• Title/Summary/Keyword: Sensory symptoms

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Electrophysiological Study of Medial Plantar Nerve in Idiopathic Tarsal Tunnel Syndrome (특발성 발목터널 증후군에서 내측 발바닥 신경의 전기 생리학적 검사)

  • An, Jae Young;Kim, Byoung Joon
    • Annals of Clinical Neurophysiology
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    • v.8 no.2
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    • pp.146-151
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    • 2006
  • Background: Tarsal tunnel syndrome (TTS) is an entrapment neuropathy of the tibial nerve within fibrous tunnel on the medial side of the ankle. The most common cause of TTS is idiopathic. This is a retrospective study to define the electrophysiological characteristics of idiopathic TTS. Methods: We reviewed the medical and electrophysiological records of consecutive patients with foot sensory symptoms referred to electromyography laboratory. Inclusion of patients was based on clinical findings suggestive of TTS. Among them, patients with any other possible causes of sensory symptoms on the foot were excluded. Control data were obtained from 19 age-matched people with no sensory symptoms or signs. Routine motor and sensory nerve conduction study (NCS) including medial plantar nerve (MPN) using surface electrodes were performed. Result: Twenty one patients (13 women, 8 men, 9 unilateral, 12 bilateral) were enrolled to have idiopathic TTS (total 31 feet). Tinel's sign was positive in 16 feet (51.6%) of TTS and four feet (10.5%) in control group. The statistically significant electrophysiological parameter was difference of sensory conduction velocity (SCV) between sural nerve and MPN. Amplitude of sensory nerve action potential and SCV of MPN were not different significantly between idiopathic TTS feet and controls. Conclusion: Bilateral development in idiopathic TTS was more common. Tinel's sign and difference of SCV between sural nerve and MPN may be helpful for the diagnosis of idiopathic TTS.

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A study on the Perceived symptoms of Fatigue of dental Technicians (치과기공사의 자각피로도에 관한 연구조사)

  • Lee, Do-Gyeong
    • Journal of Technologic Dentistry
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    • v.11 no.1
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    • pp.47-63
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    • 1989
  • The study was made to clarify the degree of fatigue of dental technicians in service at the general &local hospital or the dental laboratories in the large cith of korea. The objectives of this study were 235 dental technicians who replied the questionaire which was sent by postal service out of 600 dental technicians selected by random sampling among the workers of the each dental laboratory. The instruments used in this study was the same one as developed by Industry Fatigue committee of Japan Industry Hygiene Association. This instrument was included total 30 items which is consisted of 10 perceived symptoms of fatigue in physical, mental and neuro-sensory dimension respectably. Reliability was tasted with the data of objectives, in which value of Cronbach's $\alpha$ was 9457. The following results were obtained. 1. It was revealed that the influencing demographic variables on the perceived symptoms of fatigue of dental technicians were sex, age, marital status, educational background, job carrier, working part, working hour and commuting hour. The shorted the age or job carrier, thge higher dearee of the perceived symptoms of fatigue. The longer working hours of commuting hours, the higher degree of the perceived symptoms of fatigue. The degree of the perceived symptoms of fatigue in females, unmarried person, the one with higher educational background, workers except orthodontic appliances and poorcelain contouring were higher than the other group. 2. The higher degree of the rest & leisure condition, the lower degree of the physical, mental and neuro-sensory perceived symptoms. 3. The higher degree of environmental condition of the working, the lower degree of the physical, mental and neurosensory perceived symptoms.

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Bal Mong Ja Acupuncture Treatment of Sudden Sensory Hearing Loss with Tinnitus and Dizziness (영추 발몽자를 이용한 돌발성 난청의 치험 1례)

  • Kang, Mi Suk
    • Korean Journal of Acupuncture
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    • v.33 no.4
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    • pp.221-225
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    • 2016
  • Objectives : The purpose of this study is to report clinical effects of korean medical treatment based on Bal Mong Ja on a patient with sudden sensory hearing loss. Methods : In this study, we used acupuncture based on Bal Mong Ja on a patient with sudden sensory hearing loss. We also carried out treatments like herbal medication and moxibustion therapy etc. The progress of symptoms were evaluated by THI(Tinnitus Handicap Index), DHI(Dizziness Handicap Inventory), VAS(Visual Analogue Scale) once a week. Results : After 7 weeks, there were significant improvements of auditory acuity and THI, DHI, VAS. Conclusions : Acupuncture based on Bal Mong Ja is effective for relieving symptoms of sudden sensory hearing loss with tinnitus and dizziness.

