• 제목/요약/키워드: magnetic stimulation

검색결과 235건 처리시간 0.09초

The Effects of Repetitive Transcranial Magnetic Stimulation Integrated Mirror Therapy on the Gait of Chronic Stroke Patients

  • Cha, Hyun-Gyu;Kim, Myoung-Kwon
    • Journal of Magnetics
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    • 제20권2호
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    • pp.133-137
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    • 2015
  • This study was conducted to determine the effects of repetitive transcranial magnetic stimulation (rTMS) integrated mirror therapy on the gait of post-stroke patients. Thirty patients who were six months post-stroke were assigned to either the experimental group (n = 15) or the control group (n = 15). Stroke patients in the experimental group underwent rTMS and mirror therapy for the lower limbs, while those in the control group underwent rTMS and sham therapy. Participants in both groups received therapy five days per week for four weeks. A significant difference in post-training gains for the single support phase, step length, stride length and velocity was observed between the experimental group and the control group (p < 0.05). The experimental group showed a significant increment in the single support phase, step length, stride length, swing phase, velocity, cadence, double support phase and step width as compared to pre-intervention (p < 0.05). The control group showed a significant increment in step length, velocity, cadence and step width compared to preintervention (p < 0.05). Further investigation of the availability and feasibility of rTMS integrated mirror therapy for post-stroke patients as a therapeutic approach for gait rehabilitation is warranted.

Transcranial Magnetic Stimulation in Gilles de la Tourette Syndrome (뚜렛 증후군에서의 경두개 자기자극술)

  • Lee, Moon-Soo
    • Korean Journal of Psychosomatic Medicine
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    • 제18권1호
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    • pp.3-10
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    • 2010
  • Gilles de la Tourette syndrome is a chronic motor and vocal tic disorder of childhood onset. Abnornmalities in basal ganglia-thalamo-cortical circuits may play an important role in the pathophysiology underlying the involuntary tics. It is often complicated by comorbid attention-deficit/hyperactivity disorder or obsessive-compulsive disorder. Transcranial magnetic stimulation(TMS) is a neurophysiologic technique with research ap-plication. As there is good evidence that this technique can modify cortical activity, repetitive TMS is also used for treatment to change the cortical excitability and therefore affect underlying interconnected cortical-sub-cortical loop. We reviewed the neurophysiologic parameters and the clinical applicability of TMS and rTMS.

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Acupuncture Stimulation for Motor Cortex Activities: Evidence from 3T Functional MRI Study

  • Choe, Bo-Young;Jeun, Sin-Soo;Kang, Sei-Kown;Park, Gi-Soon;Chung, Sung-Taek;Yoo, Seung-Schik;Chu, Myung-Ja;Lee, Hyoung-Koo;Suh, Tae-Suk
    • Proceedings of the Korean Society of Medical Physics Conference
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    • 한국의학물리학회 2002년도 Proceedings
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    • pp.352-355
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    • 2002
  • The purpose of this study was to investigate whether or not acupuncture of GB34 produces a significant response of the modulation of somatomotor areas by functional magnetic resonance imaging (fMRI) study. The acupoint, GB34, located in the back of the knee, is known to be effective in recovering motor function after stroke. Using 3T MRI scanner, functional MR imaging of the whole brain was performed in 12 normal healthy subjects during two stimulation paradigms; acupuncture manipulation on GB 34 and sham points. This study investigates the activation of the mortor cortex elicited by a soft and an intensified stimulation of GB 34. Three different paradigms were carried out to detect any possible modulation of the Blood Oxygenation Level Dependent (BOLD) response in the somatomortor area to motor stimulation through acupuncture. Group analysis from seven individuals showed that bilateral sensorimotor areas (BA 3,4,6 and 7) showed stimulation related BOLD signal contrast of approximately 6% whereas very few areas were activated when sham stimulation is given. The present study shows that acupuncture fMRI study can be safely conducted in 3T MRI environment, and acupuncture stimulation in GB34 modulates the cortical activities of the somatomotor area in human. The present findings may shed light on the CNS mechanism of motor function by acupuncture and form a basis for future investigations of motor modulation circuits in the stroke patients.

