• Title/Summary/Keyword: 특발성

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Characteristics of Speech Breathing in de novo Idiopathic Parkinson's Disease during Passage Reading Tasks (De novo 특발성 파킨슨병 환자의 문단 읽기 과제에서의 호흡 특성)

  • Kim, Byung-Me;Sohn, Young-Ho;Baek, Seung-Jae;Lee, Phil-Hyu;Nam, Chung-Mo;Lee, Ji-Eun;Choi, Yae-Lin
    • Phonetics and Speech Sciences
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    • v.3 no.1
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    • pp.103-110
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    • 2011
  • Idiopathic Parkinson's Disease patients' speech is hypokinetic dysarthria and their speech is possibly the consequence of impaired respiratory support. The purpose of this study was focused on the respiratory characteristics of speech breathing in de novo IPD who were not given prior vocal or anti-Parkinson treatment. A total of 40 subjects participated in the study: 20 de novo IPD patients between the ages of 50 and 80, and 20 normal subjects with similar age, height, and weight matches. Forced Expiratory Vital Capacity (FVC), Forced Expiratory Volume in 1 sec (FEV1) and $FEV_1$ as a percentage of FVC (FEV1/FVC) was measured with a PC-based spirometer (Cosmed). In addition, Maximum Phonation Time (MPT), Mean Airflow Rate (MFR), Subglottal Pressure (Psub) and the number of syllables produced per breath were measured with a Phonatory Aerodynamic System (Kay PENTAX). All subjects were asked to read a standardized Korean paragraph and the following measurements were obtained from the task. Results indicated no statistically significant differences in respiratory function (FEV1/FVC%) and aerodynamic function between the two groups, but the number of syllables per breath was significantly lower in the IPD patient group than in the normal group and it could be predicted by FVC and MFR. Therefore, the study shows that the MFR from the lungs during speech in de novo IPD patients is used inefficiently.

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Respiratory Functions and Characteristics of Phonation in Patients with de novo Idiopathic Parkinson's Diseases (de novo 특발성 파킨슨병 환자의 호흡 및 발성 특성)

  • Cho, Sun-A;Sohn, Young-Ho;Baek, Seung-Jae;Lee, Phil-Hyu;Lee, Ji-Eun;Choi, Yae-Lin
    • Phonetics and Speech Sciences
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    • v.2 no.4
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    • pp.75-82
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    • 2010
  • Many previous studies based on respiratory characteristics of Idiopathic Parkinson's Diseases (IPD) patients have not controlled related factors appropriately. Accordingly, these studies produced discordant results. Furthermore, there is currently a lack of studies that can provide precise explanations on the characteristics of respiration and phonation. This study included a total of 40 subjects: 20 mixed gender de novo IPD patients ranging in age from 50 to 80 (Hoehn & Yahr stage 1~3), and 20 normal subjects with similar matches for age and gender. All participants were controlled based on their gender, age, height, weight, vocal fold function, cognitive abilities, and depression factors. K-MMSE (Korean-Mini Mental State Examination), nVHI-10 (new Voice Handicap Index), and KGDS (Korean Form of Geriatric Depression Scale) were evaluated to select this study subjects. In order to compare respiratory functions between the two groups, FVC, FEV1, and FEV1/FVC were measured using microQuark, a PC-based spirometer. CSL was used by measure MPT and PAS was used to measure MFR. To investigate the characteristics of phonation ability, CSL was used to measure jitter and shimmer, while PAS was used to measure Psub. In order to compare the respiratory function averages and phonation ability between the two groups, statistical analysis was conducted using SPSS (version 12.0). The results of this study showed that most de novo IPD patients were included in the normal average range of respiratory and phonatory ability. But the respiratory and phonatory ability of de novo IPD patients showed lower tendency as compared with the normal group. When the average of respiratory and phonatory ability among the gender was compared, the difference of males was greater than the difference of females.

