• Title/Summary/Keyword: movement of the neck

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Current diagnosis and treatment of vestibular neuritis: a narrative review

  • Ba, Chang Hoon;Na, Hyung Gyun;Choi, Yoon Seok
    • Journal of Yeungnam Medical Science
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    • v.39 no.2
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    • pp.81-88
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    • 2022
  • Vertigo is the sensation of self-motion of the head or body when no self-motion is occurring or the sensation of distorted self-motion during an otherwise normal head movement. Representative peripheral vertigo disorders include benign paroxysmal positional vertigo, Ménière disease, and vestibular neuritis. Vestibular neuritis, also known as vestibular neuronitis, is the third most common peripheral vestibular disorder after benign paroxysmal positional vertigo and Ménière disease. The cause of vestibular neuritis remains unclear. However, a viral infection of the vestibular nerve or ischemia of the anterior vestibular artery is known to cause vestibular neuritis. In addition, recent studies on immune-mediated mechanisms as the cause of vestibular neuritis have been reported. The characteristic clinical features of vestibular neuritis are abrupt true-whirling vertigo lasting for more than 24 hours, and no presence of cochlear symptoms and other neurological symptoms and signs. To accurately diagnose vestibular neuritis, various diagnostic tests such as the head impulse test, bithermal caloric test, and vestibular-evoked myogenic potential test are conducted. Various treatments for vestibular neuritis have been reported, which are largely divided into symptomatic therapy, specific drug therapy, and vestibular rehabilitation therapy. Symptomatic therapies include generalized supportive care and administration of vestibular suppressants and antiemetics. Specific drug therapies include steroid therapy, antiviral therapy, and vasodilator therapy. Vestibular rehabilitation therapies include generalized vestibular and customized vestibular exercises.

Development Of Manually Controlled Jet Ventilation (Manujet) and It's Clinical Application : A Prospective Study (수동조절형 제트환기장치(Manujet)의 개발 및 임상적용 : 전향적 연구)

  • Kwon, Ki-Nam;Kim, Kyu-Hun;Moon, Il-Ha;Lee, Yu-Jea;Yu, Hye-Jin;Tae, Ki-Yeon;Lee, Seung-Woon
    • Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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    • v.22 no.2
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    • pp.133-136
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    • 2011
  • Background and Objectives : Previous jet ventilation is not becoming more common because of high price, making loud noise, and causing a movement of the vocal cords due to the jet stream. So we designed a new type of manually controlled jet ventilation using previous laryngoscope and introduced it's clinical application. Materials and Method : A prospective study involved 20 patients all having undergone surgical intervention under new type of manually controlled jet ventilation from June 2009 to January 2011. The prospective study was to assess the vital sign and operative and postoperative complications. Results : The Manually Controlled Jet Ventilation were performed in 20 patients. 50% of the patients have Post-located laryngeal lesion, 20% with tracheal stenosis, 20% with glottic cancer biopsy and laser cordectomy, 10% with postglottic stenosis. Conclusion : Manually Controlled Jet Ventilation (Manujet) can be used for airway surgery.

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Flexion and Extension of Cervical Spine (목뼈의 굽힘과 폄)

  • Shin, Seong-Yoon;Lee, Hyun-Chang
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 2017.10a
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    • pp.121-122
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    • 2017
  • In this paper, the angles of flexion of bending the neck to touch the chest and extension of lifting the neck backwards to take the posture of looking up at the ceiling are measured. The basic angle of flexion is in the range of $45{\sim}50^{\circ}$ while the maximum range of angle of movement of flexion is $80{\sim}90^{\circ}$. Similarly, the basic angle of extension is in the range of $40^{\circ}{\sim}50^{\circ}$ and the limit of the normal angle of extension is $70^{\circ}$.

