• Title/Summary/Keyword: 만성 전기자극

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A Convergence Study on the Effects of functional electrical stimulation with mirror therapy on balance and gait ability in chronic stroke patients. (기능적 전기자극을 병행한 거울치료가 만성 뇌졸중 환자의 균형 및 보행능력에 미치는 영향에 관한 융합적 연구)

  • Kim, Dong Hoon;Kim, Kyung Hun
    • Journal of the Korea Convergence Society
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    • v.9 no.10
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    • pp.109-120
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    • 2018
  • The purpose of this study was to investigate the effects of functional electrical stimulation (FES) with mirror therapy on balance and gait ability in chronic stroke patients. Thirty-five subjects who met the inclusion criteria were randomly allocated into three groups: the functional electrical stimulation with mirror therapy group(FMT group, n=11), mirror therapy group(MT group, n=12), and control group (n=12). The exercises were conducted for 30 min per day, five, per week for four weeks. Balance and gait ability were examined at baseline and after 4 weeks of intervention. After training, the FMT group showed significant improvement in berg balance scale (BBS), center of pressure (COP) length, affected step length (ASL), Cadence and average gait speed (AGS) compared MT group and control group(p<0.05). This findings show that FES and MT convergence can be an effective intervention for stroke patients balance and gait ability. Continued development of convergence interventions for stroke patients with balance and gait ability in practice, are suggested.

A Convergence Study on the effects of Ankle Joint Functional Electrical Stimulation after Visual feed-back Ankle training to Improve on Balance, Gait ability in Patient with Chronic Stroke (발목관절의 시각되먹임 운동 이후 기능적 전기자극이 만성 뇌졸중 환자의 균형 및 보행에 미치는 영향에 관한 융합적 연구)

  • Kim, Dong-Hoon;Kim, Kyung-Hun
    • Journal of the Korea Convergence Society
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    • v.11 no.5
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    • pp.253-260
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    • 2020
  • This study was performed to evaluate the effects of Visual feed-back ankle training combined with Ankle joint Functional electrical stimulation on balance, gait ability on patient with Chronic Stroke. A total of 22 chronic stroke patients were divided into VFAF Group, CON group. Each group performed 60 minutes a day 5 times a week for 8 weeks. VFAF group revealed significant differences in balance and gait ability as compared to the CON groups(p<.05). The exercises were conducted for 60 min per day, five, per week for eight weeks. Balance and gait ability were examined at 0 week and after 8 weeks of intervention. Our results showed that VFAF was more effective on balance ability and gait ability in chronic stroke patients. We suggest that this study will be able to be used as an clinical intervention data for recovering balance and gait ability in chronic stroke patients.

Effect of Frequency and Intensity of Transcutaneous Electrical Nerve Stimulation on Patients with Chronic Low Back Pain (경피신경전기자극의 빈도-강도가 만성 요통 환자의 요통장애지수와 유연성에 미치는 영향)

  • Park, Jung-Ho;Song, Brian Byung
    • The Journal of the Korea Contents Association
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    • v.12 no.6
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    • pp.361-370
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    • 2012
  • The Purpose of this study was to find out the effects of frequency and intensity of transcutaneous electrical nerve stimulation(TENS) on the patients with chronic low back pain. The subjects were 32 patients with chronic low back pain average age 39.19 (${\pm}12.96$)years. The duration of chronic low back pain was 8.57 (${\pm}3.07$)months. The treatments were given 15 minutes once a day five a week for two weeks. to low back. Lumbar range of motion(ROM) and Oswestry Disabilitv Index(ODI)) was evaluated before and after TENS application. Each group was compared using Wilcoxon Mann-Whitney test. The results were as followings: Each group showed significant effect. High intensity group showed more effect in low frequency group. High intensity group showed more effect in high frequency group. Therefore, the high intensity can be used more effectively with high frequency for treating chronic low back pain.

