것이다.

• The Journal of the Korea Contents Association
• /
• v.10 no.4
• /
• pp.257-264
• /
• 2010

Though existent a transcranial magnetic stimulation makes various treatment and diagnostic sine waveform of fixed stimulation pulse, there is limitation. In this research, because strength, pulse width, pulse pattern required in treatment and diagnostic introduce other Cockroft-Walton circuit and half bridge inverter frequency and voltage variable become new device propose wish to. Have more advantages than existing device. First, do not have high voltage transformer. Second, switching loss can be less, and control output energy precisely. Three, stimulation strengths, pulse width, pulse pattern are various. As a result, sought special quality and an experiment that is improved applying inverter and cockroft - Walton circuit is half bridge inverter that do not use transformer.

• Sleep Medicine and Psychophysiology
• /
• v.28 no.1
• /
• pp.2-5
• /
• 2021

Hyperarousal or increased brain excitability is thought to play a key role in the pathophysiology of insomnia. Neuromodulation techniques are emergent complementary therapies for insomnia and can improve sleep by modulating cortical excitability. A growing body of literature support the idea that neuromodulation can be effective in improving sleep or treating insomnia. Recent evidence has revealed that neuromodulation methods can improve objective and subjective sleep measures in individuals with insomnia, although effects vary according to protocol. Different mechanisms of action might explain the relative efficacy of neuromodulation techniques on sleep outcomes. Further research testing different stimulation parameters, replicating existing protocols, and adding standardized sleep-related outcomes could provide further evidence on the clinical utility of neuromodulation techniques.

• The Journal of Korean Institute of Electromagnetic Engineering and Science
• /
• v.27 no.5
• /
• pp.482-485
• /
• 2016

In this work, a transcranial magnetic stimulation(TMS) experiment on animals is performed to stimulate the brain cortex of the mouse using modulated signals. The proposed TMS system is composed of the inverter, transformer, capacitor, variable inductor, and stimulation coil to generate 1.5 mT magnetic field in the brain cortex of the mouse. The stimulation signal is modulated to square wave where the carrier frequency is swept from 85 to 91 kHz to investigate the stimulation effect. The experimental result shows that when the carrier frequency of the stimulation signal is lower than 89 kHz, the reaction of the mouse does not change while the stimulation signal which has the carrier frequency higher than 89 kHz results in decreasing the threshold of the stimulus for the pressure.

• The Journal of Korea Institute of Information, Electronics, and Communication Technology
• /
• v.12 no.4
• /
• pp.413-418
• /
• 2019

Studies are now actively underway to confirm the degree of treatment and rehabilitation of patients with brain-related diseases (dementia, schizophrenia, depression, Parkinson's disease). Among them, Transcranial magnetic stimulation (TMS) is widely used in treatment because it is a technique that is used for noninvasive brain neuron control in patients with brain disorders. It can be seen that muscle fatigue of normal people increases during Transcranial magnetic stimulation. Therefore, in this paper, our purpose is to build an EMG measurement system to measure motor neuron-induced response during transcranial magnetic stimulation and We identify a motor-neutral response system using tendency in the RMS graph. As an experimental method, the Raw Data received through the surface EMG device and analyzed by RMS technique, after the contraction and relaxation movement of the biceps brachii. As a result of the experiment, we confirmed the trend of rising RMS graph, and it will can be used to determine the self-stimulation intensity for each individual in consideration of the data of the motor-neutral response.

• The Journal of the Korea Contents Association
• /
• v.9 no.11
• /
• pp.289-296
• /
• 2009

In this study, I presented power control unit with potential use in the magnetic stimulation of biological systems. The effect of the magnetic stimulation depends on the geometry and orientation of the induced electric field as well as on the current pulse waveform delivered by the stimulator coil. TMS is achieved from the outside of the head using pulses of electromagnetic field that induce an electric field in the brain. There are numerous possibities in the applications TMS, such as diagnosis and therapy through the brain stimulation. These factors are very important to define the equipment requirements and characteristics in that the topology of the power supply and the size and geometry of the coil. The proposed solution is the generation of current pulses with variable amplitude and duration, according to a user defined input. Another solution is the topology that uses elements to store and transfer energy from the power source to the load. In addition to proposed topology, an adequate control strategy and right set of the power circuit parameters made possible to obtain unipolar waves and bipolar waves.

• Korean Journal of Psychosomatic Medicine
• /
• v.18 no.1
• /
• pp.3-10
• /
• 2010

Gilles de la Tourette syndrome is a chronic motor and vocal tic disorder of childhood onset. Abnornmalities in basal ganglia-thalamo-cortical circuits may play an important role in the pathophysiology underlying the involuntary tics. It is often complicated by comorbid attention-deficit/hyperactivity disorder or obsessive-compulsive disorder. Transcranial magnetic stimulation(TMS) is a neurophysiologic technique with research ap-plication. As there is good evidence that this technique can modify cortical activity, repetitive TMS is also used for treatment to change the cortical excitability and therefore affect underlying interconnected cortical-sub-cortical loop. We reviewed the neurophysiologic parameters and the clinical applicability of TMS and rTMS.

• Journal of the Korea Institute of Information and Communication Engineering
• /
• v.14 no.3
• /
• pp.729-736
• /
• 2010

In this study, a magnetic stimulation (MS) device with controllable pulse forming technology and pulse shape (MS) is described. The MS device uses an IGBT with appropriate snubbers to switch coil currents up to 6 kA, enabling pulse forming technology control from 5 s to over 100 s. The induced electric field pulses use 2% - 34% less energy and generate 57% - 67% less coil heating compared to matched conventional cosine pulses. MS is used to stimulate rhesus monkey motor cortex in vivo with pulse forming technology of 20 to 100 s, demonstrating the expected decrease of threshold pulse amplitude with increasing pulse forming technology. The technological solutions used in the MS prototype can expand functionality, and reduce power consumption and coil heating in MS, enhancing its research and therapeutic applications.

• Korean Journal of Biological Psychiatry
• /
• v.23 no.3
• /
• pp.89-101
• /
• 2016

Transcranial magnetic stimulation (TMS) is a safe, noninvasive and useful technique for exploring brain function. Especially, for the study of cognition, the technique can modulate a cognitive performance if the targeted area is engaged, because TMS has an effect on cortical network. The effect of TMS can vary depending on the frequency, intensity, and timing of stimulation. In this paper, we review the studies with TMS targeting various regions for evaluation of cognitive function. Cognitive functions, such as attention, working memory, semantic decision, discrimination and social cognition can be improved or deteriorated according to TMS stimulation protocols. Furthermore, potential therapeutic applications of TMS, including therapy in a variety of illness and research into cortical localization, are discussed.