• Title/Summary/Keyword: 근육마비

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Therapeutic Effect of Bee-Venom and Dexamethasone in Dogs with Facial Nerve Paralysis (개 안면신경마비에 대한 봉독과 덱사메타손의 치료효과)

  • Jun, Hyung-Kyou;Oh, Hyun-Uk;Han, Ji-Won;Lee, Hyun-Hwa;Jeong, Seong-Mok;Choi, Seok-Hwa;Kim, Cristopher Mun-Ho;Kim, Duck-Hwan
    • Journal of Veterinary Clinics
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    • v.24 no.4
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    • pp.503-508
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    • 2007
  • Although canine facial nerve paralysis(FNP) occurs similarly in humans, there is no properly recognized therapy using Western medicine for idiopathic causes. To elucidate therapeutic measures by acupuncture(AP) on canine FNP, we examined the therapeutic effect of injection-AP on the artificially induced canine FNP. Twelve dogs on artificially induced canine FNP were divided into a control group(4 dogs), an experimental dexamethasone-treated group(dexamethasone group, 4 dogs) and an experimental bee venom-treated group(apitoxin group, 4 dogs). Saline (1 ml) was intramuscularly injected into the head muscle after the induction of FNP in the control group. On the other hand, injection-AP with dexamethasone was performed on such acupoints as LI04, LI20, ST02, ST07, TH17, SI18, GB03 and GB34, twice per week after induction of FNP in the dexamethasone group. In addition, injection-AP with $100{\mu}g$ of apitoxin was performed on the same acupoints as the dexamethasone group twice per week after the induction of FNP in the apitoxin group, respectively. The changes of the clinical symptoms of FNP with each treatment during the experimental period were recorded by using clinical scores, respectively. The changes of serum creatine kinase(CK) activities along with each treatment were determined using an autoanalyzer. The significant differences of clinical scores were detected on day 14(p<0.05) in the apitoxin and dexamethasone groups, compared with those in the control group, respectively. However, significant difference was not detected between the apitoxin and dexamethasone groups. Significant differences of serum CK activities were detected on day 7(p<0.05) and day 14(p<0.05) in the dexamethasone and apitoxin groups, compared with those in the control group, respectively. However, significant difference was not detected between the dexamethasone and apitoxin groups. In condition, injection-APs with apitoxin and dexamethasone were all effective for treatment of canine FNP and the therapeutic effect by injection-AP with apitoxin was similar to that of injection-AP with dexamethasone.

Effects of Biofeedback Exercise Training in Hemiplegic Patients after Stroke (바이오휘드백을 이용한 운동훈련이 재가 편 마비 환자의 상지둘레, 악력, 근육강도, 관절운동범위, 일상생활활동에 미치는 효과)

  • 김금순;이소우;최명애;이명선;김은정
    • Journal of Korean Academy of Nursing
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    • v.31 no.3
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    • pp.432-442
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    • 2001
  • Purpose: The purpose of this study was to investigate the effects of biofeedback exercise training on muscle activity and activities of daily livings (ADL) in hemiplegic patients. An experimental group consisting of 17 people, was given biofeedback exercise training for 30- 60 minutes per week for 5 weeks, while a control group consisting of 18 people, was given normal exercise with quasi-experimental design. Result: The results of the study show that biofeedback exercise is effective for improving muscle activity in hemiplegic patients, especially in the hemiplegic limbs. However, this study found no significant differences in ADL and IADL between the experimental and the control groups. It implies that ADL and IADL may not be improved for a short period of time, such as 5 weeks, for people with more than five years of hemiplegia. The study suggests that the effect of biofeedback exercise on ADL and IADL should be determined in hemiplegic patients in acute stage.

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A Study on Methodology of Web Accessibility for Underprivileged Groups (정보소외계층 위한 웹접근성 기법에 관한 연구)

