• 제목/요약/키워드: Movement disorder

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Alexithymia : Concept and Implications for Treatment (감정표현불능증 : 그 개념과 치료적 함의)

  • Ham, Byung-Joo;Kim, Leen
    • Sleep Medicine and Psychophysiology
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    • v.9 no.1
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    • pp.18-23
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    • 2002
  • Alexithymia represents deficits in the cognitive processing and regulation of emotions. It is observed in many cases of psychosomatic disease, anorexia nervosa, panic disorder, depression etc. Many studies have shown that alexithymia is associated with maladaptive styles of emotion regulation, low emotional intelligence, interhemispheric transfer deficit, and reduced rapid eye movement density. Psychotherapies that enhance emotional awareness may be effective in alleviating the difficulties of alexithymic individuals. Aexithymia is useful for constructing the role of personality and emotions in the pathogenesis of psychiatric disorders. It may serve as a bridge between neurobiology and psychology. We review recent alexithymia theory and research and their implications for treatment of psychosomatic disorders.

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Recruitment Patterns of Lumbar Extensor and Hip Extensors in Trunk Flexion and Extension (체간 굴곡과 신전 시에 요부 신근과 고관절 신근의 동원패턴)

  • Lee, Hyun-Ok;Gu, Bong-Oh
    • The Journal of Korean Physical Therapy
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    • v.21 no.1
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    • pp.57-63
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    • 2009
  • Purpose: We determined the recruitment pattern of lumbar elector spinalis, gluteus maxims, inner and outer hamstring muscle during trunk flexion and extension. Methods: Thirty healthy subjects(male; 15, female; 15) without low back pain and other problems in lower extremities participated in this study. To measure the recruitment pattern, the onset times of electromyographic activity of the muscles were recorded during trunk flexion and return(extension) to standing position. Results: The medial and lateral hamstring muscle was activated first, next elector spinalis, the last, gluteus maximus in trunk flexion. In trunk extension to standing position, the order of recruitment was similar to trunk flexion although the frequency is different. There were different between male and female in flexion and extension movement. Conclusion: The recruitment order of lumbar extensor and hip extensors in trunk flexion and extension will provide database in evaluation and intervention of lower back pain and lumbo.pelvic rhythm disorder.

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The Effects of Mokdanpisaback-san on Stroke: A Retrospective Medical Chart Review (뇌졸중에 대한 목단피사백산의 치료 효과 연구 : 후향적 의무기록 분석)

  • Choi, Yu-jin;Kim, Ki-tae
    • The Journal of Internal Korean Medicine
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    • v.41 no.1
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    • pp.69-80
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    • 2020
  • Objective: The aim of this study was to report the improvement of stroke symptoms in patients using Mokdanpisaback-san. Methods: This study was carried out on patients hospitalized at the Department of Korean Internal Medicine of Jecheon Korean Medicine Hospital of Semyung University from October 2014 to September 2019. A retrospective study was performed on 43 patients who were diagnosed with stroke and Soyangin and treated with Mokdanpisaback-san. Results & Conclusion: 1. Mokdanpisaback-san is effective in improving various symptoms of stroke, including dysarthria, dysphagia, movement disorder, paresthesia, quadriplegia, and dizziness. 2. Mokdanpisaback-san significantly improves the motor disorders of stroke, including lower extremity muscle strength, standing, and walking disorders. 3. Mokdanpisaback-san does not affect the liver or kidney function.

Langerhans Cell Histiocytosis Causing Cervical Myelopathy in a Child

  • Jang, Kun-Soo;Jung, Youn-Young;Kim, Seok-Won
    • Journal of Korean Neurosurgical Society
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    • v.47 no.6
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    • pp.458-460
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    • 2010
  • Langerhans cell histiocytosis (LCH), a disorder of the phagocytic system, is a rare condition. Moreover, spinal involvement causing myelopathy is even rare and unusual. Here, we report a case of atypical LCH causing myelopathy, which was subsequently treated by corpectemy and fusion. A 5-year-old boy presented with 3 weeks of severe neck pain and limited neck movement accompanying right arm motor weakness. CT scans revealed destruction of C7 body and magnetic resonance imaging showed a tumoral process at C7 with cord compression. Interbody fusion using cervical mesh packed by autologus iliac bone was performed. Pathological examination confirmed the diagnosis of LCH. After the surgery, the boy recovered from radiating pain and motor weakness of right arm. Despite the rarity of the LCH in the cervical spine, it is necessary to maintain our awareness of this condition. When neurologic deficits are present, operative treatment should be considered.

A Case of Sandifer Syndrome (Sandifer 증후군 1례)

  • Lee, Mira;Kim, Soo Hyun;Kim, Yong Joo;Seol, In Joon
    • Clinical and Experimental Pediatrics
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    • v.46 no.10
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    • pp.1036-1039
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    • 2003
  • Sandifer syndrome is a rare manifestation of gastroesophageal reflux in children, occurring in association with abnormal movement of the head and neck and recurrent episodes of seizure after feeding. This syndrome may be misdiagnosed as infantile seizure and musculoskeletal disorder and may be associated with failure to thrive, anemia, aspiration pneumonia, and esophagitis. In this paper, Sandifer syndrome in a four months old male with recurrent aspiration pneumonia, apnea, and seizure after feeding is presented.

