• Title/Summary/Keyword: brain stimulation

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Treatment Stimulator's Pulse of Transcranial Magnetic Stimulation (경두개 자기자극장치의 치료자극 펄스)

  • Kim, Whi-Young
    • The Journal of the Korea Contents Association
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    • v.9 no.11
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    • pp.289-296
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    • 2009
  • In this study, I presented power control unit with potential use in the magnetic stimulation of biological systems. The effect of the magnetic stimulation depends on the geometry and orientation of the induced electric field as well as on the current pulse waveform delivered by the stimulator coil. TMS is achieved from the outside of the head using pulses of electromagnetic field that induce an electric field in the brain. There are numerous possibities in the applications TMS, such as diagnosis and therapy through the brain stimulation. These factors are very important to define the equipment requirements and characteristics in that the topology of the power supply and the size and geometry of the coil. The proposed solution is the generation of current pulses with variable amplitude and duration, according to a user defined input. Another solution is the topology that uses elements to store and transfer energy from the power source to the load. In addition to proposed topology, an adequate control strategy and right set of the power circuit parameters made possible to obtain unipolar waves and bipolar waves.

Striatal Glutamate and GABA after High Frequency Subthalamic Stimulation in Parkinsonian Rat

  • Lee, Kyung Jin;Shim, Insop;Sung, Jae Hoon;Hong, Jae Taek;Kim, Il sup;Cho, Chul Bum
    • Journal of Korean Neurosurgical Society
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    • v.60 no.2
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    • pp.138-145
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    • 2017
  • Objective : High frequency stimulation (HFS) of the subthalamic nucleus (STN) is recognized as an effective treatment of advanced Parkinson's disease. However, the neurochemical basis of its effects remains unknown. The aim of this study is to investigate the effects of STN HFS in intact and 6-hydroxydopamine (6-OHDA)-lesioned hemiparkinsonian rat model on changes of principal neurotransmitters, glutamate, and gamma-aminobutyric acid (GABA) in the striatum. Methods : The authors examined extracellular glutamate and GABA change in the striatum on sham group, 6-OHDA group, and 6-OHDA plus deep brain stimulation (DBS) group using microdialysis methods. Results : High-pressure liquid chromatography was used to quantify glutamate and GABA. The results show that HFS-STN induces a significant increase of extracellular glutamate and GABA in the striatum of 6-OHDA plus DBS group compared with sham and 6-OHDA group. Conclusion : Therefore, the clinical results of STN-HFS are not restricted to the direct STN targets but involve widespread adaptive changes within the basal ganglia.

The Effects of Habituation and Sensitization on Psychophysiological Differentiation of Responses to Auditory Stimulation with Automobile Horns

  • Estate M. Sokhadze;Sohn, Jin-Hun
    • Science of Emotion and Sensibility
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    • v.3 no.2
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    • pp.17-28
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    • 2000
  • Psychoacoustic characteristics of automobile horns play significant role in resulting subjective evaluation and psychphysiological reactions. However, comparison and differentiation of physiological responses to commercially available horns is a complicated task due to the small contrast in technical features of horns and the influence of such processes as habituation on physiological outcome with the increased number of auditory stimulation trials. In a study on 10 college students, there was performed comparative analysis of reactivity of physiological responses mediated by central and autonomic nervous systems in order to identify the role of habituation on decrement of psychophysiological responsivity and assess the ability to differentiate subjectively most and least preferred, as well as most and least appropriate horns according to physiological manifestations. The EEG and autonomic responses to 7 automobile horns were analyzed during 3 blocks of trials, with varying order of stimuli and changed acoustic parameters of horns in each block. Thus, responses were analyzed for totally 21 trials of auditory stimulation. It was shown that electrodermal and cardiovascular responses have different reactivity patterns to repeated stimulation: skin conductance measures habituated, cardiac reactivity showed no signs of habituation, and the vascular response demonstrated sensitization. The temporal EEG exhibited marked habituation of fast beta band power, while alpha-blocking effect did not habituate during the course of experiment. Differentiation of physiological responses of most and least preferred and appropriate horns was possible in our study, however, some cardiovascular reactivity measures differentiated during the entire course of the experiment, while EEG and electrodermal parameters showed significant differences only during first block of trials, and were later affected by the habituation.

