• Title/Summary/Keyword: Movement dysfunction

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Two Cases of Systemic Lupus Erythematosus with Cerebrovascular Involvement (뇌 혈관계를 침범한 전신성 홍반성 루푸스 2례)

  • Kim, Bong-Jun;Lee, Eun-Young;Hong, Young-Hoon;Park, Ki-Do;Song, Young-Doo;Lee, Choong-Ki;Shim, Young-Ran
    • Journal of Yeungnam Medical Science
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    • v.15 no.2
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    • pp.371-380
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    • 1998
  • Systemic lupus erythematosus(SLE) is an autoimmune disease which may affect many different organs and disclose various clinical manifestations. Recently central nervous system(CNS) involvement has been recognized as an increasingly significant contributor to morbidity and mortality of SLE. The clinical manifestations of CNS-lupus are highly variable and range from mild cognitive dysfunction, movement disorder, headache, psychosis to life-threatening stroke and coma. Among the neuropsychiatric disorders encountered in patients with SLE, cerebrovascular disease has been a relatively rare complication. The diagnosis and management of CNS-lupus is difficult because of the lack of useful diagnostic methods. If cerebrovascular involvement is suspected, aggressive treatment such as high dose steroid, immunosuppressive therapy, plasma exchange may be required to reduce high mortality rate. We experienced 2 cases cerebrovascular dis eases occurring in SLE patients which presented with various neuropsychiatric manifestations. They were diagnosed as CNS-lupus by neuropsychiatric symptoms, brain MRI, and BEG, and showed good response to high dose steroid pulse therapy.

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CORRELATION OF CONDYLAR MOBILITY AND ARTHROTOMOGRAPHY IN PATIENTS WITH INTERNAL DERANGEMENTS OF THE TEMPOROMANDIBULAR JOINT (측두하악관절내장증에서 하악과두운동과 측두하악과절조영상의 상호관계)

  • Lee Eun-Sook;You Dong-Soo;Park Tae-Won;Choi Soon-Chul
    • Journal of Korean Academy of Oral and Maxillofacial Radiology
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    • v.24 no.2
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    • pp.337-345
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    • 1994
  • Arthrography of the temporomandibular joint is a useful method of demonstrating the soft tissue abnormalities related to disc dysfunction. In this study, 19 asymptomatic joints, 31 joints with anterior disc displacement with reduction, 31 joints with anterior disc displacement without reduction which were classified by arthrotomography under fluoroscopy were evaluated to determine the linear measurement of anterior recess of inferior joint space and the relationship between the condylar anterior translation and the severity of the internal derangements. Their fluoroscopic images were also evaluated to describe the characteristics of condylar paths in internal derangements of the temporomandibular joints. The results were as follows; 1. The mean lengths of the anterior recess in asymptomaic group. reduction group. and non-reduction group were 8.7±1.6㎜. 11.2±1.7㎜, 12.8±1.7㎜ respectively. The length of the anterior recess was increased according to the severity of the internal derangements(P<0.05). 2. Linear measurements of anterior movement of condyle on maximum mouth opening were 13.1 ±4.2㎜, 15.9±4.1㎜, 5.0±3.7㎜ in asymptomatic group. reduction group, and non-reduction group respectively. Compared with asymptomatic group, reduction group showed hypermobolity of the condyle and non-reduction group showed hypomobility. 3. Condyles moved beyond the crest of articular eminence in 80% of reduction group and did not reach it in 70% of non-reduction group. 4. The condyle moved mainly superiorly in reduction group(66%) and horizontally in asymptomatic group(47%). There were no cases to move superiorly in non-reduction group.

