• 제목/요약/키워드: current stimulation

검색결과 481건 처리시간 0.028초

경두개 직류전류자극과 전산화 인지재활 프로그램이 뇌졸중 환자의 인지기능 및 우울감에 미치는 영향 (The Effect of Transcranial Direct-Current Stimulation on Cognitive Function and Depression in Stroke Patient's through a Computerized Cognitive Rehabilitation Program)

  • 안태규;권혁철
    • 대한통합의학회지
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    • 제7권3호
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    • pp.33-40
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    • 2019
  • Purpose : The purpose of this randomized controlled trial study was to examine the effect of transcranial direct current stimulation (tDCS) on cognitive function and depression in stroke patients. Methods : Thirty stroke patients were randomly divided into an experimental group (n = 15) and a control group (n = 15). The experimental group received tDCS while performing computerized cognitive rehabilitation programs, and the control group was provided with sham tDCS while operating the same programs. The 30-minute intervention was implemented five times per week for six weeks. To assess cognitive function before and after the intervention, the Neurobehavioral Cognitive Status Examination was conducted; the Beck Depression Inventory BDI was employed to assess depression. Results : The experimental group showed statistically significant increases in cognitive function and decreases in depression (p < .05 ). Comparing the amount of variation between the groups after arbitration also showed significant differences in cognitive function and depression between the two groups (p > .05). Conclusion : The application of tDCS and computerized cognitive rehabilitation programs for stroke patients may positively affect their cognitive function and depression. Therefore, tDCS used with computerized cognitive rehabilitation programs is positively applicable to the enhancement of cognitive function in stroke patients and reduction of depression.

실시간 비침습적 뇌전기 자극이 양손 힘 조절능력에 미치는 영향 (Online-Effects of Transcranial Direct Current Stimulation on Bimanual Force Control Performances in Healthy Young Adults)

  • Tae Lee, Lee;Joon Ho, Lee;Nyeonju, Kang
    • 한국운동역학회지
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    • 제32권4호
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    • pp.121-127
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    • 2022
  • Objective: The purpose of this study was to investigate potential effects of transcranial direct current stimulation (tDCS) on bimanual force control capabilities in healthy young adults. Method: Eighteen right-handed healthy young adults (10 females and 8 males; age: 23.55 ± 3.56 yrs) participated in this crossover design study. All participants were randomly allocated to both active-tDCS and sham-tDCS conditions, respectively. While receiving 20 min of active- or sham-tDCS interventions, all participants performed bimanual isometric force control tasks at four submaximal targeted force levels (i.e., 5%, 10%, 15, and 20% of maximal voluntary contraction: MVC). To compare bimanual force control capabilities including force accuracy, variability, and regularity between active-tDCS and sham-tDCS conditions, we conducted two-way repeated measures ANOVAs (2 × 4; tDCS condition × Force levels). Results: We found no significant difference in baseline MVC between active-tDCS and sham-tDCS conditions. Moreover, our findings revealed that providing bilateral tDCS including anodal tDCS on left primary motor cortex (M1) and cathodal on right M1 while conducting bimanual force control trials significantly decreased force variability and regularity at 5%MVC. Conclusion: These findings suggest that providing bilateral tDCS on M1 areas may improve bimanual force control capabilities at a relatively low targeted force level.

Changes in Sensory Function After Transcranial Direct Current Stimulation on Primary Motor Cortex Area

  • Min, Dong-Ki
    • 한국전문물리치료학회지
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    • 제21권4호
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    • pp.1-8
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    • 2014
  • Transcranial direct current stimulation (tDCS) is a neuromodulatory technique that delivers low-intensity direct current to cortical areas, thereby facilitating or inhibiting spontaneous neuronal activity. This study was designed to investigate changes in various sensory functions after tDCS. We conducted a single-center, single-blinded, randomized trial to determine the effect of a single session of tDCS with the current perception threshold (CPT) in 50 healthy volunteers. Nerve conduction studies were performed in relation to the median sensory and motor nerves on the dominant hand to discriminate peripheral nerve lesions. The subjects received anodal tDCS with 1 mA for 15 minutes under two different conditions, with 25 subjects in each groups: the conditions were as follows tDCS on the primary motor cortex (M1) and sham tDCS on M1. We recorded the parameters of the CPT a with Neurometer$^{(R)}$ at frequencies of 2000, 250, and 5 Hz in the dominant index finger to assess the tactile sense, fast pain and slow pain, respectively. In the test to measure CPT values of the M1 in the tDCS group, the values of the distal part of the distal interphalangeal joint of the second finger statistically increased in all of 2000 Hz (p=.000), 250 Hz (p=.002), and 5 Hz (p=.008). However, the values of the sham tDCS group decreased in all of 2000 Hz (p=.285), 250 Hz (p=.552), and 5 Hz (p=.062), and were not statistically significant. These results show that M1 anodal tDCS can modulate sensory perception and pain thresholds in healthy adult volunteers. The study suggests that tDCS may be a useful strategy for treating central neurogenic pain in rehabilitation medicine.

