• The Journal of Korean Physical Therapy
• /
• v.16 no.3
• /
• pp.72-85
• /
• 2004

We have few assessment tool in physical therapy. Recently, there is increasingly a concern of electrophysiologic examinations. They includes electomyography; needle and surface, evoked potentials; somatosensory evoked potentials; brainstem auditory evoked potentials; visual evoked potentials, nerve conduction velocity, blink reflex, H-reflex, and F-wave. The purpose of this study is understanding of electrophysiologic examinations. So we hope many physical therapist to use electrophysiologic examinations in research.

• Journal of Korean Physical Therapy Science
• /
• v.3 no.1
• /
• pp.907-918
• /
• 1996

Evoked potentials(EP) are defined as electric responses of the nerves system to sensory stimulation. EPs are used mainly to test conduction in the visual, auditory, and somatosensory systems, especially in the central parts of these systems. Somatosensory evoked potentials (SEP) are the potentials elicited by stimulation of peripheral nerves and recorded at various sites along the sensory pathway. SEPs types consist mainly of SEPs to electric stimulation of arm or leg nerves. SEPs to arm stimulation are usually recorded simultaneously from clavicular, cervical, and scalp electrodes; SEPs to leg stimulation are recorded from lumbar, low thoracic, and scalp electrodes. Subject variables that have practical impotance are age, limb length, body height, and temperature. General clinical interpretation of abnormal SEPs wave decreases of peripheral conduction time, and abolition of SEPs recorded from different levels to identify lesions of peripheral nerves, plexus, nerve root, spinal cord, cauda equina, hemispheric brainstem, and cerebral parts of the somatosensory pathway.

• Journal of Biomedical Engineering Research
• /
• v.22 no.3
• /
• pp.241-247
• /
• 2001

ABR(auditory brainstem response) is one of the audiometry which measures objective hearing threshold level by acquiring electric evoked potentials emanated from auditory nerve system responding to an auditory stimulation. However, the obtained potentials which are largely interfered by power line noise, have extremely low SNR, thus ensemble average algorithm is generally used. The purpose of this study was to investigate the effect of iteration number in ensemble average on the reduction of the power line noise. The power line noise was modeled to be a 60 Hz sinusoidal signal and the energy of the modeled signal was calculated when it was averaged. It was verified by simulation that the energy had the periodic zero points for each stimulation rate, and 60 Hz signal induced by the power line was applied to the developed ABR system to confirm that the period of zero energy point was the same with that of the simulation. By the properly selected iteration number, power line noise could be reduced and more reliable ABR could be acquired.

• Journal of Biomedical Engineering Research
• /
• v.17 no.2
• /
• pp.179-188
• /
• 1996

A clinically oriented 32-channel electroencephalogram (EEG) and evoked potential (EP) mapping system has been developed EEG and EP signals acquired from 32-channel electrodes attached on the heroid surface are amplified by a pre-amplifier which is separated from main amplifier and is located near the patient to reduce signal attenuation and noise contamination between electrodes and the amplifier. The amplified signals are further amplified by a main amplifier where various filtering and gain contr61 are achieved An automatic artifact rejection scheme is employed using neural network-based EEG and artifact classifier, by which examination time is substantially reduce4 The continuously measured EEG sigrlals are used for spectral mapping, and auditory and visual evoked potentials measured in synchronous to the auditory and visual stimuli are used for temporal evoked potential mapping. A user-friendly graphical interface based on the Microsoft Window 3.1 is developed for the operation of the system. Statistical databases for comparisons of group and individual are included to support a statistically-based diagnosis.

• Journal of Audiology & Otology
• /
• v.25 no.3
• /
• pp.163-170
• /
• 2021

Cortical deafness is a clinical rarity whereby a patient is unresponsive to all types of sounds despite the preserved integrity of the peripheral hearing organs. In this study, we present a patient who suddenly lost his hearing following ischaemic infarcts in both temporal lobes with no other neurological deficits. The CT confirmed damage to the primary auditory cortex (Heschl's gyrus) of both hemispheres. Initially, the patient was unresponsive to all sounds, however, he regained some of the auditory abilities during 10 months follow up. Pure tone threshold improvement from complete deafness to the level of moderate hearing loss in the right ear and severe in the left was observed in pure tone audiometry. Otoacoustic emissions, auditory brainstem responses, and acoustic reflex findings showed normal results. The middle and late latency potential results confirmed objectively the improvement of the patient's hearing, however, after 10 months still, they were somewhat compromised on both sides. In speech audiometry, there was no comprehension of spoken words neither at 3 nor at 10 months. The absent mismatch negativity confirmed above mentioned comprehension deficit. The extensive auditory electrophysiological testing presented in this study contributes to the understanding of the neural and functional changes in cortical deafness. It presents the evolution of changes after ischaemic cerebrovascular event expressed as auditory evoked potentials starting from short through middle and long latency and ending with event-related potentials and supported by neuroimaging.

