• Title/Summary/Keyword: Transcutaneous

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Non-invasive Transcutaneous pCO2 Gas Monitoring System for Arterial Blood Gas Analysis

  • Bang, Hyang-Yi;Kang, Byoung-Ho;Eum, Nyeon-Sik;Kang, Shin-Won
    • Journal of Sensor Science and Technology
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    • v.20 no.5
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    • pp.311-316
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    • 2011
  • Monitoring the carbon dioxide concentration in arterial blood is vital for the evaluation and prevention of pulmonary disease. Yet, domestic pure arterial blood carbon dioxide sensor technologies are not being developed, instead all sensors are imported. In this paper, we develop a real time monitoring system for arterial blood partial pressure of carbon dioxide($pCO_2$) gas from the wrist by using a carbon micro-heater. The micro-heater was fabricated with a thickness of 0.3 ${\mu}m$ in order to collect the carbon dioxide under the skin. The micro-heater has been designed to perform temperature compensation in order to prevent damage to the skin. Two clinical trials of the system were undertaken. As a result, we demonstrated that a portable, transcutaneous carbon dioxide analysis($TcpCO_2$) device produced domestically is possible. In addition, this system reduced the analysis time significantly. Carbon films could reduce the unit price of these sensors by replacing the gold film used in foreign models. Also, we developed a real time monitoring system which can be used with optical biosensors for medical diagnostics as well as gas sensors for environmental monitoring.

The Effect of Transcutaneous Electrical Nerve Stimulation on Sympathetic Tone (경피신경 전기자극법이 교감신경 긴장성에 미치는 영향)

  • An, Soo-Gyung;Yoo, Hwan-Suk;Lee, Ji-Hyun;Kim, Young-Rok
    • Physical Therapy Korea
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    • v.3 no.2
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    • pp.77-83
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    • 1996
  • The purpose of this study was to determine the effect of transcutaneous electrical nerve stimulation(TENS) on sympathetic tone in healthy subjects. Stimulation in the conventional and burst modes was applied to the skin of the forearm overlying the median nerve. TENS was applied for 20 minutes at an intensity sufficient to produce a perceptible though not uncomfortable sensation and no muscle contracion of the forearm musculature. The change in sympathetic tone was measured with skin temperature. Skin temperature was measured at the index finger and on the volar surface of the forearm in the stimulated limb. The conventional and burst modes did not change the skin temperature at any of the two measurement sites. We conclude that TENS, as applied in this study, does not influence sympathetic tone. Further research is needed to assess the sympathetic effects of TENS on patient groups, long term treatment and other modalities.

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The Short-Term Effects of Difference Frequency of Transcutaneous Electrical Nerve Stimulation on Pain Relief using c-fos Expression in Spinal Cord with Knee Osteoarthritis Rats

  • Koo, Hyun-Mo;Na, Sang-Su
    • Journal of the Korean Society of Physical Medicine
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    • v.11 no.4
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    • pp.49-54
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    • 2016
  • PURPOSE: The purpose of this study was to determine the effect of different frequencies (4Hz and 100Hz) of transcutaneous electrical nerve simulation (TENS) on pain relief using c-fos expression in the spinal cord of rat osteoarthritis to investigate the appropriate frequency for pain relief. METHODS: Total of 30 Sprague-Dawley rats was used and randomly divided 2 groups according TENS frequency and applicate the TENS during 3 period (3 days, 7 days, 10 days). The induction of osteoarthritis by 3mg monosodium iodoacetat was injected into the right knee joint of rats. Three days later, commercially available TENS unit was used for stimulation was set to 20minutes on 3, 7, 10 days after surgery. Western blot analysis system was used to detect immunoreactive proteins. The thickness of the bands were photographically measured by Scion Image. RESULTS: When investigating the c-fos expression of TENS on spinal cord in OA knee over 10 days, between-groups differences in c-fos expression reached a significant level by day 10. For within-groups comparisons, the c-fos expression decreased significantly across days in low- and high-frequency TENS groups. CONCLUSION: Whether at low- and high-frequency, the TENS as a therapy obtained beneficial effects of pain relief and TNES at high-frequency is more beneficial effects on the pain relief when TENS applied at injury site.

