• 제어로봇시스템학회:학술대회논문집
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• 제어로봇시스템학회 2005년도 ICCAS
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• pp.2464-2467
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• 2005

The purpose of this study was to explore the effectives of a virtual bicycle system in improving the ability of equilibrium sense of normal healthy adults. Experiments were performed to find the factors related to the training of equilibrium sense. The subjects consisted of young and elderly people and the group of young people was compared against the group of elderly people. We investigated three different running modes of virtual bicycle system with two successive sets in total. W measured the parameters related to the running time, the velocity, the weight movement, the degree of the deviation from the road, and the location of the center of pressure (COP). The results showed that the running capability of the elderly became much better after repeated training. In addition, it was found out that the ability to control postural balance and the capability of equilibrium sensory were improved with the presentation of the visual feedback information of the distribution of weight. We also found that the running time and the running velocity reduced when there was no visual feedback information. From the results, our newly developed bicycle system seems to be effective in the diagnosis of equilibrium sense as well as in the improvement of the sense of sight, and vestibular function of the elderly in the field of rehabilitation training.

• 감성과학
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• 제18권1호
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• pp.27-38
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• 2015

전정안구반사(VOR; vestibulo-ocular reflex)는 머리가 움직이는 동안 안정된 망막상을 얻기 위해 일어나는 안구의 보상적 움직임이다. 망막정보와 전정신호가 감각갈등(sensory conflict)을 일으키면 멀미가 일어나며, VOR 이득(gain)이 변한다는 것이 알려져 있다. 본 보고에서는 VOR을 측정할 수 있는 실용적이고 저렴한 시스템을 LabVIEW와 Arduino를 이용하여 구현하였다. 그리고 이 시스템을 사용하여 VOR의 특징적 변화를 두 가지 실험을 통해서 측정하였다. 실험 1에서는 자기회전검사법을 이용하여 실험참가자(n = 4)의 수평 및 수직 전정안구반사의 특성을 살펴보았다. 실험 2에서는 가상환경 하에서 실험참가자(n = 8)가 정지된 화면을 볼 때와 사이버멀미(cybersickness)를 경험하는 3D 가상주행 영상에 노출되었을 때의 머리 움직임과 안구 운동을 측정하였다. 그 결과, 가상주행을 경험할 때 특징적인 머리 움직임과 안구 운동이 측정되었다. 본 보고에서 소개한 전정안구반사 측정 시스템은 가상환경에서의 사이버멀미 경감을 위한 심리생리학적 연구에 기여할 수 있을 것이다.

• The Korean Journal of Physiology and Pharmacology
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• 제1권6호
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• pp.603-611
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• 1997

The motor evoked potentials (MEPs) have been advocated as a method of monitoring the integrity of spinal efferent pathways in various injury models of the central nervous system. However, there were many disputes about origin sites of MEPs generated by transcranial electrical stimulation. The purpose of present study was to investigate the effect of major extrapyramidal motor nuclei such as lateral vestibular nucleus (VN) and medullary reticular nucleus (mRTN) on any components of the MEPs in adult Sprague-Dalwey rats. MEPs were evoked by electrical stimulation of the right sensorimotor cortex through a stainless steel screw with 0.5mm in diameter, and recorded epidurally at T9 - T10 spinal cord levels by using a pair of teflon-coated stainless steel wire electrodes with 1mm exposed tip. In order to inject lidocaine and make a lesion, insulated long dental needle with noninsulated tips were placed stareotoxically in VN and mRTN. Lidocaine of $2{\sim}3\;{\mu}l$ was injected into either VN or mRTN. The normal MEPs were composed of typical four reproducible waves; P1, P2, P3, P4. The first wave (P1) was shown at a mean latency of 1.2 ms, corresponding to a conduction velocity of 67.5 m/sec. The latencies of MEPs were shortened and the amplitudes were increased as stimulus intensity was increased. The amplitudes of P1 and P2 were more decreased among 4 waves of MEPs after lidocaine microinjection into mRTN. Especially, the amplitude of P1 was decreased by 50% after lidocaine microinjection into bilateral mRTN. On the other hand, lidocaine microinjection into VN reduced the amplitudes of P3 and P4 than other MEP waves. However, the latencies of MEPs were not changed by lidocaine microinjection into either VN or mRTN. These results suggest that the vestibular and reticular nuclei contribute to partially different role in generation of MEPs elicited by transcranial electrical stimulation.

