• Title/Summary/Keyword: 턱 관절 기능

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Effect of Cervical Stabilization Exercise on Temporomandibular Joint Function and Pain Threshold for Life Care of Patients with Temporomandibular Joint Disorder (목 안정화 운동이 턱 관절 장애 환자의 라이프 케어를 위한 턱 관절 기능 및 압통역치에 미치는 효과 연구)

  • Lee, Eun-Sang
    • Journal of Korea Entertainment Industry Association
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    • v.13 no.7
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    • pp.461-468
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    • 2019
  • The purpose of this study was to investigate effect of upper cervical stabilization exercise on Temporomandibular Disorder(TMD) and pressure pain threshold. 36 subjects were divided into two groups: upper cervical stabilization exercise group(UCSEG) and control on three times a week for a total of four weeks. The upper cervical stabilization group showed more significant effect than the control group (p <.01, 95% CI: 8.074, 16.899). (p <.01, 95% CI: .826, 3.243). In the change of pressure pain threshold, the upper cervical stabilization group showed significant improvement in both the masticatory muscle(p <.01, 95% CI: .251, 1.382) and masticatory muscle(p <.01, 95% CI: .462, 1.826).The results of this study showed that the upper cervical stabilization exercise was effective that TMD. It will be able to provide more effective interventions for patients suffering from TMD, and to suggest new approaches for TMD patients.

The Function and Quantitative Somatosensory Correlation Analysis of Temporomendibular Joint according to Forward Head Posture (전방머리자세에 변화에 따른 턱관절 기능 및 정량적 체성감각의 상관분석)

  • Lee, Eun Sang
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.12
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    • pp.645-651
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    • 2019
  • This study examined the correlation between the forward head posture (FHP), temporomandibular joint disorder (TMD), and temporomandibular joint quantitative somatosensory sensation. This study examined the correlation between the temporomandibular joint function and somatosensory sensation according to the change in FHP after the intervention on the head posture in 62 subjects (22.15 ± 2.56 years) Biofeedback training was administered to the FHP, which was performed 12 times for a total of four weeks. To assess the FHP, the craneovertebral angle (CVA) was examined. The temporomandibular joint (TMJ) function was measured by the Therapeutic Range of Motion Scale and the left and right lateral deviation, and the sensation of vibration threshold was measured to confirm the change in somatic sensation. Multiple regression analysis was performed to confirm the influence of each variable and Pearson's correlation analysis was performed to assess the correlation. Changes in the temporal joint function (p<.001) and somatic sensation (p<.001) were correlated significantly with the changes in CVA. These results show that there is a significant correlation between the frontal head position, TMJ function, and somatosensory sensation. These results provide a new paradigm for the treatment of jaw joints for patients suffering from TMD and provide a basis for the future treatment of the temporomandibular joint.

A Facial Nerve Palsy Cases Managed by Yinyang Balancing Appliance (YBA) of FCST, a TMJ Therapy for the Balance of Meridian and Neurological System (턱관절자세음양교정술(FCST)의 음양균형장치를 활용한 구안와사 증례보고)

  • Kim, Yun Sang
    • Journal of TMJ Balancing Medicine
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    • v.6 no.1
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    • pp.5-10
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    • 2016
  • Therapeutic effect of temporomandibular joint postural training by functional cerebrospinal therapy (FCST) for the balance of the meridian and neurologic system was observed in a facial palsy case. An idiopathic facial palsy case of House-Brackmann grade V was managed with FCST, combined with acupuncture and postural training of the cervical and pelvic structures. Clinical outcome measurement was performed by House-Brackmann grade and Yanagihara's scale. The patient showed positive changes in the degree of palsy and subjective symptoms within one month. Further research on the effect of FCST is expected.

