• Title/Summary/Keyword: 신경자극

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The Effects of Transcutaneous Electrical Nerve Stimulation and Electroacupuncture Stimulation Therapy on the Current Perception Threshold of Orofacial Region (구강안면영역에서의 경피성 신경자극과 전기침자극요법이 전류인지역치에 미치는 영향)

  • Chung, Jin-Woo
    • Journal of Oral Medicine and Pain
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    • v.24 no.3
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    • pp.301-313
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    • 1999
  • 구강안면동통 환자의 치료법으로 널리 쓰이는 전기요법은 연조직과 신경계 구조물에 대한 치료 시 중요한 역할을 담당하고 있다. 저자는 현재 구강안면동통의 치료법으로 널리 쓰이고 있는 전기요법들 중 경피성 신경자극(Transcutaneous electric nerve stimulation)과 전기침자극요법(Electroacupuncture stimulation therapy)이 각각의 신경섬유에 미치는 효과를 평가하고자 정상 성인 남녀 29명에게 경피성 신경자극 및 전기침자극을 시행하고 시행 전 및 시행 후 삼차신경 영역의 3가지 종류($A{\beta}$, $A{\delta}$, C fiber)의 신경섬유의 전류인지역치(CPT) 변화를 측정하여 그 차이점을 분석하였으며 이를 대조군과 비교하였다. 경피성 신경자극 및 전기침자극 모두에서 대조군에 비해 삼차신경 영역의 모든 신경섬유에 걸쳐 고른 전류인지역치의 증가를 나타내었으며, 경피성 신경자극과 전기침자극 후의 전류인지역치 변화량은 서로 유의할만한 차이를 나타내지 않았다. 이는 경피성 신경자극 과 전기침자극 모두 3가지 종류($A{\beta}$, $A{\delta}$, C fiber)의 감각신경섬유의 전류인지역치에 영향을 미치며, 구강안면동통의 감소에 효과적으로 사용될 수 있으리라 생각된다.

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Magnetic Nerve Stimulation Coils with Magnetic Mirror Effect (자계 거울 효과를 이용한 신경 자극 코일)

  • 한병희;김기왕;김재곤;박태석;이수열;조민형;양종수;김정회
    • Journal of Biomedical Engineering Research
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    • v.23 no.4
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    • pp.287-293
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    • 2002
  • For non-contact nerve stimulations using time varying magnetic field, high amplitude current pulses have to be applied to a magnetic nerve stimulation coil. To increase the magnetic stimulation frequency we have to increase both power supply capacity and cooling capacity of the magnetic nerve stimulator. To alleviate these problems. we propose a new magnetic nerve stimulation coil design methods. Utilizing magnetic mirror effect of a ferro-magnetic plate attached to a magnetic stimulation coil. we have improved efficiency of the stimulation coil. We have analyzed magnetic mirror effect for various kinds of stimulation coils using the finite element method, and we present experimental results obtained with several kinds of stimulation coils.

Residual Neuromuscular Sensing Platform Development using Sensor of Nerve Stimulation Response Measurement during Anesthesia (신경자극반응 측정 센서를 이용한 마취 시 잔여근이완 감지 플랫폼 구현)

  • Shin, Hyo-Seob;Kim, Young-Kil
    • Journal of the Korea Institute of Information and Communication Engineering
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    • v.14 no.6
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    • pp.1505-1510
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    • 2010
  • Response to nerve stimulation platform for implementing measures to detect finger movement has been functioning as an important factor. The finger movement of the muscle response to nerve stimulation and sensing Actuator for the H/W development is needed. In addition, a low power embedded CPU based on the top was used. H/W configuration portion of the isolation power, constant current control, High impedance INA, amplifier parts, and the stimulus mode and the Micro-control the status of current, AD converter Low Data obtained through the processing system is implemented.

Multi-Channel Magnetic Nerve Stimulation System with Small Size Power Supplies (소규모 전원장치를 이용한 다채널 자기 신경자극 시스템)

  • 한병희;김기왕;이세호;조민형;이수열
    • Journal of Biomedical Engineering Research
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    • v.22 no.2
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    • pp.139-144
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    • 2001
  • 자기 신경자극기는 신경의학, 재활의학을 포함한 많은 임상의학 분야에서 널리 쓰이고 있다. 자기 신경자극기는 전력소모가 크고 고압 전원이 필요한 이유 때문에 단채널 시스템만이 임상환경이나 연구환경에서 쓰여 왔었다. 본 논문에서는 4채널 자기 신경자극기 개발을 소개하였다. 고압 커패시터를 충전하는데 있어서 단계적 충전방식을 사용하여 작은 크기의 직류 전원장치로 다채널 시스템을 구현하였고, 채널별로 서로 다른 자극 프로토콜로 자극 코일을 구동할 수 있는 다채널 제어시스템을 구성하였다. 개발된 시스템은 신경계통 장애가 있는 환자들의 재활이나 자기적인 침술 등 다양한 기능적 자기 자극에 활용될 수 있을 것으로 기대된다.