  • Chang, Young-Hyun;Park, Dae-Woo;Yoon, Kyung-Bae;Jung, Jung-Min
    • Proceedings of the Korean Society of Computer Information Conference
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    • 2011.06a
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    • pp.179-182
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    • 2011
  • 본 논문의 정보소외계층 위한 웹 접근성 기법에 관한 연구에서는 웹 접근성(web accessibility)의 세부항목을 준수하는 웹사이트를 구축하여 신체적 장애를 가진 사람이 일반 사람과 동일하게 웹사이트를 편리하고 쉽게 이용할 수 있게 구현하고 운영하였다. 웹 사이트가 웹 접근성 규칙을 준수하여 올바르게 설계되어 개발되고 편집되어 있을 때 모든 사용자들은 정보와 기능에 동등하게 접근할 수 있다. 본 논문에서 실험 사이트로 구축하며 준수한 웹 접근성은 시각에 대하여 실명, 색각 이상, 다양한 형태의 저 시력을 포함한 시각 장애와 이동성에 대하여는 파킨슨병, 근육병, 뇌성마비, 뇌졸중과 같은 조건으로 인한 근육 속도 저하, 근육 제어 손실로 말미암아 손을 쓰기 어렵거나 쓸 수 없는 상태와 청각에 대하여는 귀머거리, 청각 장애와 발작에 대하여는 깜박이는 효과나 시각적인 스트로보스코프를 통해 일어나는 간질성 발작과 인지능력에 대하여는 문제 해결과 논리 능력, 집중력, 기억력에 문제가 있는 정신 지체 및 발달 장애, 학습 장애 (난독증, 난산증 등)에 대한 지침 규정이다.

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ORTHODONTIC APPROACH TO THE CEREBRAL PALSY PATIENT WITH MAXILLARY PROTRUSION IN THE MIXED DENTITION : A CASE (혼합치열기 뇌성마비환자의 상악전돌에 대한 교정치료 : 치험례)

  • Kim, Jongsoo;Jo, Anna;Kim, Jiyeon;Jeong, Taesung
    • The Journal of Korea Assosiation for Disability and Oral Health
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    • v.10 no.1
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    • pp.43-46
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    • 2014
  • Cerebral Palsy is a genetic term referring to abnormalities of motor control caused by damage to a child's brain early in the course of development. Due to the impairment of balanced perioral muscle development, the prevalence of malocclusions in patients with cerebral palsy such as maxillary protrusion is high. But most clinicians may feel uncomfortable to treatment of these problems. Here a case report about mitigation of maxillary anterior teeth protruded in patient with cerebral palsy. 8y 4m old boy who have cerebral palsy visited our dental hospital. He showed severely protrusive maxillary anterior teeth with mouth breathing and could not close his mouth. He and his mother wanted to improve dental and facial esthetic problem. Specially designed or modified intraoral fixed appliance and rubber elastic chain was used in the therapy. Treatment carried out for 8 months and we could observe maxillary incisor angle was improved and mouth breathing habit was stopped. In conclusion, modified fixed appliance therapy for the patients with cerebral palsy might be useful. Continuous rehabilitation training of lips should be followed after treatment to correct imbalance of muscle tone.

Effects of self stretching exercise and movement with mobilization in lunge position on the muscle activity and balance in chronic stroke patients (런지자세에서의 자가 신장운동과 능동운동을 동반한 가동술이 만성 뇌졸중 환자의 근활성도 및 균형에 미치는 영향)

  • Jeong, Yong-Sik
    • Journal of Digital Convergence
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    • v.11 no.10
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    • pp.549-556
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    • 2013
  • In this study, we investigated the effects of stretching and movement with mobilization in lunge position on the muscle activity of the lower limb and limited of stability in chronic stroke patients with hemiplegia. Sixteen subjects were randomly selected and classified into the experimental and control groups. The experimental group performed self stretching exercises in the lunge position, and in the control group performed movement with mobilization in the lunge position. The interventions were conducted for 20 min, 5 times a week for 8 weeks. Statistical analyses were performed using repeated ANOVA. The analysis results showed no statistically significant between-group differences with respect to the muscle activity(%MVIC;maximum voluntary isometric contraction) of lower limb and limited of stability(LOS)(p>.05). However, statistically significant within-group differences were observed in the maximum voluntary isometric contraction and limited of stability for both the groups (p<.05). Therefore, self stretching in the lunge position is considered to have positive influences on the muscle strength and balance in stroke patients with hemiplegia.

Pectoralis Major Tendon Transfer for Refractory Winged Scapula - A Case Report - (난치성 익상 견갑의 대흉근 이전술 - 증례 보고 -)

  • Ko, Sang-Hun;Cho, Sung-Do;Lee, Ki-Jae;Lee, Chae-Chil
    • Clinics in Shoulder and Elbow
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    • v.12 no.2
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    • pp.236-239
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    • 2009
  • Purpose: We wanted to evalulate the clinical results of pectoris major tendon transfer for a neglected winged scapula that was caused by paralysis of the serratus anterior due to injury to the long thoracic nerve. Materials and Methods: A patient had neglected winged scapula that followed an arthroscopic operation for multi-directional instability of the shoulder joint, which was caused by traumatic dislocation. The patient was treated with pectoralis major tendon transfer using the modified Eden-Lange procedure. The range of a motion was improved from forward flexion $90^{\circ}$ and external rotation $70^{\circ}$ to $170^{\circ}$ and $150^{\circ}$ respectively. Results and Conclusion: There were no complications or recurrence and the patient's psychological satisfaction was also high. If the shoulder girdle muscles are intact, except for the serratus anterior, then pectoralis tendon transfer is a satisfactory method that can provide normal scapulo-thoracic motion.

