• Title/Summary/Keyword: Thermal therapy

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Development of an Algorithm for Predicting the Thermal Distribution by using CT Image and the Specific Absorption Rate

  • Hwang, Jinho;Kim, Aeran;Kim, Jina;Seol, Yunji;Oh, Taegeon;Shin, Jin-sol;Jang, Hong Seok;Kim, Yeon Sil;Choi, Byung Ock;Kang, Young-nam
    • Journal of the Korean Physical Society
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    • v.73 no.10
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    • pp.1584-1588
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    • 2018
  • During hyperthermia therapy, cancer cells are heated to a temperature in the range of $40{\sim}45^{\circ}C$ for a defined time period to damage these cells while keeping healthy tissues at safe temperatures. Prior to hyperthermia therapy, the amount of heat energy transferred to the cancer cells must be predicted. Among various non-invasive methods, the thermal prediction method using the specific absorption rate (SAR) is the most widely used method. The existing methods predict the thermal distribution by using a single constant for the mass density in one organ through assignment. However, because the SAR and the bio heat equation (BHE) vary with the mass density, the mass density of each organ must be accurately considered. In this study, the mass density distribution was calculated using the relationship between the Hounsfield unit and the mass density of tissues in preceding research. The SAR distribution was found using a quasi-static approximation to Maxwell's equation and was used to calculate the potential distribution and the energy distributions for capacitive RF heating. The thermal distribution during exposure to RF waves was determined by solving the BHE with consideration given to the considering contributions of heat conduction and external heating. Compared with reference data for the mass density, our results was within 1%. When the reconstructed temperature distribution was compared to the measured temperature distribution, the difference was within 3%. In this study, the density distribution and the thermal distribution were reconstructed for the agar phantom. Based on these data, we developed an algorithm that could be applied to patients.

The Effect of Repetitive Magnetic Stimulation in an SCI Rat Model with Stem Cell Transplantation (줄기세포를 이식한 척수손상 흰쥐에서 반복자기자극의 효과)

  • Bae, Young-Kyung;Park, Hea-Woon;Cho, Yun-Woo;Kim, Su-Jeong;Lee, Joon-Ha;Kwon, Jung-Gu;Ahn, Sang-Ho
    • The Journal of Korean Physical Therapy
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    • v.22 no.1
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    • pp.67-73
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    • 2010
  • Purpose: We tested whether repetitive transcranial magnetic stimulation (rTMS) improved recovery following spinal cord injury (SCI) in rats with transplantation of adipose tissue-derived stromal cells (ATSCs). Methods: Twenty Sprague-Dawley rats (200-250 g, female) were used. Moderate spinal cord injury was induced at the T9 level by a New York University (NYU) impactor. The rat ATSCs (approximately $5{\times}10^5$ cells) were injected into the perilesional area at 9 days after SCI. Starting four days after transplantation, rTMS (25 Hz, 0.1 Tesla, pulse width=$370{\mu}s$, on/off time=3 sec/3 sec) was applied daily for 7 weeks. Functional recovery was assessed using the Basso, Beattie, and Bresnahan (BBB) locomotor rating scale as well as pain responses for thermal and cold stimuli. Results: Both groups showed similar, gradual improvement of locomotor function. rTMS stimulation decreased thermal and cold hyperalgesia after 7 weeks, but sham stimulation did not. Conclusion: rTMS after transplantation of ATSCs in an SCI model may reduce thermal hyperalgesia and cold allodynia, and may be an adjuvant therapeutic tool for pain control after stem cell therapy in SCI.

Array of Slot-Sleeve Antennas for Hyperthermia Therapy

  • Park Soo-Man;Lim Yeongseog
    • Journal of electromagnetic engineering and science
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    • v.5 no.3
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    • pp.126-131
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    • 2005
  • To increase the efficiency of an applicator during microwave hyperthermia therapy, first, the length from the antenna end to a slot is varied to get the optimal matching of the characteristic impedance at the frequency of 2.45 GHz. Using the electric and thermal constants of biological tissue, we compose a phantom to calculate temperature increment as well as the resonance characteristics and the SAR distributions. The proposed 3-slot sleeve antenna inserted in an applicator plays an effective role in increasing the therapy size in the view of heating performance as electromagnetic energy tends to concentrate on not feed point direction but treatment area. The SAR is then used in combination with a finite difference heat transfer equation to determine the temperature distribution. Also, in order to shorten treatment time and increase therapy size, a square-array structure is suggested and analyzed.