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Temporo-Mandibular Disorder Syndrome Evaluation by Masseter EMG (교근 근전도 비교를 통한 턱관절 기능장애 평가)

  • Eo, Seungjoon;Jeon, Jinwoo;Yeom, Hojun;Han, Whiejong
    • The Journal of the Convergence on Culture Technology
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    • v.4 no.4
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    • pp.349-354
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    • 2018
  • Human beings have made remarkable advances in medical technology as well as technological advances. However, as was the case in the past, incurable diseases still exist: temporo-mandibular joint (TMJ). The diagnosis of the Korean medical staff, currently called a "medical advance," is adhering to the outdated patient's comments, diagnosis using a doctor's auditory diagnosis and a ruler, and diagnosis of X-ray imaging. Therefore, it is important to have accurate patient symptoms, to have a doctor's own diagnosis and experience, to increase the number of diagnoses due to the severity of the symptoms, and to cover the costs of medical care. To solve this problem, the core conductive signal generated from the bridge was quantified through %MVC. Quantified EMG will be assessed and compared with Cortex to establish a jaw joint condition evaluation criterion.

A Case Report : TMJ Osteoarthritis in a Patient with Renal Osteodystrophy (턱관절의 골관절염을 동반한 신성골이영양증 환자 증례보고)

  • Lee, Gi-Ho
    • Journal of Oral Medicine and Pain
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    • v.38 no.3
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    • pp.247-253
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    • 2013
  • Renal osteodystrophy(RO) is characterized by skeletal changes in patients with renal disease and developed as a result of alterations in the metabolism of calcium, phosphate and secondary hyperparathyroidism. Bony changes in the craniofacial region include decreased bone density, radiolucent lesions(brown tumors), depletion of cortical bone and loss of lamina dura, but such changes rarely occur in the temporomandibular joint(TMJ). We report an uncommon case of bony changes and pain of both TMJs in a patient with RO. A 41-year-old man with RO came to our clinic due to TMJ pain and sounds. Occlusal change was also reported. Radiographs revealed degenerative changes of the both condyles. The patient had medical history of renal cancer therapy and hemodialysis. The patient was diagnosed with TMJ arthritis of RO and referred for systemic management through medication of calcium and vitamin D and parathyroidectomy. At 15-month follow-up, most of TMD symptoms disappeared and second radiographs revealed that bone density and cortical thickness of the mandible increased and the skeletal outline of the both condyles became relatively clear. As bony changes may begin in the early stage of the renal disease, dentists should be alert to detect the sign of the disease. In addition, it is important to differentiate TMJ arthritis of systemic cause because the treatment protocol is quite different.

Cervical Dystonia Cases Managed by Yinyang Balancing Appliance for FCST, Functional Cerebro Spinal Therapy of TMJ (FCST의 음양균형장치를 이용한 연축성 사경증 증례보고)

  • Choe, Geun-Wook;Lee, Young-Jun
    • Journal of TMJ Balancing Medicine
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    • v.2 no.1
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    • pp.20-25
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    • 2012
  • Objectives: Therapeutic effect of Yinyang Balancing Appliance of functional cerebrospinal therapy (FCST) for meridian and neurologic yinyang balance was observed in cervical dystonia cases. Methods: Two cervical dystonia cases were managed with the Yinyang Balancing Appliance on temporomandibular joint (TMJ), combined with acupuncture. Clinical outcome measurement was based on subjective measures and clinical observations. Results: The patients showed positive changes even after the initial treatment and this effect maintained over the follow-up period. Conclusions: Although it is not clear the effect is a sustaining or temporary in its nature, a positive effect was observed and further clinical and biological research on FCST is expected.