뼈관절염이 유발된 흰쥐에 미세전류자극 적용이 영상 및 조직학적 변화에 미치는 영향 (The Change of Image and Organization after MicroCurrent Stimulation in Osteoarthritis in Rat)

  • 진희경;김용남;조운수;황태연;박장성
    • 대한임상전기생리학회지
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    • 제9권1호
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    • pp.1-8
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    • 2011
  • Purpose : This study investigated the effects of osteoarthritis therapy using images and histological diagnosis after microcurrents were applied to osteoarthritic rats. Methods : Osteoarthritis was induced with a mixture of 2% carrageenan and 2% kaolin. The mixture (0.1 $m{\ell}$) was injected into the knee joints of rats. Osteoarthritis with articulation received microcurrent stimulation for four weeks (15 min/day, 5 days/week): treated with pulsation frequency of 5 pps and a stimulation intensity of 25 ${\mu}A$. Results : Osteoarthritis of the control group constantly changed. The group with a stimulation intensity of 25 ${\mu}A$ applied to the surface of the articular cartilage experienced near normal recovery according to image diagnosis. The result of histological and immunohistochemistry inspection confirms that microcurrent stimulation had a positive effect on the treatment of osteoarthritis. Conclusion : The differences among images and histological diagnoses show that steoarthritis will experience constant progression from stimulation.

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

  • 정진우
    • Journal of Oral Medicine and Pain
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    • 제24권3호
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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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식육의 연화증진에 관한 최근의 연구동향 - 적색육의 연도 증진에 이용되는 전기자극의 작용 -

  • 황인호
    • 한국축산식품학회:학술대회논문집
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    • 한국축산식품학회 2002년도 정기총회 및 제29차 춘계국제 학술발표대회
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    • pp.17-25
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    • 2002
  • Application of electrical stimulation in the red meat species (eg. beef and sheep) processing has been erratic around the world and this may reflect an incomplete knowledge of how to optimise the technology. Although it is well established that stimulation increases the rate of post-mortem glycolysis other biochemical and biophysical effects have been implicated with the use of this technology. On the basis of currently available knowledge, this mini-review seeks to examine the current theories about the effect of stimulation on post-mortem muscle. The classical view that stimulation prevents muscle from shortening excessively during rigor development has been expanded to include the possibility that it also results in physical disruption of muscle structure. The interaction of these effects with the acceleration of the rate of proteolysis through activation of the calpain protease system has not been comprehensively reviewed in the past. As a result of conclusion driven, this article highlights several areas that may prove fruitful for further research. The challenge for further development of electrical stimulation systems is optimisation of the activation of the enzyme systems in parallel with manipulation of chilling regimes so as to ensure rigor mortis is achieved at temperatures which minimise shortening. The potential of regional stimulation of sections of the carcass to achieve this outcome is worthy of study given the different fibre composition of muscles and temperature gradients.

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전기 자극의 연도증진 기작에 관한 연구동향 (The Mechanisms by Which Electrical Stimulation Affect Meat Tendrness)

  • 황인호;박범영
    • 한국축산식품학회지
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    • 제22권3호
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    • pp.234-239
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    • 2002
  • 전기자극 처리는 도체의 온도가 저하되기 전 사후강직에 도달하게 하여 저온 단축을 줄이는 효과와 함께 연화 시작점을 빠르게 하여 근섬유 분해속도를 증가시킨다고 보고되고 있다. 전도체 또는 반도체에 전기자극을 한후 냉각을 했을 때 근육의 종류와 부위에 따른 사후 대사/강직/냉각의 속도가 각기 다르기 때문에 국소 전기자극기 같은 처리와 전기자극 효과의 그 직접적 기능 및 상대적 중요성은 앞으로 많은 연구를 필요로 하고 있다. 결론적으로 각각의 실험 조건과 방법이 달라 대폭 그 결과가 달라짐으로써 직접적인 비교가 어려웠다는 점을 강조하고 싶다.