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Comparative Analysis of Photoplethysmography under Pulsed Magnetic Field and Low Level Laser Stimulus: Motivation for Blood Flow Increase using Stimulus on Acupoint LI4 (Hegu)

  • Kim, Young Jin;Yoo, Jun Sang;Hwang, Do Guwn;Lee, Hyun Sook
    • Journal of Magnetics
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    • 제19권1호
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    • pp.32-36
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    • 2014
  • The purpose of this study was to investigate the effect of pulsed magnetic field (PMF) and low frequency low level laser (LFLLL) stimuli on acupoint LI4 (Hegu) using photoplethysmography (PPG). Our PMF system was designed to generate maximum intensity of 0.20 T at a transition time of 0.16 ms, with pulse intervals of 1 Hz. The diode laser with wavelength of 650 nm and power of 5 mW was also employed. It was observed the change of the pulsating blood volume through measuring PPG signals from both hands. These results imply that stimulating acupoint LI4 with PMF and LFLLL improves the circulation of peripheral vascular system. In particular, PMF stimulation brings a big improvement of the blood flow even with short term stimulation of 3-4 minutes compared to LFLLL stimulus.

Functional Neuromuscular Stimulation for Paraplegic Standing (FNS를 사용한 하반신마비자의 일어서기)

  • Khang, Gon
    • Journal of Biomedical Engineering Research
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    • 제11권1호
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    • pp.1-4
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    • 1990
  • An implementation scheme of the magnetic nerve stimulator using a switching mode power supply is proposed. By using a switching mode power supply rather than a conventional linear power supply for charging high voltage capacitors, the weight and size of the magnetic nerve stimulator can be considerably reduced. Maximum output voltage of the developed magnetic nerve stimulator using the switching mode power supply is 3,000 volts and switching time is about 100 msec. Experimental results or human nerve stimulations using the developed stimulator are presented.

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Research about design and manufacture of Crossing High-Amplitude Magneto-Therapy own nerve system for Muscuoskeltal tissue rehalibitation treatment (근조직 재활치료를 위한 자계신경 자극시스템의 설계 및 구현)

  • Kim, Whi-Young
    • Proceedings of the IEEK Conference
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    • 대한전자공학회 2006년도 하계종합학술대회
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    • pp.855-856
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    • 2006
  • Magnetic nerve stimulation treatment is much backward real condition than other field. Specially, successful medical treatment introduction of magnetic field (MF) can was refered long ago in Avicenna's work, and is thought as age of medicine magnetology development recently. These development is achieved through biologist and biophysicist and clinician's joint effort, but, new mountings and relationship air tassel are developed steadily. Magnetic nerve stimulation treatment field designs treatment system by each function during long wave high-amplitude (traditional magneto therapy of greatly great that strong that) short time that CMF, VMF, PMF field etc. are representative but are HPMT technology in this research and manufacture and special quality did comparative analysis.

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Development of stimulator for peripheral disturbance therapy using A variable Micro-electromagnetic (미약 전자기장을 이용한 말초장애 치료시스템 개발)

