• 제목/요약/키워드: Head impulse test

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The Impact of Optical Illusions on the Vestibular System

  • Ozturk, Seyma Tugba;Serbetcioglu, Mustafa Bulent;Ersin, Kerem;Yilmaz, Oguz
    • 대한청각학회지
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    • 제25권3호
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    • pp.152-158
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    • 2021
  • Background and Objectives: Balance control is maintained in stationary and dynamic conditions, with coordinated muscle responses generated by somatosensory, vestibular, and visual inputs. This study aimed to investigate how the vestibular system is affected in the presence of an optical illusion to better understand the interconnected pathways of the visual and vestibular systems. Subjects and Methods: The study involved 54 young adults (27 males and 27 females) aged 18-25 years. The recruited participants were subjected to the cervical vestibular evoked myogenic potentials (cVEMP) test and video head impulse test (vHIT). The cVEMP and vHIT tests were performed once each in the absence and presence of an optical illusion. In addition, after each test, whether the individuals felt balanced was determined using a questionnaire. Results: cVEMP results in the presence of the optical illusion showed shortened latencies and increased amplitudes for the left side in comparison to the results in the absence of the optical illusion (p≤0.05). When vHIT results were compared, it was seen that the right lateral and bilateral anterior canal gains were increased, almost to 1.0 (p<0.05). Conclusions: It is thought that when the visual-vestibular inputs are incompatible with each other, the sensory reweighting mechanism is activated, and this mechanism strengthens the more reliable (vestibular) inputs, while suppressing the less reliable (visual) inputs. As long as the incompatible condition persists, the sensory reweighting mechanism will continue to operate, thanks to the feedback loop from the efferent vestibular system.

일측 전정기능 저하 환자에서 방향전환 진동유발안진의 임상적 의의와 발생 기전 제안 (Clinical Implication and Proposed Mechanism of Direction Changing Vibration Induced Nystagmus in Unilateral Vestibular Hypofunction)

  • 이동한;박무균;이준호;오승하;서명환
    • Korean Journal of Otorhinolaryngology-Head and Neck Surgery
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    • 제61권11호
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    • pp.580-587
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    • 2018
  • Background and Objectives We evaluated the clinical characteristics and vestibular function of patients with direction changing vibration induced nystagmus (DC VIN) and unilateral vestibular hypofunction and suggest clinical implication and a proposed mechanism of DC VIN. Subjects and Method The records of 315 patients who underwent the VIN test were reviewed retrospectively. Among these, 18 patients (5.7%) showed DC VIN, and out of whom, 15 patients (4.8%) were diagnosed as unilateral vestibular hypofunction by caloric, rotation chair (RCT), and video head impulse test (vHIT). We analyzed the relationship between DC VIN and the dizziness characteristics, duration of disease, and the outcome of the vestibular function test. Results The mean age of 15 patients was $67.4{\pm}10.7years$ and the mean duration of dizziness was $13.6{\pm}29.7months$. The caloric test revealed 25% of the patients to have significant canal paresis [Caloric vestibular neuritis (VN)], while 75% showed normal caloric response. However, unilateral vestibular hypofunction was observed by abnormal results in RCT or vHIT (Non-caloric VN). Seven patients showed ipsilateral DC VIN (nystagmus to vibrated side) and eight patients contralateral DC VIN (nystagmus to opposite side of vibration). Patients with ipsilateral DC VIN were shown to have a significant longer duration of dizziness than those with contralateral DC VIN. Conclusion Although rare, DC VIN can also be found in patients with unilateral vestibular hypofunction. Patients with DC VIN had a mild vestibular asymmetry with Non-caloric VN or Caloric VN in the process of compensation. The mechanism of ipsilateral DC VIN seems to be due to the small amount of vestibular asymmetry, which is smaller than the interaural attenuation of vibration.