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A study on shape changes of hangul signature under the influence of alcohol (한글서명의 알콜 섭취에 의한 외형 변화율에 대한 연구)

  • Roh, Seung-Chan;Park, Sung-Woo;Kim, Jung-Ho
    • Analytical Science and Technology
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    • v.23 no.6
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    • pp.607-614
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    • 2010
  • Handwriting identifications are often faced with difficulties in evaluating handwriting by persons under the influence of alcohol. Cerebellar dysfunction is associated with deficits in the control of movement extent, as well as changes in the amplitude and relative amounts of acceleration and deceleration and action tremor. Although numerous articles are available on the subject of alcohol influence on handwriting quality, most of them were based on empirical data such as experience method, without any statistical evaluation. In this study, Hangul signature giyeok and nieun of consonant were measured in samples of handwriting. The result of this study can be used as a basic data of comparison on handwriting by identifying consistency of features and relative individualization of.

Effects of Thoracic Mobility Exercise on Cervicothoracic Function, Posture and Pain in Individuals With Mechanical Neck Pain (등뼈 가동성 운동이 기계적 목통증 환자의 목등뼈부 기능 수준과 자세, 통증 수준에 미치는 영향)

  • Lee, Hwa-jeong;Kim, Suhn-yeop
    • Physical Therapy Korea
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    • v.26 no.3
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    • pp.42-56
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    • 2019
  • Background: Individuals with mechanical neck pain show biomechanical and neurophysiological changes, including cervical spine muscle weakness. As a result of deep muscle weakness, it causes stability disability and reduced upper thoracic spine mobility, which finally leads to functional movement restriction such as limited range of motion and dysfunction. Recent studies have shown that thoracic spine manipulation and mobilization could reduce symptoms of mechanical neck pain in patients. Objects: The purpose of this study was to investigate the effects of thoracic mobility exercise on cervicothoracic function, posture feature, and pain intensity in individuals with mechanical neck pain. Methods: The study subjects were 26 persons who were randomly assigned to the experimental (with thoracic mobility exercise) and control groups (without thoracic mobility exercise), with 13 subjects in each group. The cervicothoracic function (neck functional disability level and cervicothoracic range of motion), posture feature, and pain rating (using a quadrupled visual analogue scale [QVAS]) were measured before, after 3 weeks, and after 6 weeks. Results: Statistically significant group-by-time interactions were found with repeated analyses of variance for the Korean neck disability index (KNDI), all cervical range of motion (CROM), all thoracic range of motion (TROM), cranial rotation angle, sagittal shoulder posture (SSP), and QVAS (p<.05). All groups showed significant improvements from all times in all the evaluated methods. The KNDI, CROM, TROM of left rotation, and SSP in the experimental group showed significant improvements after 3 weeks, and the TROM of the right rotation and QVAS in the experimental group showed significant improvements after 6 weeks when compared with the control group. Conclusion: Thoracic mobility exercise during 6 weeks might be effective intervention to improve the functional level, posture feature, and QVAS pain rating for managing individuals with mechanical neck pain.

Effects of Resistance Exercise with Elasticity of Tubes on the Gait, Balance and Strength in the Elderly of the Daycare center (고무로프의 탄성을 이용한 저항성운동이 노인의 보행능력, 균형능력 및 근력 향상에 미치는 영향 -주간보호센터 노인을 대상으로)

  • Um, Hyemi;Si, Joo Wun;Lee, Hyun Ju
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.7
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    • pp.102-110
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    • 2019
  • This study is for the elderly with mental and physical dysfunction, developing resistance exercise program using tube elasticity, and analysing the effects of this movement on the improvement of gait ability, balance ability and muscle strength of the elderly. After a 12-week program for 58 participants of the daycare center, dependent t-test was performed. As a result, the total participants showed average improvement in gait, balancing and hand grip strength. This means a lot in terms of improving one's ability of ADL(Activities of daily living) and reducing the risk of falling. Therefore, if the program expands and activates the target as an entire elderly, it is expected to be a preventative way to prevent healthy elderly people from moving to the frailty who need treatment and to delay the deterioration of the frailty with disabilities.

