• 제목/요약/키워드: 신경자극

검색결과 751건 처리시간 0.021초

적외석 체열촬영에 관한 고찰 (Study on Infrared Thermography)

  • 김호봉
    • 대한정형도수물리치료학회지
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    • 제1권1호
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    • pp.9-14
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    • 1995
  • 인체에서 발생하는 체열을 과학적으로 이용하여 질병을 진단하고 치료과정을 관찰하고 예후를 추측할 수 있는 Thermography는 현대의학의 임상 여러분야에서 응용할 수 있는 유용한 진단장비에 속한다 하겠다. 인체의 피부온도는 좌우 대칭적으로 온도분포를 나타내며 여러가지 생리학적인 원인에 의하여 온도는 변화할 수 있으며, 그러한 온도변화는 여러 질병과의 연관성을 갖게 된다. Thermography는 유방암세포의 증식에 따른 유방체표면의 초기온도 상승을 screening 함으로서 조기에 유방암을 발견할 수 있으며, 척추의 신경근 자극에 따른 체열분포를 파악함으로서 신경근의 이상유무 및 척추질환을 진단할 수 있으며, 말초 혈액순환 장애 등으로 인한 질환에 있어서도 뚜렷한 체표면 온도분포를 나타내 줌으로서 혈액순환의 장애분포를 시각적으로 관찰할 수 있는 이점을 지니고 있다. 또한 정형 물리치료 분야에 속하는 근-골격계 질환에 있어서의 근육통, 압통점, 염좌, 염증질환 등을 구별할 수 있고 나아가 치료 전후에 적외선 체열검사를 실시해 봄으로서 치료전이나 치료결과에 대한 객관적인 평가를 할 수 있다는데 큰 의의가 있다고 하겠다.

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만성통증 치료에서 Deep Dry Needling의 모델들과 중재적 근육 및 신경자극 요법 (The Deep Dry Needling Techniques, and Interventional Muscle & Nerve Stimulation (IMS) for the Treatment of Chronic Pain)

  • 이영진;안강;이상철
    • The Korean Journal of Pain
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    • 제19권1호
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    • pp.1-7
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    • 2006
  • Chronic pain can cause disability, mild to severe suffering and high medical costs. Some unfortunate patient do not improve despite administering conservative treatment and then the various interventional therapies, including oriental medical treatment and/or surgery, and they find themselves in search of a more effective pain relief. Deep dry needling is one of the newer treatment modalities for these patients. The last 10 years have seen a lot of progress in understanding the neural pathways and the type and extent of tissue involvement during chronic pain. This in turn has stimulated the development of new treatment techniques, and deep dry needling is one of them. So, the authors of this paper discuss the individual theories, the characteristics and future directions of several deep dry needling techniques, and we examine the new dry needling technique that has been recently developed in Korea.

정상인에서 고빈도의 무통증성 경피적 신경자극이 RIII Nociceptive Flexion Reflex와 Temporal Summation에 미치는 영향 (The Effects of High-frequency, Non-noxious TENS on RIII Nociceptive Flexion Reflex and Temporal Summation in Human Subjects)

  • 김용익;이장원;김정순;정진헌;박욱
    • The Korean Journal of Pain
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    • 제14권1호
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    • pp.19-25
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    • 2001
  • Background: Transcutaneous electrical nerve stimulation (TENS) has been used widely, but its effects are controversial. This is probably due to the varying intensity and type of pain. We designed a study to assess the effects of the TENS on the RIII nociceptive flexion reflex as the resting pain level and the temporal summation as a repeated, movement related pain in 7 normal volunteer subjects. Methods: High frequency (80 Hz), non-noxious TENS was applied over the left popliteal fossa for 20 minutes. Ipsilateral RIII reflexes induced by single electrical stimulus and temporal summation of pain responses to repeated stimuli (five stimuli at 2 Hz) were recorded before, during (just before stopping), and subsequently at 20 minutes after TENS. Results: R (III) nociceptive flexion reflex activity during and after TENS was more significantly decreased than before treatment. However, the temporal summation threshold was not changed. Conclusions: We conclude that high frequency, non-noxious TENS could be effective on resting pain relief in the same segment but not on the movement related pain.

