• Title/Summary/Keyword: 근긴장 이상

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Case Report : Botulinum Toxin Treatment in Oromandibular Dystonia (보툴리눔 톡신을 이용한 구강하악 근긴장이상증의 치료 증례)

  • Ryu, Ji-Won;Hong, Seong-Ju;Bae, Kook-Jin;Yoon, Chang-Lyuk;Ahn, Jong-Mo
    • Journal of Oral Medicine and Pain
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    • v.34 no.4
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    • pp.421-427
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    • 2009
  • Oromandibular dystonia is a focal neurological movement disorder characterized by involuntary sustained and often painful muscle contraction, usually producing repetitive movements or abnormal positions of the mouth, jaw and.or tongue. Patients suffering from oromandibular dystonia often experience difficulties in chewing, swallowing and speaking, resulting from the impairment of mandibular movements. At present there is no etiologic treatment for oromandibular dystonia, because the pathophysiology of primary and focal dystonia is still incompletely understood. Many treatments such as medication, behavioral therapy, surgery are suggested to decrease the involuntary movements. But these success rates are relatively low and they have a lot of complications. many studies suggested that chemodenervation with botulinum toxin is the most effective treatment for oromandibular dystonia. We reported the 2 cases which were treated oromandibular dystonia with botulinum toxin and reviewed the orofacial movement disorders(especially oromandibular dystonia) and botulinum toxin treatment for oromanfibular dystonia.

The Relation of Antipsychotic Drug Induced-Acute Dystonia and Serum Iron Level (정신과 입원환자에서 항정신병 약물에 의한 급성 근긴장 이상증과 혈청 철 농도와의 관계)

  • Lee, Dong-Jin;Park, In-Joon;Kwon, Young-Joon;Jeong, Hee-Yeon;Han, Sun-Ho
    • Korean Journal of Biological Psychiatry
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    • v.5 no.2
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    • pp.248-252
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    • 1998
  • Object : This study was performed in order to examine the correlation between acute neuroleptic-induced dystonic reactions and serum iron level. Method : Serum iron levels were measured in psychiatric inpatients who had developed acute neuroleptic-induced dystonia(N=41) and in control patients with no history of acute dystonic reactions(N=37). Serum iron levels were compared in acute dystonic inpatients before starting treatment with neuroleptics and after acute dystonic reaction. Results : The patients exhibiting acute dystonic reactions had significantly lower serum iron levels than the patients without acute dystonic reactions. Conclusion : This result supports an association between low serum iron and the occurrence of neuroleptic-induced acute dystonic reactions.

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Laryngeal Dystonia and Muscle Tension Dysphonia (후두 근긴장이상증과 근긴장성 발성장애)

  • Kim, Ji Won;Choi, Seung-Ho
    • Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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    • v.25 no.2
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    • pp.79-81
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    • 2014
  • Spasmodic dysphonia (SD) is a chronic, focal, speech-induced, action-specific dystonia, resulting strained voice. Muscle tension dysphonia (MTD) may also result in a strangled, strained voice quality, usually as a result of compensation for underlying laryngeal disease such as glottal insufficiency. Patients with SD and MTD were suffered from the severely limiting people's communication, especially via telephone and in noisy backgrounds. SD is usually of the adductor type characterized by glottic contractions causing tightness and voice breaks, which is difficult to distinguish from MTD. In this review article, we present the characteritics and management of SD and MTD.

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Spasmodic Torticollis Case Managed by Intraoral Balancing Appliance of FCST (FCST의 구강내 균형장치를 이용한 경추부 근긴장 이상증 증례보고)

  • Lee, Young Jun;Yin, Chang Shik
    • Journal of TMJ Balancing Medicine
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    • v.6 no.1
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    • pp.24-26
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    • 2016
  • To investigate the effects of the postural balance of TMJ using intraoral balancing appliance of functional cerebrospinal technique (FCST) combined acupuncture and manual medicine therapeutics in the treatment of congenital muscular torticollis. An idiopathic cervical dystonia case was managed with postural training with intraoral balancing appliance, combined with acupuncture and manual medicine therapeutics. Clinical assessment included radiography, Toronto Western Spasmodic Torticollis Rating Scale, and global clinical impression. Clinical improvement was observed over 5 months of treatment period. Clinical observational data on spasmodic torticollis provide an positive prospective for further investigation on the effect of FCST.