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Immediate Effects of Roller Massage for Posterior Neck Muscles on the Muscle Strength and Range of Motion for Cranio-Cervical Flexion in Subjects With Forward Head Posture

  • Kang, Seung-tak;Jung, Jang-hun;Kwon, Oh-yun
    • Physical Therapy Korea
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    • v.28 no.2
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    • pp.138-145
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    • 2021
  • Background: Forward head posture (FHP) causes various posture imbalances associated with the head and neck. Myofascial release is an effective treatment method used for relaxing muscles and reducing muscle hyperactivity, but no studies have been conducted on suboccipital and neck muscles related to FHP. Objects: The purpose of this study was to investigate the immediate effect of roller massages on the cranio-cervical flexion (CCF) range of motion (ROM) and CCF strength applied to suboccipital and neck muscles in subject with forward head posture. Methods: Twenty-four FHP subjects (male: 13, female: 11) were recruited for this study. All subjects were recruited with a craniovertebral angle (CVA) of 53 degrees or less and a head tilt angle (HTA) of 20.66 degrees or higher. CCF strength was measured using Pressure biofeedback unit (PBU) in the supine posture and CCF ROM was measured using smartphone-based inclinometer. Roller massage (RM) was applied to suboccipital and neck muscles for 2 minutes and CCF ROM and strength were remeasured. Results: These results of this study showed that CCF ROM was a significant difference in CCF ROM before and after RM (p < 0.05). CCF strength also showed a significant difference before and after RM (p < 0.05). Conclusion: RM method might be recommended to increase the immediate ROM and strength of CCF in subjects with forward head posture.

The Study of Correlations between Body Compositions and Bone Mineral Density in Young Women and Postmenopausal Women with Low Bone Mineral Density (젊은 여성과 대퇴경부 저골밀도 폐경기 여성의 신체조성과 골밀도의 상관관계 연구)

  • Shin, Seung-Sub
    • PNF and Movement
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    • v.9 no.4
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    • pp.23-31
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    • 2011
  • Purpose : The aim of this study was to investigate the correlations between body compositions and bone mineral density in young women and postmenopausal women with low bone mineral density. Methods : Eleven young women (age, $25.85{\pm}1.96yrs$; height, $160.28{\pm}2.16cm$; weight, $56.89{\pm}9.66kg$) and ten postmenopausal women (age, $25.85{\pm}1.96yrs$; height, $160.28{\pm}2.16cm$; weight, $56.89{\pm}9.66kg$) with low bone density on femur neck were participated in this study. All subjects performed the measure of body composition and BMD on lumbar body and femur neck. Results : The results were as follows. Percent body fat, waist-hip ratio and body mass index(BMI) were significantly increased in postmenopausal women. BMD in lumbar body and femur neck were significantly decreased in postmenopausal women. There were negative strong correlation between BMD of the femur and age in young women. There were negative strong correlation between BMD of the femur and age or the years of menopause in postmenopausal women. There were positive strong correlation between BMD of the femur and BMD of lumbar body. Conclusion : Percent body fat and BMI were more increased in young women than in postmenopausal women. And there were negative strong correlation between BMD and age or the years of menopause in postmenopausal women.

Langerhans Cell Histiocytosis Causing Cervical Myelopathy in a Child

  • Jang, Kun-Soo;Jung, Youn-Young;Kim, Seok-Won
    • Journal of Korean Neurosurgical Society
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    • v.47 no.6
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    • pp.458-460
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    • 2010
  • Langerhans cell histiocytosis (LCH), a disorder of the phagocytic system, is a rare condition. Moreover, spinal involvement causing myelopathy is even rare and unusual. Here, we report a case of atypical LCH causing myelopathy, which was subsequently treated by corpectemy and fusion. A 5-year-old boy presented with 3 weeks of severe neck pain and limited neck movement accompanying right arm motor weakness. CT scans revealed destruction of C7 body and magnetic resonance imaging showed a tumoral process at C7 with cord compression. Interbody fusion using cervical mesh packed by autologus iliac bone was performed. Pathological examination confirmed the diagnosis of LCH. After the surgery, the boy recovered from radiating pain and motor weakness of right arm. Despite the rarity of the LCH in the cervical spine, it is necessary to maintain our awareness of this condition. When neurologic deficits are present, operative treatment should be considered.

