• Title/Summary/Keyword: 자극기

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Effects of Task-Oriented Training With Functional Electrical Stimulation on Cervical Spinal Cord Injury Patients' Hand Function: A Single-Subject Experimental Design (기능적 전기 자극을 병행한 과제 지향적 훈련이 경수 손상 환자의 손 기능에 미치는 영향: 개별사례 연구)

  • Ko, Seok-Beom;Park, Hae Yean;Kim, Jong-Bae;Kim, Jung-Ran
    • Therapeutic Science for Rehabilitation
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    • v.7 no.1
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    • pp.63-77
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    • 2018
  • Objective : The purpose of this study was to investigate the effects of task-oriented training with functional electrical stimulation on hand function in incomplete cervical cord injury. Method : The subjects of the study were 3 adults diagnosed as incomplete cervical cord injury. The design of this study was ABA single-subject research design to compare dominant hand function of before and after intervention and detect individual effects. The experiment consisted of 30sessions, in which baseline process A1 and A2 were implemented 5 sessions each for 10sessions. Intervention B was implemented 20 sessions. The dependent variable was converted to the change of hand function every session, and Canadian Occupational Performance Measure (COPM), Jebsen-Taylor Hand Function Test(JTHFT), Wolf Motor Function Test(WMFT) were selected for outcome measurements. Result analysis was suggested through visual analysis using a graph and comparison of pre, post and follow-up intervention measurements. Results : As a result, the quality and quantity of dominant hand function increased during intervention B compared to the baseline A1 for all subjects. Baseline A2 was also maintained without training. Additionally, JTHFT, WMFT and COPM scores demonstrated improvement and maintain. The follow up JTHFT and WMFT showed increased required time on all subjects and decrease or maintain task performance and satisfaction in COPM. Conclusion : The task-oriented training with function electrical stimulation in this study has been positive effects on hand function and task performance and satisfaction.

Motor Evoked Potential Study with Magnetic Stimulation in Ischemic Stroke Patients (허혈성 뇌졸중 환자에서 Magnetic Stimulation에 의한 운동유발전위 반응)

  • Kim, Seong-Min;Suh, Sang-Dug;Lee, Jun;Hah, Jung-Sang
    • Journal of Yeungnam Medical Science
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    • v.11 no.2
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    • pp.248-261
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    • 1994
  • This study was undertaken to evaluate the clinical usefulness of magnetic motor evoked potential (MEP) in the diagnosis of stroke and predicting the motor improvement following stroke. The cortical, cervical and lumbar stimulations were performed in the case of 24 healthy controls and 24 ischemic stroke patients. The central motor conduction time (CMCT) was represented by the difference of latency to a target muscle between after transcranial stimulation and after cervical or lumbar stimulation. There was no case showing no response in controls. But in 11 out of 24 ischemic patients, we could not get cortical MEP. Mean CMCT of abductor pollicis brevis muscle was not significantly different in controls and stroke patients in whom MEPs were recorded. There were significant differences between mean CMCT of normal controls and that of stroke patients showing MEPs in AH Muscle. MEP Results from testing the stroke patients were correlated with site of lesion, degree of motor weakness and motor improvement after 1 to 2 months. These results suggest that magnetic MEP is easy and useful in electrophysiological test of central motor pathway and is useful indicator for representing the motor weakness and predicting the motor outcome in acute ischemic stroke patients.

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Effects of Various Stimulants on Spawning Induction and Early Development at Different Water Temperatures in the Noble Scallop (흔한가리비, Chlamys nobilis의 자극방법별 산란유발 효과와 난 발생에 미치는 수온의 영향)

  • 원승환;한석중
    • Journal of Aquaculture
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    • v.17 no.2
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    • pp.97-102
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    • 2004
  • We examined the effects of stimulants including sunlight and UV-irradiation on the spawning induction and early development of the noble scallop, Chlamys nobilis. The sunlight stimulation resulted in nuch faster spawning induction (100% success within 40 minutes) compared to UV-irradiation (100% success within 70 minutes). Early development of the scallop larva took place between 15$^{\circ}C$ to 3$0^{\circ}C$. The time to reach the early D-shaped stage was 63.5, 31.5, 18.5 and 17.0 hours at 15, 20, 25 and 3$0^{\circ}C$, respectively. The correlations between the water temperature-(WT) regimes and the time (t) required for each developmental stage are as follows. 2 cell stage: 1/t=0.0606WT-0.6194 ($r^2$=0.9791) 8 cell stage: 1/t=0.0304WT-0.3453 ($r^2$=0.9941) Morula: 1/t=0.0100WT-0.1049 ($r^2$=0.9663) Trochophore: 1/t=0.0058WT-0.0618 ($r^2$=0.9848) D-shaped larva: 1/t=0.0030WT-0.0282 ($r^2$=0.9731) These correlations indicated that the biological minimum temperature of the species is around 10.44$^{\circ}C$. The highest survival rate up to D-shaped larva at different water temperature was observed at $25^{\circ}C$.

