• Title/Summary/Keyword: middle ear

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수동적 어깨뼈 정렬이 작은가슴근 단축된 사람의 등세모근 근활성도에 미치는 영향 (Effects of Passive Scapular Alignment on Electromyographic Activity of Trapezius in People With Shortness of Pectoralis Minor Muscle)

  • 최지영;장준혁;오재섭
    • 한국전문물리치료학회지
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    • 제19권2호
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    • pp.12-19
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    • 2012
  • The purpose of this study was to assess the influence of scapular alignment on the electromyographic (EMG) activity of the trapezius in people with a short pectoralis minor muscle. For the study, we recruited 15 volunteers who had positive results for short on a pectoralis minor muscle length test. We measured the EMG activity of the upper, middle and lower trapezius muscles. The participants lifted their dominant arm to ear level with the thumb up toward the ceiling in the prone position on a table with the shoulder at a flexion angle of 180 degrees and a horizontal abduction angle of 120 degrees. Scapula was manually aligned by an experienced physical therapist prior to arm lift for the scapular alignment condition. A paired t-test was used to compare the effects of scapular alignment on the EMG activity of the trapezius muscles. The EMG activity of the lower trapezius muscle was significantly increased during the test with the scapular alignment compared to that without scapular alignment (p<.05), while the upper trapezius and middle trapezius exhibited no significant difference between the two conditions (p>.05). The findings of this study suggest that a scapular alignment may alter the recruitment of the lower trapezius muscle during arm lifting in the prone position in people with a short pectoralis minor muscle.

Cortical Deafness Due to Ischaemic Strokes in Both Temporal Lobes

  • Lachowska, Magdalena;Pastuszka, Agnieszka;Sokolowski, Jacek;Szczudlik, Piotr;Niemczyk, Kazimierz
    • Journal of Audiology & Otology
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    • 제25권3호
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    • pp.163-170
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    • 2021
  • Cortical deafness is a clinical rarity whereby a patient is unresponsive to all types of sounds despite the preserved integrity of the peripheral hearing organs. In this study, we present a patient who suddenly lost his hearing following ischaemic infarcts in both temporal lobes with no other neurological deficits. The CT confirmed damage to the primary auditory cortex (Heschl's gyrus) of both hemispheres. Initially, the patient was unresponsive to all sounds, however, he regained some of the auditory abilities during 10 months follow up. Pure tone threshold improvement from complete deafness to the level of moderate hearing loss in the right ear and severe in the left was observed in pure tone audiometry. Otoacoustic emissions, auditory brainstem responses, and acoustic reflex findings showed normal results. The middle and late latency potential results confirmed objectively the improvement of the patient's hearing, however, after 10 months still, they were somewhat compromised on both sides. In speech audiometry, there was no comprehension of spoken words neither at 3 nor at 10 months. The absent mismatch negativity confirmed above mentioned comprehension deficit. The extensive auditory electrophysiological testing presented in this study contributes to the understanding of the neural and functional changes in cortical deafness. It presents the evolution of changes after ischaemic cerebrovascular event expressed as auditory evoked potentials starting from short through middle and long latency and ending with event-related potentials and supported by neuroimaging.

Cortical Deafness Due to Ischaemic Strokes in Both Temporal Lobes

  • Lachowska, Magdalena;Pastuszka, Agnieszka;Sokolowski, Jacek;Szczudlik, Piotr;Niemczyk, Kazimierz
    • 대한청각학회지
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    • 제25권3호
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    • pp.163-170
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    • 2021
  • Cortical deafness is a clinical rarity whereby a patient is unresponsive to all types of sounds despite the preserved integrity of the peripheral hearing organs. In this study, we present a patient who suddenly lost his hearing following ischaemic infarcts in both temporal lobes with no other neurological deficits. The CT confirmed damage to the primary auditory cortex (Heschl's gyrus) of both hemispheres. Initially, the patient was unresponsive to all sounds, however, he regained some of the auditory abilities during 10 months follow up. Pure tone threshold improvement from complete deafness to the level of moderate hearing loss in the right ear and severe in the left was observed in pure tone audiometry. Otoacoustic emissions, auditory brainstem responses, and acoustic reflex findings showed normal results. The middle and late latency potential results confirmed objectively the improvement of the patient's hearing, however, after 10 months still, they were somewhat compromised on both sides. In speech audiometry, there was no comprehension of spoken words neither at 3 nor at 10 months. The absent mismatch negativity confirmed above mentioned comprehension deficit. The extensive auditory electrophysiological testing presented in this study contributes to the understanding of the neural and functional changes in cortical deafness. It presents the evolution of changes after ischaemic cerebrovascular event expressed as auditory evoked potentials starting from short through middle and long latency and ending with event-related potentials and supported by neuroimaging.