• Korean Journal of Audiology
• /
• v.25 no.3
• /
• pp.163-170
• /
• 2021

Cortical deafness is a clinical rarity whereby a patient is unresponsive to all types of sounds despite the preserved integrity of the peripheral hearing organs. In this study, we present a patient who suddenly lost his hearing following ischaemic infarcts in both temporal lobes with no other neurological deficits. The CT confirmed damage to the primary auditory cortex (Heschl's gyrus) of both hemispheres. Initially, the patient was unresponsive to all sounds, however, he regained some of the auditory abilities during 10 months follow up. Pure tone threshold improvement from complete deafness to the level of moderate hearing loss in the right ear and severe in the left was observed in pure tone audiometry. Otoacoustic emissions, auditory brainstem responses, and acoustic reflex findings showed normal results. The middle and late latency potential results confirmed objectively the improvement of the patient's hearing, however, after 10 months still, they were somewhat compromised on both sides. In speech audiometry, there was no comprehension of spoken words neither at 3 nor at 10 months. The absent mismatch negativity confirmed above mentioned comprehension deficit. The extensive auditory electrophysiological testing presented in this study contributes to the understanding of the neural and functional changes in cortical deafness. It presents the evolution of changes after ischaemic cerebrovascular event expressed as auditory evoked potentials starting from short through middle and long latency and ending with event-related potentials and supported by neuroimaging.

• Korean Journal of Clinical Laboratory Science
• /
• v.43 no.1
• /
• pp.19-25
• /
• 2011

The purpose of this study was to analyse brainstem auditory evoked potentials (BAEP) wave change data during microvascular decompression (MVD). The nerve function of Cranial Nerve VIII is at risk during MVD. Intraoperative monitoring of BAEP can be a useful tool to decrease the danger of hearing loss. Between January and December 2009, 242 patients had MVD for hemifacial spasm (HFS) and trigeminal neuralgia (TN). Among intraoperative BAEP changes, amplitude of V-V' was the most frequently observed during cerebellar retraction and decompression step of the MVD procedure. 138 patients (57%) had no BAEP change while 104 patients (42.98%) had BAEP change. 69 patients (28.5%) had Type A-I, 16 patients (6.6%) had Type A-II, 5 patients (2.1%) had Type B, and 13 patients (5.37%) had Type C. MVD is a surgical procedure to relieve the symptoms (e.g. pain, muscle twitching) caused by compression of a nerve by an artery or vein. During BAEP intraoperative monitoring, the surgical step is important in interpreting the changes of wave V. Several potential mechanisms of injury may affect the cochlear nerve, and complete loss of BAEP is often associated with postoperative hearing loss. Intraoperative BAEP monitoring may provide an early warning of hearing disturbance after MVD.

• Journal of the Optical Society of Korea
• /
• v.20 no.2
• /
• pp.269-275
• /
• 2016

This study has investigated the feasibility of 980-nm low-energy pulsed near-infrared laser stimulation to evoke auditory responses, as well as the effects of radiant exposure and pulse duration on auditory responses. In the experiments, a hole was drilled in the basal turn of the cochlea in guinea pigs. An optical fiber with a 980-nm pulsed infrared laser was inserted into the hole, orientating the spiral ganglion cells in the cochlea. To model deafness, the tympanic membrane was mechanically damaged. Acoustically evoked compound action potentials (ACAPs) were recorded before and after deafness, and optically evoked compound action potentials (OCAPs) were recorded after deafness. Similar spatial selectivity between optical and acoustical stimulation was found. In addition, OCAP amplitudes increased with radiant exposure, indicating a photothermal mechanism induced by optical stimulation. Furthermore, at a fixed radiant exposure, OCAP amplitudes decreased as pulse duration increased, suggesting that optical stimulation might be governed by the time duration over which the energy is delivered. Thus, the current experiments have demonstrated that a 980-nm pulsed near-infrared laser with low energy can evoke auditory neural responses similar to those evoked by acoustical stimulation. This approach could be used to develop optical cochlear implants.

• Proceedings of the KOSOMBE Conference
• /
• v.1995 no.11
• /
• pp.189-192
• /
• 1995

In Visually Evoked Potentials(VEP) or Auditory Evoked Potentials(AEP), the components by the stimulation and the components which are irrelevant to the stimulation(noise or nonstationary spontaneous EEG) are mixed together. So one should average hundreds of EP waves to extract the components by the stimulation only. In this study, we have classified EP's, which are the responses of the different stimulations and different states of subjects. To classify the EP waves, the cross-correlation coefficients and neural network method(error back propagation) are used and compared.

• Korean Journal of Biological Psychiatry
• /
• v.21 no.1
• /
• pp.14-20
• /
• 2014

Objectives The current study investigated the putative relationship between chronotype and suicidality or bipolarity in patients with major depressive disorder (MDD). Method Nineteen outpatients who met the criteria for MDD according to the fourth edition of the Diagnostic and Statistical Manual of Mental Disorders-text revision were recruited for the current study. The subjects were divided into two subgroups based on their Basic Language Morningness (BALM) scores (dichotomized according to the median BALM score). The Loudness Dependence of Auditory Evoked Potentials (LDAEP) was evaluated by measuring the auditory event-related potentials before beginning medication with serotonergic agents. In addition, K-Mood Disorder Questionaire (K-MDQ), Beck Scale for Suicidal Ideation (BSS), Beck Hopelessness Scale (BHS), Barratt Impulsiveness Scale (BIS) were applied. Results The K-MDQ, BSS, BHS, BIS score was higher for the eveningness group than for the morningness group. However, the LDAEP, Hamilton Depression Rating Scale, Hamilton Anxiety Scale scores did not differ significantly between them. There were negative correlations between the total BALM score and the total K-MDQ, BSS, and BHS scores (r=-0.64 and p=0.0033, r=-0.61 and p=0.0055, and r=-0.72 and p=0.00056, respectively). Conclusions Depressed patients with eveningness are more vulnerable to the suicidality than those with morningness. Eveningness is also associated with bipolarity.