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가상 표면 인식을 위한 신경회로망 모델 (A Neural network Model for the Perception of Illusory Surfaces)

  • 정은화;홍경호;김욱현
    • 한국정보처리학회논문지
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    • 제5권1호
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    • pp.236-248
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    • 1998
  • 인간의 시각계는 가상 윤곽(Illusory Contours)을 인식한다. 가상 윤곽이란 물리적으로는 윤곽이 없는 곳에서 주변의 패턴의 영향에 의해 윤곽이 있는 것처럼 느끼는 현상으로서, 이와 같은 현상은 물체 인식에 있어서 일부가 숨어 있는 물체를 그 주위의 정보를 이용해서 보충하면서 인식해 가는 능력과 관계가 있다. 본 논문은 가상 윤곽을 인식하기 위한 것으로, 가상 윤곽에서 추출된 유도 자극으로부터 가상표면을 생성하는 신경회로망 모델을 제안하고 실험을 통해 성능을 확인한다.

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경피신경 전기자극법이 교감신경 긴장성에 미치는 영향 (The Effect of Transcutaneous Electrical Nerve Stimulation on Sympathetic Tone)

  • 안수경;유환석;이지현;김영록
    • 한국전문물리치료학회지
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    • 제3권2호
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    • pp.77-83
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    • 1996
  • The purpose of this study was to determine the effect of transcutaneous electrical nerve stimulation(TENS) on sympathetic tone in healthy subjects. Stimulation in the conventional and burst modes was applied to the skin of the forearm overlying the median nerve. TENS was applied for 20 minutes at an intensity sufficient to produce a perceptible though not uncomfortable sensation and no muscle contracion of the forearm musculature. The change in sympathetic tone was measured with skin temperature. Skin temperature was measured at the index finger and on the volar surface of the forearm in the stimulated limb. The conventional and burst modes did not change the skin temperature at any of the two measurement sites. We conclude that TENS, as applied in this study, does not influence sympathetic tone. Further research is needed to assess the sympathetic effects of TENS on patient groups, long term treatment and other modalities.

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아래팔 내측분지신경의 자극하는 방법에 따른 신경전도검사의 비교 (The Medial Antebrachial Cutaneous Nerve : Orthodromic and Antidromic Conduction Studies)

  • 곽재혁;이동국
    • Annals of Clinical Neurophysiology
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    • 제7권2호
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    • pp.83-87
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    • 2005
  • Background: The study of the medial antebrachial cutaneous nerve (MABCN) is an underused electrodiagnostic tool. But its use is often crucial for assessing mild lower brachial plexus or MABCN lesions, and sometimes for differentiating an ulnar mononeuropathy from a lower brachial plexopathy. This study was designed to know the difference of amplitude and velocity in a stimulation method (orthodromic vs antidromic), side of an arm and sex according by age. Method: MABCN conduction studies were performed orthodromically and antidromically in 90 subjects (42 women and 48 men, ranging from 22 to 79 years of age). We divided subjects into three groups by age (group 1: 20-39 years, group 2: 40-59 years, group 3: 60-79 years). The mean sensory nerve action potential amplitudes and sensory nerve conduction velocities in each group was compared by stimulation method, side of an arm and sex. Result: The amplitudes and velocities made a significant difference between orthodromic and antidromic method in all age groups. At comparison in amplitude and velocity by side of an arm, only amplitude was significantly higher in right arm than left by any stimulation method. The amplitudes and velocities were of no statistically differences in sex except amplitude checked orthodromically in right arm. Conclusion: This study suggests that there is the differences in conduction study of MABCN by stimulation method and side of an arm.

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가묘악하선(家猫顎下腺)에 있어서 고색신경(鼓索神經) 및 경부교감신경자극(頸部交感神經刺戟)이 타액분필(唾液分泌) 및 배설관내압(排泄管內壓)에 미치는 영향(影響) (Effects of Stimulation of the Chords Tympani and Cervical Sympathetics on the Submaxillary Secretion and Intraluminal Pressure of the Submaxillary Duct in Cats)

