• Title/Summary/Keyword: NMES

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The Change of H Reflex by Neuromuscular Electrical Stimulation (신경근전기자극에 의한 H 반사의 변화)

  • Lee, Jeong-Woo;Kim, Tae-Youl
    • Journal of Korean Physical Therapy Science
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    • v.10 no.1
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    • pp.65-73
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    • 2003
  • The purpose of this study was to determine whether neuromuscular electrical stimulation(NMES), applied over the antagonist or the agonist, would alter the H reflex. Attention was focused on the roles of stimulus location. We used normal eight subjects without neuromuscular disease which were divided into 3 groups; the subjects were diveded into group of antagonist, agonist, antagonist-agonist. All groups were meted of eight subjects. Neuromuscular electrical stimulation was administered for 15 minutes. All subjects were subjected to three tests, including a pre-test, post-test and post-20 minute test. The data were analyzed by repeated measures ANOVA and paired t-test. The results were as follows; 1. H latencies were significantly increased in agonist and antagonist-agonist group (p<.01). 2. H/M intervals were significantly increased in agonist and antagonist-agonist group (p<.01). 3. H amplitudes were significantly increased in agonist (p<.001) and antagonist-agonist group (p<.01). 4. H/M ratios were significantly decreased in agonist and antagonist-agonist group (p<.01). In agonist group. H-reflex amplitudes and H/M ratios were more significantly decreased than antagonist group. Future studies will need to determine what influence NMES may have on the excitability of spinal motor neurons in people having UMN syndrome.

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Changes of Maximal Isometric Contraction and Fatigue of Quadriceps Femoris Muscle by NMES (신경근전기자극에 의한 대퇴사두근의 최대 등척성 수축력 및 피로도 변화)

  • Jeong, Seong-Gwan;Lee, Jung-Woo
    • Journal of the Korean Academy of Clinical Electrophysiology
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    • v.2 no.1
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    • pp.49-57
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    • 2004
  • The purpose of this study was to determine the effect of muscle contraction torque and muscle fatigue by low-frequency PC. In this article, We would like to experiment on electrical stimulation, determine optimal forms of stimulation setting. We used normal fourteen subjects(seven women, seven men) without neuromuscular disease and all subjects participated in the 3 session. Torque was measured using a computerized Kin-Com dynamometer for MVIC, MIC, Fatigue tests. The following results were obtained; 1. Torque of man were significantly higher than women in the MIC test(p<.05). 2. Torque of women, man were significantly decreased in the Fatigue test(p<.001). Between woman and man groups were significant difference(p<.05). These results lead us to the conclusion that muscle fatigue was influenced by PC, fatigue of women was higher than man. Therefore, A further studies concerning the electrical stimulation should consider differences between sexes in response to treatment and could enhance the development of the most effective treatment regimens.

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Unstable vivax malaria in Korea

  • Ree, Han-Il
    • Parasites, Hosts and Diseases
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    • v.38 no.3
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    • pp.119-138
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    • 2000
  • Korean vivax malaria had been prevalent for longtime throughout the country with low endemicity. As a result of the Korean war (1950-1953), malaria became epidemic. In 1959-1969 when the National Malaria Eradication Service (NMES) was implemented, malaria rates declined, with low endemicity in the south-west and south plain areas and high endemic foci in north Kyongsangbuk-do (province) and north and east Kyonggi-do. NMES activities greatly contributed in accelerating the control and later eradication of malaria. The Republic of Korea (South Korea) was designated malaria free in 1979. However, malaria re-emerged in 1993 and an outbreak occurred in north Kyonggi-do and north-west Kangwon-do (in and/or near the Demilitarized Zone, DMZ) , bordering North Korea. It has been postulated that most of the malaria cases resulted from bites of sporozoite-infected females of An. sinensis dispersed from North Korea across the DMZ. Judging from epidemiological and socio-ecological factors, vivax malaria would not be possible to be endemic in South Korea. Historical data show that vivax malaria in Korea is a typical unstable malaria. Epidemics may occur when environmental, socio-economical, and/or political factors change in favor to malaria transmission, and when such factors change to normal conditions malaria rates become low and may disappear. Passive case detection is a most feasible and recommendable control measure against the unstable vivax malaria in Korea in cost-effect point of view.

