• 한국콘텐츠학회논문지
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• 제8권6호
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• pp.167-174
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• 2008

테이핑은 근골격계 질환의 치료 및 부상 방지를 위해 재활과 스포츠 영역에서 흔하게 사용되는 방법으로 그 작용 기전에 관한 설명은 신경생리학적 측면보다는 경험에 의한 주관적인 설명이 주를 이루고 있다. 이에 본 연구는 테이핑의 적용이 신경생리학적으로 ${\alpha}$-운동신경원의 흥분에 영향을 미치는지 여부를 알아 보고자 시도하였다. 본 연구는 20대 건강한 피검자를 대상으로 비복근의 주행 방향을 따라 탄력성 테이프와 비탄력성 테이프를 테이핑 적용 전, 적용 시 그리고 제거 후 M-파와 H-파의 진폭을 비교하여 테이핑이 D-운동신경원의 흥분에 변화를 일으키는지 여부를 알아보았다. 본 연구의 결과 탄력 테이프와 비탄력 테이프 모두는 ${\alpha}$-운등신경원의 흥분도에 어떠한 변화도 일으키지 않는 것으로 나타났다. 그러나 이러한 연구 결과는 선행 연구들과 상이한 결과로서 차후 보다 심도 있고 광범위한 연구가 수행되어야 할 것으로 사료된다.

• Journal of Korean Neurosurgical Society
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• 제61권5호
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• pp.625-632
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• 2018

Objective : Because the anatomical structure of the brachial plexus is very complex, surgical treatment of tumors in this region is challenging. Therefore, a lot of clinical and surgical experience is required for successful treatment; however, many neurosurgeons have difficulty accumulating this experience owing to the rarity of brachial plexus tumors. The purpose of this report is to share our surgical experience with brachial plexus tumor with other neurosurgeons. Methods : The records of 18 consecutive patients with brachial plexus tumors who underwent surgical treatment between January 2010 and December 2017 in a single institution were retrospectively reviewed. The surgical approach was determined according to the tumor location and size, and intraoperative neurophysiological monitoring (IONM) was used in most of cases to prevent iatrogenic nerve injury during surgery. In addition, to evaluate the differences in tumor characteristics according to pathologic diagnosis, the tumors were divided twice into two groups, based on two separate classifications, and statistical analysis was performed. Results : The 18 brachial plexus tumors comprised 15 (83.3%) benign peripheral nerve sheath tumors including schwannoma and neurofibroma, one (5.6%) malignant peripheral nerve sheath tumor, one (5.6%) benign tumor of non-neural sheath origin (neurogenic cyst), and one (5.6%) metastatic tumor (papillary carcinoma). The authors analyzed relationship between tumor size/location and tumor characteristic parameters such as age, size, right-left, and pathology. There were no statistically significant differences except a tendency of bigger tumor size in young age. Conclusion : For a successful surgical outcome, an appropriate surgical approach is essential, and the appropriate surgical approach is determined by the location and size of the tumor. Furthermore, applying IONM may prevent postoperative complications and it is favorable option for brachial plexus tumors surgery.

• 인지과학
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• 제7권3호
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• pp.37-60
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• 1996

생물심리학적 관점에서,학습은 우리가 환경으로부터 얻은 정보를 뇌내 신경세표의 회로망으로 전이시키는 과정이라 할 수 있다. 학습과 기억의 생물할적 실체를 찾고자 하는 연구들에는,기억 또는 정보의 저장이 신경계내 시냅스수정의 방식으로 이루어진다는 가정하에,특정 유형의 학습과 관련된 신경회로를 규명하고 신경가소성의 기초를 밝히려는 노력들이 있었다.이와는 달리 신경계내 뉴련들로 연결된 복잡한 신경망의 형태들이 특정정보를 표상한다고 보고,학습과 기억에 관련된 신경구조물들의 상호작용 기초를 분석 하려는 노력들이 있었다.본 연구는,전자의 입장에서,학습과 기억에 필수적인 엔그램의 부위를 찾기 위하여 사용된느 연구방법과 주요 실험동물 모델체계들의 특성,그리고 이러한 모델체계들을 사용한 연구결과들을 개관하였다.즉,본 논고는 실험동물 모델체계를 사용하여 학습과 기억에 필수적으로 관여하는 기억흔적회로를 찾아내고,그 신경회로내에서 학습과 기억에 결정적인 신경의 가소적 변화가 일어나는 부위를 규명하며,학습과정중에 신경수준에서 일어나는 시냅스의 수정에 대한 신경생리적,생화학적 기제를 밝히고자 한 연구들을 개관하였다.

