• Title/Summary/Keyword: 신경근 조절 능력

Search Result 13, Processing Time 0.026 seconds

Impact of Virtual Reality Based Neuromuscular Postural Control Fusion Training on Balance Ability and Jump Performance of Soccer Players with Functional Ankle Instability (가상현실 기반 자세조절 융합 훈련이 기능적 발목 불안정성 축구선수들의 균형과 점프에 미치는 영향)

  • Yang, Dae-Jung;Park, Seung-Kyu;Uhm, Yo-Han
    • Journal of Digital Convergence
    • /
    • v.14 no.11
    • /
    • pp.357-367
    • /
    • 2016
  • In this study, we examined the impact on balance ability and jump performance of soccer players with functional ankle instability using virtual reality based neuromuscular posture control fusion training. Soccer players were divided into 15 people of virtual reality-based neuromuscular posture control fusion training group and 15 people of common treadmill training group and performed for 30 minutes three times a week for 8 weeks. In order to evaluate the balance of ability, using biorescue, it measured surface area, whole path length, limit of stability. In order to measure jump performance, it measured counter movement jump with arm swing and standing long jump. The results showed the statistically significant difference in the balance comparison of surface area, whole path length, limited of stability and the jump performance comparison of counter movement jump with arm swing, standing long jump. As a result, virtual reality-based neuromuscular posture control fusion training was found to be more effective to improve its balance ability and jump performance than common treadmill training.

The Effect of STM using Instrument or Manual Therapy on Muscle Activity (도구나 수기를 이용한 연부조직 가동술이 근활성도에 미치는 영향)

  • Kim, Chung-Yoo;Kang, Jong-Ho
    • Journal of Convergence for Information Technology
    • /
    • v.10 no.9
    • /
    • pp.200-205
    • /
    • 2020
  • This study investigates the effects of instrument-assisted soft mobilization (IASTM) and manual myofascial release (MFR) on the muscle activity of the biceps brachii. This study was conducted on 10 men and women in their 20s, and all subjects participated in the experiment for 3 days and measured muscle activity of the upper forearm muscles. On the first day, the muscle activity value was measured before the intervention, and the remaining two days were measured for muscle activity after the intervention of each manual therapy in a random order. All muscle activity values were compared and analyzed through the dependent t test and the independent t test. The before and after comparison of muscle activity values before and after each intervention was verified by performing the dependent t test and comparing the values of muscle activity between groups between each intervention after intervention by performing an independent t test. According to the results of this study, both interventions significantly increased muscle activity of the biceps brachii before and after intervention, and there was no significant difference in muscle activity values between groups after intervention. Therefore, both manual therapy (IASTM, MFR) are thought to be effective in improving neuromuscular control ability.

Analysis of Neurophysiological Approaches to the Intervention of Hemiplegia (편마비 중재에 신경생리학적 접근기법의 분석)

  • Shin, Hong-Cheul;Kang, Jung-Koo;Hwang, Hwan-Ick;Oh, Jeong-Guk
    • Journal of Korean Physical Therapy Science
    • /
    • v.7 no.2
    • /
    • pp.427-437
    • /
    • 2000
  • 편마비 환자의 물리치료는 장애 결과를 완화시키는 것에 초점을 두고 있다. 본 연구는 신경생리학적 개념을 기초로 한 중재 접근 방법 중 편마비 환자에게 신경 발달 치료와 신경근 균형 접근 기법의 중재 효과를 비교 하였다. 연구 대상은 서울특별시와 전라북도에 소재한 종합병원 및 정형외과 의원에 입원 및 통원하고 있는 47-71세의 연령 범위에 있는 편마비 환자 30명 이다. 중재 집단의 기능적 능력 향상을 평가하기 위해 편마비 환자를 위한 운동 평가 척도와 수정된 바델 척도를 평가도구로 사용하였다. 편마비 환자의 기능적 능력 향성을 평가도구에 의해 측정된 결과를 분석한 바 운동평가 척도 항목중 바로누운 자세에서 옆으로 눕기와 앉아서 균형 취하기 영역에서, 수정된 바델 척도 항목 중 식사하기 영역에서 통계적으로 유의한 차이를 보였다(P<.05). 편마비 환자의 손상 부위, 손상 형태, 마비 부위 등의 손상의 본질에 따른 대상의 선정과 운동 조절 형태에 관한 지식 그리고 신경학적 결함 정도를 심도있게 다루어 기능적 능력 향상의 임상적 효과를 검증하는 것이 중요하다.