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Analysis of Angular Velocity during Toe Tapping for the Quantification of the Lower Limb Bradykinesia in Patients with Idiopathic Parkinson's Disease (특발성 파킨슨병 환자의 하지 완서증 정량화를 위한 발 두드리기 동작의 각속도 분석)

  • Kim, Ji-Won;Kwon, Yu-Ri;Eom, Gwang-Moon;Kim, Hyung-Sik;Yi, Jeong-Han;Kwon, Do-Young;Koh, Seong-Beom;Park, Byung Kyu;Kwon, Tae-Kyu
    • The Transactions of The Korean Institute of Electrical Engineers
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    • v.59 no.11
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    • pp.2114-2118
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    • 2010
  • The purpose of this study was to analyze bradykinesia of toe tapping movement in patients with Parkinson's disease (PD) as compared to those of normal subjects. 39 PD patients (age: $65.5{\pm}11.2$ yrs, H&Y stage:$2.3{\pm}0.5$), 14 eldelry subjects with comparable mean age ($65.0{\pm}3.9$ yrs) and 17 healthy young subjects ($24.1{\pm}2.1$ yrs) participated in this study. Angular velocity during repetitive toe tapping movement was measured in both feet using a gyro sensor system. Suggested quantitative measures of bradykinesia were root-mean-squared (RMS) angular velocity, RMS angle, peak power and total power which were derived from the angular velocity signal. ANOVA showed that all measures were significantly different among three groups (p<0.001). Subsequent post-hoc test revealed that all measures in PD patients were significantly smaller than in healthy elderly and healthy young subjects (p<0.02). All measures were significantly correlated with UPDRS scores(r=-0.689~-0.825). These results suggest that the developed system can be used as quantitative measures of the lower limb bradykinesia in PD patients.

Idiopathic Postganglionic Horner's Syndrome in Dogs : 3 cases (개의 특발성 절후성 Horner's syndrome 3례)

  • Kim, Se-Eun;Park, Shin-Ae;Jeong, Man-Bok;Yi, Na-Young;Kim, Won-Tae;Chae, Je-Min;Seo, Kang-Moon
    • Journal of Veterinary Clinics
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    • v.24 no.3
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    • pp.441-443
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    • 2007
  • Horner's syndrome is a group of clinical signs that results from interference with the sympathetic innervation of the globe and adnexa. Three dogs were presented with unilateral ptosis, miosis, enophthalmos and protrusion of the third eyelid. There were no other clinical signs on physical and neurological examination. On ophthalmic examination, the symptomatic eyes were diagnosed as Horner's syndrome. In order to localize the site of the lesion, pharmacological testing was performed through assessment of ocular response to the topical administration of 10% phenylephrine and clinical signs were resolved within 20 minutes. The pharmacological testing suggested that the deficit could be at the postganglionic neuron. Total resolution of clinical signs was observed within 6 months after their initial appearance without any treatment.

Effects of Korean Medicine on Patients with Idiopathic Parkinson’s Disease: A Retrospective Study (특발성 파킨슨병 환자에 대한 한의치료의 효과 : 후향적 연구)

  • Yang, Seung-bo;Kim, Yeon-jin;Lee, Hyung-min;Lee, Hyun-joong;Cho, Seung-yeon;Park, Jung-mi;Ko, Chang-nam;Park, Seong-uk
    • The Journal of Internal Korean Medicine
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    • v.37 no.4
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    • pp.653-660
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    • 2016
  • Objectives: The purpose of this study was to investigate the effects of Korean medicine on patients with idiopathic Parkinson’s disease.Methods: The charts of 47 patients diagnosed with idiopathic Parkinson’s disease in the Department of Internal Korean medicine, Stroke and Neurological Disorders Center, Kyung Hee University Hospital, Gangdong between August 2012 and July 2016 were reviewed. The Unified Parkinson’s disease rating scale (UPDRS) was administered before and after treatment with Korean medicine.Results: Thee average UPDRS Ⅱ+Ⅲ, UPDRS Ⅱ, and UPDRS Ⅲ of the 47 patients decreased significantly from 22.26±15.15, 10.19±7.53, and 12.06±8.35, respectively, pretreatment to 16.96±13.63, 7.47±6.44, and 9.49±7.73, respectively, post-treatment. The average postural instability and gait difficulty (PIGD), tremor, and bradykinesia also significantly improved post-treatment.Conclusions: These results provide evidence that Korean medicine can improve the activities of daily living and motor function of patients with idiopathic Parkinson’s disease. In particular, Korean medicine may be effective for the treatment of PIGD, tremor, and bradykinesia.

