• 제목/요약/키워드: Transcranial magnetic stimulation

검색결과 86건 처리시간 0.028초

The Output Characteristics of Transcranial Magnetic Stimulation with Voltage Variable Capacitor-Charging System

  • Kim, Whi-Young
    • Journal of information and communication convergence engineering
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    • 제8권2호
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    • pp.205-211
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    • 2010
  • In this study, a Magnetic stimulation Pulse Train control technique is introduced and applied to Flyback converter operating in discontinuous conduction mode. In contrast to the conventional pulse width modulation control scheme, the principal idea of a Magnetic stimulation Pulse Train is to achieve output voltage regulation using high and low power pulses. The proposed technique is applicable to any converter operating in discontinuous conduction. However, this work mainly focuses on Flyback topology. In this paper, the main mathematical concept of the new control algorithm is introduced and simulations as well as experimental results are presented.

코크로프트-월톤회로와 반파공진인버터를 적용한 경두개 자기자극장치 (Transcranial Magnetic Stimulation using Cockroft-Walton Circuit and Half Bridge Resonant Inverter)

  • 김휘영;황보각
    • 한국콘텐츠학회논문지
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    • 제10권4호
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    • pp.257-264
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    • 2010
  • 기존의 경두개 자극장치는 일정한 자극치료 펄스의 정현파 모양으로 다양한 치료 및 진단을 하는데 한계가 있다. 본 연구에서, 치료 및 진단마다 요구되는 세기, 폭, 펄스모양이 다른 코로로프트-월톤회로와 반파브리지 공진 인버터를 도입하여 주파수와 전압이 가변되는 새로운 장치를 제안하고자 한다. 기존장치 보다 많은 장점을 가진다. 첫째로 고압 변압기를 가지지 않는다. 둘째로 스위칭손실이 적고, 출력에너지를 정밀하게 제어할 수가 있다. 세째로 자극의 세기, 폭, 펄스모양이 다양하다. 결과적으로 변압기를 사용하지 않는 반파브리지 인버터와 코크로프트-월톤회로를 적용하여 개선된 특성과 실험을 구하였다.

뇌자기자극을 이용한 운동신경계의 신경생리학적 평가 (Neurophysiological Evaluation of the Motor System Using Transcranial Magnetic Stimulation)

  • 신혜원;손영호
    • Annals of Clinical Neurophysiology
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    • 제13권1호
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    • pp.1-12
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    • 2011
  • Transcranial magnetic stimulation (TMS) is a non-invasive tool used to study aspects of human brain physiology, including motor function and the pathophysiology of various brain disorders. A brief electric current passed through a magnetic coil produces a high-intensity magnetic field, which can excite or inhibit the cerebral cortex. Although various brain regions can be evaluated by TMS, most studies have focused on the motor cortex where motor evoked potentials (MEPs) are produced. Single-pulse and paired-pulse TMS can be used to measure the excitability of the motor cortex via various parameters, while repetitive TMS induces cortical plasticity via long-term potentiation or long-term depression-like mechanisms. Therefore, TMS is useful in the evaluation of physiological mechanisms of various neurological diseases, including movement disorders and epilepsy. In addition, it has diagnostic utility in spinal cord diseases, amyotrophic lateral sclerosis and demyelinating diseases. The therapeutic effects of repetitive TMS on stroke, Parkinson disease and focal hand dystonia are limited since the duration and clinical benefits seem to be temporary. New TMS techniques, which may improve clinical utility, are being developed to enhance clinical utilities in various neurological diseases.

수면장애에서 비침습적 뇌자극술의 치료 효과 고찰: 경두개자기자극술과 경두개직류전기자극술을 중심으로 (A Review on Effects of Non-Invasive Brain Stimulation in the Treatment of Sleep Disorders)

  • 김신혜;이수지;임수미;윤수정
    • 수면정신생리
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    • 제28권2호
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    • pp.53-69
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    • 2021
  • Sleep disorders, increasingly prevalent in the general population, induce impairment in daytime functioning and other clinical problems. As changes in cortical excitability have been reported as potential pathophysiological mechanisms underlying sleep disorders, multiple studies have explored clinical effects of modulating cortical excitability through non-invasive brain stimulation in treating sleep disorders. In this study, we critically reviewed clinical studies using non-invasive brain stimulation, particularly transcranial magnetic stimulation (TMS) and transcranial direct current stimulation (tDCS), for treatment of sleep disorders. Previous studies have reported inconsistent therapeutic effects of TMS and tDCS for various kinds of sleep disorders. Specifically, low-frequency repetitive TMS (rTMS) and cathodal tDCS, both of which exert an inhibitory effect on cortical excitability, have shown inconsistent therapeutic effects for insomnia. On the other hand, high-frequency rTMS and anodal tDCS, both of which facilitate cortical excitability, have improved the symptoms of hypersomnia. In studies of restless legs syndrome, high-frequency rTMS and anodal tDCS induced inconsistent therapeutic effects. Single TMS and rTMS have shown differential therapeutic effects for obstructive sleep apnea. These inconsistent findings indicate that the distinctive characteristics of each non-invasive brain stimulation method and specific pathophysiological mechanisms underlying particular sleep disorders should be considered in an integrated manner for treatment of various sleep disorders. Future studies are needed to provide optimized TMS and tDCS protocols for each sleep disorder, considering distinctive effects of non-invasive brain stimulation and pathophysiology of each sleep disorder.

