• 대한후두음성언어의학회지
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• 제8권2호
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• pp.199-203
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• 1997

In the treatment of spasmodic dysphonia, local injection of botulinum toxin A has been reported to be successful. The treatment of adductor type spasmodic dysphonia with botulinum toxin type A injection using a flexible nasopharyngoscope was conducted in 29 patients and using a telearyngoscope in 31 patients. These patients were given toxins in the vocal fold(s), unilaterally or bilaterally, under flexible nasopharyngoscopic guidance with sclerosing needle or telelaryngoscopic guidance with 23 gauge scalp needle attached by laryngeal forceps. Before the above procedure, laryngeal anesthesia was done with 2% pontocain instillation. Among the 60 patients, 59 patients were given the toxin successfully. Telephone interview were made at 2weeks and then at 4 weeks post injection. Among 29 patients using a flexible nasopharyngoscope, 75.8% and among 31 patients using a telelaryngoscope, 90.0% reported that the patients' symptom was improved. The functional status of the patient's disorder was classified into four grades. The mean pre-injection grade fir the patients using flexible nasopharyngoscope and telelaryngoscope was 1.6 and 2.1 respectively. And it was lowered to 0.7 and 1.1 respectively after the injection. The result was similar(p<0.05). As a self assessment method, the patients were asked to rate their voice on a scale of 100. In this study, the mean pre-injection score was 44 and 40 respectively. And it was improved to 77.7 and 69.8 respectively after the injection. The result was similar(p<0.05). In conclusion, botulinum toxin injection using a flexible nasopharyngoscope is also an effective method for the treatment of adductor type spasmodic dysphonia as using a telelaryngoscope.

• 대한후두음성언어의학회지
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• 제8권2호
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• pp.204-209
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• 1997

In the treatment of spasmodic dysphonia, laryngeal injection of botulinum toxin has been reported to be successful. The treatment of adductor type spasmodic dysphonia with botulinum toxin type A injection using EMG was conducted in 24 patients and it's effect was compared with results from flexible nasopharyngoscopy guided injection(29 patients) and telelaryngoscopy guided injection(31 patients). Sixty two point five percent(62.5%) of patients using EMG and 75.8% of patients using flexible nasopharyngoscope and 90.0% of patients using telelaryngoscope reported that the patient's symptom was improved. The functional status of the patient's disorder was classified into low grades. The mean pre-injection grade for patients using EMG, flexible nasopharyngoscope and telelaryngoscope was 1.7, 1.6 and 2.1 respectively. And it was lowered to 1.0, 0.7 and 1.1 respectively after the injection. Results were similar(p＜0.05). As a self assessment method, patients were asked to rate their voice on a scale of 100. In this study, the mean pre-injection score was 66.3, 44.0 and 40.0 respectively. And it was improved to 74.8, 77.7 and 69.8 respectively after the injection. Among 23 patients who undergone above 3method, 17 patients(73.9%) told that EMG-guided botulinum injection was preferable method in its convenience and effectiveness. In conclusion, EMG guided botulinum toxin injection is an another effective method for the treatment of adductor type spasmodic dysphonia similar to telelaryngoscopy-guided injection and flexible nasopharyngoscopy guided injection.

• 한국전문물리치료학회지
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• 제24권1호
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• pp.71-78
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• 2017

Background: Muscle weakness and impaired trunk muscle control are common in stroke patients. The bridging exercise (BE) is generally used for trunk stabilization and improving the overall function of stroke patients. The effectiveness of the BE with hip adductor contraction (BEHA) in facilitating trunk muscle activation has been well studied in healthy adults. However, the impact of BEHA in sub-acute stroke patients has not yet been investigated. Objects: The purpose of this study was to determine the effects of BEHA on the electromyography (EMG) activities and the asymmetry of the rectus abdominis (RA), external oblique (EO) and internal oblique (IO) abdominal muscles. Methods: Twenty participants with sub-acute stroke (11 males and 9 females) were recruited. Each participant was asked to perform bridging exercises for five seconds under three different conditions: BE in a neutral position (BEN), BEHA with a large ball (BEHAL) and BEHA with a small ball (BEHAS). The EMG amplitudes of the bilateral RA, EO and IO and the asymmetry of the EMG activity between the sound and affected sides were compared among the conditions. The significance level was set at ${\alpha}=.05$. Results: The EMG activities of RA, EO and IO were significantly greater during BEHAL and BEHAS than during BEN (p<.05); the asymmetry of the RA, EO and IO decreased significantly during BEHAL and BEHAS compared to BEN (p<.05). However, no measured variables showed any significant differences between BEHAL and BEHAS (p>.05). Conclusion: This study compared the EMG activities of the RA, EO and IO on both sides and the asymmetry of the RA, EO and IO during BEN, BEHAL and BEHAS. Our findings suggest that BEHA was more effective for individuals with hemiplegic stroke at facilitating and normalizing abdominal muscle control than BEN.