Extraarticular Pan-peri-meniscal Synovial Chondroma Suspected as a Ganglion Cyst - Case Report - (연골판 주위 결절종으로 의심되었던 관절 외 연골판 주위 활액막 연골종 - 1례 보고 -)

  • Chon, Je-Gyun;Sun, Doo-Hoon;Jeong, Hyeon-Seok;Kim, Young-Woo;Jung, Jae-Yong
    • Journal of the Korean Arthroscopy Society
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    • v.13 no.3
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    • pp.272-275
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    • 2009
  • Extraarticular synovial chondromatosis is a very rare disease which affects the hands, feet, and wrists most commonly. In cases of involvement around large joints, the tissues around knee are usually involved. It arises from tendon sheath, capsular tissue and bursae. It is an idiopathic process in which the synovial cells undergo the metaplasia into cartilage cells. Chondroid matrix of the cartilaginous nodules calcify and ossify to be the osteochondroma. On simple radiograms before calcification and/or ossification of the chondroid tissues the cartilaginous nodules look normal on radiograms. Therefore MRI is needed to establish the diagnosis. We report a case of extraarticular pan-peri-meniscal synovial chondroma around right knee, initially suspected as a ganglion cyst which clinically mimicked a large rounded lesion or a cystic lesion on MRI.

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Review on the Use of Oriental Herbal Medicine for Female Idiopathic Precocious Puberty (한약 치료를 이용한 여성 특발성 성조숙증의 임상연구에 대한 문헌고찰)

  • Yoon, Jun-Geol;Park, Nam-Chun;Park, Kyoung-Sun;Hwang, Deok-Sang;Lee, Jin-Moo;Lee, Chang-Hoon;Jang, Jun-Bok
    • The Journal of Korean Obstetrics and Gynecology
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    • v.30 no.3
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    • pp.20-28
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    • 2017
  • Objectives: This review aims to report the efficacy of Oriental herbal medicine for Female Idiopathic Precocious Puberty Methods: We searched clinical study about precocious puberty from Pubmed, OASIS, Korea Traditional Knowledge Portal and National Assembly Library up to July 2017. Results: Four case reports have been identified. Six cases in total were found. And in the four cases where estradiol (E2) levels were above the normal levels in pre-treatment, the figures dropped to the normal levels in post-treatment. In the three cases with breast development and breast pain in pre-treatment, symptoms improved after the treatment. And, the sustained growth of height was reported in the four cases with the treatment duration of 30 days or more. Conclusions: It has been identified that oriental medicine assisted improvements of hormone levels and breast pain and growth of height on patients with precocious puberty, yet more case reports and well-designed studies would be necessary to guide better oriental herbal medicine treatment of precocious puberty.

Analysis of Pattern Identification and Related Symptoms on Idiopathic Short Stature -Focusing on Traditional Chinese Medicine Literature- (특발성 저신장의 변증 유형 및 변증별 증상 분석 -중의학 논문을 중심으로-)

  • Lee, Boram;Kwon, Chan-Young;Jang, Soobin
    • The Journal of Pediatrics of Korean Medicine
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    • v.35 no.1
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    • pp.1-17
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    • 2021
  • Objectives We aimed to analyze traditional Chinese medicine (TCM) literatures in regards to the pattern identification and related symptoms of idiopathic short stature (ISS). Methods We searched relevant literatures published up to September 29, 2020 through three Chinese electronic databases. We performed frequency analysis of the selected studies by extracting information on pattern identification, clinical symptoms, and TCM treatments presenting pattern identification of ISS. Results Sixteen studies were included. Spleen deficiency, kidney deficiency, dual deficiency of spleen-kidney, and liver-kidney yin deficiency were frequently reported. Clinical symptoms of the spleen deficiency include sallow complexion, body constituent weakness, anorexia, lack of qi and no desire to speak, and loose stools. Herbal medicines (HMs) such as Sijunzi-tang were frequently reported. Clinical symptoms of the kidney deficiency include cold limb and fear of cold, soreness and weakness of waist and knees, and clear and long urine. HMs such as Bishendihuang-wan were frequently reported. Clinical symptoms of the dual deficiency of spleen-kidney include body constituent weakness, spirit lassitude and lack of strength, anorexia, soreness and weakness of waist and knees, and cold limb and fear of cold. HMs such as Sijunzi-tang plus Bishendihuang-wan were frequently reported. Clinical symptoms of the liver-kidney yin deficiency include tidal fever and night sweating, heat in the palms and soles, dizziness, and dry throat. HMs such as Liuweidihuang-wan were frequently reported. Conclusions This was the first study to analyze the frequency of pattern identification and related symptoms on ISS. In the future, a standardized Korean medicine pattern identification system should be established.

