• 생물정신의학
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• 제15권1호
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• pp.35-45
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• 2008

Objectives : There has been a continued debate regarding the role of eye movements in Eye Movement Desensitization and Reprocessing(EMDR). This study examined the possible autonomic effect of horizontal eye movements after being exposed to fearful stimuli. Methods : Fifty two healthy adult women were randomly allocated to eye movement or eye fixed groups after watching a five minute fear-inducing film clip. ECG was recorded during the resting state, after watching the clip, and the treatment. A spectral power analysis of the heart rate variability was performed. As the variables violated the rule of normal distribution and the number in each group is small the non-parametric test was used. Results : Overall, we did not find the differences between the groups in both time and frequency domains. Some minor differences found were not consistent with results from previous studies. Conclusions : Effect of eye movement on autonomic nervous system during fear desensitization was not supported in this experiment. Further study with other psychophysiological measures is needed to understand the role of eye movements in treatment of traumatic memory.

• 대한암한의학회지
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• 제16권1호
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• pp.15-31
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• 2011

Objective : The study aims to investigate the effect of moxibustion treatments on autonomic nervous system function of cancer patients through the evaluation of heart rate variability (HRV) biofeedback testing. Materials and Methods : Six cancer patients from inpatient care unit of Dunsan Oriental Hospital, Daejeon University were given three moxibustion treatment sessions every other day over one week period on five Oriental Medicine meridian points CV4, CV6, CV12, KD1, and PC8. HRV biofeedback was conducted before and after each treatment sessions. Three areas of analyses were done from the test conducted; Time Domain Analysis, Frequency Domain Analysis and Autonomic Nervous System (ANS) balance analysis. Results : Time Domain Analysis has shown increased Standard Deviation of all Normal R-R Intervals (SDNN), and decreased Mean Heart Rate and Physical Stress Index (PSI) levels, with statistical significance (P<0.05). In Frequency Domain Analysis, series of moxa treatments have increased Total Power (TP), Very Low Frequency Oscillation Power (VLF), High Frequency Oscillation Power (HF), normalized HF values while decreasing Low Frequency Oscillation Power (LF), normalized LF and LF/HF ratio with statistical significance (P<0.05). The values of ANS activity, ANS balance, Stress resistance, Stress index, have also shown significant changes. For cardiac stability stroke volume power (SP) and Blood Vessel Tension (BVT) were followed, which were both increased after treatment. All changes were statistically significant (P<0.05). Conclusion : The results have shown a positive correlation between the moxibustion treatments and autonomic nervous system responses on cancer patients through the HRV biofeedback testing. This study suggests possible application of moxibustion treatments for managing ANS functions of cancer patients, although additional studies with larger population are necessary to confirm the data.

• 한방비만학회지
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• 제8권1호
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• pp.81-88
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• 2008

Objectives To investigate the relationship between Heart Rate Variability and menopause among obese middle-aged women in Korea. Subjects and Methods Forty middle-aged women (age 49.05 $\pm$ 2.64 years) with BMI > $23kg/m^2$ were recruited by local advertisement. Blood profiles of estrogen, FSH, LH, glucose, total cholesterol, HDL-cholesterol, and triglyceride were measured. Autonomic Nervous System (ANS) was estimated by short-term spectral analysis of heart rate variability (HRV). Visceral adipose tissue (VAT) and subcutaneous adipose tissue (SAT) were accessed using Computerized Tomography (CT), Bioimpedance Analysis (BIA), and anthropometry. To scrutinize the influence of ANS on obesity-related factors, we divided the subjects into pre- and post-menopausal women. Results The total cholesterol, FSH and LH were significantly higher in post-menopausal obese women group. The estradiol and standard deviation of all normal R-R intervals (SDNN), high-frequency components (HF) of the HRV were significantly lower in postmenopausal obese women group (P<0.05). Adipose tissue distribution and blood profiles were not significantly different between two groups. Conclusion Menopause induced a decrease in SDNN and HF values and increase in total cholesterol level in obese women although the VAT itself was not related with ANS in obese women.

• 한국운동역학회지
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• 제30권3호
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• pp.247-253
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• 2020

Objective: This study aimed to examine the effects of real-time visual feedback gait training on gait stability in older adults. Method: Twelve older adults participated in this study, being divided into 2 groups including a) visual feedback (VF) and b) non-visual feedback (NVF) groups. For 4 weeks, VF performed a treadmill walking training with real-time visual feedback about their postural information while NVF performed a normal treadmill walking training. For evaluations of gait stability, kinematic data of 15-minute treadmill walking were collected from depth-based motion capture system (30 Hz, exbody, Korea). Given that step lengths in both right and left sides were determined based on kinematic data, three variables including step difference, coefficient of variation, approximate entropy were calculated to evaluate gait symmetry, variability and complexity, respectively. Results: For research findings, VF exhibited significant improvements in gait stability after 4-week training in comparison to NVF, particularly in gait symmetry and complexity measures. However, greater improvement in gait variability was observed in NVF than VF. Conclusion: Given that visual feedback walking gives potential effectiveness on gait stability in older adults, gait training with visual feedback may be a robust therapeutic intervention in people with gait disturbances like instability or falls.