• 한국수산과학회지
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• 제25권3호
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• pp.165-170
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• 1992

1. 우리나라의 강원도 죽변, 경북 영덕, 경남 일광면, 의창군, 충무, 삼천포와 일본의 암수현 대퇴만, 복정현 포저만, 신내천현 횡수하만의 호하대에 서식하는 진주담치를 채집하고, 패각의 내부형태에 관해 조사하였다. 2. 각고에 대한 전폐각근흔 길이의 비율을 조사한 결과 평균치가 가장 큰 것은 경북 영덕산으로 62.47이었으며, 가장 작은 것은 의창산으로 54.17이었다. 이 값은 유럽의 남방종(Mytilus galloprovincialis)의 값 66.06과 유사하며, 유럽 북방종(Mytilus edulis)의 값인 94.79와는 큰 차이가 있음을 알 수 있었다. 3. 각고에 대한 교판길이(hinge plate length)의 비율을 조사한 결과 평균치가 가장 큰 것은 죽변 산으로 61.31이었으며, 가장 작은 것은 일본 대퇴산으로 56.15였다. 이 값은 유럽 남방종(M. galloprovincialis)의 값 59.39와 유사하며, 유럽 북방종(M. edulis)의 값 84.80과는 큰 차이가 있음을 알 수 있었다. 4. 이상의 연구에서 우리나라와 일본 난류역연안에 서식하는 진주담치는 그 패각의 내부형태적 특징에서 지중해 연안, 즉 유럽 남방종인 Mytilus galloprovincialis와 동일한 사실이 판명되었다.

• The Korean Journal of Pain
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• 제35권2호
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• pp.191-201
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• 2022

Background: This study aimed to assess the efficacy of the adductor canal block (ACB) in comparison to intra-articular steroid-lidocaine injection (IASLI) to control chronic knee osteoarthritis (KOA) pain. Methods: A randomized, single-blinded trial in an outpatient rehabilitation clinic recruiting chronic KOA with pain ≥ 6 months over one year. Following randomization, subjects received either a single ACB or IASLI under ultrasound guidance. Numerical rating scale (NRS) scores for pain, and Knee Injury and Osteoarthritis Outcome Scores (KOOS) were recorded at baseline, 1 hour, 1 month, and 3 months postinjection. Results: Sixty-six knees were recruited; 2 were lost to follow-up. Age was normally distributed (P = 0.463), with more female subjects in both arms (P = 0.564). NRS scores improved significantly for both arms at 1 hour, with better pain scores for the IASLI arm (P = 0.416) at 1st month and ACB arm at 3rd month (P = 0.077) with larger effect size (Cohen's d = 1.085). Lower limb function improved significantly in the IASLI arm at 1 month; the ACB subjects showed greater functional improvement at 3 months (Cohen's d = 0.3, P = 0.346). Quality of life (QoL) improvement mirrored the functional scores whereby the IASLI group fared better at the 1st month (P = 0.071) but at the 3rd month the ACB group scored better (Cohen's d = 0.08, P = 0.710). Conclusions: ACB provides longer lasting analgesia which improves function and QoL in chronic KOA patients up to 3 months without any significant side effects.

• 대한물리의학회지
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• 제17권4호
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• pp.15-25
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• 2022

PURPOSE: This study examined the effect of bridge exercise-abdominal draw-in maneuver (ADIM) with hip adductor co-contraction on the TrA thickness and whether it is effective as a core stability exercise. METHODS: The subjects of this study, 33 men with no history in the past and who provided prior consent, were selected through interviews with male students of S University. The subjects performed five movements, including bridge exercise and ADIM, and performed two demonstrations and two exercises in advance. The abdominal muscles were measured using ultrasonography once in each movement, and the abdominal muscle tone was measured using a soft tissue tone measurement. RESULTS: There was a significant difference in the thickness between the TrA and Internal Oblique Muscles at various bridge positions (p < .05), and no significant difference with the External Oblique Muscle (p < .05). There was no significant difference in muscle tone in the Rectus abdominis part (p > .05), but a significant difference in the Oblique Muscle part (p < .05). The muscle tone of the Oblique Muscles by position showed a significant difference in Bridge, BHa, and BA compared to the rest position (p < .05), but no significant difference with BHaA (p > .05). CONCLUSION: The thickness of TrA could be increased through bridge exercise, and TrA could be activated properly using ADIM and may be an effective exercise for core stabilization.