Randomized Controlled Trials of Miniscalpel Acupuncture for Lumbar Spinal Stenosis Cited in the China National Knowledge Infrastructure Database

  • Yoon, Sang Hoon;Kim, Yoon Sik;Kwon, Min Goo;Kwon, Chan Young
    • Journal of Acupuncture Research
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    • v.34 no.3
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    • pp.59-69
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    • 2017
  • Objectives : This study analyzed the current status of randomized controlled trials (RCTs) of miniscalpel acupuncture for lumbar spinal stenosis (LSS) in China. Methods : A literature search was performed using the China National Knowledge Infrastructure (CNKI) database. All studies up to June 7th, 2017 were searched. The quality of included RCTs was assessed with the Jadad scale. Results : Five RCTs were finally included in this review. The overall quality of the RCTs was assessed as low. All articles evaluated miniscalpel acupuncture as monotherapy or in combination with filiform needle therapy, drug injection therapy, Tuina treatment, thermal coagulation therapy, or spinal decompression. Miniscalpel acupuncture as monotherapy or adjunctive therapy showed greater therapeutic effect and fewer adverse effects. Conclusion : Miniscalpel acupuncture is a safe and effective nonpharmacological treatment for LSS. However, high-quality studies with consistent treatment protocols are needed to confirm these findings.

A Review of tissue changes caused by joint immobilization and classification of contracture (관절고정에 의한 조직변화와 구축의 분류에 대한 고찰)

  • Yoon, Sang-Jib;Lee, Joon-Hee
    • Journal of Korean Physical Therapy Science
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    • v.8 no.1
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    • pp.727-734
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    • 2001
  • Contracture is defined as the lack of full passive range of motion resulting from pint, muscle or soft tissue limitationprolonged Pint immobilization will result in stress and stretch deprivation and gradual development of contracture. the tissue changes caused by immobilization may be categorized as cellular modeling, ground substance and collagen response, and tissue response. contracture can be divided into three categories according to the anatomical location of pathological changes :arthrogenic, myogenic, soft tissue contractures Therapeutic approach of contracture is thermal or cold agents application, stretch or restoration of length, traction, manipulation, mobilization positioning and restoration of function. The purpose of this article is to review current concepts of mechanical properties and synthesis of collagen tissue and the underlying pathomechanics as it relates to evaluation and treatment of contracture.

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Meta-analysis on the Effects of Exercise Therapy and Physiotherapy on Pain in Korean Patients with Chronic Low Back Pain (만성요통환자를 대상으로 운동치료 및 물리치료가 통증에 미치는 효과에 대한 메타분석)

  • Kim, Sung-Kyu;Lim, Bee-Oh
    • Korean Journal of Applied Biomechanics
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    • v.30 no.1
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    • pp.63-72
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    • 2020
  • Objective: The purpose of this study was to investigate meta-analysis on the effects of exercise therapy and physiotherapy on pain in korean patients with chronic low back pain. Method: Meta-analysis was performed on the type and method of treatment. A total of 23 experimental studies were coding into 31 individual studies, into types, methods, visual analogue scale (VAS), each pre/post value of the effect size was calculated by meta-analysis. Results: Sling exercise, stretching, thermal therapy, kinesio-taping, lumbar stabilization exercise, electrotherapy is large effect size (ES ≥ .08). In addition, big effects occurred in order of treatment period is more than 9 weeks, three times a week. Conclusion: Our results indicated that persistent treatment of chronic back pain is the most effective method of self-sufficiency rather than temporary relief.

Design of a Noise Generator for Tinnitus Retraining Therapy Using Auditory Model (청각 모델을 이용한 이명 재훈련 치료용 잡음 발생기의 설계)

  • 이규동;이윤정;김필운;조진호;장용민;이상흔;김명남
    • Journal of Biomedical Engineering Research
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    • v.25 no.5
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    • pp.369-376
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    • 2004
  • The tinnitus retraining therapy(TRT) is an effective method for treating tinnitus patients. This therapy use the white noise to stimulate auditory cells for a wide frequency range. In this paper, the small white noise generator using the thermal noise is proposed. And frequency response controller which can compensate the frequency response changed by the human outer and middle ear system is proposed. We can know that proposed system is more proper type on a purpose of the tinnitus retraining therapy comparing with conventional white noise generator.

