• Title/Summary/Keyword: Electrical therapy

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Effects of Functional Electrical Stimulation on Gait Patterns in Stroke Patient (기능적 전기자극이 뇌졸중 환자의 보행에 미치는 영향)

  • Kim, Yong-Wook;Weon, Jong-Hyuck;Chung, Bo-In
    • Physical Therapy Korea
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    • v.7 no.3
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    • pp.72-80
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    • 2000
  • This study was to investigate the effects of a functional electrical stimulation (FES) on temporal parameters (stride length, step width and cadence) of gait patterns in a patient with right hemiparesis. A single-subject reversal (ABAB) design was used. The subject was a 25-year-old male who had foot drop and circumduction gait pattern. An ink foot-print method was used to assess the temporal parameters of gait between the baseline phase and the intervention phase. FES was applied at 8 m walkway, three times a week for 5 weeks. The results showed that stride length was increased by 4.04 cm and that step width was decreased by 3.93 cm in the intervention phase. There was no difference in cadence between the baseline phase and intervention phase.

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The Effects of Neuromuscular Electrical Stimulation on Swallowing Function in Acute Stroke Patients with Dysphagia

  • Kim, Myung-Kwon;Lee, Chang-Ryeol;HwangBo, Gak
    • International Journal of Contents
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    • v.7 no.4
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    • pp.98-102
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    • 2011
  • In this study, we investigated the effects of neuromuscular electrical stimulation (NMES) on the treatment of 20 acute stroke patients with dysphagia. For both the treated and control groups, the basic facial stimulation training was conducted for 30 minutes, five times a week, for four weeks. NMES was performed on the treated group only, for 30 minutes each time. Both groups were evaluated according to the functional dysphagia scale (FDS) using a videofluoroscopic swallowing study (VFSS). After the treatment was performed for four weeks, the FDS results of the treated group showed a significance difference in oral transit time in the oral phase and in the triggering of pharyngeal swallow fluid, laryngeal elevation and epiglottic closure, nasal penetration, residue in valleculae, coating of pharyngeal wall after swallow fluid, and pharyngeal transit time in the pharyngeal phase. In addition, the treated group showed a significant difference in laryngeal elevation and epiglottic closure, nasal penetration, and pharyngeal transit time in the pharyngeal phase after the treatment compared to the control group. The results of this study showed that neuromuscular electrical stimulation may be an effective method of treating dysphagia in acute phase stroke patients.

The Short-Term Effects of Difference Frequency of Transcutaneous Electrical Nerve Stimulation on Pain Relief using c-fos Expression in Spinal Cord with Knee Osteoarthritis Rats

  • Koo, Hyun-Mo;Na, Sang-Su
    • Journal of the Korean Society of Physical Medicine
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    • v.11 no.4
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    • pp.49-54
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    • 2016
  • PURPOSE: The purpose of this study was to determine the effect of different frequencies (4Hz and 100Hz) of transcutaneous electrical nerve simulation (TENS) on pain relief using c-fos expression in the spinal cord of rat osteoarthritis to investigate the appropriate frequency for pain relief. METHODS: Total of 30 Sprague-Dawley rats was used and randomly divided 2 groups according TENS frequency and applicate the TENS during 3 period (3 days, 7 days, 10 days). The induction of osteoarthritis by 3mg monosodium iodoacetat was injected into the right knee joint of rats. Three days later, commercially available TENS unit was used for stimulation was set to 20minutes on 3, 7, 10 days after surgery. Western blot analysis system was used to detect immunoreactive proteins. The thickness of the bands were photographically measured by Scion Image. RESULTS: When investigating the c-fos expression of TENS on spinal cord in OA knee over 10 days, between-groups differences in c-fos expression reached a significant level by day 10. For within-groups comparisons, the c-fos expression decreased significantly across days in low- and high-frequency TENS groups. CONCLUSION: Whether at low- and high-frequency, the TENS as a therapy obtained beneficial effects of pain relief and TNES at high-frequency is more beneficial effects on the pain relief when TENS applied at injury site.

