• 한국전문물리치료학회지
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• 제3권2호
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• pp.95-105
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• 1996

지금까지의 내용을 요약하면 먼저, 인체의 각 관절 주위에는 관절의 움직임과 위치를 파악하는 감지기 역할을 하는 기계적 감수기가 있다. 이러한 감수기는 크게 네가지로 구분되어지는데 대개 I형 감수기, II형 감수기 등의 용어를 사용한다. 각각의 감수기의 특성(표 2.)을 알아보면, 루피니(Ruffini)감각기와 유사한 모양을 하고 있는 I형 관절감수기는 주로 운동의 속도(speed)와 방향(direction)을 감지(detection) 하며, 파시니안(Pacinian)감각기와 유사한 형태를 하고 있는 II형 관절감수기는 매우 작은 움직임에 대한 감지를 하는데, 예를 들어 속도가 가속(acceleration)되는 것과 같은 움직임 등을 알아낸다. 이외에 골지건과 비슷한 모습을 하고 있는 III형 관절감수기는 운동의 자세(position)와 방향에 대한 정보를 전달하게 된다 (Carpanter, 1990). 관절의 자세 유지 혹은 안정성 즉, 정적(static) 운동에 주로 관여하는 I형 관절감수기와, 역동적(dynamic)인 운동에 감지를 주로 하는 II형 관절감수기는 진동(oscillation)자극에 잘 촉진된다. 이러한 자극은 동통이 심하게 발생된 관절에 나타나는 근육의 과긴장(hypertonicity)과 동통을 경감시킬 수 있다. III형 관절감수기는 억제 (inhibitory)감수기라 할 수 있는데, 골지건(golgi tendon organ)의 기능과 매우 관련이 깊다. 이 감수기는 관절의 가동범위를 기계적인 자극으로 증가시키기 위해 관절의 가동 끝범위에서 강한 신장(strong strectch)이나 thrust 기술로 감수기를 촉진할 수 있다. 이러한 자극은 결국 근육에 이완을 얻게 할 수 있다. 위에서 언급한 관절 주위의 조직에 분포한 특별한 기계적 감지를 환자들의 임상 증상에 따라 선택적으로 자극하는 치료를 적용할 수 있다면, 현재 물리치료사들이 적용하고 있는 관절 가동운동을 좀더 전문적인 수준으로 수행할 수 있을 것이다.

• 대한정형도수물리치료학회지
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• 제2권1호
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• pp.9-19
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• 1996

지금까지의 내용을 요약하면 먼저, 인체의 각 관절 주위에는 관절의 움직임과 위치를 파악하는 감지기 역할을 하는 기계적 감수기가 있다. 이러한 감수기는 크게 네가지로 구분되어지는데 대개 I 형 감수기, II 형 감수기 등의 용어를 사용한다. 각각의 감수기의 특성(표 2.)을 알아보면, 루피니(Ruffini)감각기와 유사한 모양을 하고 있는 I 형 관절감수기는 주로 운동의 속도(speed)와 방향(direction)을 감지(detection)하며, 파시니안(Pacinian)감각기와 유사한 형태를 하고 있는 II 형 관절감수기는 매우 작은 움직임에 대한 감지를 하는데, 예를 들어 속도가 가속(acceleration)되는 것과 같은 움직임 등을 알아낸다. 이외에 골지건과 비슷한 모습을 하고 있는 II 형 관절감수기는 운동의 자세(position)와 방향에 대한 정보를 전달하게 된다. 관절의 자세 유지 혹은 안정성 즉, 정적(static) 운동에 주로 관여하는 I 형 관절감수기와, 역동적(dynamic)인 운동에 감지를 주로하는 II 형 관절감수기는 진동(oscillation)자극에 잘 촉진된다. 이러한 자극은 동통이 심하게 발생된 관절에 나타나는 근육의 과긴장(hypertonicity)과 동통을 경감시킬 수 있다. III 형 관절감수기는 억제(inhibitory)감수기라 할수 있는데, 골지건(Golgi tendon organ)의 기능과 매우 관련이 깊다. 이 감수기는 관절의 가동범위를 기계적인 자극으로 증가시키기 위해 관절의 가동 끝범위에서 강한 신장(strong stretch)이나 thrust 기술로 감수기를 촉진할 수 있다. 이러한 자극은 결국 근육에 이완을 얻게 할 수 있다. 위에서 언급한 관절 주위의 조직에 분포한 특별한 기계적 감지를 환자들의 임상 중상에 따라 선택적으로 자극하는 치료를 적용할 수 있다면, 현재 물리치료사들이 적용하고 있는 관절 가동운동을 좀 더 전문적인 수준으로 수행할 수 있을 것이다.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• 제35권6호
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• pp.403-410
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• 2009