Development of RTD Model of the Mixer-Settler-Type Extractor Using the Stimulus-Response Method (자극-반응법(反應法)을 이용(利用)한 혼합침강형(混合沈降型) 추출장치(抽出裝置)의 RTD 모델 개발(開發))

  • Lee, Jin-Young;Kim, Joon-Soo;Lee, Hoo-In;Sohn, Jeong-Soo
    • Resources Recycling
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    • v.16 no.5
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    • pp.65-70
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    • 2007
  • This study presents the findings of the experiments that were conducted on single- and multi-stage solvent extractors using the stimulus-response method, with the am of identifying flow characteristics of the material inside the mixer-settler-type extractor. The results of this study show that the response characteristics of a single-stage mixer is the same as that of a completely stirred tank reactor (CSTR), and that the lag time of a mixer-settler-type extractor increases with the number of its extraction stages. The experimental data for the single- and multiple-stage extractors were analyzed using K-RTD, a response analysis program, to obtain a retention time distribution (RTD) model of one-stage and four-stage extractors. The correlation coefficient between the calculated values and the experimental data was 0.963 for the one-stage extractor and 0.995 for the four-stage extractor, showing quite a good correlation.

Development of Device Management and Safety Diagnosis Manual for Electrical Stimulating Swallowing-Assist Equipments (전기적 자극방식 삼킴 보조 치료기의 장비관리/안전진단 매뉴얼 개발)

  • Heo, S.Y.;Choi, B.G.;Rhee, G.M.
    • Journal of rehabilitation welfare engineering & assistive technology
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    • v.8 no.2
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    • pp.79-88
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    • 2014
  • In Republic of Korea, there are considerable vulnerability in electrical stimulating swallowing-assist equipments even though they are professional medical equipments and have high penetration rate with heavy frequency of use. Therefore, in this article, we developed Device Management and Safety Diagnosis Manual for Electrical Stimulating Swallowing-Assist Equipments system. For achieving this, we collected and analysed international standard data from international organizations like International Electrotechnical Commission(IEC). After literature reviews, we build maintenance worksheet and equipment procedure manual for electrical stimulating swallowing-assist equipments according to evidences we collected. These manual and protocol would be used as standard process and contribute to sustain accuracy, effectiveness of the devices, also decrease failure rate and assist to save medical documents.

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Convergence of Acupoint and Electrical Stimulation Therapy for Blood Flow and Pain Threshold (혈류량과 통증역치에 대한 경혈과 전기자극치료의 융합연구)

  • Yi, Dong-Hyun;Kim, Beom-Ryong;Hur, Yoon-Jung;Kim, Dong-Hoon;Shim, Su-Young;Yim, Jong-Eun
    • Journal of the Korea Convergence Society
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    • v.10 no.6
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    • pp.79-87
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    • 2019
  • This study examined how the application of silver spike point (SSP) and acupuncture-like transcutaneous electrical nerve stimulation (A-TENS) on acupoints affects blood flow and pain threshold, using laser Doppler blood fluxes and the Commander algometer. Our study included 32 healthy men and women who were randomly divided into the SSP group (n=18) and the A-TENS group (n=14). The pain threshold and blood flow were measured at the Neiguan (PC6) of the Jueyin Pericardium Meridian of the hand. SSP was performed with a 2.8cm electrode at a fixed frequency of 3 Hz for 15 minutes. The change in blood flow and pain threshold after the intervention significantly differed between the two groups (p<0.05). We found that the application of SSP and A-TENS on an acupoint altered their blood flow and pressure pain threshold, with SSP resulting in significantly greater change than A-TENS. Based on these results, the convergence of acupoint and electrical stimulation therapy can be usefully applied as a method for various patients. Continued development of convergence interventions is necessary.

