• 제목/요약/키워드: Somatosensory

검색결과 219건 처리시간 0.027초

Effects of Interferential Current Treatment on Pain, Disability, and Balance in Patients with Chronic Low Back Pain: A Randomized Controlled Study

  • Jung, Kyoung-Sim;In, Tae-Sung
    • 대한물리의학회지
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    • 제15권3호
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    • pp.21-27
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    • 2020
  • PURPOSE: This study investigated the efficacy of interferential current (IFC) treatment on the improvement of pain, disability, and balance in patients with chronic nonspecific low back pain. METHODS: A double-blind randomized clinical trial was conducted with 40 patients with chronic nonspecific low back pain. The patients were randomly allocated into two groups: the IFC treatment group (n = 20) and the placebo treatment group (n = 20). The IFC group received 30 minutes of IFC treatment on the lumbar region, while the placebo group received IFC treatment without real electrical stimulation. The intervention was administered five days a week for two weeks. RESULTS: The primary outcomes of resting pain and pain during functional movement were measured by a visual analogue scale. The secondary measurements included the Oswestry disability index (ODI) for low back pain and postural sway. The measurements were performed before and after the two-week intervention period. Compared to the placebo treatment group, the IFC treatment group showed significantly greater improvement in pain during anterior trunk flexion in the standing position (p = .029), ODI (p = .039), and postural sway when subjects stood with their eyes closed (p = .010) at the end of the intervention. CONCLUSION: Our findings show that IFC treatment can improve pain, disability, and postural sway, thus, highlighting the benefits of somatosensory stimulation from IFC.

편마비 환자의 균형 기능과 감각조직화 (The Relationship Between Sensory Organization and Balance in Patients With Hemiplegia)

  • 김종만;이정원;이충휘;노정석
    • 한국전문물리치료학회지
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    • 제4권3호
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    • pp.61-69
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    • 1997
  • The ability to maintain an upright position during quiet standing is a useful motor skill. The Sensory Organization Test (SOT) is a timed balance test that evaluates somatosensory, visual, and vestibular function for maintenance of upright posture. The Fugl-Meyer Sensorimotor Assessment (FMSA) balance subscale is the functional status assessment that indicates amount of assistance needed during various balance tasks. Functional Independence Measure (FIM) is the functional status assessment tool and FIM can be used clinically as an outcome measure. The purpose of this study was to see if the SOT can be used as a evaluation tool to measure hemiplegic patients' balance ability. Thirty-six patients with hemiplegia participated in this study. SOT scores were significantly correlated with FMSA balance scores and FIM scores(p<0.05). However correlation coefficients were not so high (r=0.60, and r=0.51, respectively). Therefore, further study is needed to verify the SOT's usefulness when physical therapists are evaluating for hemiplegic patients' balance ability.

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The Influence of Hand Muscle Fatigue and Fatigue Recovery on Joint Position Sense in Healthy Subjects

  • Lee, Na-Kyung;Son, Sung-Min
    • The Journal of Korean Physical Therapy
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    • 제26권6호
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    • pp.425-429
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    • 2014
  • Purpose: The first purpose of this study was to evaluate whether hand muscle fatigue alters sensorimotor control of the hand in healthy subjects, using hand position sense. The second objective was to assess the repositioning variables during a 7.5-min period after the fatigue protocol. Methods: Participants performed a repeated handgrip movement to induce the fatigue condition as fast as possible, until they could no longer continue. Recordings were performed before (pre-fatigue) and after the completion of the fatigue exercises (immediately: post-fatigue, after a 2.5 min recovery, after a 5 min recovery and after a 7.5 min recovery). Results: The joint reposition test of the MP joint in the post-fatigue condition showed higher reposition errors than the prefatigue condition (p<0.05). Additionally, there was a significant difference in recovery of joint reposition errors after fatiguing exercises of the hand muscle, among groups (p<0.05). Conclusion: The fatigue of the hand muscles affected joint position sense by an alteration of somatosensory and proprioceptive information. Nonetheless, the effect of hand muscle fatigue was short-lived, since joint reposition errors decreased to post-fatigue values after 7.5 min of recovery.

