• Title/Summary/Keyword: Electrical therapy

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Effects of Lumbar Mobilization on the Paravertebral Muscle Activity and Muscle Tone in Patients with Lumbar Spinal Stenosis

  • Go, Junhyeok;An, Hojung
    • Journal of International Academy of Physical Therapy Research
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    • v.12 no.1
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    • pp.2302-2307
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    • 2021
  • Background: Patients with lumbar spinal stenosis show abnormal changes in muscle activity due to pain and limited range of motion of the lumbar spine. Excessive increased muscle tone and decreased muscle activity patterns threaten the patients' quality of life. However, there have been a few studies showing how to improve muscle performance in patients with lumbar spinal stenosis. Among these, joint mobilization is one way of improving muscle performance through pain relief and increasing the range of motion. Objectives: To investigate the effect of lumbar mobilization by orthopedic manual physical therapy on paravertebral muscle activity and tone in patients with lumbar spinal stenosis. Design: A randomized controlled trial. Methods: In this study, 24 patients with lumbar spinal stenosis were randomized (1:1 ratio) into two groups. The experimental group underwent lumbar posteroanterior mobilization, and the control group underwent conventional physical therapy (conventional transcutaneous electrical nerve stimulation) for 15 minutes each. For outcome measures, Myoton®PRO was used to evaluate muscle tone when resting of the paravertebral muscle in the pain area. For muscle activity evaluation, the reference voluntary contraction of the paravertebral muscle was evaluated using surface electromyography. Results: Muscle tone and activity were significantly improved after intervention in both the experimental and control groups. In addition, the experimental group showed more significant decrease in muscle tone and activity than the control group. Conclusion: These results suggest that lumbar mobilization improving muscle performance in patients with lumbar spinal stenosis.

The Effect of Electrical Stimulation of Body Composition in Obese Person (전기자극이 체성분에 미치는 효과)

  • Kim, Yong-Seong;Bang, Sang-Bun
    • Journal of the Korean Academy of Clinical Electrophysiology
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    • v.2 no.3
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    • pp.13-24
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    • 2004
  • The purpose of this study is to reveal the effect of electrical stimulation of body composition in obese person. Subjects were 30s to 40s aged healthy workers(2004. 3. 8~4. 17) in the S general Hospital in Suwon and they were brought to manage obesity. Subjects were divided into control group(Female<0.85, Male<0.90) and study group(Female>0.85, Male>0.90) by WHR(waist-hip ratio) that is measured by Automatic body composition analyzer(InBody 3.0). And we divided the study group with randomized methods into group A(n=8) and group B(n=8). Then we compared and analyzed the change of muscle mass, body fat, abdominal girth, WHR, BMI(body mass index) after application of electrical stimulation, three times a week, for 30 minutes in each session with 50 Hz of pulse frequency, $20\;{\mu}s$ or $250\;{\mu}s$ of pulse duration. There was statistically meaningful decrement of body fat(p<0.05) and abdominal girth(p<0.05) but not of body weight, muscle mass, WHR and BMI in the control group after application of electrical stimulation with 50 Hz, $20\;{\mu}s$. There were meaningful change of abdominal girth(p<0.05), WHR(p<0.05) and BMI(p<0.05), but not of body weight, muscle mass and body fat after application of electrical stimulation with 50 Hz, $20\;{\mu}s$ in group A. We applied electrical stimulation with 50 Hz, $250\;{\mu}s$ in group B, then there were meaningful change of body weight(p<0.05), body fat(p<0.01), abdominal girth(p<0.01), WHR(p<0.05) and BMI(p<0.01) but not of muscle mass only. Consequently, the pulse duration is the main parameter of electrical stimulation that affect the body composition of obese person in this study and if we combined the diet control to reduce blood components we could have better result. So it would be more effective to manage localized obesity(in abdomen, thigh, upper arm, etc.) if you apply electrical stimulation considering the pulse duration.

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A Comparison of the Inhibitive Effect of High Voltage Pulsed Current Stimulation and Microcurrent Electrical Neuromuscular Stimulation on Bacterial Growth (고전압 맥동전류 자극과 미세전류 신경근 자극의 세균성장 억제효과 비교)

  • Kang, Eun-Jin;Roh, Jung-Suk;Lee, Jae-Seung;Yi, Chung-Hwi;Kim, Tae-Ho
    • Physical Therapy Korea
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    • v.3 no.1
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    • pp.12-23
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    • 1996
  • High Voltage Pulsed Current Stimulation(HVPCS) and Microcurrent Electrical Neuromuscular Stimulation(MENS) have been used to promote the healing of decubitus ulcer and surgical wounds. The benefits of HVPCS and MENS are thought to include an inhibitive effect on bacterial growth. The purpose of this study was to compare the inhibitive effect of two different electrical stimulation techniques growth in vitro. Using agarose-based media, the two bacterial species Staphylococcus aureus, Esherichia coli - which are commonly isolated from open wounds were incubated in an incubator for 24 hours following exposure to HVPCS(400 V, 120 pps, $70{\mu}s$) and MENS($100{\mu}A$, 0.3 Hz). We then measured the zone of inhibition around each electrode. Both HVPCS and MENS produced an inhibitive effect on bacterial growth in this vitro study. However MENS was more effective than HVPCS.