Three cases of cholesterol granuloma in the mandible

  • Shin, Min-Jung;Shin, Jae-Myung;Huh, Kyung-Hoe;Yi, Won-Jin;Moon, Je-Woon;Choi, Soon-Chul
    • Imaging Science in Dentistry
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    • 제37권4호
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    • pp.225-230
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    • 2007
  • Cholesterol granuloma is an unusual clinical entity described as an inflammatory granulation in response to the deposit of cholesterol crystals. It can develop in any portion of air cells within the temporal bone as a result of a lack of aeration and inadequate drainage, especially in the middle ear cavity. Here, we report very unusual three cases of cholesterol granuloma developed in mandible. In the first case a 68-year-old male with a large mass arising from the mandible was observed. Panoramic radiograph and computed tomography scans revealed a huge expanding lesion in the mandible. In the second case a 47-year-old female with a cystic lesion in the mandible was observed. And in the third case a 19-year-old male complaining atypical facial pain had a large lesion in the mandibular ramus. The histopathologic examinations of the cases showed numerous cholesterol crystals surrounded by multinucleated foreign body giant cells.

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내장산국립공원내 서식하는 안주애기박쥐(Vespertilio sinensis)의 외부형태 및 채식지 환경특성 (External Morphology and Environment of Foraging Site in Asian parti-coloured Bat Vespertilio sinensis in Naejangsan National Park)

  • 정철운;김태근;김성철;임춘우;한상훈
    • 한국환경과학회지
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    • 제24권2호
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    • pp.261-266
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    • 2015
  • We have analyzed the external morphology and the environment of the foraging site of Vespertilio sinensis. The external morphology was analyzed by twelve parameters and the environment characteristics of the foraging site was analyzed using GIS 10.1 program. The wing membrane was inserted into the ankle of the hind foot and the wing ratio was 1.42, the middle type between broad-short wing type and long-narrow wing type. The fur color was blackish brown but the guard hair color was whitish. The shape of the ear was a rounded triangle and tragus was a fan shape. This study showed that V. sinensis preferred the deciduous forest of the upper forest zone, where human interference was less. We believed that abundance of insects, depending on water system, was closely related to the use of the foraging site. This result showed that the environment characteristics was very similar to the nature preservation zone including Baekyang valley and Keumsun valley in Naejangsan National Park.

MEMS 기술 기반 이식형 청각 장치용 전자기 엑츄에이터의 소형화 및 최적화 (Miniaturization and Optimization of Electromagnetic Actuators for Implantable Hearing Device Based on MEMS Technology)

  • 김민규;정용섭;조진호
    • 센서학회지
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    • 제27권2호
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    • pp.99-104
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    • 2018
  • A micro electromagnetic actuator with high vibration efficiency is proposed for use in an implantable hearing device. The actuator, which can be implanted in the middle ear, consists of membranes based on the stainless steel 304 (SUS-304), and other components. In conventional actuators, in which a thick membrane and a silicone elastomer are used, the size reduction was difficult. In order to miniaturize the size of the actuator, it is necessary to reduce the size of the actuation potion that generates the driving force, resulting in reduction of the electromagnetic force. In this paper, the electromagnetic actuator is further miniaturized by the metal membrane and the vibration amplitude is also optimized. The actuator designed according to the simulation results was fabricated by using micro-electro-mechanical systems (MEMS) technology. In particular, a $20{\mu}m$ thick metal membrane was fabricated using the erosion process, which reduced the length of the actuator by more than $400{\mu}m$. In the experiments, the vibration displacement characteristics of the optimized actuator were above 400 nm within the range of 0.1 to 1 kHz when a current of $1mA_{rms}$ was applied to the coil.

양성돌발성 체위현훈의 치료 (Treatment of Benign Paroxysmal Positional Vertigo)

  • 김철승
    • 대한임상검사과학회지
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    • 제40권2호
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    • pp.135-141
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    • 2008
  • Benign paroxysmal positional vertigo (BPPV) is one of the most common clinical entities encountered in a dizziness clinic. Treatment of this disease, canalith repositioning procedures, have been reported to be successful in 44-90%. Treatment requires only one treatment visit in most patients. However, there are significant numbers of patients who require multiple treatment visits for relief. The goal of this study is to identify variables that may be associated with these difficult to treat cases. Retrospective review was performed for the patients diagnosed as BPPV at St. Carollo dizziness center. Variables for statistical analysis included age, sex, involved canal, presence of bilateral disease, presence of recent head trauma, presence of chronic otitis media, history of middle ear surgery, history of otologic surgery, unilateral vestibular loss, underlying disease such as hypertension or diabetes, change of involved canal during treatment course and number of treatment visits. Two hundred patients with BPPV who received treatment were identified from JAN. 2006 to JUN. 2007. 87% required one treatment visit, 5% required second treatment visit, and 95% were successfully treated after three treatment visits. Variables such as bilateral disease, post-traumatic BPPV, duration of symptom before treatment and change of involved canal during treatment were significantly related with number of treatments. Patient's with bilateral BPPV or with recent head trauma or longer duration of symptom are more likely to require multiple visits for canalith repositioning.