앞십자인대 재건술 후 토구를 이용한 불안정한 표면에서 운동과 안정된 표면에서 운동 시 하지 근활성도와 균형의 비교 (Comparision of the Muscle Activity and Balance of Lower Extremities in Exercise Using TOGU on the Unstable Surface and Stable Surface after Reconstruction of the ACL)

  • 임창훈
    • 대한물리의학회지
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    • 제7권3호
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    • pp.251-258
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    • 2012
  • Purpose : The purpose of this study is to provide an efficient and basis for muscle activity of Quadriceps muscles and balance in anterior cruciate ligament reconstruction patients through unstable surface exercise and stable surface exercise. Methods : This study included 30 anterior cruciate ligament reconstruction patients belonging to A hospital and D orthopedic surgery clinic of province who attended the program for 30 minutes at a time and three times a week for 4 weeks. Of these 15 attended the unstable surface exercise program and 15 the stable surface exercise program. To increase muscle activity (%MVIC) and balance (WPL), the unstable surface exercise. Results : The %MVIC of lower extrmity muscle(RF, VL, VM) increased from before training to after training in the case of the participants who performed the unstable surface exercise, and the whole path length (WPL) decreased from before the training to after the training(p<.05). Conclusion : In conclusion, unstable surface exercise program helps to improve the balancing ability and musle activity in a anterior cruciate ligament recunstruction patients who requires both muscle activity and balance than stable surface exercise program.

Understanding the Left Right Judgement Test: A Literature Review

  • Kim, Asall;Yi, Chung-hwi
    • 한국전문물리치료학회지
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    • 제28권4호
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    • pp.235-244
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    • 2021
  • Background: The body schema, which is constantly updated using somatosensory information, enables accurate movement. Since pain is reported as a possible source to alter the body schema, the left right judgement test (LRJT) has been widely used in the pain rehabilitation. However, there was a lack of consistency in the effect of the pain on the LRJT results, and for the effect of the LRJT as a part of intervention programs for pain patients. The deeper understand of the LRJT is necessary for better reproducibility, and to expand the therapeutic applications of the LRJT in the pain and musculoskeletal rehabilitation. Objects: This literature review aimed to understand the LRJT and to study the potential of the LRJT for therapeutic applications. Methods: The PubMed database was searched for studies relevant to LRJT. To establish the query set, the term was regarded from various perspectives. Results: The selected studies were classified into three categories: LRJT development, factors influencing LRJT, and therapeutic applications. Conclusion: Left right judgement test is the evaluation tool for the integrity of body schema as well as a tool for implicit motor imagery. Pain, proprioception, and other factors influence the performance of the LRJT.

HaptiSole: Wearable Haptic System in Vibrotactile Guidance Shoes for Visually Impaired Wayfinding

  • Slim Kammoun;Rahma Bouaziz;Faisal Saeed;Sultan Noman Qasem;Tawfik Al-Hadhrami
    • KSII Transactions on Internet and Information Systems (TIIS)
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    • 제17권11호
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    • pp.3064-3082
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    • 2023
  • During the last decade, several Electronic Orientation Aids devices have been proposed to solve the autonomy problems of visually impaired people. When hearing is considered the primary sense for Visually Impaired people (VI) and it is generally loaded with the environment, the use of tactile sense can be considered a solution to transmit directional information. This paper presents a new wearable haptic system based on four motors implemented in shoes, while six directions can be played. This study aims to introduce an interface design and investigate an appropriate means of spatial information delivery through haptic sense. The first experiment of the proposed system was performed with 15 users in an indoor environment. The results showed that the users were able to recognize, with high accuracy, the directions displayed on their feet. The second experiment was conducted in an outdoor environment with five blindfolded users who were guided along 120 meters. The users, guided only by the haptic system, successfully reached their destinations. The potential of tactile-foot stimulation to help VI understand Electronic Orientation Aids (EOA) instructions was discussed, and future challenges were defined.

쥐에서 말초 자극에 따른 뇌피질 활성화의 자기공명 영상 (MR imaging of cortical activation by painful peripheral stimulation in rats)

  • 이배환;차명훈;정재준;이규홍;이철현;손진훈
    • 한국감성과학회:학술대회논문집
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    • 한국감성과학회 2009년도 추계학술대회
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    • pp.183-185
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    • 2009
  • As imaging technology develops, magnetic resonance imaging (MRI) techniques have contributed to the understanding of brain function by providing anatomical structure of the brain and functional imaging related to information processing. Manganese-enhanced MRI (MEMRI) techniques can provide useful information about functions of the nervous system. However, systematic studies regarding information processing of pain have not been conducted. The purpose of this study was to detect brain activation during painful electrical stimulation using MEMRI with high spatial resolution. Male Sprague-Dawley rats (250-300 g) were divided into 3 groups: normal control, sham stimulation, and electric stimulation. Rats were anesthetized with 2.5% isoflurane for surgery. Polyethylene catheter (PE-10) was placed in the external carotid artery to administrate mannitol and MnCl2. The blood brain barrier (BBB) was broken by 20% D-mannitol under anesthesia mixed with urethane and a-chloralose. The hind limb was electrically stimulated with a 2Hz (10V) frequency while MnCl2 was infused. Brain activation induced by electrical stimulation was detected using a 4.7 T MRI. Remarkable signal enhancement was observed in the primary sensory that corresponds to sensory tactile stimulation at the hind limb region. These results suggest that signal enhancement is related to functional activation following electrical stimulation of the peripheral receptive field.