Effects of Combined Breathing Exercise and Neuromuscular Electrical Stimulation on Patients with Severe COPD (중증 만성폐쇄성폐질환 환자를 위한 복합호흡운동과 신경근전기자극의 효과)

  • Kang, Jeong-Il;Park, Jun-Su;Jeong, Dae-Keun
    • Journal of Korea Entertainment Industry Association
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    • v.13 no.7
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    • pp.539-548
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    • 2019
  • This study was designed to examine the effects of complex breathing exercise and neuromuscular electrical stimulation of Quadriceps Femoris muscle on pulmonary function and cerebral cortex activity in patients with severe chronic obstructive pulmonary disease. After collecting samples from 20 patients with severe chronic obstructive pulmonary disease aged 60 to 80, 10 patients each were randomly placed in an experimental group and a control group. The experimental group conducted complex breathing exercise and neuromuscular electrical stimulation of Quadriceps Femoris muscle, and the control group only conducted complex breathing exercise. As a pretest, pulmonary function and cerebral cortex activity were measured. The intervention program was applied to each group for 30 minutes, once a day, for 4 days a week, for 6 weeks, and the posttest was carried out the same way as the pretest. As a result, both groups showed significant differences in FEV1.0(Forced Expiratory Volume in One Second)(p<.001)(p<.05), and there were significant differences between the groups as well(p<.05). When comparing alpha waves in each domain of cerebral cortex, both of the experimental and control groups showed significant differences in Fp1, Fp2, F3 and F4 domains (p<.01)(p<.05). During the 6-week experiment, complex breathing exercise and neuromuscular electrical stimulation of Quadriceps Femoris muscle improved pulmonary function of patients with severe chronic obstructive pulmonary disease, and in relation to cerebral cortex activity, a positive breathing change was found due to the increase of alpha waves in the forehead domain. Therefore, it is considered that applying neuromuscular electrical stimulation of Quadriceps Femoris muscle to patients with severe chronic obstructive pulmonary disease additionally along with complex breathing exercise will bring a better therapeutic effect.

Effects of Electroacupuncture on Plasma Stress Hormone Responses to Acute and Chronic Immobilization Stress (전기침이 급만성 결박스트레스로 유도된 스트레스호르몬 반응에 미치는 영향)

  • Jeong, Eun-Woo;Kim, Hyun-Sik;Lee, Sang-Kwan;Kim, Min-Soo;Cho, Zang-Hee;Sung, Kang-Keyng
    • Journal of Acupuncture Research
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    • v.27 no.5
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    • pp.105-115
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    • 2010
  • 목적 : 침은 다양한 질환의 치료에 보편적으로 쓰이고 있으며 고혈압, 당뇨, 정신질환 등을 포함한 스트레스성 질환에도 활용되고 있다. 결박 스트레스는 스트레스 호르몬(코르티코스테론, 멜라토닌)의 혈장 농도를 크게 증가시키는 간단하고 효과적인 스트레스 요인이다. 본 연구는 결박 스트레스를 시행한 백서의 스트레스 호르몬의 혈중 농도에 대한 전기침의 효과를 조사하였다. 방법 : 결박 그룹은 2시간의 결박 스트레스를 받았으며 결박 스트레스 및 고주파수 전침그룹과 결박 스트레스 및 저주파수 전침그룹은 결박 스트레스와 고주파수 전침, 또는 결박 스트레스와 저주파수 전침을 동시에 각각 시행하였다. 급성 스트레스 유발 시에는 결박 스트레스를 1차례, 만성 스트레스 유발 시에는 7차례 시행하였다. 전기침 자극에는 우측 족삼리($ST_{36}$)를 사용하였다. 결박 스트레스 및 전기침으로 유도된 코르티코스테론과 멜라토닌의 농도를 측정하기 위해서 결박 스트레스 및 전기침 자극이 시작된 30분, 60분, 90분, 120분 후에 백서를 단두하여 혈액 샘플을 채취하였다. 결과 : 급성 스트레스 유발 시에는 고주파수 전침그룹의 코르티코스테론 혈장 농도가 증가하였고 멜라토닌 농도의 시간적 패턴을 변화시켰으나 저주파수 전침그룹에서는 유의한 변화가 없었다. 만성 스트레스 유발 시에는 고주파수 전침그룹의 혈장 코르티코스테론과 멜라토닌 농도가 유의하게 감소되었으나 저주파수 전침그룹에서는 변화가 없었다. 결론 : 이러한 결과는 전침이 결박 스트레스로 유도된 스트레스 호르몬의 혈장 농도 및 시간적 분비패턴을 변화시키는 효과가 있으나 스트레스 호르몬 반응을 변화시키는 데 있어서 주파수에 따른 유의한 차이가 있다는 것을 의미한다.

