• Title/Summary/Keyword: 근긴장도

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A Study on Muscle Architectural and Tissue Compliance of Biceps Brachii in Stroke Patient Based on Elbow Joint Angle (뇌졸중 환자에서 주관절 각도 변화에 따른 상완이두근의 근구조 및 탄성 변화에 관한 연구)

  • Bae, Sea-Hyun;Jeong, Chan-Joo;Kim, Kyung-Yoon
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.13 no.12
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    • pp.5867-5874
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    • 2012
  • The aim of this study was to find on muscle architectural and tissue compliance of biceps brachii in stroke patient based on elbow joint angle. The subjects of this study were twelve hemiplegic adults after stroke with passive range of motion in the elbow from $10^{\circ}$ to $90^{\circ}$ and Modified Ashworth Scale score 1 to 3 were recruited. Ultrasonography and Myotonometer was used to measure biceps brachii muscle pennation angle, fascicle length, and tissue compliance at the rest condition and pennation angle, fascicle length, and tissue compliance of the biceps brachii muscle were measured in the affected and unaffected sides of people after stroke at 9 different elbow angles ranging from $10^{\circ}$ to $90^{\circ}$ at the rest condition. The results of this study, comparisons found that the pennation angles of the affected biceps brachii muscle were significantly larger(p<.05) than the unaffected muscle in the most extended positions($<40^{\circ}$), whereas the affected fascicle lengths were significantly shorter(p<.05) than the unaffected muscle in most flexed positions($>20^{\circ}$), and the affected tissue compliance were significantly lower(p<.05) than the unaffected muscle in most extended positions($<50^{\circ}$) Therefore, pennation angles, fascicle lengths, and tissue compliance were found to be joint-angle-dependent in both the affected and unaffected sides at the rest condition. Suggest that, the results data can be used as a muscle architectural changes and clinical treatment research in stroke patients.

Maxillary complete denture with posterior zirconia occlusion and mandibular implant support fixed prostheses in completely edentulous patients with orofacial dystonia (구강안면 근긴장이상을 가진 완전 무치악 환자에서 구치부 지르코니아 교합면을 갖는 상악 총의치와 하악 임플란트 지지 고정성 보철물의 수복)

  • Jong-Min Seo;Chang-Mo Jeong;So-Hyoun Lee
    • Journal of Dental Rehabilitation and Applied Science
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    • v.39 no.4
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    • pp.237-249
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    • 2023
  • Orofacial dystonia is a neuromotor disorder that causes irregular or repetitive movements of the face, lips, tongue, and jaw involuntarily, also called tic disorder. Edentulous patients with these symptoms experience functional and aesthetic problems, including difficulty using complete dentures, speech and swallowing difficulties, and orofacial pain. In this case, for a patient with orofacial dystonia who experienced complete edentulism at a relatively young age, restorative treatment was performed with a maxillary complete denture with bilateral posterior zirconia occlusal surfaces and a mandibular implant-supported fixed prosthesis, and continuous smile training was performed. The aim was to improve the aesthetics of facial muscles. As a result of the treatment, the patient was very satisfied with not only improved chewing function and aesthetics, but also regained psychological stability and was able to lead a normal daily life, so we would like to report this.

Botulinum Toxin : Basic Science and Clincal Uses in Otolaryngology (Botulinum Toxin : 기초과학과 이비인후과 영역에서의 임상적 사용)

  • 최홍식;문인석;김한수;김현직
    • Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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    • v.13 no.2
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    • pp.164-172
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    • 2002
  • The role of botulinum toxin as a therapeutic agent is expanding rapidly in otolaryngology. Botulinum toxin is a protease that blocks the release of acetylcholine from nerve terminals. Its effects are transient and nondestructive, and largely limited to the area in which it is administered These effects are also graded according to the dose, allowing for individualized treatment of patients and disorders. Botulinum toxin has been used primarily to treat disorders of excessive or inappropriate muscle contraction. In the field of otolaryngology, these include spasmodic dysphonia, oromandibular dystonia, and blepharospasm, vocal tics and stuttering, cricopharyngeal achalasia, various tremors and tics, hemifacial spasm, temporomandibular joint disorders and a number of cosmetic applications. Botulinum toxin treatment has recently begun to show some benefit in the control of pain from migraine and tension headache. It may also prove useful in the control of autonomic dysfunction, as in Frey syndrome, sialorrhea, and rhinorrhea. In over 20 yews of use in humans, botulinum toxin has accumulated a considerable safety record, and in many cases represents relief for thousands of patients unaided by other therapy.

