• Title/Summary/Keyword: 신경자극

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The Effects of Simultaneous Application of Peripheral Nerve Sensory Stimulation and Task-Oriented Training to Improve Upper Extremity Motor Function After Stroke: Single Blinded Randomized Controlled Trial (뇌졸중 환자의 상지기능 개선을 위한 말초감각신경자극과 과제 지향적 훈련의 동시 적용 효과: 단일 맹검 무작위대조군실험)

  • Kim, Sun-Ho;Won, Kyung-A;Jung, Eun-Hwa
    • Therapeutic Science for Rehabilitation
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    • v.9 no.4
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    • pp.7-20
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    • 2020
  • Objective : This study aimed to investigate the effect of simultaneous application of peripheral nerve sensory stimulation and task-oriented training on the improvement of upper extremity motor function after stroke. Methods : This study included 29 patients with hemiplegia. The 14 subjects were in the peripheral nerve sensory stimulation and task-oriented training group for 4 weeks (30 min/d, 5 d/wk), while the 15 control group subjects underwent only task-oriented training for the same duration. The outcome measures were the percentage of voluntary baseline muscle contractions of the wrist and shoulder and Box and Block Test, grip and pinch strength, and Action Research Arm Test. Results : After 4 weeks, muscle activity of extensor carpi radialis, flexor carpi radialis and grip strength and Action Research Arm Test were significantly higher in the experimental group. Conclusion : Simultaneous application of the peripheral nerve sensory stimulation and task-oriented training was found to be superior to task-oriented training for improving upper extremity motor function of adults with stroke.

The Effect of Self Swallowing Exercise Program with Neuromuscular Electrical Stimulation(NMES) on Swallowing Function of Dysphagia (신경근 전기자극치료와 함께 적용된 자가 삼킴 운동 프로그램이 삼킴 장애 환자의 삼킴 기능 향상에 미치는 효과)

  • Yoon, In-Jin;Kim, Du-Ri;Cho, Young-Moon
    • The Journal of Korean society of community based occupational therapy
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    • v.5 no.1
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    • pp.23-34
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    • 2015
  • Objective : The purpose of this study is to investigate the effect of self swallowing exercise program with neuromuscular electrical stimulation(NMES) on swallowing function. Methods : Subjects who were diagnosed in dysphagia were randomly divided into the control group or experimental group. Both group were received NMES during 60 minutes with traditional swallowing therapy during 30 minutes. Additionally the experimental group was received self swallowing exercise during 30 minutes. We invested subject's characteristics through medical chart. We used VDS(Videofluoroscopic Dysphagia Scale) and PAS(Penetration Aspiration Scale) for assessing the swallowing function. Results : There were not significantly different in both group's pre swallowing function. The control group was significantly improved on pyriform sinus residue, aspiration, and VDS total score(p<.05). The experimental group was significantly improved on vallecular residue, pyriform sinus residue, and VDS total score(p<.05). Both group's difference of pre and post swallowing function were not significantly different. Conclusion : Self swallowing exercise and traditional swallowing therapy with NMES and traditional swallowing therapy with NMES are positive effect on swallowing function. The self swallowing exercise is not effective factor.

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Establishing EMG Measurement System for Measurement of Motor Nerve Response in Transcranial Magnetic Stimulation (경두개 자기자극 시 운동신경 유발응답 측정을 위한 근전도 측정 시스템 구축)

  • Lee, Geun-Yong;Kim, Su-Hwan;Jo, Jae-Hyun;Yoon, Se-Jin;Lee, Sang-Sik
    • The Journal of Korea Institute of Information, Electronics, and Communication Technology
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    • v.12 no.4
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    • pp.413-418
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    • 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.

A Neural Network Approach to Recognition of Human Behaviors (인간행동 인식의 신경망적 접근)

  • 류중원;조성배
    • Proceedings of the Korea Multimedia Society Conference
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    • 2000.11a
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    • pp.455-458
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    • 2000
  • 인공 신경망은 체계적인 알고리즘으로 풀기 어려운 문제들을 해결하는데 사용되어오고 있다. 이는 인간의 뇌세포가 외부자극에 대해 반응하는 과정을 컴퓨터 시스템 상에서 구현한 것으로 새 인간과 컴퓨터의 상호작용을 연구하는데 흥미로운 접근방식이다. 본 논문에서는 신경망의 접근방법을 이용하여 인간행위 인식시스템을 구현하였다. 신경망을 이용해 구현된 컴퓨터 인식 시스템이 인간의 두 가지 정서 하에서 일어난 세가지 서로 다른 행동을 보고 행위자의 성별이나 강정상태를 얼마나 인식해낼 수 있는지 실험해 보았다. 특히, 성별 인식 실험에서는 신호탐지 이론에서 사용하는 인장도(discriminability)를 이용해 사람에 대한 이 시스템의 효율도를 계산하였다

