• Title/Summary/Keyword: 신경자극

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An Application of Constraint-Induced Therapy in Patients With Chronic Hemiparesis After Brain Injury (뇌 손상 후 편부전마비 환자에서의 억제-유도 치료의 적용)

  • Park, Ji-Won;Kim, Jong-Man;Kim, Yun-Hee
    • Physical Therapy Korea
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    • v.8 no.4
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    • pp.91-99
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    • 2001
  • 뇌 손상 후 급성기에 기능의 자발적인 회복이 일어나지만 환자들은 환측의 상지를 잘 사용하지 못하게 된다. 그 결과 원하는 움직임을 억제하는 상황을 발생시키는데 이것을 학습 무사용 증후군(learned nonu se syndrome)이라 한다. 이러한 학습 무사용 증후군을 치료하기 위해 억제-유도 치료(constraint-induced therapy)가 고안되었다. 억제-유도 치료는 연속되는 몇 주간에 걸쳐 매일 많은 시간 동안 건측의 상지를 묶어두고 환측 상지를 사용하게 하여 기능을 반복 학습하게 함으로써 기능을 증진시키는 방법이다. 이미 여러 연구자들이 경두개 자기자극(transcranial magnetic stimulation), 움직임 관련 피질전위(movement-related cortical potential), 기능적 자기공명 영상기법(functional magnetic resonance imaging) 등을 통하여 억제-유도 치료 후 운동피질영역에서의 재조직화를 보고함으로써 기능 증진과 관련된 회복 기전을 뒷받침하고 있다. 억제-유도 치료의 영역은 확대되어 뇌졸중, 척수손상, 고관절 치환술 후로 하지에서의 기능증진을 위하여 연구가 진행되고 있으며 특히 뇌졸중 후 실어증 환자에서 새로운 방법으로 제시되고 있다. 따라서, 억제-유도 치료는 신경학적인 손상 후 움직임의 재활에 있어서 치료-유도를 통한 중추신경계의 회복에 효과적으로 작용할 수 있다.

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Effects of TENS & Auricular of Somatic on Experimental Pain Threshold (외이경혈자극과 경피신경전기자극이 체성감각에 미치는 영향)

  • Cheon, Jin-Sung;Kim, Kyung-Hee;Kim, Seo-Hee;Kim, Ji-Hye
    • Journal of the Korean Academy of Clinical Electrophysiology
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    • v.2 no.2
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    • pp.39-49
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    • 2004
  • The purpose of this study were to examine the effect of high intensity, low frequency transcutaneous electrical nerve stimulation at auricular acupuncture points on experimental pain threshold measured at the wrist and to determine the changes in effect over time. Forty-two healthy adult men and women were assigned randomly to one of three treatment groups. Group 1(n=15) received TENS to appropriate auricular points for wrist, Group 2(n=12) received TENS to wrist, and Group 3(n=15) received no TENS. We measured experimental pain threshold at the wrist after an electrical stimulus during one pre-treatment and three post-treatment time periods. Group 1 and 2 showed stastically significant increase(p<0.05) in pain threshold after treatment whereas the Group 3 did not. Group 1 showed a significant increase in pain threshold than Group 2. These results suggest that high intensity, low frequency TENS applied to appropriate auricular acupuncture points can increase pain threshold.

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Comparison of Fundamental Frequency Control Between Thyroarytenoid Muscle and Cricothyroid Muscle: In Vivo Canine Model (생체 발성 모형에서 갑상피열근과 윤상갑상근의 기본주파수 조절 기능의 비교)

  • ;Gerald S. Berke
    • Proceedings of the KOR-BRONCHOESO Conference
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    • 1993.05a
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    • pp.70-70
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    • 1993
  • Fundamental frequency is controlled by contraction of both TA and CT muscle. While activity of the CT is known well, little is known regarding the effect of the TA muscle on vocal fold vibration. To study this, a previously developed in vivo canine laryngeal model was modified. Isolated TA muscle activation was obtained by stimulating sectioned terminal TA branches through small thyroid cartilage windows. The results indicated that TA muscle activation is a major determinant in vocal register shift from falsetto to modal phonation. F0 increased with increasing TA activation in modal register, On the other hand, the F0 decreased with TA activation when the evoked voice belonged to falsetto register. Subglottic pressure increased gradually and OQ decreased gradually with TA activation.

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Vital tooth with periapical lesion: spontaneous healing after conservative treatment (생활치에서 나타나는 치근단 병소: 보존적 치료 후 자연치유)

  • Kim, Hyun-Joo;Lee, Seung-Jong;Jung, Il-Young;Park, Sung-Ho
    • Restorative Dentistry and Endodontics
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    • v.37 no.2
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    • pp.123-126
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    • 2012
  • It is often presumed that apical periodontitis follows total pulp necrosis, and consequently root canal treatment is commonly performed. Periapical lesion development is usually caused by bacteria and its byproduct which irritate pulp, develop pulpitis, and result in necrosis through an irreversible process. Afterwards, apical periodontitis occurs. This phenomenon is observed as an apical radiolucency in radiographic view. However, this unusual case presents a spontaneous healing of periapical lesion, which has developed without pulp necrosis in a vital tooth, through conservative treatment.