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Maxillary complete denture with posterior zirconia occlusion and mandibular implant support fixed prostheses in completely edentulous patients with orofacial dystonia (구강안면 근긴장이상을 가진 완전 무치악 환자에서 구치부 지르코니아 교합면을 갖는 상악 총의치와 하악 임플란트 지지 고정성 보철물의 수복)

  • Jong-Min Seo;Chang-Mo Jeong;So-Hyoun Lee
    • Journal of Dental Rehabilitation and Applied Science
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    • v.39 no.4
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    • pp.237-249
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    • 2023
  • Orofacial dystonia is a neuromotor disorder that causes irregular or repetitive movements of the face, lips, tongue, and jaw involuntarily, also called tic disorder. Edentulous patients with these symptoms experience functional and aesthetic problems, including difficulty using complete dentures, speech and swallowing difficulties, and orofacial pain. In this case, for a patient with orofacial dystonia who experienced complete edentulism at a relatively young age, restorative treatment was performed with a maxillary complete denture with bilateral posterior zirconia occlusal surfaces and a mandibular implant-supported fixed prosthesis, and continuous smile training was performed. The aim was to improve the aesthetics of facial muscles. As a result of the treatment, the patient was very satisfied with not only improved chewing function and aesthetics, but also regained psychological stability and was able to lead a normal daily life, so we would like to report this.

Effects of Stretching Time on Head Spine Angle and Muscle Tone (스트레칭 후 시간 경과에 따른 머리척추각과 근긴장도 변화 연구)

  • Ji-Yun Son;Young-Chun Yu;Ji-Yoon Kim;Hee-Won Park;Ji-Hyun Yu;Yu-Gwon Lee;Byeong-Eon Lim;Ji-Myeong Choi;Jae-Hyun Kim
    • Advanced Industrial SCIence
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    • v.2 no.3
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    • pp.15-21
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    • 2023
  • In this study, we wanted to know the change in the craniovertebral angle before and after stretching and muscle tone according to rest time immediately after stretching. 57 students in their 20s and 30s were targeted, and the craniovertebral angle was compared before and after stretching. Static manual stretching was applied for stretching, and after 30 seconds, it was repeated three times with a break time of 10 seconds, and before stretching, immediately after, two minutes after, and five minutes after stretching were measured using muscle tone measuring equipment. As a result, there was no significant difference in craniovertebral angle before and after stretching, and the change in muscle tone according to the rest time after stretching was more significant after 5 minutes than before stretching. It is more effective to take five minutes to rest after stretching, reduce muscle tone than working immediately after stretching.

The Effects of Thera-Tainment SSP Intervention on Dysmenorrhea Among of Women in Their 20s (테라테인먼트 SSP 중재가 20대 여성의 생리통에 미치는 효과)

  • Kim, Jeong-Ja
    • Journal of Korea Entertainment Industry Association
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    • v.15 no.3
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    • pp.263-268
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    • 2021
  • The purpose of this study was to provide basic data on the thera-tainment intervention method and to relieve dysmenorrhea by identifying the effects of silver spike point therapy on menstrual pain, muscle tone, and muscle stiffness among 30 women in their 20s. The subjects had a regular menstrual cycle, had a visual analog scale score of more than 4 for dysmenorrhea pain, and did not have any gynecological disease. SSP therapy was applied for 20 minutes on San-Yin-Jiao on the first day of their menstrual cycles. Muscle tone and stiffness were measured with Myoton before treatment, immediately after treatment, and 3 hours after treatment. SPSS version 19 was used to analyze the collected data. Using Friedman test, muscle tone and stiffness were measured before treatment, immediately after treatment, and 3 hours after treatment. The results indicate that after treatment dysmenorrhea pain steadily decreased and muscle tension and stiffness decreased significantly. This shows that using SSP therapy is effective on reducing primary dysmenorrhea and improving women's health care. This shows that using SSP therapy is effective at reducing primary dysmenorrhea and improving women's health care.