말초신경-피질 연계자극에 의해 유도되는 운동피질 가소성의 비대칭성 (Hemispheric Asymmetry of Plasticity in the Human Motor Cortex Induced by Paired Associative Stimulation)

  • 신혜원;손영호
    • Annals of Clinical Neurophysiology
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    • 제13권1호
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    • pp.38-43
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    • 2011
  • Background: In the brain, the dominant primary motor cortex (M1) has a greater hand representation area, shows more profuse horizontal connections, and shows a greater reduction in intracortical inhibition after hand exercise than does the non-dominant M1, suggesting a hemispheric asymmetry in M1 plasticity. Methods: We performed a transcranial magnetic stimulation (TMS) study to investigate the hemispheric asymmetry of paired associative stimulation (PAS)-induced M1 plasticity in 9 right-handed volunteers. Motor evoked potentials (MEPs) were measured in the abductor pollicis brevis (APB) muscles of both hands, and MEP recruitment curves were measured at different stimulation intensities, before and after PAS. Results: MEP recruitment curves were significantly enhanced in the dominant, but not the non-dominant M1. Conclusions: These results demonstrate that the dominant M1 has greater PAS-induced plasticity than does the non-dominant M1. This provides neurophysiological evidence for the asymmetrical performance of motor tasks related to handedness.

전기전도도의 비균질성을 고려한 정밀 두뇌 모형 내부에서 유기되는 유도 전기장 분포해석 (Numerical Analysis of Electric Field Distribution Induced Inside a Realistic Brain Model Considering Conductivity Heterogeneity)

  • 김동훈;이일호;원철호
    • 전기학회논문지
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    • 제57권2호
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    • pp.314-319
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    • 2008
  • In this paper, the electric field distribution induced inside the brain during Transcranial Magnetic Stimulation(TMS) has been thoroughly investigated in terms of tissue heterogeneity and anisotropy as well as different head models. To achieve this, first, an elaborate head model consisting of seven major parts of the head has been built based on the Magnetic Resonance(MR) image data. Then the Finite Element Method(FEM) has been used to evaluate the electric field distribution under different head models or three different conductivity conditions when the head model has been exposed to a time varying magnetic field achieved by utilizing the Figure-Of-Eight(FOE) stimulation coil. The results show that the magnitude as well as the distribution of the induced field is significantly affected by the degree of geometrical asymmetry of head models and conductivity conditions with respect to the center of the FOE coil.

국소 허혈성 뇌졸중 모델 흰쥐의 인지기능에 반복경두개자기자극이 미치는 효과 (Effects of Repetitive Transcranial Magnetic Stimulation on Enhancement of Cognitive Function in Focal Ischemic Stroke Rat Model)

  • 이정인;김계엽;남기원;이동우;김기도;김경윤
    • 대한물리의학회지
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    • 제7권1호
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    • pp.11-20
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    • 2012
  • Purpose : This study is intended to examine the repetitive transcranial magnetic stimulation on cognitive function in the focal ischemic stroke rat model. Methods : This study selected 30 Sprague-Dawley rats of 8 weeks. The groups were divided into two groups and assigned 15 rats to each group. Control group: Non-treatment after injured by focal ischemic stroke; Experimental group: application of repetitive transcranial magnetic stimulation(0.1 Tesla, 25 Hz, 20 min/time, 2 times/day, 5 days/2 week) after injured by focal ischemic stroke. To assess the effect of rTMS, the passive avoidance test, spatial learning and memory ability test were analyzed at the pre, 1 day, $7^{th}$ day, $14^{th}$ day and immunohistochemistric response of BDNF were analyzed in the hippocampal dentate gyrus at $7^{th}$ day, $14^{th}$ day. Results : In passive avoidance test, the outcome of experimental group was different significantly than the control group at the $7^{th}$ day, $14^{th}$ day. In spatial learning and memory ability test, the outcome of experimental group was different significantly than the control group at the $7^{th}$ day, $14^{th}$ day. In immunohistochemistric response of BDNF in the hippocampal dentate gyrus, experimental groups was more increased than control group. Conclusion : These result suggest that improved cognitive function by repetitive transcranial magnetic stimulation after focal ischemic stroke is associated with dynamically altered expression of BDNF in hippocampal dentate gyrus and that is related with synaptic plasticity.