Incidence, clinical features and prognosis of Bell's palsy in children (소아에서 벨 마비의 발생빈도, 임상적 특징 및 예후에 대한 연구)

  • Won, Yoo Jong;Moon, Kyung Hee;Lee, Wan Soo;Keum, Seung Woon;Yu, Seung Taek;Oh, Gyung Jae;Lee, Chang Woo
    • Clinical and Experimental Pediatrics
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    • v.50 no.3
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    • pp.272-276
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    • 2007
  • Purpose : Bell's palsy is defined as an idiopathic facial nerve paralysis of sudden onset. In spite of intensive clinical and experimental investigation, there is still uncertainty in the incidence, etiology, and preferred mode of treatment in children. The objective of this study was to analyze clinical outcome and prognosis of children with Bell' palsy. Methods : We analyzed 61 cases of Bell's palsy diagnosed at the Department of Wonkwang University Hospital from January 1998 to July 2006. The inclusion criteria were any children with acute isolated unilateral lower motor neuron type of facial nerve palsy. The clinical findings and investigations were reviewed including age, sex, affected site, seasonal incidence and result of steroid treatment. Chi-square and Fisher's exact test was used to compare clinical outcome between duration of complete recovery and age. Results : There was no difference in incidence according to sex or age. Incidence was higher in summer and winter. There was no difference in complete recovery rate and duration between steroid treated group and control group. In the group of children younger than 6 years, duration of complete recovery was shorter than older children. Conclusion : We found increasing the incidence of Bell's palsy in summer and winter. Children younger than 6 years had shorter duration in complete recovery.

Double Threshold Method for EMG-based Human-Computer Interface (근전도 기반 휴먼-컴퓨터 인터페이스를 위한 이중 문턱치 기법)

  • Lee Myungjoon;Moon Inhyuk;Mun Museong
    • Journal of Biomedical Engineering Research
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    • v.25 no.6
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    • pp.471-478
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    • 2004
  • Electromyogram (EMC) signal generated by voluntary contraction of muscles is often used in a rehabilitation devices such as an upper limb prosthesis because of its distinct output characteristics compared to other bio-signals. This paper proposes an EMG-based human-computer interface (HCI) for the control of the above-elbow prosthesis or the wheelchair. To control such rehabilitation devices, user generates four commands by combining voluntary contraction of two different muscles such as levator scapulae muscles and flexor-extensor carpi ulnaris muscles. The muscle contraction is detected by comparing the mean absolute value of the EMG signal with a preset threshold value. However. since the time difference in muscle firing can occur when the patient tries simultaneous co-contraction of two muscles, it is difficult to determine whether the patient's intention is co-contraction. Hence, the use of the comparison method using a single threshold value is not feasible for recognizing such co-contraction motion. Here, we propose a novel method using double threshold values composed of a primary threshold and an auxiliary threshold. Using the double threshold method, the co-contraction state is easily detected, and diverse interface commands can be used for the EMG-based HCI. The experimental results with real-time EMG processing showed that the double threshold method is feasible for the EMG-based HCI to control the myoelectric prosthetic hand and the powered wheelchair.

Virtual Home Training - Virtual Reality Small Scale Rehabilitation System (가상 홈 트레이닝 - 가상현실 기반 소근육 재활 시스템)

  • Yu, Gyeongho;Kim, Hae-Ji;Kim, Han-Seob;Lee, Jieun
    • Journal of the Korea Computer Graphics Society
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    • v.24 no.3
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    • pp.93-100
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    • 2018
  • This paper proposes a small-scale rehabilitation system that allows stroke patients to perform daily rehabilitation training in a virtual home. Stroke patients have limited activities of daily living due to paralysis, and there are many rehabilitation exercises for them to reproduce activities that take place in the house, such as turning lights on and off, door opening and closing, gas valve locking. In this paper, we have implemented a virtual home with the above mentioned daily rehabilitation training elements, by using virtual reality technology. We use Leap Motion, a hand motion recognition device, for rehabilitation of hands and fingers. It is expected that stroke patients can rehabilitate small muscles without having to visit the clinic with uncomfortable body, and will be able to get interesting rehabilitation training by avoiding monotony of existing rehabilitation tools.