• Journal of Dental Anesthesia and Pain Medicine
• /
• 제21권6호
• /
• pp.565-574
• /
• 2021

Background: Trigeminal neuralgia (TN) is a severe form of pain that affects the daily activities of a patient. Transcutaneous electrical nerve stimulation (TENS) therapy is an emerging option for the treatment of acute and chronic pain. The aim of this study was to evaluate the effect of TENS therapy as an adjunct to drug therapy for the treatment of TN. Methods: A total of 52 patients diagnosed with TN according to the International Classification of Headache Disorders (version 3) were included. Each patient was randomized to either the TENS or placebo TENS groups. Intervention was given in continuous mode and 100-Hz frequency for 20 mins biweekly for 6 weeks. Parameters were measured at baseline, TENS completion and 3 months, 6 months, and 1 year of follow up. The parameters observed were mean carbamazepine dose, mean visual analog scale (VAS) score, mean present pain intensity (PPI) score, and functional outcome. Non-parametric analyses, one-way ANOVA and the Kruskal-Wallis test were applied for intragroup comparisons, while the Mann-Whitney U test and independent t-test were used for intergroup comparisons of variables. The chi-square test was applied to analyze categorical data. Results: Compared to the placebo TENS group, the mean dose of carbamazepine in the TENS group was significantly reduced at TENS completion, as well as at 6 months and 1 year follow up. Changes in mean VAS score, mean PPI score, and functional outcome did not show significant differences between the groups (P>0.05). Conclusion: TENS therapy does not lead to any changes in pain levels but it may reduce the mean dose of carbamazepine when used as an adjunct treatment in patients with TN.

• 대한간호학회지
• /
• 제28권2호
• /
• pp.303-318
• /
• 1998

Cutaneous stimulation and distraction are independent nursing interventions used in various painful conditions, which is explained by gate control theory. This study was aimed at identifying the effect of cutaneous stimulation, distraction and combination of cutaneous stimulation and distraction on the reduction of intravenous injection pain levels of chemotherapy patients. Repeated measurement post test research design was used for one group. Fifty-three cancer patients who received intravenous chemotherapy regulary in outpatient injection rooms of D medical center and Y medical center in Taegu were studied from June 23, 1997 to July 12, 1997. First the intravenous injection pain level of the control period was measured. Second, the intravenous injection pain level of the experimental period using cutaneous stimulation was measured. Third, the intravenous injection pain level of the experimental period using distraction was messured. Fourth, the intravenous injection pain level of the experimental period using a combination of cutaneous stimulation and distraction was measured. The instruments used for this study were a visual analogue pain scale as subjective pain measurement and an objective pain behavior checklist. Analysis of data was done by use of repeated measure ANOVA, bonferni, t-test, and F-test. The results of this study were summerized as follows : 1) The first hypothesis that the subjective pain score of intraveneous injection pain in the experimental period with cutaneous stimulation will be lower than in the control period was rejected. 2) The second hypothesis that the objective pain behavior score of intravenous injection pain in the experimental period with cutaneous stimulation will be lower than in the control period was accepted(F=24.23, p=0.0001, Bornferni p<.05). 3) The third hypothesis that the subjective pain score of intraveneous injection pain in the experimental period with distraction will be lower than in the control period was rejected. 4) The fourth hypothesis that the objective pain score of intravenous injection pain in the experimental period with distraction will be lower than in the control period was accepted(F=24.23, p=0.0001, Bornferni p<.05). 5) The fifth hypothesis that the subjective pain score of intravenous injection pain in the experimental period with combination of cutaneous stimulation and distraction will be lower than in the control period was accepted(F=3.04, p=0.031, Bonferni p<.05). 6) The sixth hypothesis that the objective pain score of intravenous injection pain in the experimental period with combination of cutaneous stimulation and distraction will be lower than in the control period was accepted(F=24.23, p=0.0001, Bonferni p<.05).

• 한국조경학회지
• /
• 제26권1호
• /
• pp.36-43
• /
• 1998

We compared the electroencephalogram, blood pressure, and sensory evaluation inspectioni several color of Petunia hybrida to analyze the physiopsychological effects of a plant. Considering occipital is related to visuosensory field, green color is thought as mild visual stimulator unlike to pink color. The results are coincident with the well-known facts that green color is less stimulating color. It is also accorded with the sensory evaluation results that green color showed te feeling of blue and stable. In case of green color is showed the feeling of blue and stable. In case of green color the generatioin of alpha waves increased according to the increase color area. Therefore it is thought that green color helps decrease of visual stimulation and increase in visual stability. However it is thought that pink has less physiopsychological effects on human beings depending on area sizes than green has.