• 대한수학회논문집
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• 제25권4호
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• pp.557-569
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• 2010

Suppose that n is a positive integer. For any real number $\alpha$($\beta$ resp.) with $\alpha$ < 1 ($\beta$ > 1 resp.), let $K^{(n)}(\alpha)$ ($K^{(n)}(\beta)$ resp.) be the class of analytic functions in the unit disk $\mathbb{D}$ with f(0) = f'(0) = $\cdots$ = $f^{(n-1)}(0)$ = $f^{(n)}(0)-1\;=\;0$, Re($\frac{zf^{n+1}(z)}{f^{(n)}(z)}+1$) > $\alpha$ (Re($\frac{zf^{n+1}(z)}{f^{(n)}(z)}+1$) < $\beta$ resp.) in $\mathbb{D}$, and for any ${\lambda}\;{\in}\;\bar{\mathbb{D}}$, let $K^{(n)}({\alpha},\;{\lambda})$ $K^{(n)}({\beta},\;{\lambda})$ resp.) denote a subclass of $K^{(n)}(\alpha)$ ($K^{(n)}(\beta)$ resp.) whose elements satisfy some condition about derivatives. For any fixed $z_0\;{\in}\;\mathbb{D}$, we shall determine the two regions of variability $V^{(n)}(z_0,\;{\alpha})$, ($V^{(n)}(z_0,\;{\beta})$ resp.) and $V^{(n)}(z_0,\;{\alpha},\;{\lambda})$ ($V^{(n)}(z_0,\;{\beta},\;{\lambda})$ resp.). Also we shall determine the extreme points of the families of analytic functions which satisfy $f(\mathbb{D})\;{\subset}\;V^{(n)}(z_0,\;{\alpha})$ ($f(\mathbb{D})\;{\subset}\;V^{(n)}(z_0,\;{\beta})$ resp.) when f ranges over the classes $K^{(n)}(\alpha)$ ($K^{(n)(\beta)$ resp.) and $K^{(n)}({\alpha},\;{\lambda})$ ($K^{(n)}({\beta},\;{\lambda})$ resp.), respectively.

• The Korean Journal of Pain
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• 제19권2호
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• pp.202-206
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• 2006

Background: Stellate ganglion block (SGB) might be associated with changes in the blood pressure (BP) and heart rate (HR). The heart rate variability (HRV) shows the balance state between sympathetic and parasympathetic activities of the heart. The changes in these parameters of the HRV were studied to evaluate the possible mechanism of SGB in changing the BP. Methods: SGB was performed on 26 patients, using a paratracheal technique at the C6 level, and 8 ml of 1% mepivacaine injected. The success was confirmed by check the Horner's syndrome. The BP, HR and HRV were measured before and 5, 15, 30, 45 and 60 minutes after the SGB. Results: The increases in the BP from the baseline throughout the study period were statistically, but not clinically significant. The HR and LF/HF (low frequency/high frequency) ratio were increased at 5 and 45 min, respectively, after the administration of the SGB. In a comparison of left and right SGB, no significant differences were found in the BP, HR and HRV. A correlation analysis showed that an increased BP was significantly related with the changes in the LF/HF ratio and LF at 15 and 30 minutes, respectively, after the SGB. Dividing the patients into two groups; an increased BP greater and less than 20% of that at the baseline INC and NOT groups, respectively, hoarseness occurred more often in the INC group (P = 0.02). Conclusions: It was concluded that SGB itself does not clinically increase the BP and HR in normal hemodynamic patients. However, the loss of balance between the sympathetic and parasympathetic nerve system, attenuation of the baroreceptor reflex and hoarseness are minor causes of the increase in the BP following SGB; therefore, further studies will be required.