  • 이종은
    • The Korean Journal of Physiology
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    • 제11권2호
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    • pp.51-56
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    • 1977
  • In Nembutal anesthetized cats, the sobmaxillary duct was cannulated with polyethylene tube, and effects of stimulation of the chorda tympani and cervical sympathetics on, the submaxillary secretion and intraluminal pressure of the submaxillary duct were observed. The stimulation of tile chorda tympani elicited a profuse salivary secretion. The stimulation of the cervical sympathetics evoked only a scanty flow, and on repeated stimulation of the nerve salivary flow response gradually diminished and finally the flow ceased. In this state the salivary flow by the sympathetic stimulation was resumed after the stimulation of the chorda tympani. Atropine abolished these responses to nerve stimulation. Intraluminal pressure of the submaxillary duct was abruptly increased and remained on a plateau during the stimulation of the chorda tympani, whereas sympathetic stimulation elicited moderate increase of the intraluminal pressure which did not remain in spite of continued stimulation. These results suggest that scanty salivary flow induced by cervical sympathetic stimulation is not real secretion but simple elimination of the saliva already present in the duct due to contraction of the contractile elements known to exist in the duct wall.

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치과임상에서 편두통 치료에 대한 제안 (A proposal for management of migraine in dental clinic)

  • 박연정;이혜진;김성택
    • 구강회복응용과학지
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    • 제35권4호
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    • pp.199-205
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    • 2019
  • 흔한 중증 원발 두통 질환 중 하나인 편두통의 치료법에는 두통 일기 작성, 생활습관 개선, 운동 및 이완요법, 인지행동요법, 신경자극 등을 비롯한 비약물치료와 약물치료 등 다양한 전략이 있다. 본 종설은 이 중 약물 치료를 두통의 강도와 빈도에 기반하여 급성기치료와 예방치료로 나누어 고찰하고, 약물 치료의 효과를 극대화 시키기 위한 방법 및 편두통 치료의 최신 지견을 소개하고자 한다.

뚜렛 증후군에서의 경두개 자기자극술 (Transcranial Magnetic Stimulation in Gilles de la Tourette Syndrome)

  • 이문수
    • 정신신체의학
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    • 제18권1호
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    • pp.3-10
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    • 2010
  • 뚜렛 증후군은 주로 아동기에 발생하는 만성적인 운동 및 음성 틱을 주소로 하는 질환이다. 기저핵-시상-피질 회로에서의 이상이 비자발성 틱의 병태생리에 중요한 역할을 하는 것으로 생각된다. 뚜렛 증후군은 흔히 주의력 결핍 과잉행동장애나 강박장애와 병존한다. 경두개 자기자극술은 연구용으로 많이 사용되는 신경생리학적 기법이다. 이 기법이 피질의 활성을 변화시킬 수 있다는 증거들이 많아서, 반복적 경두개 자기자극술은 피질의 활성도를 바꾸어서 결과적으로 내재한 서로 연결된 피질-피질하 회로에 영향을 주기 위하여 치료적 목적으로도 사용된다. 우리는 본 논문에서 경두개자극술의 여러 신경생리학적 변인들과 임상적 응용에 관하여 기존의 연구보고들을 고찰하여 보고자 한다.

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뇌졸중 유발 백서모델에서 환경강화와 말초신경전기자극이 중추신경계의 신경성장인자에 미치는 영향 (The Effects of Nerve Growth Factor Expression of Central Nerve System by Environmental Enrichment and Peripheral Nerve Electrical Stimulation in Brain Ischemia Model Rats)

  • 김사열;김은정;김계엽
    • The Journal of Korean Physical Therapy
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    • 제19권4호
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    • pp.33-41
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    • 2007
  • Purpose: To investigate environmental enrichment and nerve stimulation follows in application times with the change of BDNF & Trk-B receptor in the motor cortex and spinal cord. Methods: Experimental groups were divided into the five groups. Group I: normal control group, Group II: experiment control group, Group III: sciatic never electrical stimulation after MCAO, Group IV: application of only environmental enrichment after MCAO, Group V: never electrical stimulation with environmental enrichment after MCAO. Histologic observation and coronal sections were processed individually in goat polyclonal antibody phosphorylated BDNF and rabbit polyclonal antibody Trk-B receptor. Results: In immunohistochemistric response of BDNF and Trk-B, group II were showed that lower response effect at postischemic 1 days, 3 days, and 7 days. Group V were showed that increase response effect at postischemic 3 days, 7 days and 14 days. Specially showed that the most response effect at postischemic 14 days. In neurobehavioral assessment, group V were significantly difference from other groups on between-subject effects. Conclusion: The above results suggest that combined environmental enrichment with peripheral nerve electrical stimulation in focal ischemic brain injury were more improved that the change of BDNF & Trk-B receptor expression than non treatment.

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