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The Relationship between Movements of False Vocal Folds on Phonation and Benign Vocal Folds Lesions (발성시 가성대 형태와 양성 성대 질환의 연관성에 대한 연구)

  • 안철민;최영화;김향초
    • Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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    • v.13 no.1
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    • pp.40-44
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    • 2002
  • Background and Objectives : Vocal abuse and misuse and muscle tension dysphonia that have various movements of false vocal folds may be related to the development of benign vocal folds lesions, such as vocal nodules, polyps, and cysts. This study was designed to determine whether benign vocal folds lesions were related with movements of false vocal folds on phonation. Material and Methods : One Hundred and seventy eight subjects were studied. All subjects received otolaryngological evaluation including videostroboscopy, objective voice measures. Patients were diagnosed as normal shape of vocal folds (group a), approximation of bilateral false vocal folds (group b), approximation of unilateral false vocal folds (group c), lateralized extension of false vocal folds (group d), and medialized approximation of posterior false vocal folds (group e). We analyzed the results of benign vocal folds lesions in each group. Results : Differences were found between the normal shaped group and the abnormal shaped group. No differences were found between each abnormal groups except group d and e. Conclusion : The shape of false vocal folds was related to the benign vocal folds lesions.

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The Effect of Watsu Therapy on Muscle Tone in Adult Hemiparesis Patient After Stroke (Watsu 치료가 뇌졸중 이후 성인 편부전마비환자의 근긴장도에 미치는 영향)

  • Chon, Seung-Chul
    • Journal of Korean Physical Therapy Science
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    • v.11 no.2
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    • pp.46-56
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    • 2004
  • The purpose of this study was to investigate the effect of watsu therapy on muscle tone in adult hemiparesis patient after stroke. The subject was a 66 year old patient with left hemiparesis whose self gait was independent with minimal assist. The subject was ambulatory with some degree of limitation and demonstrated a little tremor and asymmetry in the body. A multiple treatment design(A-B-C-B) for a single-subject research was used for this study. The watsu therapy consisted of basic moves, head cradle, underfar leg, near leg cradle in watsu I (transition flow), for 25 minutes, which lasted 12 sessions for a total 21 sessions. A baseline was conducted for a first time and a general ROM exercise was conducted after the first watsu therapy. Tone assessment scale was tested : 1. posturing at rest 2. response to passive movement 3. associated reaction Comparing to the baseline and general ROM exercise, The results showed that the watsu therapy had some positive effects on improvement of three tests and there was a more positive effects of both response to passive movement and associated reaction.

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A Case of Prader-Willi Syndrome with Bilateral Butch Diverticula Associated with Vesicoureteral Reflux (Prader-Willi 증후군에서 방광요관 역류를 동반한 양측성 Hutch 게실 1례)

  • Han Seung-Jeong;Lee Tack Lee;Kim Won-Hong;Hong Young-Jin;Jun Yong-Hun;Lee Ji-Eun
    • Childhood Kidney Diseases
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    • v.9 no.1
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    • pp.112-116
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    • 2005
  • Our patient is the first reported case of Prader-Willi syndrome(PWS) with bilateral Hutch's diverticula. We believe that hypotonia in PWS is associated with multiple bladder diverticula and vesicoureteral reflux. We conclude that PWS can be considered a possible associated syndrome in patients with multiple bladder diverticula.