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A Study on the Functional Electrical Stimulation (기능적 전기 자극에 대한 고찰)

  • Lim, Jong-Soo;Kim, Soon-Hee;Song, Young-Wha
    • Journal of Korean Physical Therapy Science
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    • v.6 no.4
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    • pp.187-199
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    • 1999
  • Functional Electrical Stimulation (FES) is used for muscle reeducation, reduction of spasticity, delay of atrophy, and muscle strengthening. FES stronger stimulation than other forms of electrical stimulation. The efficacy of FES in improving function has been substantiated in the literature. Treatment programs employing FES - activation of muscular tissue through the intact peripheral nervous system - can be broken into five major categories, according to the goal of treatment. These broad areas would include the use of FES to: (1) a direct excitation onto the alpha motoneuron, through peripheral stimulation of the Ia myotatic sensory system and ascending afferent information, which will be integrated at conscious and subconscious level of the CNS. (2) The quality of a stimulated muscle contraction is determined by combination of many parameters, including stimulus amplitude, pulse duration, stimulus frequency, and duty cycle. (3) A unit that has a pulse duration between 200 and $400{\mu}sec$ will be more than adequate for FES applications. (4) The neuromuscular plasticity is critically important to return of function using muscle re-education and facilitation applications. (5) Prior to using FES as an electrical orthosis, the patient should build up endurance in the muscles to be stimu1ated during the gait cycle.

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Evaluation of Magnetic and Thermal Properties of Ferrite Nanoparticles for Biomedical Applications

  • Tomitaka, Asahi;Jeun, Min-Hong;Bae, Seong-Tae;Takemura, Yasushi
    • Journal of Magnetics
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    • v.16 no.2
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    • pp.164-168
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    • 2011
  • Magnetic nanoparticles can potentially be used in drug delivery systems and for hyperthermia therapy. The applicability of $Fe_3O_4$, $CoFe_2O_4$, $MgFe_2O_4$, and $NiFe_2O_4$ nanoparticles for the same was studied by evaluating their magnetization, thermal efficiency, and biocompatibility. $Fe_3O_4$ and $CoFe_2O_4$ nanoparticles exhibited large magnetization. $Fe_3O_4$ and $NiFe_2O_4$ nanoparticles exhibited large induction heating. $MgFe_2O_4$ nanoparticles exhibited low magnetization compared to the other nanoparticles. $NiFe_2O_4$ nanoparticles were found to be cytotoxic, whereas the other nanoparticles were not cytotoxic. This study indicates that $Fe_3O_4$ nanoparticles could be the most suitable ones for hyperthermia therapy.

Effects of Transcutaneous Electrical Nerve Stimulation(TENS), Self-Stretching and Functional Massage on the Muscle Fatigue by Maximum Muscular Strength

  • Yoon, Jung Gyu;Ryu, Je Ju;Roh, Hye Won;Yang, Hyun Ah;Lee, Sang Bin
    • Journal of International Academy of Physical Therapy Research
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    • v.3 no.2
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    • pp.422-428
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    • 2012
  • The present study purposed to examine the effects of transcutaneous electrical nerve stimulation, self-stretching and functional massage on the recovery of muscle contraction force for muscle fatigue caused by sustained isotonic contraction. The subjects of this study were 45 healthy students. They were divided into transcutaneous electrical nerve stimulation group(n=15), self-stretching group(n=15) and functional massage group(n=15), and using Primus RS. We observed the pattern of changes in maximal voluntary isometric contraction force(MVIC) after causing muscle fatigue in quadriceps femoris muscle through sustained isotonic contraction. Maximal voluntary isometric contraction force(MVIC) were greatly increased after transcutaneous electrical nerve stimulation, self-stretching and functional massage. In the comparison of recovery rate of muscle contraction force for muscle fatigue caused by sustained isotonic contraction among the treatment groups, it did not show any significant differences. However, it showed that each treatment may be effective in recovery of muscle fatigue caused by sustained isotonic contraction.