• 동의신경정신과학회지
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• 제22권1호
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• pp.1-12
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• 2011

Objectives : This study was conducted to assess effects of oriental medicine music therapy on heart rate variability(HRV) in normal subjects under mental stress. Methods : 34 healthy volunteers(control group:17, experimental group:17) participate in this study. The volunteers were randomly allocated into two groups. After 10-minutes rest period and instrumentation, both groups performed a mental stress test for 12-minutes. HRV was recorded before and after the mental stress. And then the experimental group applied oriental medicine music therapy for 10-minutes. In the control group, they rested for 10-minutes. And HRV was recorded. Results : After giving mental stress stimulation to both groups, LF and LF/HF ratio were significantly increased and HF, mean HRV were decreased. In experimental group, LF, LF/HF ratio were significantly decreased and HF, SDNN were significantly increased after applying oriental medicine music therapy. In control group, LF was significantly decreased. And LF/HF ratio was decreased and HF, SDNN were increased, but it was not significant. Conclusions : This results show that oriental medicine music therapy could be relatively useful to decrease sympathetic activity and prevent the alteration of autonomic nervous system due to mental stress.

• 동의신경정신과학회지
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• 제14권2호
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• pp.135-143
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• 2003

Objectives : The purpose of this study is to analyze and compare heart rate variability(HRV) of patient of twenties and thirties diagnosed as Kiwooljeung with healthy controls'. Methods : We measured HRV of 35 patient(20 to 39 years old, male 14, female 11) diagnosed as Kiwooljeung and 40 healthy controls(male 24, female 16). HRV was measured by SA-3000P(Medicore, Korea) for 5 minutes after 5 minutes resting. Results : 1. In time domain analysis, Mean pulse rate(PRT) in Kiwooljeung group was higher than healthy controls. Standard deviation of all normal N-N intervals (SDNN) in Kiwooljeung group was lower and the results of twenties and thirties were same. 2. In frequency domain analysis, total power(TP), very low frequency(VLF), low frequency(LF), high frequency(HF), Ln TP, Ln VLF, Ln LF, Ln HF in Kiwooljeung group were lower than healthy controls but LF/HF ratio was higher than healthy controls. 3. Comparing gender in Kiwooljeung group, LF/HF ratio in male was higher than female. Conclusions : This study suggests lower activity and imbalance of cardiac autonomous nervous system in Kiwooljeung with the age group between twenties and thirties.

• 대한한방부인과학회지
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• 제32권4호
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• pp.25-38
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• 2019

Objectives: The purpose of this study is to analysis differences of heart rate variability (HRV), body composition, digital infrared thermal imaging (DITI), and electro pulse graph by whether there are some causes of dysmenorrhea or not. Methods: We studied 89 patients who took at least one test among HRV, Body composition, DITI, and electro pulse graph visiting Kyung Hee University Hospital at Gangdong from March 1, 2014 to May 7, 2019. Results: There were statistically significant differences in Low frequency (LF), LF norm and High frequency norm (HF norm) of HRV between primary dysmenorrhea patients and secondary dysmenorrhea patients. There were statistically significant differences in Body Mass Index (BMI) and body fat percentage of Body composition between two groups. But both BMI were included in normal range. There were no statistically significant difference in DITI results. And there was significant difference of Estimated circulation resistance (ECR) between two groups. Conclusions: The results suggest that hormone imbalance of secondary dysmenorrhea patients can affect HRV results. And because of high ECR, phlegm pathology can be more considered in secondary dysmenorrhea patients. Further study should be conducted to confirm the results of body composition and DITI differences.

• 대한한방내과학회지
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• 제43권1호
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• pp.53-67
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• 2022

Objectives: This study aimed to identify the characteristics of the heart rate variability (HRV) index in patients with burning mouth syndrome (BMS) and to evaluate the predictive value of HRV for Korean medical treatment responsiveness to tongue pain in BMS. Methods: Among BMS patients who visited the Oral Diseases Clinic of Kyung Hee University Korean Medicine Hospital from January 1, 2018, to May 31, 2021, we reviewed the clinical records of 217 women aged 50 years and over. HRV and unstimulated saliva flow rate (USFR) measurements were carried out, and all patients were asked to indicate their degree of tongue pain using the visual analog scale (VAS). The subjects were classified into subgroups according to the presence or absence of hyposalivation and VAS improvement, and each subgroup was compared using the HRV index. Logistic regression analysis was conducted to confirm whether cause-effect relationships were present between statistically significant values. Results: BMS patients had lower LF and HF than healthy people. Subgroup analysis demonstrated that there were some statistically significant differences in the HRV index according to salivation rate and degree of pain. In addition, as the LF/HF ratio increased, the pain improvement rate decreased after treatment. Conclusion: The autonomic nerve activity of BMS patients was lower than that of healthy people; however, autonomic balance was not impaired. In addition, tongue pain in BMS patients responded more favorably to Korean medical treatment when patients fell within a normal range of the LF/HF ratio, suggesting that autonomic imbalance could be used as one of the predictable factors in clinical practice.