FES Exercise Program for Independent Paraplegic Walking (하반신 마비환자의 FES 독립보행을 위한 근육 강화 프로그램)

  • Khang, Seon-Hwa;Khang, Gon;Choi, Hyun-Joo;Kim, Jong-Moon;Chong, Soon-Yeol;Chung, Jin-Sang
    • Journal of Biomedical Engineering Research
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    • v.19 no.1
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    • pp.69-80
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    • 1998
  • This research was designed to investigate how the exercise program affects paraplegic standing and walking employing functional electrical stimulation(FES). Emphasis was also given to fatigue of major lower extremity muscles induced by different types of electrical stimulation. We applied continuous and intermittent rectangular pulse trains to quadriceps of 10 normal subjects and 4 complete paraplegic patients. The frequencies were 20Hz and 80Hz, and the knee angle was fixed at 90$^{\circ}$and 150$^{\circ}$to investigate how muscle fatigue is related to muscle length. The knee extensor torque was measured and monitored. We have been training quadriceps and gastrocnemius of a male paraplegic patient by means of electrical stimulation for the past two year. FES standing was initiated when the knee extensors became strong enough to support the body weight, and then the patient started FES walking utilizing parallel bars and a walker. We used an 8-channel constant-voltage stimulator and surface electrodes. The experimental results indicated that paralyzed muscles fatigued rapidly around the optimal length contrary to normal muscles and confirmed that low frequency and intermittent stimulation delayed fatigue. Our exercise program increased muscle force by approximately 10 folds and decreased the fatigue index to half of the initial value. In addition, the exercise enabled the patient to voluntarily lift each leg up to 10cm, which was of great help to the swing phase of FES walking. Both muscle force and resistance to fatigue were significantly enhanced right after the exercise was applied every day instead of 6 days a week. Up to date, the patient can walk for more than two and half minutes at 10m/min while controlling the on/off time of the stimulator by pushing the toggle switch attached to the walker handle.

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Comparison of Brain Activation Images Associated with Sexual Arousal Induced by Visual Stimulation and SP6 Acupuncture : fMRI at 3 Tesla (시각자극과 삼음교 자침으로 유발된 성적 흥분의 대뇌 활성화 영상의 비교 : 3 테슬라 기능적 자기공명영상법)

  • Choi, Nam-Gil;Han, Jae-Bok;Jang, Seong-Joo
    • Journal of radiological science and technology
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    • v.32 no.2
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    • pp.183-194
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    • 2009
  • Purpose : This study was performed not only to compare the brain activation regions associated with sexual arousal induced by visual stimulation and SP6 acupuncture, but also to evaluate its differential neuro-anatomical mechanism in healthy women using functional magnetic resonance imaging (fMRI) at 3 Tesla (T). Subjects and methods : A total of 21 healthy right-handed female volunteers (mean age 22 years, range 19 to 32) underwent fMRI on a 3T MR scanner. The stimulation paradigm for sexual arousal consisted of two alternating periods of rest and activation. It began with a 1-minute rest period, 3 minutes of stimulation with either of an erotic video film or SP6 acupuncture, followed by 1-minute rest. In addition, a comparative study on the brain activation patterns between an acupoint and a shampoint nearby GB37 was performed. The fMRI data were obtained from 20 slices parallel to the AC-PC line on an axial plane, giving a total of 2,000 images. The mean activation maps were constructed and analyzed by using the statistical parametric mapping (SPM99) software. Results : As comparison with the shampoint, the acupoint showed 5 times and 2 times higher activities in the neocortex and limbic system, respectively. Note that brain activation in response to stimulation with the shampoint was not observed in the regions including the HTHL in the diencephalon, GLO and AMYG in the basal ganglia, and SMG in the parietal lobe. In the comparative study of visual stimulation vs. SP6 acupuncture, the mean activation ratio of stimulus was not significantly different to each other in both the neocortex and the limbic system (p < 0.05). The mean activities induced by both stimuli were not significantly different in the neocortex, whereas the acupunctural stimulation showed higher activity in the limbic system (p < 0.05). Conclusions : This study compared the differential brain activation patterns and the neural mechanisms for sexual arousal, which were induced by visual stimulation and SP6 acupuncture by using 3T fMRI. These findings will be useful to understand the theory of traditional acupuncture and acupoint channel in scientific point of view.

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