Those composing temporomandibular joint (TMJ) complex such as the temporal bone, the disc and the mandibular condyle perform their own functions with organic relation. The retrodiscal tissue is the main area of pain induction and contributes to compositional change of synovial fluid. If displacement of the disc lasts long time, not only adaptive changes, but also destructive or degenerative changes may happen. It was reported that these changes and symptoms appear mostly to female rather than male and especially, in the case of patients suffering from TMJ disorder, a large quantity of female sex hormone is found in the joint synovium. And that may play a role in bone resorption and inflammation. Also, the frequency and the intensity of pain perception for female is reported to be much more than for male. In this study, we investigated the expression extents of estrogen receptors (ER) and progesteron receptors (PR) in retrodiscal tissue with immunohistochemistry among the patients received TMJ surgery and compared with MRI findings and surgical findings. We report the relations between the expression of ER in retrodiscal tissue and the pathological change in TMJ, such as inflammation, internal derangement and osteoarthritis.

• Journal of Breast Disease
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• 제6권2호
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• pp.35-38
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• 2018

Purpose: The eighth American Joint Committee on Cancer staging system for breast cancer was recently published to more accurately predict the prognosis by adding biomarkers such as estrogen receptors, progesterone receptors, and human epidermal growth factor receptor 2. However, this system is very complicated and difficult to use by clinicians. The authors developed a program to aid in setting up the staging system and confirmed its usefulness by applying it to theoretical combinations and actual clinical data. Methods: The program was developed using the Microsoft Excel Macro. It was used for the anatomic, clinical and pathological prognostic staging of 588 theoretical combinations. The stages were also calculated the stages using 840 patients with breast cancer without carcinoma in situ or distant metastasis who did not undergo preoperative chemotherapy. Results: The anatomic, clinical and pathological prognostic stages were identical in 240 out of 588 theoretical combinations. In the actual patients' data, stages IB and IIIB were more frequent in clinical and pathological prognostic stages than in the anatomic stage. The anatomic stage was similar to the clinical prognostic stage in 58.2% and to the pathological prognostic stage in 61.9% of patients. Oncotype DX changed the pathological prognostic stage in 2.1% of patients. Conclusion: We developed a program for the new American Joint Committee on Cancer staging system that will be useful for clinical prognostic prediction and large survival data analysis.

• Molecules and Cells
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• 제19권2호
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• pp.180-184
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• 2005

IL-17 is a major proinflammatory cytokine secreted by activated T-lymphocytes that accumulates in the inflamed joints of rheumatoid arthritis (RA) patients. Additional IL-17-related molecules and their receptors have been discovered and may also contribute to RA pathogenesis. We examined the expression of the prototypic IL-17 (IL-17A) and its homologs, IL-17B-F, by RT-PCR analyses of synovial fluid mononuclear cells (SFMCs) and peripheral blood mononuclear cells (PBMCs) from RA patients. We also tested for induction of the IL-17 receptor homologs upon stimulation of the fibroblast-like synoviocytes (FLSs) of RA patients with IL-17. The patients' SFMCs expressed IL-17C, E and F in addition to IL-17A. As in the case of IL-17, IL-15 appears to be the major inducer of these homologs in RA SFMCs. We detected transcripts of IL-17R, as well as those of IL-17RB, C and D, in the FLSs of RA patients. Whereas IL-17R expression increased upon in vitro stimulation with IL-17, expression of IL-17RB, C and D was unchanged. However the possibility of cross-interaction between other IL-17 homologs and receptor isoforms remains to be investigated. Our data suggest that these additional homologs should also be considered as targets for immune modulation in the treatment of RA joint inflammation.