불면증 치료법으로서의 뉴로모듈레이션 (Neuromodulation for Insomnia Management)

  • 윤호경
    • 수면정신생리
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    • 제28권1호
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    • pp.2-5
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    • 2021
  • Hyperarousal or increased brain excitability is thought to play a key role in the pathophysiology of insomnia. Neuromodulation techniques are emergent complementary therapies for insomnia and can improve sleep by modulating cortical excitability. A growing body of literature support the idea that neuromodulation can be effective in improving sleep or treating insomnia. Recent evidence has revealed that neuromodulation methods can improve objective and subjective sleep measures in individuals with insomnia, although effects vary according to protocol. Different mechanisms of action might explain the relative efficacy of neuromodulation techniques on sleep outcomes. Further research testing different stimulation parameters, replicating existing protocols, and adding standardized sleep-related outcomes could provide further evidence on the clinical utility of neuromodulation techniques.

경두개 자기자극 시 운동신경 유발응답 측정을 위한 근전도 측정 시스템 구축 (Establishing EMG Measurement System for Measurement of Motor Nerve Response in Transcranial Magnetic Stimulation)

  • 이근용;김수환;조재현;윤세진;이상식
    • 한국정보전자통신기술학회논문지
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    • 제12권4호
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    • pp.413-418
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    • 2019
  • 뇌와 관련된 질병(치매, 조현병, 우울증, 파킨슨병 등)을 가진 환자의 치료 및 재활 정도의 진행을 확인하고자 하는 연구가 현재 활발히 진행되고 있는 추세이다. 그 중에서 경두개 자기 자극법(Transcranial magnetic stimulation, TMS)은 뇌 질환이 있는 환자에게 비 침습적으로 뇌 신경 조절에 사용되는 기법이기 때문에 치료에 많이 사용되고 있다. 경두개 자기 자극 시 정상인의 근피로도는 증가하는 경향을 확인할 수 있다. 따라서 본 논문에서는 경두개 자기 자극 시에 운동 신경 유발 응답 측정을 위한 근전도 측정 시스템을 구축하여 피실험자의 Raw Data를 RMS 기법으로 분석하고, RMS 그래프의 경향을 통해 운동 신경 유발 응답 측정 시스템을 확인하고자 하는 것이 목표이다. 실험 방법으로는 피실험자의 위팔두갈래근의 수축과 이완 운동을 통해 피로한 상황까지 도달하게 한 후, 표면 근전도 기기를 통해 받아들인 원신호를 RMS 기법으로 분석한다. 실험 결과, RMS 그래프가 상승하는 경향을 확인 하였고, 이를 통해 구축된 근전도 측정 시스템으로 운동 신경 유발 응답을 측정한 데이터를 고려하여 개개인에 맞는 자기자극 강도 결정에 활용될 수 있을 것으로 사료된다.

Study on Change of Poly ADP Ribose Polymerase in the Rat with Thrombotic Stroke by Full Wave Cockroft Walton method's Transcranial Magnetic Stimulation

  • Kim, Whi-Young;Kim, Jun-Hyoung
    • Journal of Magnetics
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    • 제19권1호
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    • pp.20-27
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    • 2014
  • This study examined the relationships between protein expression and Poly ADP ribose polymerase in brain cell death in brains damaged by thrombotic stroke and treated with the Full Wave- Cockroft Walton (FWCW) method of Transcranial Magnetic Stimulation (TMS). The two-way switching element for TMS drove a half-bridge inverter of the current resonance of direct current voltage (+) and direct current voltage (-), and the experiment was conducted by stimulating the mice with thrombotic stroke through a range of pulses. Thrombotic stroke was caused of ligation of the common carotid artery of male SD mice, and blood reperfusion was conducted five minutes later. Protein expression was examined in immune reaction cells, which reacted to an antibody to Poly ADP ribose polymerase in the cerebrum cells, and western blotting. Observations of the PARP changes after thrombotic stroke showed that the number of Poly ADP ribose polymerase reactions were significantly lower (p < 0.05) in the group treated with TMS of the FWCW than the group with thrombotic stroke 24 hours after its onset. The application of FWCW-TMS helped prevent the necrosis of nerve cells and might prevent the brain damage that occurs as a result of thrombotic stroke, and improve the function recovery and disorder of brain cells.