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A Case of Idiopathic Scoliosis Treated Mainly with Yinyang Balancing Appliance of FCST (FCST 음양균형장치를 위주로 한 특발성 척추측만증 치료 1예)

  • Cho, Yoon-Young;Shin, Ji-Hye;Nam, Hae-in;Sun, Seung-Ho;Lee, Young Jun
    • Journal of TMJ Balancing Medicine
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    • v.5 no.1
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    • pp.16-19
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    • 2015
  • The purpose of this study was to report the effect of Yinyang balancing appliance (YBA) of Functional Cerebrospinal Therapy (FCST) and Korean medicine methods treating idiopathic scoliosis. YBA was applied for 146 times from 29th March 2014 to 5th September 2015. Herbal medicine used for treatment were Yeonggamgangmisinhaintang, Eokgansangagambang, Gamihangchetang. The change of symptoms was evaluated by Visual Analogue Scale. When treated with YBA and herbal medicine, the patient showed improvement. After about 1 year, the patient was recovered completely. This case showed that YBA and herbal medicine can be effective to improve idiopathic scoliosis.

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Vibration Analysis of the Temporomandibular Joint Sounds (측두하악 관절잡음의 진동 분석)

  • Jeong, Da-Un;Jeong, Jae-Hyeon;Gang, Dong-Wan
    • The Journal of the Korean dental association
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    • v.46 no.4
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    • pp.232-242
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    • 2008
  • 관절잡음의 발생은 측두하악 관절의 구조적, 기능적 이상의 징후로 여겨져왔다. 이러한 관절잡음을 평가하는데 electrovibratography가 비침습적이고 신뢰할만한 방법으로 제시되어 왔으며 이를 통해 관절잡음의 진동수와 진폭 및 전체 에너지 양상을 숫자화하고 도식화 하는 것이 가능하게 되었다. 기존의 연구에서 여러 가지 관절잡음의 양적, 질적 분석이 시도되어 왔다. 이번 연구의 목적은 관절 잡음이 도식화되어 나타나는 frequency spectrum pattern을 integral>300Hz/<300Hz ratio와 함께 분석하는 것이다. 본 실험에서는 Joint Vibration AnalysisTM를 사용하여 측두하악 관절 장애의 증상이 없는 10명의 대조군과 관절 잡음과 동통이 있으나 개구제한을 보이지 않는 정복성 관절원판 변위의 범주에 있는 20명의 실험군에서 관절진동을 분석하였으며 관절진동 기록 시에 Jaw tracker를 함께 사용하여 개폐구시 관절잡음 발생의 위치를 감별하고 치아접촉음을 배제하여 관절잡음을 분석하였다. 그 후 실험군을 frequency spectrum pattern에 따라 4가지 하위 그룹으로 나누어 분석하였다. 실험 결과 실험군과 대조군의 하위 그룹 1에서 유사한 frequency spectrum pattern과 ratio범위를 보였으며 실험군의 하위 그룹 2,3,4 에서는 더 불규칙한 에너지 양상을 보이는 frequency spectrum pattern과 더 큰 ratio가 관찰 되었다. 이번 연구를 통해 Joint Vibration AnalysisTM가 악관절 진동의 특성을 감별하는데 유용함을 알 수 있었고 Joint Vibration AnalysisTM를 이용한 지속적인 진동 분석이 환자 교육뿐 아니라 성공적인 턱관절 기능이상의 진단과 치료에 유용할 것으로 사료된다.

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Introduction to the Functional Neurology, as a Yin-Yang Balance Based Approach (음양균형의학으로서의 기능신경학(FN) 개요)

  • Yin, Chang Shik
    • Journal of TMJ Balancing Medicine
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    • v.7 no.1
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    • pp.17-23
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    • 2017
  • Functional neurology is a function-oriented clinical neurology with a focus on the viability, functionality, and balance of the neurologic system, which may be considered as a form of yin-yang balance medicine like Korean medicine. While it incorporates knowledge systems such as developmental neurology, neuropsychology, comparative neuroanatomy, and others, it views the neurologic system and the body as an individually different, self-regulating mechanism with the help of the active balancing mechanism within the nervous system and between the individual and the environment, which view is at the core of its effort to improve and serve the human dignity based on the best possible functioning nervous system. This article reviews core concepts of the functional neurology, discusses yin-yang balance medicine perspectives and clinical applications of it.

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