• Title/Summary/Keyword: 기능적전기자극

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Facial Motor Evoked Potential Techniques and Functional Prediction during Cerebello-pontine Angle Surgery (소뇌교각 수술 중에 안면운동유발전위의 검사방법과 기능적 예측인자)

  • Baek, Jae-Seung;Park, Sang-Ku;Kim, Dong-Jun;Park, Chan-Woo;Lim, Sung-Hyuk;Lee, Jang Ho;Cho, Young-Kuk
    • Korean Journal of Clinical Laboratory Science
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    • v.50 no.4
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    • pp.470-476
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    • 2018
  • Facial motor evoked potential (FMEP) by multi-pulse transcranial electrical stimulation (mpTES) can complement free-running electromyography (EMG) and direct facial nerve stimulation to predict the functional integrity of the facial nerve during cerebello-pontine angle (CPA) tumor surgery. The purpose of this paper is to examine the standardized test methods and the usefulness of FMEP as a predictor of facial nerve function and to minimize the incidence of facial paralysis as an aftereffect of surgery. TES was delivered through electrode Mz (cathode) - M3/M4 (anode), and extracranially direct distal facial muscle excitation was excluded by the absence of single pulse response (SPR) and by longer onset latency (more than 10 ms). FMEP from the orbicularis oris (o.oris) and the mentalis muscle simultaneously can improve the accuracy and success rate compared with FMEP from the o.oris alone. Using the methods described, we can effectively predict facial nerve outcomes immediately after surgery with a reduction of more than 50% of FMEP amplitude as a warning criterion. In conclusion, along with free-running EMG and direct facial nerve stimulation, FMEP is a useful method to reduce the incidence of facial paralysis as a sequela during CPA tumor surgery.

Musculotendon Model to Represent Characteristics of Muscle Fatigue due to Functional Electrical Stimulation (기능적 전기자극에 의한 근육피로의 특성을 표현하는 근육 모델)

  • Lim, Jong-Kwang;Son, Jae-Hyun;Nam, Moon-Hyon
    • Proceedings of the KIEE Conference
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    • 1999.07b
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    • pp.656-658
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    • 1999
  • This paper presents musculotendon model to show the decline in muscle force during functional electrical stimulation (FES). It represent muscle activation and contraction concepts including muscle fatigue. A muscle fatigue term in activation dynamics as a function of the intracellular acidification and the pulsewidth of stimulation pulses change activation to decline muscle force. The computer simulation shows that muscle force decline in stimulation time.

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Effect of Oral Motor Facilitation Technique (OMFT) and Neuromuscular Electrical Stimulation (NMES) Applied to a Patient With Wallenberg's Syndrome: A Case Study (발렌버그 증후군(Wallenberg's Syndrome) 환자에게 적용한 구강운동촉진기술(OMFT)과 신경근전기자극치료(Neuromusclular Electrical Stimulation; NMES) 효과: 단일 사례 연구)

  • Son, Yeong Soo;Min, Kyoung Chul;Woo, Hee-Soon
    • Therapeutic Science for Rehabilitation
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    • v.11 no.4
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    • pp.69-83
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    • 2022
  • Objective : This study aimed to confirm the possibility of the clinical application of oral motor facilitation technique (OMFT) protocol and neuromuscular electrical stimulation (NMES) in patients with Wallenberg syndrome. Methods : One patient with Wallenberg syndrome was treated with OMFT and NMES applied 40 times each, 5 days a week, twice a day for 4 weeks. The Comprehensive Oral-Facial Function Scale (COFFS), Korean-Mann Swallowing Ability Assessment (K-MASA), and Penetration-Aspiration Scale (PAS) were used to compare the changes before and after the intervention. Data analysis was used to compare the score changes before and after the intervention. Results : Orofacial function and swallowing ability improved after the intervention in the individual who participated in this study. Among oral motor functions, relatively greater functional improvement was observed in tongue movement compared to other functions, which was evaluated to the extent that pharyngeal swallowing was possible. Conclusions : Early swallowing rehabilitation using systematic OMFT and NMES of exercise intensity confirmed the possibility of improving oral motor function and dysphagia. In the future, complementary studies on the effects of interventions applying the OMFT and NMES will be needed.

The Effects of Low-Frequency Electrical Stimulation on Abdominal Core Muscle Activity and Thickness (저주파 전기자극이 복부 중심근육 활성도 및 두께에 미치는 영향)

  • Lee, H.J.;Lee, J.Y.;Tae, K.S.
    • Journal of rehabilitation welfare engineering & assistive technology
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    • v.7 no.2
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    • pp.85-90
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    • 2013
  • Core muscle is the most crucial for rehabilitation of patients with musculoskeletal and nervous problem, there is pain, imbalance and functional movement disorder of upper and lower extremities. In this study, low-frequency electrical stimulator was developed for the purpose increasing the activity of rectus abdominis (RA) and the thickness of transverse abdominis (TrA), internal obliquus abdominis (IO), and external obliquus abdominis (EO). Fifteen female in their 20's was divided into a experiment groups (traditional electrical stimulation group, developed electrical stimulation group) and control group. Low-frequency electrical stimulation was performed in experimental groups for 4 times a week, 4 weeks. The muscle activities (RA) by EMG and muscle thickness (TrA, IO, EO) by Ultrasonogrphy imaging were measured, respectively. In the result, the muscle activity of RA and muscle thickness of TrA and EO were significantly increased at developed electrical stimulation group (p<.05). Therefore, the developed low-frequency electrical stimulation is useful for rehabilitation with CNS and PNS subjects.