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독립성분 분석기법에 의한 집중 상태 뇌파의 주파수 요소 특성 (Features of EEG Signal during Attentional Status by Independent Component Analysis in Frequency-Domain)

  • 김병남;유선국
    • 한국산학기술학회논문지
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    • 제15권4호
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    • pp.2170-2178
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    • 2014
  • 본 연구에서는 작업수행시의 집중상태 변화를 검출하기 위하여 2011년 1~2월 동안 집중을 유발하는 시각유발자극에 대하여 생체신호를 측정한 피험자들 중 한명의 뇌파신호를 분석하였다. 두피에서 측정한 뇌파신호로부터 집중관련 뇌 안에서의 발원 신호와 안구운동잡음 신호를 분리하기 위하여 독립성분 분석기법을 측정뇌파 신호에 적용하였다. 안구운동잡음신호가 제거된 집중관련 신호원을 단시간 푸리에 변환하여 주파수 성분 신호를 연속적으로 축적함으로서 시변 특징 형태를 나타내는 에포크 그래프와 스펙트럴 칼라 맵에서의 도식 표현상 규칙성을 향상 시킬 수 있었다. 추출한 감각운동리듬 (SMR: 12-15Hz)과 세타파 리듬 (4-7Hz)관련 집중 지표는 집중시험시간이 경과함에 따라 증가 하였다. 실험을 통하여 단시간 푸리에 변환과 결합한 독립성분 분석기법은 참여자의 집중상태 변화를 분석하는데 사용 할 수 있을 것이다.

Study of quake wavelength of dynamic movement with posture

  • Kim, Jeong-lae;Hwang, Kyu-sung
    • International journal of advanced smart convergence
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    • 제4권1호
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    • pp.99-103
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    • 2015
  • Quake wavelength technique was designed of the sway by the body. There was presented a concept of the dangle wavelength by twisting condition of posture. We compared to the twisting condition for an average variation and maximum variation with the movement. There was used a combination system and correlation system of the posture. Their correlation signal was presented a control data by the dynamic movement. The quake wavelength system was to be formation of activity aspects by posture. The correlation of wavelength technique was applied to the a little action of posture variation signal. Quake wavelength by the dynamic movement was determined to a variation of vision condition of the $Vi-{\alpha}_{AVG}$ with $(-1.27){\pm}(-0.34)$ units, that vestibular condition of the $Ve-{\alpha}_{AVG}$ with $(-0.49){\pm}(-0.4)$ units, that somatosensory condition of the $So-{\alpha}_{AVG}$ with $0.037{\pm}0.269$ units, that CNS condition of the $C-{\alpha}_{AVG}$ with $(-0.049){\pm}0.015$ units. As the study of the quake wavelength technique was depended on the action system of body movement that a maximum and averag values was used a movement of combination data. The system was required an action signal for the form of actual signal on the basis of a little movement condition in the body. The human action systemwas compared to maximum and average from the movement derived the body. Therefore, their system was controlled to evaluate posture condition for the body correlation.

평류전정자극에 의한 당뇨성 신경증 환자의 자세동요 변화 (The Change of Postural Sway of Diabetic Neuropathy by Galvanic Vestibular Stimulation)

  • 황태연;김용남;김태열;박장성;윤세원
    • 대한임상전기생리학회지
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    • 제3권1호
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    • pp.71-84
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    • 2005
  • This study had performed with purposes to analyze the influence of the change of vestibular sens, visual and proprioceptive sense to the postural sway, so as to supply the necessary clinical materials through developing the physical therapeutic interventions and assessment format for the diabetic neuropathy patients. The sample consisted of fifteen diabetic neuropathy patients with sensory disorder in their lower limbs and fifteen age-matched normal control group. Then the effect of the GVS and the visual cue open and closed to the postural sway were measured by CoP. The summary of the comparison results were obtained below. In the comparison of diabetes neuropathy patients group and age matched normal control group, however diabetes neuropathy patients group had a decrease in superficial tactile sense(p<.001) and nerve conduction velocity(p<.001), they were able to control the posture and walk. So it is, diabetes neuropaty patients had more disturbance compared with AMC group on at a hard surface, particularly in the visual cue open(p<.001) and visual cue closed(p<.01). Moreover, since diabetes neuropathy patients group had more differences in visual cue open and closed(p<. 01), GVS(p<.01), it meant that they're affected largely by vestibular sense, visual sense. In addition, since there're the largest change in doubled sense disturbance such as visual cue open and closed under GVS, it meant that compensation of other senses were quite important for the diabetes neuropathy patients' postural control. In the conclusion, diabetes neuropathy patients who decrease or lose the somatosensory system, sensory training of visual and vestibular system are likely to be quite essential to control the posture and balance.

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