  • PDF

Differences in muscle activity by IASTM between a tool made of PLA made with a 3D printer and a ready-made tool made of stainless steel (3D프린터로 제작된 PLA재질의 도구와 기성품인 스테인리스 스틸 재질의 도구 사이의 연부조직 가동술에 의한 근활성도 차이)

  • Kim, Chung-Yoo;Kang, Jong-Ho;Tae, Won-Kyu
    • Journal of Convergence for Information Technology
    • /
    • v.10 no.11
    • /
    • pp.218-223
    • /
    • 2020
  • This study was conducted to observe the difference in muscle activity by IASTM between a tool made of PLA made with a 3D printer and a tool made of ready-made stainless steel. This study was attended by 10 adults in their twenties, and all subjects participated in both the PLA group and the Stainless group, received IASTM. %MVIC was measured by measuring muscle activity after intervention, and this was verified through comparison between groups through the Mann-Whitney U test. The results of this study showed that there was no significant difference between the two groups in the %MVIC value of the biceps brachii after intervention. Therefore, in the application of IASTM, there was no difference in muscle activity depending on the material of the tool, which seems to be that the IASTM tool made of PLA made with a 3D printer produced similar results in the ability to control neuromuscular muscles and the ready-made product made of stainless steel. Therefore, in a future study, the effectiveness of the tool will be verified for the various patient group.

The Effect of Neuromuscular Reeducation on the Cognitive and Functional Assessment for Hemiplegic Patients (신경근 재교육이 편마비 환자의 인지와 기능에 미치는 효과)

  • Shin, Hong-Cheul;Kim, Woong-Gak;Lee, So-Joon;Kang, Jeong-Il;Peak, Heon-Hee
    • Journal of Korean Physical Therapy Science
    • /
    • v.9 no.3
    • /
    • pp.7-17
    • /
    • 2002
  • 편마비 환자의 인지 기능과 운동 및 신체적 기능에 관련된 변인을 분석하고자 하였다. 본 연구는 인지 기능이 편마비 환자에게 미치는 영향과 인지 영역의 손상이 편마비 환자의 독립적 기능 및 수준 향상의 예언 인자로서의 고려해야 할 개념을 검사나 평가 척도로 비교, 분석 하였다. 연구 대상은 전라북도에 소재한 한방병원에 입원 및 통원하고 있는 52-73세의 연령 범위에 있는 편마비환자 20명 이다. 편마비 환자의 기능적 능력, 운동 회복, 신체적 기능 그리고 인지적 상태를 평가하기 위해 편마비 환자를 위한 임상적 결과 변인 척도, 운동 평가 척도와 바델 척도 그리고 기능적 독립성 측정 척도를 평가도구로 사용하였다. 편마비 환자의 신체적, 운동 그리고 기능적 능력 상태를 평가도구에 의해 측정된 결과를 분석한 바 운동, 신체적 그리고 인지적인 영역과 기능적 독립 측정 척도 및 바델 척도와 관련성이 있음을 보여주고 있다. 편마비 환자의 신체적, 인지적 결함이나 손상 부위, 손상의 본질에 따른 대상의 선정과 운동 조절 형태에 관한 지식 그리고 인지와 신경학적 결함 정도를 심도있게 다루어 기능적 능력 향상의 임상적 효과를 높이고자 하는데 연구의 의의가 있다.

