• 제목/요약/키워드: Pulse therapy

검색결과 325건 처리시간 0.029초

말초신경계 치료를 위한 초미니 Loop-코일프로브 삽입형 자기치료기의 설계 및 제작 (Design and manufacture of mini loop coil probe style magnetic curer for peripheral nervous system treatment)

  • 김휘영;최진영;박성준;김희제
    • 벤처창업연구
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    • 제2권1호
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    • pp.153-169
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    • 2007
  • 열작용에 의한 전자파의 안전성을 생각하는데 있어서는 , 이 30${\sim}$300MHz 부근의 주파수대가 가장 중요하고 기립 신장 방향의 공진 상태에서는 목, 슬 관절, 발목 등 가는 부분이 강하게 가열되는 위험이 있다. 이처럼 자기자극기는 시간적으로 변화하는 자계를 인체내부에 전계를 유도하여 무접촉성, 무침습적으로 깊고, 넓은 부위의 자극이 가능한 이점으로 말초신경, 뇌질환, 뇌신경, 근력, 요실금, 노인성, 근질환, 재활치료 등까지 근래에 와서 활발하게 연구가 활발히 진행 중이다. 마지막으로 초미니 자기신경 치료기를 말초신경계 질환치료에 적용하기 위하여 연구한 결과, 첫째로 자기루프 객체의 실린더 형태로 설계하고 동작전원과 제어장치를 구현하였고, 둘째로 루프 객체 실린더형이 프로브의 특성과 치료영역 범위와 치료펄스의 거리에 대한 유효영역을 구하였고, 셋째로 프로브의 형태에 따른 펄스포밍과 에너지 값을 구현하여, 병변에 따른 치료펄스를 구현할 수가 있었다. 특히, 특성실험을 통해 댐핑펄스 형태와 치료펄스 형태 등을 다양하게 구하게 되었다. 최근에 의학 발달로 무자극, 무침습에 따른 질환치료에 조금이라도 도움이 되고자 구현 하였다. 본 연구에서는 고진폭 치료펄스(전통적인 magneto-therapy)의 크게 대단한 강렬)는 짧은 시간에 치료효과를 극대화 하고, 미래에는 수요가 크게 확대 될 것으로 예측된다.

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음악요법이 응급실 환자의 불안에 미치는 영향 (The Effect of Music Therapy on Anxiety of Patients in Emergency Room)

  • 이평화;서인선;정승희
    • 성인간호학회지
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    • 제20권3호
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    • pp.500-511
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    • 2008
  • Purpose: The purpose of this study was to examine the effects of music therapy on anxiety of patients in emergency room. Methods: The study was designed using a noneqivalent control group nonsynchronized design. For 20 minutes, the experimental group(22 patients) had listened to music and the control group(23 patients) had bed rest. A six-item state anxiety scale developed by Marteau and Bekker, which was based on Spielberger's State-Trait Anxiety Inventory, blood pressure and pulse rate were measured to all study participants before and after the intervention. The data was analyzed by the SPSS 12.0 program. Results: 1) The experimental group's state anxiety level were significantly lower than the control group's(t=2.220, p=.032). 2) There were no significant differences in both group's diastolic(t=-.495, p=.623) and systolic blood pressure(t=831, p=.411). 3) The experimental group's pulse rate was significantly lower than the control group's(t=2.363, p=.023). Conclusion: Music therapy may be applied as a nursing intervention to decrease anxiety in emergency room.

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음악요법이 조혈모세포 이식 전 전신 방사선조사 시 불안, 오심과 구토에 미치는 효과 (The Effects of Music Therapy on Anxiety, Nausea and Vomiting in Patients Receiving Total Body Irradiation for Hematopoietic Stem Cell Transplantation)

  • 이지현;김남초
    • 종양간호연구
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    • 제6권1호
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    • pp.27-36
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    • 2006
  • Purpose: The present study was to investigate the effect of music therapy on anxiety, nausea, and vomiting in patients undergoing total body irradiation (TBI) for hematopoietic stem cell transplantation (HSCT). Method: A untreated control group with pretest and posttest was used in this study. A total of 35 patients receiving TBI for HSCT were recruited from a medical center at a university in Korea. The music therapy taking for 15-20 minutes per a time was performed twice a day for three days while the patients in the experimental group were undergoing the TBI. Results: The scores of state anxiety, nausea and vomiting tended to increase in the control group as compare with those in the experimental group. The patients in the control group had been administerd antiemetics more often than those in the experimental group. The levels of systolic and diastolic blood pressure and the pulse rates in the experimental group tended to decrease after the experiment. However, there was no statistically significant differences in anxiety, nausea, vomiting, blood pressure, and pulse between the groups. Conclusion: It is suggested to repeat this study with a enough sample size.