• 대한물리치료과학회지
• /
• 제9권1호
• /
• pp.45-52
• /
• 2002

This study was intended to observe the relationship of pain alleviation between the group with needle electrode electrical stimulation applied on bach of head, lung, nasalis internae, shen-men, pharynx & larynx, and internal secretion which are the pants to regulate smoking and that, with no treatment of the kind among smokers and con-smokers with chronic low back pain. It also aimed to conduct a research of applying different treatment methods according to smoking, thus ultimately providing basic data needed by clinic therapists and to help achieve appropriate treatment effects considering the characteristics of each patient. The subject criteria were men who were in their 40's or 50's, smoking or non-smoking and came to the physical therapy of the hospital to cure the chronic low back pain which had lasted more than three months. The total 24 subjects were randomly divided into four groups according to smoking; the group of smokers with needle electrode electrical stimulation applied, that of smokers with no application of such treatment, that of non-smokers with the action of such treatment, and that of non-smokers with no application of such treatment Each group was measured in terms of four pain assessment methods of visual analogue scale(VAS), verbal rating scale(VRS), McGil pain questionnaire(MPQ), endorphin. And the results were as follows: 1. In terms of the effects of the needle electrode electrical stimulation in the auricular therapy on pain had by the smokers with low back pain, there was a statistical significance in VAS, VRS, and endorphin 1 between before and after the treatment. 2. In terms of the pain effects had by the smokers with low back pain when no needle electrode electrical stimulation in the auricular therapy was applied, there was a statistical significance in VRS and MPQ between before and after the treatment. 3. In terms of the effects of the needle electrode electrical stimulation in the auricular therapy on pain had by the non-smokers with low back pain, there was a statistical significance in VAS, VRS, and MPQ between before and after the treatment. In terms of the pain effects had by the non-smokers with low back pain when no needle electrode electrical stimulation in the auricular was applied, there was a statistical significance in VAS, VRS, and MPQ between before and after the treatment. 5. The smokers with low back pain were given the needle electrode electrical stimulation in the auricular therapy to see how it affected their pain. There was found pain reduction in number, but no statistical significance. 6. The subject suffering from low back pain were given the needle electrode electrical stimulation to see how it affected their pain according to smoking. There was found pain reduction in number, but no statistical significance. Based upon the results, it can be concluded that smokers with low back pain received the more effects of pain alleviation from the application of the needle electrode electrical stimulation in the auricular therapy compared to the rest of the groups who suffered from low back pain.

• 한국인터넷방송통신학회논문지
• /
• 제18권3호
• /
• pp.23-28
• /
• 2018

차세대 디스플레이는 기존의 TV를 대변하는 디스플레이 장치 환경에서 모바일 환경으로 진화 하고 있는 추세이다. 개인용 디스플레이에 해당하는 모바일 디스플레이의 경우, 홈시어터의 개념과 동일하지만 보다 경량 화된 사이즈에 다양한 목적으로 사용되고 있기에 디스플레이 산업에서는 디스플레이의 다양한 제품 응용 및 다양한 크기의 디스플레이 디바이스에서 보다 정확한 색채와 향상된 영상을 재현하기 위해 많은 관심을 가지고 있다. 이러한 문제점을 해결하기 위하여 본 연구에서는 배경의 밝기와 색채 자극의 크기에 따라 인지될 수 있는 색채의 차이가 있을 수 있다는 가정아래, 배경의 밝기를 차등적으로 적용하여 중심와 시각에 해당하는 색채 자극의 크기를 비교하는 정신 물리학적 실험을 진행하였다. 실험 결과 기존 선행 연구에서는 배경의 밝기가 고려되지 않은 상태에서 색채 자극의 크기가 증가함에 따라 더욱 밝고 더욱 선명하게 인지한다는 결과와 달리, 배경의 밝기와 색채 자극의 크기에 따라 색채를 인지하는 특성이 다르다는 연구 결과가 도출되었다. 실험 결과를 바탕으로 향후 대형 화면의 크기에서 모바일 크기의 화면으로 입력 영상이 전환 될 때 발생할 수 있는 색채 변환 오류를 해결 하여 보다 정확한 색채 표현과 향상된 화질 영상 재현이 가능하다.

• 한국안광학회지
• /
• 제7권1호
• /
• pp.51-55
• /
• 2002

본 연구는 정상 시력을 가진 피검자의 안구가 동향운동을 하도록 주시점의 위치를 변경하며, 동향운동이 대뇌 시 피질 cerebral visual cortex의 뇌파에 미치는 영향을 분석하였다. 시 유발전위 장치(visual evoked potential system)는 Bio-Pag(production in USA)을 이용하였으며, 검사결과는 컴퓨터에 입력하여 분석하였다. 검사실의 조도는 50lux이며, 사용한 시표의 직경은 3 cm의 붉은 광점이며, 우전 dextroversion과 좌전 levoversion에 따른 결과는 다음과 같다. 1. 시자극에 관계하는 시 피질의 뇌파 출현의 높은 빈도는 delta wave, beta wave, theta wave 그리고 alpha wave의 순으로 나타났다. 2. 우전과 좌전에 대한 뇌파의 종류와 진폭은 거의 비슷하다. 3. 진폭에 대한 히스토그램은 우전과 좌전 모두 가우시안 Gausian 분포로 나타났다. 4. 뇌파의 진폭에 대한 위상 분석의 결과는 거의 비슷하다. 5. 뇌파 진폭과 주파수에 대한 fast fourier transform 분석에서 대개 20 Hz 이하의 저주파 low frequency로 나타났으며, 우전과 좌전의 결과는 비슷하다.