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Effects of Acupoint Stimulation at the Pericadium and Liver Meridian on Heart Rate Variability (수족궐음경(手足厥陰經)의 경혈(經穴)이 심박변이도 SDNN에 미치는 영향)

  • Sung, Kang-Keyng
    • Korean Journal of Acupuncture
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    • v.32 no.3
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    • pp.130-135
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    • 2015
  • Objectives : This study is to investigate stimulation effects of acupoints at differential meridian along arm and leg on the physiological phenomenon of heartbeats. Methods : 8 subjects were participated in this study. The experiments were performed in Resting session(Rs), Insertion session(Is), Stimulation session1(Ss1), Stimulation session2(Ss2), Stimulation session3(Ss3) sequence. Time of each session and the interval between each session was 30 seconds all. Acupuncture was performed manually on PC3 or LR8 at random with a two-day interval. stand deviation of N-N interval(SDNN) was measured for each session. Results : At PC3, SDNN increased in Ss1, Ss2, and Ss3 compared to Rs but at LR8, there was little change between Ss1, Ss2, Ss3 and Rs. Post-hoc analysis revealed that mean value of SDNN significantly increased in Ss1 compared with Baseline at PC3, while there was little change at LR8. When LR8 and PC3 were compared at each time point, there was a significant difference only in Ss1. Conclusions : Our results indicate that there is a correlation between specific physiological functions and acupoints.

One Case Treated Semi-coma by Scalp Acupuncture with Electric Stimulation (두침전기자극을 시술한 반혼수 환자 1례에 관한 보고)

  • Kim, Min-Kyun;Kim, Hyun-Soo;Hwang, Jae-Pil;Hong, Seo-Young;Heo, Dong-Seok;Yoon, Il-Ji
    • Journal of Korean Medicine Rehabilitation
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    • v.18 no.3
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    • pp.157-171
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    • 2008
  • Objectives : To report one case of semi-coma patient was treated by scalp acupuncture with electric stimulation. Methods : Patient (state of semi-coma) was treated by scalp acupuncture with electric stimulation, herbal medication and physical therapy. The improvement of patient was measured every other week by Glasgow Coma Scale(GCS), Modified Bathel Index(MBI), National Institutes of Health Stroke Scale(NIHSS). Results : We observed the patient decrease in NIHSS score and increase in GCS and MBI. Symptoms of patient such as semi-coma were improved following the treatment. Conclusions : It is suggested that oriental medical treatment; scalp acupuncture with electric stimulation, herbal medication and physical therapy were effective in semi-coma caused by traumatic brain injury.

Hemodynamic Responses of Rat Brain Measured by Near-infrared Spectroscopy During Various Whisker Stimulations

  • Lee, Seung-Duk;Koh, Dalk-Won;Kwon, Ki-Woon;Lee, Hyun-Joo;Lang, Yiran;Shin, Hyung-Cheul;Kim, Beop-Min
    • Journal of the Optical Society of Korea
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    • v.13 no.1
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    • pp.166-170
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    • 2009
  • NIRS (Near-infrared spectroscopy) is a relatively, new, non-invasive, and non-ionizing method of measuring hemodynamic responses in thick biological tissues such as the cerebral cortex. In this study, we measured the hemodynamic responses of the rat barrel cortex to whisker stimulation by using a frequency-domain NIRS system. We designed multiple optical probes comprising multi-mode optical fibers and manipulating arms, both of which can be easily applied to small animals. Various electrical stimulations were applied to rat whiskers at different voltage levels and stimulation frequencies. Our results show that the hemodynamic responses are highly dependent on the stimulation voltage level, and not so much on stimulation frequency. This paper suggests that NIRS technology is highly suitable for the study of small animal brains.

Current Update on Transcranial Direct Current Stimulation as Treatment for Major Depressive Disorder (주요우울장애의 치료로서 경두개 직류자극술(Transcranial Direct Current Stimulation)의 현재)

  • Lee, Seung-Hoon;Kim, Yong-Ku
    • Korean Journal of Biological Psychiatry
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    • v.25 no.4
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    • pp.89-100
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    • 2018
  • Transcranial direct current stimulation (tDCS) is a non-invasive brain stimulation method that delivers 1-2 mA of current to the scalp. Several clinical studies have been conducted to confirm the therapeutic effect of major depressive disorder (MDD) patients with tDCS. Some studies have shown tDCS's antidepressant effect, while the others showed conflicting results in antidepressant effects. Our aim of this review is to understand the biological bases of tDCS's antidepressant effect and review the results of studies on tDCS's antidepressant effect. For the review and search process of MDD treatment using tDCS, the US National Library of Medicine search engine PubMed was used. In this review, we discuss the biological mechanism of tDCS's antidepressant effect and the existing published literature including meta-analysis, systematic review, control trial, open studies, and case reports of antidepressant effects and cognitive function improvement in patients with MDD are reviewed. We also discuss the appropriate tDCS protocol for MDD patients, factors predictive of response to tDCS treatment, the disadvantages of tDCS in MDD treatment, and side effects.

