• Journal of Physiology & Pathology in Korean Medicine
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• v.24 no.5
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• pp.748-752
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• 2010

There are many hypothesis about mechanism of acupuncture, and the relationship between acupuncture stimulation and autonomic nervous system(ANS) is one of the powerful hypothesis. The purpose of this study is to investigate the relationship between acupuncture stimulation and ANS. We searched the literature and reports related with acupuncture stimulation(meridian system, meridian points) and autonomic nervous system. And we concluded acupuncture stimulation can control autonomic nervous system. We reviewed studies that contributed to an understanding of the autonomic mechanisms of acupuncture with the hope that this review will be of benefit to the acupuncture treatment.

• Journal of the Korea Convergence Society
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• v.11 no.8
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• pp.331-340
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• 2020

Rheumatoid arthritis ("RA"), whose characteristics are chronic inflammation and chronic pain, accompanies autonomic nervous system(ANS) dysfunction. In particular, ANS dysfunction in patients with chronic musculoskeletal pain was found to have increased the local pain intensity while lowering the pain threshold, thereby negatively influencing pain. It is reported that thermo-spinal massage affects relief of chronic pain and recovery of ANS in patients with chronic musculoskeletal pain. Therefore, we report a case of rheumatoid patients with chronic pain and ANS dysfunction, who experienced recovery of ANS dysfunction and pain reduction by applying thermo-spinal massage treatment.

• Journal of Electrical Engineering and Technology
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• v.3 no.4
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• pp.576-583
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• 2008

In this study, we attempt to design a real-time autonomic nervous system(ANS) evaluation system usable during exercise using heart instantaneous frequency(HIF). Although heart rate variability(HRV) is considered to be a representative signal widely used ANS evaluation system, the R-peak detection process must be included to obtain an HRV signal, which involves a high sampling frequency and interpolation process. In particular, it cannot accurately evaluate the ANS using HRV signals during exercise because it is difficult to detect the R-peak of electrocardiogram(ECG) signals with exposure to many noises during exercise. Therefore, in this study, we develop the ground for a system that can analyze an ANS in real-time by using the HIF signal circumventing the problem of the HRV signal during exercise. First, we compare the HRV and HIF signals in order to prove that the HIF signal is more efficient for ANS analysis than HRV signals during exercise. Further, we performed real-time ANS analysis using HIF and confirmed that the exerciser's ANS variation experiences massive surges at points of acceleration and deceleration of the treadmill(similar to HRV).

• The Korean Journal of Pain
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• v.35 no.3
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• pp.327-335
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• 2022

Background: The pathophysiology of fibromyalgia (FM) involves many mechanisms including central nervous system sensitization theory, autonomic nervous system (ANS) dysfunction, and recently small fiber neuropathy. While the small fiber neuropathy itself can cause ANS dysfunction and neuropathic pain (NP), it is still unknown whether ANS problems have an association with severity of disease and NP in patients with FM. The aim of this study was to evaluate ANS dysfunction in FM patients and to explore possible associations of ANS dysfunction with disease severity and NP. Methods: Twenty-nine FM patients and 20 healthy controls were included in this cross-sectional study. Participants were tested using sympathetic skin responses (SSR) and R-R interval variation analyses for sympathetic and parasympathetic ANS dysfunction, respectively. Disease severity and somatic symptoms of patients with FM were evaluated using the ACR-2010 scales and Fibromyalgia Impact Questionnaire, and NP symptoms were evaluated using the Pain Detect Questionnaire and Douleur Neuropathique questionnaire. Results: FM patients were found to have ANS dysfunction characterized by increased sympathetic response and decreased parasympathetic response. SSR amplitudes were found to be correlated with a more severe disease. Although nonsignificant, NP severity tended to be associated with a decrease in sympathetic and parasympathetic activities. Conclusions: ANS dysfunction may play a role in the pathophysiology of FM. The trend of decreased ANS functions in FM patients exhibiting NP contradicts the notion that FM is a sympathetically maintained NP and may be explained with small fiber involvement.

• PNF and Movement
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• v.16 no.2
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• pp.207-216
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• 2018

Purpose: This study aimed to investigate the fully immersive virtual reality (FIVR) program changes in the autonomic nervous system (ANS) by age according to heart rate variability (HRV). Methods: A total of 44 subjects were classified into group 1(aged 20-30), group 2(aged 40-60), and group 3(aged 70 and above). The study analyzed the HRV using a pulse wave analyzer and compared the ANS changes before and after applying the FIVR of the group. The LF, HF, RMSSD, and SDNN were measured. Fifteen minutes of virtual reality applications were applied to all subjects, and 1 min of rest was given in the middle of the session. A was used for anteroposterior comparisons of the ANS. Results: The HF, LF, RMSSD, and SDNN values were not statistically significant in all groups, but they all increased. The RMSSD value was statistically significant because it increased in group 3 (p<0.05). Those of the other two groups were not statistically significant (p<0.05). Conclusion: An FIVR program does not have a negative effect on the ANS response.