• International Journal of Oral Biology
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• 제32권2호
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• pp.59-65
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• 2007

It has been well known that excitatory amino acids, primarily glutamate, are involved in the transmission of nociception in pathological and physiological conditions in the spinal and brainstem level. Recently, peripheral glutamate also play a critical role in the peripheral nociceptive transmissions. The present study investigated the role of N-methyl-D-aspartic acid (NMDA) or non-NMDA ionotropic glutamate receptors in formalin-induced TMJ pain. Experiments were carried out on male Sprague-Dawley rats weighing 220-280 g. Intra-articular injection was performed under halothane anesthesia. Under anesthesia, AP-7 (10, $100\;{\mu}M$, $1\;mM/20\;{\mu}L$), a NMDA receptor antagonist, or CNQX disodium salt (0.5, 5, 50, $500\;{\mu}M/20\;{\mu}L$), a non-NMDA receptor antagonist, were administered intra-articularly 10 min prior to the application of 5% formalin. For each animal, the number of behavioral responses, such as rubbing and/or scratching the TMJ region, was recorded for nine successive 5-min intervals. Intra-articular pretreatment with 1 mM of AP-7 or $50\;{\mu}M$ CNQX significantly decreased the formalin-induced scratching behavioral responses during the second phase. Intra-articular pretreatment with $500\;{\mu}M$ of CNQX significantly decreased the formalin-induced scratching behavior during both the first and the second phase. These results indicate that the intra-articular administration of NMDA or non-NMDA receptor antagonists inhibit formalin-induced TMJ nociception, and peripheral ionotropic glutamate receptors may play an important role in the TMJ nociception.

• Journal of Acupuncture Research
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• 제36권4호
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• pp.197-203
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• 2019

The purpose of this study was to investigate useful manual therapy techniques for peripheral facial nerve palsy and to propose guidelines to be applied for current manual therapy techniques. Several databases were searched to find manual therapies for facial palsy. These therapies included cervical, and temporomandibular joint chuna manual therapy, proprioceptive neuromuscular facilitation, neuromuscular re-education, facial exercise, and mime therapy. Both cervical, and temporomandibular joint chuna manual therapy release nerve compression, helping blood circulation and nerve conduction. Proprioceptive neuromuscular facilitation uses irradiation, bilateral activation, and eccentric facilitation to improve muscle power and symmetry. Neuromuscular re-education, as a retraining tool for facial movement patterns, enhances neuromuscular feedback. Facial exercise helps the patient continuously move and massage facial muscle themselves. Mime therapy aims to develop a conscious connection between the use of certain muscles and facial expressions. The use of facial chuna manual therapy for peripheral facial nerve palsy can stimulate the proprioceptive neuromuscular receptors in the face. Peripheral facial nerve palsy has 4 phases; progress phase, plateau phase, recovery phase, and sequelae phase. Each phase needs different treatments which include relaxation, assistance, resistance, origin-insertion extension, and nerve pathway expansion.

• Asian Pacific Journal of Cancer Prevention
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• 제16권15호
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• pp.6789-6794
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• 2015