Usefulness of cyclic thermal therapy and red blood cell scintigraphy in patients with chemotherapy-induced peripheral neuropathy

  • Kim, Minjoo;Kim, Eun-Mi;Oh, Phil-Sun;Lim, Seok Tae;Sohn, Myung-Hee;Song, Eun-Kee;Park, Keon Uk;Kim, Jin Young;Won, Kyoung Sook;Jeong, Hwan-Jeong
    • The Korean Journal of Pain
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    • v.34 no.4
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    • pp.427-436
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    • 2021
  • Background: Pharmacological and non-pharmacological therapies have been used to treat patients with chemotherapy-induced peripheral neuropathy (CIPN). However, the effect of therapies in cancer patients has yet to be investigated comprehensively. We hypothesized that cyclic thermal therapy would improve blood flow and microcirculation and improve the symptoms driven by CIPN. Methods: The criteria of assessment were blood volume in region of interest (ROI) in the images, and European Organization for Research and Treatment of Cancer-Quality of Life Questionnaire-Chemotherapy-Induced Peripheral Neuropathy 20 questionnaire scores. The blood volume was quantified by using red blood cell (RBC) scintigraphy. All patients were treated 10 times during 10 days. The thermal stimulations, between 15° and 41°, were repeatedly delivered to the patient's hands. Results: The total score of the questionnaires, the score of questions related to the upper limbs, the score of questions closely related to the upper limbs, and the score excluding the upper limbs questions was decreased. The blood volume was decreased, and the variance of blood volume was decreased. During cooling stimulation, the blood volume was decreased, and its variance was decreased. During warming stimulation, the blood volume was decreased, and its variance was decreased. Conclusions: We suggest that cyclic thermal therapy is useful to alleviate CIPN symptoms by blood circulation improvement. RBC scintigraphy can provide the quantitative information on blood volume under certain conditions such as stress, as well as rest, in peripheral tissue.

Mechanism of Far-infrared how to affect the human body (원적외선의 인체작용메카니즘)

  • Kim, Jae-Yoon;Park, Young-Han;Park, Don-Mork;Park, Rae-Joon
    • The Journal of Korean Physical Therapy
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    • v.13 no.2
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    • pp.477-482
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    • 2001
  • Until now, it has not been well known for Far-infrared(FIR) how to affect to the human body. We introduced and presumed the mechanism of FIR based on molecular biology in this study, as below. The human body is composed of proteins which get easily changed by a thermal factor (about 42 $^{\circ}$C over). FIR with low temperature can deeply penetrate on the human body composed things without troublesome, since FIR has effectively operated on the human body at low temperature (35-40 $^{\circ}$C). When FIR penetrated on the human body, it would inhibit the abnormal genes and cells expression, and then information of DNA and RNA would be reexpressed for arranging DNA and RNA abnormal state. As FIR's receptors in the body, it colud be presumed that N-glycosyl linkage of purine and deoxyribose, RNA splicing process, and heat shock protein.

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Objective Evidence for the Effectiveness of Single-session Treatment with a Spinal Thermal Massage Device: A Pilot Study (척추온열마사지기기의 1회 치료의 효과에 대한 객관적 증거: 선행 연구)

  • Na, Yeong-Il;Kim, Si-Yun;Baek, Seung-Min;Lee, Jong-Hoo
    • Journal of Industrial Convergence
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    • v.20 no.10
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    • pp.209-218
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    • 2022
  • Individuals often report significant relief from pain and stress even after a single session of massage therapy; however, no previous studies have provided objective evidence supporting the effectiveness of a solitary massage therapy session. In the present study, we aimed to investigate the effectiveness of one-time treatment with a spinal thermal massage device reported to exert the same therapeutic effects as massage therapy in terms of pain reduction and stress relief. A man with chronic low back pain (LBP) underwent two rounds of experiments involving spinal massage treatment and bed rest, respectively. Pain was assessed using a visual analog scale, and heart rate variability (HRV) was measured in real-time to examine autonomic nervous system (ANS) activity. Blood samples were obtained at five points during each round of the experiment to examine changes in cortisol, epinephrine, and norepinephrine. Spinal massage significantly reduced pain and enhanced parasympathetic activity when compared with the bed rest condition. In addition, both epinephrine and norepinephrine levels were lower following spinal massage than following bed rest. These results are consistent with the reported effects of conventional massage therapy and support the effectiveness of one-time treatment using a spinal thermal massage device.