Automatic Control of Fraction of Inspired Oxygen in Neonatal Oxygen Therapy using Fuzzy Logic Control

  • Chanyagorn, Pornchai;Kiratiwudhikul, Phattaradanai
    • IEIE Transactions on Smart Processing and Computing
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    • v.5 no.2
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    • pp.107-116
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    • 2016
  • Premature babies of less than 37 weeks gestation might require oxygen therapy as an integral part of treatment and respiratory support. Because of their under-developed lungs, these so-called "preemies" might contract respiratory distress syndrome (RDS). To treat RDS, neonatal oxygen therapy is administered, where controlled oxygen gas is measured as a fraction of inspired oxygen ($FiO_2$). However, exposure to high oxygen content during long treatment could cause oxygen intoxication, which might cause permanent blindness due to retinopathy of prematurity (ROP), whereas insufficient oxygen exposure could cause severe hypoxia. A doctor would use oxygen saturation ($SpO_2$) data and prescribe a dose of $FiO_2$ to maintain $SpO_2$ within a suitable range. One objective is to maintain $SpO_2$ within the acceptable range using $FiO_2$ that is as low as possible. Adjustment of $FiO_2$ would normally be done by nurses every 15 to 30 minutes, which might not be safe in many situations. An error in $FiO_2$ adjustment during a manual procedure could be as large as +/- 2.5%. This paper presents a system that can determine an $FiO_2$ value suitable to the current $SpO_2$ and that automatically adjusts $FiO_2$ with an error clearance of +/- 0.25%.

The Effect of variation in low frequency electrical stimulation on human metabolism (저주파 전기자극의 주파수가 인체대사에 미치는 영향)

  • Kim, Soon-Ja;Chung, Jin-Woo;Lim, Jong-Soo
    • The Journal of Korean Physical Therapy
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    • v.13 no.3
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    • pp.685-692
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    • 2001
  • Study the variation of low frequency electrical stimulation on human metabolism which serum to test the increasement of creatine- kinase, myoglobin, lactate .and pyruvate. The results were as followed: 1) Creatine kinase increasement showed significant difference between 200 Hz stimulation group and control group, and also between 300Hz stimulation group and control group, but no significant increasement difference showed in 50 Hz stimulation group compared to control group. 2) Lactate increasement showed significant difference in 200 Hz stimulation group and 300 Hz stimulation group compared to control group, but no significant difference showed in 50 Hz stimulation group. 3) Pyruvate increasement showed significant difference in 50 Hz stimulation group and 200 Hz stimulation group compared to control group, but no significant increasement difference showed between 50 Hz stimulation group and control group. (P < 0.05) 4) Myoglobin increasement showed significant difference in 50Hz stimulation group and 200 Hz stimulation group compared to control group, and also in 200 Hz stimulation group and 300 Hz stimulation group compared to 50Hz stimulation group. ( P < 0.05)

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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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Effect of Electromyographic Biofeedback Training on the Muscle Activities of Unilateral Facial Palsy (근전도 바이오피드백을 이용한 훈련이 안면신경마비 환자의 운동학습에 미치는 영향)

  • Kim, Won-Ho;Park, Eun-Young;Chang, Ki-Yeon;Lee, Young-Jung
    • Physical Therapy Korea
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    • v.9 no.3
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    • pp.101-111
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    • 2002
  • The purpose of this study was to determine EMG biofeedback training effect on the muscle activities in 3 unilateral facial palsy patients along with multiple baseline design across subjects. The auditory feedback about facial muscles (orbicularis oris, orbicularis oculi, frontalis) was provided with each patient during facial exercise training. Electromyographic (EMG) activity during maximal voluntary contraction and maximal compound muscle action potential (CMAP) amplitude elected by supramaximal electrical stimulation on facial nerve of facial muscles were measured pre- and post- EMG biofeedback training to evaluate motor learning. EMG activity during maximal voluntary contraction was increased after EMG biofeedback training and CMAP amplitude elected by supramaximal electrical stimulation was not changed in all subjects. The results indicate that EMG biofeedback training is useful method to improve motor learning of facial excercise training in unilateral facial palsy patients.