The Effects of Transcutaneous Electrical Nerve Stimulation and Electroacupuncture Stimulation Therapy on the Current Perception Threshold of Orofacial Region (구강안면영역에서의 경피성 신경자극과 전기침자극요법이 전류인지역치에 미치는 영향)

  • Chung, Jin-Woo
    • Journal of Oral Medicine and Pain
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    • v.24 no.3
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    • pp.301-313
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    • 1999
  • 구강안면동통 환자의 치료법으로 널리 쓰이는 전기요법은 연조직과 신경계 구조물에 대한 치료 시 중요한 역할을 담당하고 있다. 저자는 현재 구강안면동통의 치료법으로 널리 쓰이고 있는 전기요법들 중 경피성 신경자극(Transcutaneous electric nerve stimulation)과 전기침자극요법(Electroacupuncture stimulation therapy)이 각각의 신경섬유에 미치는 효과를 평가하고자 정상 성인 남녀 29명에게 경피성 신경자극 및 전기침자극을 시행하고 시행 전 및 시행 후 삼차신경 영역의 3가지 종류($A{\beta}$, $A{\delta}$, C fiber)의 신경섬유의 전류인지역치(CPT) 변화를 측정하여 그 차이점을 분석하였으며 이를 대조군과 비교하였다. 경피성 신경자극 및 전기침자극 모두에서 대조군에 비해 삼차신경 영역의 모든 신경섬유에 걸쳐 고른 전류인지역치의 증가를 나타내었으며, 경피성 신경자극과 전기침자극 후의 전류인지역치 변화량은 서로 유의할만한 차이를 나타내지 않았다. 이는 경피성 신경자극 과 전기침자극 모두 3가지 종류($A{\beta}$, $A{\delta}$, C fiber)의 감각신경섬유의 전류인지역치에 영향을 미치며, 구강안면동통의 감소에 효과적으로 사용될 수 있으리라 생각된다.

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

  • Choi, Yoo-Rim;Lee, Jeong-Woo
    • The Journal of Korean Physical Therapy
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    • v.22 no.1
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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.

Change in Autonomic Nerve Responses after Low-frequency Transcutaneous Electrical Nerve Stimulation

  • Lee, Jeong-Woo;Park, Ah-Rong;Hwang, Tae-Yeon
    • The Journal of Korean Physical Therapy
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    • v.22 no.6
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    • pp.71-76
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    • 2010
  • Purpose: The purpose of this study was to examine changes in autonomic nerve responses after low-frequency transcutaneous electrical nerve stimulation (TENS). Methods: Research subjects were 24 students who attend University. Subjects were divided into two groups: 1 = a low intensity group; 2 = a high intensity group. Electrodes were attached to the forearm of the dominant arm and electrical stimuli were administered for 15 minutes. Outcome measures were skin conduction velocity, skin temperature, blood flow, and pulse frequency, each of which was measured a total of 4 times. The data were analyzed using a repeated measures ANOVA. Results: In changes in conduction velocity, the main effect of time variation (in black) was statistically significant. The interaction between time and group main effects was not statistically significant; nor was the difference between the groups. Results showed that skin conduction velocity changed without any relation to group. Conclusions: Low frequency TENS selectively increases skin conduction velocity, which may be helpful for activating sudomotor function regardless of intensity.

New Methods of Vagus Nerve Stimulation : Therapeutic Effects of Non-Invasive Vagus Nerve Stimulation by TENS Application (미주신경 자극을 위한 새로운 방법 : 비침습적 TENS 적용에 대한 미주신경 자극의 치료적 효과)

  • Kwon, Haeyeon;Moon, Hyunju
    • Journal of The Korean Society of Integrative Medicine
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    • v.4 no.4
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    • pp.77-82
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    • 2016
  • Purpose: The purpose of this study was to investigate the therapeutic effect of non-invasive vagus nerve stimulation by transcutaneous electrical nerve stimulation application on the autonomic nervous system of human body. Methods: Participants were seventeen healthy adults. Standard deviation of all normal N-N intervals(SDNN), root mean square of successive differences(RMSSD), low frequency(LF), high frequency(HF) were compared in pre and post Mean values after intervention. Data were analyzed in Wilcoxon's signed-ranks test. Results: The results of this study is that sistolic blood pressure and pulse rate decreased mean value after non-invasive vagus nerve stimulation by transcutaneous electrical nerve stimulation. High frequency, low frequency, SDNN, RMSSD increased mean value in heart rate variability after intervention. But that is not significant except for SDNN. Conclusion: Non-invasive vagus stimulation by transcutaneous electrical nerve stimulation effect on parasympathetic nerve stimulation, and then it might be effective method for autonomic nerve balance control.