The effect of kinesio taping and transcutaneous electrical nerve stimulation on balance and gait function and quality of life in stroke patients (키네시오 테이핑과 경피신경전기자극이 만성 뇌졸중 환자의 균형 및 보행기능과 삶의 질에 미치는 영향)

  • Kim, Soon-Hee;Jeon, Sun-young
    • Journal of Digital Convergence
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    • v.17 no.6
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    • pp.247-255
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    • 2019
  • The purpose of this study is to compare kinesio tapping with transcutaneous electrical nerve stimulation to single intervention in chronic stroke patients. 29 stroke patients were divided into taping group (n = 10), transcutaneous electrical nerve stimulation group (n = 10), and taping with transcutaneous electrical nerve stimulation group (combined group n = 9). The intervention period was 5 times (30min) per week for 4 weeks. Timed Up & Go (TUG) and Berg Balance Scale (BBS) were used for balance evaluation. Functional Gait Assessment (FGA) and 10-meter walk test were used for gait evaluation. The quality of life evaluation was performed using the EuroQol-5 dimension (EQ-5D). There were significant improvements in TUG, BBS, FGA, 10-meter walk test, and EQ-5D in all three groups (p <.05). In the comparison of the intervention effects between the three groups, the combined group showed a significant increase in FGA compared to the other two groups. This study showed that taping with transcutaneous electrical nerve stimulation is more effective for FGA than single methods. However, there was no difference between the three groups except for FGA. Therefore, more subjects and intervention period will be needed in future studies.

The Effect of Electrical Muscle Stimulation Therapy on Chronic Knee Pain for Aged (노인의 만성 무릎 통증에 대한 전기 근육 자극요법의 적용 효과)

  • Sok, So-Hyune;Kim, Kwuy-Bun
    • Journal of East-West Nursing Research
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    • v.11 no.1
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    • pp.5-11
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    • 2005
  • Purpose: This study is to examine the effect of electrical muscle stimulation therapy on chronic knee pain for aged. Method: Design was randomized one-group pretest-posttest design. Samples were total 15 elderly on 60 years old and above with chronic knee pain. Measures were S-F McGill Pain Questionnaire and Arthritis Impact Measurement Scale for knee pain. Electrical muscle stimulation therapy, experimental treatment was applied on chronic knee pain for 4 weeks, 3 times/week, 15 min/time. Data were collected from half March 2005 to May 2005. Data were analyzed using SPSS PC+ 12 version. Descriptive statistics was used for analysis of general characteristics in sample, and paired t-test was used to analysis the effect of electrical muscle stimulation therapy. Results: After receiving the electrical muscle stimulation therapy chronic knee pain was significantly decreased (t=-29.163, P=.000 in S-F MPQ; t=-37.005, P=.000 in AIMS). Conclusion: Electrical muscle stimulation therapy can be a better effective primary nursing intervention on chronic knee pain for aged in community.