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Influence of Transcutaneous Electrical Nerve Stimulation and Electroacupuncture on C-fos Expression in Spinal Cord and Functional Recovery After Rat Sciatic Nerve Crush Injury (경피신경전기자극과 전침자극이 흰쥐 좌골신경 압좌손상 후 척수내 c-fos 발현과 기능회복에 미치는 영향)

  • Lee, Hyun-Min
    • The Journal of the Korea Contents Association
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    • v.9 no.6
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    • pp.187-195
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    • 2009
  • The purpose of this study was to identify the effect of transcutaneous electrical nerve stimulation(TENS) and electroacupuncture(EA) after sciatic nerve crush injury in rats. Subjects were classified TENS group with TENS application, EA group with EA application and Control group which is not applicated electrical stimulation. TENS and EA stimulations were applied post-injury day(PD) 1 to 14 after sciatic nerve injury. This study observed c-fos expression in rat lumbar spinal cord. In addition, the paw withdrawal latency(PWL) and sciatic function index(SFI) were measured. The results were as follows: At PD 1, control group had higher c-fos immunoreactivity than experimental groups. At PD 7 and 14, control group had higher c-fos immunoreactivity than experimental groups. The PWL of experimental groups were significantly lower than control group. The SFI had not significant difference in all groups. But the average of experimental groups were higher than control group. These results suggest that TENS and EA applications increasing sensory and motor nerve recovery while decreasing c-fos immunoreactivity after sciatic nerve crush injury.

A Study on Neuroactive Response Measurement Platform using Mechano Sensor (Mechano sensor를 이용한 신경자극반응 측정 플랫폼에 관한 연구)

  • Kim, Woo-Ram;Kim, Young-Kil
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 2012.05a
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    • pp.198-201
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    • 2012
  • This is a study about a platform realization measuring the extent of reaction in nerve, as giving a electrical impulse on a nerve pulp regulating a function of muscle, about a measurement of nerve reaction in the amount of current, the lasting time of current, and the position of electrode from a electrical impuls. The position of an electrode in a electrical nerve impuls have nothing to do with all nerves from exercise to all things. There is the Single Twitch Stimulation, Train-of-four, and Double Burst Stimulation in the form of nerve stimulation. This report is needed for selecting MCU of low electric power for a base in embedded system and measuring the extent of reaction after making a sensor interface to know sensitivity of measuring sensor in basic reaction of nerve impuls. The platform is realized to select a high efficiency AD Convertor for raising accuracy in measured data. As the platform in this report was developed for a medical appliances, it was designed to consider user safety in electric power Isolation when making electric power circuit.

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A Study on Neuroactive Response Sensing Platform after Injection of Muscular Relaxants (근 이완제 투여에 따른 신경 자극 반응 감지 플랫폼에 관한 연구)

  • Kim, Woo-Ram;Kim, Young-Kil
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 2011.10a
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    • pp.331-334
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    • 2011
  • This is a study about a platform realization measuring the extent of reaction in nerve, as giving a electrical impulse on a nerve pulp regulating a function of muscle, about a measurement of nerve reaction in the amount of current, the lasting time of current, and the position of electrode from a electrical impuls.The position of an electrode in a electrical nerve impuls have nothing to do with all nerves from exercise to all things. There is the Single Twitch Stimulation(STS), Train-of-four(TOF), and Double Burst Stimulation(DBS) in the form of nerve stimulation. This report is needed for selecting MCU of low electric power for a base in embedded system and measuring the extent of reaction after making a sensor interface to know sensitivity of measuring sensor in basic reaction of nerve impuls. The platform is realized to select a high efficiency AD Convertor for raising accuracy in measured data. As the platform in this report was developed for a medical appliances, it was designed to consider user safety in electric power Isolation when making electric power circuit.