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A Neural Network Model for Perceiving the induced stimuli from Illusions defined by Offset Gratings (오프셋 격자 윤곽에서 특징 자극 추출 모델)

  • Jeong, Eun-Hwa;Hong, Keong-Ho
    • Proceedings of the Korea Information Processing Society Conference
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    • 2002.11a
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    • pp.683-686
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    • 2002
  • 본 연구는 불연속선에 의해 생성된 시각적 착시에서 착시 윤곽의 특징들을 구하는 인식 모델을 제안한다. 착시 윤곽은 일상생환에서 흔히 접하는 현상으로서 외부 세계에 존재하는 동일한 강도의 물리적 에너지를 주변 자극의 영향 때문에 실제와 다르게 해석하는 현상이다. 착시 그림들로부터 착시 윤곽을 이루는 특징 자극을 추출하는 신경회로망 모델을 제안한다. 제안된 인식 모델은 윤곽 추출, 시파 특징 추출, 시파 특징 복원, 유도 자극 추출, 이미지 복원 및 이미지 연산 단계로 구성된다. 제안된 모델은 불연속적인 선에 의해 나타나는 오프셋 격자 윤곽에서 특징 자극들을 추출한다.

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피열근에서 상후두신경에 의한 운동신경 지배

  • 김영모;조정일;한창준
    • Proceedings of the KOR-BRONCHOESO Conference
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    • 1997.04a
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    • pp.118-118
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    • 1997
  • 갑상피열근이나 피열근에 대하여 상후두신경과 반회후두신경의 이중지배(dual supply)는 오랜동안 논란이 되어왔다. 특히 피열근에 분포하는 신경은 반회후두신경의 피열분지에 의해 지배되며 또한 상후두 신경의 내지의 일부인 ramus preforantes에 의해서도 이중지배를 받는다고 알려져왔다. 그러나 한편 이러한 피열근의 운동신경지배 중 상후두신경의 역할에 대해서 적지않은 보고가 후두의 신경해부학적인 고찰 및 전기적 자극을 통한 연구에서 단지 피열근 근처에서 twig을 형성할 뿐, 직접적인 운동지배 현상은 보이지않음을 입증하여 피열근은 오직 반회후두신경에 의해서만 실질적으로 운동지배된다고 주장하였다. 저자는 양측 반회후두신경을 절단한 개 모델에서 피열근에 대하여 HRP 역행성 착색법 후 뇌간에서 살펴본 결과 후두의 운동신경원인의 핵에서 양성으로 표현되는 것을 관찰하였다. 또한 상후두신경의 내지에 대하여 운동신경섬유의 표식자로 여겨질 수 있는 Cholineacetyl transferase(CHAT) 면역염색을 시행한 결과 피열근의 운동신경에 상후두신경이 괸여함을 알 수 있었다.

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Effects of Octreotide on the Contractility of Isolated Rat Vas Deferens (흰쥐 정관의 수축성에 미치는 Octreotide의 영향)

  • Jang, Sun-Ae;Kwon, Oh-Cheol;Ha, Jeoung-Hee;Lee, Kwang-Youn;Kim, Won-Joon
    • Journal of Yeungnam Medical Science
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    • v.10 no.1
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    • pp.144-156
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    • 1993
  • This study was performed to investigate the effect of octreotide on the contractility of rat vas deferens. The smooth muscle strips isolated from the prostatic portion were myographied in isolated organ bath, Electric field stimulation (monophasic square wave, duration: 1 mSec, voltage : 50 V, frequency : 5 Hz or 30 Hz, train: 10 Sec) produced reproducible contraction. The contraction was composed of two component, first phasic component (FPC) and second tonic component (STC). These contractions were abolished by tetrodotoxin ($1{\mu}M$). Octreotide inhibited the field stimulation induced contractions both FPC and STC concentration-dependently. The FPC was decreased by a desentization of purinergic receptor by pretreatment of mATP, and the STC was decreased by pretreatment of reserpine(3 mg/kg, IP) 24 hours before experiments. Octreotide reduced the field stimulation induced contraction in the presence of mATP and of reserpinized muscle strips. The inhibitory effect of octreotide was more potent at 5 Hz than at 30 Hz. Octreotide did not affect basal ton and exogenous norepinephrine- or ATP-induced contraction. These results suggest that octreotide inhibit the contractility of the isolated rat vas deferens by inhibition of the release of neurotransmitters, both ATP and norepinephrine from adrenergic nerve terminal.

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