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Functional Electrical Stimulation with Augmented Feedback Training Improves Gait and Functional Performance in Individuals with Chronic Stroke: A Randomized Controlled Trial

  • Yu, Kyung-Hoon;Kang, Kwon-Young
    • The Journal of Korean Physical Therapy
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    • v.29 no.2
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    • pp.74-79
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    • 2017
  • Purpose: The purpose of this study was to compare the effects of the FES-gait with augmented feedback training to the FES alone on the gait and functional performance in individuals with chronic stroke. Methods: This study used a pretest and posttest randomized control design. The subjects who signed the agreement were randomly divided into 12 experimental groups and 12 control groups. The experimental groups performed two types of augmented feedback training (knowledge of performance and knowledge of results) together with FES, and the control group performed FES on the TA and GM without augmented feedback and then walked for 30 minutes for 40 meters. Both the experimental groups and the control groups received training five times a week for four weeks. Results: The groups that received the FES with augmented feedback training significantly showed a greater improvement in single limb support (SLS) and gait velocity than the groups that received FES alone. In addition, timed up and go (TUG) test and six minute walk test (6MWT) showed a significant improvement in the groups that received FES with augmented feedback compared to the groups that received FES alone. Conclusion: Compared with the existing FES gait training, augmented feedback showed improvements in gait parameters, walking ability, and dynamic balance. The augmented feedback will be an important method that can provide motivation for motor learning to stroke patients.

The Effect of Transcutaneous Electrical Nerve Stimulation on Dysmenorrhea (경피신경전기자극이 월경통 감소에 미치는 영향)

  • Park Rae-Joon;Kim Gi-Won
    • The Journal of Korean Physical Therapy
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    • v.11 no.3
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    • pp.97-106
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    • 1999
  • The purpose of this study was to examine the effect of transcutaneous electrical nerve stimulation(TENS) in the patients of dysmenorrhea. A total of thirty subjects were assigned randomly to one of the two experimental groups or to a control group : 1) an Experimental group I received high-frequency TENS(100pps with a 100-microsecond pluse width), 2) an Experimental group II received low-frequency TENS(2pps with a 100-microsecond pulse width), 3) a Control group received medication(Acetaminophen 600mg). All subjects completed visual analogue scale(VAS) pre-treatment; after post-treatment; 1, 2, 3, 4, and 6 hours post-treatment; and the next morning. The results of study were as follows; 1. The mean pain scores decreased in thru groups. 2. The experimental group II and the control group exhibited a significant decrease in pain post - treatment. 3. The experimental group I had the pain relief obtained after three hours post - treatment. The experimental group II had the pain relief obtained immediately after the post - treatment Control group had the pain relief obtained immediately after the post - treatment, but increased pain after four hours of post-treatment. Finally. this result suggests that TENS can reduce significantly the pain of dysmenorrhea. Besides. low-frequency TENS provided a good result to the excellent subjective pain relief in the subject, compared with high-frequency TENS and medication.

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Effect of Heel Raise Exercise with NMES on Peroneus Longus Muscle Strength and Postural Control Ability in Subjects with Functional Ankle Instability: Randomized Controlled Trial

  • Seo, Joon Ho;Lee, Jeon-Hyeong;Lee, Mi Young
    • The Journal of Korean Physical Therapy
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    • v.33 no.1
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    • pp.28-33
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    • 2021
  • Purpose: This study examined the effects of heel raise exercises combined with neuromuscular electrical stimulation (NMES) on the muscle strength and postural control ability of subjects with functional ankle instability (FAI). Methods: Twenty-two subjects with FAI participated in this study. They were assigned randomly to two groups: 11 each in the NMES and the sham-NMES groups. Heel raise exercise was applied, and NMES electrodes were attached to the peroneus longus muscles. The NMES group applied NMES during the heel raise exercise. NMES was applied for 20 minutes during the heel raise exercise. The heel raise exercise was performed four times a week for five weeks. The muscle strength and balance error scoring system (BESS) were measured before and after the intervention. Results: A comparison of before and after the intervention within the groups revealed improved muscle strength in the NMES and Sham-NMES groups, but the BESS was improved under all conditions only in the NMES group. The Sham-NMES group showed no improvement in the unstable support surface. Furthermore, when comparing the amount of change before and after the intervention between the groups, there were significant differences in the total score and unstable support in the BESS and muscle strength. Conclusion: NMES had a positive effect on the functional activities of the functional ankle instability subjects, such as balancing on an unstable support surface during postural control and increasing muscle strength.