The Impact of Shoulder Flexion Angle on Hand Grip Strength in Male and Female Undergraduate Students (견관절 굴곡 각도가 남·녀 대학생의 악력 변화에 미치는 영향)

  • Ha, Kyung-Jin;Kim, Dae-Kyeong;Hwang, Seon-Keon
    • PNF and Movement
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    • v.10 no.1
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    • pp.9-17
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    • 2012
  • Purpose : This study's purpose is consideration about change of the hand grip strength according to different posture and shoulder flexion angle. The shoulder joint permits the greatest mobility and carries out the important function of stabilization for hand use. Hand grip activity is important to evaluate while assessing loads of shoulder in hand mobilities. Methods : Thirty(15 male, 15 female) college students with unknown shoulder dysfunction participated subject in five different positions of elbow extension with sitting and standing posture, different positions is followed : (1) shoulder $0^{\circ}$ flexion (2) shoulder $45^{\circ}$ flexion (3) shoulder $90^{\circ}$ flexion (4) shoulder $135^{\circ}$ flexion (5) shoulder $180^{\circ}$ flexion. Results : On the average, in the hand grip strength, the standing posture is higher than sitting posture. Sitting posture showed a most high level at the man's $0^{\circ}$ and woman's $135^{\circ}$. And standing posture showed a most high level at the man's $135^{\circ}$ and woman's $90^{\circ}$. Conclusion : The paired t-test was used to determine the different in grip strength between sitting and standing posture by shoulder angle change. There was no significant difference between the five position by sitting and standing posture. In man, correlation analysis revealed significant connection for all five position by sitting and standing posture. And in woman, correlation analysis revealed connection for all five position by sitting and standing posture.

A Study of the Differences in Subjective Visual Vertical Between the Elderly and Young Adults and Balance, Dizziness, and Gait Changes (노인과 젊은 성인의 주관적 시수직의 차이와 그에 따른 균형, 어지럼증 및 보행 변화 연구)

  • Kwon, Jung-Won;Yeo, Sang-Seok
    • PNF and Movement
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    • v.18 no.3
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    • pp.383-392
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    • 2020
  • Purpose: Balance and gait dysfunction caused by aging affect elderly individuals' independent life, which, in turn, can reduce their overall quality of life. The purpose of this study is to compare the differences in the vestibular function of healthy elderly and young adults based on the subjective visual vertical (SVV) test as well as to compare and analyze the gait ability between these two groups to study the differences and association between vestibular, dizziness, and balance ability. Methods: The subjects were 18 young and 16 elderly adults with no neurological or musculoskeletal damage. To evaluate vestibular function, a subjective visual vertical test was performed. To evaluate the gait function, the step time, step length, stride length, stance phase ratio, and swing phase ratio were measured. Balance was evaluated using the Berg Balance Scale (BBS), and dizziness was evaluated using a dizziness handicap inventory (DHI). Results: There were significant differences in the SVV, BBS, and DHI between the young and elderly adults (p < 0.05). The gait variables of the older adults were all significantly different (except for the swing phase ratio) than those of the young adults (p < 0.05). As the result of correlation analysis, the SVV values of the young adults showed a significant negative correlation with step length and stride length (p < 0.05), while the SVV values of the elderly adults only showed a significant positive correlation with the DHI (p < 0.05). Conclusion: The elderly appeared to show a decrease in vestibular function when compared to the young adults, and it is thought that walking and balance function declined, while dizziness increased. Moreover, it is believed that these results can be used as basic data for vestibular rehabilitation in the future.