• 한국게임학회 논문지
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• 제15권2호
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• pp.19-32
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• 2015

실재감, 몰입, 각성은 비디오가 제공하는 흥미로운 사용자 경험이다. 사용자들은 개인의 관심에 응해줄 수 있는 미디어에 대한 요구가 강해지고 있다. 본 연구는 이러한 사용자의 요구를 바탕으로 설문조사방법과 뇌파측정을 결합하여 비디오 시청과 게임을 비교한 연구이다. 연구결과, 비디오 게임이 비디오 시청에 비해 실재감, 몰입, 각성이 높은 수준으로 확인되었으며, 몰입의 상태와 관련이 있다고 알려진 뇌파 역시 높은 수준으로 확인되었다. 마지막으로 게임몰입에 영향을 주는 요인으로 실재감, 각성, 뇌파(${\alpha}$, ${\beta}$, ${\delta}$)변인이 영향을 주는 것으로 확인되었다. 이 연구는 자기보고와 더불어 뇌파측정을 통해 실증적으로 분석하고 관련분야의 이론적, 방법론적 발전에 기여하고자 하였다.

• 한국한의학연구원논문집
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• 제14권3호
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• pp.113-119
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• 2008

In pulse diagnosis, the indentation pressure is one of the most important factors as well as the change of pulse shape and the distribution of pressure via time. But, on the oriental medical doctor's indentation pressure control, the understandings of the neurophysiological meanings and mechanisms have been lacked. So, in this paper, we considered on these issues and then proposed a proper system which can imitate the OMD's indentation pressure control mechanisms. As a result, both tactile information and kinesthetic information were found to be essential to the indentation pressure control so that a system, which can measure both the physical indent pressure and the displacement of an indentation arm, has been proposed. With this proposed system, while the indentation was being controlled through the moving step number of the step motor, the physical indentation pres sure and displacement of the indentation arm were measured. From these measured data, the relationships between the moving step number and both physical indentation pressure and displacement were revealed to have linear characteristics in early phase and to have nonlinear characteristics in latter phase. Additionally, three types of graph were generated whose X axis means the moving step number, the physical indentation pressure and the displacement respectively and Y axis means the pulse pressure. By comparing these graphs, we come to conclude that different concepts on indentation pressure control cause different diagnostic results on floating/sinking degrees for the same subject. Consequently, an indentation system for the pulse diagnosis should be able to provide both the tactile information and kinesthetic information, that is, the physical indentation pressure and the displacement of the indentation arm. In future, the proposed system should be optimized to the pulse diagnosis environment and how to combine the both information for more reliable diagnosis should be studied.

• 수면정신생리
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• 제10권2호
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• pp.108-112
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• 2003

목 적：본 연구는 청각 사건관련 전위를 이용하여 전수면박탈이 인간의 신경생리에 미치는 영향을 알아보고자 시행되었다. 방 법：고려대학교 재학생 중 건강한 자원자 24명을 대상으로 하여 총 38시간의 수면박탈을 시행하였고 2일간 아침, 저녁으로 총 네 차례 청각 사건관련 전위를 실행하였다. 결 과：P300과 N200의 잠복기가 유의하게 길어졌으며(p<0.001) 진폭도 수면박탈의 결과로 유의하게 감소하였다(p<0.05). 수면박탈에 따라서 P200의 진폭이 유의한 증가를 보였다. 그러나 N100에서는 수면박탈에 따라서 유의한 변화가 나타나지 않았다(p<0.05). 결 론：청각 사건관련전위중 P300과 N200가 수면박탈 상태를 반영하는 표지자로 생각된다. 향후 수면박탈이 사건 관련전위에 미치는 영향의 신경생리학적 기전에 관한 추가적인 연구가 필요할 것으로 생각된다.

• 생물정신의학
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• 제19권1호
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• pp.65-69
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• 2012

Objectives : Much is still unknown about the neurophysiological mechanisms or dynamics of the sleep onset process. Detrended fluctuation analysis (DFA) is a new tool for the analysis of electroencephalography (EEG) that may give us additional information about electrophysiological changes. The purpose of this study is to analyze long-range correlations of electroencephalographic signals by DFA and their changes in the sleep onset process. Methods : Thirty channel EEG was recorded in 61 healthy subjects (male:female=34:27, age=$27.2{\pm}3.0$ years). The scaling exponents, alpha, were calculated by DFA and compared between four kinds of 30s sleep-wakefulness states such as wakefulness, transition period, early sleep, and late sleep (stage 1). These four states were selected by the distribution of alpha and theta waves in O1 and O2 electrodes. Results : The scaling exponents, alpha, were significantly different in the four states during sleep onset periods, and also varied with the thirty leads. The interaction between the sleep states and the leads was significant. The means (${\pm}$ standard deviation) of alphas for the states were 0.94 (${\pm}0.12$), 0.98 (${\pm}0.12$), 1.10 (${\pm}0.10$), 1.07 (${\pm}0.07$) in the wakefulness, transitional period, early sleep and late sleep state respectively. The mean alpha of anterior fifteen leads was greater than that of posterior fifteen leads, and the two regions showed the different pattern of changes of the alpha during the sleep onset periods. Conclusions : The characteristic findings in the sleep onset period were the increasing pattern of scaling exponent of DFA, and the pattern was slightly but significantly different between fronto-temporal and parieto-occipital regions. It suggests that the long-range correlations of EEG have a tendency of increasing from wakefulness to early sleep, but anterior and posterior brain regions have different dynamical process. DFA, one of the nonlinear analytical methods for time series, may be a useful tool for the investigation of the sleep onset period.