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Residual Neuromuscular Sensing Platform Development using Sensor of Nerve Stimulation Response Measurement during Anesthesia (신경자극반응 측정 센서를 이용한 마취 시 잔여근이완 감지 플랫폼 구현)

  • Shin, Hyo-Seob;Kim, Young-Kil
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 2010.05a
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    • pp.459-462
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    • 2010
  • Response to nerve stimulation platform for implementing measures to detect finger movement has been functioning as an important factor. This stimulated finger on the nerve and muscle responses would vary. In other words, the finger movement of the muscle response to nerve stimulation and sensing Actuator for the H/W development is needed. In addition, a low power embedded CPU based on the top was used. H/W configuration portion of the isolation power, constant current control, High impedance INA, amplifier parts, and the stimulus mode and the Micro-control the status of current, AD converter Low Data obtained through the processing system is implemented.

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The Effects of Electrical Stimulation Method on Muscle Strength, Pain, Range of Motion, Fear Avoidance-Belief in Patients with Anterior Cruciate Ligament Reconstruction (전기자극방법이 앞십자인대 재건술환자의 근력과 통증, 관절가동범위 및 공포-회피반응에 미치는 영향)

  • Park, Shin-Jun;Lee, Ju-Hwan;Lee, Duck-Jae
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.18 no.6
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    • pp.538-546
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    • 2017
  • The purpose of this study was to investigate the effect of neuromuscular electrical stimulation (NMES) and transcutaneous electrical nerve stimulation (TENS) on muscular strength, pain, range of motion and fear-avoidance in anterior cruciate ligament reconstruction (ACLR) patients. The subjects of this study who received ACLR after arthroscopic injury were divided into two groups: NMES (n=14) and TENS (n=14). Each group received intervention after routine physical therapy. Each electrotherapy intervention was applied regularly for a total of 12 times, 3 times a day (30 minutes) for 4 weeks. The evaluation by intervention method included isokinetic muscle strength in flexion and extension of the knee joint, pain, range of motion of the knee joint, and fear-avoidance beliefs. The results showed significant improvement in pain, range of motion, and fear-avoidance beliefs in both groups (p<0.05). However, there was a significant improvement in isokinetic knee flexion and extension strength only in the NMES group (p<0.05). There was no significant difference between the two electrotherapy methods in muscle strength, pain, range of motion, and fear-avoidance beliefs. These study results suggest that NMES and TENS can be effective intervention methods for pain, range of motion, and fear-avoidance response in patients with ACLR, but to improve muscle strength NMES may be more effective.

The study was to investigate the Spontaneous therapy, TENS and Ice therapy of Biceps brachii after induction of DOMS (자연치유와 경피신경전기자극치료, 그리고 냉치료가 지연성근육통이 유발된 위팔두갈래근의 통증과 근력 및 근활성도에 미치는 영향)

  • Kim, Keun-Jo;Lee, Cu-Rie;Jung, Byeong-Ok;Bang, Hyun-Soo
    • Proceedings of the KAIS Fall Conference
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    • 2009.12a
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    • pp.491-494
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    • 2009
  • 본 논문에서는 비우세 팔굽관절 굽힘근육에 원심성운동을 실시하여, 지연성근육통을 유발시킨 후, 자연치유과 경피신경전기자극치료, 그리고 냉치료의 효과를 조사하는데 그 목적이 있다. 자연치유군과 경피신경 전기자극치료군, 그리고 냉치료군의 평가를 위해 팔꿉관절의 운동시에 시상통증척도(VAS), 최대 염력, 실 효치 값을 측정하여 평가하였다. 대상자는 신체적 결함이 없는 30명의 성인을 대상으로 하였고, 대상자들은 지연성근육통 유발 후, 3개의 군인 자연치유군, 경피신경전기자극치료군, 냉치료군으로 나누었고, $60^{\circ}$/초의 등속성 각속도에서 최대 근력으로 운동시에 최대 연력과 실효치 값, 그리고 시상통증척도를 측정하여 평가하였다. 1. 시상통증척도는 경피신경전기자극치료군의 치료3일차에서 다른 군과 다른 기간에 비해 가장 낮은 수치를 나타내었고, 통계적으로 유의하였다(p<.05). 2. 최대 염력은 경피신경전기자극치료군의 치료3일차에서 다른 군과 다른 기간에 비해 가장 높은 수치를 나타내었고, 통계적으로 유의하였다(p<.05).3. 실효치 값은 경피신경전기자극치료군의 치료3일차에서 다른 군과 다른 기간에 비해 가장 높은 수치를 나타내었고, 통계적으로 유의하였다(p<.05). 이상의 연구 결과로 보아 경피신경전기자극치료는 지연성근육통에 대하여 자연 치유나 냉치료에 비해 더욱 효과적인 치료 방법임을 알 수 있다. 그러므로, 지연성근육통을 가진 환자의 치료 시에 경피신경전기자극치료의 적용은 권장되어야 한다.

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