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Effect of Electrical Vagus Nerve Stimulation to Control Systemic Inflammation and Anti-Aging Hormone on Elder (미주신경 전기 자극이 노인의 항노화 호르몬과 전신적 염증에 미치는 효과)

  • Moon, Hyunju;Goo, Bongoh
    • Journal of The Korean Society of Integrative Medicine
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    • v.6 no.4
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    • pp.183-189
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    • 2018
  • Purpose : As age increases, a low-level systemic inflammatory state develops and the levels of anti-aging hormones decrease. The vagus nerve activates parasympathetic nerves and promotes sulfation and secretion of neurotransmitter in the brain. Therefore, the purpose of this study was to investigate the effects of electrical vagus nerve stimulation on systemic inflammation (CRP) and anti-aging hormone (DHEA-S) levels in elder people. Methods : A total of 30 healthy elder people participated in this study, randomly divided into two groups of 15 subjects. Electrical vagus nerve stimulation was applied to the experimental group for 4 weeks. CRP and DHEA-S levels were compared with those of the control group. Results : The CRP level was significantly lower in the experimental group than in the control group. In the experimental group, there was a significant decrease in CRP before and after the intervention. However, the DHEA-S level was not significantly different between groups. Conclusion : Electrical vagus nerve stimulation may alleviate the low-level systemic inflammatory state found in elderly people. These results suggest that it may have the effect of reducing the degenerative inflammatory diseases of the elderly and delaying aging.

Effect of Bridge Exercise Combined with Functional Electrical Stimulation on Trunk Muscle Activity and Balance in Stroke Patients

  • Kang, Jeongil;Jeong, Daekeun;Heo, Sinhaeng
    • Journal of International Academy of Physical Therapy Research
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    • v.12 no.2
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    • pp.2323-2330
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    • 2021
  • Background: Stroke patients have weak trunk muscle strength due to brain injury, so a single type of exercise is advised for restoring functionality. However, even after intervention, the problem still lies and it is suggested that another intervention method should be applied with exercise in order to deal with such problem. Objectives: To Investigate the effect of bridge exercise combined with functional electrical stimulation (FES) on trunk muscle activity and balance in stroke patients. Design: Randomized controlled trial. Methods: From July to August 2020, twenty stroke patients was sampled, ten patients who mediated bridge exercises combined with functional electrical stimulation were assigned to experiment group I, and ten patients who mediated general bridge exercises were assigned to experiment groupII. For the pre-test, using surface EMG were measured paralyzed rectus abdominis, erector spinae, transverse abdominis/internal oblique muscle activity, and using trunk impairment scale were measured balance. In order to find out immediate effect after intervention, post-test was measured immediately same way pre-test. Results: Change in balance didn't show significant difference within and between groups, but muscle activity of trunk was significant difference rectus abdominis and erector spinae within groups I (P<.01), also between groups was significant difference (P<.05). Conclusion: Bridge exercise combined with FES could improve trunk function more effectively than general bridge exercise due to physiological effect of functional electrical stimulation.

Effects of Visual Feedback and Rhythmic Auditory Stimulation on Walking of Stroke Patients Induced by Treadmill Walking Training (시각적 피드백과 리듬청각자극을 통한 트레드밀 보행훈련이 뇌졸중 환자의 보행능력에 미치는 영향)

  • Park, Jin;Kim, Beom-ryong;Kim, Tae-ho
    • Physical Therapy Korea
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    • v.25 no.2
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    • pp.53-61
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    • 2018
  • Background: Stroke patients show abnormal walking patterns due to brain injury. In order to have the desired walking pattern, appropriate stimulation is required to activate the central pattern generator. For this reason, our study performed treadmill ambulatory training with rhythmic auditory stimulation. However we did not consider the influence of visual feedback. Objects: The purpose of this study was to compare the gait abilities in chronic stroke patients following either treadmill walking training with rhythmic auditory stimulation and visual feedback (TRASVF) or treadmill walking training with rhythmic auditory stimulation (TRAS) alone. Methods: Twenty-one stroke patients were divided into two groups: A TRASVF group (10 subjects) and a TRAS group (11 subjects). They received 30 minutes of neuro-developmental therapy (NDT) and walking training for 30 minutes, five times a week for three weeks. Temporal and spatial gait parameters were measured before and after the training period. The Biodex gait trainer treadmill system measured gait parameters. Results: After the training periods, the TRASVF group showed a significant improvement in walking speed, the step length of the affected limb, and time on each foot of the affected limb when compared to the TRAS group (p<.05). Conclusion: The results of this study showed that the treadmill walking training with rhythmic auditory stimulation and visual feedback improved individual gait ability more than the treadmill walking training with rhythmic auditory stimulation alone. Therefore, visual feedback should be considered along with rhythmic auditory stimulation training.