  • PDF

Studies in Biomechanical Properties on Brain-spinal Cord Response Mechanism by Human Posture Control Ability (자세조절능력에 따른 뇌-척수 신경 반응기전의 역학적 해석)

  • Yoo, Kyoung-Seok
    • 한국체육학회지인문사회과학편
    • /
    • v.58 no.6
    • /
    • pp.449-459
    • /
    • 2019
  • The purpose of this study is to identify how postural mechanics affects postural control on balance and stability by using frequency analysis technique from the kinematic data acquired during the one leg standing posture. For this purpose, the experimental group consisted of two groups, the normal group (n=6) and the national Gymnastics group (n=6). Displacement data of CoP were analyzed by frequency analysis of rambling (RM) and trembling (TR) by FFT signal processing. As a results, there was a significant difference in evaluating the stabilization index between the two groups with the eyes open and closed one leg stnading (p <.05). The cause of the difference was found to be the output of the maximum amplitude of RM (f1) and TR (f2) (p <.05). In particular, in the low frequency RM of 8-9 Hz, which is a natural frequency of signal wave involved in postural feedback feedback, the main frequency appeared to be performs the exercise mechanism of stable brain posture control. And in the high frequency TM of 120-135 Hz, it is considered that the adaptation of the reflective muscle response is minimized to minimize posture shaking. In conclusion, this study provides evidence for the intrinsic main frequencies according to the postural control ability which affects the CNS in one leg standing.

Discussion of Neurologic Factor Influencing on Chewing Ability of Implant (임플란트 저작능에 영향을 주는 신경학적 원인에 대한 고찰)

  • Kim, Tae-Seon;Yoon, Jun-Ho;Kim, Sung-Hoi;Kim, Jee-Hwan;Shim, June-Sung;Lee, Jae-Hoon;Moon, Hong-Suk;Park, Young-Bum
    • Journal of Dental Rehabilitation and Applied Science
    • /
    • v.28 no.3
    • /
    • pp.269-276
    • /
    • 2012
  • Many researches have been published about the numerous factors related to the chewing ability of implant prosthesis. Most respective studies have concluded that the chewing ability of implant prosthesis is mostly fine compared to other type of prosthesis. However, some patients are not satisfied with their chewing ability of implant prosthesis. Therefore the neurologic factor, one of the factors related to dissatisfaction of chewing ability was reviewed in this study to understand the mechanism of action of mastication. Data was searched using the keywords; 'implant chewing ability, masticatory ability' in Pubmed database and reviewed. Definitions of chewing ability, factors of chewing ability are reviewed and the neurologic factor, one of the factors influencing on chewing ability, is reviewed. Mechanoreceptor of Periodontal ligament(PDL) is providing the mastication information to brainstem. Due to the absence of mechanoreceptions of PDL in implant, masticatory ability is decreased especially when chewing hard food. Masticatory muscles and mechanoreceptor in TMD may compensate the lack of mechanoreceptor of PDL in implants. Furthermore sensitivity of nerve fiber around peri-implant tissues may support the mechanoreception and sensory reaction in the implant mastication. However, further studies should be conducted to prove the relationships between neurologic factors and mastication.

Rehabilitation of the Throwing Athlete (던지기 선수에서의 재활)

  • Youn, Te-Hyun;Moon, Young-Lae
    • Journal of Korean Orthopaedic Sports Medicine
    • /
    • v.6 no.2
    • /
    • pp.77-82
    • /
    • 2007
  • The thrower's shoulders require a delicate balance between mobility and functional stability. First step to successful nonoperative management is an accurate diagnostic approach. Rehabilitation program follows a well-organized, multiphase approach with focus on controlling painful inflammation, restoring muscle balance, obtaining joint flexibility, improving proprioception and neuromuscular control, and effectively returning to competitive pitching. In this article, the typical musculoskeletal profile of the overhead thrower and various rehabilitation programs for specific injuries are discussed.