30톤급 액체로켓엔진 연소기 재생냉각 연소시험 결과 (Combustion Test Results of Regenerative Cooling Combustor for 30 tonf-class Liquid Rocket Engine)

  • 한영민;김종규;이광진;임병직;안규복;김문기;서성현;최환석
    • 한국추진공학회:학술대회논문집
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    • 한국추진공학회 2008년도 제30회 춘계학술대회논문집
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    • pp.133-137
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    • 2008
  • 추력 30톤급 액체로켓엔진 재생냉각 연소기에서 수행했던 연소시험의 결과에 대해 기술하였다. 연소기의 연소압력은 60 bar, 추진제 유량은 약 89 kg/s 그리고 노즐 팽창비는 12이다. 연소기는 분사기 헤드, 배플분사기 그리고 재생냉각 연소실 등으로 구성하였다. 연소시험은 설계점뿐만 아니라 탈설계점 등 다양한 조건에서 이루어졌다. 연소특성속도는 약 1738부터 1751 m/sec이며, 비추력은 약 253에서 270 sec 정도의 값을 얻었다. 재생냉각 연소기의 최대 연소특성속도는 혼합비 2.35에서 나타났으며 최대 비추력은 혼합비 2.5에서 나타났다.

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EFFECT OF INTAKE PORT GEOMETRY ON THE IN-CYLINDER FLOW CHARACTERISTICS IN A HIGH SPEED D.I. DIESEL ENGINE

  • LEE K. H.;RYU I. D.;LEE C. S.;REITZ R. D.
    • International Journal of Automotive Technology
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    • 제6권1호
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    • pp.1-8
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    • 2005
  • Recently, the HSDI (High Speed Direct Injection) diesel engine has been spotlighted as a next generation engine because it has a good potential for high thermal efficiency and fuel economy. This study was carried out to investigate the in-cylinder flow characteristics generated in a HSDI diesel engine with a 4-valve type cylinder head. The four kinds of cylinder head were manufactured to elucidate the effect of intake port geometry on the in-cylinder flow characteristics. The steady flow characteristics such as coefficient of flow rate $(C_{f})$, swirl ratio (Rs), and mass flow rate (m,) were measured by the steady flow test rig and the unsteady flow velocity within a cylinder was measured by PIV. In addition, the in-cylinder flow patterns were visualized by the visualization experiment and these results were compared with simulation results calculated by the commercial CFD code. The steady flow test results indicated that the mass flow rate of the cylinder head with a short distance between the two intake ports is $13\%$ more than that of the other head. However, the non-dimensional swirl ratio is decreased by approximately $15\%$. As a result of in-cylinder flow characteristics obtained by PIV and CFD calculation, we found that the swirl center was eccentric from the cylinder center and the position of swirl center was changed with crank angle. As the piston moves to near the TDC, the swirl center corresponded to the cylinder center and the velocity distribution became uniform. In addition, the results of the calculation are in good agreement with the experimental results.

변형된 머리전달 함수 및 음향 시뮬레이션 기법을 이용한 음상 외재화 알고리즘 (Sound Source Externalization Algorithm Using Modified HRTFs and an Acoustic Simulation Method)

  • 이용주;장대영;장인선;강경옥
    • 한국음향학회지
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    • 제28권8호
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    • pp.714-722
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    • 2009
  • 본 논문에서는 헤드폰 또는 이어폰을 이용하여 오디오 신호를 청취할 때 공간감 및 현실감을 높일 수 있는 음상 외재화 알고리즘을 제안한다. 제안한 방법은 음상 정위를 위해 변형된 머리전달 함수를 사용하였고, 음향 시뮬레이션 기법을 통해 생성한 임펄스 응답을 공간감을 위한 반사음으로 사용하였다. 변형된 머리전달 함수는 기존의 머리전달 함수와 음상 정위 효과는 유지하면서, 음색의 변화를 최소화하는 방법으로 개발이 되었으며, 음향 시뮬레이션 기법은 자연스러운 반사음을 획득하기 위해 사용되었다. 제안한 알고리즘의 검증을 위해 청취평가를 수행하였다. 청취 평가를 통해 제안한 알고리즘이 음상 외재화 효과가 있음을 알 수 있었는데, 전방과 후방지역에 음상이 위치하는 경우보다는 좌측과 우측에 음상이 위치한 경우에 음상 외재화 효과가 잘 나타난다는 것을 알 수 있었다.