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Effects of Crocodile Breathing Exercise on Pain, Muscle Tone, and Muscle Stiffness in Patients with Non-specific Low Back Pain (크로커다일 호흡 운동이 비특이성 요통을 가진 환자들의 통증과 체간 근긴장도 및 근경직도에 미치는 영향)

  • Cho, Yong Ho
    • Journal of the Korean Society of Physical Medicine
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    • v.14 no.2
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    • pp.117-124
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    • 2019
  • PURPOSE: This study was to investigate the effects of crocodile breathing exercise on pain, muscle tone, and muscle stiffness of non-specific low back pain patients. METHODS: The subjects were 37 patients with nonspecific low back pain. The patients were divided into two groups. The experimental group (EG) performed crocodile breathing exercise and the control group (CG) performed chest expansion breathing exercise. The intervention was conducted for 10 minutes every day for a total of eight weeks. Pain was measured using a VAS. Muscle tone and stiffness were measured using Myoton PRO. Two points were measured for muscle tone and muscle stiffness. They were measured at 30mm from the spinous process of the L1 and T10 vertebra. RESULTS: Pain, muscle tone and muscle stiffness at the T10 level showed a significant decrease in both EG and CG. Muscle tone and muscle stiffness in the L1 level area decreased significantly in the experimental group but the control group did not show any difference. The only statistically significant difference was observed in the L1 muscle tone between the pre and post intervention values. CONCLUSION: This study suggests that Crocodile breathing is a good method for managing pain, muscle tone, and muscle stiffness in non-specific low back pain patients.

Influences of hands-only cardiopulmonary resuscitation on lumbar muscle tone, stiffness, and fatigue in emergency medical technicians (가슴압박소생술이 구조자의 허리근육의 근긴장도, 경직, 피로에 미치는 영향)

  • Wang, Joong-San;Shin, Sang-Yol
    • The Korean Journal of Emergency Medical Services
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    • v.24 no.3
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    • pp.79-87
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    • 2020
  • Purpose: This study sought to determine how the act of performing cardiopulmonary resuscitation (CPR) affects the rescuer's muscle tone, stiffness, and fatigue in the lumbar region. Methods: The research subjects were 30 healthy men in their twenties in possession of a Basic Life Support (BLS) provider certificate. In this study, the CPR rescuer's muscle tone and stiffness in the upper and lower lumbar regions were measured in the resting position, starting position, and position after 10 min. Their level of fatigue was measured before and after performing CPR. Results: Muscle tone and stiffness in the upper and lower lumbar regions of the research subjects significantly increased throughout the CPR process and lasted up to 10 min after the process (p<.001). The subjects' fatigue also significantly increased post-CPR (p<.001). Conclusion: This study suggests that performing CPR creates muscular and physiological stress, fatigue, and ultimately, lower back pain.

Effect of Kinesio Taping Method on Ankle Muscle Tone, Balance Ability and Range of Motion in Chronic Stroke Patients (키네시오 테이핑 방법이 만성 뇌졸중 환자의 발목관절 근긴장도, 균형 능력 및 관절가동범위에 미치는 영향)

  • Park, Young-Han;Eo, Young-Sun
    • Journal of the Korean Society of Physical Medicine
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    • v.16 no.1
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    • pp.83-92
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    • 2021
  • PURPOSE: This study examined whether ankle joint stabilizing taping and muscle control taping influenced the ankle range of motion (ROM), muscle tone, and balance ability in chronic stroke patients. METHODS: Ten stroke patients were assigned randomly to experimental group 1 (joint stabilization taping n = 5) and experimental group 2 (Muscle control taping n = 5). After general physical therapy in both groups, ankle stabilization taping was applied to experimental group 1, and muscle control taping was applied to experimental group 2 three times a week for a total of six weeks (18 times). RESULTS: The muscle tone and stiffness of the gastrocnemius (GCM) showed significant differences between the experimental 1 and experimental 2 groups (p < .05). The Berg Balance Scale (BBS) and ROM also showed significant differences within the experimental 1 and experimental 2 groups (p < .05). The BBS and ROM also showed no significant differences between the experimental 1 and experimental 2 groups (p > .05). CONCLUSION: This study examined the muscle tone, balance, and ROM on the paraplegic side of stroke patients using kinesio taping, and the effect of the taping application method was confirmed from the preceding study. Therefore, it can decrease the paralysis side muscle tone and improve the ROM and balance ability.