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Bruxism과 악관절(顎關節) 기능장애자(機能障碍者)의 치료(治療)에 관(關)한 근전도학적(筋電圖學的) 연구(硏究) (AN ELECTROMYOGRAPHIC STUDY ON THE TREATMENT OF BRUXISM AND TEMPOROMANDIBULAR JOINT DYSFUNCTION PATIENTS)

  • 노창섭;최부병
    • 대한치과보철학회지
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    • 제22권1호
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    • pp.85-94
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    • 1984
  • The purpose of this study was to investigate treatment effectiveness of TENS and bite plane for bruxism and TMJ dysfunction patients. The electromyograms were made on males aged 23 to 25 with sound stomatognathic system, 5 males bruxism aged 24 to 27, and 1 male and 4 females TMJ dysfunction patients (right TMJ pain) aged 14 to 33. The electromyographic study was limited to the middle of masseter muscle and anterior temporal muscle. The electromyographic study was carried out with 8-channel EM2 (Myotronics Research Inc.) and was taken 5 mandibular positions of clinical rest position, clench intercuspal position, clench protruded, cluch right, clench left. The 2 pairs of surface electrodes were used exactly, with the ear lobe as reference point. The recording were subjected to determine the mean voltage. The results were as follows; 1. In the clinical rest position, the muscle activities of bruxism and TMJ dysfunction patients were higher than those of normal at the before treatment, but that were lower or similar to those of normal at the TENS after and after bite plane wearing. 2. In the clench I.C.P., the muscle activities of TMJ dysfunction patients were decreased as the order of the before treatment, after TENS, after occlusal bite plane wearing, but those of bruxism were irregular. 3. In the clench right and the clench left, the muscle activities of the middle of masseter muscle of the non-working side of bruxism were higher than those of the working side at the before treatment and after TENS, but the muscle activities of after occlusal bite plane wearing were similar to those of the normal. 4. In the clench right and the clench left, the muscle activities of the middle of masseter muscle and anterior temporal muscle of the working side of TMJ dysfunction patients were higher than those of non-working side as like the normal at the before treatment, after TENS, and after occlusal bite plane wearing.

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A Statistical Analysis of Superior Orbital Fissure Width in Korean Adults using Computed Tomography Scans

  • Park, Yongsik;Kim, Youngjoon
    • 대한두개안면성형외과학회지
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    • 제18권2호
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    • pp.89-91
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    • 2017
  • Background: The superior orbital fissure is a small area that connects the middle cranial fossa and the orbit. Many studies have measured the size of the superior orbital fissure. However, there is no standard value for the size of the superior orbital fissure. Therefore, we conducted this study to provide the average size of the superior orbital fissure in Korean adults. Methods: We measured the widths of the superior orbital fissures of 142 patients using computed tomography scans. Because the width of the superior orbital fissure varies at different locations, we measured the superior orbital fissure width at the level of the optic canal. Results: In the males, the width of the superior orbital fissure on both sides was $3.79{\pm}0.93mm$, and these values were $3.79{\pm}0.96mm$ for the left side and $3.783{\pm}0.92mm$ for the right side. In the females, the widths of the superior orbital fissures were $3.62{\pm}1.35mm$ on the left side, $3.69{\pm}1.18mm$ on the right side, and $3.65{\pm}1.26mm$ across both sides. Conclusion: There were no significant differences between the males and females or between the left and right sides. The present study suggests that we may accept the hypothesis that a congenitally narrow superior orbital fissure may be a risk factor for the superior orbital fissure syndrome. Surgeons should take precaution with patients who have narrow superior orbital fissures during the perioperative period.

Intra- and Inter-rater Reliabilities of Infrasternal Angle Measurement

  • Kim, Moon-Hwan;Weon, Jong-Hyuck
    • The Journal of Korean Physical Therapy
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    • 제27권3호
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    • pp.154-158
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    • 2015
  • Purpose: The purpose of this study was to propose a new reference point for measurement of the infrasternal angle and to investigate the intra- and inter-rater reliabilities of infrasternal angle measurement using photographs. Methods: Twenty-four healthy male college students participated as subjects in this study. Photographs were taken of subjects in two postures, one standing with the shoulders relaxed and one standing with the shoulders at $150^{\circ}$ abduction. All photographs were analyzed using Image J software. Raters used the photographs to measure the infrasternal angle between the xiphoid process, the medial margin of rib and navel on the right and left sides. The reliability of the infrasternal angle measurement was assessed by means of intraclass correlation coefficients [ICC (3,1)]. The level of statistical significance was set at p<0.05. Results: The intra- and inter-rater reliabilities of the infrasternal angle measurement for the right side at rest were excellent (ICC=0.866 and 0.813, respectively), as were those for the left side at rest (ICC=0.919 and 0.846, respectively). At $150^{\circ}$ shoulder abduction, the intra- and inter-rater reliabilities for measurement of the infrasternal angle on the right side were excellent (ICC=0.972 and 0.778, respectively), as were those for the left side (ICC=0.914 and 0.826, respectively). Conclusion: These findings suggest that this technique can be successfully used to measure the infrasternal angle, thus suggesting a new reference point for determining the length of the internal oblique and external oblique muscles in clinical situations.