Effect of Coordinative Locomotor Training on Spine Appearance and Quality of Life in Patients with Idiopathic Scoliosis: Single Subject Study (협응이동훈련이 특발성 측만증 환자의 척추 외형과 삶의 질에 미치는 효과 : 단일사례연구)

  • Kim, Jin-Cheol;Oh, Eun-Ju
    • Journal of the Korean Society of Physical Medicine
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    • v.16 no.3
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    • pp.89-97
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    • 2021
  • PURPOSE: This study examined the effects of coordinative locomotor training on the spine appearance and quality of life of patients with idiopathic scoliosis. METHODS: This study included two patients with idiopathic scoliosis: one with a thoracic and lumbar type scoliosis and the other with thoracic type scoliosis. The study design was a single case study (A-B-A'), with a baseline-intervention/phase-post-intervention. The baseline (A) was designed and measured five times, intervention phase (B) ten times, and post-intervention (A') five times. The coordinative locomotor training program was divided into 10 minutes of warm-up exercise, 30 minutes of the main exercise, and 10 minutes of the finishing exercise, for 50 minutes each time. The primary outcome measurements were measured using the Cobb's angle, Adam's test, and Gait view pro 2.0 to determine the changes in the spine appearance. The secondary outcome measurements were compared before and after using the SRS-22 questionnaire to determine the quality of life of the scoliosis patients. A statistical test analyzed the mean and standard deviation, and the rate of change was presented by a visual analysis method using descriptive statistics and graphs. RESULTS: The findings showed that the spine appearance and quality of life of the two subjects were improved compared to the baseline measurements during the intervention phase, and the improved state was maintained during the post-intervention period. CONCLUSION: These findings indicate that coordinative locomotor training may help improve the spine appearance and quality of life of patients with idiopathic scoliosis.

A Review of Clinical Studies for Chinese Medicine Treatment of Idiopathic Edema Using the CNKI Database (특발성 부종의 중의치료에 대한 임상연구 동향 - CNKI검색을 중심으로)

  • Park, Mi-so;Kim, Soo-duk;Kong, Geon-sik;Choi, Yo-sup;Bae, Ji-eun;Baek, Hye-kyung;Kim, Young-jun;Shin, Dong-guk
    • The Journal of Internal Korean Medicine
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    • v.43 no.4
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    • pp.596-605
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    • 2022
  • Objectives: This study investigated the latest clinical studies on Korean medicine treatment of idiopathic edema in the Chinese National Knowledge Infrastructure Database (CNKI). Methods: We searched the last 9 years of clinical studies discussing Oriental medicine-based treatments for idiopathic edema in the CNKI database. The search focused on the authors, publication year, type of study, purposes of study, method and duration of treatment, evaluation criteria, and results of the selected articles. Results: The search identified 7 randomized controlled trials (RCTs) and 9 others. All studies used oral herbal medicine for treatment. The most commonly used herbs were Poria Sclerotium (茯苓), Atractylodis Rhizoma Alba (白朮), and Alismatis Rhizoma (澤瀉), which are the constituent herbs of Oryeong-san (五苓散). All 16 studies confirmed the efficacy of Oriental medicine treatments. Conclusion: More varied and scientifically designed clinical studies are required to develop treatments for idiopathic edema. The results of this study could be used as basic data for further studies on idiopathic edema.