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고빈도 경피신경전기자극의 자극강도에 따른 정상 성인여성 교감신경성 반응의 변화 (Changes in Sympathetic Nervous System Responses of Healthy Adult Women with Changes in the Stimulus Intensity of High Frequency Transcutaneous Electrical Nerve Stimulation)

  • 최유림;이정우
    • The Journal of Korean Physical Therapy
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    • 제22권1호
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    • pp.61-66
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    • 2010
  • Purpose: The purpose of this study was to investigate the change in sympathetic nervous system responses of healthy adult women with changes in stimulus intensity of high frequency transcutaneous electrical nerve stimulation. Methods: Twenty-four healthy subjects (women) received high frequency electrical stimulation of the forearm. The subjects were randomly assigned to one of two groups; a low intensity stimulation group (n=12) and a high intensity stimulation group (n=12). The electrode attachment was arranged on the forearm of the dominant arm and the electricity stimulus time was 20 minutes. Measured items included skin conductance, pulse rate, skin temperature, and respiration rate. Each was measured at 4 times. Results: Skin conductance and skin temperature showed significant group by time interactions, though there were no significant group and time effects. There were no significant differences according to time, group effect, and a group by time interaction in pulse and respiration rates. Conclusion: High frequency and high intensity electrical stimulation may be helpful for the improvement of sudomotor function through the activation of the sympathetic nervous system. Also, high frequency and low intensity electrical stimulation may be helpful for the reduction of sudomotor function via inhibition of the sympathetic nervous system.

무릎 뼈관절염의 단파치료 효과 : 무작위임상시험의 메타분석과 체계적 고찰 (Effectiveness of Shortwave Therapy in Management of Knee Osteoarthritis : A Systematic Review and Meta-analysis of Randomized Controlled Trials)

  • 이재형;조혁신;송인영
    • The Journal of Korean Physical Therapy
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    • 제26권5호
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    • pp.331-343
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    • 2014
  • Purpose: The purpose of this study is to assess the effectiveness of short-wave therapy (SWT) for treatment of knee osteoarthritis (OA) as compared to placebo and control, and to assess the question of whether the effects are related to the mode, dosage, and application method. Methods: We searched randomized, placebo-controlled trials using electronic databases. We also manually reviewed sources in order to identify additional relevant studies. Results: Eight studies (597 participants) with OA were included in the meta-analysis. Pulse SWT had a significant effect on pain relief compared with control treatment, while did not favour compared with the placebo group. Pulse SWT had a significant effect on functional improvement compared with control and placebo treatment. Continuous SWT had no effect on pain relief and functional improvement. Capacitive SWT a significant effect on pain relief, functional improvement, and muscle strength. Continuous and capacitive SWT had increased muscle strength significantly. We found no clinical significance of all outcomes except pain and functional improvement in pulsed SWT with low dose. There was no difference in adverse events. None of the participants experienced any serious adverse events. Conclusion: Low dose pulsed SWT provided a short-term clinical benefit for pain relief and functional improvement. Pulsed SWD with low and high dose had effects on pain and function. There seems to be a placebo effect. We found significant effects on pain and function in capacitive SWT. Despite some positive findings, this analysis lacked data on how effectiveness is affected by mode, dosage, and application method of SWT. Further well-designed clinical studies are required in order to confirm the effectiveness of SWT.

기능적전기자극을 이용한 보행훈련이 편마비 환자의 하퇴근육의 근전위활동에 미치는 영향 (Influence of Functional Electrical Stimulation during Gait Training on Motor Unit Action Potential)

  • 강양훈;서삼기;이정우;윤세원;김용억;김태열
    • 대한임상전기생리학회지
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    • 제5권1호
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    • pp.33-43
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    • 2007
  • This study divided 35 hemiplegia patients into control group having standard physical therapy and gait training and functional electrical stimulation(FES) group using FES during gait training in order to examine the effects of applying FES to ankle joint dorsiflexor on motor unit action potential. Stimulation conditions of FES were pulse rate 35 pps, pulse width $250{\mu}s$, and on-time 0.3 second, treatment hour was 30 min. and treatment period was once a day for five days a week through six weeks. For functional evaluations before and after treatment, root mean square(RMS) were measured and the following conclusions were obtained. : In RMS analysis of motor unit action potential, gastrocnemius was significantly reduced in both weight bearing(p<.001) and bearing condition (p<.05). In conclusion, application of FES to hemiplegia patients in recovery stage during gait training decreased RMS and it was interpreted that it was caused by mitigation of muscular spasticity by reduction of motor unit.