• Journal of Chest Surgery
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• 제50권2호
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• pp.94-98
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• 2017

Background: Intraoperative monitoring during carotid endarterectomy is crucial for cerebral protection. We investigated the results of carotid endarterectomy under dual monitoring with stump pressure and electroencephalography. Methods: We retrospectively reviewed the medical records of 50 patients who underwent carotid endarterectomy between March 2010 and February 2016. We inserted a temporary shunt if the stump pressure was lower than 35 mm Hg or if any intraoperative change was observed on electroencephalography. Results: Seventeen (34%) patients used a temporary shunt, and the mean stump pressure was 26.8 mm Hg in the shunt group and 46.5 mm Hg in the non-shunt group. No postoperative mortality or bleeding occurred. Postoperatively, there were 3 cases (6%) of minor stroke, all of which took place in the shunt group. A comparison of the preoperative and the intraoperative characteristics of the shunt group with those of the non-shunt group revealed no statistically significant difference between the 2 groups (p<0.01). Conclusion: Dual monitoring with stump pressure and electroencephalography was found to be a safe and reliable monitoring method with results comparable to those obtained using single monitoring. Further study should be performed to investigate the precise role of each monitoring method.

• 대한물리치료과학회지
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• 제13권2호
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• pp.85-98
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• 2006

This study was performed to examine the influences of the mental practice to the hemiplegic upper limb motor function improvement. 20 minute neurologic treatment based on the neurophysiological theory, 10 minute activities of daily living training, and 10 minute mental practice 5 times a week were given in turn to the experimental group(N=11). On the other hand 20 minute neurologic treatment, and 10 minute activities of daily living training 5 times a week were given in turn to the control group(N=11). Both Fugl-Meyer Assessment Scale and Manual Function Test were used to evaluate upper limb motor recovery, upper limb motor function and movement ability. And the Motor Activity Log; Amount of Use and Motor Activity Log; Quality of Movement before training, 2 weeks after training, and 4 weeks after training were measured to assess the upper limb motor quantitatively and qualitatively each. The results are as follows. 1) Considering the interactions of the rate of change on the upper limb motor recovery, motor function, movement ability improvement, and qualitative motor improvement in ADL of experimental group and control group, the change rates of experimental group were found to be greater than those of the control group. 2) In experimental group, the higher the achievements were, the better upper motor recovery was.

• The Journal of Korean Physical Therapy
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• 제5권1호
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• pp.109-114
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• 1993

The originator of the proprioceptive neuromuscular facilitation method was Dr. Herman Kabat, a man who received the bachelor of science degree from New York University in 1932. In 1936 he moved to the University of Minnesota where he served as instructor in physiology and also studies medicine. He received his medical doctorate in 1942. When Dr. Karbat meet Sister Kenny suggested that certain change. She does not receptive his ideas. So that he decided to pursure the treatment of patients. Upon the establishment of the Karbat- kaiser Institute to be opened in 1946. Margaret Knott, the first physical therapist to be employed by him and to become his head physical therapist. In 1948 Vallejo center was opened. Dr. Kabat developed the PNF method combined motions to ascertain the effectiveness of maximal resistance and stretch in facilitating the response of a weak distal muscle. He identified mass movement patterns that were spiral and diagonal in character in 1965. Margaret Knott presented lecture at tile APTA Annual Conference in Las Vegas. The title was In the groove. On December 18, 1978 she passed away at her home in Vallejo. Marie-Louise Mangold is director of the Kaiser Foundation Rehabilitation Center now. She is the Vice President of International Proprioceptive Neuromuscular facilitation Association. About 20 physical therapist working teaching and study at KFRC in Vallejo. PNF neuromuscular mechanism becomes integrated and efficient without awareness of individual muscle action, reflex and a multitude of other neurophysiological reactions. The principles of PNF are visual consideration, verbal consideration, and proprioceptive input consideration with tactile stimulation, joint receptors, appropriate facilitation, stretch reflex normal timing, irradiation, pattern of movement.