股關節外轉の時の中臀筋の筋力及び活動電位の變化に關する硏究 (A Myometric and Electromyographic Analysis of Hip Abductor Musculature in Healthy Right-Handed Persons)

  • 권혁철
    • 한국전문물리치료학회지
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    • 제5권4호
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    • pp.41-51
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    • 1998
  • The right hip abductor musculature has been reported to demonstrate "stretch weakness" attributable to chronic elongation imposed by standing posture common to right-handed healthy persons. Kendall and associates have described the concept of "stretch weakness",. The purpose of this study was to assess isometric hip abduction torque and surface electromyographic activity (using MYOMED 432) in a sample of 40 healthy right-handed persons (20 male, 20 female), all of whom agreed to participate in the study, and compare side difference in the hip abductor musculature. In order to assure the statistical significance of the results, the paired t test was applied at the .05 level of significance. The results were as follows: 1) The difference in apparent leg length of right and left legs was significant at the .05 level. 2) There was a significant difference between right and left pelvic height (standing position) at the 05 level measurements, and scapula height at the .05 level. 3) Power measurements and action potentials of right hip abductor were greater than the left hip abductor regardless of the range of joint motion (inner range, outer range) 4) The difference in muscle power and action potentials according to inner or outer range of both hip abductor were significant at the .05 level. 5) In supine during active left hip abduction, the appearance of action potentials in the right hip abductors is indicative of contra-lateral effect (p<.05) These results suggest: In healthy right-handed persons, the apparent leg length on the right is longer than on the left, and pelvic height is elevated on the right side. Muscle those and muscle action potentials of the right hip abductor are higher than those of the left hip abductor in the lengthened position. Therefore, the results in this study are contrary to Kendall's. This type of study should be carried out in many physical therapy departments.

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측면 충돌 시 센터에어백이 승객의 거동 및 머리상해에 미치는 영향 (The Effectiveness of Center Airbag on Passenger Kinematics and Head Injury in Side Collisions)

  • 박지양;김동섭;곽영찬;손창기;윤영한
    • 자동차안전학회지
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    • 제10권3호
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    • pp.7-12
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    • 2018
  • The Korean New Car Assessment Program (KNCAP) is a program to evaluate the safety of automobiles. In the safety assessment method, there are frontal collision, partial frontal collision, side collision, pillar collision, and left stability in the collision safety category. Among them, Korean in-depth analysis data shows that there are a lot of side collision accidents and it is necessary to protect them. This study will analyze the side collision accident that occurred in actual traffic accident based on Korea In-Depth Accident Study (KIDAS) and investigate the effect of center airbag on passenger in under side collision. In addition, with simulated side collision scenarios in the various side impact directions, it was investigated how the center airbag affects the driver and passenger in terms of kinematic and injury levels.

The Prevalence of Cervical Foraminal Stenosis on Computed Tomography of a Selected Community-Based Korean Population

  • Ko, Sangbong;Choi, Wonkee;Lee, Jaejun
    • Clinics in Orthopedic Surgery
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    • 제10권4호
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    • pp.433-438
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    • 2018
  • Background: Cervical foraminal stenosis (CFS) is one of the degenerative changes of the cervical spine; however, correlations between the severity of stenosis and that of symptoms are not consistent in the literature. Studies to date on the prevalence of stenosis are based on images obtained from the departments treating cervical lesions, and thus patient selection bias may have occurred. The purpose of this study was to investigate the prevalence of CFS according to the site, extent, and morphology of stenosis using cervical computed tomography (CT) images obtained from patients who were visiting not because of symptoms related to the cervical spine, cervical pain, or upper limb pain. Methods: Among patients who underwent CT from January 2016 to March 2016 for reasons other than cervical spine symptoms, a total of 438 subjects were enrolled, and 2,628 cervical disc images (C4-5, C5-6, and C6-7; left and right sides) were examined. Three orthopedic surgeons performed two measurements each at 4-week intervals. Values were used for analysis if matched by more than two surgeons; if no match was found, the median values were used for analysis. The left and right sides on the same axial image were independently classified. Results: Left C5-6 stenosis was most common (24.66%) among patients. At the left C6-7, there were 20 focal types and 33 diffuse types. At bilateral C4-5 and right C6-7, the focal type was more common, whereas at bilateral C5-6 and left C6-7, the diffuse type was more common. Age and the severity of stenosis showed statistically significant correlation at all cervical levels. Conclusions: The prevalence of CFS was highest at the C5-6 level (19.06%). Compared to other levels, focal stenosis was more frequent at C4-5 and diffuse stenosis was more common at C5-6. At C6-7, the incidence of focal stenosis was higher on the right side and that of diffuse stenosis was higher on the left side.