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소아(小兒) 재발성(再發性) 삼출성(?出性) 중이염(中耳炎)에 가미형개연교탕(加味荊芥蓮翹湯)이 중이강(中耳腔) 삼출성(?出性) 내(內) Immunoglobulin-G 아형(亞型)에 미치는 영향(影響) (Effect of Kami-Hyunggyeyungyotang on Immunoglobulin-G Subtypes in Middle Ear Effusion for Pediatric Recurrent Otitis Media with Effusion)

  • 박은정;이윤심
    • 대한한방소아과학회지
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    • 제15권1호
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    • pp.131-153
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    • 2001
  • The author measured IgG1, IgG2, IgG3 and IgG4 levels of 22 ears-11 ears of them had treated by antibiotics, 11 of them by Kami-hyunggyeyungyotang-of pediatric recurrent otitis media with effusion using ELISA assay, and compared them. The results were obtained as follows. 1. The level of IgG1 in Kami-hyunggyeyungyotang group was significantly higher than that in antibiotics group(P=0.002). 2. The level of IgG2 in Kami-hyunggyeyungyotang group was higher than that in antibiotics group(P=0.178). 3. The level of IgG3 in Kami-hyunggyeyungyotang group was higher than that in antibiotics group(P=0.215). 4. The level of IgG4 in Kami-hyunggyeyungyotang group was higher than that in antibiotics group(P=0.198). According to above results, Kami-hyunggyeyungyotang is considered to be used for treatment 'recurrent otitis media with effusion' by controlling the production of immunoglobulins.

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붕루(崩漏)의 침구치료(鍼灸治療)에 대한 문헌적(文獻的) 고찰(考察) (Literal Study on the Effect of Acupuncture and Moxibustion Treatment on the Bungru)

  • 이혜경;유동열
    • 혜화의학회지
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    • 제9권2호
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    • pp.197-209
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    • 2001
  • In the Literal Study on the Effect of Acupuncture and Moxibustion Treatment on the Bungru, the results were as follows. 1. The Bungru means an abnormal bleeding of femail genetalia. and is devided to Bungjung and Bungha. 2. The etiological factors of Bungru are heat of blood, asthenic coldness. asthenia of chong and ren channels. deficiency of blood, deficiency of vital energy, stagnated blood. and asthenia of spleen & stomach. 3. In the frequency of practical use in Acupuncture treatment, the order was Ren channel, Bladder meridian. Liver meridian, Spleen meridian and Kidney meridian. 4. In the frequency of practical use in Moxibustion treatment, the order was Extra Points, Ren channel, Bladder meridian, Spleen meridian, Liver meridian and Kidney meridian. 5. The most using points of Acupuncture and Moxibustion Treatment on the Bungru were Samumgyo(Sp6), Taechung(Liv3), Hyoihae(Sp10), Umgok(B10), Kihae(CV6), Chung-guk(CV3), Kwanwon(CV4), Unbaek(Spl) and etc. 6. The charicteristics of the most used points were nourishing the spleen, regulating the middle warmer, cleaning the blood, promoting blood circulation, activating blood circulation, promoting the vital energy, regulating the obstruction of vital energy, nourishing the kidney and so on. 7. In the new Acupuncture therapy, Ear-acupuncture, Head-acupuncture, Foot-acupuncture and Skin-acupuncture were used.

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백서 기관 및 후두에서 분비조직의 발생 (Development of Secretory Element in Murine Trachea and Larynx)

  • 조정일;박기현;김광문
    • 대한기관식도과학회:학술대회논문집
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    • 대한기관식도과학회 1993년도 제27차 학술대회 초록집
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    • pp.67-67
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    • 1993
  • 기관 및 후두의 점막표면은 중이나 이관과 마찬가지로 점막섬모 정화작용, 면역글로린, 항세균 효소 등의 다양한 점막 방어기전에 의해 보호되고 있는데 기관 및 후두의 분비선과 분비세포의 형태에 관한 보고는 많으나 분비활성도와 연관된 분비조직의 발생에 대한 연구는 충분치 못하다. 저자들은 백서 기관 및 후두의 분비조직의 발생을 알아보고 향후 기관 및 후두의 발생형태학적 연구의 기초자료로 삼기 위해서 임신 16일부터 생후 21사이의 백서를 이용하여 H & E 염색, AB-PAS 염색과 lysozyme의 면역조직화학적 방법을 통하여 백서 기관 및 후두분비조직의 발달을 연구하였다. 그 결과 백서 기관 및 후두의 분비기능은 출생후 폐의 통기와 함께 활성화되는 것으로 해석되었다.

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