  • PDF

A Study of Postural Control Characteristics in Schoolchild with Intellectual Disability (초등학교 지적장애아동의 자세조절 특성)

  • Lee, Hyoung Soo
    • 재활복지
    • /
    • v.14 no.3
    • /
    • pp.225-256
    • /
    • 2010
  • This study aims to provide the basic data of the rehabilitation program for the schoolchild with intellectual disability by designing new framework of the features of postural control for the schoolchild with intellectual disability. For this, the study investigated what sensations the schoolchild are using to maintain posture by selectively or synthetically applying vision, vestibular sensation and somato-sensation, and how the coordinative sensory system of the schoolchild is responding to any sway referenced sensory stimulus. The study intended to prove the limitation of motor system in estimating the postural stability by providing the cognitive motor task, and provided the features of postural control of the schoolchild with intellectual disability by measuring the onset times and orders of muscle contraction of neuron-muscle when there is a postural control taking place due to the exterior disturbance. Furthermore, by comparatively analyzing the difference between the normal schoolchild and the intellectually disabled schoolchild, this study provided an optimal direction for treatment planning when the rehabilitation program is applied in the postural control ability training program for the schoolchild with intellectual disability. Taking gender and age into consideration, 52 schoolchild including 26 normal schoolchild and 26 intellectually disabled schoolchild were selected. To measure the features of postural control, CTSIB test, and postural control strategy test were conducted. The result of experiment is as followed. First, the schoolchild with intellectual disability showed different feature in using sensory system to control posture. The normal schoolchild tended to depend on somato-sensory or vision, and showed a stable postural control toward a sway referenced stimulus on somato-sensory system. The schoolchild with intellectual disability tended to use somato-sensory or vision, and showed a very instable postural control toward a sway referenced vision or a sway referenced stimulus on somato-sensory system. In sensory analysis, the schoolchild with intellectual disability showed lower level of proficiency in somato-sensation percentile, vision percentile and vestibular sensation percentile compare to the normal schoolchild. Second, as for the onset times and orders of muscle contraction for strategies of postural control when there is an exterior physical stimulus, the schoolchild with intellectual disability showed a relatively delayed onset time of muscle control, and it was specially greater when the perturbation is from backward. As for the onset orders of muscle contraction, it started from muscles near coax then moved to the muscles near ankle joint, and the numbers and kinds of muscles involved were greater than the normal schoolchild. The normal schoolchild showed a fast muscle contracting reaction from every direction after the perturbation stimulus, and the contraction started from the muscles near the ankle joint and expanded to the muscles near coax. From the results of the experiments, the special feature of the postural control of the schoolchild with intellectual disability is that they have a higher dependence on vision in sensory system, and there was no appropriate integration of swayed sensation observed in upper level of central nerve system. In the motor system, the onset time of muscle contraction for postural control was delayed, and it proceeded in reversed order of the normal schoolchild. Therefore, when use the clinical physical therapy to improve the postural control ability, various sensations should be provided and should train the schoolchild to efficiently use the provided sensations and use the sensory experience recorded in upper level of central nerve system to improve postural control ability. At the same time, a treatment program that can improve the processing ability of central nerve system through meaningful activities with organizing and planning adapting reaction should be provided. Also, a proprioceptive motor control training program that can induce faster muscle contraction reaction and more efficient onset orders from muscularskeletal system is need to be provided as well.