• 생물정신의학
• /
• 제12권1호
• /
• pp.68-72
• /
• 2005

Object:Nicotine dependence is the most common substance abuse disorder. One of the characteristics of nicotine dependence is craving. Regional activation of the brain induced by craving for nicotine was evaluated by using functional magnetic resonance imaging to investigate neuroanatomical site of smoking craving. Method:A smoker who satisfied DSM-IV criteria for nicotine dependence and a non smoker was studied. MRI data were acquired on a 1.5T Magnetom Vision Plus with a head volume coil. Two sets of visual stimuli were presented to subjects in a random manner. One was the film scenes of inducing smoking craving and the other was neutral stimuli not related to smoking. There were two fMRI sessions before and after smoking or sham smoking. Data were analyzed using SPM99. Results:fMRI showed significant activated area in anterior cingulate and medial frontal lobes in the smoker during smoking craving. Right dorsolateral prefrontal cortex and parietal lobes were activated in the control during visual stimulation before smoking. After smoking, there was no brain activation during visual stimulation in both of smoker and non smoker. Conclusion:Metabolic activity of the anterior cingulate and medial frontal lobes increased during craving for smoking. This result suggests that fMRI may be a valuable tool in the identification of neurobiological process of craving.

• 한국융합학회논문지
• /
• 제11권5호
• /
• pp.253-260
• /
• 2020

본 연구의 목적은 시각적 되먹임 발목관절 운동 이후 기능적전기자극치료가 만성 뇌졸중 환자의 균형능력 및 보행능력에 대한 영향을 알아보기 위함이다. 선정기준에 따라 만성 뇌졸중 환자를 22명을 대상으로 두 군으로 실시하였다. VFAF군은 시각되먹임 발목관절운동 이후 기능적전기자극치료(n=11), CON군(n=11)은 보존적 물리치료를 시행하였다. 훈련은 1일 60분, 1주 5번, 총 8주간 시행하였다. 중재 전·후에 균형과 보행능력을 검사하였다. 훈련결과 VFAF군이 COP, LOS, BBS, FRT, 10m WT에서 CON군에 비해 통계학적으로 유의한 차이를 보였다. 그러므로 시각적 되먹임 발목관절 운동 이후 기능적전기자극치료의 융합은 뇌졸중 환자의 균형능력 및 보행능력의 향상을 위한 효과적인 중재로 임상에서 활용 될 수 있으며, 향후 졸중 환자를 위한 융합중재개발이 요구된다.

• 대한의용생체공학회:의공학회지
• /
• 제45권2호
• /
• pp.101-107
• /
• 2024

Steady-state visual evoked potential-based brain-computer interface (SSVEP-BCI) is one of the promising systems that can serve as an alternative input device due to its stable and fast performance. However, one of the major bottlenecks is that some individuals exhibit no or very low SSVEP responses to flickering stimulation, known as SSVEP illiteracy, resulting in low performance on SSVEP-BCIs. However, a lengthy duration is required to enhance multiple SSVEP responses using traditional single-frequency transcranial alternating current stimulation (tACS). This research proposes a novel approach using dual-frequency tACS (df-tACS) to potentially enhance SSVEP by targeting the two frequencies with the lowest signal-to-noise ratio (SNR) for each participant. Seven participants (five males, average age: 24.42) were exposed to flickering checkerboard stimuli at six frequencies to determine the weakest SNR frequencies. These frequencies were then simultaneously stimulated using df-tACS for 20 minutes, and the experiment was repeated to evaluate changes in SSVEP responses. The results showed that df-tACS effectively enhances the SNR at each targeted frequency, suggesting it can selectively improve target frequency responses. The study supports df-tACS as a more efficient solution for SSVEP illiteracy, proposing further exploration into multi-frequency tACS that could stimulate more than two frequencies, thereby expanding the potential of SSVEP-BCIs.

• 한국정밀공학회지
• /
• 제28권6호
• /
• pp.651-656
• /
• 2011

Although prosthetic training was received, most of amputees mainly depend on visual feedback to use prostheses, not on cutaneous and proprioceptive sensibility. Our objective of this study was to determine if there are changes in the somatosensory sensibility of amputees compared to non-amputees using multi-channel vibration stimulation system. One transradial amputees and ten non-amputees were involved. To investigate changes of residual somatosensory sensibility at stump, we set up custom-made vibration stimulation system including eight actuators (4 medial and 4 lateral) and GUI-based acquisition system. The results showed that there was similar pattern of subjective response at most of channels among group as stimulation increases. However, amputees' subjective response at channel 8 for 238Hz vibration was more sensitive than that of healthy persons. With respect to channels, response at channel 4 (medial) corresponding region to flexor carpi ulnaris for transradial amputees was most sensitive than other channels. In addition, sensitivity of four medial channels was on average about 0.5 scale than that of four lateral channels. Somatosensory sensibility was amputee, women, and men in sensibility order.