Case Report of Sensory Disturbance with Suspicious Syringomyelia (척수공동증 의증으로 인한 감각장애 환자 치험 1례)

  • Kang, Baek-Gyu;Han, Deok-Jin;Lee, Jung-Wook;Kim, Hoi-Young;Lee, In;Kim, Kang-San;Park, Sang-Moo
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.22 no.1
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    • pp.246-251
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    • 2008
  • Syringomyelia is a rare disorder that causes a cyst to form in spinal cord. This cyst, called a syrinx, can damage to the spinal cord and cause symptoms such as motor weakness, pain, sensory disturbance, etc. We experienced a case of tactile hypesthesia suspecting syringomyelia in 16 year old male patient. Syringomyelia in T2/3 level was diagnosed by magnetic resonance imaging. Hypesthesia was similar to mamokbulin in oriental medicine. And we assumed these symptoms induced by conditions called kiheo in analyzing patient's symptoms and signs. We treated the patient by acupuncture, herbal medicine improving kiheo, and other methods. In the result, the symptoms had withdrawn. This case suggested possibility to treat syringomyelia in oriental medicine, but single case is insufficient for evidence.

A Research on Subjective Symptoms of Fatigue of Housewives at Shin-Chon Area in Seoul (피로 자각증상표에 의한 일부 신촌지역 주부들의 피로도에 관한 일 연구)

  • 이광옥;신공범
    • Journal of Korean Academy of Nursing
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    • v.9 no.2
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    • pp.27-38
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    • 1979
  • This study was undertaken to determine the subjective symptoms of fatigue among the house-wives groups. Inquiries into subjective symptoms of fatigue were made by the form designied by the Industrial Fatigue Research Committee of the Japan Society of Industrial Health (1961), Comprising 30 items. These items are classified into 3 groups of 10 items, namely, A) Physical Symptoms, B) Mental Symptoms, C) Neuro-Sensory Symptoms (Figure 1 ). The results of the investigation can be summerized as follows: 1. Within the total items (T), the physical symptoms (A) were the strongest in the effect on the feelings of fatigue, and were followed by (B), and (C). 2. There was a significant difference shown in the distribution of responses by height (X$^2$=236.29, d.f. = 145, p < 0.00001). In the mental category (F = 2.22, d.f. = 4, p = 0.05) and neuro-sensory category (F = 2.64, d.f. = 4, p < 0.001), there was a difference in the responses’com-plaints by weight. 3. As for the ages, housewives at the age of 50 presented a higher rate than those 30 or 20. 4. Regarding the number of children, respondents have more children showed higher frequency rate of complaints. 5. In the investigation sample, complaints were related to education level (f = 18.34, d.f. = 3, p<0.0001) pentruation (t = 2.31, p< 0.022), and sleeping hours (F = 6.04, d.f. = 6, p< 0.0001).

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Predictive Value of Sensory Nerve Conduction in Carpal Tunnel Syndrome

  • Park, Sa-Kyuk;Lee, Jung-Ho;Lee, Hyuk-Gee;Ryu, Kee-Young;Kang, Dong-Gee;Kim, Sang-Chul
    • Journal of Korean Neurosurgical Society
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    • v.40 no.6
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    • pp.401-405
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    • 2006
  • Objective : Electrodiagnostic test has shown diagnostic sensitivity and specificity in carpal tunnel syndrome[CTS]. This study was to evaluate the correlation between clinical outcome of endoscopic carpal tunnel ligament release[ECTR] and the predictive value of sensory nerve conduction. Methods : From January 1998 to December 2004, 87 patients [44 right hand, 37 left hand, 6 bilateral hands] with CTS who underwent ECTR were followed up in our hospital for an average of 24 months. We retrospectively analyzed the results with previous medical records. All patients underwent electrodiagnostic test and ECTR. The patients were divided into three groups according to the electrodiagnostic test results. Group [A] was normal sensory nerve response, Group [B] was slowing sensory response and Group [C] was no sensory response. Improvement of the symptom after ECTR was assessed using a visual analogue scale[VAS] score. Results : Differences between the three groups on the correlation of severity of sensory potential and duration of preoperative symptoms were significant. The mean value of improved VAS scores for the three groups were $6.0{\pm}0.96$ in the Group A, $6.11{\pm}0.48$ in the Group B and $6.14{\pm}0.53$ in the Group C. There was no statistically significant difference between the severity of sensory nerve response and improvement in VAS score after ECTR. Complications included a wound infection, a case of skin necrosis, and two patients with persistent symptoms without any improvement. Conclusion : Although electrodiagnostic test has been known to be useful, sensory nerve response is considered not to be a good prognostic value for carpal tunnel syndrome after ECTR.

A case of Acute Autonomic and Sensory Neuropathy (급성 자율 감각 신경병증 1례)

  • Lee, Jong-Mun;Kwon, Do-Young;Koh, Seong-Beom;Kim, Byung-Jo;Park, Min-Kyu;Park, Kun-Woo;Lee, Dae-Hie
    • Annals of Clinical Neurophysiology
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    • v.4 no.1
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    • pp.70-73
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    • 2002
  • Acute autonomic neuropathy is a rare disease. Since the first case was reported by Young et.al., in 1969, a number of similar cases have been described, with some variation of the accompanied neurologic deficits. Acute autonomic and sensory neuropathy(AASN) is characterized by the acute onset of autonomic dysfunction and sensory disturbances. A 16-year-old girl experienced high fever($40^{\circ}C$) and erythematous rash on whole trunk and face followed by pain and sensory loss over the whole body, dysphagia, ataxia, urinary retention, and postural hypotension. There was no evidence of limb weakness. The electrophysiologic studies of this patient revealed sensory polyneuropathy and the various autonomic function test showed autonomic dysfunction. The recovery of her autonomic and sensory symptoms is incomplete, three months after the onset of the symptoms. The etiology of the acute autonomic and sensory neuropathy is not known. Most previous authors have suggested the dysautonomia may be an acute immunological damage to peripheral fibers of the autonomic nervous system. We report a case of acute autonomic and sensory neuropathy.