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Exocrine Pancreatic Secretion in Response to Electrical Stimulation of Reticular Formation in Mesencephalone in Rats (흰쥐에서 중뇌망상체의 전기자극이 췌장액 분비에 미치는 영향)

  • Park, Hyoung-Jin;Lee, Yun-Lyul;Kwon, Hyeok-Yil;Shin, Won-Im
    • The Korean Journal of Physiology
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    • v.20 no.1
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    • pp.1-7
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    • 1986
  • It has been well documented that the peripheral autonomic nervous system plays an important role in exocrine pancreatic secretion. However, the role of the central nervous system in pancreatic function is still obscure even though the central nervous system has been known to control gastrointestinal functions through the autonomic nervous system. Since the reticular formation in the mesencephalone seems to integrate the autonomic function, the present study was undertaken to investigate a possible influence of the reticular formation upon the exocrine pancreatic secretion. Twenty·two albino rats fasted for 24 hours were anesthetized by intraperitoneal injection of urethane in a dose of 1 g/kg, The pancreatic duct was cannulated to collect pancreatic juice and bile juice was diverted to the jejunum. The gastroduodenal junction was ligated to Prevent passage of gastic juice into the duodenum. A pair of electrodes were bilaterally inserted in the reticualr formation of the mesencephalone with aid of a stereotaxic apparatus. When the volume of pancreatic juice secreted for 10 min became constant, the reticular formation was electrically stimulated for 10 min. Parameters of the electical stimulation was 1.3V, 40 Hz and 2 msec. When the pancreatic secretion returned to the level before the electrical stimulation, cervical vagotomy (11 rats) or administration of propranolol (11 rats) in a dose of 0.1 mg/kg through the jugular vein was carried out. Ten minutes after the treatment, the electrical stimulation of the reticular formation was repeated. The brain was fixed by perfusion of 10% formaline solution through the heart, and then placement of the electrode tip was examined histologically. Protein concentration and amylase activity in samples of Pancreatic secretion were measured. The electrical stimulation of the reticular formation significantly increased in volume $({\mu}l/10\;min)$, Protein output $({\mu}g/10\;min)$ and amylase output (U/10 min) in the pancreatic secretion. The stimulatroy effects were not affected by the cervical vagotomy but completely abolished by propranolol. Meantime, it was also observed that both vagotomy and propranolol significantly reduced the pancreatic secretory function. These results indicate that the reticular formation in the mesencephalone may exert a stimulatory effect upon the Pancreatic secretory function not through the vagus nerve but through the sympathetic pathway in anesthetized rats.

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Electrospinning for Smart Acid-Sensitive Fiber Webs (지능형 산-감응 섬유웹을 위한 전기 방사)

  • 소정현;이선화;정재윤;윤기종;조재환
    • Proceedings of the Korean Fiber Society Conference
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    • 2003.10b
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    • pp.259-260
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    • 2003
  • Smart 재료는 외부의 환경에 따라 재료 스스로 주어진 자극을 판단하여 응답할 수 있는 재료를 말한다. 기존의 재료들이 갖는 수동적 응답 기능을 넘어서 생물체처럼 환경에 반응한다는 점에서 뛰어난 특성을 가질 수 있다. 변색성 염료도 이러한 smart 재료 중의 하나로 광, 온도, 화학물질, 전기장 등의 외부 환경 조건의 변화에 따라 색상이 바뀌게 할 수 있다. 대부분의 변색성 염료는 마이크로 캡슐화하여 섬유나 필름에 부착하는 방법을 사용하는데, 이는 항상 내구성이나 안정성 등에서 문제점을 갖고 있다. (중략)

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Electromyo-potential Response to Electric Stimulus Excitation at a Human Antebrachial Joint (인체 주관절에서 전기자극 가진에 의한 근전위 응답)

  • Hong, Jong Han;Kim, Jin Oh;Lee, Dong Chan;Park, Kwang Hun
    • Transactions of the Korean Society for Noise and Vibration Engineering
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    • v.23 no.1
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    • pp.9-16
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    • 2013
  • This paper experimentally deals with the excitation by functional electrical stimulus(FES) and the response of electromyo-potential at the muscles of antebrachial joint in a human body. The excitation of FES, which results in the contraction of the muscles and thus the flection of the joint, shows that the flection angle of the joint is proportional to the magnitude of the stimulus current. The response of electromyo-potential measured according to the FES shows the linearly-proportional relation between the joint torque and the electromyo-potential. The results can be used for active motion of joint rehabilitation.

Dynamic palatogram을 이용한 기능적 구음장애의 언어치료에 대하여 - 측음화된/ㅅ/의 개선을 중심으로 -

  • 박혜숙;최홍식;김광문;신미성이
    • Proceedings of the KSLP Conference
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    • 1993.12a
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    • pp.12-12
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    • 1993
  • 발음검사 결과 /i/에 선행되는 /ㅅ/은 정상발음을 보였으나 그 이외의 모음에 선행되는 /ㅅ/은 모두 측음화 /ㅅ/로 규척적인 오류발음을 하고 있는 증례에 대한 발음교정에서 청각자극에 의한 feedback 및 촉ㆍ시지각을 중심으로하는 전래적 발음지도 방법으로는 개선의 효과를 볼 수 없었으므로 전기적 인공구개(D.P)를 이용한 혀운동의 시각적 feedback을 중심으로한 발음지도를 시도한 즉 측음화 /ㅅ/음의 소실이 인정되고 정상구음 /ㅅ/의 출현을 보였다. (중략)

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