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Effects of Muscle Electric Stimulation on Chronic Knee Pain, Activities of Daily Living, and Living Satisfaction for Korean Elderly Women (여성노인의 만성무릎통증, 일상생활활동 및 생활만족도에 미치는 근육 전기자극 요법의 적용 효과)

  • Sok, So-Hyune R.;Kim, Kwuy-Bun
    • Journal of Korean Academy of Nursing
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    • v.37 no.3
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    • pp.305-312
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    • 2007
  • Purpose: This study was to examine effects of muscle electric stimulation on chronic knee pain, activities of daily living, and living satisfaction for Korean elderly women. Methods: The design was a nonequivalent control group pretest-posttest study. Subjects were 60 (experimental: 30, control: 30) elderly women 65 years old or above with good orientation and communication. The experimental treatment was electric stimulation on both thigh quadriceps muscles for 15 minutes per time, 3 times per week, for a total of 12 weeks. Measures were the S-F McGill Pain Questionnaire and Arthritis Impact Measurement Scale for chronic knee pain, activities measurement of daily living for activities of daily living, and living satisfaction measurement for living satisfaction. Data was analyzed through the SPSS Win 12.0. Results: Chronic knee pain by S-F MPQ (t=43.563, p=.000) and chronic knee pain by AIMS (t=31.364, p=.000) were significantly decreased in the experimental group, and the activities of daily living (t=124.353, p=.000) and living satisfaction (t=71.268, p=.000) were significantly increased in the experimental group for Korean elderly women. Conclusion: Muscle electrical stimulation decreased chronic knee pain, and increased the activities of daily living and living satisfaction for Korean elderly women. Further studies for muscle electric stimulation need to be done.

Immediate Effects of Frequency-dependent Electrotherapy on the Gait and Ankle Range of Motion of Chronic Stroke Patients (주파수에 따른 전기치료가 만성 뇌졸중 환자의 보행 및 발목 관절가동범위에 즉각적으로 미치는 영향)

  • Cho, Kyun-Hee;Kim, Tae-Hyun;Park, Shin-Jun
    • Journal of Convergence for Information Technology
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    • v.9 no.10
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    • pp.220-226
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    • 2019
  • Transcutaneous electrical nerve stimulation and interferential current therapy were applied to the plantar flexor of the stroke patients, and the immediately effects on gait and ankle ROM were investigated. TENS group (n=15) and ICT group (n=15) were applied to the paretic side plantar flexor, respectively. After 60 minutes of application, evaluation of the gait and passive ankle dorsiflexion range of motion (ROM) using smartphone. After 60 minutes of application, immediate post evaluation was carried out. Two electrotherapy methods showed a significant increase in gait speed, cadence, and ankle ROM. Two electrotherapy methods were intervention methods that could increase the gait and ankle ROM of stroke patients. More subjects will be needed to pinpoint differences between the two electrotherapy methods.

Effects of Chronic Electrical Stimulation on Functional Recovery Following Laryngeal Reinnervation in the Rat (흰쥐에서 반회후두신경 손상 후 만성적 전기자극이 후두 기능 회복에 미치는 영향)

  • 김지연;조선희;한후재;박수경;신유리;정성민
    • Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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    • v.11 no.2
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    • pp.172-177
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    • 2000
  • Background and Objectives : Until now, various attempts have been made fir reinnervating paralyzed vocal cord. Nevertheless, the most cases did not produce satisfactory outcome due to occurrence of synkinesis of larynx secondary to misdirected axonal regeneration. Accordingly, the purpose of this investigation is to learn the effect of chronic electrical stimulation on regeneration of the recurrent laryngeal nerve. Material and Methods : Using 20 healthy male Sprague-Dawley rats(250-300g) with normal vocal functions, transections were made on their left recurrent laryngeal nerves and then primary anastomosis were performed under the operating microscope and they were divided into an experimental group and a control group each having 10 rats. After the procedure, for the experimental group, chronic electrical stimulation was carried out until vocal cord movement was functionally recovered. for the control group, only chronic electrical stimulation was not given. Result : In experimental group, the number of functionally recovered rats was two and in control group, that of functionally recovered rate was same. The reorganization of posterior cricoarytenoid muscle motoneuron in nucleus ambiguus appeared in the case of directed reinnervation of recurrent laryngeal nerve. Conclusion : The chronic electrical stimulation does not a direct beneficial effect on the early functional recovery in rats with injured recurrent laryngeal nerve.

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