• 한국방사선학회논문지
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• 제17권2호
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• pp.243-248
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• 2023

본 연구에서는 청신경초종 질환에서 방사선 수술 시 유리선량계를 이용하여 손상위험장기들의 피폭으로 인해 발생하는 2차 발암률을 분석하고자 한다. 인체 조직 등가 물질의 소아 팬텀을 사용하여, 종양의 체적은 0.506 cm³, 1.008 cm³, 2.032 cm³ 총 3개의 체적으로 설정하였고, 평균 선량은 18.4 ± 3.4 Gy로 방사선수술계획을 수립하였다. 수술 장비의 테이블에 인체 팬텀을 장착시킨 후 유리선량계를 우안, 좌안, 갑상샘, 흉선, 오른쪽 폐, 왼쪽 폐에 위치시켜 각각 피폭선량을 측정하였다. 본 연구에서 가장 큰 종양체적인 2.032 cm³의 청신경초종 질환에서 감마나이프 방사선 수술 시 손상위험장기의 피폭으로 인한 2차 암 발생률을 유리선량계로 측정한 그 결과는 10,000명 당 1.11명의 2차 암이 발생될 수 있는 것으로 계산되었다. 본 연구는 정위적 방사선 수술 시 발생할 수 있는 2차 방사선 피폭선량의 위험성을 연구하여 향후 방사선의 확률적 영향과 관련된 방사선 장해분야에 기초자료로 활용될 것이라 사료된다.

• Annals of Clinical Neurophysiology
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• 제9권1호
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• pp.1-4
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• 2007

Vertigo is an illusion of rotation, which results from an imbalance within the vestibular system. This review focuses on two common presentations of spontaneous vertigo: acute prolonged spontaneous vertigo and recurrent spontaneous vertigo. Common causes of acute prolonged spontaneous vertigo include vestibular neuritis, labyrinthitis, and brainstem or cerebellar stroke. The history and detailed neurological/neurotological examinations usually provide the key information for distinguishing between peripheral and central causes of vertigo. Brain MRI is indicated in any patient with acute vertigo accompanied by abnormal neurological signs, profound imbalance, severe headache, and central patterns of nystagmus. Recurrent spontaneous vertigo occurs when there is a sudden, temporary, and largely reversible impairment of resting neural activity of one labyrinth or its central connections, with subsequent recovery to normal or near-normal function. Meniere's disease, migrainous vertigo, and vertebrobasilar insufficiency (VBI) are common causes. The duration of the vertigo attack is a key piece of information in recurrent spontaneous vertigo. Vertigo of vascular origin, such as VBI, typically lasts for several minutes, whereas recurrent vertigo due to peripheral inner-ear abnormalities lasts for hours. Screening neurotological evaluations, and blood tests for autoimmune and otosyphilis are useful in assessment of recurrent spontaneous vertigo that are likely to be peripheral in origin.

• 전력전자학회논문지
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• 제5권5호
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• pp.459-466
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• 2000

전정기관 자극용 회전자극기에 있어서 외란 관측기를 이용한 PMSM(permanent Magnet Synchronous Motor)의 강인한 정밀 속도 제어 방법에 대해서 제안한다. 본 제어기는 더욱 정확한 전정기관 평가를 가능하게 한다. 현기증을 유발시키기 위해서 지면에 수직인 회전축을 갖는 2D 자극기가 사용되어져 왔다. 그러나 정확한 현기증의 원인 규명을 위해서 회전축을 기울인 3D 자극기가 필요하다. 3D 자극기와 같이 기울임을 갖는 회 전자극기의 경우, 회전축에 대한 무게중심의 이격은 불평형 부하를 유발하게 된다. 이러한 경우에 대하여 강인한 속도 제어를 위한 외란 관측기를 이용하는 보상방법을 연구하였다 정확한 전정기관 자극을 위해 정밀한 속도 제어가 필요하며, 이러한 정밀 속도 제어에 있어서 외란의 영향을 제거하기 위해 데드비트 관측기와 같은 높은 이득을 갖는 관측기가 필요하다. 외란 관측기의 위치 제어에 대한 응용이 연구되어 졌다. 그러나 속도와 같은 노이즈가 많은 신호를 이용한 속도 제어에 있어서 데드비트 관측기는 노이즈 증폭 효과를 가져와 적용이 어렵다는 문제를 가지고 있다. 따라서 MA(Moving Average)처리를 이용하여 노이즈 효과를 저감한다. 이상의 제안된 알고리즘의 효과를 실험으로 보였다.