이부편위자의 하악골상행지 경사에 관한 정모두부방사선학적 연구 (Posteroanterior cephalometric study of frontal ramal inclination in chin-deviated individuals)

  • 은춘선;황현식
    • 대한치과교정학회지
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    • 제36권5호
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    • pp.380-387
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    • 2006
  • 본 연구는 이부편위자의 정모두부방사선사진에서 하악골상행지 경사도의 좌우 차이를 알아봄으로써 교정환자의 임상검사 시 비대칭 진단에 도움이 되고자 시행되었다. 뚜렷한 이부편위를 보이는 성인 30명을 이부편위군으로, 좌우 대칭적인 외모를 보이는 성인 30명을 대조군으로 선정하여 정모두부방사선사진을 촬영한 후 하악골상행지 경사도를 측정하고 좌우 차이를 산출, 비교 분석한 결과, 대조군의 경우 좌우 차이를 보이지 않은 반면 이부편위자에서는 하악골상행지 경사도의 좌우 차이를 보였다. 이부편위자에서 비편위측의 하악골상행지의 경사도는 편위측에 비해 통계적으로 유의하게 큰 것으로 나타났으며, 하악골상행지 경사도의 좌우차이는 이부편위 정도 및 상악고경의 좌우차이와 통계적으로 유의한 순상관관계를 보였다. 이부편위자에서 하악골상행지 경사도의 좌우차이를 규명한 본 연구 결과는 안면비대칭 환자의 진단 시 하악골상행지 경사도에 대한 분석이 필요함을 시사하였다.

가골 신연술을 이용한 양측성 다발열 단중족증의 치료 (1예 보고) (Operative Treatment of the Bilateral Multiple Rays Brachymetatarsia using Callotasis (A Case Report))

  • 권세원;박강희;소재완
    • 대한족부족관절학회지
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    • 제14권2호
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    • pp.186-189
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    • 2010
  • Among congenital brachymetatarsias fourth metatarsal bone shortening is most common form and unusually involves multiple metatarsal bones. We report a case of the patient with bilateral 1st and 4th multiple rays brachymetatarsia treated with callostasis. Twenty eight months after procedure, right side showed 1st metatarsal lengthening about 11.5 mm (29.23%) and 4th metatarsal 17.86 mm (35.87%). Twenty one months later, left side showed 1st metatarsal lengthening about 14.58 mm (36.8%) and 4th metatarsal 20.52 mm (43.01%). In healing index right side showed 1st metatarsal 3.4 month/cm, 4th metatarsal 2.5 month/cm and left side showed 1st metatarsal 4.2 month/cm, 4th metatarsal 2.3 month/cm. Final follow-up results presented excellent outcome in cosmetic problem, easy wear of shoes, and measurement of patient's self satisfaction.

체온계투입 부위에 따른 구강체온 차이에 관한 실험적 연구 (An Experimental Study on Body Temperature Differ Differences Taken in Different Areas in the Mouth - Comparison of Body Temperature between Right and Left Subligual Areas According to Time Intervals -)