저속 후방 추돌 자원자 실험을 통한 두부와 경부의 동작분석 (Motion Analysis of Head and Neck of Human Volunteers in Low-Speed Rear Impact)

  • 홍성우;박원필;박성지;유재호;공세진;김한성
    • 자동차안전학회지
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    • 제4권2호
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    • pp.37-43
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    • 2012
  • The purpose of this research is to obtain and analyze dynamic responses from human volunteers for the development of the human-like mechanical or mathematical model for Korean males in automotive rear collisions. This paper focused on the introduction to a low-speed rear impact sled test involving Korean male subjects, and the accumulation of the motion of head and neck. A total of 50 dynamic rear impact sled tests were performed with 50 human volunteers, who are 30-50 year-old males. Each subject can be involved in only one case to prevent any injury in which he was exposed to the impulse that was equivalent to a low-speed rear-end collision of cars at 5-8 km/h for change of velocity, so called, ${\Delta}V$. All subjects were examined by an orthopedist to qualify for the test through the medical check-up of their necks and low backs prior to the test. The impact device is the pendulum type, tuned to simulate the crash pulse of a real vehicle. All motions and impulses were captured and measured by motion capture systems and pressure sensors on the seat. Dynamic responses of head and T1 were analyzed in two cases(5 km/h, 8 km/h) to compare with the results in the previous studies. After the experiments, human subjects were examined to check up any change in the post medical analysis. As a result, there was no change in MRI and no injury reported. Six subjects experienced a minor stiffness on their back for no more than 2 days and got back to normal without any medical treatment.

Proposal on the Diagnostic Criteria of Definite Isolated Otolith Dysfunction

  • Park, Han Gyeol;Lee, Jun Ho;Oh, Seung Ha;Park, Moo Kyun;Suh, Myung-Whan
    • Journal of Audiology & Otology
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    • 제23권2호
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    • pp.103-111
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    • 2019
  • Background and Objectives: Dizzy patients with abnormal otolith function tests, despite a normal caloric response, are defined as having specific (isolated) otolith organ dysfunction. This study was performed to compare the differences in clinical presentation between isolated otolith dysfunction (iOD) patients with lab- and Sx-based iOD group and lab-based iOD symptoms. Subjects and Methods: The medical records of 23 iOD patients with normal caloric response but abnormal cervical vestibular evoked myogenic potential (VEMP), ocular VEMP, or subjective visual vertical were reviewed. Non-spinning vertigo was considered as otolith-related symptoms. The patients' age, onset of dizziness, Numeric Rating Scale on the severity of dizziness, and concomitant vestibular disorders were analyzed. Results: Patients in the lab-based iOD group were significantly older than those in the lab- and Sx-based iOD group. Known vestibular disorders were significantly more common in the lab-based iOD group (83.3%) compared to the lab- and Sx-based iOD group (18.2%). Despite the normal caloric response, catch-up saccade was found in the video head impulse test in more than half (54.5%) of the lab-based iOD group patients. There was no catch-up saccade in the lab- and Sx-based iOD group. There were no significant differences in gender ratio, frequency of dizziness attacks, and duration of illness. Conclusions: We propose new definitions of definite iOD (lab- and Sx-based iOD) and probable iOD (lab- or Sx-based iOD). These new definitions may help researchers to identify patients who are more likely to have true iOD, and facilitate comparisons of results between different studies.