Effects of dynamic taping on shoulder joint proprioception

  • Park, So-Young;Kim, Min-Ji;Seol, So-Eun;Hwang, Chan;Hong, Ji-Su;Kim, Ho;Shin, Won-Seob
    • Physical Therapy Rehabilitation Science
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    • v.9 no.4
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    • pp.269-274
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    • 2020
  • Objective: There are many cases of applying various taping methods to prevent muscle damage and to assist with movement. The purpose of this study was to investigate and to compare the effects of dynamic taping on joint position sense and to find out the difference in error values during various degrees of shoulder flexion. Design: Cross-sectional study. Methods: A total of 20 subjects participated in this study with a randomized cross-over design. The order of taping was adjusted by randomly proceeding with dynamic taping, sham taping, and no taping. After the taping, the proprioception of the shoulder joint was evaluated. The evaluation of proprioceptive sensation was performed by evaluating joint position sensation. The sequence was adjusted by randomly performing joint position tests at each shoulder flexion of 50, 90, and 110 degrees. All angles were repeated 3 times. Results: There was a significant difference between dynamic taping and no taping in 50 degrees of shoulder flexion. There was a significant difference between sham taping and no taping in 90 degrees of shoulder flexion (p<0.05). No significant difference was found in 110 degrees of shoulder flexion. Conclusions: In this study, it was confirmed that dynamic taping is effective in improving the joint position sense in 50 degrees of shoulder flexion. In the future, it is expected that further studies will be conducted on patients with shoulder dysfunction with decreased proprioception.

Effects of Lower Limb Exercise Program on the Backrest Chair in College Students with Low Back Pain (등받이 유무에 따른 하지 운동프로그램이 허리통증이 있는 대학생들에게 미치는 영향)

  • Kim, Yoon-Hwan;Seo, Tae-Hwa
    • Journal of Korea Entertainment Industry Association
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    • v.14 no.7
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    • pp.469-476
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    • 2020
  • This study was conducted on college students with low back pain to find out how a backrest exercise program affects the pain and balance of students. Thirty-two students at K University in Gwangju City were randomly classified with backrests and without backrests group respectively. Each group conducted the program for lasted three times a week for a total of 30 minutes for four weeks. Visual Analog Scale (VAS) was measured for pain assessment before and after arbitration, and the Korean Oswestry Disability Index (KODI) was measured for functional disability assessment. TETRAX is used to measure the weight distribution index and posture stability. According to the results of the experiment, the Visual Analog Scale (VAS) and the Korean Oswestry Disability Index (KODI) and weight distribution index showed significant differences over time, but the posture stability was no significant difference. The results of this study show that the lower limb exercise program is effective in back pain, dysfunction and weight distribution index, and it is believed that the pain reduction is significant when performed by distal movement in the area of back pain, It can be applied effectively to reduce low back pain in college students who spend a lot of time sitting down.

The Toxicological Pathologic Study of Amanita muscaria in Sprague-Dawley Rat (Amanita muscaria 경구투여 시 Sprague-Dawley Rat에서의 독성병리 연구)

  • Kim, Jin;Kim, Hyeong-Jin;Kim, So-Jung;Kim, Byeong-Soo;Kim, Sang-Ki;Park, Byung-Kwon;Park, Young-Seok;Cho, Sung-Dae;Jung, Ji-Won;Nam, Jeong-Seok;Choi, Chang-Sun;Lee, Seung-Ho;Jung, Ji-Youn
    • Journal of Life Science
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    • v.19 no.8
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    • pp.1152-1158
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    • 2009
  • For the toxicological pathologic study of amanita muscaria, we have investigated single and repeated dose toxicity in Sprague-Dawley (SD) rats. Single dose toxicity study was identified as catalepsy, incline and tail pinch methods (control 0 mg/kg, low 3.3 mg/kg, middle 16.5 mg/kg, high 33.0 mg/kg). Repeated dose toxicity study was carried out in blood tests, serum tests and histopathological methods. Neurotoxicity - muscle paralysis, and convulsion and loss of movement - was observed at 33.0 mg/kg group in the single dose toxicity study. Dysfunction of liver and kidney were shown in the repeated oral administration of the amanita muscaria at 3${\sim}$4 weeks. Serum chemistry results revealed a marked increase of LDH [Lactate Dehydrogenase (3181.5 IU/L; normal 230-460 IU/l)], ALT [Alanine transaminase (124.0 IU/l; normal <40 IU/l)] but the kidney was normal. Histopathological results show interstitial edema and tubular epithelial necrosis in the kidney. These results suggest that amanita muscaria has a neurotoxic effect and causes dysfunction of liver and kidney in the SD rat.