Background: To analyze the expression of estrogen receptors (ER), progesterone receptors (PR), C-erbB-2 and Ki-67 in endometrial carcinoma (EC) and their relationships with the clinicopathological features. Materials and Methods: Sixty-seven EC samples, 53 normal endometrial samples and 53 atypical hyperplasia endometrial samples were all selected in Shaanxi Provincial People's Hospital from Jun., 2012 to Jun., 2014. The expression of ER, PR, C-erbB-2 and Ki-67 in EC tissue, normal endometrial tissue and atypical hyperplasia endometrial tissue was respectively detected using immunohistochemical SP method. The relationships between the expression of ER, PR, C-erbB-2 and Ki-67 and the patients' clinicopathological features as well as their correlations in EC tissue were also analyzed. Results: The positive expression rates of ER and PR in EC tissue were 44.8% and 41.8%, respectively, dramatically lower than in atypical hyperplasia endometrial tissue and normal endometrial tissue (P<0.01). The positive expression rates of C-erbB-2 and Ki-67 in EC tissue were 80.6% and 64.2%, respectively, significantly higher than in atypical hyperplasia endometrial tissue and normal endometrial tissue (P<0.01). In EC tissue, the expression of ER and PR was closely associated with the differentiated degrees and depth of myometrial invasion (P<0.05), while that of C-erbB-2 and Ki-67 with the clinical staging, differentiated degrees, depth of myometrial invasion and presence or absence of lymph node metastasis (P<0.05). Spearman correlation analysis further displayed that the expression of ER was positively correlated with PR (r=0.393, P=0.001), but negatively with C-erbB-2 and Ki-67 (r=-0.469, P=0.000; r=-0.329, P=0.007); The expression of PR was negatively correlated with C-erbB-2 and Ki-67 (r=-0.273, P=0.025; r=-0.251, P=0.041), but that of C-erbB-2 positively with Ki-67 (r=0.342, P=0.005). Conclusions: Abnormal expression of ER, PR, C-erbB2 and Ki-67 might play an important role in endometrial malignant transformation and cell differentiation, so their joint detection is likely to be a comprehensive combination of immune factors, which is of great importance for EC prognosis.

• BMB Reports
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• 제51권4호
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• pp.165-166
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• 2018

Osteoarthritis (OA) is the most common form of arthritis and is a leading cause of disability with a large socioeconomic cost. OA is a whole-joint disease characterized by cartilage destruction, synovial inflammation, osteophyte formation, and subchondral bone sclerosis. To date, however, no effective disease-modifying therapies for OA have been developed. The estrogen-related receptors (ERRs), a family of orphan nuclear receptor transcription factors, are composed of $ERR{\alpha}$, $ERR{\beta}$, and $ERR{\gamma}$, which play diverse biological functions such as cellular energy metabolism. However, the role of ERRs in OA pathogenesis has not been studied yet. Among the ERR family members, $ERR{\gamma}$ is markedly upregulated in human and various models of mouse OA cartilage. Adenovirus-mediated overexpression of $ERR{\gamma}$ in the mouse knee joint tissue caused OA pathogenesis. Additionally, cartilage-specific $ERR{\gamma}$ transgenic (Tg) mice exhibited enhanced experimental OA. Consistently, $ERR{\gamma}$ in articular chondrocytes directly caused expression of matrix metalloproteinase (MMP) 3 and MMP13, which play a crucial role in cartilage destruction. In contrast, genetic ablation of Esrrg or shRNA-mediated Esrrg silencing in the joint tissues abrogated experimental OA in mice. These results collectively indicated that $ERR{\gamma}$ is a novel catabolic regulator of OA pathogenesis and can be used as a therapeutic target for OA.

• 대한한방부인과학회지
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• 제22권2호
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• pp.1-25
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• 2009

Purpose: The purpose of this study is to investigate the anti-arthritis effects of Jeonsaenghwalhyeoltanggamibang(JHTG) on collagen-induced arthritis(CIA) in mice. Methods: To assess the effects of JHTG on CIA in mice, we conducted several experiments such as analysis of arthritis index, cell count of draining lymph node(DLN) and paw joint, measurement of serum antibody levels and observation of the histological changes of joint. Results: 1. JHTG extract had a suppressive effect on the arthritis index of paw joints in CIA mice. 2. JHTG extract increased the total cell number of DLN, and decreased the total cell number of paw joints in CIA mice. 3. JHTG extract increased the absolute number of various cell surface receptors in DLN, and decreased the absolute number of B220+/CD23+ cells in DLN in CIA mice. 4. JHTG extract decreased the absolute number of CD3+, CD4+, CD11b+/Gr-1 cells in paw joint in CIA mice. 5. JHTG extract didn't decrease the absolute number of CD4+/CD25+ cells in paw joints in CIA mice. 6. JHTG extract decreased levels of total IgM in the serum of CIA mice, but had no effect on levels of collagen II specific antibody. 7. JHTG extract decreased the destruction of articular cartilages and collagen fibers and the proliferation of synovial cells in paw joints from CIA mice. Conclusion: These results indicate that JHTG has clinical potential for the treatment of rheumatoid arthritis by modulating the immune response.