Effects of Transcutaneous Electrical Nerve Stimulation depending on Frequency and Intensity for Postural Sway during Sit to Stand with Stroke Patients

  • Byun, Dong-Uk;Shin, Won-Seob
    • The Journal of Korean Physical Therapy
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    • v.25 no.3
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    • pp.136-142
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    • 2013
  • Purpose: The application of transcutaneous electrical nerve stimulation (TENS) is beneficial for joint movements, inhibition of spasticity, and the improvement of walking ability in patients with chronic hemiplegia. This study aimed to identify the effect of the application of TENS to the knee extensor on the affected side with respect to postural-sway distance and velocity during the sit-to stand movement. Methods: We included 19 patients with post-stroke hemiplegia in this study. They underwent measurements during the sit-to stand movement on a force plate with 5 different stimulation dosages applied over 7 s:No TENS, high-frequency and high intensity TENS, high-frequency and low intensity TENS, low-frequency and high intensity TENS, and low-frequency and low intensity TENS The 5 different condition were administered in random order. Results: The group that received TENS application exhibited a significant decrease in path length and average velocity of center of pressure (COP) displacement compared with the group that did not receive TENS application. TENS dosage at low frequency (3Hz) and high intensity yielded a significant decrease in path length, average velocity, mediolateral distance and anteroposterior distance of COP displacement (p<0.05). Conclusion: Our results demonstrated the effectiveness of the application of low-frequency TENS on STS performance. These findings provide useful information on the application of TENS for the reduction of postural sway during the sit-to-stand movement after stroke.

Intratracheal Stenting Under the Aid of Transcutaneous Cardiac Pacing in a Dog with Severe Bradycardic Conduction Defect (중증 서맥성 전도장애 개에서 피부경유 심박 조절 하에 기관내 스텐트 장착)

  • Lee, Seung-Keun;Hyun, Chang-Baig;Jang, Kwang-Ho
    • Journal of Veterinary Clinics
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    • v.25 no.5
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    • pp.400-404
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    • 2008
  • A 10-year-old intact female Yorkshire terrier dog (weighing 3 kg) was referred with the primary complaint of severe dyspnea, cyanosis and occasional syncopal episode. Physical examination revealed irregularly irregular bradycardia with persistent pulse deficits. The 12-lead surface ECG showed high grade atrioventricular blocks. Thoracic radiography revealed severe intrathoracic collapse. The dog was successfully treated with an intraluminal self-expanding stent ($COOK^{(R)}$) under the aid of transcutaneous cardiac pacing.

Effects of Transcutaneous Electrical Nerve Stimulation and Interferential Current on Myofacial Pain Syndrome (근막통증후군에 대한 경피신경전기자극과 간섭전류치료의 효과 비교)

  • Kim, Myung-Jong;Lee, Jun-Hee;Choi, Won-Ho
    • Journal of the Korean Academy of Clinical Electrophysiology
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    • v.2 no.1
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    • pp.1-8
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    • 2004
  • This study was conducted to assess the effect of transcutaneous electrical nerve stimulation(TENS) and interferential current(IFC) in the patients with myofascial pain syndrome(MPS) on upper trapezius. Twenty patients with MPS on upper trapezius was assigned randomly to TENS group(n=10), IFC group(n=10). In TENS group, TENS was applied to the trigger point. In IFC group, IFC was applied to the trigger point. Duration of treatment was 2 weeks. Effects were assessed before treatment, post treatment by visual analogue scale(VAS), and pain rating score(PRS). Significant change of VAS was noticed in TENS group and IFC group. Significant change of PRS was noticed in TENS group and IFC group. IFC groups were significantly higher than TENS group that of the VAS and PRS. These result showed that IFC is effective treatment method for pain control in patients with MPS.

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