• 한국전문물리치료학회지
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• 제15권3호
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• pp.1-7
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• 2008

Multi-sensory systems, including the visual, somatosensory, and vestibular ones, are involved in maintaining standing balance. The organization of these sensory systems is as important as the efficiency of each individual system in maintaining optimal balance. The purpose of the present experiment was to investigate the developmental changes in static standing balance and sensory organization under altered sensory conditions. This study involved 64 children (from 4 to 15 years of age) and 17 young adults. The children were divided into four age groups: 4~6, 7~9, 10~12, and 13~15 years. Static standing balance was assessed with the one-leg standing test under four different sensory conditions: the children stood on a firm surface with (1) eyes open or (2) closed, and they stood on a foam surface with eyes (3) open or (4) closed. In balancing ability, the age groups exhibited significant differences. The function of sensory organization for balance control was poorer for the children than for the young adults. The functional efficiency of the somatosensory system of the children aged 7~9 years was at the young adults' level, and the visual function of the children aged 10~12 years had also reached the young adults' level. However, the functional efficiency of the vestibular system of children was significantly lower than that of the young adults, even at the age of 15 years. This may indicate that sensory organization and standing balance are still developing after the age of 15 years.

• 한국운동역학회지
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• 제15권1호
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• pp.45-61
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• 2005

Stance is defined as any state in which the total mass of the body is supported by the feet. In order to maintain stance, the sum of gravito-inertial forces acting on the body must be registered by equal and opposite forces at the region of contact between the organism and the support surface. Balance is controlled by applying forces to the surface of support so as to maintain the body's center of mass vertically above the feet. for a muIti-segment organism, there can be a variety of ways in which balance can be controlled, since movements of different body segments can have similar effects on the control of balance. In general, the organism tends to have a body configuration that is aligned with gravito-inertial force when there are no external forces acting on it. If any segments of the body are not aligned with gravito-inertial force vector, a torque on that segment would tend to move the body's center of mass. The maintenance of postural stability is accomplished in humans by a complex neural control system. This requires organizing integrating and acting upon visual, vestibular, and somatosensory input, providing orientation information to the postural control system. The information necessary to control and coordinate movement is provided by the visual sense of eye position with respect to the surrounding surface layout, the vestibular sense of head orientation in the gravito-inertial space, and the somatic sense of body segment position relative to one another and to the support surface. In this study, perception and action capability was examined from various points of view. The underlying assumption of the study was that the change of postural configuration could be effected by organism, environment and task goal.

• 인터넷정보학회논문지
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• 제20권4호
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• pp.47-53
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• 2019

일반적으로 어지럼증은 여러 가지 복합적인 원인에 의해서 발생하지만 그 중에서 신경계에 속하는 전정계통의 기능 장애에 의한 증상이 가장 환자에게 심한 증상으로 다가오며, 구역질과 구토를 동반하게 된다. 이러한 어지럼증에 대한 치료는 약물요법, 수술요법, 재활치료 등이 있으며, 약물요법이나 수술요법은 대체적으로 후유증의 위험 때문에 재활치료요법인 전정재활훈련을 많이 시행하고 있다. 전정재활훈련은 안구훈련, 자세안정훈련, 보행훈련 등이 있는데 그 중 보행훈련은 의사 또는 전문치료사의 감독하에 일정한 공간에서 진행되므로 시간적, 공간적 부담이 가중되어 환자들이 훈련을 진행기 불편한 단점을 가진다. 이를 해결하고자 본 논문에서는 증강현실 기술을 활용해 사용자가 직접 보행재활훈련을 진행 할 수 있는 보행훈련 콘텐츠를 구현하였다. 추후 어지럼증 환자를 대상으로 한 임상시험을 통해 의료 환경에서 사용 가능한 어지럼증 재활 콘텐츠로 활용 가능할 것으로 기대한다.

• Journal of Chest Surgery
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• 제55권5호
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• pp.364-377
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• 2022

An anatomical understanding of the atrial myocardium is crucial for surgeons and interventionists who treat atrial arrhythmias. We reviewed the anatomy of the inter-nodal and intra-atrial conduction systems. The anterior inter-nodal route (#1) arises from the sinus node and runs through the ventral wall of the atrial chambers. The major branch of route #1 approaches the atrioventricular node from the anterior aspect. Other branches of route #1 are Bachmann's bundle and a vestibular branch around the tricuspid valve. The middle inter-nodal route (#2) begins with a broad span of fibers at the sinus venarum and extends to the superior limbus of the oval fossa. The major branch of route #2 joins with the branch of route #1 at the anterior part of the atrioventricular node. The posterior inter-nodal route (#3) is at the terminal crest and gives rise to many branches at the pectinate muscles of the right atrium and then approaches the posterior atrioventricular node after joining with the vestibular branch of route #1. The branches of the left part of Bachmann's bundle and the branches of the second inter-nodal route form a thin myocardial network at the posterior wall of the left atrium. These anatomical structures could be categorized into major routes and side branches. There are 9 or more anatomical circles in the atrial chambers that could be structural sites for macro re-entry. The implications of normal and abnormal structures of the myocardium for the pathogenesis and treatment of atrial arrhythmias are discussed.