Proposal on the Diagnostic Criteria of Definite Isolated Otolith Dysfunction

  • Park, Han Gyeol;Lee, Jun Ho;Oh, Seung Ha;Park, Moo Kyun;Suh, Myung-Whan
    • 대한청각학회지
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    • 제23권2호
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    • pp.103-111
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    • 2019
  • Background and Objectives: Dizzy patients with abnormal otolith function tests, despite a normal caloric response, are defined as having specific (isolated) otolith organ dysfunction. This study was performed to compare the differences in clinical presentation between isolated otolith dysfunction (iOD) patients with lab- and Sx-based iOD group and lab-based iOD symptoms. Subjects and Methods: The medical records of 23 iOD patients with normal caloric response but abnormal cervical vestibular evoked myogenic potential (VEMP), ocular VEMP, or subjective visual vertical were reviewed. Non-spinning vertigo was considered as otolith-related symptoms. The patients' age, onset of dizziness, Numeric Rating Scale on the severity of dizziness, and concomitant vestibular disorders were analyzed. Results: Patients in the lab-based iOD group were significantly older than those in the lab- and Sx-based iOD group. Known vestibular disorders were significantly more common in the lab-based iOD group (83.3%) compared to the lab- and Sx-based iOD group (18.2%). Despite the normal caloric response, catch-up saccade was found in the video head impulse test in more than half (54.5%) of the lab-based iOD group patients. There was no catch-up saccade in the lab- and Sx-based iOD group. There were no significant differences in gender ratio, frequency of dizziness attacks, and duration of illness. Conclusions: We propose new definitions of definite iOD (lab- and Sx-based iOD) and probable iOD (lab- or Sx-based iOD). These new definitions may help researchers to identify patients who are more likely to have true iOD, and facilitate comparisons of results between different studies.

4밸브 직분식 디젤엔진의 SCV 개구율에 따른 흡입유동특성 (Intake Flow Characteristics with SCV Open Ratio in a 4-Valve Direct Diesel Engine)

  • 최승환;전충환;장영준;이진욱
    • 한국자동차공학회논문집
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    • 제7권7호
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    • pp.66-75
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    • 1999
  • Many researchers have developed the measurement technique of in-cylinder flow. Recently, there are lots of studies on steady flow with different SCV geometries. In this study the flow characteristics of four-valve cylinder head were examined in a steady test rig for different SCV open ratios. Each swirl ratio of several SCV angle was quantified by swirl impulse meter and 2D-LDV measurement. The results showed that the swirl ratio was controlled between 2.3 and 3.8 based on SCV angles. The velocity distributions of in-cylinder flow field were measured by 2-D LDV test and visualized swirl and tumble flow pattern at different positions. In this engine , we found out that the swirl was dominant flow.

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나선형 흡기포트 입구의 유동조건이 실린더 내 선회특성에 미치는 영향에 관한 연구 (Effects of the Inlet Flow Conditions of a Helical Intake Port on the In-cylinder Swirl Characteristics)

  • 이지근;강신재
    • 한국자동차공학회논문집
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    • 제8권2호
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    • pp.9-18
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    • 2000
  • Combustion and emission characteristics in a direct injection diesel engine is closely related to the intake port system. It is therefore important to understand the swirl flow characteristics formed by a helical intake port. However there are still many uncertainties. The purpose of this experimental study is to investigate the effects of the valve eccentricity ratio and the inlet flow conditions of a helical intake port on the characteristics of an in-cylinder swirl flow. A steady state flow test rig consisted of ISM(impulse swirl meter), LFM(laminar flow meter) and cylinder head with a helical intake port was used. The swirl ratio(Rs) and mean flow coefficient(Cf(mean)) with inlet flow conditions were measured. The results of these experiment can be summarized as follows. Swirl flow characteristics of a helical intake port are affected by the inlet flow conditions, and especially they are much affected by the length of a manifold runner and the rotational angle of a curved manifold runner.

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