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Characteristics Change of Spatial and Temporal Parameters of Gait in Spastic Hemiplegic Patients by Reciprocal Inhibition (상호억제 기법에 의한 경직성 편마비 환자 보행의 공간적, 시간적 특성 변화)

  • Kim Jong-Soon;Lee Hyun-Ok;Ahn So-Youn;Koo Bong-Oh;Bae Sung-Soo
    • The Journal of Korean Physical Therapy
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    • v.16 no.4
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    • pp.59-79
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    • 2004
  • The purpose of this study was to determined the effects of reciprocal inhibition on spatial-temporal gait parameters in spastic hemiplegic patients through GaitRite system. The subjects were consisted 45 patients who had spastic hemiplegia due to stroke. All subjects randomly assigned to 3 group : manual reciprocal inhibition program group(manual group), neuromuscular electrical stimulation group(NMES group) and control group. The manual group received voluntary isometric contraction of pre-tibia muscle. The NMES group received neuromuscular electrical stimulation on tibialis anterior. The control group was not recieved any therapeutic intervention. Before and after experiments, spatial-temporal gait parameters and functional ambulatory profile was measure in all patients. The data of 30 patients who complete experimental course were statistically analysed. The results of this study were as following : 1. The percentage of change of functional ambulatory profile were markedly increased in manual group but statistically non significant(p>.01). 2. The percentage of change of gait velocity and cadence were markedly increased in manual group but statistically non significant(p>.01). 3. Asymmetry ratio of gait elements were more improved in manual group but statistically non significant(p>.01). 4. There were no statistical difference between pre-test and post-test with functional ambulatory profile, gait velocity, cadence and asymmetry ratios in NMES group(p>.01). 5. There were no statistical difference between pre-test and post-test with unctional ambulatory profile, gait velocity, cadence and asymmetry ratios in control group(p>.01). In conclusion, the present results revealed that reciprocal inhibition which produced by voluntary isometric contraction of pre-tibia muscle can be improved spatial-temporal gait parameters including functional ambulatory profile in hemiplegic patients. Therefore, reciprocal inhibition is useful to improve functional activities in hemiplegic patient. Further study should be done to analyze the effects of intervention duration of reciprocal inhibition, appropriate muscle contraction, optimal time to apply the reciprocal inhibition in more long period.

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Effects of Neuromuscular Electrical Stimulation of the Vastus Medialis on Pain and Muscle Function in Patients with Knee Osteoarthritis (내측광근의 신경근전기자극(NMES)이 퇴행성 슬관절염 환자의 통증 및 근 기능에 미치는 영향)

  • Jin, Yu-Shin;Jeong, Tae-Gyeong
    • The Journal of the Korea Contents Association
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    • v.12 no.1
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    • pp.329-337
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    • 2012
  • The purpose of this study was to investigate the functional changes of the vastus medialis while the neuromuscular electrical stimulation(NMES) was performed in elderly women with knee osteoarthritis. The subjects of this study were 30 women who were diagnosed degenerative arthritis, 15 in the experimental group and 15 in the control group. The experimental group performed conventional physical therapy and neuromuscular electrical stimulation, and the control group received only conventional physical therapy, five times per week for four weeks. Outcome measures were assessed before and after 4weeks using the VAS(pain), quadriceps femoris strength, thigh circumference, and Q-angle. The data of the quadriceps femoris strength and thigh circumference were significantly increased in experimental group(p<0.05). The data the pain was significantly decreased in both the two groups(p<0.05). There were statistically significant differences in quadriceps femoris strength and thigh circumference between the two groups(p<0.05). As the result, the application of neuromuscular electrical stimulation of the vastus medialis could be more effective for decrease pain and improving muscle function in patients with knee osteoarthritis.

Epitaxial growth of in-situ doped polycrystalline 3C-SiC for M/NEMS application (M/NEMS용 in-situ 도핑된 다결정 3C-SiC 박막 성장)

  • Kim, Kang-San;Chung, Gwiy-Sang
    • Proceedings of the Korean Institute of Electrical and Electronic Material Engineers Conference
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    • 2008.06a
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    • pp.18-19
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    • 2008
  • Polycrystalline(poly) 3C-SiC film is a promising structural material for M/NEMS used in harsh environments, bio and fields. In order to realize poly 3C-SiC based M/NEMS devices, the electrical properties of poly 3C-SiC film have to be optimized. The n-type poly 3C-SiC thin film is deposited by APCVD using HMDS$(Si_2(CH_3)_6)$ as single precursor and are in-situ doped using N2. Resistivity values as low as 0.014 $\Omega$cm were achieved. The carrier concentration increased with doping from $3.0819\times10^{17}$ to $2.2994\times10^{19}cm^{-3}$ and electronicmobility increased from 2.433 to 29.299 $cm^2/V{\cdot}s$.

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The Effect of Pharmaceutical Innovation on Longevity (신약도입과 기대여명의 증가)

  • Kwon, Hye-Young
    • YAKHAK HOEJI
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    • v.56 no.1
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    • pp.66-69
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    • 2012
  • This study aims to assess the aggregate contribution of new drugs to the increase in life expectancy. We constructed a panel data combining mortality data in KOSIS and a drug dataset generated by assigning new drugs listed in 2000~2009 to their respective ICD codes. We found that 10% increase in stock of new drug led to 0.13~0.27% increase in the probability of survival to age 65. Due to lack of disease-specific life table, we used indirect approach to estimate the effect of new drugs on longevity. Using ordinary least squares, the estimate of the probability of survival to age 65 (logarithm) on life expectancy for all ages was 24.92. In conclusion, the increase in life expectancy of the entire population in Korea between 2000 and 2009 resulting from NMEs is 1.95 years, which explains 46.6% of real increase in life expectancy.