Comparison of Clinical Characteristics and Polysomnographic Features between Manifest and Latent REM Sleep Behavior Disorders (발현성 렘수면 행동장애와 잠재성 렘수면 행동장애의 임상적 특성 및 수면다원검사 소견 비교)

  • Kim, Seog-Ju;Lee, Yu-Jin;Kim, Eui-Joong;Jeong, Do-Un
    • Sleep Medicine and Psychophysiology
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    • v.11 no.1
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    • pp.37-43
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    • 2004
  • Objective: The purpose of this paper is to study the possible differences in clinical and polysomnographic findings, depending on the presence or absence of subjective complaints of abnormal sleep behavior, in patients with RWA on polysomnography. Method: We reviewed patient records and polysomnographic data of patients referred to the Sleep Laboratory at Seoul National University Hospital from June 1996 through October 2002. We defined the manifest RBD group (n=32) as patients having both complaints of abnormal sleep behavior and RWA on polysomnography. The latent RBD group (n=20) consisted of patients who exhibited RWA on polysomnography but did not complain of abnormal sleep behavior. The clinical characteristics and polysomnographic findings between the two groups were compared and analyzed. Results: Fifty-two subjects had RWA, as detected by polysomnography (42 males and 10 females, mean age of $55.1{\pm}19.1\;years$). Subjects in the manifest RBD group were significantly older than those in the latent RBD group ($61.59{\pm}13.5$ vs. $44.70{\pm}2.76\;years$, independent t-test, p<0.01). More subjects in the manifest RBD group exhibited abnormal REM behavior on polysomnography than did subjects in the latent RBD group (81.3 vs. 50.0%, Fisher's exact test, p<0.05). No significant differences between the groups were found in the prevalence of brain disorders and primary sleep disorders, gender proportion, and sleep architecture. Conclusion: No difference in sleep architecture was found between the manifest and the latent RBD groups. Only age and the presence of abnormal sleep behavior on polysomnography differentiated the two groups. We suggest that RWA on polysomnography without complaints of abnormal sleep behavior may be early manifestation of manifest RBD. Attention to RWA on polysomnography is necessary to help prevent full-blown RBD from developing.

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Botulinum Toxin : Basic Science and Clincal Uses in Otolaryngology (Botulinum Toxin : 기초과학과 이비인후과 영역에서의 임상적 사용)

  • 최홍식;문인석;김한수;김현직
    • Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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    • v.13 no.2
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    • pp.164-172
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    • 2002
  • The role of botulinum toxin as a therapeutic agent is expanding rapidly in otolaryngology. Botulinum toxin is a protease that blocks the release of acetylcholine from nerve terminals. Its effects are transient and nondestructive, and largely limited to the area in which it is administered These effects are also graded according to the dose, allowing for individualized treatment of patients and disorders. Botulinum toxin has been used primarily to treat disorders of excessive or inappropriate muscle contraction. In the field of otolaryngology, these include spasmodic dysphonia, oromandibular dystonia, and blepharospasm, vocal tics and stuttering, cricopharyngeal achalasia, various tremors and tics, hemifacial spasm, temporomandibular joint disorders and a number of cosmetic applications. Botulinum toxin treatment has recently begun to show some benefit in the control of pain from migraine and tension headache. It may also prove useful in the control of autonomic dysfunction, as in Frey syndrome, sialorrhea, and rhinorrhea. In over 20 yews of use in humans, botulinum toxin has accumulated a considerable safety record, and in many cases represents relief for thousands of patients unaided by other therapy.

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The effectiveness of Ceravida recovery technology on sleeping factors in bedding : Quantitative evaluation (Ceravida recover 기술이 적용된 침구류의 수면요인 효과분석 : 정량적평가)

  • Kim, Jong-Geun;Kim, Ji-Young;Lee, Young-Ik
    • The Journal of the Convergence on Culture Technology
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    • v.9 no.6
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    • pp.273-280
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    • 2023
  • The purpose of this study is to investigate the effect of functional bedding of ceravida recovery materials on muscle fatigue, brain waves, and heat in the cervical spine before and after sleep. The subjects of the study were 12 women in their 50s or older in D Metropolitan City who complained of insomnia due to sleep disorders and cervical pain. The results of this study first showed that functional bedding lowered muscle tension. Second, the skin temperature of cervical spine increased statistically significantly for both functional and general bedding. Third, there was a statistically significant difference in EEG(alpha, beta, theta, delta) of functional bedding. Through these results, it is considered that functional bedding of ceravida recovery material has sufficient effect on sleep recovery technology.