The relationship between PC educational puzzle game and early childhood intelligence development (PC 교육용 퍼즐 게임과 유아 지능 발달의 관계)

  • Shi, Han;Lee, Dong-Lyeor
    • Journal of Digital Convergence
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    • v.19 no.6
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    • pp.281-284
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    • 2021
  • The importance of early childhood education has increased and early childhood education has become an important part of the education industry. Scientific and rational early childhood education can effectively promote the development of children's intelligence and is very important for the development of physical and mental health. As a rich and diverse game, educational games have been widely used not only to improve children's sense of cooperation and thinking, but also to help children develop awareness of competition and rules. Stability and personality formation stimulate young children's brain development and expect children's intellectual improvement.

Exploratory Study on Sympathetic Skin Response to Physical and Psychological Stimulation (신체적 자극과 심리적 자극에서 교감신경피부반응에 대한 탐색연구)

  • Gi-Ryun Kim;Dong-Keun Jung
    • Journal of Biomedical Engineering Research
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    • v.45 no.1
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    • pp.37-42
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    • 2024
  • In this study, we explored the possibility of using sympathetic skin response (SSR), a type of electrodermal activity (EDA), as a method of evaluating a subject's responsiveness to physical or psychological stimulation. To provide physical and psychological stimulation, walking on an acupressure plate and a roller coaster virtual reality experience wearing an HMD (head mounted display) were used. Walking on an acupressure plate significantly increased the SSR signal compared to walking on the bare floor. Additionally, it was observed that the SSR response significantly increased while the subject was wearing an HMD and experiencing a roller coaster compared to the resting state of sitting on a chair. The SSR response to physical or psychological stimulation increased in all subjects, but the degree of reactivity differed. These experimental results suggested that sympathetic skin response (SSR) is a useful tool as a biosignal that can be used to evaluate the human body's responsiveness to physical stimulation or psychological stimulation using virtual reality.

Waveform Sorting of Rabbit Retinal Ganglion Cell Activity Recorded with Multielectrode Array (다채널전극으로 기록한 토끼 망막신경절세포의 활동전위 파형 구분)

  • Jin Gye Hwan;Lee Tae Soo;Goo Yang Sook
    • Progress in Medical Physics
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    • v.16 no.3
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    • pp.148-154
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    • 2005
  • Since the output of retina for visual stimulus is carried by neurons of very diverse functional properties, it is not adequate to use conventional single electrode for recording the retinal action potential. For this purpose, we used newly developed multichannel recording system for monitoring the simultaneous electrical activities of many neurons in a functioning piece of retina. Retinal action potentials are recorded with an extra-cellular planar array of 60 microelectrodes. In studying the collective activity of the ganglion cell population it is essential to recognize basic functional distinctions between individual neurons. Therefore, it is necessary to detect and to classify the action potential of each ganglion cell out of mixed signal. We programmed M-files with MATLAB for this sorting process. This processing is mandatory for further analysis, e.g. poststimulus time histogram (PSTH), auto-correlogram, and cross-correlogram. We established MATLAB based protocol for waveform classification and verified that this approach was effective as an initial spike sorting method.

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Effects of Transcranial Direct-Current Stimulation Therapy on Primary Chronic Insomnia: A Proof-of Concept Clinical Trial (일차성 만성불면증 환자에서 경두개 직류전기자극법 치료 효과: 개념 증명 연구)

  • Jun, Jin-Sun;Kim, Tae-Joon;Koo, Sun A;Park, Ji-Sook;Kim, Keun Tae;Yang, Tae-Won;Lim, Jung-Ah;Byun, Jung-Ick;Sunwoo, Jun-Sang;Jung, Ki-Young
    • Journal of Sleep Medicine
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    • v.15 no.2
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    • pp.37-42
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    • 2018
  • Objectives: To assess the effect and safety of transcranial direct-current stimulation (tDCS) in primary chronic insomnia. Methods: A one-month, double-blind, randomized, sham-controlled trial was performed. A total of 7 patients with primary chronic insomnia received tDCS using anodal (n=3), cathodal (n=2), or sham stimulation (n=2). They were followed up at 1 week and 1 month after treatment. The primary outcome measures included improvement in total sleep time (TST), sleep latency (SL), and sleep efficiency (SE) at 1 month follow-up. Results: TST and SE were improved with tDCS at 1 month follow-up in all patients (100%) of the anodal group, one (50%) of the cathodal group, and one (50%) of the sham group. tDCS improved SL at 1 month follow-up in two patients (67%) of the anodal group, one (50%) of the cathodal group, and none (0%) of the sham group. With respect to adverse events, transient itching sensation occurred in one patient of the anodal group. None of the other groups reported adverse events. Conclusions: Our results suggest that tDCS may be effective and safe for treatment of primary chronic insomnia. A larger controlled study needs to be further investigated.