Musculoskeletal Kinematics During Voluntary Head Tracking Movements in Primate

  • Park, Hyeonki;Emily Keshner;Barry W. Peterson
    • Journal of Mechanical Science and Technology
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    • v.17 no.1
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    • pp.32-39
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    • 2003
  • In this study we examined connections between vertebral motion and patterns of muscle activation during voluntary head tracking movements. A Rhesus (Maraca mulatta) monkey was trained to produce sinusoidal tracking movements of the head in the sagittal plane while seated. Radio-opaque markers were placed in the cervical vertebrae, and intramuscular patch electrodes were implanted to record from eight neck muscles. Videofluoroscopic images of cervical vertebral motion, and EMG (electromyographic) responses were simultaneously re-corded. Experimental results demonstrated that head and vertebrae moved synchronously and that motion occurred primarily at skull-C$_1$, C$\_$6/-C$\_$7/ and Csub 7/-C$_1$. Our findings illustrate that although the biomechanical constraints of each species may limit the number of solutions available, it is the task requirements that appear to govern CNS (central nervous system) selection of movement behaviors.

Airway management in a displaced comminuted fracture of the mandible and atlas with a vertebral artery injury: A case report

  • Paramaswamy, Rathna
    • Journal of Dental Anesthesia and Pain Medicine
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    • v.18 no.3
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    • pp.183-187
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    • 2018
  • Complex cervical spine fractures are a serious complications of maxillofacial trauma and associated with high mortality and neurological morbidity. Strict vigilance in preventing further insult to the cervical spine is a crucial step in managing patients who are at risk for neurologic compromise. We report a rare case of a right transverse process of atlas fracture with right-sided vertebral artery injury that was associated with a comminuted fracture of the body and angle of the mandible, which restricted mouth opening. Airway management was performed by an awake fiber-optic nasotracheal intubation, where neck movement was avoided with a cervical collar. Vertebral artery injuries may have disastrous consequences, such as basilar territory infarction and death, and should be suspected in patients with head and neck trauma. After mandibular plating, the patient was on cervical collar immobilization for 12 weeks and anti-coagulant therapy.

Correlation Between Pectoralis Minor, Shoulder Mobility and Neck Range of Motion on Rounded Shoulder Posture for Life-Care Increase in Women University Student (여대생의 라이프 케어 증진을 위한 둥근 어깨 자세의 작은가슴근, 어깨가동성과 목 관절가동범위의 상관연구)

  • Seo, Tae-Hwa;Kim, Min-Sun;Jeong, Yeon-Woo
    • Journal of Korea Entertainment Industry Association
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    • v.13 no.5
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    • pp.239-246
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    • 2019
  • This study aims to examine the correlation between pectoralis minor, shoulder mobility, and neck range of motion on rounded shoulder posture for Life-care increase in Women university student. The 80 female adults with rounded shoulder posture were selected for this study. Measurements of shoulder height were obtained by measuring the rounded shoulder posture using a caliper. To measure the length of pectoralis minor, a tape measure was used to measure from the point where the 4th rib and sternum meets to the inferior medial side of coracoid process. Shoulder mobility was measured by holding fists in both hands, then raising one side of the elbow until the palm on that side can be placed on the back, while lowering the other side of the elbow until the back of the hand on that side can be placed on the back. Neck range of motion was used to measure the neck movement including the flexion and the extension, lateral flexion to the right or to the left, and rotation to the right or to the left. The results of this study showed that there are significant negative correlations between pectoralis minor index, shoulder mobility, and neck range of motion in rounded shoulder posture(p<0.05). From these results, in female students with rounded shoulder, the lateral flexion of the neck to the left decreased as the left shoulder mobility increased, the neck extension decreased as the right pectoralis minor shortened, and the rotation of the neck to the left decreased as the left shoulder mobility increased.

A Mountain Head Lamp Applied for Loupes-assisted Microsurgery (루뻬 미세수술에 있어서 등산용 헤드램프의 활용)

  • Yun, Byung-Min;Han, Kyu-Nam;Kim, Suk-Wha
    • Archives of Reconstructive Microsurgery
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    • v.17 no.1
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    • pp.48-50
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    • 2008
  • Loupes-assisted microsurgery often needs an operational head lamp for a better condition of light. This may cause serious neck fatigue due to the weight the operational head lamp, the limitation of the operator's head movement from the hind cable, and some cost for purchasing and management of it. On the contrary, a mountain head lamp is very light, full of freedom in movement, applicable to all types of loupes, and relatively very cheap. In conclusion, a mountain head lame can be a cost-effective light source for Loupes-assisted microsurgery.

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