  • 임난영
    • 대한간호학회지
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    • 제7권1호
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    • pp.63-72
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    • 1977
  • The Purposes of this study are to determine differences of body temperature between Right arid left subligual areas itself and differences depending upon the utilization rate of mastication according to time intervals and to determine the length of time necessary for temperature taking. This Experiment was conducted from Oct 6 through Oct 11, 1975. in which accurately tested clinical Centigrade Thermometers have been utilized. Two thermometers were inserted simultaneously under the right and left sublingual areas and the mouth kept closed while thermometers were in Place. Temperature readings were dr no at three minutes, five minutes and ten minutes. These procedures were repeated one hundred times to different subjects and the data were analyzed statistically by means of the t-test and the F-ratio. Under the 10 hypotheses designed for this study, The findings obtained are as follows; 1. The body temperatures taken at 3, 5, 10minutes intervals in the left sublingual areas were significantly higher than in the right sublingual areas , The average differences of body temperature between the right and left sublingual areas were 0.09$^{\circ}C$, 0.05$^{\circ}C$ and 0.03$^{\circ}C$ in the oder of time interval of 3, 5, and 10 minutes. 2. The body temperatures taken in the right sublingual areas among three different temperature readings, 3, 5 and 10 minutes were significantly different in 57 subjects who have been utilizing evenly both sides of the Teeth. The average readings in a group taking for 3 minutes was 37.04$^{\circ}C$, for 5 minutes 37.15$^{\circ}C$ and for 10minutes 37.28$^{\circ}C$. 3. The body temperatures taken in the left sublingual areas among three different temperature readings, 3, 5 and 10 minutes were significantly different in 57 subjects who have been utilizing evenly both sides of the tenth. The average reading in a group taking for 3 minutes was 37.13$^{\circ}C$, for 5 minutes 37.2$^{\circ}C$ and for 10 minutes 37.31$^{\circ}C$. 4., Oral temperatures taken at 3, 5, 10 minutes intervals at the side of mouth utilized for more frequent mastication were Significantly higher than the other side. The average differences of body temperature between more frequently utilized side and Less frequently utilized side were 0.08f, 0.08f and 0.09f in the order of time interval of 3, 5 and 10 minutes. 5. Oral temperature taken at the side of mouth more frequently utilized for mastication among three different temperature readings, 3, 5 and 10 minutes were significantly different in 43 subjects who have been unequally utilizing either side of teeth. The average reading in a group taking for 3 minutes was 37.09$^{\circ}C$, for 5 minutes 37.17$^{\circ}C$ and for 10 minutes 37.3$^{\circ}C$. 6. Oral temperature taken at the side of mouth less frequently utilized for mastication among three different temperature readings 3, 5 and 10 minutes were significantly different in 43 subjects who have been unequally utilizing either side of teeth. The average reading in a group taking for 3 minutes was 37.01$^{\circ}C$, for S minutes 37.09$^{\circ}C$ and for minutes 37.21$^{\circ}C$. As a result of this study, these differences among time intervals were statistically significant, but there were not so much differences as to be considered important in the clinical practice. Therefore, there would be clinically little difference between two groups who are taking for 3 minutes and for 10 minutes.

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양성 부분 간질 환아에서 간질 발생 위치에 따른 음성언어 분석 (Acoustic differences according to the epileptic focus in benign partial epilepsy with centrotemporal spikes patients)

  • 김정태;최상훈;김선준
    • Clinical and Experimental Pediatrics
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    • 제50권9호
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    • pp.896-900
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    • 2007
  • 목 적 : 정량적인 분석으로 양성 로란딕 간질환자의 간질파 발생위치에 따른 음성 언어적 특성을 알아보고자 하였다. 방 법 : 항경련제를 사용한 적이 없고, 임상 증상과 검사 소견으로 양성 로란딕 간질 증후군에 합당한 초진 환자 23명을 대상으로 음성 언어 분석을 하였다. 음성언어평가는 Computerized Speech Lab을 사용하여 분석하였다. 결 과 : 간질파 위치가 좌뇌인 환자군에서 치환에 의한 조음 오류가 빈번하게 관찰되었다. 환자군의 VOT는 정상아동($46.7{\pm}10.2ms$)과 비교해 훨씬 길게 나타났으며 특히 간질파 발생위치가 좌뇌인 환자군에서($74.3{\pm}36.6ms$) 더욱 길게 나타났다. 억양형태를 비교분석한 결과, 간질파 발생위치가 우뇌인 환자군에서 간질파 발생위치가 좌뇌인 환자군 보다 억양변화가 적어 운율 변동 폭이 낮은 것으로 평가되었다. 숫자세기의 자발화 길이측정에서 간질파 발생위치가 좌뇌인 환자군이 간질파 발생위치가 우뇌인 환자군 보다 길게 측정되었다. 결 론 : 양성 경과를 보이는 양성 로란딕 간질 환자에서도 조음오류 및 유창성 등 음성 언어적 문제점을 정량적으로 확인하였다. 따라서 양성 로란딕 간질환자의 진단과 치료 과정 중 언어음성학적인 평가를 포함시킬 것을 추천하고자 한다.