Observation and Characteristics of Ozonizer using Injection Needle Electrode (주사바늘 전극형 오존발생기 특성 연구)

  • Park, Hyun-Mi;Kwon, Young-Hak;Park, Won-Zoo
    • Journal of the Korean Institute of Illuminating and Electrical Installation Engineers
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    • v.29 no.12
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    • pp.77-82
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    • 2015
  • Ozone is a powerful disinfectant and oxidizing agent, and it is used in a wide range of applications, such as waste water treatment, food processing, etc.. There is also a great potential of using ozone in new emerging medical applications, such as ozone dentistry and ozone oxygen therapy. For these purposes, simple, small, compact and efficient sources of ozone are needed. In this study, in order to increase the current-voltage range of the discharge and to avoid the overheating of the gas in the ozonizer we suggested ozonizer of injection needle and plate electrode type(INP Type) with the gas through the needle. A ozonizer of INP type have been investigated by focusing on ozone concentration and yield according to flow rates and Gap of two electrodes. The results of studies of ozone production for DC corona discharge in oxygen at atmospheric pressure about the ozonizer of INP type. The ozone concentration and the generation yield increased as the gap of two electrodes and gas flow were decreased. Also, when the gap of two electrodes and gas flow with no change, the ozone concentration and generation yield each have variation of direct proportion and inverse proportion with discharge voltage.

Effects of Transcutaneous Electrical Nerve Stimulation and Laser at Auricular Points on Experimental Cutaneous Pain Threshold (외이에 대한 경피신경 전기자극과 레이저가 실험적 피부 통증역치에 미치는 영향)

  • Sim, Youn-Ju;Lee, Mi-Sun;Lee, Yun-Ju
    • Physical Therapy Korea
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    • v.4 no.1
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    • pp.87-94
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    • 1997
  • The purposes of this study were 1) to determine the changes between pre-treatment and post-treatment of four groups of 15 persons each and 2) to compare the effect of conventional transcutaneous electrical nerve stimulation(TENS) and laser at auricular acupuncture points on experimental pain threshold measured at the wrist. Sixty healthy adult men and women(M:32, F:28), aged 20 to 28 years, were assigned randomly to one of four groups. Group 1 received TENS to the appropriate auricular point for wrist pain, Group 2 received laser to the appropriate auricular point for wrist pain, Group 3 received placebo TENS to the appropriate auricular point for wrist pain, Group 4 received no treatment and served as controls. Experimental pain threshold at the wrist was determined with a painful electrical stimulus before and 20 minutes after ear stimulation. Group 1 was the only group that showed a stastically significant increase (p<0.05) in pain threshold after treatment whereas the Group 2,3 and 4 did not. These results suggest that TENS has the capability to higher pain threshold but laser does not.

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Effect of electrical stimulation on disused rat soleus (전기자극이 흰쥐의 가자미근 무용성 위축에 미치는 영향)

  • Bae Sung Soo;Park Rae Joon;Kim Jin Sang;Park Sang OK
    • The Journal of Korean Physical Therapy
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    • v.3 no.1
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    • pp.175-188
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    • 1991
  • A study was performed to investigate the effect of electrical stimulation on disused rat soleus muscle, of male rat. The animal's hindlimbs were immobilized 4weeks by plaster of paris, and stimulated with E. S. T for 4weeks (20min/day) The changes on soleus were examined with histochemical, histological, and morphometric method. The results are summarized as follows. 1. Disued atrophy group from immobilization, which margin of sarcolemma and myofibril in sarcoplasm were not cleared, also degenerated from necrosis with phagocytosis. 2. The numbers of nuclear were much increased and accumulation of nuclear were finded, and relatively muscular atrophic changed. 3. Increased inflammatory cyte, also finded neutrophil and macrophage. 4. Relatively atrophic changed from severe fibrosis by incleased connectivetissue. 5. The glycogen granules were much decreased in E. S. T group. It means that electrical stimulation effected the muscle exercise. 6, The activity of the NADH-TR reaction of E. S. T. Tgroup were white muscle group are transformed into red muscle fiber than normal group. 7. These results indicate that the electrical stimulation effected to soleus also prevention and delayed muscular atrophy.

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Effects of Combined Functional Electrical Stimulation and Joint Mobilization on Muscle Activation and Mobility of Ankle Joints and Modified Functional Reach Test in Stroke Patient

  • Kim, Su-Jin;Son, Ho-Hee
    • Journal of the Korean Society of Physical Medicine
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    • v.14 no.2
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    • pp.41-51
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    • 2019
  • PURPOSE: This study was conducted to investigate the effects of combined Joint Mobilization and Functional Electrical Stimulation on Muscle Activation and Mobility of ankle joints in stroke patients and their Modified Functional Reach Test (MFRT) results. METHODS: A total of 26 patients with stroke were randomly selected for enrollment in this study. (1) Functional Electrical Stimulation (FES) (2) combined Joint Mobilization and FES. An EMG system was used to measure tibialis anterior and gastrocnemius activities. Range Of Motion (ROM) of Ankle Joint and MFRT for Dynamic Balance. Pre and post intervention results were compared by paired-t-tests and differences in changes after intervention between groups were identified by the independent t-test. RESULTS: The muscle activation, ROM, and MFRT differed significantly in the experimental group (p<.05). The ROM was significantly different for the active dorsiflexion pre and post intervention in the group that received FES alone (p<.05). CONCLUSION: The results of this study suggest use of a systematic program of proactive posture control to prevent dysfunction when planning interventions for ankle joints can help stroke patients walk efficiently.