Effect of Rehabilitation Exercise and Neuromuscular Electrical Stimulation on a Visual Analysis Scale and on Functional Capacity Performed For 8-weeks in a Patient With Patellofemoral Pain Syndrome (무릎넙다리 동통증후군 환자의 8주간 재활운동과 신경근전기자극치료가 통증척도와 기능적 수행능력에 미치는 영향)

  • Han, Sang-Wan
    • Physical Therapy Korea
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    • v.11 no.3
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    • pp.33-42
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    • 2004
  • The purpose of this study was to assess the effect of rehabilitation exercise and neuromuscular electrical stimulation on a visual analysis scale and functional visual analysis scale regarding functional capacity. A total of 7 consecutive patients with the complaint of patellofemoral pain syndrome who received this diagnosis from a sports medicine physician were recruited to assess the effect of rehabilitation exercise and neuromuscular electrical stimulation (NMES) on Visual Analog Scale (VAS) and Functional Visual Analog Scale (FVAS), functional capacity patients with patellofemoral pain syndrome. The exercise rehabilitation consisted of a complex training program requiring five treatments a week for eight weeks. The training program consisted of four phases, and each lasted for two weeks. Statistical analyses were one-way ANOVA with repeated measures. The results were as follows: (1) There were significant differences in the VAS and FVAS during 8-weeks of rehabilitation exercise and neuromuscular electrical stimulation (p<.01). (2) There were no significant differences in the functional capacity during 8-weeks of rehabilitation exercise and neuromuscular electrical stimulation (p<.05). In conclusion, at the end of the eight weeks of this rehabilitation program and neuromuscular electrical stimulation, a significant reduction was found in VAS and FVAS, but there was no significant difference in functional capacity at the end of the treatment.

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POSITIVE SOLUTIONS FOR A NONLINEAR MATRIX EQUATION USING FIXED POINT RESULTS IN EXTENDED BRANCIARI b-DISTANCE SPACES

  • Reena, Jain;Hemant Kumar, Nashine;J.K., Kim
    • Nonlinear Functional Analysis and Applications
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    • v.27 no.4
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    • pp.709-730
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    • 2022
  • We consider the nonlinear matrix equation (NMEs) of the form 𝓤 = 𝓠 + Σki=1 𝓐*iℏ(𝓤)𝓐i, where 𝓠 is n × n Hermitian positive definite matrices (HPDS), 𝓐1, 𝓐2, . . . , 𝓐m are n × n matrices, and ~ is a nonlinear self-mappings of the set of all Hermitian matrices which are continuous in the trace norm. We discuss a sufficient condition ensuring the existence of a unique positive definite solution of a given NME and demonstrate this sufficient condition for a NME 𝓤 = 𝓠 + 𝓐*1(𝓤2/900)𝓐1 + 𝓐*2(𝓤2/900)𝓐2 + 𝓐*3(𝓤2/900)𝓐3. In order to do this, we define 𝓕𝓖w-contractive conditions and derive fixed points results based on aforesaid contractive condition for a mapping in extended Branciari b-metric distance followed by two suitable examples. In addition, we introduce weak well-posed property, weak limit shadowing property and generalized Ulam-Hyers stability in the underlying space and related results.

Effects of Gastrocnemius Neuromuscular Electrical Stimulation Training on Ankle mobility and Gait in Patients with Stroke

  • Yusik Choi;Hyunjoon Cho;Sooyong Lee
    • Physical Therapy Rehabilitation Science
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    • v.12 no.3
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    • pp.300-309
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    • 2023
  • Objective: The purpose of this study was to investigate the effects of gastrocnemius neuromuscular electrical stimulation training on ankle mobility and gait in patients with stroke. Design: A randomized controlled trial. Methods: 31 patients with stroke were selected and classified into an experimental group (n=16) and a control group (n=15). Both groups were assessed for ankle mobility using the Knee to Wall Test and gait parameters using G-walk before and after the intervention. The intervention was applied five times a week for four weeks. The experimental group performed gastrocnemius neuromuscular electrical stimulation followed by ankle control exercises, while the control group only applied NMES to the tibialis anterior muscle of the paretic side for 30 min per session five times a week for 4 weeks. Results: Experimental group showed significant improvements in Knee to wall test. and lumbar flexibility after the intervention. both group showed significant improvements in gait parameters after the intervention. However, when comparing between the two groups, the experimental group showed a more significant effect than the control group. Conclusions: Gastrocnemius neuromuscular electrical stimulation training can be considered an effective approach to improve ankle mobility and gait ability in patients with stroke.