• 한국패류학회지
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• 제22권1호
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• pp.27-38
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• 2006

2005년 1월부터 12월까지 서해안 김제군 심포 앞바다에서 채집된 대맛조개, Solen grandis를 대상으로 생식소 발달 단계에 따른 생식주기를 조직학적 관찰에 의해 조사하였고, 폐각근, 내장낭, 족부근육, 외투막의 생화학적 함량 변화를 생화학적 분석에 의해 조사하였다. 본 종의 생식주기는 초기 활성기(12-1월), 후기 활성기 (1-3월), 완숙기 (3-7월), 부분산란기(6-7월), 퇴화 및 비활성기(7-12월) 의 연속적인 5단계로 구분되었다. 총단백질 함량은 족부근육에서 가장 높았으며, 족부근육 내의 총단백질 함량은 1월 (초기활성기) 에 높았고, 4월(완숙기)에 최소값을 나타내었으며, 8월 (부분산란기) 에 가장 높았다. 내장낭 내의 총단백질 함량은 2월 (후기활성기) 에 증가되기 시작하여 3월 (완숙기) 에 최대를 이룬 후, 6월과 7월 (부분산란기) 에 점진적으로 감소되었다. 내장낭과 외투막 사이의 총단백질 함량에는 강한 음 (-) 의 상관관계를 타나내었다(r = -0.594, p = 0.042). 그러나 폐각근과 족부근육 사이에는 양 (+) 의 상관관계를 보였으나 통계적으로 유의하지 않았다 (r = 0.507, p = 0.093). 총지질 함량은 내장낭에서 가장 높았다: 폐각근, 족부근육, 외투막 내 총지질 함량보다 2-5배 더 많았다. 총지질 함량의 월별 변화는 내장낭 내에서 가장 크게 변하였는데, 1월과 2월 사이에 비교적 높았고, 3월 (완숙기)에 최대에 이른 다음, 4-7월 (완숙기 및 부분산란기) 에 급격하게 감소되었으며, 9-12월 (퇴화 및 비활성기) 에 점진적으로 다시 증가되었다. 족부근육과 폐각근 사이의 총지질 함량 변화는 강한 양 (+) 의 상관관계를 나타내었다 (r = 0.639, p = 0.025). 비록 내장방과 외투막 사이의 총지질 함량 변화가 음(-)의 상관관계 을 보였어도 (r = -0.392), 통계적으로 유의하지 않았다 (p = 0.208). 글리코겐 함량 변화는 비교적 좁은 범위 내에서 변하였으며, 다른 조직들 간에도 유사하였다. 다른 조직들 내의 글리코겐 함량 변화는 통계적으로 유의하지 않았다.

• 대한후두음성언어의학회지
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• 제8권1호
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• pp.54-58
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• 1997

Spasmodic dysphonia is an uncommon and poorly understood disorder of motor control of laryngeal speech. We analysed 88 patients with spasmodic dysphonia, using chart review. These patients had historical information evaluated for age of onset(mean 39.2 years), duration of symptoms(mean 8.8 years), sex(4.2 : 1 female to male) family history(positive in 16.7%), and primary(84.8%) and secondary(15.2%) etiology : neurological evaluation for other dystonic involvement(40.7%). Eighty-three patients(94.3%) had adductor type of spasmodic dysphonia and 4 patients were abductor type and 1 patient was mixed type. All patients had normal thyroid and parathyroid functions and among 46cases, 8 patients had abnormal brain MRI finding. seventeen patients were evaluated by auditory brainstem response parameters. four out of the 17 patiemts had prolonged wave Ⅰ-Ⅴ interpeak latency.

• 대한물리치료과학회지
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• 제5권3호
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• pp.617-624
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• 1998

A variety of neuromuscular diseases in children cause muscle imbalance. impaired function, and resultant deformity of the lower extremities. Equinovarus, equinos, adductor contracture are common deformity of lower extremities in the children. Generally, the transfer was successful in improving or maintaining range of motion, stability of the joint and gait. Postoperative physical therapy is important. Physical therapy was instituted after cast removal. All children received stretching exercise, range of motion exercise for the joint, proprioceptive neuromuscular fascilitation and gait training was administered. This article describes our experience with the physical therapy for tendon transfered spastic cerebral palsy and discusses the therapeutic protocol.

• 음성과학
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• 제3권
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• pp.5-17
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• 1998

Botulinum toxin, a neurotoxin derived from Clostridia Botulinum, has been injected into the target muscle(s) for the treatment of several kinds of voice and speech disorders at the Voice Clinic, Yonsei Institute of Logopedics and Phoniatrics since December 1995. Criteria for the diagnosis and method of injection for spasmodic dysphonia, mutational dysphonia, muscle tension dysphonia, dysphonia after total laryngectomy, and stuttering were summarized. Among 144 patients with adductor type spasmodic dysphonia, who were injected one time to maximum 8 times during the 27 months, 90% were recognized as having better than slight improvement. Even though the injected cases were small, not only the abductor type spasmodic dysphonia, but also the intractable mutational dysphonia or muscle tension dysphonia resistant to voice therapy revealed that botulinum toxin injection would be another options for treatment. Patients who cannot phonate after total laryngectomy and some forms of adulthood stutterers can also be candidates for the injection of botulinum toxin.