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Feeding Disorders in Autistic Spectrum Disorders (자폐 스펙트럼 장애 아동의 섭식장애: 문헌 고찰)

  • Min, Kyoung-chul;Shin, Jin-yong;Kim, Eun-hye
    • The Journal of Korean Academy of Sensory Integration
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    • v.21 no.3
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    • pp.79-102
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    • 2023
  • Objective : Autistic Spectrum Disorders(ASD) is a developmental disorder characterized by atypical sensory adaptation, communication problem, stereotyped behavior, and feeding disorders. The reasons for ASD feeding disorders are oral sensory motor, cognitive, behavioral, and social problems. Major symptoms include picky eating, selective eating, food refusal, food neophobia, limited food variety, and food aversion. ASD feeding disorders could be accompanied by various problems such as health and nutrition intake problems, feeding development, eating-related sociability, and family and caregiver stress. Feeding problems and disorders in ASD can present from birth. However, ASD is diagnosed by the age of 3, and there might be an appropriate treatment gap. Usually, symptoms of feeding disorders tend to decrease with age. However, the symptoms often remain, so early evaluation, intervention, and periodic checking are necessary. In this study, the general information about the feeding disorder characteristics of ASD, influencing factors, and intervention were described through a literature review. Conclusion : Sensory-based therapy and behavior-based therapies are generally used for feeding disorders in ASD. Sensory-based therapy is effective for food sensitivity and behavior-based therapy for food selection. As the symptoms of feeding disorders in ASD are diverse, a comprehensive approach includes play and participation, oral motor exercise, diet, and daily life. However, appropriate evaluation, intervention protocol, and guidelines for the treatment of feeding disorders in ASD are limited. Therefore, a complex approach based on a more systematic understanding is needed. Feeding rehabilitation specialists, such as occupational therapists, should provide appropriate evaluation and intervention.

Clinical Study of Oriental Medical Treatment on a Patient with Alcoholic Polyneuropathy (알코올성 다발성 신경병증의 한방치료 효과)

  • Yeom, Seung Ryong
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.26 no.5
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    • pp.797-802
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    • 2012
  • Alcoholic polyneuropathy is a disorder of the peripheral nervous system that interferes with sensory, motor, and autonomic nerve function. This study was to report the effect of Oriental medical treatment on a patient with alcoholic polyneuropathy. Conservative Oriental medical treatment was done to a man of 84 years who was diagnosed as a alcoholic polyneuropathy and suffered from both distal dominant leg weakness & symmetrical paresthesia and ataxic gait. The changes of symptoms, reflexes and sensory test were checked by Toronto Clinical Neuropathy Scoring System(TCNSS). Reflexes, motor and sensory impairments were improved after the Oriental medical treatment. I reported good effects of Oriental medical treatment on alcoholic polyneuropathy. Oriental medical treatment can be helpful to improve the symptoms of alcoholic polyneuropathy.

Ulnar nerve involvement in carpal tunnel syndrome (손목굴증후군에서 척골신경 침범)

  • Kang, Sa-Yoon;Ko, Keun Hyuk;Kim, Joong Goo
    • Journal of Medicine and Life Science
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    • v.15 no.2
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    • pp.101-104
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    • 2018
  • Carpal tunnel syndrome (CTS) is the most common entrapment neuropathy caused by focal compression of the median nerve in the carpal tunnel. However, many patients with CTS, who are diagnosed clinically and confirmed with electrophysiological studies, complain of the sensory symptoms extends to the ulnar nerve territory. The aim of this study was to evaluate whether a dysfunction in sensory fibers of the ulnar nerve was present or not in hands with CTS patients who had extramedian spread of sensory symptoms over the hand. We retrospectively analyzed the recording of the subjects who were diagnosed with CTS within a one-year-period of time. After exclusions, 136 hands recordings of 87 patient were included. We compared the results of median and ulnar nerve sensory conduction studies between normal hands and hands with CTS. We did not detect statistically significant difference on all parameters of ulnar nerve sensory conduction studies between the normal hands and the hands with CTS. The parameters of the obtained in median nerve sensory conduction studies were statistically different between the healthy control and CTS patients. The hands with CTS showed similar rate of ulnar sensory conduction abnormalities compared with the normal hands. In conclusion, our study showed that none of the parameters in ulnar sensory nerve conduction studies differ between two groups. Accordingly, our study revealed that ulnar nerve involvement does not contribute in CTS patients underlying the spread of paresthesia extends to the ulnar nerve territory.