• Physical Therapy Rehabilitation Science
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• v.10 no.2
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• pp.134-140
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• 2021

Objective: The purpose of this study was to investigate the alteration of upper cervical manipulation to autonomic nervous system (ANS) through the heart rate variability(HRV) analysis in young healthy individuals. Design: Two-group pretest-posttest design. Methods: Thirty four young healthy participants (17 males and 17 females) were randomized into the 2 groups, such as the upper cervical manipulation group (UCM group, n=17), neck stretching group (NS group, n=17). UCM group received a upper cervical manipulation, especially on the atlas, and NS group did stretch for both side of upper trapezius and levator scapular. For the UCM, Atlas mobility was checked by therapist and thrust was given once at the posterior arch of Atlas. HRV was measured before and after intervention to investigate ANS alteration. After the intervention, both groups were given 3 minutes break-time before measuring HRV. Results: The UCM group showed significant differences in ANS Activity, Stress Resistance, Stress index and Fatigue Index (p<0.05) while no differences in NS group with before and after intervention. There were significant differences in ANS Activity, Stress Resistance, and Fatigue Index between groups (p<0.05). Conclusions: This study suggected that upper cervical manipulationhas positive effects on the ANS activity, stress resistance, and fatigue index.

• The Journal of the Society of Korean Medicine Diagnostics
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• v.15 no.2
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• pp.127-140
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• 2011

Objectives: Acupuncture has been shown to relieve pain and modulate biological function by stimulating the organ-specific meridians and enhances parasympathetic activity and suppresses sympathetic activity. The aim of this review is to summarize and understand the effects of acupuncture on autonomic nervous system. Methods: We reviewed a total of 29 studies published from 2000 to 2010 searched by PueMed and various domestic oriental medicine journals to obtain acupuncture studies related with ANS. Each article was classified by ANS measurement index and reviewed for study objectives, outcomes, acupuncture points, experimental and control interventions. Results: In the study of acupuncture about EEG, HRV, SCR, the experiment results are not the same by acupoints. Although same acupoint the results differ by subject's condition. But the study showed some clear tendency. In brief, in normal states acupuncture enhanced either vagal or sympathetic tone depending on the stimulated acupuncture point sites. On the other hand, most of studies demonstrated that acupuncture restored the autonomic dysfunctions in various kinds of tired or stressful states. Conclusions: We reviewed studies that contributed to an understanding of the effects and mechanisms of acupuncture on autonomic nervous system. Although the relationship between acupuncture and ANS response is still uncertain, acupuncture could be a excellent treatment method for modulating autonomic dysfunction.

• Journal of Biomedical Engineering Research
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• v.18 no.1
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• pp.37-44
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• 1997

In this paper, the power spectral analysis of heart rate variability(HRV) was performed to evaluate effects of orthostatic stress with head-up tiIt on autonomic nervous system(ANS) for 25 healthy male subjects(age : 24 $\pm$ 5 yr.) and a new method was proposed to assess the autonomic balance. The ECG and respiration signals were recorded at tiIt angles of $0^{\circ}$, $45^{\circ}$, $90^{\circ}$and $0^{\circ}$ successively for 10 minutes per each stage under the condition of frequency controlled respiration(0.25Hz). Heat rate(HR) gradually increased ils the angle increased Similarly, according to the increment of angle, normalized low frequency component(0.05-0.15Hz) gradually increased, whereas normalized high frequency component (0.20-0.30Hz) was reduce4 From these results it is speculated that orthostatic stress head-up tiLt, results in the prevalence of sympathetic tone in autonomic balance with the increment of sympathetic tone and the decrement of parasympathetic tone, which seems to meanthat autonomic nervous system plays a major role in compensating for disturbances of cardiovascular system due to it.

• Journal of the Korea Institute of Information and Communication Engineering
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• v.14 no.9
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• pp.2099-2104
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• 2010

In this paper, HRV signal which was appeared RR intervals from ECG was analyzed using return-map during anesthesia. We intended to estimate the depth of anesthesia observing the change of autonomic nervous activity(ANS) because HRV showed change of cardio-vascular system of the body according to state of ANS. Return-map analysis is to reconstruct time series of HRV to phase space after calculating delay time and embedded time. After approximating the signal distribution which was reconstructed in phase space in elliptic, we calculated the lengths of major and minor axises of the elliptic and the values was used to estimate the depth of anesthesia. Stages of the anesthesia were 7 levels to evaluate the depth of anesthesia. At induction stage of strong external stimulation, the length of major and minor axis were statistically high and at the operation stage of non-external stimulation, the values were statistically low. Conclusively, the stages of anesthesia were discriminated by HRV signal mapped in the phase space during operation.

• 제어로봇시스템학회:학술대회논문집
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• 1997.10a
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• pp.1639-1642
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• 1997

In this paper, the autonomic function analysis system was designed to noninvasively assess the autonomic function of cardiovascular system. Orthostatic stress protocol was designed to stimulate the autonomic nervous system. designed protocol and analysis algorithm were evaluated by experiments for 25 normal subjects and 22 hemiplegia patients. Data were processed by usign the power spectral analysis. Nwe indexes of autonomic function, LF$_{N}$ and HF$_{N}$, were proposed and were compared with LF/HF ratio. New indexes of the sympathetic and parasympathetic activity, respectively. The IST and the DPT are balanced and have positive value for normal subjects during orthostatic stress but not for hempilegia patients. This result suggest that the IST and the DPT are used as new criteria of normal autonomic function during orthostatic stress.ess.