Piperis Nigri Fructus Extract Ameliorates Psychological Stress in Mice (생쥐의 심리적 스트레스에 대한 호초(胡椒)의 효과)

  • Lee, So Young;Choi, Jae Hong;Jeong, Hyang Sook;Kim, Young Gyun;Cho, Su In
    • Journal of Haehwa Medicine
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    • v.21 no.2
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    • pp.95-104
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    • 2013
  • 스트레스로 인한 인체의 반응은 중추신경계, 시상하부, 변연계 및 기타 표적기관으로부터 시작되는데, 자율신경계 반응, 내분비계 반응, 면역계 반응 등을 통하여 복합적인 신체 증상으로 발현되며, 스트레스 상황에서는 시상하부-뇌하수체-부신 축 (HPA axis)과 교감신경계의 작용으로 여러 신경전달물질 방출에 변화가 생기며 이러한 변화는 면역기전에 중요한 역할을 하고 일부는 면역세포의 활성에 직접적으로 영향을 미쳐 신체 각종 질병의 원인이 될 것으로 추정된다. 한의학에서는 천인상응(天人相應)의 관점에서 육기(六氣)를 생체자극의 외적 요인으로 간주하고, 생체내적 현상인 정신이 외적 자극을 통하여 나타나는 생체반응을 칠정(七情)으로 보았으며, 이러한 관점에서 스트레스는 신체에 오장(五臟)의 허실(虛實), 혈허(血虛), 정손(精損), 기역(氣逆), 기(氣)의 순환장애, 담연(痰涎), 화(火) 등의 병적인 요인을 만들어 준다. 본 연구에서 재료로 사용된 호초 (Piper nigrum Linne)는 후추나무의 과실을 말린 것으로서 세계적으로 널리 사용되는 향신료이며, 한의학에서는 온중제한하기(溫中除寒下氣), 쾌격소담(快膈消痰), 해독(解毒)등의 효능으로 한담식적(寒痰食積) 완복냉통(脘腹冷通) 곽란(癨亂) 토사(吐瀉)등의 치료에 활용되어 왔다. 특히 쾌격소담(快膈消痰)하는 작용은 정신적 스트레스에 유효할 것으로 생각되므로 본 연구에 이용하게 되었다. 실험동물은 ICR계 생쥐를 이용하였으며, 심리적 스트레스는 옆쪽 cage에서 다른 마우스의 신체에 가해지는 전기 충격을 하루 1시간 동안 지켜보게 하는 것으로 유발하였으며, 이 상태에서 약물을 투여한 그룹을 실험군, 그렇지 않은 그룹을 대조군으로 하였다. 정상군은 아무런 자극 없이 하루 1시간 동안 일정 공간에 가두어 두는 것으로 하였다. 실험 결과, 호초(胡椒) 추출물을 100mg/kg/day 용량으로 5일간 투여한 실험군은 아무런 처치를 하지 않은 대조군에 비해 혈장 중 corticosterone 함량이 유의하게 감소되었고, 뇌에서의 noradrenalin 분비량이 유의하게 증가되었으며, plus maze test에서의 머무름 시간이 연장되는 것으로 나타나 호초(胡椒)가 심리적 스트레스를 효과적으로 억제하고 진정작용이 있는 것으로 사료되나 구체적인 작용기전 및 인체에서의 효과에 대해서는 향후의 보다 자세한 연구가 필요할 것으로 생각된다.

A Study on Verification of Acupuncture Therapy Effect by Bio-potential Analysis (생체전위 분석에 의한 침구치료 효과 규명에 관한 연구)

  • 이용흠;박창규
    • Journal of the Korea Institute of Information and Communication Engineering
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    • v.8 no.3
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    • pp.670-678
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    • 2004
  • In oriental medicine, meridian is pathway of bio-energy, and basic an object of diagnosis/therapy. But, in western medicine, meridian has been accepted as action pathway of nerve-endocrine-immune system. Acupuncture effect has been regarded as not effect by transmission of bio-energy but action or response by stimulation. In this paper, when an acupuncturist's bio-energy is passed on(non-insulation) and when is not(insulation), we analysed electric potential on meridian/non-meridian to verify effect of acupuncture therapy. In the results, when bio-energy isn't passed on, bio-potential is reacted to only the first of 4 times acupuncture operating. But when bio-energy is passed on, it is reacted to 4 times, and potential on meridian is higher than that of on non-meridian. Electric potential for same acupuncture operating is different on non/meridians, which implies that physiological construction and bio-energy transmission material is different respectively. When is extracting acupuncture method, potential is higher than that of injection one. It implies that extracting method is more effect than injecting one, in aspect of acupuncture therapy effect. Therefore, acupuncture therapy effect is verified as effect of response by acupuncturist's bio-energy transmission rather than that by only acupuncture stimulus.