Spinal Cord Stimulation in Pain Management: A Review

  • Jeon, Young-Hoon
    • The Korean Journal of Pain
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    • 제25권3호
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    • pp.143-150
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    • 2012
  • Spinal cord stimulation has become a widely used and efficient alternative for the management of refractory chronic pain that is unresponsive to conservative therapies. Technological improvements have been considerable and the current neuromodulation devices are both extremely sophisticated and reliable in obtaining good results for various clinical situations of chronic pain, such as failed back surgery syndrome, complex regional pain syndrome, ischemic and coronary artery disease. This technique is likely to possess a savings in costs compared with alternative therapy strategies despite its high initial cost. Spinal cord stimulation continues to be a valuable tool in the treatment of chronic disabling pain.

아로마 및 색온도의 다감각자극이 뉴로에너지에 미치는 영향 (A Study on the Multi-sensory Stimulation of Aroma and Color Temperature effects on Neuro-energy)

  • 김정민;서광수;김명호
    • 한국산학기술학회논문지
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    • 제16권5호
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    • pp.3579-3586
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    • 2015
  • 본 논문은 온도 $25[^{\circ}C]$, 상대습도 50[RH%], 조도 1,000[lux] 및 기류 속도 0.02[m/sec]의 동일한 조건의 항온 항습실에서 감각자극에 노출되기 전, 쟈스민 향기 및 RED 조명의 단일감각자극, 쟈스민 향기와 RED 조명을 동시에 노출시킨 다감각 자극 변화에 따른 EEG, 학습능력, HRV 및 진동이미지를 측정하여 쾌적성, 집중력, 신체적 및 심리적 안정의 변화를 분석하였다. 연구결과 쟈스민 향기와 RED 조명의 다감각자극에서 상대 $S{\alpha}$파, SEF50, $SMR/{\theta}$ 및 SDNN이 향상되었고, 비대칭지수 $A_2$, 스트레스지수, 피로도 및 HRT는 감소하였다. 또한, 진동이미지의 긴장/불안과 스트레스는 감소하였다. 따라서 쟈스민 향기와 RED 조명의 다감각자극이 쾌적성, 작업능률의 생산성 및 주의집중력과 같은 뉴로에너지를 향상시키기 위하여 효과적인 것을 알 수 있었다.

전기자극 변조방식이 체성감각에 미치는 영향 (Effects of Modulation Type on Electrically-Elicited Tactile Sensation)

  • 황선희;아라 조샨;송동진;배태수;박상혁;강곤
    • 한국정밀공학회지
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    • 제29권7호
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    • pp.711-716
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    • 2012
  • The purpose of this study was to investigate how the modulation method affects the effectiveness of eliciting tactile sensations by electrical stimulation. Two methods were employed and the results were compared and analyzed; pulse amplitude modulation (PAM) and pulse width modulation (PWM). Thirty-five healthy subjects participated in the experiments to measure the stimulation intensity that began to elicit a tactile sensation - activation threshold (AT). Constant-current monophasic rectangular pulse trains were employed, and the stimulation intensity was varied from zero until the subject felt any uncomfortable sensation. The step size of the stimulation intensity was 100nC/pulse. After each experiment, the subject described the sensation both quantitatively and qualitatively. The two modulation methods did not make a significant difference as far as the AT values were concerned, but most of the subjects showed 'intra-individual' consistency. Also, it was confirmed that our range of the stimulation parameters enabled us to obtain three major tactile sensations; tickling, pressure and vibration. The results suggested that the stimulation parameters and the modulation type should be selected for each individual and that selective electrical stimulation of the mechanoreceptors needs more diversified researches on the electrode design, multi-channel stimulation protocol, waveforms of the pulse train, etc.