EXPERIMENTAL STUDIES ON THE EFFECT OF RLN ANASTOMOSIS REMOVAL ON PHONATION (반회신경 문합과 후윤상피열근 절제가 발성기능에 미치는 영향에 대한 실험적 연구)

  • 김영모;이영구;이정식;이준열;김광문;김기령;홍원표;최홍식
    • Proceedings of the KOR-BRONCHOESO Conference
    • /
    • 1991.06a
    • /
    • pp.11-12
    • /
    • 1991
  • 편측 성대마비의 음성개선을 위하여 현재까지 알려진 치료방법은 teflon 또는 silicone 주입술, 외과적 성대 내전술, 갑상연골 성형술, 신경재식술, 등이 있으며, 근래까지는 Teflon 또는 Gelform 주입술이 제일 효과적인 방법이라 알려져 있으나, 이는 음의 높낮이 조절능력의 한계가 있고, 신경재식술의 결과 역시 만족스럽지 못한 경우가 많다. 따라서 저자는 발성기능의 생리학적인 측면에서, 보다 효과적인 음성개선의 방법을 찾기 위하여, 사람의 후두와 비교적 유사한 특성을 가진 개를 사용하여 실험을 하였다. 반회신경을 절단하여 편측 성대 마비를 유발한 뒤, 동측의 유일한 외전근인 후윤상피열근을 절제후 절단된 신경을 문합하여, 성대의 외전근 작용의 소실과, 발성시에 주로 작용하는 내전근만의 작용을 유도하여, 공동운동의 차단과, 내전운동의 향상을 기대하였다. 본 실험에 앞서, 임의적으로 신경을 자극시킬 수 있는 신경자극기와, 주위조직으로부터 신경만을 분리하여 자극할 수 있는 전극을 개발하여 사용하였으며, 또한 성대의 발성음을 임의대로 유발시킬 수 있는 생체 내 후두발성 모형(in vivo laryngeal phonation model)을 Moore(1987, 1988)등이 발표한 모형을 토대로 자체 개발하여 사용하였다. 실험은 13마리의 개를, 반회신경 절단군(3 마리), 반회신경 절단 및 후윤상피 열근 절제군(3 마리), 후윤상피열근 절제군(3 마리), 반회신경 문합 및 후윤상피 열근 절제군(4 마리)등으로 나누어 실험하였으며, 3 개월 후, 현수후두경, 후두 내시경, videolaryngoscopy, 신경자극 검사 등으로 성대의 내전운동 및 위치 변화의 관찰, 발성음의 음향분석 및 갑상피열근의 형태학적 변화를 관찰하여 다음과 같은 결과를 얻었다. 1. 반회신경 절단군과 반회 신경 절단 및 후윤상피열근 절제군은, 수술후 3 개월에 성대의 움직임이나 각도의 변화가 없었으며, 음향분석 결과 발성음이 아닌 잡음만이 포착되었다. 즉, 절단된 신경의 문합 없이 후윤상피열근 절제 만으로는 음성개선은 기대할 수 없었다. 2. 후윤상피열근 절제군에서는 수술 후 3 개월에 정상적인 성대의 내전운동이 관찰되었으며, 음향분석상 기본주파수 동요율 및 발성음의 강도는 약간의 증가를 보였다. 즉, 반회신경이 절단되지 않은 상태에서 후윤상피 열근 만을 절제하면, 발성음의 변화는 거의 없었다. 3. 반회신경을 절단후 문합하고 후윤상피열근을 절제한군 에서는 수술후 3 개월에, 성대의 정상적인 내전운동을 보였고, 음향분석상 수술직후에는 잡음만이 포착되었으나, 3 개월 후에는 잡음이 아닌 발성음을 들을 수 있었으며, 이 발성음의 기본주파수 및 강도는 수술전보다 감소되어 있었으나, 기본주파수 동요율은 증가되어 있었다. 즉 이 술식으로 인한 뚜렷한 발성음의 향상이 있었다. 이상의 결과로 미루어, 편측 신경 절단으로 인한 성대마비시, 절단된 신경을 봉합하고 성대의 유일한 외전근인 후윤상피열근을 절제하면, 공동운동의 차단과, 내향운동의 향상으로, 음성개선에 효과적이라고 사료되었으며, 이 방법이 편측 성대마비 환자의 효과적인 음성개선의 치료방법의 하나로 응용될 수 있으리라 생각된다.

  • PDF