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편마비 환자의 보행훈련 시 기능적 전기자극 병용이 척수신경원의 흥분성 변화에 미치는 효과 (The Effect on Change of Spinal Neuron Excitability during Gait Training of Hemiplegia Patients by the Functional Electrical Stimulation)

  • 강양훈;윤세원;서삼기;박경순;김용억;김태열
    • The Journal of Korean Physical Therapy
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    • 제19권1호
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    • pp.11-22
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    • 2007
  • Purpose: The purpose of this study were to analysis the effect on change of spinal neuron excitability during gait training of hemiplegia patients by the functional electrical stimulation. Methods: Thirty six hemiplegia patients participated in this study. Stimulation conditions of FES were pulse rate 35pps, pulse width $250{\mu}s$, and on-time 0.3 second, treatment hour was 30 min. and treatment period was once a day for five days a week through six weeks. For functional evaluations before and after treatment, Modified Ashworth Scale (MAS), active range of motion (AROM), Hmax threshold, H/Mmax ratio were measured and the following conclusions were obtained. Results: Functional evaluation showed significant changes in experimental group as MAS(p<0.01), AROM(p<0.001), compared to control group. In spinal neuron excitability evaluation, change of Hmax threshold was significantly reduced in both non weight bearing (p<0.001) and bearing condition (p<0.05), H/Mmax ratio was significantly reduced in non weight bearing (p<0.05) and bearing condition (p<0.05). Conclusion: In conclusion, application of FES to hemiplegia patients in recovery stage during gait training improved mitigation of muscular spasticity, balance adjustment and moving ability and it was interpreted that it was caused by mitigation of muscular spasticity by the spinal neuron excitability.

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오행화침법(五行和鍼法)에 대한 연구(장방(臟方)중심으로) (Study on Hwa-acupuncture Theory)

  • 감철우;박동일
    • 동의생리병리학회지
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    • 제19권2호
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    • pp.363-369
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    • 2005
  • The theory of Hwa Acupuncture Therapy (HAT), called Hwa Chim Therapy, is a part of the Five Elements Theory unique to Korea. HAT, created and developed by Jaehoon Song, integrates the victor-vanquished as well as the son-mother relationship of the Five Elements of breakdown and restoration of balance between yin and yang. And also, it provides resources and data on The seventy fifth Difficulty(75難) of Classic on Difficulty - Nan Jin 75. HAT establishes objectiveness and accuracy of diagnosis based upon the traditional method and procedure of pulse taking. In HAT, a person's state of illness is diagnosed by applying the comparative examination of the palpitation of the pulse. It is fact that the pulse varies according to the state, and that HAT treatment has proven the positive results by using the victor-vanquished relationship of Classic on Difficulty-Nan Jin 75. Despite a concise and simple theory, Hwa Chim is very effective in treating a wide range of illnesses, and thus it has gained an increasing attention of many scholars and practitioners in the field of traditional Korean oriental medicine. However, it is the first theoretical attempt to the clinical research and scientific methodology of Ohaeng Hwa Chim, and more active Hwa Acupuncture R&D is being conducted nationwide.

Thermoelastic beam in modified couple stress thermoelasticity induced by laser pulse

  • Kumar, Rajneesh;Devi, Shaloo
    • Computers and Concrete
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    • 제19권6호
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    • pp.701-710
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    • 2017
  • In this study, the thermoelastic beam in modified couple stress theory due to laser source and heat flux is investigated. The beam are heated by a non-Guassian laser pulse and heat flux. The Euler Bernoulli beam theory and the Laplace transform technique are applied to solve the basic equations for coupled thermoelasticity. The simply-supported and isothermal boundary conditions are assumed for both ends of the beam. A general algorithm of the inverse Laplace transform is developed. The analytical results have been numerically analyzed with the help of MATLAB software. The numerically computed results for lateral deflection, thermal moment and axial stress due to laser source and heat flux have been presented graphically. Some comparisons have been shown in figures to estimate the effects of couple stress on the physical quantities. A particular case of interest is also derived. The study of laser-pulse find many applications in the field of biomedical, imaging processing, material processing and medicine with regard to diagnostics and therapy.

급속진행성 사구체 신염이 동반된 막성신증 1례 (A case of Crescentic Glomerulonephritis Superimposed on Membranous Glomerulonephropathy)

  • 김백남;육진원;김지홍;김병길;정현주
    • Childhood Kidney Diseases
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    • 제3권1호
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    • pp.95-99
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    • 1999
  • Idiopathic membranous nephropathy is one of the most common causes of nephrotic syndromes in adults but rare in childhood. The occurrence of crescentic glomerulonephritis and membranous nephropathy in a patient is rare. This report describes a patient who initially was diagnosed as a membranous glomerulonephropathy at age 12 years and subsequently developed a crescentic, rapidly progressive glomerulonephritis at age 19 years. The patient responded to methylprednisolone pulse therapy and he maintained with partial remission and normal renal function with residual proteinuria.

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