  • Kim, Soo-Byung;Lee, Seung-Wook;Shim, Ta-Kyu;Lee, Na-Ra;Lee, Yong-Heum
    • Journal of the Korea Institute of Information and Communication Engineering
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    • 제14권5호
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    • pp.1209-1216
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    • 2010
  • It has increased that peripheral disturbance(blood flow, nerve, Raynaud's phenomenon) and finger rheumatoid arthritis which is caused by the diabetic complications. To improve these pain issues, we proposed new method for the Finger Disease Therapy(FDT). In this paper, we manufactured solenoid cylindrical coil which was only for the FDT using a variable micro-electromagnetic. Also, we designed the Finger Disease Therapy System(FDTS) which could select three stimulation modes(N_pulse, S_pulse, N/S_pulse) and frequency(0.25hz, 0.5hz, 1hz). We used a Teslameter to measure magnetic flux inner solenoid, and measured magnetic flux as distance(0 ~ 3cm) inner solenoid with stimulation modes and frequency. In the results, magnetic flux was the highest in center of solenoid(0cm) for all stimulation modes. Also, the highest magnetic flux was measured as N_pulse(294.3mT), S_pulse(293.8mT) in 1Hz and N/S_pulse (275.4mT) in 0.25Hz, respectively. Therefore, we developed the FDTS using various pattern and intensity for finger diseases therapy, and checked therapy clinic application possibility of the FDTS as measuring magnetic flux inner solenoid.

Neuromodulation for Insomnia Management (불면증 치료법으로서의 뉴로모듈레이션)

  • Yoon, Ho-Kyoung
    • Sleep Medicine and Psychophysiology
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    • 제28권1호
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    • pp.2-5
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    • 2021
  • Hyperarousal or increased brain excitability is thought to play a key role in the pathophysiology of insomnia. Neuromodulation techniques are emergent complementary therapies for insomnia and can improve sleep by modulating cortical excitability. A growing body of literature support the idea that neuromodulation can be effective in improving sleep or treating insomnia. Recent evidence has revealed that neuromodulation methods can improve objective and subjective sleep measures in individuals with insomnia, although effects vary according to protocol. Different mechanisms of action might explain the relative efficacy of neuromodulation techniques on sleep outcomes. Further research testing different stimulation parameters, replicating existing protocols, and adding standardized sleep-related outcomes could provide further evidence on the clinical utility of neuromodulation techniques.

Diagnostic Value of Magnetic Motor Evoked Potential Parameters in Intramedullary Myelopathy (수내 척수병증에서 자기운동유발전위 지표의 진단적 가치)

  • Seo, Sang Hyeok;Kim, Yong Bum;Moon, Heui Soo;Chung, Pil Wook;An, Jae Young;Bae, Jong Seok;Kim, Minky;Shin, Kyong Jin;Kim, Byoung Joon
    • Annals of Clinical Neurophysiology
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    • 제8권1호
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    • pp.29-35
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    • 2006
  • Background: Transcranial magnetic stimulation (TMS) is a non-invasive diagnostic method particularly suited to investigation the long motor tracts. The clinical value of TMS in most spinal cord diseases has still to be made. Diagnostic value of magnetic motor evoked potential (MEP) parameters in intramedullary spinal cord lesions was investigated. Methods: MEP elicited by TMS was recorded in 57 patients with clinically and radiologically defined intramedullary myelopathy. Twenty five patients with cervical myelopathy (CM) and 32 thoracic myelopathy (TM) were included. Recordings were performed during resting and minimal voluntary contraction at both abductor pollicis brevis (APB) and tibialis anterior (TA) muscles. Stimulation threshold(ST), amplitude, and central motor conduction time (CCT) were measured at resting and facilitated conditions. CCT was calculated by two means; central motor latency (CML)-M using magnetic transcranial and root stimulation, and CML-F using electrical F-wave study. The results were compared between patient groups and 10 normal control group. Results: Facilitated mean ST recorded at TA was elevated in both CM and TM compared with control group. Resting mean CML-M at TA was significantly prolonged in both CM and TM, and CML-M was absent or delayed in 37.1% of CM and 8% of TM at APB with facilitation. Facilitated mean MEP amplitude at ABP was lower in CM than in TM, while MEP/M ratios were not different significantly between groups. Conclusions: Magnetic motor evoked potential has diagnostic value in intramedullary myelopathy and localizing value in differentiating between CM and TM by recording at APB and TA. It is a noninvasive way to investigate the functional status of motor tracts of spinal cord.

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