Clinical Study on a Case of Idiopathic Oculomotor Nerve Palsy Patient (특발성 동안신경마비로 인한 안검하수와 안구운동장애 환자의 치험1례)

  • Lee, Jung-Sup;Shin, Sun-Ho
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.22 no.3
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    • pp.699-702
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    • 2008
  • Oculomotor nerve palsy is a disorder which causes eyeball movement trouble, dipleopia, dizziness and eyelid ptosis. It is caused by aneurysm, mass, truma, intracranial hypertension, diabetes mellitus, infection and so on. But sometimes we can't establish the cause. We report a case of oculomotor nerve palsy associated with spleen energy(脾氣). We treated a patient with herb medicine and acupuncture. This study suggests that oriental medicine theraphy has a good effect on the oculomotor nerve palsy.

Effect of Botulinum Toxin Injection on the Stuttering Patients (말더듬(Stuttering) 환자에 대한 보툴리눔독소의 주입 효과)

  • 최홍식;김영호;표화영;홍원표
    • Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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    • v.8 no.2
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    • pp.193-198
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    • 1997
  • Stuttering is a movement disorder of speech-motor control characterized by inappropriate timing of lingual, labial, laryngeal, and respiratory muscles. Treatment for adult stutterers have included traditional and non-traditional behavioral and psychiatric modalities, many with good initial success but all with limited long-term benefit. Recent trials of botulinum toxin injection was somewhat favorable. In this study, the authors injected 5-8 U of botulinum toxin into the thyroarytenoid muscle bilaterally in cases of disabling stutterers. Evaluation after 4 weeks of injection, 80% of the patients was improved more than one positive scale. However, no one was improved to almostly normal range.

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Sleep and Schizophrenia (수면과 조현병)

  • Lee, Jin-Seong
    • Sleep Medicine and Psychophysiology
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    • v.18 no.2
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    • pp.67-71
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    • 2011
  • Schizophrenia is a chronic, currently incurable, and devastating syndrome. Although sleep disturbances are not primary symptoms of schizophrenia, they are important aspects of schizophrenia. Difficulties initiating or maintaining sleep are frequently encountered in patients with schizophrenia. Many schizophrenics report low subjective sleep quality. Measured by polysomnography, increased sleep latency as well as reduced total sleep time, sleep efficiency, slow wave sleep, and rapid eye movement sleep latency (REM latency), are found in most patients with schizophrenia and appear to be an important aspect of the pathophysiology of this disorder. Some literatures suggest that worsening sleep quality precedes schizophrenic exacerbations. Co-morbid sleep disorders such as obstructive sleep apnea (OSA) and restless legs syndrome (RLS), and sleep-disrupting behaviors associated with schizophrenia may lead to sleep disturbances. Clinicians should screen the patient with sleep complaints for primary sleep disorders like OSA and RLS, and carefully evaluate sleep hygiene behaviors of all patients with schizophrenia who complain of sleep disturbances.

Effect of Meridian Tendino-musculature Acupuncture on Hemifacial Spasm (안면경련에 대한 경근자법 효과)

  • Hur, Keun Young;Song, Ho Sueb
    • Journal of Acupuncture Research
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    • v.30 no.4
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    • pp.197-202
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    • 2013
  • Objectives : Hemifascial spasm is painless uncommon disorder characterised by involuntary paroxysmal movement of one side of face. In this study, the effect of meridian tendino-musculature acupuncture and pharmacopuncture therapy for two patient with hemifascial spasm were evaluated. Methods : We treated two patients with meridian tendino-musculature acupuncture and placenta pharmacopuncture therapy in sternocleidomastoid muscle. We evaluated the effect by Scott's scale and treatment satisfaction. Results : Before therapy, the grade of spasm intensity classified by Scott's description in two cases were 3. After therapy, the Scott's grade of one case was 0, and another case were 1. Conclusions : Meridian tendino-musculature acupuncture and placenta pharmacopuncture therapy in sternocleidomastoid muscle for hemifascial spasm was effective and will be attemped to the patients with it.

Oral Appliance as a Sensory Trick to Manage Tardive Dyskinesia of Tongue: A Case Report

  • Shin, Jun-Hee;Kim, Mee-Eun;Kim, Hye-Kyoung
    • Journal of Oral Medicine and Pain
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    • v.45 no.2
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    • pp.29-33
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    • 2020
  • Tardive dyskinesia (TD) is continuous, repetitive movement disorder of tongue, lip or jaw, induced by medication. It causes pain and dysfunction of oral structures but also interferes with dental treatment and overall social life of patients. As a dentist, it is imperative to recognize and manage TD, although currently, there is no definitive treatment for TD. This article reports a patient with TD of tongue, successfully managed with an oral appliance mimicking sensory tricks. Considering the limited treatment options for TD, an oral appliance, a simple and conservative approach, can be a meaningful treatment for some patients with orofacial dyskinesia.